NACCHO Press Release : Aboriginal Health and #ClosetheGap Report : #NationalClosetheGap Day : A Time to Reflect and Recommit how our mob can enjoy the same access to health, education and employment outcomes as non-Indigenous Australians.

“ We were really pleased when the Council of Australian Governments agreed to a formal partnership with Aboriginal and Torres Strait Islander peak bodies on closing the gap.

It was encouraging to hear the Prime Minister acknowledge that until Aboriginal and Torres Strait Islander people are brought to the table as equal partners, the gap will not be closed and that this principle would be part of Closing the Gap efforts going forward,”

NACCHO CEO, Pat Turner see Press Release Part 1

Download NACCHO Press Release

NACCHO CTG Day Media Release Final

Releasing the report, the Aboriginal and Torres Strait Islander commissioner June Oscar AO said Indigenous people had “the right to self-determination and full participation in decision-making about matters that affect us”.

“We need to invest in and support on the ground voices and solutions,” she said.

The programs have reduced the rate of incarceration, addressed health problems like anaemia and low birth weight babies and helped families find secure housing

From The Sydney Morning Herald March 21 :

Our choice, our voice: to close gap, Indigenous leaders say what works

“The Aboriginal and Torres Strait Islander Social Justice Commissioner June Oscar AO and the Co-Chair of the National Congress of Australia’s First Peoples Rod Little, will today release the 2019 Close the Gap report – “Our Choices, Our Voices”.

The report, prepared by the Lowitja Institute, is being released at a community event at Tharawal Aboriginal Corporation – Aboriginal Medical Service South Western Sydney, as part of National Close the Gap day events around the country.

The report highlights the incredible work being carried out by Aboriginal Community Controlled Organisations (ACCOs) to improve the health and well-being of Aboriginal and Torres Strait Islander peoples.”

From the CTG Press Release see Part 2 Below

Download a copy of the 2019 Close the Gap report Our Choices, Our Voices visit

ctg2019_final2_web

https://antar.org.au/campaigns/national-close-gap-day

As Australia marks National Close the Gap (CTG) Day, it is an opportunity for the nation to reflect on the progress and challenges in the life outcomes facing Aboriginal and Torres Strait Islander Communities.

For ten years Closing the Gap has put an important spotlight on the vast health, economic and life disparities between First Nations peoples and the Australian population at large.

Historically, the challenge of Closing the Gap has always centred around the lack of Aboriginal and Torres Strait Islander voices and input in the larger framework, policies and targets.

The top-down approach of Closing the Gap was never going to yield the outcomes we all hoped to see.

“Aboriginal Community Controlled Health Organisations were established on principles that address structural power imbalances. Our services are fundamental to closing the gap. But we have long recognised that closing the gap on Aboriginal and Torres Strait Islander health and disadvantage will never be achieved until:

  • Our primary health care services are adequately resourced, and their infrastructure hardware is fit for purpose;
  • Our people are living in safe, secure and health housing;
  • Culturally safe and trusted early intervention services are available to our vulnerable children and their families to address the unacceptably high rates of Aboriginal and Torres Strait Islander children and youth in out of home care and detention facilities;
  • Services to promote our psychological, social and emotional wellbeing need to be fully funded within our comprehensive primary health care service model; and
  • Our connection to our land, languages and lore need to be respected, maintained and promoted, given we are the oldest living culture in the world over the past 65,000 years.

National Close the Gap Day is an opportunity for us all to reflect on the status of Aboriginal and Torres Strait Islander peoples in our country and consider how we can work together to ensure our First Nations people enjoy the same access to health, education and employment outcomes as non-Indigenous Australians.

Part 2 CTG Press Release

The Aboriginal and Torres Strait Islander Social Justice Commissioner June Oscar AO and the Co-Chair of the National Congress of Australia’s First Peoples Rod Little, will today release the 2019 Close the Gap report – “Our Choices, Our Voices”.

The report, prepared by the Lowitja Institute, is being released at a community event at Tharawal Aboriginal Corporation – Aboriginal Medical Service South Western Sydney, as part of National Close the Gap day events around the country.

“The report highlights the incredible work being carried out by Aboriginal Community Controlled Organisations (ACCOs) to improve the health and well-being of Aboriginal and Torres Strait Islander peoples.

“The stories in the report clearly demonstrate that when Aboriginal and Torres Strait Islander people are involved in the design and delivery of the services they need, we are far more likely to achieve success,” the Co-Chairs said.

The report comes one month after the Commonwealth Government’s Closing the Gap report was tabled in Federal parliament, showing a lack of progress on most targets.

In his address, the Prime Minister restated the government’s commitment to work collaboratively in a formal partnership with Aboriginal and Torres Strait Islander people.

Commissioner Oscar said the report highlights the need to have genuine and meaningful engagement with Aboriginal and Torres Strait Islander peoples in the decision-making process.

“We have a right to self-determination and full participation in decision-making about matters that affect us. We need to invest in and support on the ground voices and solutions. An investment in our community-controlled organisations is an investment in success,” Commissioner Oscar said.

Rod Little said he hopes that National Close the Gap Day will encourage further commitment to address the challenge of health inequality.

“Health outcomes and life expectancy in Aboriginal communities are affected by many different factors, such as housing, educational opportunity, access to community-controlled primary health services, a culturally safe workforce, racism, and trauma and healing.

“I want Aboriginal and Torres Strait Islander peoples to have the same opportunity to live full and healthy lives, like all other Australians,” Rod Little said.

Among the case studies included in the report;

The Birthing on Country Project provides Aboriginal and Torres Strait Islander women access to culturally and clinically safe, inclusive care that incorporates cultural birthing traditions within mainstream maternity services. It is currently piloting two programs;

* South East Queensland in collaboration with Indigenous Urban Health Institute and Aboriginal and Torres Strait Islander Community Health Services Brisbane and

* Nowra, New South Wales, alongside Waminda South Coast Women’s Health and Welfare Aboriginal Corporation

Northern Territory Aboriginal Health Academy is taking a new approach to education and training. This is a community-led learning model focussed on re-shaping and re-designing the way training is delivered to Aboriginal and Torres Strait Islander high school students.

IndigiLez Leadership and Support Group offers support for Aboriginal and Torres Strait Islander lesbian, gay, bisexual, transgender, intersex and queer (LGBTIQ) women.

Yawuru Home Ownership Program was established in 2015 after the Yawuru people in highlighted housing as a key priority.

The Co-Chairs said the over-riding principle throughout the stories is that the success of these initiatives is based on community governance and leadership, which is imperative to the success and longevity of the programs.

“These stories illustrate that ‘our choice and our voice’ is vital if we are to make gains and start to close the gap.

“We are optimistic that by supporting Aboriginal and Torres Strait Islander led initiatives and a commitment to working in genuine partnership, that we can close the gap,” they said.

Further information on National Close the Gap Day visit the ANTaR website; https://antar.org.au/campaigns/national-close-gap-day

NACCHO Aboriginal Health and #SuicidePrevention News Alerts : #Closethegap : #NACCHO and @TheRACP Peak Health bodies call for Prime Minister and state and territory leaders to declare Aboriginal youth #suicide crisis an urgent national health priority

The recent Aboriginal youth suicides represent a national emergency that demands immediate attention.

Aboriginal community controlled health services need to be properly resourced to ensure our children are having regular health checks and to develop community led solutions.’

NACCHO CEO, Ms Patricia Turner : See NACCHO RACP press release : see Part 1 below

See all 130 + NACCHO Aboriginal Health and Suicide Prevention articles published over last 7 years 

“Funded programs are not required to demonstrate a measurable reduction in suicide and mental health risk factors, which is staggering,

We just aren’t demanding that basic level of accountability

The first priority must be analyses of suicide mortality data to identify the causal pathways,  

Suicide risk is the most complex thing to assess and monitor … communities are crying out for specialist assistance and just not getting it. “Children as young as 10 are dying by suicide … this is no longer an Aboriginal issue, it’s a national one,

Indigenous psychologist Adjunct Professor Tracy Westerman said Australia had failed to collect crucial evidence to determine what intervention strategies work. See Part 2 below 

 ” Community driven action plans to prevent suicide are extending across the Kimberley, with four more communities implementing plans to save lives and improve health and well-being.

As part of the Kimberley Aboriginal Suicide Prevention Trial, Kununurra, Balgo, Wyndham and Halls Creek now have local plans, joining Broome, Derby and Bidyadanga.

Each community receives up to $130,000 to help roll out its action plan which reflects and responds to local issues

See Minister Ken Wyatt Press Release and Communique Part 3 and 4 Below

Part 1 RACP and NACCHO Press Release

JOINT STATEMENT

HEALTH BODIES DECLARE ABORIGINAL YOUTH SUICIDE AN URGENT NATIONAL PRIORITY

  • Health bodies call for Prime Minister and state and territory leaders to declare urgent national health priority
  • Immediate investment in Aboriginal-led mental health and wellbeing services needed to stop child deaths
  • Long-term solution of Aboriginal and Torres Strait Islander self-determination requires commitment to Uluru Statement from the Heart

The Royal Australasian College of Physicians (RACP), the Royal Australian and New Zealand College of Psychiatrists (RANZCP) and the National Aboriginal Community Controlled Health Organisation (NACCHO) are calling on the Prime Minister to make tackling Aboriginal and Torres Strait Islander youth suicides a national health priority.

Suicide was once unknown to Aboriginal and Torres Strait Islander peoples but now every community has been affected by suicide.

In response to the recent Aboriginal youth suicides and the release of the WA Coroner’s report on the inquest into the deaths of thirteen children and young persons in the Kimberley Region, we are calling on the Prime Minister and state and territory leaders to put the issue at the top of the COAG agenda and to implement a coordinated crisis response to urgently scale up Aboriginal led mental health services before more young lives are tragically lost.

An urgent boost to Aboriginal community controlled health services is required to build on the existing range of initiatives that are being rolled out. We also call on the Government to expand upon evidence-based resilience and cultural connection programs to be adapted and attuned to local needs.

We are calling on the Federal Government to:

  • Provide secure and long-term funding to Aboriginal community controlled health services to expand their mental health, social and emotional wellbeing, suicide prevention, and alcohol and other drugs services, using best-practice traumainformed approaches
  • Increase funding for ACCHSs to employ staff to deliver mental health and social and emotional wellbeing services, including psychologists, psychiatrists, speech pathologists, mental health workers and other professionals and workers;
  • Increase the delivery of training to Aboriginal health practitioners to establish and/or consolidate skills development in mental health care and support, including suicide prevention
  • Commit to developing a comprehensive strategy to build resilience and facilitate healing from intergenerational trauma, designed and delivered in collaboration with Aboriginal and Torres Strait Islander communities

RACP spokesperson Dr Mick Creati, said: “The unspeakable child suicide tragedy that has been unfolding requires a national response and the attention of the Prime Minister. Unless we see urgent boost to investment in Aboriginal-led mental health services then the deaths will continue.”

RANZCP President Dr Kym Jenkins, said: ‘We must address the factors underlying suicidality in Aboriginal and Torres Strait Islander communities, including intergenerational trauma, disadvantage and distress. For this, we urgently need an increased capacity of mental health and wellbeing services to help people and communities recover from trauma and build resilience for the future.’

Part 2 Leaders urged to declare Aboriginal child suicides a ‘national crisis’

 Kate Aubusson From the Brisbane Times 20 March 

Prime Minister Scott Morrison must declare Indigenous child suicides a national emergency and overhaul current strategies, peak medical and health bodies have demanded.

The call comes in the wake of harrowing Aboriginal and Torres Strait Islander child suicide rates, and the WA coroner’s inquest into the deaths of 13 young people, five aged between 10 and 13 years in the Kimberley region.

A joint statement from the Royal Australasian College of Physicians (RACP), the Royal Australian and New Zealand College of Psychiatrists (RANZCP) and the National Aboriginal Community Controlled Health Organisation (NACCHO) has urged Mr Morrison and all state and territory leaders to make Indigenous youth suicides an “urgent national health priority”.

The organisations called on the leaders to launch a “coordinated crisis response” and invest in Aboriginal-led strategies “before more young lives are tragically lost”.

In January, five Aboriginal girls aged between 12 and 15 years took their own lives.

The latest ABS data shows Indigenous children aged 10 to 14 die of suicide at 8.4 times the rate of non-Indigenous children. One in four aged under 18 who suicided were Aboriginal.

None of the 13 children who died by suicide had a mental health assessment, according to the coroner’s report.

The international journal The Lancet Child and Adolescent Health recently called Australia’s Indigenous youth suicide rate an “unmitigated crisis”.

NACCHO CEO Pat Turner said the recent Aboriginal youth suicides was “a national emergency that demands immediate attention”.

The joint statement called for Indigenous community-led solutions, long-term funding boosts to Aboriginal Community Controlled Health Services (ACCHS) for best-practice and trauma-informed mental health, suicide prevention, and drug and alcohol programs.

The organisations also pushed for more ACCHS funding to employ more psychologists, psychiatrists, speech pathologists and mental health workers, increase training for Aboriginal health practitioners to develop a comprehensive strategy focused on resilience and intergenerational trauma healing.

In September the Morrison government announced $36 million in national suicide prevention projects.

Paediatrician with Victorian Aboriginal Health Service Dr Mick Creati said Indigenous suicides could not be prevented by a “white bread psychiatry model”.

Aboriginal suicides were often radically different from those among the general population, research shows. They were more likely to be impulsive, potentially triggered by some kind of interpersonal conflict.

The crisis demanded a “different, culturally appropriate model”, Dr Creati said.

“We don’t know exactly what the right model is yet … but Aboriginal people need to be included [in their development] to make sure they are appropriate for Aboriginal populations.”

But Indigenous psychologist Adjunct Professor Tracy Westerman said Australia had failed to collect crucial evidence to determine what intervention strategies work.

“Funded programs are not required to demonstrate a measurable reduction in suicide and mental health risk factors, which is staggering,” Professor Westerman said.

“We just aren’t demanding that basic level of accountability”.

The first priority must be analyses of suicide mortality data to identify the causal pathways,  Professor Westerman said.

“Suicide risk is the most complex thing to assess and monitor … communities are crying out for specialist assistance and just not getting it. “Children as young as 10 are dying by suicide … this is no longer an Aboriginal issue, it’s a national one,” she said.

Part 3 The eighth meeting of the Kimberley Suicide Prevention Trial Working Group was held on 14 March in Broome communique

The Working Group discussed the findings of WA Coroner’s Report into suicide deaths in the Kimberley and continued its consideration of resources and strategies to support activity as part of the suicide Prevention trial.

The meeting today was chaired by the Hon Ken Wyatt, Minister for Indigenous Health (Commonwealth) and attended by the Hon Roger Cook, Deputy Premier and Minister for Health (WA State Government), Senator the Hon Patrick Dodson (Commonwealth) and Member for the Kimberley, the Hon Josie Farrer MLC (WA State Government). Apologies were received from the Hon Ben Wyatt, Minister for Indigenous Affairs (WA State Government).

The meeting was also attended by over 40 representatives from communities, organisations and government agencies.

Key messages from today’s discussion included:

  • A shared commitment to work together at all levels of government to develop place-based, and Aboriginal-led and designed responses.
  • A commitment to ongoing collaboration.
  • Acknowledgement of the good work achieved thus far – but noting more needs to be done.
  • The role of the community liaison officers on the ground across Kimberley communities was highlighted as an example of good progress – connecting services and projects with what people want.
  • The need to continue mapping services was agreed.
  • The need for holistic approaches was highlighted.
  • Community organisations are keen to work with the State and Commonwealth Governments on solutions that address the recommendations in relation to the report of the WA Coronial Inquest and all other referenced reports.

Part 4 Minister Wyatt Press release

Community driven action plans to prevent suicide are extending across the Kimberley, with four more communities implementing plans to save lives and improve health and well-being.

As part of the Kimberley Aboriginal Suicide Prevention Trial, Kununurra, Balgo, Wyndham and Halls Creek now have local plans, joining Broome, Derby and Bidyadanga.

Each community receives up to $130,000 to help roll out its action plan which reflects and responds to local issues.

However, the four new plans have a common thread – they are centred on people working and walking together on country, with a series of camps involving high-risk groups.

The camps are planned to provide a range of supports around suicide including healing and sharing and respecting cultural knowledge and traditions. They will also support close engagement with Elders.

A strong cultural framework underpins all the Trial’s activities and all the projects identified by the communities fit within the systems-based approach, guided by the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP).

Nine communities are involved in the Kimberley Aboriginal Suicide Prevention Trial, with Community Liaison Officers playing a critical role.

The outcomes will contribute to a national evaluation which aims to find the most effective approaches to suicide prevention for at-risk populations and share this knowledge across Australia.

The Morrison Government is supporting the Kimberley Aboriginal Suicide Prevention Trial with $4 million over four years, from 2016-2020.

It is one of 12 Suicide Prevention Trials being conducted across the nation, with total funding of $48 million.

NACCHO Aboriginal Health and Continuous Quality Improvement (CQI): Minister @KenWyattMP announces $2.8 million national project improving people’s health through better quality control and health data collection at local ACCHO’s Aboriginal Community Controlled Health Services  

 ” Improving people’s health through better quality control and health data collection at local Aboriginal Community Controlled Health Services is the aim of a $2.8 million national project funded by the Federal Government.

Our Government recognises the importance of Aboriginal Community Controlled Health Services (ACCHS), with data showing they provide over 2.5 million episodes of care each year for more than 350,000 people.

However, to help achieve better health outcomes as our Aboriginal and Torres Strait Islander population grows, we need to support accountability, quality improvement and accurate data reporting.”

Minister Ken Wyatt Press Release Part 1 Below

” This National Framework for Continuous Quality Improvement in Primary Health Care for Aboriginal and Torres Strait Islander people, 2018-2023 booklet is designed to provide practical support for all primary healthcare organisations in their efforts to ensure that the health care they provide is high quality, safe, effective, responsive and culturally respectful.”

NACCHO Acting Chair Donnella Mills

” NACCHO is proud of the record of the Aboriginal Community Controlled Health Services (ACCHSs) in delivering primary health care to our community. We have learnt many lessons over the last 50 years about how to structure, deliver and improve care so that it best meet the needs of our communities across Australia.

This experience is used in the Framework to describe how to do, support and inform culturally respectful continuous quality improvement (CQI) in primary health care.”

Further resources including the Framework are available on our NACCHO website.

Direct link to PDF – https://www.naccho.org.au/wp-content/uploads/NACCHO-CQI-Framework-2019.pdf

Updated CQI pagehttps://www.naccho.org.au/programmes/cqi/

Pat Turner CEO of NACCHO see Press Release Part 2 below

 

Part 1 Ministers Press Release

In 2017, the Department of Health engaged KPMG to develop a national baseline quality audit at the individual service level to identify issues impacting on data quality and reporting and make recommendations for improvement. From February to May last year, 53 ACCHS volunteered to participate in the project.

The final report found that, despite reporting on national Key Performance Indicators and Online Services Report data collections since 2012-13 and 2007-08 respectively, only 30 per cent of the services visited were rated as having effective and mature processes in place to support and measure health data. The remaining 70 per cent were classified as needing support to improve.

The reports found characteristics of mature services include:

* Leadership focussed on a strong culture of Continuous Quality Improvement

* Clear workflows including induction, training and monitoring programs

* Resources and staff dedicated to recording and reporting health care activities

In Stage 2 of this project this year, KPMG will offer all health services not involved in Stage 1 the opportunity to participate, plus follow-up consultations for ACCHS in Stage 1 and the development of online training resources.

KPMG will also convene a national forum on best practice so ACCHS can share successful and effective reporting processes and practices with each other.

Part 2

The National Aboriginal Community Controlled Health Organisation (NACCHO) has just published the National Framework for Continuous Quality Improvement in Primary Health Care for Aboriginal and Torres Strait Islander people, 2018-2023.

Download the full NACCHO Press Release HERE 

al Community Controlled Health Services and Affiliates, health professional organisations and government. The project was funded by the Commonwealth Department of Health.

The CQI Framework provides principles and guidance for primary health care organisations in how to do, support and inform culturally respectful CQI.

It is designed to assist Aboriginal health services and private general practices, NACCHO Affiliates and Primary Health Networks, national and state/territory governments in their efforts to ensure that Aboriginal and Torres Strait Islander people have access to and receive the highest attainable standard of primary health care wherever and whenever they seek care.

It is relevant to clinicians, board members and practice owners, health promotion, administrative and management staff. Six case studies which illustrate how CQI has been implemented in ACCHSs are included.

NACCHO welcomes further case studies from other health services, general practice and Primary Health Networks.

Further resources including the Framework are available on the NACCHO website.

  1. Direct link to PDF – https://www.naccho.org.au/wp-content/uploads/NACCHO-CQI-Framework-2019.pdf
  2. Updated CQI page – https://www.naccho.org.au/programmes/cqi/

For further information about the CQI Framework please contact: cqi@naccho.org.au

 

National Aboriginal Community Controlled Health Organisation (NACCHO) and peak bodies welcome #COAG announcement to a formal partnership approach to the #ClosingtheGap Refresh #RefreshtheCTGRefresh

“ COAG’s commitment to a genuine formal partnership approach between the government and Aboriginal and Torres Strait Islander peoples on the Closing the Gap strategy is a welcome step in the right direction

This is something that we’ve long campaigned for – because involving Aboriginal and Torres Strait Islander people in decisions that affect their lives will lead to far better outcomes.

We as a sector are looking forward to working with the Prime Minister and COAG to negotiate and agree the refreshed framework, targets and action plans which will be finalised through the committee by mid-2019.

We are pleased that the Prime Minister and COAG have finally recognised that Aboriginal and Torres Strait Islander people must play an integral part in the making of the decisions that affect their lives – and it’s the only way forward to closing the gap.”

NACCHO Chief Executive Officer Pat Turner AM see COAG full communique Part 1 below

Pictures above and below taken in PM office last Thursday 6 December meeting the peaks

Download full COAG communique HERE

COAG Communique 5 Pages 12 December

The National Aboriginal Community Controlled Health Organisation (NACCHO) has today welcomed COAG’s announcement to a formal partnership approach to the Closing the Gap Refresh.

Following the tireless campaigning from NACCHO and other Aboriginal and Torres Strait Islander peak bodies across Australia, Prime Minister Scott Morrison last week agreed to a full partnership approach between Indigenous people and governments to agree the Closing the Gap framework and targets and to put it to COAG for their consideration.

Before the Aboriginal and Torres Strait Islander peak bodies intervened, COAG was due to settle a new Closing the Gap framework and targets without the full involvement and agreement of Aboriginal and Torres Strait Islander people through their representatives.

The details of formal partnership between COAG and Aboriginal and Torres Strait Islander peoples will be settled in February 2019. It will include a Ministerial Council on Closing the Gap with expanded membership to include representation from COAG and Aboriginal and Torres Strait Islander peoples through their peak bodies.

Part 1 Closing the Gap COAG Communique

Press Conference at close of COAG today

COAG is listening to Aboriginal and Torres Strait Islander peoples, communities and their peak and governing bodies. Leaders are committed to ensuring that the finalisation of targets and implementation of the Closing the Gap framework occurs through a genuine, formal partnership between the Commonwealth, state and territory governments and Aboriginal and Torres Strait Islander people through their representatives.

This formal partnership must be based on mutual respect between parties and an acceptance that direct engagement and negotiation is the preferred pathway to productive and effective outcomes. Aboriginal and Torres Strait Islander peoples must play an integral part in the making of the decisions that affect their lives – this is critical to closing the gap.

Today, COAG issued a statement outlining a strengths based framework, which prioritises intergenerational change and the aspirations and priorities of Aboriginal and Torres Strait Islander peoples across all Australian communities.

The finalisation of this framework and associated draft targets will be agreed through a formal partnership.

Governments and Aboriginal and Torres Strait Islander representatives will share ownership of, and responsibility for, a jointly agreed framework and targets and ongoing monitoring of the Closing the Gap agenda. This will include an Aboriginal and Torres Strait Islander-led three yearly comprehensive evaluation of the framework and progress.

The arrangements of the formal partnership between COAG and Aboriginal and Torres Strait Islander representation will be settled by the end of February 2019, and will include a Ministerial Council on Closing the Gap, with Ministers nominated by jurisdictions and representation from Aboriginal and Torres Strait Islander peoples.

The framework and draft targets will be finalised through this Council by mid-2019, ahead of endorsement by COAG. A review of the National Indigenous Reform Agreement will be informed by the framework.

Joint Select Committee on Constitutional Recognition

COAG acknowledged the release of the Report of the Joint Select Committee on Constitutional Recognition and endorsed the concept of co-design recommended by the Committee.  COAG looks forward to discussing the work on co-design at its next meeting.

 

NACCHO Aboriginal Health and #SuicidePrevention : #ATSISPC18 #refreshtheCTGRefresh Pat Turner CEO NACCHO Setting the scene panel : Health led solutions through Aboriginal Community Controlled Health #Leadership

” It is well established that Aboriginal led solutions deliver better outcomes.

Aboriginal community-controlled health services should be funded based on need and so that they can develop comprehensive suicide prevention initiatives with the communities they service. 

The Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project identifies successful Indigenous community led health led responses including providing positive health messages and mental health support underpinned by a cultural framework and tackling harmful drug and alcohol use.

These initiatives can be delivered by properly funded and supported Aboriginal Community Controlled Health Organisations.

I also believe in regular full health checks for at risk people so that critical issues that can impact on a persons wellbeing, like poor hearing, can be picked up and addressed early. 

We also know that mainstream mental health service provision for Aboriginal and Torres Strait Islander people across the country is inadequate and inappropriate.

Many people feel unsafe accessing the care they need.

Aboriginal Community Controlled Health Organisations should be priortised for funding to support our own people.” 

Pat Turner AM CEO NACCHO who is working with Aboriginal and Torres Strait Islander peak bodies across Australia to ask COAG for a seat at the table on the Closing the Gap Refresh: so that we get that policy right : Part 1 Below

Picture above @CroakeyNews : Prof Pat Dudgeon kicks off the keynote panel session: “Setting the scene”. #ATSISPC18. Prof Tom Calma, Prof Helen Milroy, and our CEO Pat Turner

See the #RefreshtheCTGRefresh Campaign post HERE

Read over 120 NACCHO Aboriginal Health and #SuicidePrevention articles published over last 6 years 

Suicide among Aboriginal and Torres Strait Islander communities is regularly in the media and public conversations. Often the focus is on an individual completed or attempted suicide or the negative statistics.

The second National Aboriginal and Torres Strait Islander Suicide Prevention Conference, to be held in Perth on November 20-21, will shift the focus to solutions identified by Indigenous people themselves. The program consists of only Indigenous people from Australia and internationally.

Our voices are important because it is our mob who understand what is going on in our communities best. We live and breathe it, with many of us either having considered taking our own lives, making an attempt or having had family members who have.

This is why the program includes a focus on community-based solutions. “

Summer May Finlay writes Part 2 below for Croakey 

Part 1 : Why an urgent need for action

  • Our people are more than twice as likely to commit suicide than other Australians.
  • Young Aboriginal and Torres Strait Islander men are the most at risk of suicide in Australia.
  • Those in remote area are more disproportionately affected
  • Suicide and self-inflicted injuries was the greatest burden of disease for our young people in 2011.
  • If, Western Australia’s Kimberley region was a country, it would have the worst suicide rate in the world, according to World Health Organisation statistics.
  • Rate of suicide for Aboriginal people in the Kimberley is seven times the rest of Australia.
  • This is not news to us: but it is unacceptable and it is why we are here today.

Aboriginal control

  • At the heart of suicide is a sense of hopelessness and powerlessness.
  • Our people feel this powerlessness at multiple levels, across multiple domains of our lives.
  • It is why we have the Uluru Statement from the Heart: a cry from Aboriginal and Torres Strait Islander peoples across the nation to have a say over matters that impact on us.
  • At the national level, it means a Voice to the Commonwealth Parliament and a full partnership between Indigenous people and governments on the Closing the Gap Refresh with COAG.
  • At the regional level, it is about the formation of partnerships – like in the Kimberley one on suicide prevention – working together and advocating as a region.
  • At the local level, it is about Aboriginal people being in control of the design and delivery of programs to their own people.
  • The importance of Aboriginal control or Indigenous led is highlighted consistently as a way to achieve better outcomes for our people.
  • This is also reinforced at the Kimberley Roundtable and in the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project.
  • Community-led actions are the most effective suicide prevention measure for our people. This fundamental point cannot be ignored if the situation is to change.

Healing

  • Aboriginal suicide rates have been accelerating since 1980.
  • Aboriginal people did not have a word for “suicide” before colonisation.
  • To go forward, we must go back and identify and draw on those aspects of our culture that gives us strength and identity.
  • We also must heal by acknowledging and addressing the effects of intergenerational trauma.
  • Part of healing must include challenging the continuing impacts of colonisation on Indigenous peoples’ contemporary lives.
  • Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project identifies the success of Elder-driven, on-country healing for youth which has the dual effect of strengthening intergenerational ties as well as increasing cultural connection.
  • Red Dust Healing is another example of cultural reconnection achieving positive outcomes with people at risk.
  • The Healing Foundation also achieves similar outcomes with the same principles of empowerment and connection to culture.

A public policy crisis

  • Almost all Aboriginal people who commit suicide are living below the poverty line.
  • Other common factors are:
    • Aboriginal people who have been incarcerated and come out of prison with little to no hope on the horizon.
    • Aboriginal people who are homeless.
    • Aboriginal people who have been recently evicted from their public housing rentals.
    • Aboriginal people who are exposed to violence and alcohol misuse and suffer domestic abuse.
    • Aboriginal people who have multiple underlying health and metal health issues.
    • Aboriginal people who are young; males; and those who live in remote areas.
  • This tells us that we need a comprehensive public policy response to address suicide rates in our people – that suicide in our people is linked to our status and situation more broadly in Australia.
  • It is therefore unacceptable that the National Partnership Agreement on Remote Indigenous Housing has been allowed to lapse and no further investment has been agreed.
  • We must overturn and replace the Community Development Program that is leaving our young people completely disengaged.
  • We must also tackle the issues that lead to the greater incarceration of our peoples, with greater investment in ear health programs, employment and education.
  • It is why we must join the call for Newstart to be raised, so that our people who cannot find work, are not living in poverty.
  • And it is why myself and NACCHO are working with Aboriginal and Torres Strait Islander peak bodies across Australia to ask COAG for a seat at the table on the Closing the Gap Refresh: so that we get that policy right.
  • Whilst these matters can be overlooked in our efforts to respond to suicide in our people, and because it is difficult for governments, but they are fundamental drivers.

 .

Part 2 Follow #ATSISPC18 for news from National Aboriginal and Torres Strait Islander Suicide Prevention Conference : From Croakey 

The second National Aboriginal and Torres Strait Islander Suicide Prevention Conference will take place in Perth this week.

Summer May Finlay, who will cover the discussions for the Croakey Conference News Servicetogether with Marie McInerney, writes below that the focus will be on community-based solutions, as well as listening to young people and LGBTIQ+ sistergirls and brotherboys.

For news from the conference on Twitter, follow #ATSISPC18@SummerMayFinlay@mariemcinerney and @CroakeyNews.


 

Healing and support crew on hand should the be needed 

Summer May Finlay writes:

Suicide among Aboriginal and Torres Strait Islander communities is regularly in the media and public conversations. Often the focus is on an individual completed or attempted suicide or the negative statistics.

The second National Aboriginal and Torres Strait Islander Suicide Prevention Conference, to be held in Perth on November 20-21, will shift the focus to solutions identified by Indigenous people themselves. The program consists of only Indigenous people from Australia and internationally.

Our voices are important because it is our mob who understand what is going on in our communities best. We live and breathe it, with many of us either having considered taking our own lives, making an attempt or having had family members who have. This is why the program includes a focus on community-based solutions.

While the term “Aboriginal and Torres Strait Islander” is used as a collective term for the Indigenous nations in Australia, each community within each nation is unique – culturally, socially and historically. This means that solutions need to be tailored to each community. Again, this focus is reflected in the conference program.

That’s not to say everyone in each community has the same needs and concerns. Within communities there are sub-groups who also have distinct needs, such as young people and LGBTQI+ sister girls and brother boys.

Representation matters

Our young people and community of LGBTIQ+ sistergirls and brotherboys experience disproportionate rates of suicide. Their voices on how to address the situation are important to hear, which is why these groups are well represented at the conference, with sessions where people will share their stories of ways forward.

Dion Tatow, a conference presenter, says the focus needs to be on ways forward because being “LGBTIQ+ sistergirls and brotherboys isn’t the cause of suicide, it is the discrimination and exclusion that are the cause”.

He says: “The shame [and] secrecy. You have to hide it, so it’s not good for your own health and wellbeing.”

Tatow is an Iman and Wadja man from Central Queensland and South Sea Islander (Ambrym Island, Vanuatu) and chairperson of gar’ban’djee’lum, a Brisbane-based, independent, social and support network for Aboriginal & Torres Strait Islander people with diverse genders, bodies, sexualities and relationships.

He believes that Aboriginal and Torres Strait Islander people and organisations like Aboriginal Community Controlled Health Organisations (ACCHOs) and cisgender people and mainstream organisations have a role to play in improving the health and wellbeing of LGBTIQ+ sistergirls and brotherboys.

However, many health services “staff aren’t trained to deal with some LGBTIQ+ sistergirls and brotherboys’ health concerns such as gender reassignment.” This can mean LGBTIQ+ sistergirls and brotherboys can feel uncomfortable accessing a service.

Safe spaces needed

Tatow believes that ACCHOs need to step up and become “safe spaces” for LGBTIQ+ sister girls and brother boys. He says that there is a perception among LGBTIQ+ sistergirls and brotherboys that ACCHOs may be unsafe, with concerns particularly around confidentiality.

According to Tatow, the program Safe and Deadly Spaces run by Aboriginal and Torres Strait Islander Community Health Service in Brisbane (ATSICHS) is a great example of what ACCHOs can do to offer appropriate services to LGBTIQ+ sister girls and brother boys.

ATSICHS is “committed to being inclusive of all sexual orientations, gender identities and intersex variations to ensure every member our community feels safe, accepted and valued when they access our services and programs”.

Young Aboriginal and Torres Strait islander people also have a strong presence at the conference.

Culture is Life, led by the Chief Executive Officer Belinda Duarte, has taken charge of the youth program. Culture is Life backs Aboriginal-led solutions that deepen connection and belonging to culture and country, and supports young Aboriginal and Torres Strait Islander people to thrive. This includes allowing young Aboriginal and Torres Strait Islander people to take on leadership roles.

Will Austin, 22, a Gunditjmara man, from South West Victoria who is the Community Relations manager for Culture is Life, was charged with leading development of the youth program. He believes that young people being part of the program was important because “Aboriginal leadership and expertise needs to be shared in a really inclusive way with young people through listening and reciprocity across the generations.”

Culture is key

Culture is Life, as the name implies, places culture at the centre of the work they do, and Austin sees culture as key to health and wellbeing for our young people, connecting to cultural practice in traditional and modern ways. He says:

Modern culture is marching down the street and finding the balances in different ways such as art, dance and contemporary dance, poems, song writing, music.

Our culture has been around for thousands of years and shared through our Elders. It will evolve. There is no better feeling than going out on country, dancing on country, feeling your feet on the earth your ancestors have walked on. Connecting to the ancient knowledge and using modern ways to communicate it.”

Katie Symes, Culture is Life General Manager – Marketing and Communications, also believes Culture is a key “protective factor” for Aboriginal and Torres Strait Islander young people.

Will Austin and Katie Symes encourage young people at the conference to have their voices heard.

Austin said: “Don’t be shame. Make sure you step up. Make sure you contribute to the conversations…young Indigenous people are the heartbeat of the nation.”

Symes said: “It’s important for young people to be supported to cut their teeth in a really safe space.”

And the conference is designed to be just that, a safe space.

Listening with heart

Culture is Life is promoting the importance of “Listening with our hearts to the lived experiences of First Nations young people, their friends, families and communities” through its LOVE and HOPE campaign, which aims to aims to raise awareness through communicating the evidence, lived experiences and Aboriginal-led solutions. This aim is echoed through the conference.

You can watch the two campaign videos featuring young Aboriginal and Torres Strait Islander people and Professor Pat Dudgeon, chair of the conference organising committee, here and here. Also follow the campaign on social media using the hashtags #loveandhope  #culturesquad  #cultureislife.

The conference showcases evidence from research and lived experience from Aboriginal and Torres Strait Islander people and Indigenous brother and sisters from other countries. The uniqueness of the program will lend itself to a unique experience for attendees.

This conference follows the first conference held in Alice Springs in 2016 as part of the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project funded by the Commonwealth Government (see this Croakey report compiling coverage of the conference).

• If you or someone you know needs help or support, call Lifeline on 13 11 14 (24 hours-a-day), contact your local Aboriginal Community-Controlled Organisation, call Beyondblue on 1300 22 4636 or call Q Life: 1800 184 527.

• Further reading: On World Suicide Prevention Day, calls for the Federal Government to invest in Indigenous suicide prevention.

• The feature image above is detail from an artwork on the conference website: Moortang Yoowarl Dandjoo Yaanginy: Families (Cultures) Coming Together for a Common Purpose (Sharing) Shifting SandsThe website says: “This artwork represents our people doing business on country that is recovering from colonisation; our lands taken over, our cultures decimated, and our families separated, causing hardship, despair, and loss of hope

NACCHO Aboriginal Health and #refreshtheCTGRefresh Campaign : 13 peak Aboriginal and Torres Strait Islander bodies propose meeting  with COAG reps to determine a framework for reaching agreement on a refreshed #ClosingtheGap strategy

We understand that at this stage it is intended that new Closing the Gap targets will be settled at COAG’s December meeting,

We are calling on COAG to hold off doing this and instead put in place a proper partnership mechanism with us. The new targets haven’t been published and Indigenous peaks are uncertain what the targets will be and therefore we cannot provide our support.

NACCHO and the peak bodies engaged with the process, took time to submit written submissions and attend workshops to discuss refreshing the Closing the Gap strategy earlier this year. But we can’t see how our input has been taken into account,

As a first step we propose a meeting with COAG representatives and the peak bodies to discuss a way forward that includes a genuine partnership approach.

Aboriginal people need to be at the centre of the Closing the Gap Refresh policy; the gap won’t close without our full engagement and involvement.

Having Aboriginal people involved in the design of the Refresh and proposed revised targets will lead to Aboriginal people taking greater responsibility for the outcomes. It’s been proven that Aboriginal community control is vital and delivers better outcomes for our people.” 

NACCHO Chief Executive Pat Turner AM see interview Part 3 below 

Download the NACCHO Press Release Here

NACCHO media release Refresh The CTG Refresh

Part 1 NACCHO Press Release continued 

The National Aboriginal Community Controlled Health Organisation (NACCHO) and other Aboriginal peak bodies across Australia have written to COAG First Ministers seeking a full partnership approach between Indigenous people and governments in refreshing the Closing the Gap Strategy, scheduled to be put to COAG for consideration in Adelaide on 12 December.

The letter, signed by 13 peak bodies, proposes an urgent meeting of Aboriginal and Torres Strait Islander peak bodies to meet with COAG representatives to determine a framework for reaching agreement on a refreshed Closing the Gap strategy.

It’s the second letter the group has written to COAG after failing to receive a response to their initial letter in early October from any government except the Northern Territory.

Part 2 Letter to Council of Australian Government First Ministers

Dear Council of Australian Government First Ministers 16/11/2018

We write again, further to our letter of 4 October 2018, concerning the Closing the Gap Refresh, a joint initiative of the Council of Australian Governments (COAG), to seek a formal partnership mechanism between Aboriginal and Torres Strait Islander peoples and governments in the Closing the Gap Refresh policy. We have only received a response from the Northern Territory Government.

As stated in our original letter, all of us believe it is essential that agreement is reached on the Closing the Gap Refresh policy between Indigenous organisations, on behalf of communities across Australia and Australian governments. What we propose is entirely consistent with the commitment made by COAG to set a new relationship with our communities based on a partnership.

If governments alone, continue to make decisions about the Closing the Gap, without an opportunity for us to be at the table, it will not be possible to advocate with any confidence or motivate our communities to support Closing the Gap and to take joint responsibility with governments for achieving the targets.

Pictures above and below from our #refreshtheCTGRefresh Campaign

The evidence is strong that when Indigenous people are included and have a real say in the design and delivery of services that impact on them, the outcomes are far better. We are certain that Indigenous peoples need to be at the centre of the Closing the Gap Refresh policy: the gap won’t close without our full involvement and COAG First Ministers, who are responsible for the Closing the Gap framework, cannot expect us to take responsibility and work constructively with them to improve outcomes if we are excluded from the decision making.

We have proposed a reasonable way forward to Australian Governments in our original letter without making it public to give everyone a reasonable opportunity to consider it. However, we understand that it is the intention of Australian Governments to still settle on targets at the forthcoming meeting of COAG on 12 December 2018.

We also understand that implementation arrangements are to be left over for COAG to agree in 2019. We make the points that neither ourselves nor anyone else outside government have seen the proposed targets which we think is way short of being partners and transparent and we cannot see how the targets can be agreed without considering at the same time how they are to be achieved.

We assume that Australian Governments will justify agreeing to targets by referring to the consultations earlier this year. Those consultations were demonstrably inadequate. They were conducted at a very superficial level without an opportunity for Indigenous interests to be prepared for the workshops held across Australia.

They were based on a discussion paper produced by the Department of the Prime Minister and Cabinet in December 2017 and which stated that only one of the seven targets was on track which two months later was contradicted by the former Prime Minister who said that three targets were on track. Critical elements of the original Closing the Gap framework, particularly COAG’s National Indigenous Reform Agreement, were not referred to at all in the consultations and the focus was on new targets instead of how we could make sure that this time around they were achieved.

There was no independent report prepared on the outcomes of the consultations and there is no way of telling if what was said in the consultations is reflected in the proposed Refresh policy including the targets.

The consultations started far too late which has left us with 4 targets having expired in June 2018. We do not accept that we have been properly consulted let alone given the opportunity to negotiate a mechanism that allows a proper partnership to be put in place in relation to the design, delivery and monitoring of Closing the Gap.

There is a now a significant opportunity to put this disappointing process back on track and in particular to establish a robust Closing the Gap framework founded on a genuine partnership between Indigenous people and governments.

It is open to governments on 12 December 2018, to endorse a partnership approach and establish a mechanism to initiate negotiations between representatives of COAG and Peak organisations with a view to developing a genuine partnership as part of the Closing the Gap Refresh. This would be endorsed by the Peak Organisations across Australia.

Subject to COAG endorsing a partnership approach, we propose a meeting of Aboriginal and Torres Strait Islander Peak bodies to meet with COAG representatives to determine a framework for reaching agreement on a refreshed closing the gap strategy.

We stand ready to do this quickly and would work with COAG on having a partnership framework in place in early 2019 with a revised approach agreed by the middle of the year.

Ms Pat Turner AM, the CEO of the National Aboriginal Community Controlled Health Organisation, is our contact for the purpose of responding to this vital matter and we ask that you contact her.

We look forward to working with you on the Closing the Gap Refresh through an established partnership mechanism.

Yours sincerely,

 

Part 3 Going backwards’: Aboriginal bodies take aim at Closing the Gap

Aboriginal peak organisations have slammed federal, state and territory governments for failing to give Indigenous leaders an effective role in re-energising the faltering Closing the Gap process.

In a letter written jointly to Prime Minister Scott Morrison, chief ministers and premiers, the leaders of the 13 peak bodies say they have been shut out of meaningful consultation about refreshed targets to overcome Aboriginal disadvantage.

By Deborah Snow SMH 19 November

Pat Turner, chief executive of the National Aboriginal Community Controlled Health Organisation, said "it's all gone backwards".
Pat Turner, chief executive of the National Aboriginal Community Controlled Health Organisation, said “it’s all gone backwards”. CREDIT:GLENN CAMPBELL

And they want the Coalition of Australian Governments – due to consider an update to Closing the Gap next month – to defer setting new targets until a fresh pact is hammered out giving “full partnership” to Aboriginal bodies.

“I think it’s all gone backwards,” the chief executive of the National Aboriginal Community Controlled Health Organisation (NACCHO), Pat Turner,  told the Herald.

“In the last few years, governments seem to have dropped the ball a lot. I hope they are giving serious consideration to our letter. They can’t go on having two bob each-way. They are there to lead and they have to have a bit of backbone. [The state of] Aboriginal affairs is a national shame, it is something that they should be wanting to get fixed.”

Ms Turner said only one government – the Northern Territory – had bothered replying to the group when they first wrote a letter a month ago seeking better consultation over new targets and implementation strategies.

“NACCHO and the peak [Indigenous] bodies engaged with the process took time to submit written submissions and attend workshops to discuss refreshing the Closing the Gap strategy earlier this year” she said. “But we can’t see how our input has been taken into account.”

The peak bodies decided on Sunday to release a second letter they wrote to all governments at the end of last week.

The letter says the “disappointing” Closing the Gap process has to be put “back on track” with Indigenous people taking part in the design and delivery of services on the basis of “genuine partnership”.

“As a first step we propose a meeting with COAG representatives and the peak bodies to discuss [such an] approach” Ms Turner said.

The Herald sought a response from Aboriginal Affairs minister Nigel Scullion but was unable to contact his office on Sunday.

Closing the Gap was first conceived of a decade ago as a way to measure Aboriginal disadvantage and set clear targets to redress it.

Earlier this year a report from the Department of Prime Minister and Cabinet said three of seven targets were “on track”: to halve the gap in year 12 attainment and halve the gap in child mortality by 2018, and to have 95 per cent of Indigenous four-year-olds enrolled in early childhood education by 2025.

However it said that other targets, including halving the gap in reading and numeracy, and halving the gap in employment, as well as closing the gap on life expectancy, were not on track.

 

 

 

NACCHO Aboriginal Women’s Health #SistersInside #imaginingabolition : Our CEO Pat Turner address to @SistersInside 9th International Conference Decolonisation is not a metaphor’: Abolition for First Nations women

NACCHO supports the abolition of prisons for First Nations women. The incarceration of Aboriginal and Torres Strait Island women should be a last resort measure.

It is time to consider a radical restructuring of the relationship between Aboriginal people and the state.

Aboriginal and Torres Strait Islander people and their communities must be part of the design, decision-making and implementation of government funded policies, programs and services that aim to reduce – or abolish –the imprisonment of our women.

Increased government investment is needed in community-led prevention and early intervention programs designed to reduce violence against women and provide therapeutic services for vulnerable women and girls. Programs and services that are holistic and culturally safe, delivered by Aboriginal and Torres Strait Islander organisations.

NACCHO calls for a full partnership approach in the Closing the Gap Refresh, so that Aboriginal people are at the centre of decision-making, design and delivery of policies that impact on them.

We are seeking a voice to the Commonwealth Parliament, so we have a say over the laws that affect us. “

Pat Turner NACCHO CEO Speaking at  Sisters Inside 9th International Conference 15 Nov

See Pats full speaking notes below

Theme of the day: ‘Decolonisation is not a metaphor’: Abolition for First Nations women

About Sisters Inside

  • Sisters Inside responds to criminalised women and girls’ needs holistically and justly. We work alongside women and girls to build them up and to give them power over their own lives. We support women and girls to address their priorities and needs. We also advocate on behalf of women with governments and within the legal system to try to achieve fairer outcomes for criminalised women, girls and their children.
  • At Sisters Inside, we call this ‘walking the journey together’. We are a community and we invite you to be part of a brighter future for Queensland’s most disadvantaged and marginalised women and children.

Sisters Inside Website Website 

In Picture above Dr Jackie Huggins, Pat Turner, Jacqui Katona, Dr Chelsea Bond and June Oscar, Aunty Debbie Sandy and chaired by Melissa Lucashenko.

Panel: Why abolition for First Nations Women?

Panel members:

  • Dr Jackie Huggins AM FAHA (Co-Chair, National Congress of Australia’s First Peoples)
  • Pat Turner AM (CEO, National Aboriginal Community Controlled Health Organisation)
  • Dr Chelsea Bond (Senior Lecturer, University of Queensland)
  • Jacqui Katona (Activist & Sessional Lecturer (Moondani Balluk), Victoria University)
  1. Imprisonment, colonialism, and statistics
  • The Australian justice system was founded on a white colonial model that consistently fails and seeks to control and supress Aboriginal and Torres Strait Islander peoples.
  • Indigenous peoples are overrepresented in the prison system:
    • Aboriginal and Torres Strait Islander adults are 12.5 times more likely to be imprisoned than non-Indigenous Australians.[i]
    • Our women represent the fastest growing group within prison populations and are 21 times more likely to be imprisoned than non-Indigenous women.[ii]
  • Imprisonment is another dimension to the historical and contemporary Aboriginal experience of colonial removal, institutionalisation and punishment.[iii]
  • Our experiences of incarceration are not only dehumanising. They contribute to our ongoing disempowerment, intergenerational trauma, social disadvantage, and burden of disease at an individual as well as community level.
  1. Aboriginal and Torres Strait Islander women’s experiences of imprisonment
  • The Change the Record report found that most Aboriginal and Torres Strait Islander women who enter prison systems:
    • are survivors of physical and sexual violence, and that these experiences are most likely to have contributed to their imprisonment; and
    • struggle with housing insecurity, poverty, mental illness, disability and the effects of trauma.
  • Family violence must be understood as both a cause and an effect of social disadvantage and intergenerational trauma.
  • Risk factors for family violence include poor housing and overcrowding, substance misuse, financial difficulties and unemployment, poor physical and mental health, and disability.[iv]
  • Imprisoning women affects the whole community. Children are left without their mothers. The whole community suffers.
  1. Kimberley Suicide Prevention Trial
  • The Kimberley Suicide Prevention Trial, of which NACCHO is a member, provides a grim example of the link between trauma, suicide, incarceration and the social determinants of health.
  • The rate of suicide in the Kimberley is seven times that of other Australian regions.
  • Nine out of ten suicides involve Aboriginal people.
  • Risk factors include imprisonment, poverty, homelessness and family violence.
  • Western Australia has the highest rate of Aboriginal and Torres Strait Islander imprisonment.
  1. Imprisonment and institutional racism
  • The overrepresentation of Aboriginal peoples in prison systems is not simply a law-and-order issue.[v] The trends of over-policing and imprisoning of Indigenous peoples are examples of institutional racism inherent in the justice system. [vi]
  • Institutional racism affects our everyday encounters with housing, health, employment and justice systems.
  • Institutional racism is not only discriminatory; it entrenches intergenerational trauma and socioeconomic disadvantage.[vii]
  • Exposure to racism is associated with psychological distress, depression, poor quality of life, and substance misuse, all of which contribute significantly to the overall ill-health experienced by Indigenous people. We are twice as likely to die by suicide or be hospitalised for mental health or behavioural reasons.
  1. Ways forward see opening quote Pat Turner 
  2. The role of ACCHSs in supporting Indigenous women

Increasing access to the health care that people need

  • Racism is a key driver of ill-health for Indigenous people, impacting not only on our access to health services but our treatment and outcomes when in the health system.
  • Institutional racism in mainstream services means that Indigenous people do not always receive the care that we need from Australia’s hospital and health system.
  • It has been our experience that many Indigenous people are uncomfortable seeking help from mainstream services for cultural, geographical, and language disparities as well as financial costs associated with accessing services.
  • The combination of these issues with racism means that we are less likely to access services for physical and mental health conditions, and many of our people have undetected health issues like poor hearing, eyesight and chronic conditions.

Early detection of health issues that are risk factors for incarceration

  • The Aboriginal Community Controlled Health model provides answers for addressing the social determinants of health, that is, the causal factors contributing to the overrepresentation of Indigenous women’s experiences of family violence and imprisonment.
  • Aboriginal Community Controlled Health organisations should be funded to undertake comprehensive, regular health check of Aboriginal women so that risk factors are identified and addressed early.

Taking a holistic approach to health needs and social determinants of health and incarceration

  • Overall, the Aboriginal Community Controlled Health model recognises that Aboriginal and Torres Strait Islander people require a greater level of holistic healthcare due to the trauma and dispossession of colonisation which is linked with our poor health outcomes.
  • Aboriginal Community Controlled Health is more sensitive to the needs of the whole individual, spiritually, socially, emotionally and physically.
  • The Aboriginal Community Controlled Model is responsive to the changing health needs of a community because it of its small, localised and agile nature. This is unlike large-scale hospitals or private practices which can become dehumanised, institutionalised and rigid in their systems.
  • Aboriginal Community Controlled Health is scalable to the needs of the community, as it is inextricably linked with the wellbeing and growth of the community.
  • The evidence shows that Aboriginal Community Controlled organisations are best placed to deliver holistic, culturally safe prevention and early intervention services to Indigenous women.
  1. About NACCHO
  • NACCHO is the national peak body representing 145 ACCHOs across the country on Aboriginal health and wellbeing issues. In 1997, the Federal Government funded NACCHO to establish a Secretariat in Canberra, greatly increasing the capacity of Aboriginal peoples involved in ACCHOs to participate in national health policy development.
  • Aboriginal Community Controlled Health first arose in the early 1970s in response to the failure of the mainstream health system to meet the needs of Aboriginal and Torres Strait Islander people and the aspirations of Aboriginal peoples for self-determination.
  • An ACCHO is a primary health care service initiated and operated by the local Aboriginal community to deliver holistic, comprehensive, and culturally appropriate health care to the community which controls it, through a locally elected Board of Management. ACCHOs form a critical part of the Indigenous health infrastructure, providing culturally safe care with an emphasis on the importance of a family, community, culture and long-term relationships.
  • Our members provide about three million episodes of care per year for about 350,000 people. In very remote areas, our services provided about one million episodes of care in a twelve-month period. Collectively, we employ about 6,000 staff (most of whom are Indigenous), which makes us the single largest employer of Indigenous people in the country.

[i] https://www.alrc.gov.au/publications/over-representation

[ii] Human Rights Law Centre and Change the Record Coalition, 2017, Over-represented and overlooked: the crisis of Aboriginal and Torres Strait Islander women’s growing over-imprisonment: NB: The foreword is written by Vicki Roach, a presenter in the next session of the Abolition conference

[iii] file://nfs001/Home$/doris.kordes/Downloads/748-Article%20Text-1596-5-10-20180912.pdf – John Rynne and Peter Cassematis, 2015, Crime Justice Journal, Assessing the Prison Experience for Australian First Peoples: A prospective Research Approach, Vol 4, No 1:96-112.

[iv] Australian Institute of Health and Welfare. 2018. Family, domestic and sexual violence in Australia. Canberra.

[v] https://www.theguardian.com/australia-news/2017/feb/20/indigenous-incarceration-turning-the-tide-on-colonisations-cruel-third-act

[vi] ‘A culture of disrespect: Indigenous peoples and Australian public institutions’.

[vii] https://www.theguardian.com/australia-news/2018/jul/12/indigenous-women-caught-in-a-broken-system-commissioner-says

NACCHO CEO Pat Turner and @END_RHD_CRE Co- Chair @jcarapetis call for a commitment to eliminate #RHD in Australia and clear plan of action and targets to measure progress

” Aboriginal and Torres Strait Islander children are 55 times more likely to die of rheumatic heart disease than other Australian children. We’re here today seeking a commitment from all political parties to stop this preventable disease from ever taking the life of another child in Australia.”

Aboriginal leaders are here to let politicians know that we are ready to partner with them, and that with their support, ending the disease is achievable,”

Ms Pat Turner AM, Co-Chair of END RHD and CEO of the National Aboriginal Community Controlled Health Organisation (NACCHO), says comprehensive and collaborative action to tackle the disease is needed to ensure Aboriginal and Torres Strait Islander children are given the chance to reach their full potential.

 

See Pat Turner speech in full Part 4 Below

Three Aboriginal brothers – the youngest only three – who are living with deadly rheumatic heart disease (RHD) will today join community representatives, health workers and medical experts at Parliament House, asking for a commitment to end the disease in Australia.

Virtually eliminated from the rest of Australia and most wealthy countries decades ago, rheumatic heart disease remains a scourge in developing countries and remote Aboriginal and Torres Strait Islander Communities, where rates are among the highest in the world. RHD starts with a sore throat or skin sores but can end with permanent heart damage, open-heart surgery and death at a very young age.

Also speaking at the event is one of the world’s leading rheumatic heart disease researchers, Professor Jonathan Carapetis AM, Co-Chair of END RHD and Director of the Telethon Kids Institute, who says a nonpartisan commitment is the next step needed to tackle the disease in Australia.

“I’ve spent 25 years researching rheumatic heart disease, and I truly believe that we’ve never been in a stronger position to eliminate the disease in this country.”

“Aboriginal and Torres Strait Islander organisations are taking the lead and working hand in hand with communities. We researchers are bringing the evidence to support them. If there is one country in the world that should be able to eliminate RHD, it is Australia,” Professor Carapetis said.

The Snow Foundation CEO, Georgina Byron, said event participants are pleased that RHD has become a priority for the Australian Government.

“The Government’s commitment to developing a roadmap to eliminate RHD is a great start, but we need an urgent allocation in the 2019 Federal Budget to commit to immediate action, fund comprehensive primary health care and appropriate educational activities in communities at high risk of RHD. We need to continue to ensure Aboriginal and Torres Strait Islander leadership, and set stretch targets to end RHD,” Ms Byron said.

Aboriginal Communities are taking local action to stop the devastating effects of the disease through community-led solutions. A unique program highlighted today engages Aboriginal Health Practitioners to use traditional languages and new technology, to create a comprehensive local effort to identify and stop RHD.

“With the engagement and participation of traditional owners in Maningrida, the local school, the health clinic, and Malabam Health Board, 13 new cases of RHD were discovered among 450 children, and two children – aged 8 and 12 – needed emergency heart surgery,” says Dr Bo Reményi, paediatric cardiologist and NT Australian of the Year. “At the same time, teachers and health workers were educating children and families about prevention in traditional language and through local metaphors. As one traditional owner recently remarked, ‘it’s been the greatest community collaboration I’ve ever experienced.’”

A comprehensive, community strategy, led by Aboriginal and Torres Strait Islander people, is critical to ending RHD. With strong leadership and political support, we will meet Australia’s commitment earlier this year at the World Health Assembly to prevent, control and eliminate rheumatic heart disease, but we need to take action now so that no child born in Australia from this day forward will develop rheumatic heart disease.

 Part 2 About The Snow Foundation

The Snow Foundation is the creation of brothers Terry and George Snow who have a straightforward view—if you see someone struggling, give them a helping hand.

Since it was established in 1991, the foundation has helped more than 250 groups, more than 240 individuals and provided more than $27 million in funds. Every dollar donated was given with the aim to enable individuals and organisations introduce positive improvement in their lives and their communities.

The foundation has helped with projects big and small, in a broad range of areas such as education, belonging, social change and health. Projects include purchasing vital equipment for people with disabilities, developing microloans to help women escape domestic violence, funding scholarships, providing a home for the homeless, advocating for marriage equality, broadening the impact of excellent palliative care and partnering with community organisations, philanthropy, businesses and governments to improve and save lives whenever possible.

Part 3 About END RHD

END RHD is an alliance of health, research and community organisations seeking to amplify efforts to end rheumatic heart disease in Australia through advocacy and engagement.

END RHD is the first time such a broad-based alliance has come together to pool their collective expertise. END RHD is:

  • Working with the communities most at risk of rheumatic heart disease in Australia. Only through Indigenous-owned, community-led strategies will we be able to successfully tackle the disease.
  • Securing funding and the political will to turn the world class research conducted by the End Rheumatic Heart Disease Centre of Research Excellence (END RHD CRE) into action.
  • Educating and empowering Australians about the role they can play in ending rheumatic heart disease

The founding members of END RHD are the Australian Medical Association, Heart Foundation, National Aboriginal Community Controlled Health Organisation (NACCHO), RHD Australia based at Menzies School of Health Research, Aboriginal Medical Services Alliance Northern Territory (AMSANT), Aboriginal Health Council of Western Australia (AHCWA), the END RHD Centre of Research Excellence based at Telethon Kids Institute, The Aboriginal Health Council of South Australia (AHCSA), the Queensland Aboriginal and Islander Health Council (QAIHC) and the Aboriginal Health and Medical Research Council (AH&MRC).

Part 4 Ms Pat Turner, CEO of NACCHO and Co-Chair END RHD

Thank you and I too wish to acknowledge the traditional owners. It is wonderful to join you on the country of Ngunnawal and Ngambri peoples. Thank you for your welcome, and to the traditional owners of this land. We are coming together today with Aboriginal and Torres Strait Islander people from around the country, including from remote Maningrida in the Northern Territory. I also want to welcome and acknowledge Minister Wyatt for his leadership on rheumatic heart disease.

Let me begin by saying I believe that today can be the beginning of the end of rheumatic heart disease. Our shared vision is that no child born in Australia from this day forward should die of RHD. We are here – now – to ask for your help in bringing that vision to life.

Rheumatic heart disease begins with a sore throat or a skin sore. For our children, these are common infections – but the impact can last a lifetime. A lifetime which, too often, is cut short.

We are going to hear today about the impact of these infections and the complications they can cause when RHD develops. I will let families and health workers tell their stories about why that happens, and what it means for them.

I want to tell you first why this matters for me.

As the CEO of NACCHO, I spearhead the Aboriginal Community controlled Health Sector where we employ over 6000 staff people working across 300 clinics at the community level to deliver comprehensive primary health care.

Comprehensive care means that we do everything – immunisations and iron infusions, injuries and ischaemic heart disease. Doing everything means that we rarely choose to focus on a single disease. There is so much to be done, we can’t afford to have ‘favourite’ diseases.

But RHD sticks out. It’s the greatest cause of cardiovascular inequality for Aboriginal and Torres Strait Islander people in this country. Non-Indigenous people, literally, just don’t contract it. 98% of people who get RHD in Australia are Aboriginal and Torres Strait Islander people.

We get it because of crowded houses, because – despite our best efforts – showers don’t work, taps don’t run, and clothes don’t get washed. We get it because our clinics are overwhelmed with demand and sometimes skin sores and sore throats go untreated. We get it because rheumatic fever gets missed and sometimes it is too late for treatment.

At NACCHO, we became a founding partner of END RHD not because this disease is a simple fix, but because it is hard. Because it spans from housing to clinics to open heart surgery.

It exemplifies the gaps in prevention in the health system and in outcomes. We are focusing on this because the only possible solution is a comprehensive, Indigenous-led primary care-based strategy of both prevention and treatment.

In pursuing this goal we have an opportunity to work together, collaboratively, in new ways. We believe in that way of working and we believe that it can end RHD.

We’ve been worried about RHD for decades. Young people kept dying and researchers kept writing papers about the problem. We’ve had some dribs and drabs of progress but it was always fragmented – some projects on echo screening, on improving needles for kids with RHD, some on better registers of people living with the disease.

In 2015 the National Health and Medical Research Council funded the END RHD Centre of Research Excellence – the END RHD CRE. The END RHD CRE said they were going to write an Endgame Strategy for RHD. We thought they’d picked a weird name for yet another report on yet another disease.

We carried on with comprehensive primary health care delivery.

But the drum beat about the need to tackle RHD has grown louder, and today, we are at a tipping point.

We heard about the work of Take Heart to tell the stories of people living with RHD.

We saw that movie and we knew that sharing the reality of RHD was going to help everyone see what we already knew – RHD has an enormous impact in community. Then we started to hear about plans for the World Health Organisation to call for action on RHD globally – we know that Australia is one of the few wealthy countries where RHD still exists, and has a real opportunity to show international leadership in ending our domestic disparity.

In 2016, the Australian Medical Association focused their Indigenous Report Card on the issue of RHD and called for targets to tackle RHD by 2031. At the launch of that document, we announced the formation of END RHD – an alliance of organisations working to address the disease together. NACCHO was pleased to be a founding partner – alongside

The Australian Heart Foundation

The Australian Medical Association

Menzies School of Health Research

Telethon Kids Institute

And, critically, NACCHO affiliates in the 5 jurisdictions with high rates of RHD – ACHWA, AMSANT, QAICH, AHSCA and AH&MRC.

The interest of these groups made it clear that RHD isn’t something that we just have to live with or die from. It’s something we can take collective action about.

In May this year we heard that a resolution on RHD was passed at the World Health Organisation in Geneva. All countries must report on their actions to address RHD. The world will be watching Australia particularly closely.

Momentum since then has continued to grow. Minister Wyatt has shown great leadership in convening two roundtables on RHD, discussing the issue at COAG twice this year. Funding has been allocated to begin pilot programs in a small number of communities to prevent new cases of RHD. Other projects supported by philanthropic organisations, including our co-hosts, the Snow Foundation, demonstrate the power of community leadership.

END RHD has been joined by a whole network of supporters who have signed up as charter signatories to END RHD (name or indicate logo – TBD). We are working closely with the END RHD CRE to make sure that their Endgame Strategy isn’t just another report on a shelf, but a really tangible roadmap of what we need to do to tackle this disease.

And so we are here today – at the beginning of the end. And we need you to make it happen. Not just in a report – but in real world.

So we are asking you today:

  • For a commitment to eliminate RHD in Australia.
  • For a clear plan of action and targets to measure progress.
  • For a commitment to achieve those targets through the COAG process.
  • To appoint an Indigenous-led Steering committee to oversee that work.

And I need to let you know what we’re asking you to sign up to:

  • We estimate that it will take two decades to end RHD.
  • It’s going to take money. Some now, and more later. Probably much more – my research friends are running up the numbers to estimate the cost.
  • It’s going to mean working beyond the health sector. We need action on housing and environmental health, which drives this disease.

So there is a long road ahead of us – but that road is transformative. Not just because we can save lives and prevent the human suffering of RHD. That is important. But also, because a comprehensive, community-led approach to primary care and environmental health will help address so much more: ear disease, eye disease, childhood lung infections. RHD is just the start of this new way of working.

END RHD and our partners stand ready to put that new way into practice. We are already working with individuals, families, and communities most impacted by the disease. We are working with researchers to develop the best, and most effective recommendations. We are working with allies outside of health, in business, and in philanthropy to combine our efforts on this disease and all the preventable suffering it represents.

Today we come as a community, to Canberra, to seek a political commitment to support these efforts. Make no mistake – the financial ask is brewing and we expect that to be accounted for – but today, we ask that you hear the RHD story from the people who live it – and ask that you join us to commit, publicly, to end rheumatic heart disease in Australia. To resource that. And to let us lead the way.

 

 

 

NACCHO Aboriginal Health Workforce and Training News : Our peak bodies @KenWyattMP and @CPMC_Aust Building the Aboriginal and Torres Strait Islander health workforce and strengthening alliances to address the health priorities of Indigenous Australians.

 

” NACCHO stresses the importance of continuing to grow the depth and number of Indigenous people in the health sector.

Improving the health of our people can only occur through partnership, and integrating health care providers with community controlled services is the key.

Ms Patricia Turner, CEO of the National Aboriginal Community Controlled Health Organisation (NACCHO)

 “Background :  On 31 May 2017 the Australian Government joined with the Council of Presidents of Medical Colleges, the Australian Indigenous Doctor’s Association and the National Aboriginal Community Controlled Health Organisation as partners to improve the good health and wellbeing for Aboriginal and Torres Strait Islander peoples.

Focussing on Tier Three of the National Aboriginal and Torres Strait Islander Health Plan, partners are working in collaboration to improve system performance by focussing on two key comprehensive areas for collective strategic action: increase the health workforce and embed cultural safety and competency in the system

Download a full copy of the signed agreement 

Signed Agreement

Australia’s peak bodies for Indigenous health and specialist medicine have reaffirmed their commitment to working with the Australian Government as partners in reducing the current gap in health outcomes and life expectancy between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians under the Closing the Gap strategy.

Introducing the forum held on Wednesday 12th September at Parliament House, Minister Ken Wyatt AM, welcomed the opportunity to continue discussions under the National Partnership, highlighting the Australian Government’s commitment to Closing the Gap as the platform for improving the health and wellbeing for Aboriginal and Torres Strait Islander peoples.

The decision by Australian Health Ministers through the Council of Australian Governments Health Council to develop a National Aboriginal and Torres Strait Islander Health Workforce Plan by 2019 was welcomed by the collaborative partners.

Discussing the key areas of the partnership, cultural safety and access to services remain top priorities.

The Chair of the Council of Presidents of Medical Colleges (CPMC) Dr Philip Truskett AM reported that the key focus area of increasing the Indigenous specialist medical workforce by focussing on support, mentoring, role modelling was core business for Australia’s specialist Medical Colleges.

Indigenous Health Minister Ken Wyatt AM said the collaborative group was ideally placed to play an essential role in the COAG Health Council resolution to develop a National Aboriginal and Torres Strait Islander Health and Medical Workforce Plan – to ensure more Aboriginal doctors, nurses and health workers on country and in our towns and cities, local warriors for health among our families and communities.

Dr Kali Hayward, President Australian Indigenous Doctor’s Association (AIDA) reflected on building culturally appropriate health workforce and the need to discover champions in the system to support training.

Ms Janine Mohammed, CEO Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) highlighted the merit in greater coordination of services to deliver improvements in health outcomes.

Mr Karl Briscoe, CEO, National Aboriginal and Torres Strait Islander Health Workers Association (NATSIHWA) highlighted the importance of building the Aboriginal and Torres Strait Islander health workforce and strengthening alliances to address the health priorities of Indigenous Australians.

All partners acknowledged a National Aboriginal and Torres Strait Islander Health Workforce Plan will form the framework for furthering collective action to increase the Indigenous health workforce and embed a cultural safety capability in Australia’s health system.

 

NACCHO #NAIDOCWEEK #BecauseofherWeCan #WeCan18 @RecAustralia Interview with NACCHO CEO Pat Turner “A reconciled nation will be when Aboriginal and Torres Strait Islander peoples have self-determination over their own lives without the constraints of poverty and the burden of disease “

“ A reconciled nation will be when Aboriginal and Torres Strait Islander peoples have self-determination over their own lives without the constraints of poverty and the burden of disease. We will be in charge of our own affairs and in control over decisions that impact on us.

Our past will be fully acknowledged and our collective future celebrated without reservation. There will be no more debates over our shared history and Aboriginal and Torres Strait Islander peoples’ land ownership.

Racism will not be a barrier to Aboriginal and Torres Strait Islander people accessing education, employment and health services.

There will be complete acceptance of our unique cultural heritage and identities by all Australians enabling our languages, our connection to land and our cultural practices to flourish without restraint and be incorporated in all aspects of our nationhood “

Pat Turner AM NACCHO CEO interview with Reconciliation Australia when asked  : What does a reconciled Australia look like to you?

“They’ve allowed us to retain our identity”

NACCHO Aboriginal Health Australia CEO Pat Turner tells National Rural Health Alliance  Di Martin about the importance of Aboriginal grandmothers guarding language and culture #BecauseOfHerWecan

VIEW HERE

Background Pat Turner AM

Ms Pat Turner AM is the daughter of an Arrernte man and a Gurdanji woman, and was born and raised in Alice Springs.

After her father’s death in an accident at work, Ms Turner’s family experienced extreme financial hardship. Her mother’s courage and leadership in the face of such difficult circumstances was a constant inspiration.

Ms Turner joined the Australian Public Service in the early 1970s and joined the senior executive ranks by the mid-1980s. She worked in a range of prominent roles, including as Deputy Secretary in the Department of the Prime Minister and Cabinet during 1991-92, where she had oversight of the establishment of the Council for Aboriginal Reconciliation. In 1994-98, Ms Turner was the CEO of the Aboriginal and Torres Strait Islander Commission, making her the most senior Indigenous government official in the country.

Over the years, Ms Turner became more committed to the politics of self-determination. At a professional level, this meant being a firm supporter of community-based service delivery of health and welfare programs for Aboriginal people.

Today, Ms Turner is the CEO of the National Aboriginal Community Controlled Health Organisation (NACCHO). NACCHO is the peak body representing 144 Aboriginal community-controlled health services across the country on Aboriginal health and wellbeing issues.

Interview continued: What or who got you involved in reconciliation? 

I first started thinking about reconciliation and the place of Aboriginal people in Australia after attending the graduation ceremony of Uncle Charlie Perkins from Sydney University with Nanna Hetty Perkins. I was thirteen at the time, and listening to Charlie speak, I started to understand the importance of education if I wanted to make a difference.

After joining the Australian Public Service and moving from Alice Springs to Canberra, I was later appointed Deputy Secretary, Department of Prime Minister and Cabinet. It was here I had a specific role in working for the Government on the legislation and establishment of the Council of Aboriginal Reconciliation. I was the inaugural National Secretary to the Council.

After returning to Alice Springs in 2006 I held the position of CEO of National Indigenous Television where I supported the celebration of Indigenous culture and helped challenge perceptions and fears of many non-Indigenous Australians about Aboriginal and Torres Strait Islander peoples that are a continuing barrier to reconciliation.

What do you see as the biggest challenges to national reconciliation?

Our biggest challenges are twofold:

Firstly, making both Federal and State Governments truly accountable to eliminate poverty and disadvantage endured by our people.

Secondly, acceptance and respect by all Australians of our unique cultural heritage and identities, our relationship with land, our languages and our cultural practices, so that those areas and the essence of our beings are incorporated into all aspects of Australian life and government efforts to eliminate our disadvantage.