Cultural Responsiveness in Action – An IAHA Framework

The IAHA Cultural Responsiveness Framework provides information and support to prepare you to engage in a transformation so that, whatever your role, you can positively influence the health and wellbeing, quality of life, future aspirations, and prosperity of Aboriginal and Torres Strait Islander individuals, families and communities.

Traditional Aboriginal Healing & Western Medicine, The Missing Gap

The sixth Slice of LIME Seminar was hosted by the Poche Indigenous Health Network in Sydney, on Thursday 28th April 2016. Do we need traditional Aboriginal medicine working with western medicine to close the gap? This Close the Gap forum considered the health maintenance and traditional healing practices of Aboriginal Ngangkari in western medicine. Could […]

Increasing cultural competence and Indigenous representation in psychology

Reflections on what has/has not worked for Psychology Educators. This document was developed for the Australian Indigenous Psychology Education Project (AIPEP) ‘How To’ forum held at the APS Golden Jubilee Conference, September 2015. It provides brief points on what has and has not worked for psychology educators involved in the project when attempting to implement […]

Aboriginal health promotion through addressing employment discrimination

The Localities Embracing and Accepting Diversity (LEAD) program aimed to improve the mental health of Aboriginal Victorians by addressing racial discrimination and facilitating social and economic participation. As part of LEAD, Whittlesea Council adopted the Aboriginal Employment Pathways Strategy (AEPS) to increase Aboriginal employment and retention within the organisation. The Aboriginal Cultural Awareness Training Program […]

Harmful Substance Use and Mental Health

In this chapter, we briefly examine harmful substance use and mental health among Aboriginal Australians. We explore a range of issues including current substance use and related harms, social and emotional wellbeing and comorbidity, and the social determinants of mental health and harmful substance use. We examine the range of services that have been developed […]

Understanding the lives of Aboriginal children and families

Two case studies representing the lives of young people in an urban and rural context, respectively, are presented in this chapter with the intention of engaging the reader in the life course of young people in Aboriginal families affected by loss, grief and other traumatic life episodes. The resilience of these young people is highlighted, […]

The third conversation: has anything changed?

The Roundtable brought together Aboriginal community leaders and experts in Indigenous mental health and suicide prevention along with experts, scholars and policy makers to engage in a third conservation about Aboriginal and Torres Strait Islander mental health and suicide prevention with Emeritus Professor Michael Chandler from the University of British Columbia. The Roundtable style enabled […]

Addressing fetal alcohol spectrum disorder in Aboriginal communities

This chapter begins with a description of Fetal Alcohol Spectrum Disorder (FASD) and examples of reported prevalence of FASD in the international context. It then draws on international and Australian studies to describe the burden of FASD, including studies relevant to the Aboriginal population. The section on the Australian context provides a description of some […]

Having the Hard Conversations

The second Slice of LIME Seminar was presented by Professor Dennis McDermott & Mr Dave Sjoberg from the Poche Centre for Indigenous Health and Well-Being at Flinders University South Australia, on 12th August 2014. It focused on cultural safety in health professions, & explored pedagogical methods for addressing issues such as racism, white privilege & […]

Principles of practice in mental health assessment with Aboriginal Australians

In this chapter, concepts and history of assessment and testing in the context of Aboriginal and Torres Strait Islander social and emotional wellbeing and mental health are discussed. Importantly, recently revised diagnostic guidelines and the National Practice Standards for the Mental Health Workforce 20131 and their appropriateness for meeting the distinctive needs of Aboriginal people […]

Shifting gears in careers: Identifying drivers of career development for Aboriginal and Torres Strait Islander workers in the health sector

This paper explores how the Australian health sector might improve opportunities for career development for Aboriginal and Torres Strait Islander workers. It considers the current evidence surrounding career development in the health sector, along with Aboriginal and Torres Strait Islander worker experiences, to develop a usable conceptual framework for change.

Admissions Criteria for Diverse Student Cohorts

The first Slice of LIME Seminar was held on 3rd March 2014 with Professor Fred Hafferty from the Mayo Clinic, USA, and focused on admissions criteria. Professor Hafferty led an interactive workshop and discussion on admissions criteria, and the way these criteria can impact on student cohorts and curriculum content. The group discussed: impact of […]

Family Violence: Pathways Forward

This chapter briefly examines the context in which various types of violence occurs in Aboriginal and Torres Strait Islander families. In particular, it explores how they define and contextualise the violence they or their family members are experiencing. This context is important in determining pathways forward for healing for the victim, the offender, their families […]

Working with behavioural and emotional problems in young people

This chapter outlines specific issues relating to behavioural and emotional problems in Aboriginal and Torres Strait Islander young people. It describes the most common disorders and their consequences, and how young Aboriginal people are at higher risk for developing such problems than other young Australians. The chapter also discusses the importance of psychosocial, cultural and […]

Reframing Aboriginal family caregiving

This chapter describes the experiences of caregiving for Aboriginal families living with a serious mental illness. It highlights the disconnection with mental health providers and their lack of knowledge of Aboriginal concepts of caregiving. Indeed, there is limited knowledge of the complexity of caregiving across the mental health sector. This chapter explores Aboriginal caregiving through […]

Promoting Aboriginal health: The family wellbeing empowerment approach

This book highlights the health gap that exists between Indigenous and other Australians and proposes that one solution is to empower Indigenous Australians to take control of their own health and wellbeing. In particular, the book describes an Aboriginal family wellbeing model of empowerment which has been used successfully in programs across Australia. The book […]

Red Dust Healing: Acknowledging the past, changing the future

This chapter provides a view from a new angle. It briefly describes a critical perspective on how a history of dispossession, rejection and powerlessness negatively affected Aboriginal and Torres Strait Islander family structures and individual development and behaviour, and gave rise to the intergenerational transmission of trauma. However, it is important to note that conveying […]

Social determinants of social and emotional wellbeing

This chapter explores current understandings of the social determinants of Aboriginal and Torres Strait Islander social and emotional wellbeing and its development. We show that the determinants of this wellbeing are multiple, interconnected, and develop and act across the lifecourse from conception to late life. This chapter firstly focuses on the theoretical frameworks linking social […]

Community life and development programs: pathways to healing

This chapter provides an overarching framework for understanding the components of healthy communities through a healing and community life development approach. The chapter explores three major themes covering the nature of the trauma that has occurred over many generations and continues to be experienced in the present. These are: – the extreme sense of powerlessness […]

“You’ve got to make it relevant”: barriers and ways forward for assessing cognition in Aboriginal clients

Background: Reliable cognitive assessment for non-western cultures is difficult given that mainstream tests typically rely on western concepts, content and values. Despite recognition of the scarcity of appropriate tests for Aboriginal people over many years, limited practical development has occurred. This study aimed to identify barriers to assessment for clinicians working with Aboriginal people in […]

Aboriginal offender rehabilitation programs

This chapter highlights the ongoing over-representation of Aboriginal and Torres Strait Islander peoples in the criminal justice system and emphasises an urgent need for the development of appropriate responses to this problem. A key response to this issue is through the provision of culturally secure, relevant and effective rehabilitation programs for Aboriginal people within the […]

Cultural respect strategies in Australian Aboriginal primary health care services: beyond education and training of practitioners

Objective: There is little literature on health-service-level strategies for culturally respectful care to Aboriginal and Torres Strait Islander Australians. We conducted two case studies, which involved one Aboriginal community controlled health care service and one state government-managed primary health care service, to examine cultural respect strategies, client experiences and barriers to cultural respect. Methods: Data […]