Whāraurau Quality Improvement Tools

Least restrictive practice is a term used to describe a wide range of approaches, practices and activities that supports a person’s autonomy and makes them the centre of all choices.

The Six Core Strategies© are evidence-informed approaches effective in reducing seclusion and restraint events. This whole-of-system approach was originally developed in the US by the National Association of State Mental Health Program Directors Medical Directors Council (NASMHPD).

The Health Quality and Safety Commission’s (HQSC) Zero seclusion change package | mōkī aroha uses a set of globally recognised, evidence-based interventions aimed at improving the care of tāngata whaiora while moving towards achieving zero seclusion in mental health inpatient units.When implemented, zero seclusion project teams will provide wider access and choice to effective holistic Māori cultural and Western clinical interventions, which in turn will reduce seclusion rates and improve health equity.

The Hua Oranga is a brief, one-page Māori health outcome measure. It is a questionnaire that takes less than five minutes to complete, and ensures services are focusing on areas of wellbeing that are important to Māori.