World Suicide Prevention Day 2022 livestream transcript
(Speaks Te Reo Māori)
(Sings in Te Reo Māori)
(Speaks Te Reo Māori)
>> Welcome to the world suicide prevention Day event. I send my deepest strength to whānau who are grieving due to suicide.
(Speaks Te Reo Māori) we must change every negative into a positive. I acknowledge you for the beautiful mahi that you do.
(Speaks Te Reo Māori) I am grateful and humbled to be your MC today. Suicide. One in 4 people suffer from a mental illness. There is at least 2 suicides in Aotearoa every day.
My name is Paul Whatuira, and I too have suffered from a mental illness from -- . Former professional rugby league athlete, 200 first-grade games, 16 tests for New Zealand, first Kiwi to win 2 NRL ship victories. They are not my greatest victories. Asking for help was the most important decision that I made. After severe depression, heavy medication, psychotic episodes, to suicide attempts, my professional rugby league career and it suddenly. 5 years post retirement, doctors recommended I remain on medication for the rest of my life. I was there for my daughter spiritually, but I wasn't there physically and emotionally. I had to fight for my life, and claw my way out of the darkness. I asked for help. Small, consistent winds turned into big wins. Now, 7 years that occasion free, I am a proud father of 2 and the director of internal strengths, a positive mindset resilience program focusing on the solutions to remain well. Serving our communities, one person at a time. Just like you.
>> Kia ora. The world suicide prevention Day should be every day. For most of you, it is every day. I challenge you to take care of you first. Your health is your well. For our communities, families, and work colleagues to fry Mental health should not be a competition but a collaboration. We together, learning, evolving, supporting, and having important discussions of the challenges that we faced together. The why, how, and why are important, and most times are re-people need the now. When in distress and in need of immediate helpful stop I commend you for the awesome mahi that you do. a respective of the most precious this death the most precious gift you can give someone is time for stop this is an important (Speaks Te Reo Māori), we can all learn the mana principle of listening for stop (Speaks Te Reo Māori) whānau (Applause) we have an action packed our, fantastic speakers, and right now I would like to introduce our first speaker via video, Mr Henare. Is the Minister of Defence and also the associate of Ministry of Health, associate Minister of Housing, an associate Minister of tourism full stop whānau (Speaks Te Reo Māori)
>> (Speaks Te Reo Māori) Tena koutou katoa, welcome everyone to this important event recognising World Suicide Prevention Day, actually am sorry that I cannot join you in person today to celebrate the incredible and innovative Mahi but I would like to take this time to acknowledge all of you in the room, the representatives from Manatu Hauora, and of course our special MC for today, Paul Whatuira and of course everyone who joins online for stop I want to recognise a acknowledge those of our whānau who are joining us on this important occasion, those who have lost loved ones to suicide, we thank you for being here with us, and we appreciate your contribution to this important work for stop in November 2018, (Speaks Te Reo Māori) was quite clear to his recognition renditions to the government on what needed to be done to transform the mental health sector in New Zealand will stop the majority of the recommendations were accepted, and some excepted in principles, and others under other further active considerations by the government for stop we know there is not one size that fits. That approach to suicide prevention cannot be one that works, and I have been privy and honoured to see people and organisations working around the country to tailor solutions to care communities, whether it is in the north or the south, our rural areas and big cities, and through many community groups, actually has been a privilege to see the whack that is going on and you see it in action, and more importantly how it impacts the everyday lives of our whānau for stop whilst it is important, the strong healthy connected whānau, families and communities are important protective factors against suicide, that is why this government is prioritising New Zealanders mental well- being and for anyone who needs the support gets it, where and when, and how they need it for stop through the well-being budget in 2019 we put in place new primary mental health and addiction services, the access to choice programs is made up of integrated primary mental health and addiction services and I have had the privilege of seeing many of them across the country for stop access to the services are available free to anyone at any age for stop there are no entry criteria for the services, and people can use them for as long as they need them a full stop for the past few months as I have already mentioned, have been around to see a lot of the choice copper death (Speaks Te Reo Māori) services and what moved me the most was hearing the impact that it has had four individuals and whānau, the testimonies that whānau gave me was truly special and truly moving. And I want to acknowledge them for sharing their journey with me and of course our whānau who are doing the mahi we know that a connected mental health and addiction services to other whānau give them the support and the tools that they need to face challenges, but what we know is some of our whānau need special care, and in a time of crisis that is usually important, they dislike this year the government has announced $100 million over four years for specialist mental health and addiction services for stop finally, I would like to thank each and every one of you for the work that you are doing to prevent suicide here in Aotearoa New Zealand, I know the mahi Is hard, but I want to acknowledge everyone of you for your commitment and passion for supporting our people when and where they needed. Today is the day that we raise awareness, reduce the stigma and encourage action to show that every life matters. Thank you once again to each and every one of you, and I look forward to hearing the feedback from what I have no doubt will be an important discussion today. (Speaks Te Reo Māori)
>> (Speaks Te Reo Māori) Minister Henare, our next speaker has been the chief executive of the Cancer Council agency since May 2020 and is now the acting Director, general health and chief executive of Manatu Hauora, is a public health physician and epistemologists and health researcher, with world leading repetition for cancer control and research. (Speaks Te Reo Māori) Doctor Diana Sarfati. (Applause)
>> But also specifically am very disappointed not to be there in person. I also want to recognise and acknowledge those who are joining us who have lost a loved one to suicide, I know that a lot of people take this mahi in response to losing someone special to them and I acknowledge that loss and thank you for your dedication. As Paul said, have recently taken up the role of leading the Ministry of Health, as interim Director-General, following three years as chief executive of the cancer control agency, and as you are all very much aware, the health system is going through a time of substantial change, and this creates an opportunity for us to rethink the way that we deliver services in a way that put achieving equity in the centre of what we do, creating a high-quality sustainable whānau system for the health workers as well. The new health system is only a few months old, and so it is really in its infancy, but just by way of background, just running through some of the key elements of the new system, so of course we still have a Ministry of Health. Our role remains as the steward of the health system, our role as providing a strategic view of the health system to focus on policy and regulations to support the health system to be able to deliver the best outcome is that it can. And part of our role is to work across government and other sectors to ensure that we collectively provide an environment that supports the well-being of people, so other sectors such as housing, education, social development et cetera. That is an important part of the ministries role, and on the other side of the also have Health New Zealand, and DHB no longer exists, and they have been put together to a national organisation to provide us with an opportunity to really think about how we deliver services, there will be localities developed which allow small areas to think about what their priorities are and to think of services within those areas to provide people with the support they need to get the best possible help they can. We also have the Māori Health Authority, (Speaks Te Reo Māori) they will be responsible for ensuring that we have equitable health system, we have that really strong leadership from (Speaks Te Reo Māori) they will be partnering with the Ministry and with (Speaks Te Reo Māori) and ensuring the services are delivered and meeting the needs of Māori. They will also be commissioning Māori services and working with Māori partnership boards to ensure that what we are delivering is delivering equitable care for stop we also have the Ministry for Disabled People, so that is the shift from having the well-being of disabled people sitting within the Ministry of Health to acknowledging the well-being of disabled people is much broader than just health. That is a really exciting shift as well. As I said, these changes create an opportunity for us to strengthen the health system and also to strengthen the way we do public health prevention, primary care, and how we think about well-being. As we know, throughout all of our lives, people experience periods of mental well-being and mental distress, and it is clear that those who have strong family and whānau connections and reliable support systems are more likely to fare better than those that are less supported, so it is important that we work together to provide support for the mental well-being of New Zealanders, and it does not and cannot and can never rely solely on the health system. So we are well aware that material hardship and other stresses associated with lower incomes and low socio-economic status are risk factors for mental distress. So that means that a broad range of activities is critical to housing income support, as well as the health reforms and those things need to be connected together to ensure we get the best possible positive in pack for New Zealanders. Within Manatu Hauora, we have a specific focus on suicide prevention, and post prevention and it is through this Suicide Prevention Office. As you will see today, there is a lot of work in that space, and I just want to acknowledge the team for his passion and commitment and collaboration in this space. The Ministry through that group is working hard to forge and strengthen connections across government agencies and into communities, and creating the death and creating those connections is absolutely critical to the successful stop there is no one solution, we know that, there is no one tailored solution, and it is critical. There is so much work going on in that space so I want to acknowledge the LifeKeepers program and others who are working at community level is as exemplars of how different solutions and services can work together to create hope, take action, and to demonstrate that support services are available to those who need them a. I am optimistic about the future of the health system, I do think we have an amazing opportunity to work together and create a better, fairer, smarter system that achieves (Speaks Te Reo Māori) for all New Zealanders (Speaks Te Reo Māori) .
>> (Speaks Te Reo Māori) whānau. (Applause)
>> Kia ora koutou katoa. Our next speaker, she is responsible for administering and acknowledging the Māori suicide prevention community initiative for Pacifika led organisations, designed to support communities to create innovative solutions to prevent suicide. (Speaks Te Reo Māori) Leilani Clarke. (Applause)
>> It's the Pasifika suicide prevention community fund. Le Va is honoured to administer the Pasifika Suicide Prevention Community Fund. The fund seeks to support communities to effectively implement community-based suicide prevention initiatives. To their families and communities are strongly connected, equipped with the skills to cope with distress. Actively build on their resilience, and reduce the risks of suicide. There are supported to build a strong, cultural identity to enhance their mental well-being. Today we announce the 2022 Pasifika Suicide Prevention Community Fund recipients. They are Bay of Plenty youth development trust, Brown Pride Inc operated, Cannons Creek Business Owners Collective, Campfire Studios, Failoa Famili, follow Pacifica or Larrakia, Gateway community trust navigators, life supporting New Zealand trust, of somebody charitable trust, Nappyboyz Dance Company, New Zealand Rugby League, P4CIFIC Limited, Pacific trust taco, Positive Vibrations Ltd, Potplant Studio, Snapback Gym, Tongan Society South Canterbury Inc Inc, Vavega Community Trust, Waitakere Methodist Parish, and Zeal Education Trust. We congratulate all of you, thank you for the wonderful work that you do within our communities to prevent suicide. (Applause)
>> I'm sorry, I just dropped the clicker, my bad. I am going to hand over the mike to a 2020 Pacifica's fund recipient, Rob Kipa-Williams. Robbers here today to lodge his wonderful, beautiful new app called HAAAA to remind us of the importance of breath. I will hand it to you, Rob. (Applause) (Video plays) (Music plays)
>> (Speaks Te Reo Māori), just a few of the words that connect the islands, through our Polynesia. Before I begin I like to thank some very special people. Bert McCartney, my mental, for guiding me and introducing me to meditation. Funding support from Le Va, who saw project that can truly help. I thank you. All the translators, to the 12 guides on the meditation app. And COVID hit I was working on home and away put a spanner in the works. My schedule went crazy. I had to get creative. I had to learn how to edit audio, and I sent microphones and posted them to narrators who recorded in their wardrobes and closets, and some other quilts in their lounge in a small tiny house. In the islands, and the Pacific. I like to thank (Speaks Te Reo Māori) for the music within the app. This project started 4 years ago in the pits of despair. I found myself in a dark place, like some struggling on my own. I struggle to find a way to cope with how I perceive the world. Binge drinking, to find at temporary happiness, the dark place tendered on the brink of something sinister, and at times I didn't know if I could make it out. The challenge for me is I feel deeply. But while I considered ending at all, I was fortunate. I was fortunate to be introduced to a mental or who taught me the benefits of meditation. And meditation changed my life. From that day on, for the next 2 years, I did not miss one morning and one evening meditation. I made a promise to myself that I would do it morning and night. At the time I discovered I began to feel incrementally better, I found my life to be more positive. And the only thing that had changed was my breathing. How did a Māori boy and up making a Polynesian meditation. I decided to watch a movie, and that was Disney's Moana. I felt something in the music, and on that day the soundtrack is fired the first seed of this idea. HAAAA is a way of life. Like going to the gym we must be mindful of our thoughts. How do we access a balanced way of thinking? Like anything, it requires practice. To be good we must take the time out of our busy lives, our busy schedules, to love ourselves. The meditation experience list of 3 to 5 elements. Earth, air, fire, water. At the top is your head and heavenly place, the bottom is your feet firmly grounded on (Speaks Te Reo Māori). The centre represents balance within the elements in yourself, and on this earth. Each track starts with a call to ancestors, done in each culture is uniquely. As the music settles down, we move through each element. We start with earth to fine balance with positive self talk. Then we move through the air and learn to breeze abundantly, release anxiety. Followed by the sun, or fire. The fire element will be access abundant creation. And then we transition to water, or the ocean. As we release negative thoughts out into -- . There has never been a cultural platform that brings together voices of the Pacific through meditation. We have translated 6 different Polynesian languages, Samoan, Tongan, Korea Māori, -- Māori. I wanted to cast the net wide, remind us of our connection to our voyage so long ago. Many of us these days have a mixed cultural identities. HAAAA speaks to the fabric of your DNA. You can select a bilingual detection and parent with the Samoan track. In that moment the narration and music seamlessly pair up, and those 3 cultures share the space together, connecting those aspects of cultural identity. We have taken great time and attention to send people home through the video. Each music track is paired with footage from that country. So consciously or unconsciously, the person sitting on the other side of the world and has never been to Samoa and has Samoan ancestry, they are literally travelling home through the meditation experience. Pasifika have the highest rate of thinking about suicide than any other ethnic group, and it is the leading cause of youth. And Māori have the highest rates of death by suicide. Was this at the forefront, each music creation, today we launch the meditation series, creating a place to share our cultures. The healing can be found, I believe, in the voices of our ancestors. As I finish over like you to join me with a few breaths, as you take your hands and placed them on your thighs with your palms facing up. In handling through the nose, as we expand our stomach outward, exhale and pull our stomach all the way in towards our spine. As we close our eyes, inhaling through the nose, expand your stomach. Exhale. We are now going to bridge the gap between dark and light. Heaven and earth. I want you to smile authentically. Do this now. As you smile, notice and energy increase in your hands, feet, head, and body. Inhale through the nose, exhale out the mouth. Inhale. Exhale. As you inhale, hear the ocean, the waves going out. Feel the ocean, the waves coming in. As you inhale, As you exhale, release the negative energies out, out, into the ocean. Inhale through the nose. And exhale. Releasing negative emotions and thoughts out, out into. Sitting with your breath now. Breathing on your own. Inhaling. And exhaling. One last inhale through the nose, and a resounding HAAAA. Ladies and gentlemen, I give you the HAAAA experience. Thank you. (Applause)
>> (Speaks Te Reo Māori) HAAAA is the way of life. Thank you for sharing your vulnerability, through your vulnerability you demonstrated your strength. (Speaks Te Reo Māori) (Applause)
>> Our next speaker, chief executive of Te Rau Ora, a Māori health professionals with expertise across government and non-government agencies, and rural and urban communities. With a special interest in Māori mental health. Dr Baker has dedicated her career to building and advancing Māori capacity and leadership, especially in health and social care workforces, and organisations. (Speaks Te Reo Māori) Dr Maria Baker. (Applause)
>> (Speaks Te Reo Māori) (Speaks Te Reo Māori) Te Rau Ora. Kia ora for stop a special mahi to our special whānau and Myki who continue to be challenged around (Speaks Te Reo Māori) to those of you at the minute you are struggling, there are many of us who have been there, please reach out, please also connect with other whānau as well, there is always somebody online, for our Pacific sisters and brothers, Te Rau Ora, there are a number of whānau in your community doing mahi it sits under the (Music plays) supported under previous (Speaks Te Reo Māori) which is both our Māori and Pasifika Suicide Prevention Fund program that we share with our sisters for almost a decade. In addition to our early ability to distribute collectively both Māori and Pasifika Suicide Prevention Fund's so today it is lovely to see other brothers and sisters from Le Va and I also want to acknowledge all of the work that you are doing, Leilani, Denise, Ferrara whānau across the more to. The goal of the community prevention fund is to build the capacity of Māori organisations and communities to prevent suicide within communities and to respond should it occur, efficiently as much as we can. Our aim is definitely to reduce the harms and the losses and in addition to easing the impact of suicide. Other overarching goal is what our pier would say, encouraging to bring the light and so that each of our whānau can shine and reduce the risk that we are experiencing across other whānau. For us at Te Rau Ora, it is a privilege and a pleasure to be able to facilitate a component of the work that we do under the centre of Māori so is within this space, because we do believe that by getting closer and to help with our iwi, for us our categories for the Māori community suicide prevention is across four components, the first component is whānau (Speaks Te Reo Māori) the second is Māori community groups, and the third is ear or Māori organisations, and the loss is collaborations were a group of organisations will come in partner to address the challenges around suicide in either the regions or nationally. We are pleased to announce this year 61 Māori led initiatives that happen supported by the Māori Community Suicide Prevention Fund for 2022, overall this contributes to 200 Māori led initiatives that have been implemented by the fund with the support of the office of suicide prevention in the last three years, we want to take a special thank you to the assessment panels who convened with us to assist with the evaluation of the applications, these panels comprise of Māori with community experience, lived and whānau experience, leadership and community representation. It is my pleasure to share a few clips from the different categories with you. First of all, I want to acknowledge the 26 whānau or hapu groups that are going through this year, they are the (Speaks Te Reo Māori) whānau trust, TK phenomena, King Hazel whānau, whānau whānau, and (unknown term) whānau trust, (Speaks Te Reo Māori) whānau, (Speaks Te Reo Māori) Tena koutou katoa, (Speaks Te Reo Māori) who are doing something for their phenomena, King Hazel, sports club, (Speaks Te Reo Māori) , (Speaks Te Reo Māori) whānau trust. (Music plays) (Video plays)
>> (Speaks Te Reo Māori) I am here to support my sister. We lost my nephew, her son in 2015. And as Julie says, we have got a big whānau and we want in every way to prevent what we have been through from happening again.
>> (Speaks Te Reo Māori) born and bred here in Aotearoa. Absolutely cherish my (Speaks Te Reo Māori) side, in our older years, so I began this journey as a result of my son taking his life in 2015, he never got to meet his father, he was born six weeks after Richard took his life. That for me was the beginning of ensuring that I am going to do whatever I can to support him. I want to do some research and put together a presentation for our whānau, and I think one of the things which probably the other recipients of the funding, where they have come from is we want there to be whānau first, Te Rau Ora have given us the support to be able to have those conversations.
>> (Speaks Te Reo Māori) if it wasn't for Te Rau Ora, we would not have been able to travel to meet with our whānau, to get the whānau together, to reconnect, to learn new stuff about ourselves, for example our (Speaks Te Reo Māori) that has been great, source of support, and be able to have that clear focus of suicide prevention.
>> The next category that I'm pleased to share is for our local communities and in 25 different groups have been funded, they include the Healing Innovation Hub, (Speaks Te Reo Māori), (Speaks Te Reo Māori) Ltd, Coast kids, (Speaks Te Reo Māori) Trust, Robyn Richardson Ltd, (Speaks Te Reo Māori) , (Speaks Te Reo Māori) Trust, Education and Wellness Centre, (Speaks Te Reo Māori), (Speaks Te Reo Māori) Ltd. (Speaks Te Reo Māori) Charitable Trust, (Speaks Te Reo Māori) Ltd, (Speaks Te Reo Māori) Inc, and (Speaks Te Reo Māori) Ltd. (Video plays) (Speaks Te Reo Māori) (Speaks
>> My name is Kyle, my father is originally from the east coast, but he resides in Hamilton.
>> Money, I am (Speaks Te Reo Māori), and we are here in Hamilton. Are a business is (Speaks Te Reo Māori), we established back in March this year, and we chose the name (Speaks Te Reo Māori) as it is the pathway to uplifting and empowering young people around me (Speaks Te Reo Māori), we have come together, we have worked for several organisations with youth works, and have found so many gaps in the mainstream services today, we can kind of take away and add a little bit of our Marlee Matlin Stuart, and also including our (Speaks Te Reo Māori) and making it fun and engaging for them, and touching under those underlying difficulties in the movie having.
>> We would also like to thank Te Rau Ora for a refund, because it has helped us to start moving to grab those first 10 kids to start working and making a difference here.
>> They are the first funding avenue that has believed in us and given us that first chance to make a difference (Speaks Te Reo Māori). (Applause)
>> The next category is the iwi providers group, this group as you can imagine mainly grassroots Māori organisations, working in communities, so we are pleased to share the seven Māori organisations that have been funded through the 2022 Fun, to include (Speaks Te Reo Māori) health services, (Speaks Te Reo Māori) Ltd, (Speaks Te Reo Māori) Services, Get Me Started, (Speaks Te Reo Māori) Trust, and (Speaks Te Reo Māori). (Video plays)
>> (Speaks Te Reo Māori) so we are at the rangatahi research company, and pretty much we just come up with some call fun stuff that we can do, because of the support that we received from organisations such as Te Rau Ora, we are able to take young people who do not get much exposure to things and we get to take them to do activities such as fishing, hunting, and get them out of the region.
>> We are super grateful to be supported by Te Rau Ora to roll out our (inaudible) on suicide prevention, and we just want to thank you guys for your ongoing support, for always being there for us whenever we need the total (inaudible), (Laughs) (Applause)
>> For those of us that have been working in the suicide prevention space for a little while we recognise the two young ladies, they are part of the rangatahi movement if you'd like, at least five to eight years ago, where they really created quite a movement across Aotearoa through music and arts. Category is the collaboration group, this is where there are a number of organisations working together, either in the region or across Aotearoa. So we have got three groups in this category, and the include the hard to reach whānau, (Speaks Te Reo Māori) Whānau services, and the (Speaks Te Reo Māori) Trust. (Video plays)
>> In South Canterbury, part of the (Speaks Te Reo Māori). We go from bridge to bridge, to the mountains. We are here to service anybody within our community, Māori is the people that we want to see, the people we want to help, and the ones we want to make sure that we get access to. But we are open to all people. So Kia ora.
>> (Speaks Te Reo Māori) for the last 5 years. This funding we receive will go towards our suicide prevention around well-being, and it means any door is the right door. Want to be here, we want to hear your story, we want to listen to you. We will give you the respect you deserve, we will give you the time to talk about what your needs are. And then we will walk the journey with you. We won't just drop you off or refer you to someone else. Liberalism, we will walk beside you, and we will move together to get you through this. I want to thank you from the bottom of my heart, and I know from the bottom of the hearts of everybody for this great funding we have received, it will be well spent and well utilised within our community. Kia ora. (Applause)
>> (Speaks Te Reo Māori) really important for whānau to be able to reciprocate and acknowledge the funds, the initiatives, fabulous. I have been involved with this mahi for a few years now. The support I really important to build the capacity and capability amongst our communities, and we are seeing some fabulous vibrancy, action, change, and challenge. That is led by one out Māori. On that note, it is been our pleasure to share a little bit and give you some insights of the 61 groups that are supported under the 2022 fund. We look forward to touching base with you to share some of the insights of their work as it unfolds. All the best for the weekend, and certainly an acknowledgement of the world suicide prevention Day, which is officially tomorrow. And knowing that all of you are definitely creating hope through the actions you are doing. So (Speaks Te Reo Māori). (Applause)
>> (Speaks Te Reo Māori) Dr Maria Baker. And your awesome team, another (Speaks Te Reo Māori) (Applause)
>> As was mentioned, gratitude. (Speaks Te Reo Māori) I have been grateful for the things we do have, and also the things we do not. For 2 minutes, we have a two- minute activity. We had Rob demonstrate the importance of meditation, but also it is important to be grateful for what we do here. I am going to hand over to give. The person next year, share 2 things you are grateful for. Kia ora. (Speaks Te Reo Māori) (Multiple speakers)
>> (Speaks Te Reo Māori) (Applause)
>> I am going to introduce Ben, he is going to share 2 things he is grateful for.
>> Kia ora everyone. (Speaks Te Reo Māori) keeping it short and sweet, 2 things I am grateful for our my whānau, who are my backbone and the reason for carrying on rowing the (Speaks Te Reo Māori). And the 2nd thing is being here, present and a part of this could papa # (Speaks Te Reo Māori) and looking forward to new working, and building strong communities, and rubbing together so we can go to (Speaks Te Reo Māori). Kia ora. (Applause)
>> (Speaks Te Reo Māori) Matthew, you only have 2 minutes!
>> 2 minutes, let me does out a song. Anyone want a song? Just want to welcome you here today, really pleased and privileged to be immobile. If I was going to impart any advice to everybody in the room, and I will even if I wasn't asked to, is to take care of yourself and each other. One thing each and every one of us can do every single day. The other thing I like to tell people is is its OK to reach out and ask for help. Even have a conversation with somebody. But more importantly, I find this difficult to do sometimes is my colleagues tell you, is listen with these. And listen without judgement. Often when people go through some struggles in their life, some tough times, it could be some really tough struggles, so in those moments when they turn to us for that conversation, listen without judgement. And try not to intervene too often, just let people talk. Anyway, thank you so much for coming, and (Speaks Te Reo Māori). (Applause)
>> Have I still got 2 minutes? I can do a song! (Applause)
>> Our next amazing speaker, a lady who possesses plenty of mana. Can you please welcome Robyn Shearer. (Applause)
>> Kia ora Paul. Firstly, to acknowledge your journey and your story, and thank you for sharing that with us, and Rob, the HAAAA is wonderful. I have lots of notes, but I'm going to add a bit. (Speaks Te Reo Māori) Robyn Shearer, I have a couple of hats I am wearing, as Deputy Chief Executive Officer, and DDG deputy director general, we will pop that to one side. I have worked across health and the mental health sector for lots of years. I started my journey as a nurse, I lost people to suicide who were very dear to me. (Speaks Te Reo Māori) who I got to know really well, and suddenly get a phone call or you turn up and they are no longer there. And you feel a sense of guilt and obligation, and what did I do wrong? And you know, it's a really challenging and tough thing to be trying to understand what would have changed that decision for someone. I have a very dear friend who lost her son to suicide. She was in her 60s at the time, and I supported her through her journey of grief. And what worked for her as a whānau number was going to the German yoga and connecting to her family. That grief won't leave her. The things that we hear about today, the stories that people share of their own experience, the initiatives that mean different strategies can work for different people for their situations, that's important. Yes, it's support of mental health and addiction services, but it's also what each and every one of us can do to support someone in their journey. And it's sometimes a simple things that work best, listening, connecting, asking how are you, taking the time, the cup of tea conversation. Those things matter. So I just want to thank everyone for coming today, for listening. Our Director-General, our interim Director-General, Di, spoke. In her first week in her role she said we have to focus on well-being. At our agency, as you would have known from the daily stand ups that Ashley did, it's been a hard few years for everyone, the mahi has been hard. If you caught any of Ashley's Facebook Live sessions, he talked a lot about his own experience of stepping back and remembering what it was when you are under moments of stress or pressure that is going to help with well-being. So taking the moment to appreciate nature, getting out for a walk, connecting with family, breathing. The HAAAA moments are critical to all of us. That was a good reminder, when she said lobbying is important for us as an agency. And yes, we have a role as a steward of the health system, adviser to government health and well-being. But also the personal connection that we need to make with each other, and reminding ourselves of well-being. And Paul has done an amazing job today of reminding us of that journey. I want to acknowledge the work of Matt and the team at Suicide Prevention Office. This is not easy work, and it's not easy when you work in a government agency, where you are trying to manage a lot of dynamics and challenges and tensions, but the team has a really heartfelt, emotional connection to this work. And they bring their hearts to this, and I think (inaudible) the connection. I hope you realise we are not just bureaucrats that sit in Wellington behind the scenes, we all deeply care, and bring our lives and experiences to this work. We are deeply passionate about making a difference, supporting the mahi of the wonderful organisations who have been working with us, and thank you Maria. It's so good to be reminded of the long journey of crumbs at Mac around the slow. It takes a lot of time and effort to build, and to understand communities. We know a lot more now in terms of what works for people, research and evidence remains good building block for what we invest in for the future. So we have a really important role across government to working with (Speaks Te Reo Māori), and many of you to keep this work going. So I am going to just finish by my thanks and appreciation for everyone who is taking the time to either connect online or be here today, you do amazing work, and we all appreciate it. And I personally do. So (Speaks Te Reo Māori) (Applause) (Applause)
>> I would just like to refresh, Robyn Shearer Deputy executive as Manatu Hauora, and Deputy Director-General of the health system, and the monitoring directorate (Speaks Te Reo Māori) whānau. (Applause) beautiful wise words from our (Speaks Te Reo Māori) what connected to me was connection, so crucial and important to be able to listen to each other, we may not have all of the answers, I know I don't have all of the answers, but just to listen and be there for our whānau will go a long way, our next speaker, is a clinical psychologist and Director of population mental health at the University of Auckland, she has a long-standing interest in suicide prevention and is the chair of the National suicide mortality review committee in New Zealand suicide prevention, Doctor Sarah Fortune. (Applause)
>> (Speaks Te Reo Māori) thank you for the opportunity to speak to you this morning. I was reflecting when I was sitting here in the auditorium that my beginning of my journey in trying to make a small contribution to suicide prevention began not far from here. When I started on my journey this was a field full of horses, and I was a freshly squeezed clinical psychologist working in the Manukau District Health Board, and I had the privilege of meeting with whānau there with their rangatahi who were profoundly caring and profoundly dedicated to an effort to try and prevent further disruptions to their (Speaks Te Reo Māori) from the tragedy of suicide. That was in the 1990s. Lots has changed. This building has sprouted where they used to be horses, and have had the privilege also and as I said, my contribution to work with some amazing people including a number of you here in the room, so just to acknowledge the points that we have intersected in this important work. The other thing I want to acknowledge is I've had the privilege of working with a team of phenomenal (Speaks Te Reo Māori) including here today, Doctor Sharma and (Speaks Te Reo Māori) on this project, so we are going to save you potentially from having to read 210 pages of the document and we will give you the oral executive summary, but do feel free to read the full report and I'm hoping that you will, but in case you don't, here are a few things that we would like to share with you. So just by way of context and clearly all of us here and online, are encouraged by some of the recent indicators in the last couple of years, we have made some and seen some promising signs of a reduction in the number of deaths lost to suicide, but we want to continue to build on that momentum, we want to understand indeed how we have achieved that, and one of the places, not the only place, but one of the places that we might go to inform the next steps in terms of suicide prevention is reflecting back and putting together an what people before have said, the conclusions they have come to an the knowledges and learnings they have put together. To start off with, to acknowledge our teams have had vibrant discussions about this, as we are talking about a particular kind of knowledge and a particular kind of evidence, but it is not the only kind of knowledge, and it is not the only kind of evidence, but as a starting point to our conversation. So, we are not the first people to embark on this exercise, but we have done if you think is a bit differently on this particular approach. The second thing too again, you are all very familiar with this, to orientate in terms of thinking about conceptual approach to suicide prevention. I was kindly introduced to a clinical psychologist and what drives me is the privilege that I've had to myself and another person and taking about hope and flourishing in that conversation, but also as a clinical psychologist and for many of those who are clinicians will discover that conversation it is important to be able to represent that compositions at big tables where big important decisions get made, and one of the ways that you can do about that is to think about every member of our community also making up the population, the whole community, whole country, in our case. So the World Health Organization has represented this particular model as a way of thinking suicide prevention, and that we should have activities that protect and support everybody in every community, or universal interventions, for those of you for instance you might have travelled across the graft and bridge, things like barriers and other interventions, protect and support and provide suicide prevention opportunities for everybody all of the time. And the second level, and you can't quite see the colours, a medium sized orange, the selected indications where we are concerned about particular groups and communities of interest that we worry about particular burden of suicide and that might be people incarcerations, it might be young people, and members of the rainbow community, and below that an important space, which you might think are the clinical indicated interventions, and there has been amazing work showcased today. So what we want to try and do is try and put together the evidence that exists, and for those of you who dived into this literature before, what you know is evidence tends to be most manageable when you think about a particular population or a particular intervention, or any particular location indeed. And actually, what we want to have an idea of is if you step back and think about all of the activities that we are engaging with, what is likely to work for everybody regardless of who they are and where they are, and how we can pull that information together. For those of you who want to know, here is our flowchart. Of course when you stick that without the question, you get heaps and heaps and heaps of information, almost too much information, it is a bit mind- boggling. So one way of managing that was with a review of reviews. Internationally, and then we had a number of people in the room here who have kindly shared information about their mahi so we have combined those two approaches. We have also wanted to have a handle on what is going on here in New Zealand and generally speaking those studies have not made their way into reviews of reviews just yet, but they will indeed in due course. So instead of reading the 210 page vision, collectively I think we can think about, the first thing is universal approaches to suicide prevention is really important. And up until now, in New Zealand, there has not been a particular area that we have been curious about particularly or certainly there has been more scope for examining, testing, and developing universal interventions. That is particularly important, because what we do know and what the evidence suggests is that those approaches are particularly important in protecting and saving lives of members of our community are somewhat less likely to engage with or benefit from the more clinically orientated a more individually orientated or perhaps the more psychologically oriented interventions, so we have plenty of reasons for optimism in terms of universal interventions full stop I also want to be acknowledge a really important work which is to we have a long way to go in terms of looking at the structural determinants of suicide, and there has been an important recent publication which looks at that (Speaks Te Reo Māori) Māori in New Zealand, and that is a good representation of what we need to do in this space will stop we are all concerned, and of course concerned going into COVID and we are keeping a watching eye on what is happening within our economy, and the evidence suggests that if we find ourselves going to a period of recession, there are particular active labour market strategies that we need to engage in, and particular types of expenditure, particularly protecting our men in those periods of time. Has been important work done over a 15 to 20 year period in terms of media reporting guidelines here in New Zealand, and indeed more recently published guidelines from the Suicide Prevention Office, but we have a long way to go in terms of adherence and we have a long way to go in terms of a shared understanding of the benefits of adherence to safe reporting guidelines. The other thing that we should and could do and there is a great deal of interest in this area, at the moment is to look at the role of alcohol in suicidal behaviour and preventing deaths by suicide, and this targets both acute and alcohol intoxication, and alcohol misuse more broadly as part of the experience of people on a longer term and indeed the harmful effects on our rangatahi and tamariki are being exposed to harmful alcohol consumption by other people, and specific suggestions there in terms of producing access to alcohol and minimum pricing. The other area that the evidence suggests we have more gain to be made is ensuring adherence to the requirements that already exists in terms of particularly custodial settings and an urgent need to address and this is a broader conversation clearly, adequate staffing and services, and visibility and psychiatric facilities, and also a number of other adverse outcomes for rangatahi and (Speaks Te Reo Māori) and staff working in the settings, and the last recommendation from this evidence is in terms of restricting access to methods of suicide, again are really important in an area that we have significant scope to do more work on here in New Zealand. In terms of selected interventions, the first evidence recommendation from here is a significant radical rethink about risk assessments and the expectations of what a risk assessment is and indeed this morning Twitter was alive with recommendations from the nice colleagues in the UK in which Professor Lewis Appleby is saying, "Stop doing risk assessments, and this evidence has been around India to stop without a paper that was published in 1954 that highlighted the concerns and the risks of conducting suicide risk assessments was not and that is particularly problematic when it is used as a risk stratification process, and who gets into health services and indeed alt of health services, so there is significant work to be done in this area. And indeed the suggestion and evidence in this area is assessments need to be focusing on factors that contribute to distress, those that are amenable to intervention, and resistance towards providing effective solutions to those difficulties. The next area that is very clear from the evidence synthesis is we need to have a greater focus on prevention of all types of violence, particularly sexual violence as part of suicide prevention intervention, there is long- standing documentation of the association between these experiences, but we have not been so explicit about the importance of that as an intervention full stop there is important and interesting and dynamic and very exciting activity going on in the area of primary care, in New Zealand so far, is our next area in terms of Horizon for evidence and indeed the evidence internationally is still accruing, and we need to understand what the benefit for suicide prevention is here in Aotearoa New Zealand, particularly the effectiveness of Māori disciplinary team integration which is the key aspect of the intervention and particularly where providing mental and physical health care. And in the indicated intervention space, we might think of this as the clinical space or the psychological intervention space, I think it is important to recognise that most of these intervention prevention approaches have relatively small effect sizes and they are really similar to each other. So that would suggest that for a person experiencing suicidal distress, we should be offering access to a range of evidence informed interventions and giving people the opportunity to find one that fits for them and works for them a full stop it also means that we need to consider the fact that given this relatively equitable performance of these different interventions, that less costly or easier to deliver or easier to scale up interventions are as likely to work as the more expensive complex and more work specific types of interventions. The other key area that we distill from this evidence synthesis is the observation that internationally and even if you look at the international evidence around interventions with Indigenous communities, that by and large the focus of these interventions is on that individual. Whānau need to be the centre of these interventions. We need to accept the modest improvements, but in terms of the next steps in Aotearoa New Zealand, this is much more whānau centric in terms of our approach. It's also important to recognise there is a range of psychological interventions being rolled out around the country, but we really need to get a handle on the safety and fidelity of those interventions. Are they working here in Aotearoa New Zealand, and I was sure they are indeed being delivered as we imagine the original intervention, which showed efficacy, is that actually the way it has been translated and rolled out more locally. The other area that comes through in the evidence synthesis, and a number who work in the mortality review space, which recognises as important, is that when there are reviews of systems of care, and these are South, unfortunately although the most terrible adverse outcomes have occurred, is the findings of these reviews are actually fairly stable. They typically tend to include recommendations that are already outlined in policies, procedures, processes, and the location in which they occurred. Maps and most importantly, our suggestion is the attention and energy needs to be turned to implementing those recommendations. And paying attention also to the leadership and organisational characteristics that would foster and sustain meaningful change. Post invention is another area of course, an integral part of prevention series of activities and in our review of the international literature and coming closer to home, it's fair to say New Zealand is doing some innovative work. And may will be considered to be at the forefront of activities, particularly the dynamic and inclusive way we describe and define post pension as different to many places around the world. The evidence is a little bit younger than some of the other areas we have outlined their. But there is some signals from the international literature and in terms of some of our local practices, that are emerging, which is, the signal is around giving increased facilitation to culturally specific and mandated grouping practices without apologising that wreck experience or representing that grief experience as a mental health crisis. -- pathologies in. There are some challenges in terms of funding, recognising that variation and grief experience, for what people need, and secondly another important signal to increase our focus on supporting children who are bereaved by suicide. And my children we mean children of all ages, not just little brothers, but thinking about adults who have lost a parent or caregiver to suicide also. So these are big and important and potentially quite challenging suggestions. The evidence certainly, as we read it and have debated it, suggests to us. And what is too important to consider is how to do them. The first thing, as I said, we opened this discussion with consideration that there is lots of types of knowledge and evidence. But here in Aotearoa New Zealand we need to come together and agree, a mandated and sustainable outcomes framework for the suicide prevention mahi we are doing. And te reo Māori is essential. The things we do are in a resource constricted environment. There is few health economic evaluations of almost any of the suicide prevention activities internationally and the same can be applied here in New Zealand. The other thing that would be helpful is, clearly some of this academic style literature is available in the public domain and has been peer- reviewed. But there is a lot of fantastic mahi that goes on, and when the project ends and people move on out into the community, we don't have a publicly shareable space in which we understand and learn from, and then take forward, to move that forward, rather than redoing work that has already been done and relearning lessons that have already been fully appreciated by people before us. There is an interesting discussion, an important discussion to be had, around where self-harm fits within terms of response. The evidence internationally is considering giving consideration to a dedicated self-harm service, and that may or may not fit within a mental health space. There is also evidence that we need to continue to have evidence-based and appropriately resourced national suicide prevention action plan. And indeed also in terms of evaluation, but robust and high quality data in terms of real- time surveillance of both self- harm and death by suicide, is a one way, one measure by which we can understand the work we are doing and interventions we are staging are indeed having an effect. I'm going to stop, and again acknowledge that the important work of the people in the room here, and my fantastic team. Kia ora. (Applause)
>> (Speaks Te Reo Māori) for your time, commitment, hard work and dedication. (Applause) we have 2 awesome speakers coming up next. But before they come up, I wanted to let you know, when we talk about suicide and mental health, it can get quite heavy. And what I do know, I don't have a Masters in psychology, but I do have a Masters in pain, and what I do know is the body is made to move. (Speaks Te Reo Māori) keep moving forward. On that note, before we have our next speaker up, it's important we all (Speaks Te Reo Māori). And just for 30 seconds, just going to roll shoulder blades back, (Speaks Te Reo Māori).
>> Keep going, don't be shy! (Applause)
>> Our next speaker, Tania Papalii, Tanya is committed to reducing the number of suicide. Tanya is a suicide prevention coordinator at Northern District Health Boards and was instrumental in the creation of the fusion structure. A multisector collaboration that strives to reduce suicide and reduce the harm caused by suicide, utilising (Speaks Te Reo Māori), practice analysis and intervention. It strives today, thanks to Tanya's quiet determination, and significant leadership, it plays a primary role in suicide prevention work for the MARY WOOLDRIDGE:. -- (Speaks Te Reo Māori). Tanya. (Applause)
>> She will be joined alongside Tiana Watkins, a senior manager in suicide prevention at Le Va. And is responsible for the national suicide prevention training program workshops and e-learning modules delivered throughout Aotearoa. The program is evidence informed, quality assured, clinically safe and culturally appropriate. The aim of the program is to include New Zealanders aged 18 years and over with knowledge and skills to identify and support individuals at risk of suicide and their communities. MARY WOOLDRIDGE:$$JOIN. -- (Speaks Te Reo Māori). (Applause)
>> Kia ora whānau. Good thing we know each other really well, because I think we are both a little bit, is it Tanya or Tiana? We are both here.
>> I will stand alongside and support a.
>> Kia ora Koutou. (Speaks Te Reo Māori) thank you everybody. I stand before you today to acknowledge each and every one of these incredible individuals from across Aotearoa New Zealand. Before I get into that, what I would like to say is on behalf of Le Va's cheerless chief executive Denise, who unfortunately is unable to be here today, due to being at an international event, and the wonderful chief executive Marie from clinical advisory services Aotearoa, who was also unable to be here with us today, I would like to share with all of you, particularly our LifeKeepers Awards recipients. These sentiments. Quote, thank you to each and every one of you wonderful individuals. Your whānau, your families, your organisations, and your communities. It is people like yourselves and ourselves who we rely upon to stand up and be the voice of compassion, and understanding for those experiencing thoughts of suicide. Thank you for consciously choosing to make a difference, for coming together to support those who have lost loved ones to suicide, and for supporting those working to actively prevent suicide. Behalf of all of the whānau at Le Va, it is our absolute honour and privilege to stand here before you today to acknowledge the tremendous, incredible, and courageous nominees of the 2022 LifeKeepers Awards. Whānau, these are ordinary people doing extraordinary things, in their communities across Aotearoa. The LifeKeepers Awards are centred around recognising the often heroic but unacknowledged commitment of individuals and organisations who persevere with efforts and work that makes a vital contribution to suicide prevention. These are ordinary people whānau, doing extraordinary things. Creating communities of care to prevent suicide across Aotearoa. So we are honoured to share with you the H recipients of the 2022 LifeKeepers Awards for contributions to suicide prevention. To have these exceptional individuals are unable to be here with us in person, so I shall start with acknowledging them first. Kerry Hirini, has been nominated by suicide prevention coordinator. It is a trust that was established in 2016 following the loss of several whānau to suicide. Diwan are collectively worked with community and experts in their specialised fields to form a healing (Speaks Te Reo Māori) that was meaningful for them and whānau alike. This continues 6 years to the state, and in the community. It acknowledges the (Speaks Te Reo Māori) the stowed upon them, and support one to engage in healing through traditional Māori practices such as (Speaks Te Reo Māori) . More recently, they have moved into the Rangitikei space using social media such as Instagram to coordinated. Well-being, health, and suicide prevention. It is run by whānau, for whānau. On behalf of Le Va and the Suicide Prevention Office, we are privileged to honour you, the whānau of (Speaks Te Reo Māori). Congratulations on your 2022 LifeKeepers Awards. (Applause) our 2nd LifeKeepers Awards recipient who unfortunately is also unable to be here today is Melissa Moore. Behalf of the pride project, Counties Manukau has been nominated by suicide prevention coordinator Jordan Johnson. The project is a grassroots charitable trust project located in South Auckland, built from the ground up with the support and backing of the community and whānau with live experience. Walking alongside everyday people from local communities, holding hope for them and so that they can hold it themselves by helping to alleviate stress factors and navigating health and social system. Melissa and the hope navigators are considered an absolute (Speaks Te Reo Māori) to the community and whānau. On behalf of CASA, Le Va, and the Suicide Prevention Office, the older you today, congratulations on your 2022 LifeKeepers Awards. (Applause) I would like to invite Bronnie Coory up you please. On behalf of of mitzvah life, have been noted death Mate for Life is a wax prevention program created by Hawkesbury people for Hawke's Bay people. Supported by a local whānau own business, Mates for Life are able to be delivered, and they create a suicide where community by encouraging others to ask someone, are you OK and not taking, "Yes, I am fine. When they suspect otherwise was not" This program is about supporting work mates by getting the support they need, and when they needed. On behalf of CASA, Le Va, and the Suicide Prevention Office, thank you to your contributions. (Applause) (Speaks Te Reo Māori) Edith Rolls is specialising in (Speaks Te Reo Māori) weaving, additionally she is an advisor and a perinatal clinician, Edith is an active contributor to the Wairarapa region which she supports iwi and remedy gaps in the professional services practices, Edith shows her vulnerability with a solution focused lens, she has a strong voice in the prevention and intervention and postvention space of suicide, and presently in death death Edith has collaborated with the Māori, and Edith is also an advisor to both (Speaks Te Reo Māori) group, and her tireless voluntary work in the Wairarapa community is humbling, on behalf of CASA, Le Va, Anna Suicide Prevention Office, thank you for your contribution to suicide prevention. (Applause) Robyn, where are you Robyn? Kia ora, Robyn. Robyn Morris, on behalf of connected South Eastland, the team at connected east South and, under the leadership of Robyn demonstrates a strong collaboration working to prevent suicide in the surrounding rural community, this is possible because of the foundation of strong relationships with (Speaks Te Reo Māori) and agencies, and NGOs across all sectors. Relationships which have been many years in the building, their vision is for how they are connected and a resolute community, Robyn has put together community leaders regularly through the postvention group on what they are seeing the community, identifying these and possible responses. She works alongside (unknown term), and the community to understand community distress, which has been exceptionally effective in this role, and practising intellectual curiosity to see practice also. On behalf after Le Va, CASA, and the office of suicide prevention, thank you for your contribution to suicide prevention (Speaks Te Reo Māori). (Applause) and my friend Shelley Brunskill-Matson, here she comes. Shelley Brunskill-Matson has been orbited by suicide prevention coordinator Russell Banks of the capital and Coast and Hutt Valley region, Shelley holds numerous font tree roles in the suicide space including supporting younger people and their whānau and also sorry, and is also a volunteer support worker. Additionally Shelley has submitted her PhD on children's experiences of care and support after a suicide in Aotearoa. Shelley also facilitates monthly to weekly meetings with academics in the Wellington area and specialist knowledge on suicide, she is now rolling out a suicide prevention strategy for the organisation. Shelley on behalf after Le Va, CASA and the Suicide Prevention Office, thank you for your contribution to suicide prevention. (Speaks Te Reo Māori) (Applause) and our next LifeKeepers Awards recipient, Benjamin Tauhara, on behalf of (unknown term), has been nominated by my friend who met earlier, it is based on the Māori proverbial saying of who stands live, (Speaks Te Reo Māori) was established in 2021, and established based on self- determination and self belief, that are faced by our men worldwide, suicide has riddled the Far North, drugs and alcohol violence, prison, identity and trauma issues, so they strive to create a safe space for men that are accessible with culture and luggage, the organisation is an online kitsch start, using social media platforms upload photos, videos, daytrip lands, quotes, daily affirmations, and healthy habits. The organisation encourages members to be the best they can be, the program's timeframe varies according to the moon phases and the seasons of the year. Like the ancestors before them, their practices aligned to the natural world, health and fitness becomes the vehicle of empowerment to shift the mindsets of members into positive and active lifestyles, Doctor Mason (Speaks Te Reo Māori) is the theology of the program, the model of holistic well-being strengthens the spiritual, mental, and physical state of the individual to better contribute to their collective, in collaboration with their sister group, (Speaks Te Reo Māori), a sisterhood that caters to mahi and their needs, the idea is to grow healthy families, focusing on mum and dad first. (Speaks Te Reo Māori) on behalf of Le Va, CASA, and the Suicide Prevention Office, Inc you to your contribution to suicide prevention (Speaks Te Reo Māori). (Applause)
>> (Speaks Te Reo Māori)
>> Last but not least, Nicola Peeperkoorn. Nicola Peeperkoorn has been nominated by her suicide prevention coordinator, based in the Wattamattagal region, she is a strong advocate in supporting whānau during times of distress and to have support services providing their needs appropriately untimely, she totally engages with services to deal with whānau so they do not experience losing loved ones to suicide. Nicola shares that "My aim is to utilise my skills and experience to do my small bit to make positive changes and to stand up for those who are unable or do not wish to speak. " Nicola, on behalf of Le Va, CASA, Anna Suicide Prevention Office, thank you so much for your contribution to suicide prevention (Speaks Te Reo Māori). (Applause) and finally to all of our incredible, tireless, courageous, and phenomenal 2022 LifeKeepers Awards recipients, on behalf of olive Aotearoa, thank you for playing a role in the prevention of suicide and the prevention of (Speaks Te Reo Māori), (Applause)
>> (Speaks Te Reo Māori) whānau (Speaks Te Reo Māori). (Applause) to close, I think you all for your attendance and the mahi that you do, your commitment to this (Speaks Te Reo Māori) it is crucial (Speaks Te Reo Māori) Kaurna. I would like to thank two Manatu Hauora, Le Va, and most importantly he will, I will leave you with 2 (Speaks Te Reo Māori) we must live our life in balance, spiritually, emotionally, and physically. My favourites, (Speaks Te Reo Māori) love yourself. (Speaks Te Reo Māori) whānau. Now please welcome Roimata to close with Karakia.
>> (Speaks Te Reo Māori) (Recites Karakia) Kia ora. (Applause)
>> Please go and take something to eat outside.