TY - JOUR
T1 - The He Ara Oranga Report
T2 - What’s wrong with ‘Big Psychiatry’ in New Zealand?
AU - Allison, Stephen
AU - Bastiampillai, Tarun
AU - Castle, David
AU - Mulder, Roger
AU - Beaglehole, Ben
PY - 2019/8
Y1 - 2019/8
N2 - The portrayal of psychiatry in the recent He Ara Oranga (HAO) Report into New Zealand’s mental health and addiction services raises significant concerns for the profession as a whole. This once-in-a-generation report recommends a decisive shift away from what is termed ‘Big Psychiatry’ towards a new sector called ‘Big Community’ (New Zealand Government, 2018: 97). Big Psychiatry is characterised as a medically led system where ‘most resources are used for psychiatric treatments, clinics and hospitals’ (p. 36). Big Psychiatry is criticised as having a colonising worldview, together with a legacy of paternalism and human rights breaches. In response to this depiction of psychiatry, the HAO Report recommends creating Big Community where ‘resources are used for a broad menu of comprehensive community-based responses’ (p. 36) that embrace multiple worldviews, and respond to people at risk with compassion and support. Big Community is praised as having a strong commitment to partnership, recovery, spirituality and human rights
AB - The portrayal of psychiatry in the recent He Ara Oranga (HAO) Report into New Zealand’s mental health and addiction services raises significant concerns for the profession as a whole. This once-in-a-generation report recommends a decisive shift away from what is termed ‘Big Psychiatry’ towards a new sector called ‘Big Community’ (New Zealand Government, 2018: 97). Big Psychiatry is characterised as a medically led system where ‘most resources are used for psychiatric treatments, clinics and hospitals’ (p. 36). Big Psychiatry is criticised as having a colonising worldview, together with a legacy of paternalism and human rights breaches. In response to this depiction of psychiatry, the HAO Report recommends creating Big Community where ‘resources are used for a broad menu of comprehensive community-based responses’ (p. 36) that embrace multiple worldviews, and respond to people at risk with compassion and support. Big Community is praised as having a strong commitment to partnership, recovery, spirituality and human rights
KW - New Zealand
KW - He Ara Oranga Report
KW - RANZCP
KW - mental health
KW - community
UR - http://www.scopus.com/inward/record.url?scp=85066837553&partnerID=8YFLogxK
U2 - 10.1177/0004867419848840
DO - 10.1177/0004867419848840
M3 - Editorial
C2 - 31094207
AN - SCOPUS:85066837553
SN - 0004-8674
VL - 53
SP - 724
EP - 726
JO - Australian and New Zealand Journal of Psychiatry
JF - Australian and New Zealand Journal of Psychiatry
IS - 8
ER -
