RESUMO
Maori, the indigenous people of New Zealand, have the highest crude population-based rate of seclusion events reported internationally (McLeod et al. ). This qualitative study explored Maori clinical, cultural and consumer perspectives on potential strategies and initiatives considered likely to facilitate prevention of, and reduction in, the use of seclusion, with tangata whai i te ora (Maori mental health service users) in mental health inpatient services. A hui (gathering) over 2 days was held with 16 Maori participants with high levels of clinical, cultural and consumer expertise. The gathering was taped and the tapes transcribed. A thematic analysis of the hui data generated three key categories: Te Ao Maori (access to a Maori worldview); Te Ao Hurihuri (transforming practice); and Rangatiratanga (leadership, power, and control). The findings of this study align with the "six core strategies" for best practice to reduce the use of seclusion (Huckshorn ). A comprehensive approach to the reduction of the use of seclusion with tangata whai i te ora is required, which is clearly based on a Maori model of care and a vision for transformation of practice in mental health inpatient services, which involves Maori leadership.
