NACCHO Aboriginal & Torres Strait Islander Health News: Aunty Jill’s bowel cancer journey

The image in the feature tile is of Jill Gallagher AO. Image source: Australian and NZ School of Government (ANZSOG) website.

Aunty Jill’s bowel cancer journey

When Gunditjamara woman Jill Gallagher was diagnosed with stage four bowel cancer aged 54, she began self-reflecting on lifestyle choices which led her to this point. The Victorian Aboriginal Community Controlled Health Organisation CEO lived a busy life and found herself constantly tired and overworked, factors she blamed for her diagnosis. Ms Gallagher had experienced fatigue and persistent diarrhoea but had not associated the benign symptoms with bowel cancer.

After undergoing two major surgeries to remove sections of her bowel, part of her liver and growths on her diaphragm in 2010, Ms Gallagher said the path to recovery was lonely. “I’ve always been a very strong woman and never suffered with depression in my life until then, in the recovery phase, waiting to have chemo, waiting to see if I’m going to survive or die,” she said.

“The hospital took care of my medical needs, but there’s not a lot to take care of your emotional and spiritual needs.” After medication left her feeling unmotivated, Ms Gallagher turned to culture for comfort through the Healesville sanctuary where her son worked.

Ms Gallagher is among one in 15 Australians who will develop bowel cancer in their lifetime. Fortunately, it is a cancer which can almost always be treated if detected early. She wants her experience 14 years ago to serve as a warning to others out there to get checked and make use of free screening for those aged 50 to 74.

To read the National Indigenous Times article When Aunty Jill needed guidance while recovering from cancer, Bunjil the creator spirit was there for her in full click here.

VACCHO CEO Jill Gallagher. Image source: National Indigenous Times.

Black Up! national camp for young mob

Blak Up! is a national First Nations event, led by the First Nations Team at Foundation for Youth Australian (FYA) for Aboriginal and Torres Strait Islander young people aged 16-35 years old. The time is now to build power and create connections for our future – a Blak future. The all Blak line-up will be a 4-day camp, all expenses paid including travel, featuring yarns from Elders and experienced campaigners, practical workshops, art and performances from Blak musicians. Blak Up! will help guide young mob to create connections with each other, strengthening bonds across these lands, and support them to create change in their own communities.

This idea came out of the nation-wide consultation we did for our First Nations Strategy – young mob told us that they wanted more opportunities to gather, connect and learn across communities and generations. The 50 young participants will be selected from applications by a panel of First Nations people. The First Nations team are encouraging and prioritising applications from young Aboriginal and Torres Strait Islander people aged 16–35 years who have lived experience in the justice system, State care, mental health system, housing precarity and those mob who live remote, rural or regionally.

We want Blak Up to be an inclusive and safe place for young First Nations parents, young people with criminal records, disabilities, and LGBTQIA+ communities. There will not be drugs or alcohol allowed at this event. If you have young people in mind who would love to come but need additional support to attend (such as a person to travel with), please get in touch to discuss.

You can find key information about Black Up! here, a flyer here and an information pack here. Young mob who are interested in this event can apply here by Friday 30 September 2022. If you have any questions, please book in a time to discuss here or call 0478 772 390.

Kimberley Mum’s Mood Scale audit results

The Kimberley Mum’s Mood Scale (KMMS) project emerged from the concerns of Kimberley healthcare professionals that the mainstream perinatal depression and anxiety screening tool, the Edinburgh Postnatal Depression Scale (EPDS), was inappropriate for Aboriginal women. The first phase of the project involved a community based, participatory research action project with over 100 Kimberley Aboriginal women and 72 healthcare professionals to determine appropriate ways to screen for common perinatal mental health disorders. The resulting KMMS was validated in 2016 through a clinical trial involving 91 Kimberley Aboriginal women.

In 2017 funding was received funds from the National Health and Medical Research Council and WA Department of Health to progress the transferability of the KMMS in other geographic areas and implement the KMMS into routine clinical practice across the Kimberley. During 2017-2022 the KMMS was implemented in the Kimberley.

A recent audit of KMMS implementation demonstrated that it is the primary perinatal depression and anxiety screening tool across the Kimberley Aboriginal Community Controlled Health Services. Central to all phases of this project has been Aboriginal voice, participation and leadership. This has included ongoing consultation with Aboriginal women (end users); a strong team of Aboriginal Investigators; and robust partnerships with Aboriginal Community Controlled Health Services.

You can access the Implementation of the Kimberley Mum’s Mood Scale across Primary Health Care Services in the Kimberley region of Western Australia: a mixed methods assessment research article here as well as a plain language report for community here and a plain language report for clinics here.

Image from KMMS module. Image source: AMSED.

New tool to identify patient sepsis

Sepsis is a life-threatening time critical condition that can occur when the body is fighting any bacterial, viral or fungal infection. It can be difficult to diagnose sepsis as it can be masked behind minor visible symptoms, and if not treated quickly, can lead to organ failure and death. A new tool is being piloted at Western Sydney Local Health District (WSLHD)’s Westmead Hospital, that will help clinicians assess a patient’s risk of sepsis while they are in the emergency department (ED) waiting room.

The Sepsis Risk Tool Dashboard combines a patient’s age, gender and vitals and calculates a sepsis risk percentage for each patient to support the clinician in assessing if sepsis is a risk or not. This dashboard has been designed to complement the existing Sepsis Kills program which was initiated by the Clinical Excellence Commission (CEC). “There are other sepsis detection algorithms, but none focus on the ED waiting room, which is where sepsis is most likely to remain undiscovered,” said Dr Amith Shetty, Senior Staff specialist at Westmead Hospital and Clinical Director of NSW Health. “This is what makes this tool unique; it ensures that patients who are waiting for care are not missed or deteriorate.”

To view The Pulse article Innovative new tool to identify patient sepsis risk in Western Sydney emergency departments in full click here.

Image source: The Pulse.

Know your heart disease risk

When you have a family history of a disease, this means a member of your family has, or had that disease. Generally, if you have a family history of a heart condition, you may have a higher risk of developing a heart condition. Inherited conditions are caused by a fault (or mutation) in one or more of your genes. If one of your parents has a faulty gene, there’s a chance you’ll inherit it. Some common inherited conditions are:

  • Heart muscle diseases
  • Life-threatening heart rhythms
  • Very high cholesterol levels.

Family history is more complex. Rather than just a single faulty gene, it could be a combination of shared genes and environments passed down from one generation to the next, which increases the risk of developing a disease. Let your doctor know if you have a family history of heart disease. A Heart Health Check is recommended from the age of 45 (from 30 for Aboriginal and Torres Strait peoples), but your doctor may want to assess your risk of developing heart disease earlier if you have a family history of heart disease. You may not be able to change your family history or genetics, but you can make positive changes to your lifestyle to lower your risk. Adopting the following healthy lifestyle habits can help lower your chances of developing heart disease:

  • Be smoke free
  • Do regular exercise
  • Eat a heart healthy diet
  • Maintain a healthy body weight
  • Lower your alcohol intake
  • Look after your mental health
  • Manage high blood pressure and cholesterol
  • Manage diabetes.

To view the Heart Foundation webpage Know your risk: Family history and heart disease in full click here.

Image source: Heart Foundation.

NT Health Professional of the Year Award winner

A Pine Creek health practitioner has been named among the NT’s most outstanding primary health care workers that were recognised at the NT Health Professional of the Year Awards. Chris Rankine-Johnson from Top End Health Service in Pine Creek was named the Territory’s AMSANT Aboriginal & Torres Strait Islander Health Practitioner of the Year.

Over the past 12 months, Mr Rankine-Johnson has worked tirelessly to ensure the Pine Creek community was well engaged with health services, hosting BBQs and community meetings on his days off to discuss the risks and benefits of COVID-19 vaccinations. He has provided the community with much needed reassurance, practical assistance, and comfort measures, and also took opportunities to develop and implement other primary and preventative health care initiatives, including a program assisting diabetic patients to effectively manage their medication. The health professional was also recognised for helping raise school attendance in the community and his engagement with local families has led to increased health checks, health literacy and immunisation rates.

To view the Katherine Times article Pine Creek health worker Chris Rankine-Johnson recognised in NT Health Professional of the Year Awards in full click here.

Pine Creek’s Chris Rankine-Johnson among the other winners in this year’s NT Health Professional of the Year Awards. Image source: Katherine Times.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: How poor housing affects health

The image in the feature tile is of Shannon Urban is camping in a derelict building with no power and water connected while he waits for new houses to be built. Photo: Che Chorley. Image source: ABC News article Feeling again forgotten at a federal election, remote voters lament empty promises to close the gap, 5 May 2022.

How poor housing affects health

The housing crisis is currently a hot-button issue making headlines Australia-wide. But it’s been endemic in Central Australia for decades. A chronic shortage of available housing in remote Indigenous communities has significant consequences, with unintended household crowding ultimately contributing to the poor health of residents.

University of Queensland anthropologist and architect Professor Paul Memmott has been visiting the Barkly region in the centre of the NT for decades. He’s part of a multi-disciplinary team of five UQ researchers who collaborated with local medical service, Anyinginyi Health Aboriginal Corporation, to examine the link between housing and health for Indigenous people living on remote Country. The resulting study, Pilyii Papulu Purrakaj-ji (Good housing to prevent sickness), won a UQ Research Partnerships and Translation Award (RPAT) on Friday (16 September 2022) last week.

“We co-designed a research project to investigate the relationship between housing, crowding and infectious diseases,” Professor Memmott said. “But importantly, it also collated an evidence base to advocate for change.”

To view The University of Queensland Australia article How housing affects health on remote Country click here.

Tin houses on the outskirts of Tennant Creek, NT, that are used informally as spillover accommodation. Image source: The University of Queensland Australia UQ News webpage.

Far North research to treat tuberculosis

A breakthrough treatment for tuberculosis and ways to prevent dementia were unveiled last week at the Cairns Hospital annual research and innovation symposium. The annual event featured more than 40 presentations from the Far North Queensland medical and allied health research community. The symposium heard about research into harnessing the power of immune cells for treating tuberculosis (TB), one of the world’s deadliest diseases, causing more than 1.5 million deaths a year.

Doctor Saparna Pai, from the Australian Institute of Tropical Health and Medicine at James Cook University, said his team had discovered immune cells called Q+ cells, which could help fight TB. TB risk is low in Queensland, but it’s frequently reported in Papua New Guinea and health authorities are concerned about potential spread through Torres Strait to mainland Australia.

To view the Tropic Now article Far North research to treat tuberculosis and prevent dementia click here. Note, a more detailed article on preventing dementia was published in the in the NACCHO Aboriginal and Torres Strait Islander News on 16 September 2022 , available here.

Cairns Hospital. Image source: Tropic Now.

Strong Women for Healthy Country meet

Over 200 Aboriginal women have convened on Eastern Arrernte Country to finalise a 4 year effort in designing an NT wide network aimed at supporting each other in the face of urgent issues impacting their communities. The Strong Women for Healthy Country (SWHC) Forum takes place this week at Ross River where women caring for Country across the NT will continue driving the network.

The forum has once again drawn hundreds of women to make the journey from over 30 remote towns and communities, to continue to build a strategy to realise their vision. “We are strong Indigenous women of the NT. We stand united as one strong voice. We commit to a network that gives equal power to the rights of all our women. Strong Women means Healthy Country.” (SWHC Vision Statement). The Strong Women for Healthy Country Network, with the support of Mimal Land Management, was initiated by women involved in ranger programs, who quickly invited Aboriginal healers, artists, and community workers to join the conversation.

To view the SWHC Network media release NT’s First Nations women take their futures into their own hands in full click here.

2021 Strong Women for Healthy Country Forum. Image source: Indigenous Carbon Industry Network website.

Group A Streptococcus molecular POC testing

A research article Roadmap to incorporating group A Streptococcus molecular point‐of‐care testing for remote Australia: a key activity to eliminate rheumatic heart disease (RHD) has been published today in the Medical Journal of Australia. Strep A Point Of Care Testing (POCT) is a critical element in preventing acute rheumatic fever (ARF) and will contribute to the elimination of RHD in Australia.

Group A β‐haemolytic Streptococcus pyogenes (Strep A) most commonly causes superficial infections of the throat (pharyngitis) and skin (impetigo). In Australia, one‐third of primary school aged children have an episode of pharyngitis each year, with Strep A identified in about 20% of children with symptomatic pharyngitis and 10% of asymptomatic children. Superficial Strep A infections are the sole precursor of ARF and RHD. The burden of ARF and RHD in remote Australian communities is high and disproportionately affects Aboriginal and Torres Strait Islander people, with the reported mortality rates of RHD in Aboriginal populations are among the highest worldwide. This is despite ARF and RHD being preventable through the early treatment of Strep A. I

Given the increasing pipeline of POCT and momentum to expand decentralised testing across Australia, evaluations are urgently needed to determine the population benefits, health service impacts and costs associated with integrated multi‐pathogen POCT. These will ensure that adequate frameworks including workforce planning and funding models are in place to support further scale up. The infrastructure, rationale and need for Strep A molecular POCT in remote Australia, where prevention of ARF has the highest economic and societal benefit, is crucial.

To view the article in full click here.

Group A Streptococcus. Image source: Microbiologics Blog webpage.

Mental health, substance use, reincarceration

New research shows that people released from prison who sought help for their mental health or substance use problems were more likely to end up back in prison, prompting calls for an overhaul of the system to allow quicker and more consistent support. The study, published in the Journal PLOS ONE, examined the link between contact with mental health and substance use treatment services and reincarceration rates among 1,115 adults released from prisons in Queensland, Australia.

Lead researcher Professor Stuart Kinner, from the Curtin School of Population Health, said despite widespread belief that access to substance use treatment and community mental health services after release from prison can reduce reincarceration rates, this study actually found the opposite. “Globally, more than 11 million people are incarcerated on any given day, and many of these individuals experience significant mental health and substance use issues. In our study, we found that more than half of the people released from prison had been diagnosed with a mental illness or a substance use disorder, and 21% had been diagnosed with both,” Professor Kinner said.

“In Australia, more than 60,000 people are released from prison each year and the incarceration rate is increasing rapidly. Almost one in two people released from prison is back in custody within two years. “Although you might expect that treating substance use and mental health issues would result in better outcomes, our study found that people who accessed these services after release from prison were actually more likely to be reincarcerated.”

To view the Curtin University article Inadequate post-release support drives up reincarceration rates: study click here.

Photo: Jono Searle, AAP. Image source: The West Australian.

Aboriginal SEWB Scholarships Program

Over five years, $5.6 million will be invested to support the Aboriginal Social and Emotional Wellbeing Scholarships Program which provide training courses and professional development opportunities for Aboriginal people who wish to work in the mental health sector. The state government said the program provided more than a dozen scholarships for students attending RMIT and Deakin Universities in semester one this year. “A mental health and wellbeing system that provides culturally safe and inclusive care ensures the best possible support for every Victorian with mental illness,” mental health and treaty and first peoples minister Gabrielle Williams said.

“Our dedicated mental health workers are the backbone of our reformed mental health system – supporting them through study and work is the best way to support every Victorian that needs help.” The program also allows our mental health services to learn from trainees about Aboriginal culture and gain knowledge and perspective, so they can develop more holistic and well-informed supports and care programs for all Victorians.

To view the Star Weekly article Funding for Aboriginal Social and Emotional Wellbeing Scholarships Program in full click here.

Aboriginal Health Practitioner Stevie-Lee Ryan with a client. Photo: Justin McManus. Image source: The Age.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Dementia Action Week 19–25 Sep 2022

Dementia impacts close to half a million Australians and almost 1.6 million Australians are involved in their care. The number of people living with dementia is set to double in the next 25 years. With so many people impacted now and into the future, it is vital we clear up some of the prevailing misconceptions about dementia. People living with dementia can live active and fulfilling lives many years after diagnosis. Despite this, they often experience discrimination. In a Dementia Australia survey, more than 70% of people believed discrimination towards people with dementia is common or very common.

The concept for Dementia Action Week was developed in consultation with Dementia Advocates, who have a lived experience of dementia. The ‘A little support makes a big difference‘ campaign demonstrates that many people living with dementia can continue to live well for many years after their diagnosis. In 2021, the focus was also on supporting and celebrating carers of people living with dementia.

Dementia Australia has a range of resources for: Aboriginal and Torres Strait Islander communities, available here, Aboriginal workers, available here, and Aboriginal health workers, available here.

For more information about Dementia Action Week 2022 click here.

NACCHO Aboriginal & Torres Strait Islander Health News: QLD health service delivery needs overhaul

The image in the feature tile is of the entrance to Doomadgee’s hospital emergency department. The photo is from an NCA NewsWire article Teenager given ‘shut-up pill’ before death, 7 March 2022.

QLD health service delivery needs overhaul

Speaking earlier this week at the the inquest of three young Indigenous women from Doomadgee who died with rheumatic heart disease between 2019–2020, Queensland health chief operating officer David Rosengren told the Queensland coroner health service in the town was too complicated. Gidgee operates branches across Queensland’s north-west and works with Doomadgee Hospital and the State’s health service, which the inquest heard could confuse patients on where to go for help. Earlier this week former Gidgee Healing CEO Renee Blackman said she faced significant barriers during her time in Doomadgee.

The coroner heard those roadblocks included gaining ACCHO accreditation, recruiting, securing premises for operation and a fractured relationship with the local state hospital. Similar concerns had been echoed by witnesses during the week. The court heard difficulties obtaining medical notes between services complicated the treatment of one of the women at the centre of the inquest in the months leading up to her death.

Ms Blackman’s said Gidgee used a seperate platform for lodging patient records to the state hospital leading to constraints accessing information. The court heard a laptop was provided to the hospital for access to Gidgee’s notes when needed. But evidence presented to the coroner suggested there was a strained relationship between the two providers which may have affected collaboration. Ms Blackman said without a positive relationship people “will fall through the cracks”.

To view the National Indigenous Times article Ex-health boss backs inquest calls to overhaul fractured QLD Aboriginal health service delivery in full click here.

Former Gidgee Healing CEO Renee Blackman. Image source: National Indigenous Times.

NACCHO leads environmental health workshop

A team from NACCHO had an awesome time last week in Darwin for the 13th National Aboriginal and Torres Strait Islander Environmental Health Conference 2022 (NATSIEH). The team hosted an Aboriginal-led workshop to identify longstanding issues in Aboriginal and Torres Strait Islander environmental health and new solutions through Closing the Gap.

This marked the beginning of NACCHO’s consultation for a National Strategic Roadmap on an Aboriginal and Torres Strait Islander Community Controlled Environmental Health Workforce with the NACCHO team excited to continue working closely with experts of the Aboriginal and Torres Strait Islander Environmental Health sector.

For more information about the NATSIEH Conference 2022 click here.

NACCHO presentation at 13th NATSIEH Conference in Darwin, 5-8 September 2022.

ACCHOs consulted over RHD program

NACCHO held a meeting in Darwin last week with the first group of ACCHOs receiving funding through their new RHD program. This was a great opportunity to come together to discuss the program and hear from the participating ACCHOs and all the awesome work they are doing in community.

Organisations that attended included:

  • Kimberley Aboriginal Medical Services (KAMS)
  • Sunrise Health Service Aboriginal Corporation
  • Mala’la Health Service Aboriginal Corporation
  • Miwatj Health Aboriginal Corporation
  • Nirrumbuk Aboriginal Corporation

as well the Aboriginal Medical Services Alliance NT (AMSANT) and Gurriny Yealamucka (Good Healing) Health Services Aboriginal Corporation who  as joined the meeting online.

ACCHO representatives who met with NACCHO staff in Darwin to discuss their participation in an RHD program.

Homelessness linked to vulnerability clustering

Poverty and discrimination are key issues tipping Indigenous Australians into homelessness, but a lack of funding, affordable housing and crisis accommodation remain bigger problems, a new report has found. Research by the University of SAhas revealed the homelessness rate for Aboriginal Australians is 10 times that of other people.

It found that dispossession of land, racism, profound economic disadvantage and cultural oppression continue to shape the lived experience of many Indigenous communities. And it identified poor literacy, education, criminal histories, domestic violence and lack of sustained tenancies as leading to a “revolving door” of homelessness among Aboriginal people in cities.

“Homelessness among Indigenous people arises from a clustering of vulnerabilities that easily spiral out of control,” the authors said in the report, commissioned by the Australian Housing and Urban Institute.

To view the Inverell Times article Funding call for Aboriginal housing in full click here.

Poverty and discrimination are key issues tipping Indigenous Australians into homelessness. Photo: Dan Peled, AAP . Image source: The Inverell Times.

Better drug treatment needed in Far West NSW

During a visit to Broken Hill on 14 September 2022, the President of the Law Society of NSW Joanne van der Plaat said the remote area needs an alternative approach to making its community safer. She told ABC local radio “I was keen to get out here and particularly to some of the other regions that are further away from Sydney to just see what is going on and to really listen to some of the practitioners … to see what they’re facing in terms of their daily practice.”

Data from the NSW Bureau of Crime Statistics and Research shows rates across multiple offence categories in Broken Hill sit at two and three times the state average. “With illicit-drug offences in Broken Hill in the year to March 2022 at about double the state average, and bail breaches at almost three times the average NSW rate, it’s clear that current approaches are not working,” van der Plaat said.

President of the Far West Law Society Eric Craney said establishing health and culturally safe treatment services for drug and alcohol use in Broken Hill would be a major step in helping to reduce the over-representation of Indigenous people in the criminal justice system. “Additionally, the Government should extend the Dubbo Aboriginal Bail Pilot across regional areas including Broken Hill, to reduce the incidents of technical bail breaches that cause no safety risk to the community, but that can result in unnecessary incarceration of vulnerable defendants,” Mr Craney said.

To view the NSW Law Society Journal online article Calls for better drug treatment and rehabilitation in NSW’s far west in full click here.

Image source: Australian Journal of General Practice.

Dementia cases could be prevented

More than half of Indigenous dementia cases in far north Queensland could be prevented after scientists identified a series of risk factors linked to the condition. The James Cook University study found 11 risk factors contribute to up to 52% of dementia cases in its sample population. “Dementia is an emerging health issue among Torres Strait Islander and Aboriginal peoples in Far North Queensland,” lead researcher Fintan Thompson said.

“We thought it likely that historically recent exposure to modifiable risk factors was contributing, and that a large proportion of dementia could potentially be reduced or delayed.” Analysing health data from more than 370 First Nations people in the Torres Strait and Northern Peninsula, the research team identified risk factors that could be modified. “The most important dementia risk factors are already public health priorities in this population. Risk factors such as hypertension, diabetes, obesity, and smoking were important contributors, which is somewhat similar to other populations,” the report said.

The study suggests rates of dementia could decline if these risk factors were reduced at a population level. The study also shows dementia risks in the Torres Strait region may be comparatively less certain. “Risks, such as social isolation and heavy alcohol consumption, contributed less to dementia in the Torres Strait region, which is great news,” Mr Thompson said.

To view the Pilbara News article Scope to lessen Indigenous dementia: study in full click here.

A study has found more than half of dementia cases in the Torres Strait region could be avoidable. Photo: Tracey Nearmy, AAP. Image source: Perth Now.

 

Youth held in police watch houses to sue

Three young people are taking on the Queensland government with a legal case claiming their human rights were breached when they were locked up in police watch houses. An anti-discrimination and human rights legal challenge is currently before the Queensland Civil and Administrative Tribunal (QCAT).

The police cells are meant for some of the state’s worst criminals, including adults accused of murder or sexual abuse. Katie Acheson, the outgoing CEO of the Youth Advocacy Centre, believes the case will shine a light on the practice which she believes should end. “It should be a wake-up to the Queensland government and the Queensland population,” she said. “I think many of us don’t realise that there are children right now in an adult watch house. “They’re scared and alone and they’re children and we have a responsibility to take care of them and not be further traumatising them.”

One organisation is trying to keep kids out of custody. Five nights a week the Aboriginal and Torres Strait Islander Community Health Service (ATSICHS) Brisbane outreach team, lead by Pita Taimani, head to areas where at-risk young people like to hang out. They check on their safety and offer them a lift home before there’s any trouble. “We see that there’s a need to support young people that are in the CBD, where they’re not in the eyes of the police, not getting into the watch house,” Pita Taimani said. Mr Taimani’s team also offers crucial support to young people, like access to health care and vocational education.

To view the ABC News article Young people taking legal action against Queensland government after being held in watch houses in full click here.

Pita Taimani’s outreach team is focused on keeping at-risk youth out of police custody. Photo: Michael Atkin, ABC News.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: Environmental experts share advice

The image in the feature tile is from the Animal Management in Rural and Remote Indigenous Communities (AMRRIC) website.

Environmental health experts share advice

The impact of climate change upon Aboriginal and Torres Strait Islander communities was in the spotlight recently at the 13th National Aboriginal and Torres Strait Islander Environmental Health Conference. Attended by over 170 delegates from most Australian states and territories, the conference, held on Larrakia Country in Darwin, also heard calls for the establishment of a National Environmental Health First Nations Expert Group.

The conference provided a platform for hearing from a variety of environmental health practitioners from across Australia, highlighting the programs and activities being undertaken and the challenges faced. Among the presenters was CEO of One Disease Team Michelle Dowden, whose  presentation A “Mitey” Task Made Easier By Working Together looked at the social determinants of health and the need for a strength based approach to underpin the its aim to achieve scabies free communities and households. Other presenters included Chicky Clements, an environmental health worker for Nirrumbuk Aboriginal Corporation, who asked why after 13 national conferences over 26 years, action to consolidate a national environmental health workforce had not progressed and first time presenters from Miwatj Health Aboriginal Corporation who spoke about their important work in remote communities.

A wide range of topics were covered at the conference, including: the links to environmental health and the prevention of rheumatic heart disease and trachoma; WHO statistics showing 25% of the health burden is due to environmental health conditions; all wetlands in the NT being at risk of Japanese Encephalitis; the post border, active surveillance early detection biosecurity community dog and cat health project which results in an animal census for local decision making; the environmental health response to 2022 floods which included ensuring potable water, reopening flooded food businesses and managing waste; the need to incorporate traditional knowledge into water guidelines; the COVID-19 response; an overcrowding study; the cost of hospitalisation attributable to environmental health conditions; animal management; the impacts of climate change; and mosquito borne diseases.

To view the Croakey Health Media article Putting the spotlight on environmental health expertise and challenges in full click here.

Lived experience of addiction voices essential

Hundreds of people gathered in Canberra this week for a conference that flipped the usual proceedings and power dynamics. Too often people experiencing or affected by health issues are on the sidelines, in the background or completely missing in major health gatherings. But people with lived experience of addictions took centre-stage at this week’s inaugural Rethink Addiction convention, titled ‘It’s time to change the conversation’.

They were not just token voices on panels stacked with ‘experts’ as seen at many conferences, but the main voices in session after session of the two-day event, their expertise, knowledge and experiences privileged and valued. In heart-breaking detail, they told raw and powerful stories about addictions to alcohol, other drugs, and gambling which took many to the brink, facing suicide, prison, financial ruin, the removal of children or – in the case of Australian of the Year Local Hero Shanna Whan – waking up in Emergency after falling down a concrete flight of stairs.

As well as showcasing their courage, strength and commitment to others, they took strong aim at the structural barriers they have faced in their recovery, including government, industry and media, and a fragmented and flawed health system. Among the audience were health and service professionals, academics, policy makers and researchers – there to listen and put up their hands to ask the questions.

To view the Croakey Health Media article Privileging the voices of people with lived experiences of addiction in full click here.

Building our mental health workforce

The Andrews Labor Government is building a mental health workforce that provides culturally safe and inclusive care by supporting traineeships and scholarships for Aboriginal people who want to work in the sector. The Government has invested $5.6 million over five years to support the Aboriginal Social and Emotional Wellbeing Scholarships Program – providing training courses and professional development opportunities for Aboriginal people who wish to work in the mental health sector.

The program provided more than a dozen scholarships for students attending RMIT and Deakin Universities in semester one this year. Providing the best quality education and training for Victoria’s mental health workforce ensures the best quality care for all Victorians with mental illness. Building on the transition from study to work, the Government has also provided more than $7 million since 2017 for the Aboriginal Mental Health Traineeship Program – a specialist course that provides workplace training, while trainees complete placements and mental health qualifications.

The program also allows our mental health services to learn from trainees about Aboriginal culture and gain knowledge and perspective, so they can develop more holistic and well-informed supports and care programs for all Victorians. The first graduates are now working in an ongoing role with the health service where they undertook their traineeship or as an Aboriginal social and emotional wellbeing worker in a local Aboriginal community-controlled health organisation.

To view the medianet article Building Our Aboriginal Mental Health Workforce in full click here.

Suicide prevention consultation in Balgo community. (L to R)Brian Darkie Junior (Community Liaison Officer Balgo), Vicki McKenna (Suicide Prevention Coordinator), Desmond Stretch, Daniel Rockman, Darren Brown, Justin Mosquito, Nathaniel Stretch, Larissa Mudgedell. Photo supplied by KAMS. Image source: National Indigenous Times.

Calls for urgent action on detention protocol

The death this week of another Indigenous man in custody in Victoria, the third such life lost in the state’s prisons in the last 12 months, has renewed focus on Australia’s disproportionate incarceration rates for Aboriginal and Torres Strait Islander peoples. With over 500 deaths in custody since the Royal Commission into Aboriginal Deaths in Custody, the Victorian Aboriginal Legal Service (VALS) will use an upcoming submission to the UN Committee Against Torture (CAT) to call out Australia’s slow implementation of the Optional Protocol to the Convention Against Torture (OPCAT), to establish a system of unannounced visits to places of detention.

VALS condemns the lack of action on implementing the recommendations of 1991 Royal Commission into Aboriginal Deaths in Custody (RCIADIC) and calls for OPCAT to be implemented in Victoria. “The urgent need to implement OPCAT in Victoria has been identified by the Victorian Ombudsman, which carried out two OPCAT style investigations in custodial facilities in 2017 and 2019,” the submission reads. The submission described the Victorian Government’s response as woefully inadequate and expressed concern that this once in a generation opportunity to prevent torture and inhumane treatment in detention is being squandered.

To view the Croakey Health Media article Clock is ticking for Australian governments to address human rights concerns around places of detention in full click here.

Image source: Sydney Criminal Lawyers.

In a related ABC News broadcast Why are Aboriginal deaths in custody still happening in Victoria? Jill Gallagher, CEO of the Victorian Aboriginal Community Controlled Health Organisation, spoke with Amber Irving-Guthrie. You can listen to the interview in full using this link.

Heal Our Way suicide prevention

Heal Our Way is a NSW Aboriginal and Torres Strait Islander Suicide Prevention Campaign funded by the NSW Ministry of Health under Towards Zero Suicides (TZS) initiatives. Led by Cox Inall Ridgeway in partnership with Aboriginal communities in NSW, health leaders and people who have lived experience of suicide, the campaign aims to provide practical resources to community members to equip them with the skills to have safe conversations around suicide.

Uncle George Ellis has been shared as part of the Heal Our Way campaign. Uncle George Ellis is a descendant of Kinchela Boys Home. He is a Gomeroi and Likaparta man who now lives in the Northern Rivers of NSW. He said “What we’ve done with Heal Our Way, which is what we need to keep doing, is to put these kinds of stories at the centre of our conversations about suicide. They are stories of strength, sadness, resilience, hurt and hope – but they important because they are real. They also bring us together because they are shared experiences in our communities and that way, we can address them as a community.

To access the Croakey Health Media article Heal Our Way: supporting Aboriginal and Torres Strait Islander people to have safe conversations around suicide prevention in full click here.

Uncle George Ellis. Image source: Croakey Health Media.

Supporting mob with Musculoskeletal conditions

Despite national, state and local campaigns to Close the Gap in Australia, considerable health gaps still exist between Indigenous and non-Indigenous people. Musculoskeletal conditions are an area of health where there is a significant difference between Indigenous and non-Indigenous people. Although Indigenous people experience musculoskeletal conditions more. their access to high-quality and culturally informed support remains low.

Musculoskeletal conditions can have a considerable effect on people’s lives. Such conditions can affect a person’s ability to walk, complete simple tasks at home without help, and participate in sports or work. Government health organisations need to provide better support for Indigenous people suffering from these conditions by encouraging culturally safe community-based care.

Internationally, low back pain is the leading cause of disability, and osteoarthritis is the leading cause of physical activity limitiation. Both of these ailments are more common in Indigenous people, who are 20–50% more likely to have osteoarthritis and 10% more likely to report current back pain than the non-Indigenous population in Australia. Musculoskeletal conditions have also been shown to contribute to the development of chronic diseases such as diabetes and cardiovascular disease. With 46% of Australia’s Indigenous population having at least one chronic condition, this may lead to even higher rates of chronic diseases.

To view The Conversation How do we support Indigenous people in Australia living with musculoskeletal conditions? in full click here.

Photo: Shutterstock. Image source: The Conversation.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: Impact of alcohol-free pregnancy campaign

The image in the feature tile is from the Menzies School of Health Research webpage PANDORA – pregnancy and neonatal diabetes outcomes in remote Australia.

Impact of alcohol-free pregnancy campaign

To mark International FASD Awareness Day, the Foundation for Alcohol Research and Education (FARE) has released data that demonstrates the impact of the Every Moment Matters campaign – Australia’s first, nation-wide public awareness campaign supporting alcohol-free pregnancies and safe breastfeeding practices.

Developed by FARE and endorsed and funded by the Australian Government, Every Moment Matters aims to increase Australians’ awareness of the risks of alcohol use during pregnancy, and increase the number of Australian women who intend not to drink alcohol during pregnancy.

With the tagline ‘The moment you start trying is the moment to stop drinking’, the campaign features nationally on television, radio, digital and out-of-home channels and runs until July 2024. The results of the ongoing evaluation led by the University of Adelaide demonstrates that Every Moment Matters is overcoming the mixed messages people often receive about alcohol and pregnancy.

As part of the broader program of work, NACCHO has designed a culturally appropriate awareness raising campaign with regional and remote Aboriginal and Torres Strait Islander communities. NACCHO CEO Pat Turner said, “FASD is a whole of community issue. We look forward to launching the Strong Born campaign with ACCHOs across rural and remote Australia next month. The campaign will support mums, their families, their communities, their health practitioners and health services, to bring everyone together to help prevent and better understand the issues that contribute to FASD.”

You can find the joint FARE, NOFASD Australia and NACCHO media release Celebrating 9 months of impact on 9 September: International FASD Awareness Day on the NACCHO website here.

Referendum Working Group announced

Minister for Indigenous Australians Linda Burney has announced members of the Referendum Working Group which will establish the path to a Voice to Parliament. Speaking at the Centre for Economic Development of Australia (CEDA) State of the Nation conference at the National Museum of Australia, Ms Burney outlined a “working group of First Nations leaders” with Senator Pat Dodson and herself as co-chairs.

The Referendum Working Group will collaborate with the government to consider and navigate “the big questions” in the next following months. The minister said getting the groups working is the first step, with building a “broad consensus of community support” and “harnessing the goodwill in the Australian community to take Australia forward” being the following.

“[There are] many more steps to be taken on the road to the referendum and let’s be clear government cannot lead this referendum,” she said. “This will come from the grassroots, from communities, because the Voice is a nation-building project.” Included among the  group of 22 are:

  • Co-chairs of Uluru Dialogue Professor Megan Davis and Pat Anderson AO
  • Co-chairs of the Indigenous Voice co-design group Professor Marcia Langton AO and Professor Tom Calma AO
  • Aboriginal and Torres Strait Islander Social Justice Commissioner June Oscar AO, NACCHO CEO Pat Turner AM and former Minister for Indigenous Australians Ken Wyatt.

To view the SBS article Linda Burney outlines next referendum steps including working group with Ken Wyatt in full click here.

Image source: National Indigenous Times website.

Dedicated to fighting for mental health

Australians of all ages and backgrounds are increasingly at risk of mental health issues like depression and anxiety. Paul Bird and Alex Speedy of the National Wellbeing Alliance, a First Nations-owned and -operated training provider dedicated to fighting for mental health, are right on the forefront of advocating for “acceptance” of the devastating, hidden conditions plaguing many in the region.

The two spoke to students from Murgon, Proston and Goomeri schools at last month’s careers expo at the Murgon Cherbourg Youth Hub, extending helping hands to those wishing to speak out and start the journey of recovery. “Mental health issues are bad – they’re definitely on the increase,” Mr Bird said. “People are getting younger with depression, anxiety, suicidal thoughts, self-harm – and it’s not just for Indigenous people, it’s through all societies and countries!”

The pair are based out of the Murgon area but hold workshops for ‘mental first-aid’ wherever they are needed most -equipping people to have those all important conversations and to be able to respond in a mental health emergency. “Alex is a community member, born and bred here, and my father was born here, but I was born in NSW,” Mr Bird explained. “Through a turn of events I’ve come back to my father’s country to facilitate and engage with community through workshops and mental health first-aid.”

To read The Burnett Today article Locals join in tackling mental health crisis click here.

National Wellbeing Alliance workers Paul Bird and Alex Speedy are passionate about helping others improve their mental wellbeing. Photo: Julian Lehnert. Image source: Burnett Today.

Number of WA ACCOs to increase

The WA Government has announced a new strategy to strengthen the delivery of services to Aboriginal children, families and communities by increasing opportunities for Aboriginal Community Controlled Organisations (ACCO) to deliver culturally appropriate services. The ACCO strategy is directly aligned to Priority Reform Area Two of the 2020 National Agreement on Closing the Gap, “Building the community-controlled sector.”

The ten-year strategy was developed by representatives from 11 ACCOs across the State, Department of Communities and the Department of Finance. It aligns to several Priority Reform Areas and Socio-Economic targets identified within the National Agreement on Closing the Gap and aims to empower Aboriginal children, families and communities to choose their own futures from the foundations provided by ACCOs.

“Aboriginal people across WA have repeatedly told us that to truly change outcomes, Aboriginal communities must lead the way, and that is achieved through community-based and family-led solutions,” Community Services Minister Simone McGurk said. “ACCOs usually achieve better results, employ a majority of Aboriginal workforce and are the preferred providers by Aboriginal people over mainstream services,” she continued.

To view The Sector’s article WA Gov will boost the number of ACCOs to improve services for First Nations families in full click here.

Image source: The Sector.

Physiotherapist making a difference

As an elite hockey player, Candice Liddy knew her strength was positioning: putting herself in the right place to maximise the team’s opportunity of moving forward and getting a goal. “There were other players who could run all day, but I just knew I had to be in the right spot,” she says.

Candice lives in Darwin, where she was born and raised on Larrakia land. Her grandparents on her dad’s side were part of the Stolen Generations, taken from other parts of the NT as children to live at Garden Point Mission on Melville Island. Her father grew up in Darwin and nearby Howard Springs but was evacuated after cyclone Tracy in 1974 to Brisbane, where he met Candice’s mother, who was born in India, and moved to Australia with her family.

Sporting talent runs in the family and also led Candice to a career in physiotherapy. Playing for many years at State level for the NT, she noticed the team physiotherapists were good at working in the athletes’ best interests while keeping them game-ready, and they also got to travel with the teams. “I wanted those skills and that lifestyle, and I was going to work as hard as I could to get there.”

A later non-clinical role brought her experience in remote communities as a National Disability Insurance Scheme (NDIS) planner, where she quickly realised that all the planning in the world would be useless if services weren’t available where they were needed. “And that’s when I thought, You know what, there’s a gap. A gap I’m trained to fill.”

To view the Indigenous Allied Health Australia (IAHA) article 2022 World Physiotherapy Day in full click here.

Candice Lidday. Image source: IAHA website.

Prostate cancer, know the symptoms

The Cancer Council of WA (CCWA) is urging men to visit their doctor and learn the common symptoms of prostate cancer this month. CCWA Great Southern regional education officer Bruce Beamish said prostate cancer awareness month was the perfect chance for men to learn more about how their bodies might be telling them something is wrong. He said unlike for breast, bowel and cervical cancer which have screening tests to confirm the presence of cancer prior to symptoms presenting, there is no such test for prostate cancer. Therefore, it is “vital” to visit a doctor, Aboriginal health care worker or clinic nurse when unusual symptoms present.

“Common symptoms of prostate cancer include waking a lot at night to pee, a sudden or urgent need to pee, problems starting or stopping peeing, needing to pee more often, a slow or weak flow when peeing, or dribbling at the end of peeing,” he said. “These symptoms can be found in other conditions but if you have had any of these for more than four weeks, or you’ve noticed blood in your pee or semen even just once, tell your doctor, clinic nurse or Aboriginal health worker as soon as possible. “It doesn’t mean you’ve got prostate cancer — often it turns out to be something far less serious and your doctor may be able to help reduce the annoying symptoms.”

To view the Broome Advertiser article Men urged to learn the symptoms during Prostate Cancer Awareness Month in full click here.

Image source: Vitalii Abakumou, Getty Images, iStockphotos.

Emergency relief centre for Gippsland mob

A groundbreaking emergency relief centre to support members of East Gippsland’s Aboriginal communities in times of crisis is getting underway thanks to a $2.4 million investment by the Andrews Labor Government. Minister for Emergency Services Jaclyn Symes joined Member for Eastern Victoria Tom McIntosh and representatives of the Lake Tyers Aboriginal community to announce the funding and hear about their vision for the new centre.

The Lake Tyers Emergency Relief Centre project will bring together Gunaikurnai Land and Waters Aboriginal Corporation (GLaWAC), Lake Tyers Aboriginal Trust and Lake Tyers community to co-design a supportive, safe and secure space for Aboriginal communities within Lake Tyers during and after a bushfire disaster. The centre will also bring community together for activities and meetings outside of emergencies.

The need for the dedicated relief centre was identified following the devastating 2019-20 Eastern Victorian bushfires, during which over 1,000 known registered Aboriginal heritage places were damaged and hundreds of Aboriginal Victorians were affected.

To read The National Tribune article First Relief Centre For Aboriginal Community In Gippsland in full click here.

Terylene Hood says residents need a place where they can be comfortable during an emergency. Photo: Bec Symons, ABC Gippsland.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: Ask your mob, in your way, R U OK?

The image in the feature tile is of Steven Oliver, An R U OK? Ambassador, Aboriginal poet, comedian and performer whose life has been affected by suicide. Image source: R U OK? Day Facebook page, 29 June 2016.

Ask your mob, in your way, R U OK?

If someone you know – a family member, someone from your community, a friend, neighbour, team mate or workmate –  is doing it tough, they won’t always tell you. Sometimes it’s up to us to trust our gut instinct and ask someone who may be struggling with life “are you OK?”, in our own way. By taking the time to ask and listen, we can help those we care about feel more supported and connected, which can help stop little things becoming bigger things.

Aboriginal and Torres Strait Islander peoples share a special connection to this country and to each other, through our cultures, communities and shared experiences. Regardless of where we live, or who our mob is, we all go through tough times, times when we don’t feel great about our lives or ourselves. That’s why it’s important to always be looking out for each other. Because we’re Stronger Together.

Earlier this year 13YARN (13 92 76), a Lifeline supported service was launched. It is the first national crisis phone support line for Aboriginal and Torres Strait Islander people. Designed, led and delivered by mob, 13YARN provides a confidential 24/7 one-on-one yarning opportunity with a Lifeline-trained Aboriginal & Torres Strait Islander Crisis Supporter.

You could also connect with a trusted health professional, like your doctor or your local Aboriginal or Torres Strait Islander Medical Service.

For more information about R U OK? Day and to access resources specifically for Aboriginal & Torres Strait Islander communities click here.

Working Group on Voice to Parliament

The government is primed to announce a working group on the referendum to enshrine an Indigenous Voice to Parliament. The group will be tasked with answering some of the big questions on the process in the lead-up to the referendum. The referendum’s timing, question and information on the Voice to Parliament will all fall under the remit of the group, made up of more than 20 Indigenous leaders from across the country.

Notable names include Pat Anderson, Marcia Langton, Tom Calma, Pat Turner, Ken Wyatt and June Oscar. It will be co-chaired by Indigenous Australians Minister Linda Burney and Special Envoy for Reconciliation and Implementation of the Uluru Statement Patrick Dodson. Ms Burney will officially announce the working group as part of her address today at the Committee for Economic Development of Australia’s State of the Nation forum. “These are the next steps, the plan on the road to the referendum,” Ms Burney said. “There is much to work to do, many more steps to be taken on the road to the referendum. Let’s be clear, government cannot lead this referendum. This will come from the grassroots.”

To view the ABC News story Working group to answer big questions leading up to Indigenous Voice to Parliament referendum in full click here.

The government’s Voice working group will help shape the looming referendum. Photo: Tim Leslie, ABC News.

JobKeeper rate a health hazard

Touted as a “much-needed boost” by the Minister for Social Services, Amanda Rishworth, the JobSeeker payment is set to rise $1.80 per day on 20 September. The daily rate will go from $46 to $47.80 – $17,378 per year – still well below the Melbourne Institute’s poverty line of approximately $28,000 per year. “It does not deliver a real increase – an increase above inflation – and that is what people on JobSeeker and other payments need to keep a roof over their head and put food on the table,” Australian Council of Social Service CEO Edwina MacDonald said in a statement.

Karl Briscoe, the CEO of the National Association for Aboriginal and Torres Strait Islander Health Workers and Health Practitioners (NAATSIHWP), said the low JobSeeker rates affect food security and housing among Indigenous communities. “Access to adequate nutrition, fresh fruit and veg, is probably one of the biggest issues that people are faced with,” he said.  ” When people cannot access vitamins and minerals due to poverty, they can be more susceptible to a range of diseases, including skin infections and diabetes, according to Briscoe.”

Overcrowding is another major issue, he said. In Aboriginal communities, it can contribute to the spread of scabies, a skin infection which is linked to chronic kidney disease. Too many people living in the same house can also increase the spread of Strep A infections, which can cause rheumatic fever and RHD, an autoimmune condition where the heart valve tissue becomes swollen and scarred.

While increasing the JobSeeker rate is a clear necessity, what is really needed to improve conditions in Aboriginal and Torres Strait Islander communities is capital investment, such as infrastructure projects that bring jobs, according to Briscoe. “Poverty is an outcome of colonisation for many Aboriginal and Torres Strait Islander people. We don’t have a long line of inheritance that’s been passed down generation to generation,” Briscoe said.

To view the Croakey Health Media article Stories from the frontlines: why the low JobSeeker rate is a health hazard in full click here.

Verdict on government’s first 100 days

The Albanese government has now passed its first 100 days in office and major announcements are coming in thick and fast. Key ministers and central figures within the for-purpose sector have reflected on the federal government’s progress so far and what should be the next steps from here.

The federal government came to power promising a referendum on an Indigenous Voice to Parliament. Minister for Indigenous Australians, Linda Burney said the government had “hit the ground running. A constitutionally enshrined Voice to Parliament is about improving the lives of Aboriginal and Torres Strait Islander people across the country.  It’s about making sure First Nations people have a say on the issues and policies that affect them,” she said. “It’s about drawing a line on the poor outcomes from the long legacy of failed programs and broken policies and about recognising the glaring omission of First Peoples in Australia’s birth certificate.”

CEO of SNAICC Catherine Liddle said many of the government’s broad commitments, including more affordable childcare, would benefit First Nations people. However, she said such mainstream reforms “must take into account the particular needs of Aboriginal and Torres Strait Islander children and families. SNAICC has already met with senior government ministers and we look forward to strengthening those relationships and working with the new government to progress much needed policy reform to ensure Aboriginal and Torres Strait Islander children have their needs and voices heard,” she said.

“Federal Labor has committed to the implementation of the National Agreement with the Coalition of Peaks. There’s no doubt that we lost some ground in the run up to and during the federal election. But I think that implementation of the National Agreement is being brought back to where it needs to be” Liddle said. “SNAICC looks forward to working with the government on reforms to early education, family services, and out of home care, with access to childcare identified as being particularly important as a lack of access can create barriers that prevent First Nations people from engaging in work and study.”

To view the Pro Bono Australia article Sector delivers verdict on government’s first 100 days in full click here.

Image source: ABC News website.

System rigged against people with additions

Amid concerns that Australian health systems are failing people with addictions to alcohol, other drugs and gambling, experts will call next week for a national roadmap to ensure better and more equitable treatment pathways. A two-day national conference in Canberra will put the spotlight on a lack of national policy leadership in addressing the fragmented, inadequate services available for people living with addictions, which one expert says means it’s a “complete lottery” as to what care people and families might find. The Rethink Addiction Convention titled ‘It’s time to change the conversation’, will bring together people with lived and living experience, clinicians, services providers, law and justice practitioners and policymakers and seek to address the stigma that affects access to treatment and care.

Jasmin Wilson, a Wellbeing Officer from from Aboriginal Drug & Alcohol Council SA will be speaking at the inaugural Rethink Addiction Convention. She says “Addiction doesn’t discriminate, so why do we? To Close the Gap we need to address addiction in First Nations Communities.”

Ending that harmful stigmatisation is the work at the heart of the Rethink Addiction campaign, headed by psychiatrist Professor Dan Lubman, who is Executive Clinical Director of the Turning Point and Professor of Addiction Studies and Services at Monash University  and Director of the Monash Addiction Research Centre. He cites the damning statistics: around one in four Australians will develop an alcohol, drug or gambling disorder during their lifetime, and around one in 20 will develop addiction, the most severe form of the disorder. One Australian dies almost every hour from alcohol, other drug or gambling harm.

To view the Croakey Health Media article How the system is rigged against people with addictions in full click here.

Jasmin Wilson, a former ice addict will speak at the convention. Image source: The Advertiser.

Calls for youth justice system reforms

Amnesty International Australia issued a statement yesterday calling on all State and Territory governments to raise the age of criminal responsibility and close detention centres. “State and Territory governments have it in their power now to do more than make empty statements about the importance of child safety,” Amnesty International Australia Indigenous Rights Campaigner Maggie Munn, said. “Until they take the most obvious and proven step to truly care for some of the most vulnerable children in our country, then these words ring very hollow indeed.”

Calls for reform of the youth justice system have been echoed by many including, Change the Record, Victorian Aboriginal Legal Service (VALS) and the Public Health Association of Australia. The deep-rooted culture of abuse of children in youth detention was again in the spotlight last week during an Inquiry into Government Responses into Child Sexual Abuse in Institutional Settings in Tasmania. The Inquiry and others before have highlighted the abuse of children in detention centres as a “black mark against this country as a whole”, according to barrister Greg Barns, the National Criminal Justice Spokesman for the Australian Lawyers Alliance.

Barns said “If there was ever a time for major reform and a cultural shift on the part of legislators and society generally when it comes to dealing with children and young people who come into contact with the police, then now is it. Doing nothing is not an option.”

To view the Croakey Health Media article Calls for reform, not platitudes, on youth justice system in full click here.

Image source: Amnesty International Australia.

QAS drives cultural safety in the community

The Queensland Ambulance Service has appointed a team of leaders to build on the organisation’s cultural capability and advance health equity for Aboriginal and Torres Strait Islander peoples. The organisation’s recently established Cultural Safety Unit has appointed three new Aboriginal and Torres Strait Islander Cultural Safety Support Officers (CSSOs) and two new Senior Aboriginal and Torres Strait Islander Cultural Safety Advisors.

Health and Ambulance Services Minister Yvette D’Ath said it was vital for the Queensland Ambulance Service to embrace diversity in its ranks. “The QAS is really leading the way when it comes to Indigenous relations within the service and community,” she said. “We’ve seen first-hand, with initiatives like the QAS Indigenous Paramedic Program, what a difference it makes to health outcomes when First Nations people are on the front line in Aboriginal and Torres Strait Islander communities”.

QAS Deputy Commissioner Operations North, Rural and Remote Kari Arbouin said three officers have been appointed to the inaugural CSSO positions and will be operating within their own areas, including North Queensland, Central Queensland and South Queensland. “Our CSSOs will also be out and about playing their part in improving health equity and foster better engagement across all Queensland communities.” “As QAS continues to develop a more culturally responsive and inclusive workplace, our new team will be working to support our workforce to become more culturally aware and safe.”

To view the Queensland Minister for Health and Ambulance Services, the Hon. Yvette D’Ath’s media release QAS drives greater cultural safety in the community in full click here.

Image source: Australian Paramedical College website.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal & Torres Strait Islander Health News: Housing to meet minimum standards by 2031

The image in the feature tile is of the remote NT community, Yarralin, west of Katherine. Photo: Hamish Harty. Image source: ABC News article FOI documents show NT government previously forecast it would not meet target to build 650 remote houses in five years, 5 April 2022.

Housing to meet minimum standards by 2031

State and territory governments will be required to ensure all First Nations houses in homeland communities and town camps meet or exceed minimum standards for essential services within the next decade, under new targets agreed by the Joint Council on Closing the Gap. The Minister for Indigenous Australians, Linda Burney, the Assistant Minister, Malarndirri McCarthy, and their state and territory counterparts met Aboriginal peak bodies in Adelaide last Friday to discuss progress on social, health, economic and educational indicators.

Burney said all jurisdictions must come together to address the inequities that too many First Nations people experience across the country. “The importance of closing the gap cannot be underestimated,” she said. Access to essential services and poor housing conditions are a problem for many Indigenous families, particularly those in remote and regional areas. States and territories have agreed in principle that essential services – including to households within town camps or town-based reserve – should meet or exceed “jurisdictional standards.”

To view The Guardian article Closing the Gap: states and territories pledge to lift First Nations housing standards in full click here.

Photo: Dr Simon Quilty. Image source: ANU National Centre for Epidemiology and Population Health webpage.

Former NRL player now R U OK? ambassador

In his early 20s Kevin Heath fell into a depression he didn’t see coming. The proud K’Gari Indigenous man and former Rugby League player said it was a single conversation which helped him start tackling his mental health and eventually build the life he once might have dismissed as a fantasy. Rocking his eight-month-old daughter, Mr Heath said it was an experience he wouldn’t wish on anyone. “It was through that experience that those close to me told me I needed to speak to somebody,” Mr Heath said.

The former Rugby League player is now a community ambassador for R U OK?, an Indigenous Health Outreach Worker in south east Sydney, and founder of sport-specific training and mentoring company Dream Time Academy. He said his personal experience with mental health proves the message of the R U OK 2022 campaign – that you don’t need a fancy degree to be qualified to ask a mate “are you OK?”.

The article RUOK Day 2022: Kevin Heath, mental health advocate, Dream Time Academy founder referred to above appeared in the Daily Telegraph here.

Kevin Heath. Image source: Daily Telegraph.

GPs fill mental health system gaps

Dr Tim Senior, a long-standing GP at Tharawal Aboriginal Medical Service, an ACCHO in South West Sydney, and a Senior Lecturer in General Practice and Indigenous Health at Western Sydney School of Medicine has co-authored a article for InSight+ with Louise Stone, a GP with clinical, research, teaching and policy expertise in mental health and Associate Professor in the Social Foundations of Medicine group, ANU Medical School and works in youth health.

In the article they say “GPs are used to filling gaps in the health system. Over our careers, we have lived through times where we are seen as underqualified and then essential to a range of services, including maternity care, dermatology, sexual health and more recently, urgent care, infectious disease and psychiatry. An ability to flex with community need is one of the core capacities of generalists, and enables the health system to rapidly adapt to changing community need.”

“If we are to understand and respond to the breadth and depth of mental health issues in the community, we need to think beyond simplistic views of episodic “disorders”. General practice mental health care ranges from disorder management, to prevention, to individual trauma (domestic violence, sexual abuse, medical trauma), to crisis (natural disasters, major medical illness) to life stressors (eg grief, suicide postvention) to social harms (discrimination, harassment) to existential crises (infertility, death and dying).”

To read the InSight+ article General practice: the liquid in the mental health system in full click here.

Dr Tim Senior. Image source: RACGP newsGP.

More NT nurses transition to Country

Ten Territory nurses will spend the next 12 months building their skills and providing services to remote communities under the Transition to Remote Practice Program. This year is the first time the program recruited a second cohort of participants. They will join the 12 nurses who commenced the program at the beginning of 2022. The program is designed to bolster the Territory’s remote nurse workforce and help nurses develop a broad range of skills to cover emergency care and general primary health care issues with a focus on culturally safe practice and Indigenous health needs.

Over the next 12 months the second intake of nurses will work at health clinics including: seven nurses will be stationed in the Top End region including Jabiru, two in Wadeye, Palumpa, Peppimenarti, Gunbalanya and Wurrumiyanga. Two nurses will be based in the East Arnhem region, including Alyangula, and Angurugu.One nurse will work at the health clinic in Numbulwar in the Big Rivers region.

Nurses receive a Transition to Primary Health Care Certificate following completion of the program, enabling them to apply for remote area nurse positions. To view the Chief Minister of the NT, Natasha Fyles media release Another Cohort of Territory Nurses Transition to Country click here.

Below is a short video of the Mpwelarre Health Service Clinic Manager, talking about her work in Santa Teresa, a remote NT town of 600 people. Mpwelarre Health Service is a community controlled health service led by the Mpwelarre Health Aboriginal Corporation. is one of Central Australian Aboriginal Congress’ five remote health services.

Prisons an opportunity to address complex health needs

Police watch-houses present a unique opportunity for medical interventions in high-risk populations, according to the authors of an article recently published in the Medical Journal of Australia. The authors examine the opportunities to “intercept a vulnerable, complex and otherwise hard-to-reach population, and identify unmet health needs” in Queensland police watch-houses.

The report said 43 of the 505 deaths (9%) in police custody between 1991 and 2016 occurred in a police station, police vehicle, police cell, or watch-house. Almost half of those were deaths due to a medical cause (49%). Lead author Julia Crilly, Professor of Emergency Care at Griffith University, studied the key challenges for people and systems responsible for the health and safety of detainees in short-term custody alongside her colleagues.

“As a group, [police watch-house detainees] are largely disconnected from health services, so beyond their immediate, untreated health problems, comparatively little is known about underlying and unaddressed social determinants,” the paper stated. Issues such as substance dependence, mental illness, and chronic health conditions like hypertension and asthma are all significantly more prevalent than in the general population for vulnerable groups. “This is especially evident for Aboriginal and Torres Strait Islander people, who represent 30% of the custodial population despite comprising only 3.3% of the Australian population.”

To view The Mandarin article Police watch-houses offer opportunity to address complex health needs in full click here.

Melbourne Remand Centre. Photo: Joe Castro, AAP. Image source: The Mandarin.

New forum to give young leaders a voice

Aboriginal youth need to stand up to reverse the declining state of social justice in Australia’s North West, according to the organiser of a young leaders group. The first Empowered Young Leaders Kimberley Youth Gathering was held this week on Gooniyandi Country at a remote Kimberley community. More than 50 Aboriginal youth aged 18–35 were encouraged to raise their concerns at the meeting hosted as part of a series of AGM’s held at Kupartiya Community for the Kimberley Land Council.

West Kimberley Empowered Young Leaders Coordinator Toni Wajayi Skeen said the youth forum was a long time coming. “When you’re constantly being talked to and being told about your community issues you feel as thought you don’t have a say in decisions that affect yourself and community, we intended this space to be solution based,” she said. “We are asking for young people to have a seat at the table, to make their own decisions and create their own voice. In terms of the social justice issues here, it has gotten worse. We hear this term that young people are the leaders of tomorrow, but what are we doing today to make sure they are the leaders of tomorrow.”

To view the National Indigenous Times article New forum launched to give young Kimberley Indigenous leaders a voice in full click here.

Attendees of the first Empowered Young Leaders Kimberley Youth Gathering. Image source: National Indigenous Times.

myGov is changing soon

myGov has given people a simple and secure way to access My Health Record for many years. But the way people use government services is changing, so myGov is getting an upgrade to meet these growing needs. If you access My Health Record through myGov, you’ll start noticing some changes soon.

When myGov changes, you won’t need to do anything different. You’ll still find myGov at the same web address, use the same sign in details and all your linked services will stay the same. The upgraded myGov will be modern, offer personalised information about government services and have a new look.

When your My Health Record is linked in your myGov account, the important health information that you and your healthcare provider organisations have added can be viewed securely whenever it’s needed, including in an emergency.

You won’t need to do anything different to access My Health Record through myGov.

Explore the changes and learn more here. You can do everything you currently do in myGov using myGov Beta – it’s just as safe and secure.

The myGov eKit will help you inform people in your community. You can download the myGov community resources here so you can let people know about the changes.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Women’s Health Week 2022

In 2013, realising that there was no event dedicated to women’s health in Australia, Jean Hailes for Women’s Health ran the very first national Women’s Health Week. Thousands of women across Australia subscribed to take part in a week of events and online activities, learning more their health.

Now in its 10th year, Women’s Health Week is a celebration of women in Australia, women from all walks of life. In 2021 (despite a second year impacted by lockdowns and restrictions), more than 128,000 women participated in 2.277 events, over 54,000 women subscribed to the online campaign and we reached over 3.6 million people via social media. Women’s Health Week is recognised as the biggest week for women’s health and wellbeing in Australia and takes place annually in the first week of September.

For more information about Women’s Health Week visit the Jean Hailes for Women’s Health website here.

NACCHO Aboriginal & Torres Strait Islander Health News: Workforce shortages across the sector

The image in the feature tile is from the Trainee Aboriginal Health Practitioner webpage of the Danila Dilba Health Service website.

Workforce shortages across the sector

Workforce shortages across the health sector is impacting access to culturally appropriate services for Aboriginal and Torres Strait Islander people nationally. To effectively support growing demand, we need to leverage the current ACCHO workforce and draw from local communities to build a multi-disciplinary care workforce that includes both cultural and clinical experts.

The Government’s commitment to the roll out of a NACCHO-led national traineeship program has been welcomed by the ACCHO sector as an ideal way to grow a suitably qualified and job ready Aboriginal Health Worker (AHW) and Health Practitioner (AHP) workforce. Our Aboriginal Health Workers and Health Practitioners are the heart of our ACCHO workforce. They are skilled, valued and trusted members of ACCHO teams and local communities.

NACCHO is working closely with our eleven community-controlled RTOs which will play a key role in delivering these traineeships. Their focus on the provision of culturally competent, holistic care, and accessibility for Aboriginal and Torres Strait Islander students is a critical difference in the training they offer.

You can read more about the NACCHO-led traineeship program in this media release from the Minster for Indigenous Australians, the Hon Linda Burney MP, here.

Image source: AHCSA About RTO / Education webpage.

Eliminating workplace racism a must

Eliminating racism in the workplace and securing ongoing employment for Indigenous Australians must be a priority for all organisations, the Jobs and Skills Summit has been told. A first step is recognising racism as a genuine work health and safety issue, University of Queensland Business School Indigenous engagement director Sharlene Leroy-Dyer said yesterday at the summit.

Dr Leroy-Dyer said Indigenous workers who experience racism and a lack of action to combat it will often leave the workplace. She told the summit this perpetuates a welfare mentality rather than empowering Indigenous people to take up employment opportunities. “We would like to see a racism-busting agenda spearheaded by the union movement that ensures responsibility for tackling racism is shared by all: employers, government, business and sector bodies, and the public,” Dr Leroy-Dyer said.

Indigenous women and girls in particular are calling for the right to have a say on workplace reform, Aboriginal and Torres Strait Islander social justice commissioner June Oscar said. “Their right to be at the table to inform these processes going forward, that are so needed, that will impact and create opportunities,” she told the summit.

To view The Standard article Racism in workplaces spotlighted at summit click here.

Aboriginal and Torres Strait Islander Social Justice Commissioner June Oscar shines light on racism. Photo: Aaron Bunch , AAP Photos. Image source: The Standard.

Mentoring program aims to increase retention

Charles Sturt University has led a pre-pilot program with a local health district to increase retention and satisfaction of First Nations midwives and nurses through a cultural mentoring program. Charles Sturt University in conjunction with five local health districts and four universities has received a grant of more than $360,000 to extend a pilot program that aims to increase the retention and satisfaction of First Nations nurses and midwives through culturally safe practices.

The project: ‘DANMM that’s good!”: Evaluating the feasibility and acceptability of the Deadly Aboriginal and Torres Strait Islander Nursing and Midwifery Mentoring (DANMM) Program across rural, regional, and metropolitan NSW’ received the funding from NSW Health to be piloted across five local health districts in NSW.

One of the chief academic investigators of the pre-pilot program who was heavily involved in the grant submission process, Senior Lecturer in the Charles Sturt School of Nursing, Paramedicine and Health Care Sciences, Dr Jessica Biles said the pre-pilot program achieved positive outcomes which led to the extra funding.

To view the Charles Sturt University article $360,000 grant for First Nations Nursing and Midwifery Mentoring program in full click here.

Dr Jessica Biles, Senior Lecturer in the Charles Sturt School of Nursing, Paramedicine and Health Care Sciences. Image source: Charles Sturt University website.

How to fix Australia’s broken health system

An article published in The Guardian yesterday six experts from different fields commented on ways to fix our healthcare system so that more people can access timely and affordable care. Profressor Mary Chiarella from the University of Sydney’s Susan Wakil School of Nursing and Midwifery said we need to rethink the role of nurses. True equity of access in community and primary healthcare, she said, will only be achieved by the full deployment of nurses.

Adjunct Associate Prof Lesley Russell from the Menzies Centre for Health Policy and Economics said more emphasis needs to be put on preventive care. If the system is to be truly patient-centred, then the focus must be on patients’ needs – and specifically on affordable and timely access to preventive services, treatment and care.  Dr Sebastian Cordoba from the International Federation of Social Workers and course coordinator at RMIT University said we need to understand that poverty is a health issue. He said PHC in Australia is an impenetrable, unnecessarily complex and expensive system that fails to provide care and support for some of the most marginalised groups in society. The system entrenches inequality and provides interventions that fail to get to the cause.

Prof Jen Smith-Merry, director of the University of Sydney’s Centre for Disability Research and Policy said we need to address disability competency. The health of people with disability is on average much worse than people without and they are more likely to have complex needs that necessitate a range of health and disability supports.

Dr Lisa Hodge, a counsellor, lecturer and social scientist at Charles Darwin University said we need to take mental health seriously. Mental health problems, including eating disorders, often manifest in self-harm and suicide. Finally Prof Catherine Chamberlain, an Indigenous and child health expert said we need to improve access for Indigenous children as currently, there is virtually no access to a range of essential primary healthcare services other than medical care for many Aboriginal and Torres Strait islander children.

To read The Guardian article How to fix Australia’s broken health system: six experts have their say in full click here.

Image source: AMA News.

Chronic kidney disease education program

Chronic kidney disease (CKD) is a common, harmful and silent disease that affects almost one in five Aboriginal and Torres Strait Islander adults. It is twice as common as diabetes, and a significant cause of cardiovascular deaths among Australian adults. CKD often remains undetected until the majority of kidney function is lost. Health workers in Aboriginal and Torres Strait Islander communities are well placed to carry out targeted screening for early detection of CKD. The disease can then be managed through individualised action plans that can slow the progression of CKD and reduce the risk of cardiovascular disease.

NPS MedicineWise is inviting GPs, Aboriginal Health Workers and Health Practitioners who work for ACCHOs to take part in an educational visit on this topic. Sessions can be provided through an in-practice visit, or online through most video conferencing platforms (Teams, Zoom, FaceTime).

This program has been funded by the Australian Government Department of Health and Aged Care, with content developed in collaboration with the NACCHO and Kidney Health Australia.

Delivery starts on Monday 26 September 2022 and will be available until the end of December 2022. To register your interest click here.

NSW’s new 2-year CTG plan

Peak First Nations agencies are hopeful Aboriginal Communities across NSW will realise their ambitions for greater socio-economic outcomes as a new agreement boosting self determination efforts took its next steps this week. The state’s Closing the Gap initiation plan outlined five priorities over the next 24 months. Among them, commitments to strengthen group partnerships increasing community informed dialogue, redirection from state bodies into Aboriginal community controlled organisations and measures addressing experiences of racism in Government. The shift is said to see community-controlled organisations have equal say in the direction of funding.

The announced $30 million injection, under the Community and Place Grants, came from NSW Coalition of Aboriginal Peak Organisations co-chair Charles Lynch and Aboriginal Affairs Minister Ben Franklin. Some 28 of the 144 initiatives set to benefit were co-developed with CAPO. “The initiatives included in this plan have been driven by principles of self-determination, based on what communities have told us in consultations, and developed through shared decision-making with our government partners,” Mr Lynch said.

Going forward, ACCO’s will gain equal access to data and analytics to support decision making and business going forward. “We know that our communities are hurting, that there needs to be more support, more accountability and more transparency,” Aboriginal Health and Medical Research Council co-chair Robert Skeen said.

ACCO’s are required to submit applications for funding by Friday 20 September and report back on program delivery by the end of 2023.

To read the National Indigenous Times article Priorities revealed in NSW’s new two-year plan to Close the Gap click here.

Image source: South West Aboriginal Medical Service website.

NACCHO Youth Conference

Are you under 29 years and working in the Aboriginal and Torres Strait Islander health sector?

If so, register NOW for our FREE NACCHO Youth Conference 2022:

Where: Beautiful Ngunnawal and Ngambri country (Canberra)

Date: Monday 17 October 2022

Time: 9:00AM to 5:00PM

Engage in discussions, share your experiences, and meet up with many deadly peers from across the country.

Places are filling quick! Register here.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

International Childhood Cancer Awareness Month

September is International Childhood Cancer Awareness Month, a time when cancer organisations around the world put the spotlight on children’s cancer and the need to improve diagnosis, treatment and outcomes.

70% of Australians are unaware that more kids die from cancer than any other disease in this country. Sadly around 750 to 800 children under the age of 15 are diagnosed with cancer every year and almost half of those diagnosed are aged 0-4 years. Leukaemias, tumours of the nervous system (mainly brain tumours) and lymphomas are collectively responsible for two out of every three cases of childhood cancer. Australia is estimated to have the sixth highest incidence rate of childhood cancers among the G20 countries.

The good news is that survival rates for children with cancer in Australia continue to approve. Most of the gains have occurred as a direct result of improvements in treatment through international collaborative clinical trials.

Fore more information about Childhood Cancer Awareness Month 2022 visit the World Health Organisation Internationl Agency for Research on Cancer webpage here.

NACCHO Aboriginal & Torres Strait Islander Health News: Joint Council on CTG Co-Chair interviewed

The image in the feature tile is of Assistant Minister for Indigenous Australians and Assistant Minister for Indigenous Health, Senator the Hon Malarndirri McCarthy, NACCHO CEO and Lead Convener of the Coalition of Peaks, Pat Turner and Minister for Indigenous Australians, the Hon Linda Burney MP in Adelaide today for the Joint Council on Closing the Gap. Image source: The Coalition of Peaks Facebook page, 26 August 2022.

Joint Council on CTG Co-Chair interviewed

The ALP has made a commitment to Close the Gap, a strategy aimed at closing the health and life expectancy gap between Aboriginal and Torres Strait Islander people and non-Indigenous people within a generation. The policy was refreshed under the Coalition government with a Joint Council set up to oversee it. The group is meeting with the responsible minister today, Linda Burney. The Council Co-Chair, Pat Turner, who is also the Lead Convener of the Aboriginal and Torres Strait Islander Peak Organisations (the Coalition of Peak) and NACCHO CEO spoke with Sabra Lane on ABC Radio AM earlier this morning.

Ms Turner spoke about what needs to be prioritised to meet the CTG targets. Ms Turner said the priorities have to be:

  • shared decision-making partnerships between Aboriginal leadership and Torres Strait Islander leadership with government where they are negotiating for new arrangements, so we have to be at the table and have equal decision-making arrangements in place.
  • build and strengthen the community-controlled service sector to deliver services, because we do it much better than mainstream or anywhere else and we get better outcomes.
  • mainstream organisations like youth detention police services, hospitals etc. they have to become places that are more culturally respectful in their dealings and culturally safe places for Aboriginal and Torres State Islander people

You can listen to Pat Turner’s interview from 7:15 minutes of the recording here.

Earlier today the Coalition of Peaks issued a media release Joint Council on Closing the Gap meets in Adelaide, available here, outlining the ‘hefty agenda’ aimed to progress actions under the National Agreement on Closing the Gap.

Members of Joint Council on Closing the Gap, Adelaide 26 August 2022. Image source: Coalition of Peaks Facebook page.

Voice won’t usurp CTG

Indigenous Australians Minister Linda Burney has dismissed concerns enacting a voice to parliament would come at the expense of closing the gap outcomes. The Joint Council on Closing the Gap is meeting today for the first time since 2021. Ms Burney said closing gaps in key health and education areas between Indigenous and non-Indigenous Australians remained a top priority for the government. As debate continues on a referendum to enshrine an Indigenous voice to parliament in the constitution, she said both were just as important.

“It is wrong to suggest that that agenda (of the voice) will be usurping the agenda of closing the gap. They are part and parcel of the same thing,” she said. “Unless First Nations people are living lives of choice and chance, just like other Australians, then we cannot ever hold our heads high in the space of Indigenous affairs.”

To view The Canberra Times article Voice won’t usurp closing gap: Burney in full click here.

Minister Linda Burney. Photo: Tanja Bruckner. Image source: Women’s Agenda.

Detention of kids in adult prisons must stop

The peak body of psychiatrists in Australia has called on the Federal and state and territory governments to stop the detention of children in adult prisons. In light of the recent events at Banksia Hill Youth Detention Centre (WA), the Royal Australian and New Zealand College of Psychiatrists (RANZCP) has staunchly opposed the detention of children in adult facilities and urged governments to prioritise the mental health of children detained in the juvenile system.

RANZCP President Vinay Lakra highlighted that research shows over 75% of young persons in detention have one or more psychiatric disorders that need treatment. “Youth detention is associated with increased risks of suicidality and psychiatric disorders including depression, substance use, and behavioural disorders. Detaining young children and putting their future at risk should be the absolute last resort.”

To view the RANZCP media release Psychiatrists say the detention of children in adult prisons must stop in full click here.

Photo: Matt Davidson. Image source: WAtoday.

500 new First Nations health workers

Minister for Indigenous Australians, Linda Burney, said the Australian Government is progressing on a commitment to train 500 new First Nations health workers to fill gaps across the health system, ahead of the Joint Council on Closing the Gap in Adelaide today. National Aboriginal Community Controlled Health Organisation (NACCHO) is working hand-in-hand with the Australian Government to design the program to ensure it meets the needs of First Nations people, and the health services which care for them. The program will support up to 500 First Nations trainees to undertake Certificate III or IV accredited training to enable them to work in various health settings and deliver culturally appropriate care to First Nations peoples.

To view the joint media release from Minister Burney and Senator McCarthy Closing the Gap in Health click here.

Image source: Aboriginal Workforce Development webpage of CommunitySkills WA website.

Australia fails to meet trachoma targets

NT artist Lena Campbell watched her late grandmother go blind from the impacts of trachoma — now she is trying to stop the next generation from going down the same path. She lives in Titjikala, a town more than 100 kms south of Alice Springs that sits among the red sands of the Simpson Desert, and the dust is a normal part of daily life. But dusty conditions are a common contributor to the preventable eye-disease trachoma.

Trachoma is caused by infection with the Chlamydia trachomatis bacterium, which is spread easily through personal contact, sharing bedding and even from flies that have picked it up. Most days, kids living in Titjikala aged from two to 14 years run around the basketball court — sharing hula hoops and kicking the footy around. Ms Campbell calls the kids to a big watering trough, where they lather up with soap and splash their faces with water. “If the parents are not here, I look after them to stay clean,” she explains. “Especially after school, the kids come out here and play and we usually ask them to wash their hands and faces in case of trachoma, in case of sore eyes.”

Australia is the highest-income country to still have endemic trachoma, according to the World Health Organization. Environmental factors such as housing conditions play a major part in countering this blinding disease. Ms Campbell is considered one of the “stronger ladies” in her community for speaking up for residents. She’s upset that trachoma still exists in Indigenous communities like hers even though cities were able to eradicate the disease 100 years ago.

To read the ABC News article Trachoma still exists in remote Indigenous communities as Australia fails to meet eradication targets in full click here.

Titjikala kids are learning how to keep their eyes – and faces – clean. Photo: Stephanie Boltje, ABC News.

Thrive by Five backs calls for funding guarantee

Minderoo Foundation’s Thrive by Five initiative supports calls made by the Secretariat of National Aboriginal and Islander Child Care (SNAICC), for the Federal Government to reinstate funding for Indigenous-led child and family centres across Australia. The Childcare Deserts and Oasis Report, recently completed by the Mitchell Institute, highlights that families located in areas defined as inner regional (42.6%), outer regional (62.6 %), remote (87.5%), and outer remote (79.9%) are more likely to be living in a childcare desert compared to families living in major cities. This lack of early learning and care is exacerbated in remote Aboriginal and Torres Strait Islander communities which is contributing to poorer outcomes for children.

To view the Minderoo Foundation media release Thrive by Five backs call to guarantee funding for Indigenous-led early learning and childcare click here.

Sector Jobs

Sector Jobs – you can see sector job listings on the NACCHO website here.

Advertising Jobs – to advertise a job vacancy click here to go to the NACCHO website Current job listings webpage. Scroll down to the bottom of the page to find a Post A Job form. You can complete this form with your job vacancy details – it will then be approved for posting and go live on the NACCHO website.

Wear it Purple Day

Wear It Purple strives to foster supportive, safe, empowering and inclusive environments for rainbow young people, with a focus on four key areas:

Awareness – We provide support and resources for Schools, Universities, Gender & Sexuality Alliances (GSA’s) and Youth Organisations to assist them in creating inclusive experiences for rainbow young people. We act as a source of resources to support the effective delivery of Wear It Purple Day in Schools, Universities, Workplaces and the broader community.

Opportunity – We provide meaningful opportunities for rainbow young people to develop their skills, expand their network and contribute to the inclusivity of their communities.

Environment – We provide supportive and safe spaces (digital and physical) and contribute to a world where young rainbow people feel proud of who they are.

Collaboration – We collaborate and unite with other organisations to further the inclusion of rainbow young people. Through partnerships, we support the effective delivery of Wear It Purple Day in Schools, Universities, Workplaces and the broader community.

An Australian Human Rights Commission article Brotherboys, Sistergirls and LGBT Aboriginal and Torres Strait Islander peoples, available here, describes how Brotherboys, Sistergirls and other LGBT Aboriginal and Torres Strait Islander peoples experience a number of significant and intersecting points of discrimination and marginalisation in Australia.

For more information about Wear it Purple Day click here.

 

NACCHO Aboriginal & Torres Strait Islander Health News: Community control will help CTG

Image in feature tile is of the Government of Western Australia WA Country Health Service Lombadina Djarindjin Clinic Boor Ambooryin Jirrar. Image source: Dampier Peninsula Police Twitter post 10 December 2021 welcoming the outstanding success by the crew at Djarindjin/Lombadina Clinic in achieving vaccination rates at approximately 94% 1st dose and 76% 2nd dose.

Community control to help CTG

Funded through the State-Commonwealth Health Innovation Fund and the Kimberley Aboriginal Medical Service (KAMS), the transfer of management from WA Country Health Service to KAMS will see Lombadina Djarindjin and Ardyaloon (One Arm Point) health clinics align with the National Agreement on Closing the Gap. The move is part of an eventual aim to establish an ACCHO to manage the services. Established in 1986, KAMS already supports eight independent ACCHOs in the Kimberley.

The transition of the health clinics is community-led and designed to improve access to culturally safe primary health care services to around 735 people living in the Djarindjin, Lombadina and Ardyaloon communities – which are accessed via Cape Leveque Road, about 220 kms north of Broome. WA Health Minister Amber-Jade Sanderson said, “Studies show that when Aboriginal and Torres Strait Islander people are in control of the decisions that affect their lives, they have better health and wellbeing.”

Kimberley Aboriginal Medical Services CEO Vicki O’Donnell said “The transition of the health clinics to an Aboriginal Community Controlled Health Organisation is an important step towards Closing the Gap and it reflects the strong partnership between KAMS, the community and the State Government.”

To view the WA Government media statement Community control of Aboriginal health clinics to help close the gap in full click here.

KAMS CEO Vicki O’Donnell OAM. Image source: CRANAplus.

Headway in reducing SIDS for mob

First Nations babies are three to four times more likely to die from Sudden Infant Death Syndrome (SIDS) or sudden unexpected death in infancy (SUDI) than non-First Nations infants. The long-awaited results of a joint research on safe-sleeping practices in First Nations families are now available. The study was conducted by Charles Sturt University, Flinders University, SA Health, the Aboriginal Health Council of SA (AHCSA), and the Women and Children’s Health Network (WCHN).

The Pepi Pod ® program trialled the use of the Pepi Pod ® – a plastic box that has been created to safely sleep infants either in or nearby the parents’ bed, in First Nations communities in SA. Associate Dean (Research) and Professor of Nursing in the Charles Sturt Faculty of Science and Health Professor Julian Grant said the research approach was well received and had a positive impact on increasing education on safe sleep practices in First Nations communities, “Over 91% of the families found that the Pod supported safe sleeping and was beneficial to their family unit overall.” 89% per cent of families found the Pod convenient to use and 97% want to keep the Pod to use with their next baby.”

Professor Grant said the Pedi Pod was more of a tool used to connect with First Nations families within the broader program of teaching safe sleep practices, “The Pod was more like a talking stick in that it enabled families to share safe sleep messages between generations and enabled health professionals, to demonstrate respect for cultural practices. The Pod served as a jumping-off point to have a broader conversation around safe sleeping practices in general.”

To view the Charles Sturt University article Culturally appropriate approaches make headway in reducing SIDS in First Nations families in full click here.

Image source: South Coastal Babbingur Mia Facebook page.

First Nations women head to Canberra

More than 50 First Nations women from across Australia have travelled to Canberra to learn about the federal political system while forming powerful networks at Oxfam Australia’s Straight Talk National Summit. Kicking off yesterday, the 5-day summit will see women from across the country gain invaluable insights into political processes and build on their skills to create positive change in their communities.

Executive Lead of Oxfam’s First Peoples Program and proud Wamba Wamba, Yorta Yorta, Dhudhuroa and Dja Dja Wurrung woman Ngarra Murray said the return of the summit after a three-year hiatus represented so much to First Nations women and communities, and is especially significant given Linda Burney’s appointment as the first Aboriginal woman Minister for Indigenous Affairs. “Aboriginal and Torres Strait Islander women from across the country have again gathered on Ngunnawal and Ngambri Country for Straight Talk; bound by a mutual commitment to empower their communities and to contribute to real, positive change for generations to come,” she said.

“The women will get the chance to sit down with Parliamentarians, develop more tools to engage with the political system and establish lifelong relationships. Most importantly, Straight Talk supports Aboriginal and Torres Strait Islander women to amplify their voices and realise their right to self-determination — ensuring that they have a seat at the table to make decisions about the things that directly affect their lives and communities.”

To view The National Tribune article Aboriginal and Torres Strait Islander women and community leaders head to Canberra for Straight Talk 15 August in full click here.

Executive Lead of Oxfam’s First Peoples Program and proud Wamba Wamba, Yorta Yorta, Dhudhuroa and Dja Dja Wurrung woman Ngarra Murray. Image source: IndigenousX website.

Urgent need to bridge rural health care gaps

Bridging social distance was the theme of the recently concluded 16th National Rural Health Conference, which focused on rural health innovation and collaboration to address the pressing issue of health care accessibility and disparities in health outcomes in rural and remote Australia. Hosted by the National Rural Health Alliance (the Alliance) in Brisbane from 2–4 August 2022, the Conference saw over 700 delegates from Australia’s health sector engaging in discussions on enabling better health services and facilities for people living in rural Australia.

The Alliance Deputy Chair Dr. Stephen Gourley said the overarching theme of the feedback was that “rural and remote communities are not just smaller urban communities but require different models of care and funding”. “The Alliance has two key policy platforms: a new National Rural Health Strategy and the Rural Area Community Controlled Health Organisations (RACCHO) model,” said the Alliance’s outgoing CEO Dr Gabrielle O’Kane. “Local community leadership and co-design, block funding and secure models of employment are core components of the RACCHO model and key to improving access to multidisciplinary primary health care in rural areas. We urge policymakers to take action,” she said.

You can read the National Rural Health Alliance media release 16th National Rural Health Conference calls for urgent action to bridge rural health care gaps in full click here.

Image source: NRHA Partyline on-line magazine.

Study into OAMS Youth Access Project

Aboriginal wellbeing has been a key area of the Centre for Rural and Remote Mental Health’s(CRRMH) translational research activities. Work included collaborative research in the development and/or evaluation of culturally appropriate projects, including Staying’ on Track, Go4Fun, We Yarn and the Orange Aboriginal Medical Service (OAMS) Youth Access Project.

The CRRMH is a collaborator in a study into the OAMS Youth Access Project, along with OAMS and researchers from the University of Sydney and Western Sydney University. The project aims to improve access and service delivery within OAMS for Aboriginal young people by providing an evidence base to inform service level changes and the development of an OAMS Youth Program.

Further details about the projects mentioned above are available on the Centre for Rural & Remote Mental Health Aboriginal Wellbeing webpage, available here.

Image sources: White Pages and dentist.com.au.

Second round AGPT 2023 intake

Broaden your horizons with the AGPT Program with the RACGP

Here’s your chance to start on a varied and rewarding career path as a GP. Applications for the 2023 Australian General Practice Training (AGPT) Program are now open until 11.59‌ PM AEST on Tuesday 30 August 2022.

With GPs at the frontline of primary healthcare during this recent pandemic, there are more opportunities than ever for a rewarding career in general practice – particularly those who choose to train in rural and remote Australia.

Get started on your application now by clicking here.

Funding for First Nations heart researcher

The Heart Foundation is offering an Aboriginal and Torres Strait Islander Award. This funding is expected to produce tangible outcomes with the potential of creating high-impact change in the Aboriginal and Torres Strait Islander cardiovascular health research community. Embedded within this project is a capacity building role for a research assistant, PhD student, or another student studying higher degrees. This role should be designed into the project and should be an introductory role in the field of cardiovascular research. The purpose of this role is to encourage more Aboriginal and/or Torres Strait Islander people into cardiovascular research.

You can access more information about the project on the Heart Foundation website here and you can listen to two recipients of the award speak about the benefits of the Award in the below video.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.