Alcohol Addiction in Teenage Maoris

This report examines the alarming rates of alcohol addiction among Maori teenagers, highlighting cultural influences, health implications, and the need for effective government interventions. It discusses the prevalence of addiction, barriers to treatment, and offers recommendations for establishing healthcare centers and health promotion programs tailored to the Maori community. The report emphasizes the importance of culturally competent care and community engagement in addressing this critical public health issue.

Running head: ALCOHOL ADDICTION IN TEENAGE MAORIS
ALCOHOL ADDICTION IN TEENAGE MAORIS
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Executive summary:
A growing issue regarding the health of teenagers in the Maori community has made the
government really tensed. An increased number of teenagers are getting addicted to alcohol
drinking. Cultural traditions, lack of education, lack of parental control, influence of friends and
many others have been the factors which had been increasing the rate of addictions. However,
over the years, the government has been providing with a large number of initiatives to address
the growing concern. However the pace has been really slow. Some of the important
recommendations which are provided for betterment of their health are to establish primary
health care centers, establishment of health promotion programs and introduction of local
polices. All these would help to bring changes in the number and help them to meet a better
future.

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Introduction:

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It has been estimated that alcohol addiction is experienced by more than one quarter of Maori
people in their teenage life. The most vulnerable group that is highly affected by this addiction is
the young individuals who are in their adolescence stage and this account to about 27%. This has
been found to be the third cause of disorders in the teenagers after anxiety disorder
(31%) .Moreover alcohol addiction was found to be the third leading cause of hospitalization for
young teenagers in the Maori community which accounted for about 82 for 100000 between the
year 2003 and 2005 (Jackson et al., 2016). It has been found that alcohol addiction disorders
usually coexist with different types of mental health problems. Te Rau Hinengaro has been
successful in finding out that 40% of those young individuals who have this form of substance
misuse disorder also tend to develop anxiety disorder and among them about 29% have
coexisting mood disorder. The following report will mainly discuss the issue in details, look over
the initiatives done by the government and will also states how the government should try to
aggravate the effects. This will also have recommendations with rationale which both private and
public governance systems can take for benefit of Maori teenagers.
Issues that occur when teenagers become addicted to alcohol:
Different disorders remain associated with substance abuse in young people of Maori. These are
different types of Mental Health disorders or chronic general health problem. Such individuals
are also exposed to various accidental as well as intentional injury and even they. Violence and
criminal offending all remain associated with this addiction (White, Walton & Walker 2015).
Moreover different types of negative work along with various educational social and financial
consequences are also seem to arise because of the development of this habit. In case of girls it
has been seen that substance abuse disorder have high effects on fetal development in their
reproductive age and therefore it leads to issues during pregnancy.

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Prevalence among Maori teenagers and non Maoris:
Different literature articles have stated that a alrhe number of alcohol related issues has been
reported among young Maoris and as half of the Maori population is below 24 years of age they
are especially affected by this addiction. Maori young people are more negatively affected by
alcohol than non Maori in the country of New Zealand. Maori people (accounting to about 76%)
who are aged 18 years and over state themselves as alcohol addicts and 36% of the rest identify
themselves as binge drinkers. Moreover it is also said that the severe alcohol related problems in
young are more than twice that of the non Maori normally. Moreover Maori young people also
experience harms from their own as well as from their friends drinking habit. Also suggest that
Maoris are 4 times more likely to die of alcohol related problems in a very tender age than that of
an on Maori. It has been found that the Maori culture as fit as well as tolerate and open celebrate
been drinking and getting drunk. Ministry of health had published results of the research
conducted in the statistical analysis where is was found that hazardous drinking rates had found
to be raised among young adults out of which 44% are male and 30% of them are female. They
usually belong to the age group of 18 to 24. Moreover they are also found to have the highest
rate of weekly binge drinking. This accounts for about six or more drinks on a particular
occasion for about 20%. Hazardous drinking is found to increase in all age groups. This is said
so as drinking rates have been seen to decline from 18% in 2006/07 to 15% in 2011/12.
However, the rate again increased to 19% in 2015/16 (Annual Update of Key Results 2015/16,
New Zealand Health Survey). The normalization of alcohol has been seen to be accepted by the
culture and it is also believe that offering alcohol is considered as one of the part of being a
proper host in the Maori culture (dAbass, 20150. It is very interesting to see that young people
liking for alcohol to be increasingly being linked to their identity and take this edition as a

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normal course of life cycle. 43% of Maori consume alcohol when they are 14 years or even
younger to them which is significantly more than the total population of about 32% of New
Zealand. It has been also found that 45% of Maori who are between the age of 15 to 17 get drunk
the most recent time they drank alcohol and 25% of them reported that they had planned to do
so. They have perceptions that it is acceptable to drink in many situations. They have perceptions
that it is acceptable to drink in many situations.
Barriers faced by the teenage Maoris:
2007 to 2008 New Zealand alcohol and drug use survey have done researches and stated that 1 %
of women and 2% of men had been successful to get help in reduction of the level of alcohol
consumption in the past year. in addition to this it was also seen that 1.2% of Maori young
wanted help for reducing the drinking habit but they did not receive it. The iwi governance and
the New Zealand system of the government have seen that there are many barriers which prevent
the young people from getting access to healthcare for treatment of their addiction. They have
identified that psychosocial factors such as fear for about 34%, social pressure for about 27% and
also lack of time for about 9% are some of the reasons which have acted as barriers in helping
the adolescence to get help from the Health Care Centers. It is also seen that different
organizational barriers also exist (Medina-Mora et al., 2015). The individuals of the Maori are
not well educated and knowledgeable and therefore they do not know where to go (26%), No
appropriate service, unable to come in touch with the service, no local service available, lack of
Transportation system, appointment time and suitable cost Of Health Care treatment. Therefore
they are of the opinion that there are a large proportion of people who want help for their
drinking habits but there is also a larger proportion of Maori people are yet to recognize that their
drinking is a big problem for them as that might affect their future.

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How the government should handle the issue effectively:
The government therefore should take an important role in managing the present issue which are
faced by the Maori in young people regarding their drinking habits. It is mainly to bring out
different kinds of initiative which would encourage the Maori people to shift their focus from
alcohol drinking and perform more productive activities in their life. They should be given the
scope of trying out different forms of activities which might include different co curricular
activities as well as proper schooling where they can learn about the negative aspects of drinking.
Education is one of the most important social determinants of Health and therefore it is the duty
of the government to introduce proper education systems for the young individuals (Ashton et
al., 2014). Only introducing education systems will not be enough as government also have to
take the initiative that proper monitoring body are allocated for the different schools and colleges
so that it can be noticed that whether the education system are bringing out benefits for the
young individuals and also describe the modification in the thought process of the Young
individuals after schooling and health promotion programs are implemented. As the idea of
drinking alcohol in inculcated in their culture, it would be a very difficult ask for the government
to erase away the the habit of drinking from their tradition but they can take some of the
important initiatives which would help them to become more responsible with their health.
Introducing education systems and establishing Health Promotion program in the community it is
also important to develop proper engagement plan of the Maori people so that they do not go for
binge drinking. They can be allocated for different types of handicraft activities, co curricular
activity and many others so that they remain busy and do not think of drinking alcohol. And
other important initiatives that the government should take in this regard is to develop a policy
which would act as a guidance for the parents of such individuals and help them to tackle their

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children in a more skilled way. a very interesting fact was found by the government when they
had conducted the survey among the many people. They have stated that Whanau has influence
on its members when it comes to drinking (Kypri et al., 2014). In the Search it was found out
that 19% of parents thought it was acceptable for their teenagers to get drunk in certain cases.
57% of the parents also admitted that day or other parent caregiver took part in the supply of
alcohol to the teenagers therefore the government should also target the parents and other
members of the group so that they can provide them with information on the harms of drinking
and how they can take proper measures to keep their children safe. The policy will mainly be
including encouragement in the delay of the onset of drinking habits for their children, and they
should also reconsider before supply alcohol to their teenager children. Therefore education,
proper engagement of the children in different activities, financial support to the different
families, and introducing guidelines for empowering the paper parents on the discus topic which
will help controlling the issue of drinking among young children to a great extent.
Different initiatives taken by the government over the years to reduce drinking habits:
Different initiate have been taken by the government over the years point one of them is the
Crown entity Reform Act which was passed in the year 2012. comprised of three separate app
which are the New Zealand public health and disability Amendment Act, the mental health
Commission Amendment Act and the charities Amendment Act. another was also the blueprint
to act which mainly provided a ten-year guide in the year 2012 to improve the delivery of Mental
Health and addiction services. It recognized that resources such as funding and workforce are are
needed to be increased. The vision of the blueprint to was mainly made through enhancing the
cost sector collaboration that intern involved with the government as well as community sector
and also help in increasing the amount of flexibility DHBs have in the way that the recent mental

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health funding is used point this weekend mainly comprised of key sectors which included
education help justice social mental health and addiction sector (Burns, 2015). This involved and
introduction of a stepped care as it would involve intervening in the least intrusive way intrusive
way so that the best Resorts can be caught. We should ensure that all the services and matching
with the needs of the client. Blueprint 2 has included mental health and addiction issues in
children and young people earlier so that they can reduce the lifetime impact. It also consisted of
other positively influencing high risk pathways which included providing earlier as well as more
and more effective responses for different young and young adults who are at risk or who are
involved in social justice or forensic mental health or addiction services. He Nuka Mo Nga
Taitamariki is also another work plan for children and youth mental health services where they
identified the high priority groups to receive additional funding. It is included firstly the Maori
children and other young people from the whanau (Goodwin et al., 2016). Secondly it applied on
pacific children and young adults and then children and young people with several multiple
needs along with their families/whānau/ caregivers and fourthly, groups with other areas of high
need. It is included the (rural groups, those with alcohol and drug dependency, those at risk of
suicide and those experiencing stigma). A current policy which is planned by the by the Ministry
of Health’s plan is the Te Tahuhu 2005 to 2015 which included different factors. This included
the increase of the services which are funded keeping in mind the children and young people it
also contained building a workforce which would be delivering services for the children and also
for the young people (Barnes et al., 2017). It also included improvement of the availability as
well as access to different quality addiction services and thereby strengthens the alignment
between the addiction services as well as services for people with mental illness. They have

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correctly recognized that problem gambling and substance abuse have become increasing
problems for many young people.
Three principles Of the Treaty of Waitangi which would be included in the recommended
programs:
They should follow the three important principles of the Treaty of Waitangi. Proper partnership
involving the working together with the different Maori communities and providing appropriate
health services and disability services is the first principles (Hutton & Right, 2015). The second
is the principle of participation which involves the Maoris to be involved in all the levels of
health and disability factors and also include them in decision making, development and delivery
of health services. The other one is called the protection principle which involves the
government to ensure that the Maoris have the same level of health like that of the non Maori
and also protect their cultural preferences, values and practices.
First recommendation: establishment of healthcare centers with efficient and culturally
competent healthcare professionals
The first recommendation that should be provided for the proper handling of the sensitive issue
of alcohol drinking in the young individuals is the establishment of proper Primary Health Care
Centers where they can visit in order to tackle the issue of alcohol addiction. Health Care Centers
should also increase in number so that each and every community of the Maori people have a
proper ratio of Health Care Centre to that of Maori teenagers (Lyons et al., 2015). Moreover the
quality of service provided by the health professionals in the Healthcare centers in the
community should also improve so that we can meet the demands and expectations of the
patients who come there for the treatment (Kypri et al., 2013). The Healthcare professionals who

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would be appointed for working as members of the Healthcare Team should be aware of
substance misuse and addiction and thereby provide patients with empowerment tools and
provide for scoptes to different types of addiction and consider routine screening of the patients
who arrive for treatment. They should also be culturally aware of their preferences and thereby
use proper questioning method to know about the concerns of the patient without harming their
cultural preferences. They should be using proper identification or formal screening tools to
know about their cultural consideration and the intensity of their addiction,. They should also use
culturally appropriate processes and at the same time assess the level of risk and thereby manage
the other disorders which often follow alcohol addiction. They should also provide motivation to
patient to seek for treatment and thereby established the concept of the patient of what wellbeing
is meant to them in order to set a treatment goal (Bertholet et al., 2016). They should also
maintain engagement and motivation among the patients so that they were remain adhered to the
treatment. They should also develop monitoring bodies that would monitor the adherence of the
patients to treatment Strategies and also prevent relapse. Installing a feeling of self motivation
and self responsibility will help the patients to overcome their addiction.
Second recommendation: implementation of healthcare projects for health promotion in
every residential community of the Maori people.
Effective health promotion program organized by expert professional will help in handling the
issue of alcohol addiction in teenager’s Maori form the very root. The previous recommendation
is the curative measure whereas this would be the preventive measure taken for the benefit of the
Maori teenagers (Gupta et al., 2016). A proper research plan would be finalized by the teams
where they would be mainly determining the social determinants of health that are mainly
resulting in the occurrence of the disorders. After identification of the social determinants of

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health which may be either cultural tradition, low financial income, improper education, poor
access to health care centers others. After recognizing this, the experts should plan out education
mediums to help them overcome each of the determinants of health with quality workshops,
strategies and proper health education planning (Utter et al., 2017). Avery helpful framework
that can be applied by the healthcare professionals are the FRAMES approach. it is a kind of
intervention where each of the six letters of the word FRAMES help in providing a step towards
managing the behaviors of the Maori teenagers helping them to overcome nay behavioral
disorders, addictions of similar others. F stands for feedback where the health promotion experts
would be providing feedback to the Maori teenagers about the rationale explaining why alcohol
use may result in the causing of disorders and poor quality life. By making them included in the
program, they would be given the scope of striking a partnership where they would themselves
be benefitted from the health promotion program (Nelson, White & Newcombe, 2015). The next
letter R stands for responsibility where the teenagers need to be encouraged to take the
responsibility for changing their addiction behaviour and in the following way they may be
actively participating in the program where their culture, tradition, autonomy and also dignity
will be cared for besides making them responsible for their changing the particular behaviour.
Following letter A stands for advice where strategies for reducing drinking habits will be
provided. The next letter is M where the experts should give them menu of options by providing
them information for visiting other services from where they will receive protection and help.
The letter E stands for empathy where the healthcare professionals need to acknowledge to them
that although the process may be difficulty but in long run they will have health gains. The last
would be Self efficacy where the experts would be praising and encouraging the teenagers for
their willingness to consider a change (Moewaka et al., 2016). All these would be arranged by a