Week 3 - Assessments in the burn's unit and connection with Māori Health - Model and theories used through Te Whatu Ora

Week 3:

I observed the Social Worker conducting assessments and noted her effective use of whanaungatanga and ahurutanga, demonstrating Core Competence 8 by empowering whanau to effect positive change. In one particular instance, some information provided by the patient was unclear. By being present and fostering an environment of honesty during the MSD call, we aimed to clarify the situation and achieve the necessary outcomes. During this process, I discovered that the patient’s mother was attempting to use her daughter’s health situation as leverage to secure housing. I suggested that we participate in the MSD call to ensure accurate information was conveyed, which confirmed that the mother already had housing.

Despite some initial tension arising from the disclosure of this truth, we successfully redirected the situation by providing the whanau with a clear, step-by-step guide on the process for relocating, should it become necessary. This approach helped mitigate any negativity and focused on practical solutions.

I've also observed task-centered approaches with clients, particularly in quick interventions where immediate support is needed. I realized how important my community knowledge is in these situations. For example, when a client’s family was staying in a motel outside Auckland, I organized a service to deliver a food parcel to them. Initially, I found these quick interventions challenging because I’m used to working with clients over the long term, supporting them from the beginning and monitoring their progress. But I’ve learned to adapt by tapping into my knowledge of community resources and thinking on my feet.

Additionally, I conducted several assessments using the psychosocial framework, which provided a valuable, holistic understanding of the patient’s situation. These assessments covered everything from the patient’s injury history to their housing situation, financial status, and emotional well-being. Through this process, I was able to identify key areas where support was needed and develop a tailored intervention plan.

Additionally, the hospital employs a variety of theories and models when working with patients. While the primary models observed in the Burns Unit were the biopsychosocial and task-centered models, other approaches are utilized across Te Whatu Ora. I found that it is possible to apply multiple models and theories simultaneously, both as strategies for engagement and as frameworks for gathering information. Unconsciously, I practiced through the lens of kaupapa Māori, aligning with my values as a Māori woman. This approach enabled me to effectively engage with patients, build meaningful relationships, and capture essential information through kōrero. The ability to retain key details contributed to accurate and comprehensive case notes, which were valuable and transferable to the wider multidisciplinary team (MDT).

• Systems theory
• Psychosocial development theory
• Kaupapa Māori theory
• Te whare tapa wha
• Strength based
• Crisis intervention
• Solution focused
• Task centered 
• Fonofale model

This experience reinforced the importance of a thorough and empathetic approach in social work. By applying the biopsychosocial framework alongside a Māori perspective, I gained a deeper understanding of the client's needs and was able to provide more effective support. It also emphasized the critical role of detailed, client-centered assessments in achieving positive outcomes. Witnessing theory in practice in real-world scenarios underscored the value of a well-rounded, culturally responsive approach to social work.