30 April 2021

The Healing Foundation recommends the impacts of intergenerational trauma be recognised & addressed across all parts of the health system, Aboriginal baby's hand in adults hand

Intergenerational trauma must be addressed

In its latest submission to the National Preventive Health Taskforce in response to the Draft National Preventive Health Strategy, The Healing Foundation is recommending that the impacts of intergenerational trauma be recognised and addressed across all parts of the health system. It is one of six key recommendations that underpin The Healing Foundation’s view that strategies that support those impacted by intergenerational trauma – conservatively, a third of Aboriginal and Torres Strait Islander peoples – can inform all strategies for First Nations peoples and lead to better outcomes for all. The Healing Foundation CEO Fiona Cornforth said that the continuing impact of trauma requires genuine steps to be undertaken to address trauma as an underlying cause of poor health.

To view The Healing Foundation’s media release click here.

red brown Aboriginal dot painting of outline of adult holding hand of a child

Image source: AbSec website. Image in the feature tile is from The Conversation.

NDIS IBSF grant applications close SOON

Attention NACCHO members! NDIS Ready Indigenous Business Support Funding (IBSF) grant applications are CLOSING SOON!

IBSF offers funding to eligible ACCHOs to help address:

  • basic establishment costs, and/or
  • business and technical challenges in registering and delivering services under the NDIS

Grants of $20,000 are available for up to 100 member ACCHOs.

ACCHOs have been contacted via email with information about the grants and how to apply. Applications close on Friday 14 May 2021.

Please contact the NDIS Ready team ndisready@naccho.org.au if you have any questions.tile text 'NDIS Ready Indigenous Business Support Funding Applications Closing Soon' Aboriginal art symbols yellow, teal, orange, navy

More GPs in rural areas

Increasing numbers of doctors are training to become GPs in regional, rural and remote areas, which will deliver significant benefits to patients and communities in the bush. The Australian Government’s 2021 Australian General Practice Training (AGPT) Program selection process has seen the largest number of acceptances – 1,434 doctors – in several years, more than 100 additional doctors than last year’s intake. Of these, the Australian College of Rural and Remote Medicine is allocated 150 training places, and the Royal Australian College of General Practitioners (RACGP) is allocated 1,350. Federal Regional Health Minister, Mark Coulton said almost 700 of these doctors will undertake their training in regional, rural and remote locations across the country.

To view the media release click here.

outback road with yellow road sign with words CLINIC100km

Image source: RACGP newsGP website.

Unique program key to rural GP recruitment

A unique national GP training program that enables doctors to gain their specialist qualification in General Practice – while living and working as a doctor in a First Nations, rural or remote community – has assisted the recruitment of an additional much-needed doctor for St George in Queensland.

Additional funding is enabling a key element of the program to be expanded to recruit more doctors to communities with significant medical workforce shortages. Funded by the Australian Government, Remote Vocational Training Scheme (RVTS) delivers General Practice and Rural Generalist training for medical practitioners in First Nations, rural and remote communities throughout Australia.

To view the RVTS media release click here.

torso of doctor in white coat hand on stethoscope around neck

Image source: Armidale Express.

NT youth justice reforms condemned

Today paediatricians, clinicians, lawyers and human rights experts have joined forces to condemn the NT Government’s plans to introduce some of the most punitive youth justice laws in the country and to re-open parts of Don Dale that were shut down after the Royal Commission. The NT Government’s proposal to make it harder for children to get bail, reduce access to diversion and impose electronic monitoring on young people prior to conviction has been condemned by medical and legal experts as dangerous and ineffective. The changes actively take a significant step back, bringing the Northern Territory back to the pre-Royal Commission days. John Paterson, CEO of Aboriginal Medical Services Alliance NT: “Continuing to detain children in Don Dale, a decommissioned adult prison that the Royal Commission recommended be shut, is a disgrace. It is inhumane, expensive and ineffective.”

To view the North Australian Aboriginal Justice Agency (NAAJA) , Change The Record, AMSANT and Danila Dilba Health Service joint media release click here.

youth in jail, torso and legs only all dark because photo taken in the shade

Image source: ABC News.

CATSINaM focus on racism in healthcare

As Aboriginal and Torres Strait Islander nurses and midwives gathered on Kaurna country in Adelaide this week, the focus was firmly on the importance of addressing racism in healthcare. It was the third event in the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) national conference series.

Gamilaroi man Dr Chris Bourke, Strategic Programs Director of the Australian Healthcare and Hospitals Association, presented the work he led (together with Professor Adrian Marrie), auditing SA’s Local Health Networks for institutional racism. This important work, done on behalf of the Health Performance Council, demonstrated high levels of institutional racism across South Australian state health services. Nine out of ten local health networks showed very high levels of institutional racism based on publicly available information.

To view the full Croakey article click here.

six paper dolls, 3 white, one dark brown, one tan hands joined in acircle on wooden surface

Image source: AMA website.

Monitoring cultural safety in health care

A new release from the Australian Institute of Health and Welfare: The Cultural safety in health care for Indigenous Australians: monitoring framework brings together available data to assess progress in achieving cultural safety in the health system for Indigenous Australians. The framework includes measures on culturally respectful health care services; Indigenous patient experience of health care; and access to health care services. The data are presented at the national, state and regional levels.

For further details click here.

5 Aboriginal people on country at dusk overlaid with text 'cultural safety' white font

Image source: SNAICC website.

Domestic and Family Violence Prevention Month

In Australia, violence perpetrated by an intimate partner is the cause of more illness, disability and death than any other factor for women aged 25–44 (AIHW, Family, domestic and sexual violence in Australia, 2018). Domestic and Family Violence Prevention Month is an annual event held each May to raise community awareness of the social and personal impacts of domestic and family violence and the support available to those affected. The key aims of the month are to:
  • raise community awareness of domestic and family violence and its impacts;
  • promote a clear message of no tolerance of domestic and family violence in Queensland communities;
  • ensure those who are experiencing domestic and family violence know how to access help and support;
  • encourage people who use abuse and/or violence to take responsibility for their abusive behaviour and seek support to change.

For more information about Domestic and Family Violence Prevention Month click here.

banner orange with purple arch divided into squares purple, lavender, orange, yellow, text 'we all play out part Domestic and Family Violence Prevention Month 2021; #endDFV #notnownotevertogether #DFVPM2021

29 April 2021

feature tile text 'Woolworths dumps plan for dan murphy's mega store after 5-YEAR battle with Aboriginal & health groups' & logo, vector drawing of Dan Murphy & text 'Dan Murphy's' with red cross through image

Woolworths dumps Dan Murphy’s mega store plan

Supermarket giant Woolworths has scrapped its long-running push to open a large-scale Dan Murphy’s outlet near Darwin’s airport, but has not ruled out a development at another location. The company said a review found Woolworths had not done enough to engage with Aboriginal groups concerned the store would worsen the region’s already high rates of alcohol-related harm. The outlet was to be built on airport land in Darwin’s northern suburbs, close to three dry Aboriginal communities.

The announcement was welcomed by Darwin’s Danila Dilba Aboriginal Health Service, which had launched a legal challenge to the development, calling on the Woolworths board to abandon the project. Chief executive Olga Havnen said she commended the company on its decision. “We think that’s the right thing to do and it was certainly more than just the lack of appropriate consultation. It actually goes to the question of public health issues, the public health concerns that we raised consistently and the potential for increased harm as a result of alcohol.”

Noelene Swanson, NT director of Save the Children, also welcomed Woolworths’ decision, saying it was the best outcome possible for children and their families in the territory. “It made zero sense to open a Dan Murphy’s megastore in the NT, especially so close to dry communities′ Ms Swanson said. “This shows the power of community advocacy and I’m very relieved that Woolies has listened to the people.”

You can read the ABC News article here; a related article in the Financial Review here. and a Joint Statement from the Foundation for Alcohol Research & Education (FARE), Aboriginal Medical Services Alliance Northern Territory (AMSANT), Danila Dilba Health Service and the Northern Territory Council of Social Service (NTCOSS) here.

Danila Dilba CEO Olga Havnen in blue Danila Dilba logo shirt stanind inside an office building near a very large glass window

Danila Dilba CEO Olga Havnen. Image source: ABC News website.

RHD cases continue to grow

A report released today by the Australian Institute of Health and Welfare has shown that the burden of acute rheumatic fever (ARF) and rheumatic heart disease (RHD) continues to grow in Australia. RHD is rare in most high-income countries yet in Australia it persists in Aboriginal and Torres Strait Islander peoples, causing grief and heartache for many families and communities.

RHD is a consequence of ARF, stemming from an abnormal immune reaction to untreated Group A streptococcal (Strep A) infection in the throat or on the skin. The report shows that the rate of definite or probable ARF notifications from health services increased from 67/100,000 in 2015 to 81/100,000 in 2019. The data for the report, drawn from Queensland, Western Australia, South Australia, Northern Territory and New South Wales from 2015 to 2019, also highlights that Aboriginal and Torres Strait Islander people accounted for 81%, or 4,337, of all RHD diagnoses during that same time.

To view the RHDAustralia and Menzies School or Health Research media release click here, and to view a summary and analysis of the April 2021 Australian Institute of Health and Welfare (AIHW) report into rates of ARF and RHD in Australia click here.

small Aboriginal boy pretending to listen to heart of adult woman with Aboriginal girl & rack of dress-ups in the background

Image source: Menzies School of Health Research website.

Top 3 COVID-19 vaccine questions

The Australian Government Department of Health (DoH) have released a video of Professor Alison McMillan answering the top 3 questions asked on the DoH’s social accounts. You can view the video here.YouTube title page text 'Your top 3 questions answered Chief Nuring and Midwifery Officer, Professor Alison McMilan' with photo of Prof McMilan in checked blazer, blue background with COVID-19 virus cell

Deaths in custody deserves multifaceted response

Both the Federal Government and the Opposition have announced funding regarding Indigenous deaths in custody, spurring hope for a multifaceted national response which addresses the impact of the criminal justice system on First Nations people. Last week the Morrison Government announced an investment of $2.4 million across three years to create a new Custody Notification System (CNS) in SA as of July 1 this year and a funding increase of over $724,000 for the NT and Victorian services.

The CNS is a 24/7 phone line that is mandatory for police to use when a First Nations person is taken into custody. It provides access to health and welfare checks and access to legal services. “With contemporary knowledge of police processes and experience in providing crisis support, Custody Notification Services delivered by Aboriginal Legal Services are a proven way to reduce the risk of a death occurring in custody,” said Minister for Indigenous Australians Ken Wyatt.

To view the article Indigenous deaths in custody deserves multifaceted response in the National Indigenous Times click here.

protest march female & male wearing covid-19 maskes with banner in background of Aboriginal flay overlaid with words 'stop Aboriginal Deaths in Custody'

Image source: Sydney Criminal Lawyers website.

Ask a Pharmacist Sessions

NPS MedicineWise is running a series of ‘Ask a Pharmacist’ sessions on the topic of Opioids. These use existing NPS MedicineWise platforms and are being promoted on the NPS MedicineWise Facebook page. The ‘Ask a Pharmacist’ sessions provide an opportunity for consumers to ask their medicines questions via Facebook, for these to be answered by specialist pharmacists. Responses may include links to relevant online resources, suggestions to call the NPS MedicineWise telephone line services, or referral to another appropriate health service provider.

The pharmacists provide evidence-based information about opioids, their safety profile, side effects and interactions with other medicines and health conditions. Responses provided as part of these sessions aim to inform consumers about medicines, offer reassurance where appropriate and direct consumers to trusted sources of information including the NPS MedicineWise Medicine Line and AME Line telephone service.

Upcoming sessions will be active for one week starting:

  • Session 4: 3 May 2021
  • Session 5: 24 May 2021
  • Session 6: 14 June2021

The theme for Session 4 starting on Monday 3 May will be Reducing the risk of harms associated with opioids. Themes for other sessions will be advised at a later date.banner man with tie, white shirt grey pullover jumper, black belt, grey pants, text 'Ask a Pharmacist about Opioids - NPS MedicineWise'

Racism declares a serious health threat

The United States’ leading public health agency, the Centres for Disease Control and Prevention, has recently declared racism to be a “serious public health threat” that must be a critical focus of its work. In here article United States public health agency declares racism a serious health threat. Meanwhile, in Australia… Marie McInerney says this declaration contrasts with continuing muted responses from the Australian Government. Instead, ‘the Australian health system’s Black Lives Matter moment is best characterised as indifferent; a ‘business as usual’ approach that we know from experience betokens failure’.

To view the Croakey article in full click here.

drawing of multiple head silhouettes in different colours white, drawn brown, brown, peach overlaying each other superimposed with th transparent thick white cross

Image source: TED Recommends website.

Telehealth needs to stay

The Government’s decision to extend Medicare-funded telehealth for GPs and non-GP specialists until the end of the year is welcome but is a missed opportunity to enshrine telehealth as a permanent feature of the Australian health system in a form which has greatest benefit for our vulnerable and hard-to-reach communities, AMA President, Dr Omar Khorshid, said today.

“The existing COVID telehealth items were designed specifically to respond to the pandemic, which, as the recent lockdown in Perth illustrates, is far from over,” Dr Khorshid said.

To view the AMA’s media release click here.

vector image laptop with white coated doctor reaching through the screen writing on a clipboard, either side of laptop is stethoscope, pill bottle, pen holder, thermometer & mobile phone

Image source: Musculoskeletal Australia website.

Cultural supervision research scholarship

The University of Sydney is offering a $20,000 postgraduate research scholarship in cultural supervision. The scholarship is to support Aboriginal or Torres Strait Islander PhD students at the Faculty of Medicine and Health. For further information, including how to apply for the scholarship click here.Sydney University logo vector image of lion against red rectangle & blue cross with yellow star on each cross end with open book in the middle inside yellow outline of a shield, text 'THE UNIVERSITY OF SYDNEY' & photo of sandstone uni building seen from arched sandstone walkway

21 April 2021

feature tile text 'pandemic health restrictions retrigger trauma for some Stolen Generations survivors' slide from The Healing Foundation video, black line drawing of Aboriginal person holding a pink cracked heart

Pandemic restrictions retrigger trauma

New research released by The Healing Foundation shows that the strong and necessary public health restrictions introduced to contain the COVID-19 pandemic in Australia since early 2020 retriggered trauma for some Stolen Generations survivors. The research data suggests an increased and heightened sense of vulnerability; significant disconnection from family, community, and country; and significant impacts on mental health and wellbeing among an already vulnerable cohort of people.

The Healing Foundation CEO Fiona Cornforth said the research results will assist governments and authorities in future pandemic planning to build on Australia’s world-leading public health efforts to ensure the most vulnerable in the community are protected. “The excellent work of the Aboriginal and Torres Strait Islander Advisory Group on COVID-19 – as part of national efforts guided by the National Cabinet – ensured that infection rates were very low in Aboriginal and Torres Strait Islander populations,” Ms Cornforth said.

To view The Healing Foundation’s media release click here,

black & white collage of 40 portrait shots of Stolen Generations survivors

Image source: Creative Spirits.

ACCHO program reduces recidivism

Tyrone Walter says the Ngudjoong Billa program has put him on a better path. He’s recently completed the 20-week program and said it has helped him get his white card and feel a greater connection to his Aboriginal culture. And now his eyes are set on joining the Army. During its demonstration phase, the program has helped 73 young Aboriginal people reintegrate and transition out of the juvenile justice system. All of those who completed the 20 week program did not re-offend during that time.

Started in 2017, and delivered in partnership between the South Coast Medical Service Aboriginal Corporation (SCMSAC) and the Department of Communities and Justice, the program provides a consistent support network for Aboriginal children exiting custody on the South Coast.

Jordan said Tyrone had gained a lot of confidence from the program which had helped him with his mental health. Jordan said Tyrone was lacking motivation at the start of the program because of his lifestyle choices with drugs and alcohol. But through a slow and intensive approach with a particular focus on strengthening Tyrone’s cultural identity and building his connections to family, community and country, Tyrone is now off drugs and has been for a while.

To view the full article click here.

Tyrone Walter standing between his caseworker Jordan Farrell, and the Minister for Families, Communities and Disability Services Gareth Ward

Tyrone Walter standing between his caseworker Jordan Farrell, and the Minister for Families, Communities and Disability Services Gareth Ward. Image source: South Coast Register.

Facts about COVID-19

In a short video Dr Mark Wenitong, a GP in Indigenous health for 25 years, reminds us to get information about COVID-19 vaccines from trusted sources. You can access the video including a transcript here.

slide from YouTube clip, Dr Mark Wenitong, text 'Dr Mark Wenitong - Find out the facts about COVID-19 vaccines, Hi, it's Dr Mark here. Dr Mark Wenitong Aboriginal GP and Public Health MO

Suicide prevention roadmap

Suicide is the most common cause of death in Australians aged 15–44 years – more common than deaths from motor vehicle accidents or skin cancer (Aleman & Denys 2014). Over 2,500 people die from suicide in Australia each year and more than 65,000 make an attempt.

The Final Advice of the National Suicide Prevention Adviser, announced today, paves the way for a clear roadmap for reform. In particular, the recommendation to establish a National Suicide Prevention Office has the potential to create a significant enhancement of suicide prevention and in turn, save lives. Suicide Prevention Australia, the national peak body for suicide prevention, is urging Governments across Australia to use the findings of the report to drive down suicide rates. Suicide Prevention Australia CEO, Nieves Murray, said, “the Final Report of the National Suicide Prevention Adviser has the potential to be a game changer for suicide prevention in Australia. Immediate uptake of the key recommendations is critical to enable real reform that will save lives.”

To view the Suicide Prevention Australia’s media release in full click here.

painting of grey puzzle pieces, missing piece in the centre shows blue sky & white clouds

Image source: Australian Psychological Society website.

Child protection and adolescent self-harm

A history of child maltreatment is known to elevate the risk of self-harm in adolescence. However, until a recent study this link had not been investigated for Aboriginal children who experience a greater burden of both. This study Patterns of child protection service involvement by Aboriginal children associated with a higher risk of self-harm in adolescence: A retrospective population cohort study using linked administrative data confirms a higher risk of self-harm in adolescence is associated with child maltreatment, especially in middle childhood and concludes that addressing the intergenerational trauma in Aboriginal families is crucial to preventing child maltreatment and informing reforms to child protection responses that can better identify and address the culturally-specific unmet needs of Aboriginal families.

To read the research paper click here.

back of child leaning against outside of railing arms outstretched on the railing over-looking a riven, image in black & grey

Image source: ABC News website.

Cultural training in health services survey ENDS SOON

The Australian Commission on Safety and Quality in Health Care (the Commission) has developed a short survey to gain an understanding of the type and level of cultural safety training currently being undertaken by health service organisations. The Commission is committed to ongoing and evolving culturally safe practices, which are developed in consultation with, and determined by, Aboriginal and Torres Strait Islander communities.

The NSQHS Standards define six actions that specifically meet the needs of Aboriginal and Torres Strait Islander peoples. One of the six actions states: “The health service organisation has strategies to improve the cultural awareness and cultural competency of the workforce to meet the needs of its Aboriginal and Torres Strait Islander patients.” The Commission is calling on feedback to assist in the development of resources to strengthen cultural safety training and support services in implementing this action.

Click here to complete the survey for your organisation. The survey is open until Friday, 23 April 2021, and takes up to 10 minutes to complete.

You can read more about the survey here.

torso of healthcare professional with blue scrubs & stethoscope with hands over patient's hand

Image source: NursingCE.com website.

Stop it at the Start campaign

The Stop it at the Start campaign encourages adults to positively influence the attitudes and behaviours of young people aged 10–17 by role modelling positive behaviour, calling out disrespect and starting conversations about respect. It aims to unite the community around positive actions everyone can take to break the cycle of disrespect, and ultimately, violence against women.

Community influencers and campaign supporters Kristy Masella, Andy Saunders, Renee Thomson, and Sean Choolburra share a common message—even the simplest, smallest actions can make a big difference for young people, and for our community.

To access a range of Stop it at the Start resources released earlier this week click here. Please note, in this document the link for the Sean Choolburra & his daughter Tyra – Tips on how to speak up when you see disrespect video does not work, this link does.

To view the Australian government’s Unmute yourself – speaking up to end violence against women media release in full click here. and to access an editorial from Darumbal woman Kristy Masella, campaign supporter for the Stop it at the Start campaign click here.

Kristy Masella campaign supporter for the Stop it at the Start campaign, leaning against a brick wall smiling at the camera, blurred background of city street, text 'when it comes to talking to my daughters about respecct, I often draw on personal examples of things I've experienced or reflected on myself. I talk abou the disrespectful behaviours that I accepted at times in my life or thought were normal. Violence against women Let's Stop It at the start. For tools and resources visit respect.gov.au

Sexual wellbeing – what we do well

A recent research project, Fostering the sexual wellbeing of Aboriginal young people by building on social, cultural and personal strengths and resources has looked at how urban Aboriginal young people foster sexual health and wellbeing for themselves and others. The project purposely sought to adopt a strengths-based approach by identifying the resources and capacities of Aboriginal young people to minimise harm and promote health.

More specifically, the project aimed to explore the community resources that Aboriginal young people access to help them make positive sexual choices, inform their understandings of sexual health and relationships, manage their sexual wellbeing, and engage with health promotion and health care services. The research will provide health services and policymakers with insightful new knowledge to better support young urban Aboriginal people and their communities.

For further information on the project click here.

rear view of two Aboriginal youth walking down a road in Redfern, derelict terrace houses & entire wall painted with Aboriginal flag & graffiti

Image source: The Sydney Morning Herald.

Healing Foundation CEO – National Press Club

The Healing Foundation CEO Fiona Cornforth will be addressing the National Press Club in Canberra on Wednesday 2 June 2021. Fiona will be releasing The Healing Foundation’s “Make Healing Happen: It’s time to act” report. The report sets out a plan with recommendations to achieve real and lasting healing for Stolen Generations Survivors and to promote intergenerational healing. The address will be televised live on ABC TV.

The details of the event are here.

banner for National Press Club of Australia event Fiona Cornforth CEO of the Healing Foundation "Make Healing Happen: It's Time to Act"' & portrait shot of Fiona Cornforth

19 April 2021

feature tile text ' Lowitja Institute report offers blueprint for embedding cultural determinants of health in policy & practice

Embedding cultural determinants in health policy

A new report published by Lowitja Institute provides a blueprint for placing culture at the core of policies affecting Aboriginal and Torres Strait Islander peoples, showing how the cultural determinants of health can be implemented into policy and practice.

Lowitja institute CEO Dr Janine Mohamed said the report Culture is key: towards cultural determinants-driven health policy outlines how culture is a protective factor for health and wellbeing and needs to be integrated and valued within health policy frameworks and programs, and also in broader government policies. “For Aboriginal and Torres Strait Islander peoples, the cultural determinants are an essential part of our identity and are protective factors of health and wellbeing, anchored in ways of knowing, doing and being that have continued for tens of thousands of years,” she said. “However, this holistic concept of health is often neglected in government approaches to our health and wellbeing because it does not align with dominant culture or western perspectives and is not understood or fully appreciated by policymakers,” she said.

Dr Mohamed said the new Closing the Gap National Agreement and the National Aboriginal and Torres Strait Islander Health Plan refresh offer a unique window of opportunity for the government to invest in cultural determinant-driven whole-of-government policy.

To view the Lowitja Institute’s media release in full click here.

Lowitja Institute is hosting a webinar on Thursday 29 April 2021 to support the release of the report. For more details or to register for the webinar, click here. For more information about the report or to arrange an interview with Dr Janine Mohamed, please contact Amy Hofman on 0405 114 930.

young Aboriginal girl Allorah Saunders with face paint, wearing t-shirt with Aboriginal flag, hanging from a bar, head half concealed by her arm

Allorah Saunders, whose health care is provided by the Tharawal Aboriginal Corporation Medical Service in western Sydney. Photo: Steven Siewert. Image source: Oxfam Australia.

Mental health and suicide prevention interim report

The House Select Committee on Mental Health and Suicide Prevention (the Select Committee) has released its interim report. The Committee’s interim report includes an update on the Committee’s activities to date, and emerging themes identified through recent reports into Australia’s mental health system and engagement with the Productivity Commission, National Mental Health Commission and Department of Health.

Chair of the Committee, Dr Fiona Martin MP, said ‘The interim report provides a snapshot of the breadth of work underway on mental health and suicide prevention. It also identifies some areas that the Committee feels need further examination as the inquiry progresses. These areas include the divide between public and private mental healthcare, coordination and funding of mental health services, affordability, the growth of telehealth and digital services in response to COVID-19, and the role of professional bodies in advocating for, regulating and supporting the workforce.’

To view the media release in full click here.

drawing of a bust sliced into 7 sections, inside of slices is red, outside of slices are white, reflected on black surface, dark grey background

Image source: The Medical Journal of Australia.

The Hon David Coleman MP, Assistant Minister to the Prime Minister for Mental Health & Suicide Prevention delivered a speech at the Suicide Prevention Australia Symposium 2021 earlier today in which he released the National Suicide Prevention Adviser’s final advice.

pile of 4 lots of paper with dog clips on desk, potted plant blurred in background

Image source: The Mandarin.

Change makers create future they want

“We can all be superheroes, we can save the world, we’ve just got to care enough to do it,” says JK-47, the 23-year-old rising star of Australian rap on what he is trying to communicate through his music. He is one of the passionate change makers who answered the call the ABC put out for young people to tell them how they are coping with a world that is increasingly scary.

It is hard not to feel disempowered in the face of stories about climate change, racism, new wars, and now global pandemics — particularly when you are young. However, the teenagers and 20-somethings featured in the article have discovered a way to create the future they want to grow into.

To view the full ABC News article click here.

black & white photo of rapper JK-47's face with white paint lines, fingers raised to face against trunk of a gum tree

JK-47’s debut album Made For This features lyrics about the daily injustices First Nation people face. Photo: Kiarney Mulyono. Image source: ABC News website.

Healthy sexual relationships campaign

WA’s new HealthySexual campaign is all about preventing, testing, treating and talking to minimise the personal and social impact of sexually transmitted infections (STIs). With outbreaks of infectious syphilis occurring in metropolitan, regional and remote parts of the state and notifications rising over the past five years, it’s a timely reminder to be aware of and talk about sexual health.

In 2020, notifications of infectious syphilis in WA were 26% higher than the previous year. The Department of Health’s Sexual Health and Blood-borne Virus Program Manager, Lisa Bastian said outbreaks of STIs over much of the state had placed populations at risk and prompted a more mainstream prevention campaign for the general community. She said an outbreak that started in the Kimberley region in June 2014 had spread to the Pilbara in February 2018 and the Goldfields in January 2019.

To view the Government of WA Department of Health’s media release click here.

banners from WA Healthy Sexual Campaign text 'anyone can be a Healthy Sexual, Talk, Test, Protect, When you look after yourself, you look after all of us' talk has a photo of a girl with glasses & very broad smile, test has a photo of a man with eyeshadow with hands holding rainbow coloured braces, protect has bald man with goaty beard & hawaiian shirt, last slide has a young smiling woman with long wavy golden hair

Image source: Government of WA Department of Health.

Deaths in custody, every family has a story

A detective visited the parents of a young Aboriginal man; a warrant had been issued for their son’s arrect. ‘We’re going to get your son; he’s going to be locked up,’ the detective told them. ‘But if you get him to come around now, I can guarantee you that the arrest will be a non-eventful process. He won’t be harmed; we’ll put him into custody, he’ll serve his time and then he can get on with his life.’

The request went against their instincts, but the parents agreed. When their son arrived, however, the promise fell through. ‘They grabbed him, ruffed him up and smashed him into the fence, causing a head injury,’ Professor Peter O’Mara, a Wiradjuri man and Chair of RACGP Aboriginal and Torres Strait Islander Health, told newsGP. ‘That young man then went into the system. Approximately one week later, he died.’

To view the newsGP article in full click here.

Aboriginal flag billowing in the wind

On average, one Aboriginal life is lost in custody every three weeks. Image source: newsGP.

Stan Grant has written an in-depth analysis of the reasons for Aboriginal deaths in custody in his article Aboriginal deaths in custody reflect the poor health of Australia’s democracy. His article begins with some frightening statistics ‘3% of the population comprise nearly 30% of those behind bars. Look closely and it becomes even more alarming. In WA, 40% of prisoners are Indigenous. In the NT, it is more than 80%. Among youth it is even worse. Half of all children in detention nationally are Indigenous. In the NT, more than 90% of all juveniles detained are black.’

‘Despite the recommendations of the royal commission, we are going backwards. The number of Indigenous people imprisoned has increased 100% in the past three decades. Since 1991, more than 400 Indigenous people have died in custody. Thirty years after the royal commission, things are worse.’

To read Stan Grant’s article click here.

white banner with text in red '30th anniversary' text in black 'roayl commission into Aboriginal deaths in cutody' red text '1991:99 lives; 1991-2021: 500 lives' yeallow text on black separate placard ' Australia is a crime scene under the crown'

Banners at the black deaths in custody Photo: Mitch Abram. Image source: ABC News website.

Young people staying away from jail

Corrie Bell didn’t think he’d make it to his 28th birthday. He’d been taken away from his parents at the age of 15 and didn’t have a lot of hope. “All my life I’ve been living in prison… mentally and emotionally, you know feeling caged in and trapped,” he said. Corie’s a Ngunnawal Kamilaroi man from Campbelltown in south-west Sydney. He told Triple J Hack he had a really rough childhood. “Drugs, alcohol, crime, domestic violence… was very frequent within my family home,” Corie said.

Corie says what he really needed as a kid to keep him out of trouble was stability and guidance from positive role models. Instead he had cops following him, dealers for mates and a bunch of trauma he was trying to drown out. By 18, Corie was sent to jail for robbery and reckless wounding. He says he was so drunk he didn’t even realise where he was.

To view the Triple J HACK article What do young people need to stay away from jail? in full click here.

Uncle Glen from The Glen Centre with white face paint standing in front of 9 men, 8 with faces & chests painted with white paint & one with a black t-shirt & white paint on his forehead

Uncle Glenn (front) says ‘The Glen Centre’ adopts a holistic approach to rehabilitation, with a focus on integrating Indigenous culture and spirituality. Image source: ABC News website.

In a related story, Amnesty International Australia have expressed disappointment that the Committee charged with investigating the proposed youth justice amendments in Queensland has recommended the amendments pass, despite its own report being full of evidence that they will do nothing to address youth crime. The youth justice amendments seek to take a punitive approach to young children who often have complex needs the justice system is ill equipped to address, and which ultimately condemn these kids to life in the quagmire of the criminal justice system. Amnesty International Australia Indigenous Rights Campaigner Maggie Munn gave evidence at the committee hearings.

To view Amnesty International Australia’s media release click here.

two Aboriginal youths in Darwin Don Dale Juvenile Prison

Youth detained in a Darwin prison. Image source: ABC News website.

16 April 2021

feature tile text 'Joint Council agrees to accelerate collective efforts to reduce overincarceration of Aboriginal and Torres Strait Islander people' & photo of an Aboriginal man's hands through prison bars

Acceleration of efforts to reduce overincarceration

The Joint Council on Closing the Gap met today and acknowledged the 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody and agreed that joined up work between all governments in partnership with Aboriginal and Torres Strait Islander representatives is critical to reducing the rate at which Indigenous people are incarcerated, and thereby reduce deaths in custody. Given the urgency and enduring nature of this issue Joint Council agreed to the high priority of accelerating the critical work to establish a Policy Partnership on Justice with the aim of reducing youth and adult incarceration.

Patricia Turner AM, Lead Convener of the Coalition of Peaks said “It’s vital that governments, in partnership with Aboriginal and Torres Strait Islander representatives, are taking urgent and decisive steps to address the overincarceration of our peoples. For the first time, Aboriginal and Torres Strait Islander representatives will be at the table with Ministers, Attorneys’-General, government officials, corrections, policing, housing and health under a formal shared decision making arrangement.”

To view the Coalition of Peaks media release click here.

protest march with placard of Aboriginal flag overlaid with text 'most incarcerated people on earth'

Photo: Getty. Image source: BBC News website.

Aboriginal people still dying in custody

Aboriginal man David Dungay Jr died in a Sydney prison cell in 2015 after officers restrained him to stop him eating biscuits. During the struggle, he was pinned face-down by guards and jabbed with a sedative. Video later shown at his inquest captured his final moments: his laboured breathing and muffled screams under the pack of guards. “I can’t breathe,” he yelled repeatedly.

His case has parallels to that of African-American man George Floyd, whose death triggered global protests against racism and policing in the US. The Black Lives Matter movement also threw a spotlight on Australia’s own incarceration of indigenous people and their deaths in custody.

This week marks 30 years since a landmark inquiry into Aboriginal deaths in custody. The royal commission made hundreds of recommendations to address the crisis. But three decades on, the situation has worsened. Central to the problem is overrepresentation. Indigenous people are about 12 times more likely to be in custody than non-indigenous Australians.

That reality, a product of systemic problems and disadvantage faced by Aboriginal people, has prompted fresh anger over a lack of action. “The system is continuing to kill us and no one’s doing anything about it,” Paul Silva, the nephew of David Dungay Jr, said at a rally this week.

To view the BBC article in full click here.

2 young Aboriginal women BLM protestors, one with t-shirt Always Was Always Will Be holding up hands covered in red paint to indicate blood, other woman holding Aboriginal flag behind her with raised arms, t-shirt with text black' and Aboriginal flag broken into 4 horizontal rectangular segments

Photo: Getty: Image source: BBC News website.

Deaths in custody and intergenerational healing

The Healing Foundation CEO Fiona Cornforth spoke with Dan Bourchier, ABC Radio 666 Canberra ‘Afternoons’ yesterday about the 30-year anniversary of the Royal Commission into Aboriginal Deaths in Custody and intergenerational healing.

Fiona Cornforth said “it is an important time to do that reflecting. Though it’s something we carry every day, I think, as Aboriginal and Torres Strait Islander peoples. Unfortunately, we’re at a point now where we’ve lost hope in recommendations being fully implemented, despite all our voices being in these reports over time and people being generous and courageous to put forward their stories, time and time again. Where the solutions are in community, the solutions are given up as important by those with lived experience. But the powers that be and the complex system, the incarceration system, and all the service providers, the big web just can’t seem to get these recommendations out of the too hard basket.”

You can view a transcript of the interview here.

Aboriginal adult hand with small Aboriginal child's hand holding one of the fingers

Image source: Parks Australia website.

NDIS independent assessments on hold

The Morrison government has decided to delay introducing mandatory independent assessments (IAs) for the National Disability Insurance Scheme (NDIS), in a move strongly welcomed by disability groups.

New NDIS Minister Linda Reynolds said earlier this week that she would not be making any decisions around in IAs legislation until an IA trial was finished and the government could examine the feedback. While people currently need to get reports from multiple health providers of their choosing to assess their NDIS eligibility, the new mandatory assessments will be conducted by NDIS-appointed healthcare professionals using standardised tools.

The decision to introduce IAs has been met with overwhelming opposition from disability advocates, who say the process does not adequately capture the complexity of a person’s support needs and will lead to unfair outcomes for people with disability. Reynolds acknowledged the “significant feedback” IAs have already received, and said she would be consulting across the country with as many stakeholders as she could. Disability groups – who feared people would disengage from the scheme entirely because of their unwillingness to engage with IAs – strongly welcomed the minister’s comments.

To view the Pro Bono Australia article in full click here.

rear view of seat and wheel of a wheelchai

Image source: Pro Bono Australia News website.

The more that have the vaccine, the safer we’ll be

NACCHO CEO and lead convenor of the Coalition of Peaks, Pat Turner and NACCHO Deputy CEO, Dr Dawn Casey received their first AstraZeneca vaccines at Winnunga Nimmityjah Aboriginal Health and Community Services last week. “The more people have the vaccinations, the safer we will be,” said Pat. “We’ve managed to keep our community free of any deaths from COVID-19 to date and we want to continue that outstanding record.”

Contact your local Aboriginal Community Controlled Health Organisation or GP to find out when you can receive your vaccine and to ask any questions you may have. To view the  Pat Turner’s video click here.

photo of Pat Turner receiving vaccine, text 'NACCHO CEO & Lead Convenor of the Coalition of Peaks PAT TURNER'

Review of kidney transplant wait-listing

Research has confirmed poor access to wait-listing for kidney transplantation for Aboriginal and Torres Strait Islander Australians from the NT. The study found causes of delays to wait-listing included: failure to attend appointments due to competing priorities and communication barriers, access and navigating complex pathways to specialist services, transport, co-morbidities requiring multiple tests and multiple specialty services, and pressures on dialysis and hospital bed capacity.

The study concluded that barriers to wait-listing for kidney transplantation for Aboriginal and Torres Strait Islander Australians are complex and can be addressed by redesigning healthcare provision, including increasing the Aboriginal and Torres Strait Islander workforce to provide education and patient navigation of the healthcare system and improve communication, streamlining investigations and coordinating specialist services.

To view the full research paper here.

health professional in green gown, green rubber gloves holding white box with red text ' HUMAN ORGAN FOR TRANSPLANT' against surgical theatre background

Image source: Renal and Urology News.

Lessons from subsidised spectacles scheme

A study has been undertaken to determine what lessons can be learned from the Victorian Aboriginal Spectacles Subsidy Scheme (VASSS). The VASSS, which started in July 2010 and has operated continually since, aims to improve access to visual aids and eye care for Aboriginal and Torres Strait Islander Victorians.

An estimated 10,853 VASSS cofunded visual aids were delivered over the first 6 years of the scheme. During that time the mean annual number of comprehensive eye examinations provided within services using VASSS grew 4.6-fold faster compared with the 4 years preceding the VASSS. VASSS achievements were attained through collaborations, flexibility, trust and communication between organisations, all facilitated by funding resulting from evidence-based advocacy.

Access to visual aids and eye examinations by Aboriginal Victorians has improved during the operation of the VASSS, with associated direct and indirect benefits to Aboriginal health, productivity and quality of life. The success of the VASSS may be replicable in other jurisdictions and provides lessons that may be applicable in other fields.

To view the full research paper click here.

Aboriginal man wearing eye test equipment spectacles

Image source: Optometry Australia website.

15 April 2021

feature tile text '30 years on from Royal Commission report Aboriginal deaths in custody a national shame' transparent Aboriginal flay overlaying Aboriginal hands holding jail bars

30 years on, deaths in custody a national shame

Today marks the 30th anniversary of the of the Report of the Royal Commission into Aboriginal Deaths in Custody (RCIADIC) and numerous stakeholder organisations have released statements condemning the continued failure of governments to implement all of the report’s recommendations.

The Partnership for Justice in Health (P4JH) said it stands in solidarity with the grieving families and communities of loved ones who have died in custody due to a failure of governments to effectively implement the clear and comprehensive recommendations outlined in the RCIADIC report. The P4JH said all levels of government must reflect on the loss and grief that could have been prevented had they acted on the recommendations as a matter of priority in 1991 and in the years since. “We are sending our strength to those families and friends whose grief and trauma is compounded by that continued failure of Australian governments to act with resolve and commitment,” said the P4JH co-chairs Dr Janine Mohamed, CEO of the Lowitja Institute and Karl Briscoe, CEO of the National Association of Aboriginal and Torres Strait Islander Health Workers and Practitioners (NAATSIHWP). To view P4JH’s media release click here.P4JH logo

Indigenous Allied Health Australia (IAHA) released a statement acknowledging the deep loss and grief of families and friends whose loved ones have passed away while in custody, both before and since the RCIADIC report. IAHA said ‘we are at our best when we go beyond empathy and act to reduce the causes of that grief and loss. We must do that now.’ IAHA called for the full implementation of the RCIADIC report’s recommendations. To view the IAHA’s media release click here.IAHA logoThe Australian Indigenous Doctors’ Association (AIDA) said that ‘Aboriginal deaths in custody continue to occur to this day – and the over-representation of our people in custody – is a national travesty. This is an abject failure of Australian governments. Aboriginal and Torres Strait Islander people suffer unacceptably high levels of physical illness, mental illness and suicide. There is ample evidence that grief, stress and trauma make us sick and incidents such as ongoing deaths and over-representation – further add to the burden of health and disadvantage. Racism and unconscious bias – institutional, systemic and individual – is an unacceptable fact of life for Aboriginal and Torres Strait Islander people. Culturally safe services can support service providers to confront and understand cultural difference and deliver effective and safe services to our people.’ AIDA called on all governments to accept, and to address racism and unconscious biases that are embedded in police, prison, legal and health systems. To view AIDA’s media release click here.AIDA logoThe National Native Title Council (NNTC) similarly said that three decades on from the RCIADIC report the rate of Indigenous incarceration and deaths in custody continues to be one of our country’s greatest shames. The NNTC referred to research from The Guardian that found Indigenous peoples who died in custody were “more likely to not have been charged with any crime” and were “three times more likely to not receive all required medical care, when compared to non-Indigenous people”. The Royal Commission made 339 recommendations, of which more than one hundred have not been implemented. To view the NNTC’s media release click here.National Native Title Council logo

Change the Record says it is a national shame that in the three decades since the RCIADIC report, state, territory and Commonwealth governments have failed to implement the majority of the report’s recommendations – and as a result ‘our people are still dying at horrendous rates.’ To view the Change the Record’s media release click here.Change the Record logo

Human Rights Watch agreed that the Australian government’s continued failure to address Indigenous deaths in custody tarnishes the country’s rights record and global standing. To view the Human Rights Watch article click here.

Oxfam Australia Chief Executive Lyn Morgain said: “Today is a historic and shameful day for our nation. Thirty years ago, the landmark report of the RCIADIC revealed the full extent of the danger that our justice system presents to First Peoples, and laid out the path we needed to take to make things right. Thirty years on, and things are much worse – with incarceration rates of Aboriginal and Torres Strait Islander people more than doubling in relative terms. Our leaders have been missing in action on this issue. They have failed to implement many of the report’s 334 recommendations, and they have failed to show care and compassion for First Peoples by changing an unfair and unjust system.” To view Oxfam Australia’s media release click here.OXFAM Australia logo

Thirty years ago Robert Tickner AO, the Aboriginal Affairs Minister in the Hawke government, presented the RCIADIC report to the national Parliament. Now as the Chair of the Justice Reform Initiative he said “It is to our great shame that 30 years later, we have progressed so little. We cannot wait another 30 years for real change.” The report made 339 recommendations, including that imprisonment should only occur as a last resort. This recommendation was adopted by all Australian Governments including by every State and Territory Government from all political persuasions. This support was given on the back of incontestable evidence that jailing was failing Aboriginal people. To view the media release click here. Justice Reform Initiative logo

Cairns ACCHO gives students a strong start

Commencing on 22 April, six students in Year 11 from Bentley Park College and Trinity Bay State High School, will start a school-based traineeship at Wuchopperen Health Service (Wuchopperen) to kickstart their health career with 100% Indigenous owned and operated Group Training Organisation, Australian Training Works Group (ATW), leading the recruitment drive.

The Aboriginal and Torres Strait Islander Traineeship Program, ‘Strong Start’, will give Indigenous youth a head start, achieving a nationally recognised qualification and on the job training while completing year 11 and 12. “By allowing students to gain work skills while completing school, they’re able to work towards a goal, whether that be higher education or transition to work,” says Rachael Ham, Deputy CEO at Wuchopperen. To view the media release in full click here.

photo L–R: Tony Marten (owner & Managing Director at ATW), Wendy Burke (Director of Health Services at Wuchopperen), Rachael Ham (Deputy CEO at Wuchopperen) standing in front of Wuchopperen banner

L–R: Tony Marten (owner & Managing Director at Australian Training Works), Wendy Burke (Director of Health Services at Wuchopperen), Rachael Ham (Deputy CEO at Wuchopperen).

Health sector’s role in deaths in custody

As Australia marks the 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody (RCIADIC)  the health sector has been urged to reflect on whether it is part of the problem or offering solutions. Associate Professor Megan Williams, Wiradjuri justice health researcher and educator, has identified multiple areas where the sector has failed to address the health needs of prisoners.

Professor Williams says ‘justice is essential for health, for all people in Australia. How we disregard the Royal Commission recommendations is as sick as how we treat First Peoples. $40 million, three years of testimony and evidence about 99 Aboriginal deaths in custody in the 1991 final report and 339 recommendations. But what about deaths since? More than 474. Barely a family have not been affected by Aboriginal deaths in custody, police brutality, poverty or racism. It’s time to make a list of all the government frameworks that overlook, minimise, forget, ignore, exclude, tokenistically mention or silence Aboriginal and Torres Strait Islander people in prison, and all people in prison.’

To view the full Croakey article click here.

End Black Deaths In Dustody rally in Naarm Melbourne to mark 30th anniversary of the Roayl Commission into Aboriginal Deaths in Custody - crowd carrying photos, signs, placards

End Black Deaths In Custody rally in Naarm Melbourne to mark 30th anniversary of the Royal Commission into Aboriginal Deaths in Custody. Photo by Marie McInerney. Image source: Croakey.

Raising criminal responsibility age urged

National Children’s Commissioner, Anne Hollonds and Aboriginal and Torres Strait Islander Social Justice Commissioner, June Oscar AO have urged all Australian governments to raise the age of criminal responsibility as a matter of priority. A report commissioned by a meeting of Attorneys-General in July last year recommended that all jurisdictions raise the age and ensure younger teenagers are not held in detention. Recent reports have suggested that Australian Attorneys-General are considering raising the age from 10 to 12. The UN Committee on the Rights of the Child recommends raising the age of criminal responsibility to 14-years-old as a minimum. As we mark 30 years since the Royal Commission into Aboriginal Deaths in Custody handed down its report, it’s important to acknowledge that Indigenous children account for 58% of young people being held on remand and 48% of young people in sentenced detention.

To view the Australian Human Rights Commission media release in full click here.

spray painted image of an Aboriginal child on a brick wall overlaid with white chalk lines representing jail bars

Image: Chris Devers, Flickr. Image source: newmatilda.com.

Mega prison raises fears for prisoner health

Governments often hail the economic benefits that new or expanded prisons bring to regional communities. But what are their health and social impacts? These issues are investigated as part of Croakey’s new Rural Health Justice series. In the feature article launching the series, journalist Linda Doherty explores how Australia’s newest mega jail, the Clarence Correctional Centre (CCC), near Grafton, NSW is affecting the health and wellbeing of prisoners, their families and the local community.

Around 60% of the 155 women prisoners in CCC have dependent children and one-third are Aboriginal women, according to SHINE for Kids which advocates for the human rights of children with a parent in prison, transports children to jail visits, runs evidence-based parenting, cultural and education courses in 27 jails in NSW, Queensland, Victoria, ACT and WA, and funds tutors for primary school children.

Like many of the 339 recommendations of the 1991 Royal Commission into Aboriginal Deaths in Custody that have been ignored by governments, recommendation 168 resonates for the parents in the new CCC facility. It says: “…where possible, an Aboriginal prisoner should be placed in an institution as close as possible to the place of residence of his or her family.”

To view the full article in Croakey click here.

photo of Storytime book called 'Tracks my Country' created by parents in prison for their children

One of the Storytime books created by parents in prison for their children. Image source: SHINE for Kids.

Increasing vaccine take-up in remote NT

In East Arnhem Land, the Miwatj Health Aboriginal Corporation said only 129 of about 5,600 eligible people had received the AstraZeneca vaccine since the rollout began in the region at the start of April. Chief executive Eddie Mulholland told the ABC he expected that number to be higher, but people were now becoming even more reluctant because people are hearing reports of rare blood clotting among recipients of the AstraZeneca vaccine.

The NT’s peak Aboriginal health service is working on a plan to improve the take-up of COVID-19 vaccines after reports of growing reluctance in remote areas. A spokeswoman for the Aboriginal Medical Services Alliance NT said details will be released early next week.

To view the article in full click here.

photo of 9 Aboriginal adults, one holding a baby around table at Miwatj Health indicating they have had a COVID-19 vaccine

All adults in remote communities are eligible for vaccination under phase 1b of the rollout. Photo supplied by: Miwatj Health Aboriginal Corporation. Image source: ABC News website.

COVID-19 radio ads in language

The Australian Government Department of Health has produced a collection of translations of the radio ad, ‘Living the new normal’, in Aboriginal and Torres Strait Islander languages. To access the collection click here.DoH banner text 'Keep Our Mob Safe' Coronavirus (COVID-19) Help Stop the Spread and Stay Healthy' against Aboriginal dot art painting in black, gold, pink, light blue, tan

Health system needs to learn from patient experience

The health system in Australia would benefit significantly by paying more attention to the lessons learned from patient experience, the Consumers Health Forum (CHF) says. This is a key message from the latest edition of the Health Voices ejournal which covers the recent Shifting Gears Australasian summit conference of the CHF.

“The value of learning from experience was given fresh power at the inaugural Australasian summit last month,” the CEO of CHF, Leanne Wells, said. “As the conference heard more than once, health consumers, particularly those with chronic conditions are more likely to have deeper knowledge of their overall care than any one health professional dealing with a single aspect of their care. There is much to learn, including from such community-centred programs as the National Aboriginal Community Controlled Health Organisation success in countering COVID-19.”

To view the Consumes Health Forum of Australia media release click here.

5 stacked wooden blocks, top two & bottom two with black arrows to left, middle with red arrow to the right

Image source: Australian College of Nursing.

14 April 2021

feature tile text ' ACCHOs are staying the course on vaccine rollout despite challenges' photo of Dr Dawn Casey receiving COVID-19 vaccine at Winnunga

ACCHOs stay the course on vaccine rollout

In 2020, ACCHOs played a key role in keeping Indigenous communities safe and informed about coronavirus. Now, more than 100 of these organisations are helping to vaccinate their communities. But the changed advice around the AstraZeneca vaccine is throwing up challenges and in the Torres Strait and Cape York in Queensland, the rollout has been paused.

NACCHO’s Deputy CEO and co-chair of the COVID-19 Advisory Group for Aboriginal and Torres Strait Islander people, Dr Dawn Casey. Dr Lorraine Anderson, Medical Director of Kimberley Aboriginal Medical Services and Dr Tony Brown, Executive Director of Medical Services for the Torres and Cape Hospital and Health Service spoke on ABC Radio National Life Matters with Michael Mackenzie earlier this morning.

To lister to the discussion click here.

Saibai Island (Torres Strait Islands) councillor Conwell Tabuai being vaccinated by nurse Sue Bowler

Saibai Island Councillor Conwell Tabuai being vaccinated by nurse Sue Bowler. Image source: The Sydney Morning Herald.

Wellington Aboriginal Health Service produces vaccine videos

Wellington Aboriginal Corporation Health Service (WACHS) has produced a number of videos featuring health professionals talking about the COVID-19 vaccine.

The first video (2:13 minutes) is of Dr Bijay, General Practitioner, WACHS.

screen shot from video of Dr Bijay Wellington Aboriginal Corporation Health Service talking about the COVID-19 vaccine

Dr Bijay, GP Wellington Aboriginal Corporation Health Service.

Pharmacist Alice Nugent has recorded the following three videos:

What are AstraZeneca and Pfizer? (17:47 minutes)

How does the COVID-19 vaccine work? (2 minutes)

What are Oxford AstraZeneca and Pfizer Biotech? (2 minutes)

screen shot from video of pharmacist Alice Nugent Wellington Aboriginal Corporation Health Service & NACCHO Medicine Policy & Program team

Alice Nugent. Pharmacist – Wellington Aboriginal Corporation Health Service & NACCHO Medicine Policy & Program team.

New resources based on latest AstraZeneca advice

The Department of Health as put together a kit for ACCHOS based on the new recommendations regarding the AstraZeneca vaccine, to support their work with patients.

The resources include:

  • a video featuring Dr Lucas de Toca summarising the new information and recommendations that have arisen regarding AstraZeneca and the change in the vaccination rollout
  • social media content including two new social tiles that ACCHOs can use in promoting the new information to their followers/patients, as well as some suggested captions to use alongside them
  • a poster that can be printed and displayed in your clinics
  • information for ACCHOs – document answering new questions that may arise from patients about the AstraZeneca vaccine.

    vaccine vial with words COVID-19 & text AstraZeneca

    Image source: BBC News.

EveryBODY is Deadly

Over 1 million Australians are living with an eating disorder. Less than a quarter of those receive treatment or support. Butterfly Foundation is a national charity organisation for all Australians impacted by eating disorders and body image issues, and for the families, friends and communities who support them.

Anybody, from any mob, can have eating or body concerns. Eating or body image concerns can weaken your mind, body and spirit. It’s not about your body size – and it’s different for different people. But reaching out to talk it out with friends, family or the free Butterfly Foundation Helpline can help. The helpline is a confidential safe space with qualified counsellors who have ongoing cultural competence training.

Butterfly Foundation talked to two mob about their experience with eating and body image concerns. From their highs and lows, to the way they are rising above, they learned that yarning can help.

Garigarra Mundine is from Dubbo, NSW. She is Wiradjuri and Kamilaroi on her mother’s side, and Bundjulung and Yuin on her father’s. Garra’s passion is to advocate and promote Indigenous culture through art and advocacy. She works for the Australian government in Canberra and uses her weaving skills passed down by elders to create art pieces. To view Garra’s story click here.

To access the Butterfly Foundation’s website click here.

Lives need to be valued and culture known 

Meena Singh, a Yorta Yorta and Indian woman, born and living on the land of the Kulin Nations, is the Legal Director of the Human Rights Law Centre and is currently undertaking her PhD at Melbourne Law School, looking at how the experiences of women of colour as lawyers can impact on legal practice and knowledge. Meena has written an article for IndigenousX examining what keeps us [Aboriginal people] safe, and what will stop more deaths in custody.

To view the IndigenousX article in full click here.

portrait shot of Meena Singh

Meena Singh. Image source: ABC Radio Melbourne.

Youth calls to bridge gap in health system

The challenges facing young people in the health system and potential remedies are aired by Youth Health Forum leaders in a new video released today. The video features two young health leaders, Jasmine Elliott and Roxxanne MacDonald, explaining the challenges for young people in transitioning from child-centred to adult services.

They say a key challenge for young people is that “the current system is not designed for us”.

The video is based on the Youth Health Forum-commissioned report on Life Transitions and Youth Pathways to Health Services which revealed the significant barriers to services facing many young people, particularly those with chronic health conditions.

The report identified six key challenges for young people in health care including trusting health services, transitioning to adult care, delivering digital services and building more equitable services.

To read the Consumers Health Forum of Australia Youth Health Forum media release in full click here.

6 hands reaching in air

Image source: HIMSS website.

NACCHO #MensHealthWeek Media Release : @NACCHOChair and Dr Mark Wenitong  “ Closing the Gap in Aboriginal and Torres Strait Islander male health : Plus case study Ingkintja Male Health Service at Congress ACCHO in Alice Springs

The commitment of our Aboriginal Community Controlled Health Organisations (ACCHOs) is to support Aboriginal and Torres Strait Islander males to live longer, healthier lives by providing a wide range of preventative men’s programs that address critical social and emotional issues that our men face.

The overall aim is reduce the rate of hospitalisations, which is almost three times higher than for other Australian men and to reduce the number of Aboriginal men in prison who are imprisoned at 11 times the rate of the general male population.”

I would urge our Aboriginal and Torres Strait Islander men to focus on their overall health after these two-three months of isolation and get a comprehensive annual 715 health check at their nearest ACCHO.  Annual health checks are crucial in picking up little things before they become worse, give peace of mind, and they are free.”

On the occasion of National Men’s Health Week, NACCHO Chair Donnella Mills

Download the NACCHO press release HERE

NACCHO Media Statement – Men’s Health Week v2.1 15 June

The National Aboriginal Community Controlled Health Organisation (NACCHO) has long recognised the importance of addressing Aboriginal and Torres Strait Islander male health as part of the Close the Gap initiatives.

Read over 400 Aboriginal and Torres Strait Islander Men’s Health articles published by NACCHO over 8 Years

Read this article above 

The history of NACCHO OCHRE Day events 2013- 2019

Ingkintja: Wurra apa artwuka pmara Male Health Service at Congress ACCHO has for many years been a national leader in Aboriginal health, not only through its male-only comprehensive primary health care service providing a full suite of medical care complemented by social support services, but through the emphasis that the service places on preventative health with annual 715 health check and weekly engagements, servicing over 1,000 men every year.

See case study part 1 below : Photo above : Left right Terry Braun , John Liddle Manager , David Galvin , Wayne Campbell , Ken Lichleitner

 

The Aboriginal Community Controlled Health Organisation (ACCHO), Apunipima Cape York Health Council’s Public Health Medical Officer, Dr Mark Wenitong, has worked with Aboriginal and Torres Strait Islander men to improve their overall health and mental health.

His expertise and experience have led to his involvement in health reform with the Cape York Aboriginal communities with a dedicated team of Aboriginal and Torres Strait Islander male workers, who are getting great traction with their community men.

“The strength-based men’s programs delivered by Apunipima continue to see rise in participation rates and better outcomes for Cape York men. Though we still have a long way to go, more of the men are taking control and utilising our programs to support improving their mental health and overall wellbeing,” said Dr Wenitong.

Dr Mark Wenitong on what works in Aboriginal and Torres Strait Islander men’s health

Part 1 Case Study Ingkintja Male Health Service at Congress ACCHO in Alice Springs 

Ingkintja: Wurra apa artwuka pmara is an Aboriginal Male Health Service at the Central Australian Aboriginal Congress that takes the lead in providing cultural activities and social and emotional wellbeing services for male health for many years.

The ACCHO delivers a full suite of medical care complemented by social support services with emphasis on preventative health with annual 715 health check, servicing over 1,000 men every year.

Ingkintja takes the lead in supporting men in cultural activities across central Australia by providing equipment and medical support when requested by community leaders.

Incorporated into the male-only service are washing facilities (showers and laundry facilities), a gym and ‘Men’s Shed’.

Congress’ decentralisation of social and emotional well-being services meant that a psychologist and Aboriginal care management worker are available through Ingkintja, allowing therapeutic care (counselling, violence interventions), brief interventions, cultural and social support to men.

Ingkintja has a history of hosting national Aboriginal and Torres Strait Islander Male Heath events

male_health_summit_jun09

Ingkintja also delivers the Jaila Wanti prison to work program, which provides support to Aboriginal prisoners 90 days prior to release and also post release to reintegrate back into community through the coordination of health, wellbeing and social support services.

Male prison transitional care coordinators work with clients on health and wellbeing, and facilitate linkages with employment and training provider. Through the program, Ingkintja deliver regular visits to Aboriginal prisoners in the Alice Springs Correctional facility; conducting sessions with Aboriginal prisoners on their holistic health and wellbeing including health promotions with a focus on staying off the smokes and grog.

Sessions also focus on cultural roots and family connections to rebuild cultural identify and self-worth, and to reinforce positive behaviours while also reflecting on the consequences of impulsivity and violent behaviours.

The team establish trust and respect and assist in reconnecting the men with family and culture and to reintegrate into community.  Corrections staff have provided encouraging feedback on the positive impact that these visits have on the Aboriginal prisoners, noting changed attitudes and behaviours as the men reflect on the impact of their actions and ask for the next Ingkintja session.

The Inkintja men’s wash facilities were recently upgraded and continue to be a vital and highly accessed service, especially for men living rough. The facility gives men the obvious benefit of being able to wash and gain self-worth, and provides a critical engagement opportunity for the team to perform health checks, medical follow-up and other necessary referrals to services to improve their health and wellbeing.

The Ingkintja men’s shed and gym has regular sessions that enable males, both young and old, to come together and access valuable skills, such fitness, comradery and practical life skills.

Ingkintja have also been equipped with a men’s health truck, currently being fitted out with three consult rooms, which will increase the reach of the service’s holistic approach further to remote communities in a culturally responsive – and mobile – way.

 

Aboriginal Health and #BlackLivesMatter News Alerts : Aboriginal deaths in custody with commentary from Pat Turner , Helen Milroy , Marcia Langton , @KenWyattMP @David_Speers @GayaaDhuwi @pat_dudgeon @SenatorDodson

1.1 NACCHO COVID-19 advice to Black Lives Matter protesters.

1.2 VACCHO press release responding to a Black Lives Matter protester testing COVID-19 positive.

1.3 Aboriginal Deaths in custody : Black Lives Matter referred to 432 deaths : its now 437 !

2.Listen to Pat Turner podcast canvassing both causes and solutions, advocating major changes to the justice system.

3.Minister Ken Wyatt press release: Indigenous incarceration rates

4. Gayaa Dhuwi (Proud Spirit) Australia welcomes reports of Australian governments adopting Indigenous incarceration Closing the Gap targets.

5. View Senator Patrick Dodson speech plus download Senate debate Black lives Matter.

6.Aboriginal Deaths in Custody and hearing loss.

7. Watch Professor Marcia Langton AO and Black Lives Matter video.

8. ABC’s David Speers Black Lives Matter and slavery

1.1 NACCHO COVID-19 advice to Black Lives Matter protesters.

Click here for advice

1.2 VACCHO press release responding to a Black Lives Matter protester testing COVID-19 positive.

Last week, VACCHO supported a harm minimisation approach to the peaceful protests. We recognised that large crowds were likely to congregate in Melbourne’s CBD regardless of any discouragement.  We wanted to ensure those deciding to attend, could do this as safely as possible.

Our messaging to those who decided to go to the rally was loud and clear; say home if unwell or vulnerable, have chronic conditions, or care for anyone who does; be sensible and wear face masks, bring sanitisers and wash your hands; and maintain safe distance of 1.5 meters apart.

Today, Victoria’s Chief Health Officer, Brett Sutton, announced that a non-Aboriginal man in his thirties who attended the BLM rally held in Melbourne, has tested positive to COVID-19. Victoria reported another 7 cases overnight. These 7 cases are not linked or traced back to the rally.

Brett Sutton also advised that this man, who wore a mask at the rally, showed no symptoms Saturday. Mr Sutton reaffirmed that he was diagnosed 24 hours following the rally, meaning it was ‘highly unlikely’ that he caught the virus there.

Normally people show symptoms 4-6 days after being exposed to the virus. Currently, 179 of the 1,699 cases of COVID-19 are linked to cases of community transmission in Victoria which are unable to be traced back to a known source.

Read full Press Release HERE

1.3 Aboriginal Deaths in custody : Black Lives Matter referred to 432 deaths : its now 437 !

Last weekend, Black Lives Matter protests brought thousands on to the streets campaigning for an end to Aboriginal deaths in custody.

Many signs at rallies referred to the 432 deaths that are known to have happened since the royal commission into Aboriginal deaths in custody delivered its final report in 1991.

That figure is based on Guardian Australia’s findings from a two-year long project to monitor Aboriginal deaths in custody, Deaths Inside.

We updated the database and published new results on Saturday. We found the number had risen to 434.

But by Saturday morning even that number was already out of date. Just before marches began in Melbourne, Sydney, Brisbane, Adelaide and towns around the country, the department of corrective services in Western Australia confirmed that a 40-year-old Aboriginal man had died in custody at Acacia prison, near Perth.

Read full article HERE

2.Listen to Pat Turner podcast canvassing both causes and solutions, advocating major changes to the justice system

Pat Turner, for decades a strong Aboriginal voice, is the lead convenor of the Coalition of Peaks, which brings together about 50 Indigenous community peak organisations. In this role she is part of the negotiations for a new agreement on Closing the Gap targets.

Unlike the original Rudd government targets, the refreshed Closing the Gap agreement, soon to be finalised, will set out targets for progress on justice and housing.

But the issue is, how much progress should be the aim?

Read this Pat Turner interview HERE

“We want to push the percentages of achievement much higher, but we are in a consensus decision-making process with governments … what the targets will reflect is what the governments themselves are prepared to commit to,” Turner says.

The Australian Black Lives Matter marches have focused attention on the very high rates of incarceration of Aboriginal people, often for trivial matters.

In this podcast Turner canvasses both causes and solutions, advocating major changes to the justice system.

She points to “huge issues with drug and alcohol abuse”, with inadequate resourcing to deal with these problems.

She urges reform for sentencing arrangements for those charged with minor offences, criticising a system which imprisons people who cannot pay fines, or post bail. “It would be less expensive overall for the jurisdictions, and it would more beneficial to the community [if those people weren’t in prison]”. And she identifies the “the over-incarceration of women [as] a major concern.”

Among the changes needed, she says, is better training of police.

“Now I’m not saying that all the police behave badly – we have got outstanding examples of how the police work with our communities.” But “we just can’t wait for ad hoc ‘good guys’ to come out of the system and engage properly – we need wholesale reform of the police departments.”

Listen Here

3.Minister Ken Wyatt press release: Indigenous incarceration rates

” The Federal  Government is progressing with the Closing the Gap refresh in partnership with the Coalition of Peaks, and while we’re still in final negotiations, it has been agreed that there will be justice targets contained within that agreement that focus on incarceration rates.

What’s important is that this Agreement has been developed in Partnership with Indigenous Australians and so we’re all working towards better outcomes for all Aboriginal and Torres Strait Islander peoples.

I will keep on working to empower Indigenous Australians – improve health, education and employment outcomes – and reduce the number of Aboriginal and Torres Strait Islander Australians in custody.

Minister Ken Wyatt Press Release:

Every death in custody is a tragedy.

Unfortunately, there is no simple solution and no single answer.

Through all the work I do as Minister for Indigenous Australian we’re working to address the factors that contribute to high incarceration rates – these include health, education and employment outcomes for Indigenous Australians.

If we want to reduce the number of deaths in custody we need to look very closely at what’s happening here in Australia – the factors contributing to incarceration rates and the way in which our systems are handling these incidents – this requires a co-operative approach between government and with communities, particularly when States and Territories hold the policies and levers relating to policing and justice matters.

The relationship between Indigenous Australians and the police, both the good and the bad, in respective jurisdictions must also be examined.

The Morrison Government, through the National Indigenous Australians Agency (NIAA), is playing a key role in ensuring that there are additional protections in place for individuals when they are taken into custody through the Custody Notification System (CNS).

But we also need to remember that reducing the number of Indigenous people in contact with the justice system, through addressing the underlying factors that lead to offending, is just as key in addressing the number of deaths in custody.

So we should be looking at these things every day – that’s why we fund a range of activities to complement State and Territories to improve justice and community safety outcomes for Indigenous Australians.

It takes more than money – it takes commitment – it takes listening and understanding, and it takes us working together.

4. Gayaa Dhuwi (Proud Spirit) Australia welcomes reports of Australian governments adopting Indigenous incarceration Closing the Gap targets.

Gayaa Dhuwi (Proud Spirit) Australia welcomed today’s reports of Australian governments adopting Indigenous incarceration Closing the Gap targets.

Noting that Indigenous Australians are almost ten times proportionally overrepresented in prison, Professor Tom Calma AO, Gayaa Dhuwi (Proud Spirit) Australia Patron, said:

The 1991 Royal Commission into Aboriginal Deaths in Custody was a response to too many Indigenous Australians being in jail, and dying in jail and in police custody. That this crisis is worse, not better, in 2020 is a scandal.

The legacies of colonisation: structural racism, poverty and social exclusion are at the root of the high rates of imprisonment we suffer. All these must be addressed along with policing and sentencing reform as set out in the Australian Law Reform Commission’s 2018 Pathways to Justice Report.

But in the shorter term, we must also address the pathways to prison that the resulting untreated trauma, mental health and alcohol and drug problems create for our people.

Gayaa Dhuwi (Proud Spirit) Australia Chair Professor Helen Milroy continued:

We know that high rates of trauma, mental health issues and alcohol use are reported in Indigenous prisoners at the time of their offending, but also that – for many – prison is the first time they get any kind of mental health or other support. Gayaa Dhuwi (Proud Spirit) Australia calls on Australian governments to work together with us to develop a comprehensive mental health focused, justice reinvestment based strategic response to reducing Indigenous imprisonment rates.

This would feature integrated communitybased mental health, AOD and diversionary programs, continuing mental health support in prison, and – upon release – continuity of care to prevent recidivism and to support the reintegration of our people back into our families and communities.

Professor Pat Dudgeon, National Director of the Centre of Best Practice in Indigenous Suicide Prevention and Gayaa Dhuwi (Proud Spirit) Australia director, added:

Black lives do matter. And in addition to other causes of death in custody, we know that both the stress of pending court cases and the challenges of post-release life contributes to suicides among us, something often forgotten by policy makers. It is critical that diversionary programs and Indigenous prisoner mental health support are also considered within integrated approaches to suicide prevention among us.

Professor Calma closed by stating:

Over a decade ago as Social Justice Commissioner, I called for the development of Closing the Gap targets to reduce our incarceration rates, and for a justice reinvestment approach to doing so.

I repeat these calls today. Gayaa Dhuwi (Proud Spirit) Australia aims to implement the Gayaa Dhuwi (Proud Spirit) Declaration’s Vision of Indigenous leadership delivering the best possible mental health system and standard of mental health to Indigenous Australians.

The organisation stands ready to lead and partner with stakeholders and Australian governments to develop a comprehensive mental health based strategic response to help close the imprisonment rate gap.

5. View Senator Patrick Dodson speech plus download Senate debate Black Lives Matter

Download Senate debate Black lives Matter

Black lives matter debate in Senate

6.Aboriginal Deaths in Custody and hearing loss

Download Report HERE

Hearing Loss

Read previous other report HERE 

7. Watch Professor Marcia Langton AO and Black Lives Matter video.

8. ABC’s David Speers Black Lives Matter and slavery

NACCHO Aboriginal Health and #BlackLivesMatter : Pat Turner Lead Convener @coalition_peaks calls for more ambitious targets to reduce Indigenous incarceration

Aboriginal leaders are pushing for more ambition across all categories in the Closing the Gap refresh, including health, education, economic development and housing.

The 2018 draft agreement was “totally inadequate”and governments should be prepared to spend more money to meet ambitious targets rather than propose modest goals.

The Rudd government’s Closing the Gap initiative failed because of a lack of funding.

We have now got a national agreement very close to finalisation except the ambition of governments is very slack at the moment

We want to achieve parity across the board but unless governments invest correctly in the achievement of the targets, then it is going to be extremely difficult to (meet) them. There will be some movement (on the draft 2018 targets) but I don’t think it will be enough.

It would be the wrong lesson to adopt less-ambitious targets because of the failure to hit the ambitions set by Kevin Rudd in 2008.

There needed to be more control given to peak Aboriginal bodies to roll out the programs and control the funding.

We should be running our own affairs in this day and age.We don’t need bureaucrats to tell us what to do.

We want realistic targets. We don’t want what suits the bureaucracy. The money that has been spent to date has largely been eaten up by overly bureaucratic processes and very little of it hits the ground where it is most needed.”

Pat Turner NACCHO CEO and the Lead Convener  Coalition of Peaks  for the Closing the Gap “refresh

Full story front page of the Australian 9 June

Read previous NACCHO posts for Coalition of Peaks

More ambitious targets to reduce the number of Aboriginal Australians in jail will be put to state and territory governments as part of an overhaul of the Closing the Gap program to reduce Indigenous disadvantage.

Morrison government sources confirmed the commonwealth would scrap a draft agreement to reduce the rate of young Aboriginal and Torres Strait Islanders in prisons by up to 19 per cent by 2028.

It will instead take a higher target to the states next month after thousands of protesters took to the streets to express their anger over indigenous incarceration rates and deaths in custody.

Officials from state and federal departments will meet Aboriginal representatives including Pat Turner, the chief indigenous negotiator for the Closing the Gap “refresh”, on Tuesday before a meeting of state and territory leaders to decide on the stricter targets on July 2.

Since the Royal Commission into Aboriginal Deaths in Custody in 1991, the rate at which indigenous people have died in jail as a percentage of the Aboriginal prison population has fallen and is now lower than for the non-indigenous prison population, according to data from both the Australian Institute of Criminology and the Australian Bureau of Statistics.

But the number of indigenous people in the prison system has increased from 19 per cent in 2000 to nearly 30 per cent in March this year, according to ABS figures. There are now 12,900 indigenous people in prisons, out of a total prison population of 44,159.

Indigenous people made up almost 3 per cent of the population at the 2016 census

Indigenous Australians Minister Ken Wyatt is pushing for each state and territory to adopt specific incarceration targets, according to sources close to negotiations. The new targets will be more ambitious than the draft Closing the Gap target, released in December 2018, for a 5 per cent decline in the incarceration rate among adults and an 11 to 19 per cent reduction among youths.

The high rate of indigenous incarceration and associated frequency of deaths in custody were seized on by Australian Black Lives Matter protesters at the weekend marches, which fuelled a backlash over the breaching of coronavirus social-distancing restrictions.

Mr Wyatt declined to comment on the new targets but told The Australian he was “working to address the factors that contribute to high incarceration rates (including) health, education and employment”.

“If we want to reduce the number of deaths in custody, we need to look very closely at what’s happening here in Australia — the factors contributing to incarceration rates and the way in which our systems are handling these incidents,” Mr Wyatt said.

“This requires a co-operative approach between government and with communities, particularly when states and territories hold the policies and levers relating to policing and justice matters.

“It takes more than money; it takes an iron-stead commitment; it takes listening and understanding; and it takes us working together. The Morrison government is progressing with the Closing the Gap refresh in partnership with the Coalition of Peaks, and while we’re still in final negotiations, there will be a justice target contained within that agreement.”

The 2018 draft targets included: 65 per cent of indigenous youth (15-24 years) to be in employment, training or eduction by 2028; 60 per cent of Aboriginal Australians aged 25-64 to be in work; and 82 per cent to live in appropriate-sized housing by 2028.

Just two of the seven Closing the Gap targets set in 2008 — early childhood education and Year 12 attainment — were achieved. Ambitions failed in targets for school attendance, child mortality, employment, life expectancy and literacy and numeracy targets.

A report by the Productivity Commission estimated state and federal governments spent $33.4bn on services for indigenous Australians in the 2016 financial year, up from $27bn (in 2016 dollars) in 2009.

The direct government expenditure per Aboriginal Australian was $44,886 in 2016, compared with $22,356 on non-indigenous Australians.