Supporting Aboriginal mental health workers: research into perspectives on system change
This report is an evaluation of the Aboriginal Mental Health Workers (AMHW) program in remote northern Australia, and highlights the perspectives and experiences of Aboriginal Health Workers. The study included the perspectives of six Aboriginal Mental Health Workers from three sites across northern Australia, in addition to consultation with multiple stakeholders, including clinic managers and […]
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.
Racial Bias in Health Care and Health: Challenges and Opportunities
This Viewpoint describes the contribution of racial bias to disparities in health care and discusses the need to increase awareness of disparities and work toward eliminating discrimination and its adverse effects. A landmark report from the Institute of Medicine (IOM) in 2003 documented that from the simplest to the most technologically advanced diagnostic and therapeutic […]
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 […]
Like drawing into sand’: acceptability, feasibility, and appropriateness of a new e-mental health resource for service providers working with Aboriginal and Torres Strait Islander people
Cross-cultural considerations and difficulties recruiting and retaining skilled workers in rural and remote regions may contribute to poorer service use for Aboriginal and Torres Strait Islander people. However, electronic resources may provide the opportunity for remote workforces to deliver structured, evidence-based, culturally appropriate treatments with limited training burden. The aim was to develop and determine […]
Assessing the social and emotional well-being of Indigenous students
Indigenous people are a vulnerable and disadvantaged population whom collectively face much higher levels of health risks and challenges than non-Indigenous people. Indigenous youth in particular represent a population that are at even greater risk, as interaction between socio-economic, geographic, and cultural differences contributes to a lack of opportunity for youth to experience positive outcomes […]
A tertiary approach to improving equity in health: quantitative analysis of the Māori and Pacific Admission Scheme (MAPAS) process, 2008–2012
Introduction Achieving health equity for indigenous and ethnic minority populations requires the development of an ethnically diverse health workforce. This study explores a tertiary admission programme targeting Māori and Pacific applicants to nursing, pharmacy and health sciences (a precursor to medicine) at the University of Auckland (UoA), Aotearoa New Zealand (NZ). Application of cognitive and […]
Negotiating worldviews: Indigenous place in academic space
This chapter describes and critiques, from the perspective of an Indigenous global scholar, the development and delivery of a series of degree courses of study designed to respond to the historical, social and cultural trauma consequent to colonial worldviews interfacing with Aboriginal Australian Peoples and the expressed need for healing – not a word commonly […]
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 […]
“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 […]
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 […]
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 […]
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 […]
Experiencing racism in health care: the mental health impacts for Victorian Aboriginal communities
Aboriginal and Torres Strait Islander mental health
Overview Supporting health professionals in improving knowledge and understanding of Aboriginal and Torres Strait Islander mental health care to achieve better outcomes. Module 1: Interviewing an Aboriginal or Torres Strait Islander patient Engagement and communication with Aboriginal and Torres Strait Islander peoples in a culturally appropriate and safe way. Module 2: Developing a mental health […]
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 […]
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.
Interdisciplinary care to enhance mental health and social and emotional wellbeing
This chapter discusses and defines the difference between multidisciplinary and interdisciplinary/interprofessional care with a focus on interdisciplinary care as a model of practice which supports equality and interconnectedness of responsibility amongst team members when working in Aboriginal and Torres Strait Islander contexts. The chapter describes the various professional and para professional practitioners that comprise interdisciplinary […]
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 & […]
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 […]
The Elders Report into preventing Indigenous self-harm and youth suicide
Interview excerpts of Elders featured in the Report. The Culture Is Life campaign aims to give a platform for Indigenous Elders and community leaders to influence public awareness, policy-making and service provision around Indigenous suicide prevention. One of the initial actions of the Culture Is Life campaign was the development of the’Elders Report on Preventing […]
Cultural competence: transforming policy, services, programs and practice
This chapter discusses some of the complex issues surrounding the notion of cultural competence—and the critical need for practitioners to develop knowledge, skills, understandings and attributes to be responsive in diverse cultural settings. The argument for culturally competent mental health practitioners and services is situated within a human rights framework which underpins the principles, standards […]
Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practices.
The Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice had its origins in the Australian Government’s commitment to improve mental health services nationally. The book was a key strategy to support Aboriginal and Torres Strait Islander-specific initiatives of the Council of Australian Governments (COAG) mental health reform over five […]
A history of Indigenous psychology
This chapter discusses how the discipline and practice of psychology has been part of the colonising process influencing the mental health of Australian Aboriginal and Torres Strait Islander peoples. It outlines events where the discipline of psychology has been supportive of, and responsive to, the Aboriginal mental health movement, heralding the empowerment and inclusion of […]