Despite decades of reform, Māori continue to face persistent and systemic inequities within mental health services in Aotearoa. These inequities are not solely the result of limited access or funding but are deeply rooted in unconscious bias and institutional racism. Our presentation brought together the voices and lived experiences of senior Māori mental health leaders, who courageously named and examined these often-invisible forces that shape psychiatric care for Tāngata Whaiora Māori. 

The session created space for honest reflection and accountability—moving beyond blame to focus on the courage required to address structural power imbalances within the system. We shared personal stories and real-world examples of bias and racism, including insights from senior psychiatrists and Māori medical students. Attendees left with greater awareness, practical tools, and a renewed commitment to creating a psychiatric profession that is not only clinically competent, but also culturally safe, responsive, and just. 

Ms Phyllis Tangitu is a member of Te Kaunihera, RANZCP and has worked in the NZ Mental Health and Addictions sector for over 35 years.  Phyllis has strongly advocated for the improvement of Maori Health outcomes and enabling our Whanau to flourish within and across our mental health and addictions sector/community. 

Kuia Moe Milne has been directly involved in addressing mental health issues in the Māori community in her roles as a psychopaedic nurse and as a general and psychiatric nurse. Mrs Milne has contributed to Te Hau Marire, the national Māori addiction strategy, and developed several education programmes that address Māori health. She has made significant contributions to Māori research at both policy and practice levels. She was a member of the Health Research Council and she chaired the Māori health research group that developed Te Ara Tika to improve research ethics with Māori. Her involvement has resulted in several important services for Māori, including an assessment tool for Māori with Alzheimer’s and support for Māori children with traumatic brain injuries. For the last decade she has been an active participant in the International Network of Indigenous Health Knowledge and Development, promoting awareness of health issues in Māori communities. She has spoken at a wide range of conferences within New Zealand and overseas to share her experiences and knowledge of health issues facing indigenous communities. For the past five years she has developed and delivered training in cultural competency within health services. Mrs Milne has been a member of the Māori committee of the Royal Australia and New Zealand College of Psychiatrists for almost 20 years. 

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Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics. The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement. By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.