Addressing individual and community transgenerational trauma
This chapter provides a focus on trauma as cause and effect which, when untreated, can compound within and across generations. The result is physical, mental, emotional, spiritual, and social distress for individuals and broader social groups. While the experiences and transfer of trauma are not limited to members of specific racial or cultural groups, religions, […]
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 […]
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 […]
Seven phases to integrating loss and grief
This chapter describes an innovative and unique loss and grief model—the ‘Seven Phases to Integrating Loss and Grief ’—to ‘work with’ major challenges impacting on the social and emotional wellbeing and mental health in Aboriginal communities. Incorporating 25 years of personal and professional experiences, the Seven Phases model comprises a comprehensive process addressing many of […]
Mental Disorder and Cognitive Disability in the Criminal Justice System
This chapter examines what is known about the prevalence of mental disorder and cognitive disability amongst Aboriginal and Torres Strait Islander peoples in contact with the criminal justice system and how these issues impact on individuals, families and communities. The literature in this area is reviewed; there is now a considerable body of evidence supporting […]
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 […]
Preventing suicide among Aboriginal Australians
This chapter begins with an overview of the recent epidemiological trends in suicide and attempted suicide for Aboriginal and Torres Strait Islander and non-Aboriginal Australians and how this compares with the situation in other post-colonial English speaking nations such as Canada and New Zealand. It then reviews studies exploring the historical and social aetiology of […]
The Marumali Program: healing for Stolen Generations
There are an estimated 10,625 people who directly experienced the trauma generated by forcible removal, an estimated 25,844 children (second generation) who have been living with parents affected by forcible removal, and an estimated 40,612 grandchildren who continue to experience the effects of their grandparents’ removal.1 Two models developed by Aboriginal people have been evaluated […]
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 […]
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 […]
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 […]
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 […]
“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 […]
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 […]
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 […]
Enhancing wellbeing, empowerment, healing and leadership
This chapter explores the relevance of Aboriginal perspectives of empowerment, healing and leadership, as strategies to address the social inequality and relative powerlessness of Aboriginal people in contemporary society. These Aboriginal-led strategies are key social determinants that influence Aboriginal health, mental health and social and emotional wellbeing. Programs that facilitate Aboriginal understandings of healing, empowerment, […]
Communicating and engaging with diverse communities
This chapter focuses on the skills and understanding required for communicating and engaging effectively with Aboriginal people in diverse contexts, with particular attention to the urban setting. We briefly discuss concepts of community and culture, such as kinship affiliations, community obligations and values of Aboriginal people. The work of the late psychiatrist, Mark Sheldon, has […]
Religiosity, spirituality, mental health,and mental health treatment outcomes in Australia: a systematic literature review
The relationship between religiosity and mental health is a relatively well-researched field within North America, covering numerous domains of religiosity, including: religion, spirituality, prayer, church attendance, church affiliation and belief in God or a higher power. Considering the Australian literature, there are few papers that explore these dimensions of religiosity and their relationship with health, […]
The evolving policy context in mental health and wellbeing
This chapter outlines the role of policy in setting directions for, and achieving change in, Aboriginal and Torres Strait Islander mental health and social and emotional wellbeing (SEWB). Key national policies, frameworks and reports addressing mental health and SEWB up until mid 2013 are presented. Historical milestones surrounding key policies together with their effects on […]
Effective strategies to strengthen the mental health and wellbeing of Aboriginal and Torres Strait Islander people
This paper seeks to provide an evidence-based, theoretically coherent discussion of the factors that influence the effective development, implementation and outcomes of initiatives to address Indigenous mental health and wellbeing issues. It seeks to assess whether the current investment in Indigenous people’s mental health is aligned with available evidence on what works. To this end, […]
Ngara…Deep Listening…Seeing ‘two ways’: What can Indigenous knowledge, mindfulness and observational skills training
The third Slice of LIME seminar was hosted by Flinders University SA on 12 September 2014. Presenters for this third Seminar include Uncle Lewis Yerloburka O’Brien (Kaurna Elder), Aunty Miriam-Rose Ungunmerr-Baumann, Prof. L.C. Chan, Dr Heather Gaunt. Rapporteur for the session was Prof Lambert Schuwirht and it was facilitated by Prof. Dennis McDermott.
The Djurruwang Program: Cultural affirmation for effective mental health
This chapter outlines the growth and development of the Djirruwang Aboriginal and Torres Strait Islander Mental Health Worker Education and Training Program (The Djirruwang Program) in Australia. The chapter describes what can be achieved when individuals, organisations, health disciplines and Aboriginal communities work in close partnership and learn from each other. We emphasise the importance […]
Aboriginal and Torres Strait Islander Social and Emotional Wellbeing
This chapter examines understandings of social and emotional wellbeing (SEWB) with the aim of clarifying the relationship between SEWB, mental health and mental health disorders from an Aboriginal and Torres Strait Islanders’ perspective. The chapter begins with a brief historical overview of how the term ‘social and emotional wellbeing’ emerged as a signifier of Aboriginal […]
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 & […]