The findings of this research highlighted pathways into mental illness for Maori that could have been avoided earlier. The pathways to recovery however, showed the critical importance of maintaining connections with significant family members over the lifespan. Exposure to varying levels of childhood adversity, such as sexual and physical violence, parental mental illness, multiple and/or abusive foster care, and abandonment issues led to acute levels of post-traumatic stress, substance abuse, poor relationship choices, depression, anxiety and safety issues.