Improving healthcare for Aboriginal Australians through effective engagement between community and health services

Background Effectively addressing health disparities between Aboriginal and non-Aboriginal Australians is long overdue. Health services engaging Aboriginal communities in designing and delivering healthcare is one way to tackle the issue. This paper presents findings from evaluating a unique strategy of community engagement between local Aboriginal people and health providers across five districts in Perth, Western […]
Healing for Our Stolen Generations: sharing our stories

This report is a review of the first two years of projects funded under the Healing Foundation’s Stolen Generations Initiative 2013-2015.
Achieving stability for Aboriginal and Torres Strait Islander children in out-of-home care – SNAICC Policy Position Statement

SNAICC and many of its members have been watching with concern as, around the country, a range of processes are undertaken to progress longer-term care arrangements for children. They vary in detail but have been broadly described as permanency planning measures. Some of these proposals have already taken the form of legislative changes (NSW, Vic. […]
The Jekkora group: an Aboriginal model of early identification, and support of persons with psychological distress and suicidal ideation in rural communities

Objective: To describe a community developed Aboriginal model for early identification and referral of people with psychological distress and suicidal ideation. Method: A description of an Aboriginal mental health service model is presented, as established at the Njernda Aboriginal Corporation, Echuca, Victoria. Results: The model is presented under five headings: Setting; Recruitment and appointment of […]
What works in Aboriginal and Torres Strait Islander suicide prevention?

Suicide is a complex behaviour with many causes. For Aboriginal and Torres Strait Islander peoples there are specific cultural, historical, and political considerations that contribute to the high prevalence, and that require the rethinking of conventional models and assumptions.
Unsettling Australian settler supremacy: combating resistance in university Aboriginal studies

Higher education courses designed to equip students to work effectively with Indigenous peoples by teaching about racism and inequality often encounter resistance to these concepts. In particular, students argue that individual and structural racisms, and their own white privilege, are ‘not their fault’. This article examines different forms of student resistance expressed within a number […]
Aboriginal and Torres Strait Islander health and well-being: implications for a cognitive behavioural therapy framework

Objective: It has been acknowledged that the mental health of Aboriginal and Torres Strait Islander people has been “bedeviled” by the inappropriate application of non-Indigenous models of mental health. To enhance Indigenous health and well-being it is necessary for non-Indigenous practitioners to find a culturally safe way to enter the negotiated space of cross-cultural mental […]
‘We’re checking them out’: Indigenous and non-Indigenous research participants’ accounts of deciding to be involved in research

Background: It is important for researchers to understand the motivations and decision-making processes of participants who take part in their research. This enables robust informed consent and promotes research that meets the needs and expectations of the community. It is particularly vital when working with Indigenous communities, where there is a history of exploitative research […]
Worry boss

Worry Boss has been made with the Royal Flying Doctor Service together with communities in Central Australia. ‘Worry Boss’ is a story about anxiety. The story focuses on what makes people worry, how that makes them feel and what they can do about it.
Shared medical appointments for Aboriginal and Torres Strait Islander men

Background: Aboriginal and Torres Strait Islander health is generally the worst of any population group in Australia. Inaccessibility to health services is one possible cause of this. Shared medical appointments (SMAs) appear to be a culturally competent and appropriate way of improving access to, and the quality of, primary healthcare services for Aboriginal and Torres […]
Aboriginal children, history and health: beyond social determinants

This book investigates the complex reasons for the discrepancy between the health and well-being of children in mainstream Australia and children in remote Indigenous communities. The high rate and causes of ill-health among Aboriginal children are explored through a unique blend of historical, anthropological, biological and medical analyses. Aboriginal children, history and health also includes […]
Changing the acculturation conversation: Indigenous cultural reclamation in Australia and Aotearoa/New Zealand
In constructing this chapter the authors make a claim for an Indigenous perspective that is grounded in decolonisation, the struggle for social justice, cultural reclamation and the development of Indigenous kowledges. This offers the opportunity to view acculturation and the associate research through a different lens. In taking this stance, a critical psychology, Indigenous standpoint […]
Study protocol for screening and diagnosis of fetal alcohol spectrum disorders (FASD) among young people sentenced to detention in Western Australia

Introduction Prenatal alcohol exposure can cause lifelong disability, including physical, cognitive and behavioural deficits, known as fetal alcohol spectrum disorders (FASD). Among individuals with FASD, engagement with justice services is common. Little is known about the prevalence of FASD among young people engaged with the Australian justice system. This study aims to establish FASD prevalence […]
Challenging Psychology: Reflecting on Riley’s ‘Manifesto for Change’
This paper reflects on the personal and professional implications for the colonization project of psychology critiqued by Rob Riley’s seminal address at the 1995 Australian Psychological Society conference.
Rising Spirits Community Resilience Project – Final Research Report

The Rising Spirits Project investigated what supports Aboriginal people need during bereavement, what is available that is being utilised by Aboriginal people, where the gaps are and the levels of community and state readiness to address grief and loss.
Cultural competency in the delivery of health services for Indigenous people

This review aims to examine available evidence on cultural competence in health care settings to identify key approaches and strategies that can contribute to improving the development and implementation of Indigenous health services and programs.
Development and validation of the Australian Aboriginal racial identity and self-esteem survey for 8–12 year old children (IRISE_C)

Introduction: In Australia, there is little empirical research of the racial identity of Indigenous children and youth as the majority of the current literature focuses on adults. Furthermore, there are no instruments developed with cultural appropriateness when exploring the identity and self-esteem of the Australian Aboriginal population, especially children. The IRISE_C (Racial Identity and Self-Esteem […]
The Stolen Generations: The forced removal of First Peoples children in Australia

This chapter considers the removal of Indigenous children as a global colonial and neocolonial tactic. The history of the Australian Stolen Generations is focused on, from the beginning of the abduction of children in the early 1900s up until 2015. The landmark 1997 Bringing Them Home: Report of the National Inquiry into the Separation of […]
Way Forward: an Indigenous approach to well-being

Objective: Aboriginal and Torres Strait Islander individuals are overrepresented in mental health services in the state of Queensland (QLD), Australia; indicating greater prevalence and less preventative management of mental illness. This paper describes a project to enhance the model of care to improve mental health, alcohol and other drug outcomes for Aboriginal and Torres Strait […]
Our Healing: Indigenous men break the cycle of violence

On White Ribbon Day a few weeks ago the Healing Foundation celebrated the success of Our Men, Our Healing, a groundbreaking capacity-building pilot for Indigenous men in Darwin and three remote NT communities – Ngukurr, Wurrumiyanga and Maningrida. The program aims to strengthen, support and empower Aboriginal men through cultural, educational and therapeutic healing activities. […]
Lost in the great desert, preventing Aboriginal suicide

“We are working at a pace to make a real difference but in the end it will come down to governments recognising that Aboriginal and Torres Strait Islander suicide is a catastrophic humanitarian crisis. If you are an Aboriginal and Torres Strait Islander aged 15 to 35, nearly one in three deaths will be a […]
Health services explore new technology to overcome language barriers in Indigenous healthcare

With a life expectancy gap of about 10 years and poor health outcomes, some health services are looking towards new forms of technology to bridge the gap between Indigenous and non-Indigenous health services in Australia.
Developing a best practice pathway to support improvements in Indigenous Australians’ mental health and well-being: a qualitative study

Objective There is a need to adapt pathways to care to promote access to mental health services for Indigenous people in Australia. This study explored Indigenous community and service provider perspectives of well-being and ways to promote access to care for Indigenous people at risk of depressive illness. Design A participatory action research framework was […]
Gayaa Dhuwi (Proud Spirit) Declaration: National Aboriginal and Torres Strait Islander Leadership in Mental Health

The Wharerātā Group of Indigenous mental health leaders from Canada, the United States, Australia, Samoa and New Zealand developed the Wharerātā Declaration in 2010.1 It comprises five themes on the importance of Indigenous leadership in addressing the common mental health challenges faced by Indigenous peoples around the world. Member countries of the International Initiative for […]
Arnhem Land community-driven mental health program being used as case study for rest of country

A community-driven mental health program in an Arnhem Land Indigenous community is being held up as a case study for the rest of Australia. A small local team has been running the program at Galiwin’ku on Elcho Island for the past eight years, which has included support for the community in the aftermath of two […]