Pataka were used traditionally by Māori to store foods for nourishment and sustenance. The Outcome Recording and Analysis (ORA) database plays a similar role but in storing essential mental health data.
Developed by Te Rau Matatini, registered users can access the ORA database to generate accurate, timely comprehensive and useful Māori mental health service data. The reports created through the ORA database are based on the Hua Oranga Māori Mental Health Outcome Measurement questionnaire sets and are maintained by registered health service providers.
Hua Oranga is constructed around three separate questionnaires, one for the treating clinician, tangata whaiora (health consumer) and whānau (family) member. All schedules consider the four dimensions of Te Whare Tapa Whā, an existing model of Māori health that describes four components of wairua (spirituality), hinengaro (cognition and emotion), tinana (physical) and whānau (family) (Durie, 1994). Each of the components is interconnected and contributes to the holistic manner in which Māori health is perceived. Deficits with one or any of the dimensions would be viewed as unhealthy (Durie, 1994).
Hua Oranga makes a significant contribution as a culturally relevant Māori measure of mental health outcome. This is consistent with the need to have a measure to ensure that the diverse needs and expectations of Māori mental health service users are met (McClintock, Mellsop, Kingi & Maxwell-Crawford, 2010). The application of Hua Oranga in mental health services is expected to contribute to improved service delivery and therefore better health outcomes for Māori.