spinofflive
Middlemore Foundation and Standard Issue’s Jumper for Jumper initiative (Photo: Supplied; additional design: Tina Tiller)
Middlemore Foundation and Standard Issue’s Jumper for Jumper initiative (Photo: Supplied; additional design: Tina Tiller)

SocietyMay 3, 2022

The designer knitwear label on a mission to keep more kids warm this winter

Middlemore Foundation and Standard Issue’s Jumper for Jumper initiative (Photo: Supplied; additional design: Tina Tiller)
Middlemore Foundation and Standard Issue’s Jumper for Jumper initiative (Photo: Supplied; additional design: Tina Tiller)

One in nine tamariki live in households that forgo basic necessities to make ends meet – and during the coldest months, that can have serious health effects. One high-end designer has teamed up with Middlemore Foundation to help.

Summer has disappeared. People are busting out their heaters, fitting electric blankets to mattresses and finding hot-water bottles from the depths of their linen cupboards. Slippers and Uggs are replacing jandals, Birkenstocks and Crocs, trousers and hoodies are taking the place of T-shirts and shorts. The days are getting shorter, the nights longer. Winter is near.

The coldest months of the year are tough when it comes to household expenses, especially for those experiencing material hardship. Defined as households deprived of more than six of the 17 basic necessities most people regard as essentials, material hardship means children are 16 times more likely to endure a cold house than those living in healthier households. Material hardship is experienced by one in five Māori tamariki, and one in four Pasifika children.

Measuring poverty is a complex task – there’s no single standard that Stats NZ can use to ascertain how big or small it is. Instead, it relies on a multi-level, multi-measure approach legislated by parliament. The household economic survey, on which child poverty statistics are based, canvasses only a representative sample of people so ,some uncertainty exists each year about the true extent of poverty in Aotearoa.

When it comes to poverty in Auckland, the country’s economic engine is a tale of two cities – the haves and the have-nots. According to the Auckland Prosperity Index, which measures the prosperity of all 21 local boards based on a suite of measures covering skills and labour force, household prosperity, and economic quality, all five of the south Auckland boards – Mangere-Ōtāhuhu, Manurewa, Maungakiekie-Tāmaki, Ōtara-Papatoetoe and Papakura – had the least wealth in 2020. By contrast, the most prosperous residents lived in Albert-Eden, Devonport-Takapuna, Orākei, Upper Harbour and Waitematā boards. The results haven’t changed since the index’s maiden report in 2018.

Middlemore Foundation CEO Margi Mellsop (Photo: Supplied)

At the coalface of this deprivation is Middlemore Foundation, which funds initiatives in health, homes and education in the southern, eastern and rural areas of Tāmaki Makaurau that make up Counties Manukau DHB. The registered charity works with its namesake, Middlemore Hospital, to ensure children can be treated for preventable illnesses in the community without having to seek emergency care. Most of, if not all, those preventable illnesses relate to a child’s ability to breathe, and are compounded by living in poorly insulated, draughty, mouldy houses. “It’s straight poverty in that sense,” says the charity’s chief executive, Margi Mellsop. 

The foundation can’t immediately prevent kids from needing to visit the hospital for respiratory illnesses – that’s a longer-term goal, she says. So until that’s achieved, it works to raise funds and provide opportunities to people keen on making a difference, including teaming up with sustainable knitwear brand Standard Issue to keep kids warm this winter.

The “Jumper for Jumper” initiative sees the label donating one woollen jumper to a kid in need for every Standard Issue jumper a customer has purchased online or in its Newmarket store. Now in its third year, and running from May 1 until the end of July, the initiative also invites people to buy a child’s jumper outright for $30, which covers Standard Issue’s materials and production costs in knitting and donating it on their behalf. All jumpers are manufactured in yarns made of at least 80% wool, knitted according to a pattern the label made, and come in whatever colours it has access to.

Standard Issue’s workroom. (Photo: Supplied)

Most “buy one, gift one” initiatives require customers to purchase a product in order to make a donation, but Standard Issue encourages people to buy a jumper for tamariki without having to commit to buying a piece themselves, at a typical cost north of $200. Broadening access has been critical to increasing the number of donated jumpers, says label owner Emma Ensor. It’s been common for some customers to outright buy a dozen $30 jumpers for around the same price as one of their $349 funnel neck jumpers. “What we’ve always intended is that we just want to go in and do well by a community,” she says.

In passing on the clothes, the foundation works mainly with schools and early childhood education providers in areas where deprivation is at its highest, says Mellsop. To some people, an initiative like “Jumper for Jumper” – where warm clothes are donated to people whose circumstances otherwise remain the same – can still come across as an ambulance at the bottom of the cliff. Mellsop believes that perception has become a “disparaging” description of the fundamental purpose that charities, like Middlemore Foundation, serve by helping those in immediate need. She accepts the government has a job to do, in reforming the many, complex systems that feed into poverty, and that the charity sector must continue to advocate for improvement. But until it materialises, the foundation will continue to act as a stopgap.

Standard Issue label owner Emma Ensor (Photo: Supplied)

Its assistance isn’t going away any time soon. Aotearoa is heading into a crisis so an ambulance is needed at the bottom and the top – Mellsop urges those who can afford to donate to reach into their pockets, “because those kids are going to end up in hospital this year. Their mums and dads will need help to pay their electricity bills. That is the reality.”

Last year, the initiative generated nearly 830 jumpers for donation – up from the 350 donated in 2020. The goal this year is at least 1,600, and double that for every winter to come. Ensor admits it’s ambitious, “but we want to go for it”. And should South Auckland become “saturated” with Standard Issue jumpers, she has assured the foundation it will look at other ways it can help. “We’ve got no end date,” says Ensor, a comforting promise to those who need it most this winter.

Keep going!
Black and white photo of mother and baby
Getty Images / Tina Tiller

OPINIONSocietyMay 3, 2022

Mothers are being sidelined in the conversation about maternal mental illness

Black and white photo of mother and baby
Getty Images / Tina Tiller

Over and over, potential effects on children is foregrounded while the actual welfare of the person who’s sick is all but ignored.

This is an edited version of a post first published on the author’s newsletter, Emily Writes Weekly. It discusses suicide; please take care.

Over the weekend an excellent report on perinatal mental health was released by the Helen Clark Foundation. Āhurutia Te Rito | It Takes a Village takes up the challenge of a report released last year that revealed suicide was the leading cause of death during pregnancy and the postnatal period in Aotearoa. Wāhine Māori were three times more likely than non-Māori to die by suicide.

I’ve been writing about the maternal suicide rate for six years. For six years I’ve seen reports come and go and people say “not one more mum” and “this has to stop”. It never does. Nothing seems to change.

As Holly Walker, who authored the Āhurutia Te Rito report, says: “Our maternal suicide rate is seven times that of the UK, but there are no other statistically significant differences between the two countries in terms of maternal mortality. This suggests there is considerable scope for improved intervention.”

It can get better. So why doesn’t it?

I am convinced that the reason why it never changes for the better is because the things we know would actually help mothers and birthing people with perinatal depression and anxiety are put in the too-hard basket. The government, ministry managers and health professionals all set the narrative – one that keeps the focus on the individual, not the system.

Take for example the comments by a DHB psychiatrist on a current affairs show over the weekend.

After being introduced as being on the “frontline”, dealing with seriously ill mothers, the psychiatrist immediately de-centred the mother from the conversation, telling the interviewer she likes to call maternal mental health services “perinatal health services”. I support the use of the term perinatal over maternal because not all birthing people are women, but I find it interesting that in this case the term was used to shift the focus to babies and partners, mostly cis men.

“I think it’s really important to make the point that not all women who experience mental illness or have drug and alcohol problems are poor parents,” she said. From then on, the conversation became about how a baby is affected by their mother’s distress in pregnancy.

These quotes are taken from the article that ran on online about the interview, titled ‘Perinatal distress can affect children and non-birthing parents – psychiatrist’.

“The long-term impact of depression and anxiety in parents means there are a lot more behaviour problems when the children are toddlers and it can impact a child’s language and school readiness.”

“[Perinatal depression] can also cause depression when the child is a teenager, so it is important to notice the warning signs and intervene early.”

The topic remains taboo, the report said – ironically just after claiming depressed mothers are likely irreparably damaging their children. Gee, I wonder why mums don’t talk about their mental health? Where could the stigma come from? Why would people consider it taboo? It’s a complete mystery.

woman holding her baby while looking overwhelmed and depressed
Getty Images

I felt sick watching the interview. I felt sick reading the article. And I shared on Instagram why. Overnight I had hundreds of messages from mums. Some had healed, others were still fighting to be alive.

Almost all of them talked about the pain that health professionals cause when they de-centre mothers and blame them for the effects of their disease on their children.

When I was very sick in pregnancy, every article that said “your baby can feel your stress from the womb” or “having depression means your child will have attachment issues” made me feel like my child would be better off without me.

I hunted down the reports later, when I was in a better space, and was astounded to see how over-egged they’d been. But back then I believed it all. Hook, line and sinker.

I was the problem. I was the one making my baby sick.

The way this topic was covered on that current affairs show – how it’s almost always covered – does exactly that. It talks about mothers as if they’re not watching, not listening. It speaks over them. It shames them. It blames them.

I want to share some of the comments I was sent after sharing the interview. This is the message mums are getting:

“When I saw that interview I just thought, it’s too late. I’ve destroyed my baby already”.

“This is the message I got when I was struggling. That if I didn’t fix myself, my baby would be psychologically damaged forever. I couldn’t fix myself so the logical next view for me was that if I was dead, my baby would be better.”

“I’ve suffered with depression since I can remember. Sometimes my kids are the only things that keep me here and moving forward. If I’ve already irreparably fucked them up, what’s the point in trying?”

“I still remember being horrifically depressed as a young single pregnant woman, dealing with stalking and abuse from my ex-partner, and being told SO MANY TIMES…that I needed to ‘relax’ because my emotions would negatively affect my baby. Not only did it make me feel even worse, and already like I was a terrible mother before my baby was even born, but it really cemented the fact that now that I was pregnant I didn’t matter any more. I was just a vessel for a baby. I didn’t exist as a person any more and was completely worthless outside of my ability to grow a baby”.

These are the stories I hear every day.

For so long, those of us who work supporting mums have been saying the same things. Things that are all through this new report: We need social housing prioritised for our mums. We have to urgently prioritise wāhine Māori in suicide prevention efforts. We need engaged midwives who aren’t burning out because they’re treated so poorly – because they’re the ones who can spot antenatal depression or anxiety or PND as it’s starting. We need ACC to cover birth injuries and birth trauma.

One recommendation from the new report is this: “Provide fast access to affordable, culturally appropriate therapeutic support to parents with early signs of distress, and guarantee immediate access to best practice specialist help if they become unwell.”

Can you imagine if we had that?

Can we all also see now why the focus is on the individual and how much they’re hurting their whole family instead of on the system itself? If we keep moving the conversation to mums and how they’re damaging their babies and their partners, we don’t have to get to the real shit.

The report says what so many in the system don’t want to talk about:

“At the societal level, the stressors that drive perinatal distress are structural and systemic, and tend to be the same things that drive wider forms of disadvantage. These include: poverty, racism, gender disadvantage, food insecurity, gender-based violence, poor housing, limited education, and weak social networks”.

These aren’t soundbites.

They involve all of us working together. They involve an actual government response, they involve accountability from DHBs and the Ministry of Health.

It shouldn’t be a surprise that the way to help our most isolated and vulnerable mums is to come together and all carry the burden that they are so often forced to carry alone.

I was interviewed about this report and I was asked: What would you say to a mum who was suffering?

I would of course tell her she is loved and I would try to help her. But I said I wanted to turn that question around:

Everyone has messages for The Mum. I want to give a message to everyone else: the friend of The Mum, the colleague of The Mum, the neighbour, the brother, the cousin, the grandmother, the parent of The Mum… God, the health professional who keeps talking over her!

You need to show up and fight for her life.

The way you speak about her matters. The way you speak about other mothers around her matters. Telling any mum who is sick that she’s harming her baby by being sick will not help her. It’s cruel.

She is fighting. She is tired. She is doing her best.

Are you fighting for her?

Are you doing your best for her?

Are you going to fight for systemic change for all?

Today, will you walk with the mum who is struggling?

Today, as a health professional, will you consider how your words will impact mothers?

Today, will you look at the way you talk about mental illness and ask yourself: How does this feel to someone who is trying to stay alive?

Will you make this fight your fight too?

What will you do?

 

Where to get help

Need to talk? Free call or text 1737 any time for support from a trained counsellor.

Lifeline – 0800 543 354 (0800 LIFELINE) or free text 4357 (HELP)

Samaritans – 0800 726 666

Shine (domestic violence) – 0508 744 633

Women’s Refuge – 0800 733 843 (0800 REFUGE)

Le Va – suicide prevention and support for Pasifika communities

Yellow Brick Road – mental wellbeing advice and information hub

Suicide Crisis Helpline – 0508 828 865 (0508 TAUTOKO)

Depression and Anxiety Helpline – 0800 111 757 or free text 4202