||Whakarāpoto: Abstract Aim My aim was to investigate and compare the acceptability of mainstream, bicultural and kaupapa MÄori Child and Adolescent Mental Health Services (CAMHS) access and delivery to young Māori and their whānau. I have also explored what wouldconstitute a good service for Māori as defined by Māori. Method A kaupapa Māori (Māori driven) research paradigm, based on the Pōwhiri process of engagement and participation guided both the quantitative and qualitative research approaches. The study involved three phases which included the:i) Te Ara Whanui, a questionnaire based quantitative phase with participants using Te Tomokanga, a reliable, validated survey modified for this study, from the Youth Services Survey for Families (YSSF)2.ii) Whaia te Ara Whanui, a sequential whānau interview based qualitative phase that involved self chosen participants, respondents from the Te Ara Whanui phase; and iii) Te Hononga, a concurrent whÄnau interview based qualitative phase that involved self chosen participants who only consented to a face to face interview. Results & Discussion The Te Tomokanga survey was completed by 168 respondents out of 1362 eligible for participation from the six District Health Boards (DHBs) CAMHS of the Midland health region3. The low response rate occurred after mailing out information. This may mean that mailing out to MÄori may not be an effective process. It is possible that Māori respond better to face to face contact and people they know and this is likely to be a more effective process of engagement as was the case in this study.1 Whānau, parents and caregivers are terms used interchangeably in this thesis.2 This survey was used to measure satisfication with CAMHS in the United States (Riley & Stromberg, 2001). I contacted Dr Molly Brunk who developed the YSSF and she agreed for me to make adaptions to the YSS_F for the purpose of this study.3 Midlands health region includes Waikato, Taranaki, Lakes, Bay of Plenty and Tai Rawhiti DHBsiii The majority of surveys (69.70%) were completed through telephone follow up with the whÄnau than through just mailing out the survey. Given these results telephone contact with whānau maybe a more effective process of connection than mail outs.I have shown through the survey, although with some constraints, that the respondants in this study had similiar levels of acceptance of the three service types; mainstream, bicultural and kaupapa MÄori. For these whānau, acceptability of services was shown to be related to whÄnau involvement, service delivery that takes into account cultural differences, accessible clinic venues for appointments and understanding that medication would help, all at statistically significant levels.