Pacific models of mental health service delivery in New Zealand: Part I: What do we know about Pacific mental health in New Zealand? A narrative review

Abstract

Objective: To update measures of mental disorders and service use in Pacific people living in New Zealand. Method: A narrative review was conducted of available data on the prevalence of mental disorder, psychotropic drug prescribing and service use by Pacific people. Results: The 12-month prevalence of mental disorders in Pacific people was similar to European/Other in 2004. Currently Pacific people report high rates of psychological distress but lower levels of psychiatric disorders. Pacific adults have low rates of drinking but many who drink have a hazardous pattern. While Pacific people previously accessed services less than half the rate of European access, access rates in secondary care are now similar. Pacific people have relatively low rates of psychotropic drug use but these are increasing. Conclusion: There is limited evidence about Pacific people’s mental health in New Zealand. Patterns of psychopathology and service use may be different from other ethnic groups. Protective factors in Pacific culture should not be undermined when delivering mental health services.