This thesis focuses attention on the ongoing effects of the earthquakes on children in Christchurch. It identifies the learning and behavioural difficulties evident in an increasing number of students and cautions the use of the word 'resilient' to describe children who may be just managing. This assumption has a significant impact on the wellbeing of many Christchurch children who, disaster literature warns, are likely to be under-served. This thesis suggests that, because of the scale of need, schools are the best place to introduce practices that will foster wellbeing. Mindfulness practices are identified as a potential tool for ameliorating the vulnerabilities experienced by children, while at the same time working to increase their capabilities. This thesis argues that, through mindful practices, children can learn to be more reflective of their emotions and respond in more considered ways to different situations. They can become more relational, having a greater understanding of others through a deeper understanding of themselves, and they can build resilience by developing the protective factors that promote more adaptive functioning. This thesis identifies the strong links between mindfulness and the holistic wellbeing concept of Te Whare Tapa Whã and a Mãori worldview. Strong links are also identified with the vision, values and key competencies of the New Zealand Curriculum and 21st Century learners. Both short and long term recommendations are made for the introduction of mindfulness practices in schools to enhance the wellbeing of children.
This thesis examines how 18 University of Canterbury students based in Christchurch experienced housing insecurity during the three years after a series of major earthquakes from late 2010 and throughout 2011. I adopted a qualitative exploratory approach to gather students’ accounts and examine their experiences which were analysed using constructivist grounded theory methods. Three core categories were identified from the data: mobility, recreating security, and loss. Mobility included the effects of relocation and dislocation, as well as how the students searched for stability. Recreating security required a renewed sense of belonging and also addressed the need to feel physically safe. Lastly, loss included the loss of material possessions and also the loss of voice and political representation. The theory that emerged from these findings is that the extent to which students were able to control their mobility largely explained their experiences of housing insecurity. When students experienced a loss of control over their mobility they effectively addressed this by being resourceful and drawing on existing forms of capital. This resourcefulness generated a new form of capital, here called security capital, which represents a conceptual contribution to existing debates on students’ experiences of homelessness in a disaster context.
There is a now a rich literature on the connections between digital media, networked computing, and the shaping of urban material cultures. Much less has addressed the post-disaster context, like we face in Christchurch, where it is more a case of re-build rather than re-new. In what follows I suggest that Lev Manovich’s well-known distinction between narrative and database as distinct but related cultural forms is a useful framework for thinking about the Christchurch rebuild, and perhaps urbanism more generally.
Triple P parenting programmes have provided promising results for children and families in recent years. The aim of the current project was to explore the experiences of families leading up to participating in a Teen Triple P programme three years following the Christchurch earthquakes and their need for assistance in the management of their teenagers. Parents were interviewed prior to the commencement of the Teen Triple P programme and after its completion. Parents were also asked to complete a journal entry or engage in two brief telephone conversations with the researcher outlining their experiences with the Teen Triple P programme. These outlined the perceived fit of the programme to the needs of the family. Parents provided insight into their family’s experiences of the Christchurch 2010 and 2011 series of earthquakes and the perceived impact this had on their lives and the management of their teenagers. The results indicated that parents felt more positively about their parenting behaviours post-programme and were able to identify changes in their teen and/or family that they felt were as a response to participation in Teen Triple P. Parents provided rich descriptions of their earthquake experiences and the immediate and long-term impacts they endured both individually and as a family. Parents did not feel that the earthquakes fed into their decision to do a Teen Triple P Programme. The results helped improve our understanding of the effectiveness of Teen Triple P as a parenting programme as well increased our understanding of the challenges and needs of families in post-earthquake Christchurch.
This article reports on research conducted in Christchurch, New Zealand, after the 22 February 2011 earthquake. This quake and thousands of subsequent aftershocks have left the city of Christchurch with serious infrastructure damage to roads, sewage supply, housing and commercial buildings. The emergence of a vibrant art and craft movement in the Christchurch region post earthquake has been an unexpected aspect of the recovery process. The article begins with a review of the literature on traditional responses to disaster recovery illustrating how more contemporary approaches are community-focused. We review the links between crafting and well-being, and report on qualitative research conducted with five focus groups and nine individuals who have contributed to this movement in Christchurch. The findings illustrate the role crafting has played post earthquake, in terms of processing key elements of the disaster for healing and recovery, creating opportunities for social support; giving to others; generating learning and meaning making and developing a vision for the future. The data analysis is underpinned by theory related to post-traumatic growth and ecological concerns. The role of social work in promoting low-cost initiatives such as craft groups to foster social resilience and aid in the recovery from disaster trauma is explored. This discussion considers why such approaches are rare in social work.
This study explores the impact post-earthquake images from Christchurch, New Zealand inserted into a task requiring sustained attention or vigilance have on performance, selfreports of task-focus, and cerebra activity using functional near-infrared spectroscopy (fNIRS). The images represent the current state of Christchurch; a city struggling to recover from devastating earthquakes that peaked in February, 2011, killing 185 people, injuring hundreds more and causing widespread and massive damage to infrastructure, land and building in the region. Crowdsourcing was used to gather a series of positive and negative photos from greater Christchurch to be employed in the subsequent experiment. Seventy-one Christchurch resident participants (51 women, 20 men) then took part in a vigilance task with the sourced images embedded to assess possible cognitive disruptions. Participants were randomly assigned to one of three conditions: embedded positive pictures, embedded negative pictures, or embedded scrambled image controls. Task performance was assessed with signal detection theory metrics of sensitivity A’ and β’’. Individuals viewing the positive images, relating to progress, rebuild, or aesthetic aspects within the city, were overall more conservative or less willing to respond than those in the other conditions. In addition, positive condition individuals reported lower task focus, when compared to those in the control condition. However, indicators of cerebral activity (fNIRS) did not differ significantly between the experimental groups. These results combined, suggest that mind wandering events may be being generated when exposed to positive post-earthquake images. This finding fits with recent research which indicates that mind-wandering or day dreaming tends to be positive and future oriented. While positive recovery images may initiate internal thoughts, this could actually prove problematic in contexts in which external attention is required. While the actual environment, of course, needs to recover, support agencies may want to be careful with employing positive recovery imagery in contexts where people actually should be paying attention to something else, like operating a vehicle or machinery.
Children are often overlooked in the aftermath of a natural disaster, and children’s use of coping strategies plays an important part in their post-disaster adaptation (Vernberg, La Greca, Silverman, & Prinstein, 1996). The aim of this qualitative study was to explore the coping strategies of children with adequate self-regulation skills and minimal behaviour problems, living in Christchurch following the major 2010 and 2011 earthquakes. This aim was achieved through the use of semi-structured interviews with five seven-year-old children, their parents, and their teachers. These interviews were analysed using Directed Content Analysis and results showed that children most often reported using active and adaptive coping strategies, followed by avoidant strategies. Results in the current literature regarding children’s coping suggest that children exposed to natural disasters are able to utilise strategies that involve some personal control over their environment and emotions, through the use of active and adaptive coping strategies. Findings from this study contribute to the current understanding of children’s use of coping strategies when faced with commonly occurring childhood upsets. Further research is required regarding the outcomes associated with the use of effective coping strategies following traumatic events.
The Canterbury earthquakes and the rebuild are generation-defining events for twenty-first century Aotearoa/ New Zealand. This article uses an actor network approach to explore 32 women’s narratives of being shaken into dangerous disaster situations and reconstituting themselves to cope in socially innovative ways. The women’s stories articulate on-going collective narratives of experiencing disaster and coping with loss in ‘resilient’ ways. In these women’s experiences, coping in disasters is not achieved by talking through the emotional trauma. Instead, coping comes from seeking solace through engagement with one’s own and others’ personal risk and resourcefulness in ways that feed into the emergence of socially innovative voluntary organisations. These stories offer conceptual insight into the multivalent interconnections between resilience and vulnerabilities and the contested nature of post-disaster recovery in Aotearoa/New Zealand. These women gave voice to living through disasters resiliently in ways that forged new networks of support across collective and personal narratives and broader social goals and aspirations for Aotearoa/New Zealand’s future.
The Avon River and the Avon-Heathcote Estuary/Ihutai are features of the urban environment of Christchurch City and are popular for recreational and tourist activities. These include punting, rowing, organized yachting, water skiing, shoreline walking, bird watching, recreational fishing and aesthetic appreciation. The Canterbury earthquakes of 2010 and 2011 significantly affected the estuarine and river environments, affecting both the valued urban recreation resources and infrastructure. The aim of the research is to evaluate recreational opportunities using a questionnaire, assess levels of public participation in recreation between winter 2014 and summer 2014-2015 and evaluate the quality of recreational resources. The objective is to determine the main factors influencing recreational uses before and after the February 2011 earthquake and to identify future options for promoting recreational activities. Resource evaluation includes water quality, wildlife values, habitats, riparian strip and the availability of facilities and infrastructure. High levels of recreational participation usually occurred at locations that provided many facilities along with their suitability for family activities, scenic beauty, relaxation, amenities and their proximity to residences. Some locations included more land-based activities, while some included more water-based activities. There were greater opportunities for recreation in summer compared to winter. Activities that were negatively affected by the earthquake such as rowing, kayaking and sailing have resumed. But activities at some places may be limited due to the lack of proper tracks, jetty, public toilets and other facilities and infrastructure. Also, some locations had high levels of bacterial pollution, excessive growth of aquatic plants and a low number of amenity values. These problems need to be solved to facilitate recreational uses. In recovering from the earthquake, the enhancement of recreation in the river and the Estuary will lead to a better quality of life and the improved well-being and psychological health of Christchurch residents. It was concluded that the Avon River and the Avon-Heathcote Estuary/Ihutai continue to provide various opportunities of recreation for users.
Organisations play a vital role in assisting communities to recover from disasters. They are the key providers of goods and services needed in both response and recovery efforts. They provide the employment which both anchors people to place and supports the taxation base to allow for necessary recovery spending. Finally, organisations are an integral part of much day to day functioning contributing immensely to people’s sense of ‘normality’ and psychological wellbeing. Yet, despite their overall importance in the recovery process, there are significant gaps in our existing knowledge with regard to how organisations respond and recover following disaster. This research fills one part of this gap by examining collaboration as an adaptive strategy enacted by organisations in the Canterbury region of New Zealand, which was heavily impacted by a series of major earthquakes, occurring in 2010 and 2011. Collaboration has been extensively investigated in a variety of settings and from numerous disciplinary perspectives. However, there are few studies that investigate the role of collaborative approaches to support post-disaster business recovery. This study investigates the type of collaborations that have occurred and how they evolved as organisations reacted to the resource and environmental change caused by the disaster. Using data collected through semi-structured interviews, survey and document analysis, a rich and detailed picture of the recovery journey is created for 26 Canterbury organisations including 14 collaborators, six non-traders, five continued traders and one new business. Collaborations included two or more individual businesses collaborating along with two multi-party, place based projects. Comparative analysis of the organisations’ experiences enabled the assessment of decisions, processes and outcomes of collaboration, as well as insight into the overall process of business recovery. This research adopted a primarily inductive, qualitative approach, drawing from both grounded theory and case study methodologies in order to generate theory from this rich and contextually situated data. Important findings include the importance of creating an enabling context which allows organisations to lead their own recovery, the creation of a framework for effective post-disaster collaboration and the importance of considering both economic and other outcomes. Collaboration is found to be an effective strategy enabling resumption of trade at a time when there seemed few other options available. While solving this need, many collaborators have discovered significant and unexpected benefits not just in terms of long term strategy but also with regard to wellbeing. Economic outcomes were less clear-cut. However, with approximately 70% of the Central Business District demolished and rebuilding only gaining momentum in late 2014, many organisations are still in a transition stage moving towards a new ‘normal’.
The self-regulation approach to educating parents focusses on promoting parenting confidence, independence, and the ability to solve future problems. As parents learn the skills to modify their own behaviour, in turn, they aim to foster self-regulation in their children/adolescents. A need had been identified by Christchurch school principals for the Ministry of Education to respond to the post-earthquake stress in local families. The aim of this study was to investigate if a parenting programme was effective in promoting parental self-management skills and adolescent behaviour change in Christchurch families affected by earthquakes between 2010 and 2012. A single case research design was used to follow five families with adolescents (12-16 years old) as they participated in a Group Teen Triple P – Positive Parenting Programme. Measures of self-management skill acquisition were taken during three family discussions (pre-intervention, mid-intervention, and post-intervention) and during the three telephone consultations (Sessions 5-7). Adolescent target behaviour tallies were also analysed for change. The main findings showed that parental self-management skill acquisition increased over-time accompanied by positive change in adolescent behaviour. Additionally, the results suggested that higher rates and levels of self-management skill acquisition in the parents were associated with greater improvements in adolescent behaviour. This study demonstrated that Group Teen Triple P – Positive Parenting Programme was effective in promoting self-management competencies in parents and behaviour change in adolescents.
A Transitional Imaginary: Space, Network and Memory in Christchurch is the outcome and the record of a particular event: the coming together of eight artists and writers in Ōtautahi Christchurch in November 2015, with the ambitious aim to write a book collaboratively over five days. The collaborative process followed the generative ‘book sprint’ method founded by our facilitator for the event, Adam Hyde, who has long been immersed in digital practices in Aotearoa. A book sprint prioritises the collective voice of the participants and reflects the ideas and understandings that are produced at the time in which the book was written, in a plurality of perspectives. Over one hundred books have been completed using the sprint methodology, covering subjects from software documentation to reflections on collaboration and fiction. We chose to approach writing about Ōtautahi Christchurch through this collaborative process in order to reflect the complexity of the post-quake city and the multiple paths to understanding it. The city has itself been a space of intensive collaboration in the post-disaster period. A Transitional Imaginary is a raw and immediate record, as much felt expression as argued thesis. In many ways the process of writing had the character of endurance performance art. The process worked by honouring the different backgrounds of the participants, allowing that dialogue and intensity could be generative of different forms of text, creating a knowledge that eschews a position of authority, working instead to activate whatever anecdotes, opinions, resources and experiences are brought into discussion. This method enables a dynamic of voices that merge here, separate there and interrupt elsewhere again. As in the contested process of rebuilding and reimagining Christchurch itself, the dissonance and counterpoint of writing reflects the form of conversation itself. This book incorporates conflict, agreement and the activation of new ideas through cross-fertilisation to produce a new reading of the city and its transition. The transitional has been given a specific meaning in Christchurch. It is a product of local theorising that encompasses the need for new modes of action in a city that has been substantially demolished (Bennett & Parker, 2012). Transitional projects, such as those created by Gap Filler, take advantage of the physical and social spaces created by the earthquake through activating these as propositions for new ways of being in the city. The transitional is in motion, looking towards the future. A Transitional Imaginary explores the transitional as a way of thinking and how we understand the city through art practices, including the digital and in writing.
This article argues that active coordination of research engagement after disasters has the potential to maximize research opportunities, improve research quality, increase end-user engagement, and manage escalating research activity to mitigate ethical risks posed to impacted populations. The focus is on the coordination of research activity after the 22nd February 2011 Mw6.2 Christchurch earthquake by the then newly-formed national research consortium, the Natural Hazards Research Platform, which included a social science research moratorium during the declared state of national emergency. Decisions defining this organisation’s functional and structural parameters are analyzed to identify lessons concerning the need for systematic approaches to the management of post disaster research, in collaboration with the response effort. Other lessons include the importance of involving an existing, broadly-based research consortium, ensuring that this consortium's coordination role is fully integrated into emergency management structures, and ensuring that all aspects of decision-making processes are transparent and easily accessed.
Severe liquefaction was repeatedly observed during the 2010 - 2011 C hristchurch earthquake s , particularly affecting deposits of fine sands and silty sands of recent fluvial or estuarine origin. The effects of liquefaction included major sliding of soil tow ard water bodies ( i.e. lateral spreading ) rang ing from centimetres to several metres. In this paper, a series of undrained cyclic torsional shear tests were conducted to evaluate the liquefaction and extremely large deformation properties of Christchurch b oiled sand . In these tests, the simple shear conditions were reproduced in order to apply realistic stress conditions that soil s experience in the field during horizontal seismic shaking. Several hollow cylindrical medium dense specimens ( D r = 50%) were pr epared by pluviation method, isotropically consolidated at an effective stress of 100 kPa and then cyclically sheared under undrained conditions up to 10 0% double amplitude shear strain (γ DA ) . The cyclic strength at different levels of γ DA of 7.5%, 15%, 3 0 % and 6 0%, development of extremely large post - liquefaction deformation and shear strain locali s ation properties were assessed from the analysis of the effective stress paths and stress - strain responses . To reveal possible distinctiveness, the cyclic undra ined behaviour of CHCH boiled sand was compared with that of Toyoura sand previously examined under similar testing conditions
The need for a simple but rigorous seismic assessment procedure to predict damage to reinforced concrete buildings during a seismic event has been highlighted following the Canterbury Earthquake sequence. Such simplified assessment procedure, applied to individual structure or large building inventory, should not only have low requirement in terms of input information and involve straightforward analyses, but also should be capable to provide reliable predictive results within short timeframe. This research provides a general overview and critical comparison of alternative simplified assessment procedures adopted in NZSEE 2006 Guidelines (Assessment and Improvement of the Structural Performance of Buildings in Earthquakes), ASCE 41-13 (Seismic Evaluation and Retrofit of Existing Buildings), and EN: 1998-3: 2005 (Assessment and Retrofitting of Buildings). Particular focus is given to the evaluation of the capability of Simplified Lateral Mechanism Analysis (SLaMa), which is an analytical pushover method adopted in NZSEE 2006 Guidelines. The predictive results from SLaMa are compared to damages observed for a set of reinforced concrete buildings in Christchurch, as well as the results from more detailed assessment procedure based on numerical modelling. This research also suggests improvements to SLaMa, together with validation of the improvements, to include assessment of local mechanism by strength hierarchy evaluation, as well as to develop assessment of global mechanism including post-yield mechanism sequence based on local mechanism.
In the aftermath of the 2010-2011 Canterbury Earthquake Sequence (CES), the location of Christchurch-City on the coast of the Canterbury Region (New Zealand) has proven crucial in determining the types of- and chains of hazards that impact the city. Very rapidly, the land subsidence of up to 1 m (vertical), and the modifications of city’s waterways – bank sliding, longitudinal profile change, sedimentation and erosion, engineered stop-banks… - turned rainfall and high-tides into unprecedented floods, which spread across the eastern side of the city. Within this context, this contribution presents two modeling results of potential floods: (1) results of flood models and (2) the effects of further subsidence-linked flooding – indeed if another similar earthquake was to strike the city, what could be the scenarios of further subsidence and then flooding. The present research uses the pre- and post-CES LiDAR datasets, which have been used as the boundary layer for the modeling. On top of simple bathtub model of inundation, the river flood model was conducted using the 2-D hydrodynamic code NAYS-2D developed at the University of Hokkaido (Japan), using a depth-averaged resolution of the hydrodynamic equations. The results have shown that the area the most at risk of flooding are the recent Holocene sedimentary deposits, and especially the swamplands near the sea and in the proximity of waterways. As the CES drove horizontal and vertical displacement of the land-surface, the surface hydrology of the city has been deeply modified, increasing flood risks. However, it seems that scientists and managers haven’t fully learned from the CES, and no research has been looking at the potential future subsidence in further worsening subsidence-related floods. Consequently, the term “coastal quake”, coined by D. Hart is highly topical, and most especially because most of our modern cities and mega-cities are built on estuarine Holocene sediments.
This thesis addresses the topic of local bond behaviour in RC structures. The mechanism of bond refers to the composite action between deformed steel reinforcing bars and the surrounding concrete. Bond behaviour is an open research topic with a wide scope, particularly because bond it is such a fundamental concept to structural engineers. However, despite many bond-related research findings having wide applications, the primary contribution of this research is an experimental evaluation of the prominent features of local bond behaviour and the associated implications for the seismic performance of RC structures. The findings presented in this thesis attempt to address some structural engineering recommendations made by the Canterbury Earthquakes Royal Commission following the 2010-2011 Canterbury (New Zealand) earthquake sequence. A chapter of this thesis discusses the structural behaviour of flexure-dominated RC wall structures with an insufficient quantity of longitudinal reinforcement, among other in situ conditions, that causes material damage to predominantly occur at a single crack plane. In this particular case, the extent of concrete damage and bond deterioration adjacent to the crack plane will influence the ductility capacity that is effectively provided by the reinforcing steel. As a consequence of these in situ conditions, some lightly reinforced wall buildings in Christchurch lost their structural integrity due to brittle fracture of the longitudinal reinforcement. With these concerning post-earthquake observations in mind, there is the underlying intention that this thesis presents experimental evidence of bond behaviour that allows structural engineers to re-assess their confidence levels for the ability of lightly reinforced concrete structures to achieve the life-safety seismic performance objective the ultimate limit state. Three chapters of this thesis are devoted to the experimental work that was conducted as the main contribution of this research. Critical details of the experimental design, bond testing method and test programme are reported. The bond stress-slip relationship was studied through 75 bond pull-out tests. In order to measure the maximum local bond strength, all bond tests were carried out on deformed reinforcing bars that did not yield as the embedded bond length was relatively short. Bond test results have been presented in two separate chapters in which 48 monotonic bond tests and 27 cyclic bond tests are presented. Permutations of the experiments include the loading rate, cyclic loading history, concrete strength (25 to 70 MPa), concrete age, cover thickness, bar diameter (16 and 20 mm), embedded length, and position of the embedded bond region within the specimen (close or far away to the free surface). The parametric study showed that the concrete strength significantly influences the maximum bond strength and that it is reasonable to normalise the bond stress by the square-root of the concrete compressive strength, √(f'c). The generalised monotonic bond behaviour is described within. An important outcome of the research is that the measured bond strength and stiffness was higher than stated by the bond stress-slip relationship in the fib Model Code 2010. To account for these observed differences, an alternative model is proposed for the local monotonic bond stress-slip relationship. Cyclic bond tests showed a significant proportion of the total bond degradation occurs after the loading cycle in the peak bond strength range, which is when bond slip has exceeded 0.5 mm. Subsequent loading to constant slip values showed a linear relationship between the amount of bond strength degradation and the log of the number of cycles that were applied. To a greater extent, the cyclic bond deterioration depends on the bond slip range, regardless of whether the applied load cycling is half- or fully-reversed. The observed bond deterioration and hysteretic energy dissipated during cyclic loading was found to agree reasonably well between these cyclic tests with different loading protocols. The cyclic bond deterioration was also found to be reasonably consistent exponential damage models found in the literature. This research concluded that the deformed reinforcing bars used in NZ construction, embedded in moderate to high strength concrete, are able to develop high local bond stresses that are mobilised by a small amount of local bond slip. Although the relative rib geometry was not varied within this experimental programme, a general conclusion of this thesis is that deformed bars currently available in NZ have a relative rib bearing area that is comparatively higher than the test bars used in previous international research. From the parametric study it was found that the maximum monotonic bond strength is significant enhanced by dynamic loading rates. Experimental evidence of high bond strength and initial bond stiffness generally suggests that only a small amount of local bond slip that can occur when the deformed test bar was subjected to large tension forces. Minimal bond slip and bond damage limits the effective yielding length that is available for the reinforcing steel to distribute inelastic material strains. Consequently, the potential for brittle fracture of the reinforcement may be a more problematic and widespread issue than is apparent to structural engineers. This research has provided information that improve the reliability of engineering predictions (with respect to ductility capacity) of maximum crack widths and the extent of bond deterioration that might occur in RC structures during seismic actions.
Abstract The original intention for the Partnership Community Worker (PCW) project in 2006 was for it to be an extension of the Pegasus Health General Practice and furthermore to be a bridge between the community and primary healthcare. It was believed that a close working relationship between the Practice Nurse and the PCW would help the target population of Māori, Pacifica and low income people to address and overcome their perceived barriers to healthcare which included: finance, transport, anxiety, cultural issues, communication, or lack of knowledge. Seven years later although the PCW project has been deemed a success in the Canterbury District Health Board annual reports (2013-14) and community and government agencies, including the Christchurch Resettlement Service (2012), many of the Pegasus Health General Practices have not utilised the project to its full extent, hence the need for this research. I was interested in finding out in the first instance if the model had changed and, if so why, and in the second instance if the promotional material currently distributed by Pegasus Health Primary Health Organisation reflected the daily practice of the PCW. A combination of methods were used including: surveys to the Pegasus Health General Practices, interviews with PCWs, interviews with managers of both the PCW host organisations and referring agencies to the PCW project. All the questions asked of all the participants in this research were focussed on their own perception of the role of the PCW. Results showed that the model has changed and although the publications were not reflecting the original intention of the project they did reflect the daily practice of the PCWs who are now struggling to meet much wider community expectations and needs. Key Results: Partnership Community Worker (PCW) interviews: Seventeen PCWs of the 19 employed were interviewed face to face. A number expressed interest in more culturally specific training and some are pursuing qualifications in social work; for many pay parity is an issue. In addition, many felt overwhelmed by the expectations around clients with mental health issues and housing issues now, post-earthquakes. Medical Practice surveys: Surveys were sent to eighty-two Pegasus Health medical practices and of these twenty five were completed. Results showed the full capacity of the PCW role was not clearly understood by all with many believing it was mostly a transport service. Those who did understand the full complexity of the role were very satisfied with the outcomes. PCW Host Community Manager Interviews: Of the ten out of twelve managers interviewed, some wished for more communication with Pegasus Health management because they felt aspects of both the PCW role and their own role as managers had become blurred over time. Referring organisations: Fifteen of the fifty referring community or government organisations participated. The overall satisfaction of the service was high and some acknowledged the continuing need for PCWs to be placed in communities where they were well known and trusted. Moreover results also showed that both the Canterbury earthquakes 2010-2011 and the amalgamation of Partnership Health PHO and Pegasus Health Charitable Limited in 2013 have contributed to the change of the model. Further future research may also be needed to examine the long term effects on the people of Canterbury involved in community work during the 2011-2014 years.
