NACCHO @TheAHCWA Aboriginal Health and the Cashless Welfare card debate

 

 ” Graphic video footage played recently to Prime Minister Malcolm Turnbull and other influential politicians cuts to the core. It is horrific, sickening and gut-wrenching, and would affect any compassionate human being.

But the intent behind the carefully edited emotive video – further pushing a ( Cashless Welfare ) card to supposedly tackle every imaginable social problem in vulnerable communities – is ill-conceived and ideologically driven.

Michelle Nelson-Cox Chair  : Aboriginal Health Council of Western Australia press release Opinion piece (part 2 Below )

 

 ” We need to recognise that the best way of dealing with problems is with respect, working together, and focussed on commonly agreed goals. We do not need a new generation of community members under the control of those who want to use punitive measures to coerce and control them. When has this approach ever been shown to work?

We need to ask why we are not doing it differently, treating the very causes of the dislocation and alienation of our communities — facing up to and turning around the hopelessness and despair that beleaguers them.

The Rural Doctors have made it clear when they said: “Those that do have problems will not be helped by measures that feel punitive, such as switching them to a cashless debit card, rather than payments. Tough love is rarely successful in treating substance abuse – particularly when it’s from the Government.”

I support the Rural Doctors and our community organisations working with families dealing with these issues. This is where we have to take this debate.”

Shadow assistant minister for Indigenous affairs and Aboriginal and Torres Strait Islanders Senator for Western Australia, Patrick Dodson responds to article portraying the state as a ‘war zone’ .Full article HERE

” Senator Rachel Siewert has criticised a new video campaign showing graphic depictions of violence in Indigenous communities as shock tactics designed to scare the Federal Government into rolling out more cashless welfare cards in remote Western Australia.

Using violent imagery then offering a one-dimensional, paternalistic and previously failed approach to a complex problem shows that Andrew Forrest is more concerned about furthering his ideologies than looking at what works.

“I share concerns about disadvantage and agree we need to be addressing severe disadvantage in communities like Port Hedland. We need a multifaceted approach including addressing alcohol supply, drug and alcohol services, and wrap around services driven by the community.

“I agree we do need to be investing in communities but in approaches that work ‘ Senator Rachel Siewert

Read Senator Rachel Siewert full press release part 4 below

Mining magnate Andrew Forrest and local leaders from the East Kimberley region, last week launched #timetoact an online anti-violence campaign in the nation’s capital. It features a video that shows disturbing scene of violence.”

Watch video HERE

” The concerted push by outgoing WA Police Commissioner Karl O’Callaghan that the cashless welfare system should be expanded to somehow protect children from sexual abuse, particularly in the north-west town of Roebourne, is fundamentally flawed.

There has been no conclusive evidence to date that cashless welfare cards play any role in reducing the impact of issues such as illicit drug use or child sexual abuse.

Instead, greater investment is needed in programs that address social determinants and build strong families and communities.

Ultimately, we need to see an increase in community programs and comprehensive support services to help address these complex social issues in Aboriginal communities.

AHCWA does not support simplistic apparent solutions imposed from outside Aboriginal communities. Rather, it advocates for greater investment in community designed and driven programs to build strong families and communities.

Our sector has been delivering positive outcomes in Aboriginal health for more than 40 years, but in that time we have often dealt with the unintended negative consequences of whatever “silver bullet” solution is politically fashionable at the time.

Extracts from Michelle Nelson-Cox Chair  : Aboriginal Health Council of Western Australia press release (part 1and 2 below)

 

Elder Ted Carlton with a card

Part 1 : AHCWA rejects Karl O’Callaghan’s call to expand cashless welfare

The Aboriginal Health Council of Western Australia has challenged outgoing Police Commissioner Karl O’Callaghan to look in his own backyard and adequately police remote communities rather than advocate for greater disempowerment of indigenous Australians.

AHCWA chairperson Michelle Nelson-Cox today rejected calls by Mr O’Callaghan, whose contract ends on August 15 after 13 years at the helm of WA Police, for an urgent expansion of the cashless welfare system to combat child sex crimes in regional WA.

“The cashless welfare card is not a panacea to complex social problems,” Ms Nelson-Cox said.

“While AHCWA supports the government’s commitment to improve the health outcomes of Aboriginal people and prevent child sexual abuse, we do not support the ill-conceived idea that cashless welfare cards can turn the tide on the abhorrent abuse of children.

“There has been no conclusive evidence to date that cashless welfare cards play any role in reducing the impact of issues such as illicit drug use or child sexual abuse.

“Instead, greater investment is needed in programs that address social determinants and build strong families and communities.

“Ultimately, we need to see an increase in community programs and comprehensive support services to help address these complex social issues in Aboriginal communities.”

Ms Nelson-Cox said Mr O’Callaghan’s admissions in The West Australian newspaper that his officers could not protect children in remote communities was gravely concerning.

“At what point does the buck stop with police and governments to keep communities safe? Over the past 13 years, how have the high instances of sexual abuse not have been addressed earlier?” she said.

“There is a large police presence in Roebourne, and admissions by Karl O’Callaghan that ‘police were not capable of protecting children in those communities’ and ‘neither the police nor government can guarantee protection of these children’ shows a lack of commitment to work with communities to effectively address these issues.

“The reality is there are a huge number of people very unhappy with the way they have been affected by the cashless welfare system imposed by the Federal Government.

“If anything, this is a failure of policing in the Roebourne area to address these crimes.

“The cashless welfare card does not need to be expanded. The solution does not lie in the disempowerment of Aboriginal people, but rather additional police resources and a greater commitment to stamp out these shocking and abhorrent crimes.”

AHCWA is the peak body for Aboriginal health in WA, with 22 Aboriginal Community Controlled Health Services (ACCHS) currently engaged as members.

Part 2 : AHCWA rejects Karl O’Callaghan’s call to expand cashless welfare

 

Graphic video footage played recentlt to Prime Minister Malcolm Turnbull and other influential politicians cuts to the core. It is horrific, sickening and gut-wrenching, and would affect any compassionate human being.

But the intent behind the carefully edited emotive video – further pushing a card to supposedly tackle every imaginable social problem in vulnerable communities – is ill-conceived and ideologically driven.

The concerted push by outgoing WA Police Commissioner Karl O’Callaghan that the cashless welfare system should be expanded to somehow protect children from sexual abuse, particularly in the north-west town of Roebourne, is fundamentally flawed.

The belief that the cashless welfare card can prevent child sexual abuse is based on nothing more than a distorted perception that quarantining income will address all social problems in remote Aboriginal communities.

To date, there has been no conclusive evidence that cashless welfare cards play any role in reducing the impact of issues such as illicit drug use or sexual abuse.

In fact, the most comprehensive review of income management in the Northern Territory has proven that this strategy will not work and will likely only create further dependence.

WA communities like Roebourne do not need the next new idea imposed by white people who live elsewhere.

Instead, they need to work with Aboriginal people and support under resourced local initiatives already being worked on.

The Aboriginal Health Council of Western Australia (AHCWA) is the peak body for Aboriginal health in WA, with 22 Aboriginal Community Controlled Health Services (ACCHSs) currently engaged as members.

AHCWA does not support simplistic apparent solutions imposed from outside Aboriginal communities. Rather, it advocates for greater investment in community designed and driven programs to build strong families and communities.

Our sector has been delivering positive outcomes in Aboriginal health for more than 40 years, but in that time we have often dealt with the unintended negative consequences of whatever “silver bullet” solution is politically fashionable at the time. These days, the cashless welfare card is seen as the quick fix.

The cashless welfare card has been delivered as part of a Cashless Debit Card Trial (CDCT), a program developed to reduce the harm associated with alcohol consumption, illicit drug use and gambling in Ceduna in South Australia and the East Kimberley in WA (Kununurra and Wyndham).

The trial began in early 2016, when participants were issued a debit card which could not be used to buy alcohol, gambling products or to withdraw cash.

The system quarantines 80 per cent of income support payments into a restricted account linked to the card, with the remainder of these payments accessible through a normal, unrestricted bank account.

Remarkably, and perhaps unsurprisingly, an evaluation of the current trial showed that the majority of people using the card, and their families, did not report gambling, using illicit drugs, or consuming alcohol in excess.

To put it simply, this trial has been socially disempowering for a huge number of community members. Strong resistance and opposition has been made clear at public meetings, strikes and petitions.

Admissions by Karl O’Callaghan in the video shown to the PM that “police can’t save them” shows a lack of commitment to work with communities to effectively address these issues.

If anything, his comments reflect a failure of policing in the Roebourne area to address these crimes and protect the town’s most vulnerable people.

We support any commitment to improve the safety and health of Aboriginal people, particularly children, in WA and turn the tide on the appalling abuse of our youngsters, but the answer is not an expansion of the cashless welfare card.

The solution does not lie in the disempowerment of Aboriginal people, which has been an ongoing tactic by governments. Instead it lies in additional police resources and a genuine commitment to work with communities to stamp out these shocking and abhorrent crimes.

We agree it is time to act – it is time for the police to act.

“Using violent imagery then offering a one-dimensional, paternalistic and previously failed approach to a complex problem shows that Andrew Forrest is more concerned about furthering his ideologies than looking at what works,” Senator Siewert said today.

“I share concerns about disadvantage and agree we need to be addressing severe disadvantage in communities like Port Hedland. We need a multifaceted approach including addressing alcohol supply, drug and alcohol services, and wrap around services driven by the community.”

Part 3  :  Graphic video campaign pushing for welfare card slammed as ‘one dimensional’  

Continued from opening                                

Mr Forrest was joined yesterday by Jean O’Reerie, Aboriginal Education Worker from Wyndham in East Kimberley- a Cashless Debit Card trial site, her colleague, local Bianca Crake, and the Mayor of Port Hedland, Mr Camillo Blanko.

Mr Forrest claims that the government’s current system to stop drug and alcohol fuelled violence against children in the Pilbara and East Kimberley region isn’t working.

Linking what he described as horrific child abuse to alcohol and drug use, Mr Forrest is pushing for the Cashless Welfare Card to be introduced into more West Australian communities.

“Elders of communities, mayors of major towns are standing up and saying enough is enough. We need the system to change. What we have had is not enough. It’s delivering our children into hell and they have to be protected,” he told a media conference yesterday.

Mr Forrest yesterday brough elders and civic leaders, from Western Australia and South Australia, to meet personally with the Prime Minister Malcolm Turnbull, the leader of the opposition Bill Shorten and his deputy leader Tanya Plibersek.

Figures from the West Australian Police Commissioner Karl O’Callaghan’s department claimed that one in three children are being abused, in a town of 500 children – 158 were sexually assaulted, 36 men face 300 charges of child abuse and in another town six children committed suicide in six months. It was not specified whether the children affected were Indigenous or Non- Indigenous.

Jean O’Reerie an Aboriginal Education Worker from Wyndham in the East Kimberley was emotional as she described the situation in her community.

“We need help, we need the government to intervene and help us out as community leaders. We can’t do it on our own. We need change for our community, our kids are hurting,” she said.

“We, the grassroots people, live with it every day. The hurt, the suffering, and the abuse.”

Part 4 : Trying to scare people into supporting the cashless card a worrying ramp up of Andrew Forrest’s campaign: Senator Rachel Siewert

Andrew Forrest is trying to use similar shock tactics to those of the previous Howard Government to scare people into supporting the cashless welfare card, Australian Greens Senator Rachel Siewert said last week

“We are seeing a worrying ramp up of Andrew Forrest’s cashless welfare card campaign that uses children, violence and fear just like the Howard Government did in 2007 over the NT Intervention.

“The Howard Government did this to justify the Northern Territory Intervention to impose income management and the Basics Card, at the time the Little Children are Sacred report was used to scare people into supporting income management.

“The final evaluation of the NT Intervention shows that it met none of its objectives. Ten years on we are still seeing the number of children going into out of home care increasing and appalling disadvantage persists.

Using violent imagery then offering a one-dimensional, paternalistic and previously failed approach to a complex problem shows that Andrew Forrest is more concerned about furthering his ideologies than looking at what works.

“I share concerns about disadvantage and agree we need to be addressing severe disadvantage in communities like Port Hedland. We need a multifaceted approach including addressing alcohol supply, drug and alcohol services, and wrap around services driven by the community.

“I agree we do need to be investing in communities but in approaches that work. The Government invested over $1.2 billion in the NT Intervention which met none of its objectives. We should stop wasting money on income management style approaches and start looking at real solutions that work”.

 

NACCHO NEWS ALERT: COAG Health Ministers Council Communique acknowledge the importance #ACCHO’s advancing Aboriginal health

 

  Included in this NACCHO Aboriginal Health News Alert

  1. All issues 11 included in  Communique highlighting ACCHO health
  2. Health Ministers approve Australia’s National Digital Health Strategy
  3. Transcript Health Minister Hunt Press Conference

” The Federal Minister for Indigenous Health, Ken Wyatt, attended the COAG Health Council discussed the Commonwealth’s current work on Indigenous health priorities.

In particular this included the development of the 2018 iteration of the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan 2013-2023 that will incorporate strategies and actions to address the social determinants and cultural determinants of health.

Ministers also considered progress on other key Indigenous health issues including building workforce capability, cultural safety and environmental health, where jurisdictions can work together more closely with the Commonwealth to improve outcomes for Aboriginal and Torres Strait Islander peoples.

Ministers acknowledged the importance of collaboration and the need to coordinate activities across governments to support a culturally safe and comprehensive health system.

Ministers also acknowledge the importance of community controlled organisations in advancing Aboriginal and Torres Strait Islander health. ”

1.Development of the next iteration of the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan 2013–2023 COAG Health Council 

Read over 50 NACCHO NATSIHP Articles published over past 50 years

INTRODUCTION

The federal, state and territory Health Ministers met in Brisbane on August 4 at the COAG Health Council to discuss a range of national health issues.

The meeting was chaired by the Victorian Minister for Health, the Hon Jill Hennessy MP.

Health Ministers welcomed the New South Wales Minister for Mental Health, the Hon Tanya Davies MP, the Victorian Minister for Mental Health, the Hon Martin Foley MP, the ACT Minister for Mental Health Mr Shane Rattenbury and the Minister for Aged Care and Minister for Indigenous Health, the Hon Ken Wyatt AM, MP who participated in a joint discussion with Health Ministers about mental health issues.

Major items discussed by Health Ministers today included:

2.Andrew Forrest and the Eliminate Cancer Initiative

Mr Andrew Forrest joined the meeting to address Health Ministers in his capacity as Chairman of the Minderoo Foundation to discuss the Eliminate Cancer Initiative. The Minderoo Foundation is one of Autralia’s largest and most active philanthropic groups. It has established the Eliminate Cancer Initiatve (the Initiative), a global initiative dedicated to making cancer non-lethal with some of the world’s leading global medicine and anti-cancer leaders.

The Initiative is a united effort to convert cancer into a non-lethal disease through global collaboration of scientific, medical and academic institutes, commercially sustained through the support of the philanthropic, business and government sectors worldwide.

Australia has a critical role to play in this highly ambitious and thoroughly worthwhile goal.

3.Family violence and primary care

Today, Health Ministers discussed the significant health impacts on those people experiencing family violence.

Health Ministers acknowledged that health-care providers, particularly those in a primary care setting, are in a unique position to create a safe and confidential environment to enable the disclosure of violence, while offering appropriate support and referrals to other practitioners and services.

Recognising the importance of national leadership in this area, Ministers agreed to develop a plan to address barriers to primary care practitioners identifying and responding to patients experiencing family violence.

Ministers also agreed to work with the Royal Australian College of General Practitioners to develop and implement a national training package.

Further advice will be sought from Primary Health Networks on existing family violence services, including Commonwealth, State and NGO service providers in their regions, with a view to developing an improved whole-of-system responses to the complex needs of clients who disclose family violence

4.Fifth National Mental Health and Suicide Prevention Plan

Health Ministers endorsed the Fifth National Mental Health and Suicide Prevention Plan 2017-2022 and its Implementation Plan.

The Fifth Plan is focused on improvements across eight targeted priority areas:

1. Achieving integrated regional planning and service delivery

2. Effective suicide prevention

3. Coordinated treatment and supports for people with severe and complex mental illness

4. Improving Aboriginal and Torres Strait Islander mental health and suicide prevention

5. Improving the physical health of people living with mental illness and reducing early mortality

6. Reducing stigma and discrimination

7. Making safety and quality central to mental health service delivery

8. Ensuring that the enablers of effective system performance and system improvement are in place

The Fifth Plan also responds to calls for a national approach to address suicide prevention and will be used to guide other sectors and to support health agencies to interact with other portfolios to drive action in this priority area.

Ongoing collaboration and engagement across the sector and with consumers and carers is required to successfully implement the Fifth Plan and achieve meaningful reform to improve the lives of people living with mental illness including the needs of children and young people.

Health Ministers also agreed that mental health workforce issues would be considered by the Australian Health Ministers’ Advisory Council.

5.The National Psychosocial Supports Program

Health Ministers agreed to establish a time-limited working group to progress the Commonwealth’s National Psychosocial Supports program. This will have the objective of developing bilateral agreements to support access to essential psychosocial supports for persons with severe mental illness resulting in psychosocial disability who are not eligible for the NDIS.

Those bilateral agreements will take into account existing funding being allocated for this purpose by states and territories.

6.Strengthened penalties and prohibition orders under the Health Practitioner Regulation National Law

Health Ministers agreed to proceed with amendments to the Health Practitioner Regulation National Law (the National Law) to strengthen penalties for offences committed by people who hold themselves out to be a registered health practitioner, including those who use reserved professional titles or carry out restricted practices when not registered.

Ministers also agreed to proceed with an amendment to introduce a custodial sentence with a maximum term of up to three years for these offences.

These important reforms will be fast tracked to strengthen public protection under the National Law. Preparation will now commence on a draft amendment bill to be brought forward to Ministers for approval, with a view to this being introduced to the Queensland Parliament in 2018. The Western Australian Parliament is also expected to consider legislative changes to the Western Australian National Law.

7.Amendment to mandatory reporting provisions for treating health practitioner

Health Ministers agree that protecting the public from harm is of paramount importance as is supporting practitioners to seek health and in particular mental health treatment as soon as possible.

Health Ministers agreed that doctors should be able to seek treatment for health issues with confidentiality whilst also preserving the requirement for patient safety.

A nationally consistent approach to mandatory reporting provisions will provide confidence to health practitioners that they can feel able to seek treatment for their own health conditions anywhere in Australia.

Agree for AHMAC to recommend a nationally consistent approach to mandatory reporting, following discussion paper and consultation with consumer and practitioner groups, with a proposal to be considered by COAG Health Council at their November 2017 meeting, to allow the amendment to be progressed as part of Tranche 1A package of amendments and related guidelines.

8.National Digital Health Strategy and Australian Digital Health Agency Forward Work Plan 2018–2022

Health Ministers approved the National Digital Health Strategy and the Australian Digital Health Agency Work Plan for 2018-2022.

Download Strategy and work plan here  

The Strategy has identified the priority areas that form the basis of Australia’s vision for digital health.

This Strategy will build on Australia’s existing leadership in digital health care and support consumers and clinicians to put the consumer at the centre of their health care and provide choice, control and transparency.

Expanding the public reporting of patient safety and quality measures

Health Ministers supported Queensland and other interested jurisdictions to collaboratively identify options in relation to aligning patient safety and quality reporting standards across public and private hospitals nationally.

Ministers agreed that the Australian Commission on Safety and Quality in Health Care (ACSQHC) would undertake work with other interested jurisdictions to identify options in relation to aligning public reporting standards of quality healthcare and patient safety across public and private hospitals nationally.

The work be incorporated into the national work being progressed on Australia’s health system performance information and reporting frameworks.

 

9.National human biomonitoring program

Health Ministers noted that human biomonitoring data can play a key role in identifying chemicals which potentially cause adverse health effects and action that may need to be taken to protect public health.

Health Ministers agreed that a National Human Biomonitoring Program could be beneficial in assisting with the understanding of chemical exposures in the Australian population.

Accordingly, Ministers agreed that the Australian Health Ministers’ Advisory Council will explore this matter in more detail by undertaking a feasibility assessment of a National Human Biomonitoring Program.

Clarification of roles, responsibilities and relationships for national bodies established under the National Health Reform Agreement

States and territories expressed significant concern that the proposed Direction to IHPA will result in the Commonwealth retrospectively not funding activity that has been already delivered by states and territories but not yet funded by the Commonwealth.

States and territories were concerned that this could reduce services to patients going forward as anticipated funding from the Commonwealth will be less than currently expected.

The Commonwealth does not agree with the concerns of the states and territories and will seek independent advice from the Independent Hospital Pricing Authority (IHPA) to ensure hospital service activity for 2015-2016 has been calculated correctly. The Commonwealth committed to work constructively and cooperatively with all jurisdictions to better understand the drivers of increased hospital services in funding agreements.

10.Legitimate and unavoidable costs of providing public hospital services in Western Australia

Health Ministers discussed a paper by Western Australia on legitimate and unavoidable costs of providing public hospital services in Western Australia, particularly in regional and remote areas, and recognised that those matters create a cumulative disadvantage to that state. Health Ministers acknowledged that Western Australia will continue to work with the Commonwealth Government and the Independent Hospital Pricing Authority to resolve those matters.

11.Vaccination

Health Ministers unanimously confirmed the importance of vaccination and rejected campaigns against vaccination.

All Health Ministers expressed their acknowledgement of the outgoing Chair, the Hon Ms Jill Hennessy and welcomed the incoming Chair Ms Meegan Fitzharris MLA from the Australian Capital Territory.

Health Ministers approve Australia’s National Digital Health Strategy

Digital information is the bedrock of high quality healthcare.

The benefits for patients are signicant and compelling: hospital admissions avoided, fewer adverse drug events, reduced duplication of tests, better coordination of care for people with chronic and complex conditions, and better informed treatment decisions. Digital health can help save and improve lives.

To support the uptake of digital health services, the Council of Australian Governments (COAG) Health Council today approved Australia’s National Digital Health Strategy (2018-2022).

Download Strategy and work plan here  

In a communique issued after their council meeting in Brisbane August 4 , the Health Ministers noted:

“The Strategy has identified the priority areas that form the basis of Australia’s vision for digital health. It will build on Australia’s existing leadership in digital health care and support consumers and clinicians to put the consumer at the centre of their health care and provide choice, control, and transparency.”

Australian Digital Health Agency (ADHA) CEO Tim Kelsey welcomed COAG approval for the new Strategy.

“Australians are right to be proud of their health services – they are among the best, most accessible, and efficient in the world.

Today we face new health challenges and rapidly rising demand for services. It is imperative that we work together to harness the power of technology and foster innovation to support high quality, sustainable health and care for all, today and into the future,” he said.

The Strategy – Safe, seamless, and secure: evolving health and care to meet the needs of modern Australia – identifies seven key priorities for digital health in Australia including delivery of a My Health Record for every Australian by 2018 – unless they choose not to have one.

More than 5 million Australians already have a My Health Record, which provides potentially lifesaving access to clinical reports of medications, allergies, laboratory tests, and chronic conditions. Patients and consumers can access their My Health Record at any time online or on their mobile phone.

The Strategy will also enable paper-free secure messaging for all clinicians and will set new standards to allow real-time sharing of patient information between hospitals and other care professionals.

Australian Medical Association (AMA) President Dr Michael Gannon has welcomed the Strategy’s focus on safe and secure exchange of clinical information, as it will empower doctors to deliver improved patient care.

“Doctors need access to secure digital records. Having to wade through paperwork and chase individuals and organisations for information is

archaic. The AMA has worked closely with the ADHA on the development of the new strategy and looks forward to close collaboration on its implementation,” Dr Gannon said.

Royal Australian College of General Practitioners (RACGP) President Dr Bastian Seidel said that the RACGP is working closely and collaboratively with the ADHA and other stakeholders to ensure that patients, GPs, and other health professionals have access to the best possible data.

“The Strategy will help facilitate the sharing of high-quality commonly understood information which can be used with confidence by GPs and other health professionals. It will also help ensure this patient information remains confidential and secure and is available whenever and wherever it is needed,” Dr Seidel said.

Pharmacy Guild of Australia National President George Tambassis said that technology would increasingly play an important role in supporting sustainable healthcare delivery.

“The Guild is committed to helping build the digital health capabilities of community pharmacies and advance the efficiency, quality, and delivery of healthcare to improve health outcomes for all Australians.

“We are working with the ADHA to ensure that community pharmacy dispensing and medicine-related services are fully integrated into the My Health Record – and are committed to supporting implementation of the National Digital Health Strategy as a whole,” George Tambassis said.

Pharmaceutical Society of Australia (PSA) President Dr Shane Jackson said that the Strategy would support more effective medicationmanagement, which would improve outcomes for patients and improve the efficiency of health services.

“There is significant potential for pharmacists to use digital health records as a tool to communicate with other health professionals, particularly during transitions of care,” Dr Jackson said.

The Strategy will prioritise development of new digital services to support newborn children, the elderly, and people living with chronic disease. It will also support wider use of telehealth to improve access to services, especially in remote and rural Australia and set standards for better information sharing in medical emergencies – between the ambulance, the hospital, and the GP.

Consumers Health Forum (CHF) Leanne Wells CEO said that the Strategy recognises the importance of empowering Australians to be makers and shapers of the health system rather than just the users and choosers.

“We know that when consumers are activated and supported to better self-manage and coordinate their health and care, we get better patient experience, quality care, and better health outcomes.

“Digital health developments, including My Health Record, are ways in which we can support that to happen. It’s why patients should also be encouraged to take greater control of their health information,” Leanne Wells said.

Medical Software Industry Association (MSIA) President Emma Hossack said that the Strategy distils seven key themes that set expectations at a national level.“The strategy recognises the vital role industry plays in providing the smarts and innovation on top of government infrastructure.

This means improved outcomes, research, and productivity. Industry is excited to work with the ADHA to develop the detailed actions to achieve the vision which could lead to Australia benefitting from one of the strongest health software industries in the world,” Emma Hossack said.

Health Informatics Society of Australia (HISA) CEO Dr Louise Schaper welcomed the Strategy’s focus on workforce development.

“If our complex health system is to realise the benefits from information and technology, and become more sustainable, we need clinical leaders with a sound understanding of digital health,” Dr Schaper said.

The Strategy was developed by all the governments of Australia in close partnership with patients, carers and the clinical professionals who serve them – together with leaders in industry and science.

The Strategy draws on evidence of clinical and economic benefit from many sources within Australia and overseas, and emphasises the priority of patient confidentiality as new digital services are implemented.

The ADHA has established a Cyber Security Centre to ensure Australian healthcare is at the cutting edge of international data security.

The ADHA, which has responsibility for co-ordinating implementation of the Strategy, will now be consulting with partners across the community to develop a Framework for Action. The framework will be published later this year and will detail implementation plans for the Strategy.

The National Digital Health Strategy Safe, seamless and secure: evolving health and care to meet the needs of modern Australia is available on

https://www.digitalhealth.gov.au/australias-national-digital-health-strategy (https://www.digitalhealth.gov.au/australias-national-digital-health-strategy)

Greg Hunt Press Conference

Topics: COAG Health Council outcomes; The Fifth National Mental Health and Suicide Prevention Plan; support for doctors and nurses mental health; hospital funding; same-sex marriage

GREG HUNT:
Today was a huge breakthrough in terms of mental health. The Fifth National Mental Health Plan was approved by the states.

What this is about is enormous progress on suicide prevention. It has actually become the Fifth National Mental Health and Suicide Prevention Plan, so a real focus on suicide prevention.

In particular, the focus on what happens when people are discharged from hospital, the group in Australia that are most likely to take their own lives.

We actually know not just the group, but the very individuals who are most at risk. That’s an enormous step.

The second thing here is, as part of that plan, a focus on eating disorders, and it is a still-hidden issue. In 2017, the hidden issue of eating disorders, of anorexia and bulimia, and the prevalence and the danger of it is still dramatically understated in Australia.

The reality is that this is a silent killer and particularly women can be caught up for years and years, and so there’s a mutual determination, a universal determination to progress on eating disorders, and that will now be a central part of the Fifth National Mental Health and Suicide Prevention Plan.

And also, as part of that, we’ve included, at the Commonwealth’s request today, a real focus on early intervention services for young people under 16. Pat McGorry has referred to it as CATs for Kids, meaning Crisis Assessment Teams, and the opportunity.

And this is a really important step because, for many families, when they have a crisis, there’s nowhere to turn. This is a way through. So those are all enormous steps forward.

The other mental health area where we’ve made big, big progress is on allowing doctors to seek routine mental health treatment.

There’s an agreement by all of the states and territories to work with the Commonwealth on giving doctors a pathway so as they can seek routine mental health treatment without being reported to the professional bodies.

JOURNALIST:
What has led to the increased focus on eating disorders? Has there been an uptick in the number of suicides resulting from that, or has there been an uptick in the number of cases?

GREG HUNT:
No, this has been silently moving along. It’s a personal focus. There are those that I have known, and then when we looked the numbers shortly after coming in, and dealt with organisations such as the Butterfly Foundation, they explained that it’s been a high level issue with the worst rate of loss of life amongst any mental health condition.

And so that’s a combination both of suicide, but also of loss of life due to physical collapse. And so it’s what I would regard as a personal priority from my own experience with others, but then the advocacy of groups like Butterfly Foundation has finally landed. It should’ve happened earlier, but it’s happening on our watch now.

JOURNALIST:
That would be my next question, is that I’m sure advocacy groups will say this is great that it’s happened, but it’s taken the Government so long. Why is it that you’re focussing on it now as opposed to…?

GREG HUNT:
I guess, I’ve only just become Minister. So from day one, this is one of the things I’ve wanted to do, and I’m really, personally, deeply pleased that we’ve made this enormous progress.

So I would say this, I can’t speak for the past, it is overdue, but on our watch collectively we’ve taken a huge step forward today.

Then the last thing is I’ve seen some reports that Queensland and Victoria may have been upset that some of their statistical anomalies were referred to what’s called IHPA (Independent Hospital Pricing Authority).

The reason why is that some of their figures simply didn’t pass the pub test.

The independent authority will assess them, but when you have 4000 per cent growth in one year in some services, 3300 per cent growth in some years in other services, then it would be negligent and irresponsible not to review them.

It may be the case that there was a more than 40-fold increase in some services, but the only sensible thing for the Commonwealth to do is to review it.

But our funding goes up each year every year at a faster rate than the states’ funding, and it’s gone up by $7.7 billion dollars since the current health agreement with the states was struck.

JOURNALIST:
Is that, sorry, relating to private health insurance, or is that something separate?

GREG HUNT:
No, that’s just in relation to, a couple of the states lodged claims for massive growth in individual items.

JOURNALIST:
Thank you. So was there a directive given today regarding private health policies to the states? Was that something that was discussed or something that …?

GREG HUNT:
Our paper was noted, and the states will respond. So we’ve invited the states to respond, they’ll respond individually.

JOURNALIST:
And regarding that mental health plan, besides their new focus on eating disorders, how is it different from previous mental health plans?

GREG HUNT:
So, a much greater focus on suicide prevention, a much greater focus on eating disorders, and a much greater focus on care for young children under 16.

JOURNALIST:
Is that something that you can give more specific details about? You’re saying there’s a much greater focus, but is there any specific information about what that would mean?

GREG HUNT:
As part of the good faith, the Commonwealth, I’ve written to the head of what’s called the Medical Benefits Schedule Review, so the Medicare item review, Professor Bruce Robinson and asked him and their team to consider, for the first time, specific additional treatment, an additional treatment item and what would be appropriate for eating disorders.

NACCHO Aboriginal Health : Pat Dudgeon “Closing the Mental Health Gap ” Special Issue : Indigenous Psychology

 
” The available data on Aboriginal and Torres Strait Islander disadvantage has shone a light on the Indigenous mental health and wellbeing gap.

In their commentary in this special issue, Calma, Dudgeon, and Bray (2017) provide details of the challenges in mental health for Aboriginal and Torres Strait Islander peoples and what needs to happen to change the situation.All articles in this issue are concerned with and aimed at contributing to closing the mental health gap.”

Pat Dudgeon Pictured above with NACCHO CEO Pat Turner at the recent launch of the ATSISPEP report

Download all reports HERE

Articles

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    The Australian Psychological Society’s Apology to Aboriginal and Torres Strait Islander People (pages 261–267)Timothy A Carey, Pat Dudgeon, Sabine W Hammond, Tanja Hirvonen, Michael Kyrios, Louise Roufeil and Peter Smith

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We acknowledge the Traditional Owners of the land across Australia and pay our respect to the Elders past, present and future.

We also acknowledge young people as they are our future leaders, the custodians of our stories, cultures, histories and languages.

We as seniors must create opportunities and encourage our youth to realise their full potential (Calma, 2015).This special issue on Indigenous psychology is timely in a changing landscape for Aboriginal and Torres Strait Islander (hereon Indigenous) people and their participation in an Australian nationhood. A range of significant landmark events suggests that both Aboriginal and Torres Strait Islander people and Australians are in a process of decolonisation.

In our first special issue of Australian Psychologist: Indigenous Australian Psychologies (2000), we marked the changes that were taking place and our hopes for a better future. Here our focus was on psychology, Indigenous issues, and reconciliation. Looking back to that time 17 years ago, Aboriginal and Torres Strait Islander affairs have clearly advanced.As a result of the work of Indigenous communities, their leaders, and social justice advocates, there is now a greater public awareness of the social and cultural determinants of Indigenous health and a range of government policies and actions aimed at closing the health and life expectancy gap between the Indigenous peoples of the land and other Australians.In his role as the Aboriginal and Torres Strait Islander Social Justice Commissioner, Professor Tom Calma released a landmark document, the Social Justice Report (2005).This called for the nation to commit to achieving health equality for Indigenous people by 2030, and saw the establishment of the Close the Gap campaign in 2007.Dialogues about the underlying and deeply entrenched socio-economic disadvantage that contributes to this gap are now part of the national dialogue. Government policies and action to close the gap have also now become a national priority that is annually reviewed.This year, the Prime Minster presented the ninth annual report card to Parliament (Closing the Gap Prime Minister’s Report, 2017).Notably, Indigenous mental health and suicide prevention is highlighted as a priority in this report, which is acknowledged by all Australian governments.
Closing the Mental Health Gap

The available data on Aboriginal and Torres Strait Islander disadvantage has shone a light on the Indigenous mental health and wellbeing gap.

In their commentary in this special issue, Calma, Dudgeon, and Bray (2017) provide details of the challenges in mental health for Aboriginal and Torres Strait Islander peoples and what needs to happen to change the situation.
All articles in this issue are concerned with and aimed at contributing to closing the mental health gap.
For example, in Addressing the Mental Health Gap in Working with Indigenous Youth: Some Considerations for non-Indigenous Psychologists Working with Indigenous Youth (Ralph & Ryan, 2017), an overview of therapeutic approaches with Aboriginal and Torres Strait Islander people, particularly youth, is provided.
Ralph and Ryan (2017) stress that an understanding of Indigenous social and emotional wellbeing (SEWB) is necessary for all those who work with youth: “for practitioners working with Indigenous youth and others there is a need to work from within a social and emotional wellbeing framework and a need to adapt the application of any focused psychological strategies to the cultural context of the individual client.” They also express justifiable concerns that “the average number of sessions provided under ATAPS for youth aged 12–25 is only 4.8 sessions.”

The SEWB of Aboriginal and Torres Strait Islander youth is also the focus of Using Culturally Appropriate Approaches to the Development of KidsMatter Resources to Support the Social and Emotional Wellbeing of Aboriginal Children (Smith, O’Grady, Cubillo, & Cavanagh, 2017).

In this article, Smith, O’Grady, Cubillo, and Cavanagh (2017) describe the methodology behind the development of resources in the KidsMatter Aboriginal Children’s Social and Emotional Wellbeing Project. An inclusive process of workshops and consultations with Aboriginal people was informed by participatory action, narrative therapy, and critically reflexive practice. This process enabled researchers and the community to build effective learning tools for children for use by Aboriginal families, schools, and early childhood and health and community services.

Another article in this special issue, Narratives of Twitter as a Platform for Professional Development, Innovation and Advocacy (Geia, Pearson, & Sweet, 2017) offers a compelling argument for the online engagement of psychologists—both Indigenous and non-Indigenous—in raising community awareness of strategies for decolonisation, for circulating empowering, strength-based approaches to Indigenous wellbeing, and supporting and recruiting potential practitioners.

This paper describes the significant success of some transformative Indigenous Twitter movements. Lynore Geia, a Bwgcolman woman from Palm Island in Queensland, discusses #IHMayDay the day long Twitter festival raising awareness of health issues; Luke Pearson, a Gamilaroi man, describes how he set up @IndigenousX and the subsequent global and local impact on healing and knowledge building, and Melissa Sweet discusses the important #JustJustice campaign.

The connections between the criminal justice system and SEWB are also focused on in a significant paper on the urgent need for justice reinvestment, Keeping on Country: Understanding and Responding to Crime and recidivism in Remote Indigenous Communities (Dawes, Davidson, Walden, & Isaacs, 2017). Outcomes from a qualitative study using a multidisciplinary research team that engaged the community through a specific participatory action research process are discussed.

Their findings resonate with the principles of justice reinvestment; Dawes, Davidson, Walden and Isaacs (2017) suggest that with the right methodological approach Indigenous communities themselves can easily identify the underlying factors contributing to crime. With the community, localised strategies to address over-representation in the justice system can be developed. Further, adopting a self-determination approach provides a strength-based position for psychologists working in the area.

Cross-cultural understanding and developing and maintaining local culture in remote communities is the focus of another unique article, The Uti Kulintjaku Project: The Path to Clear Thinking. An Evaluation of an Innovative, Aboriginal-led Approach to Developing Bi-cultural Understanding of Mental Health and Wellbeing (2017).

The results of 3 years of research was an innovative approach to strengthen shared understandings in mental health. The research work undertaken is at the heart of cross-cultural relationships, that is, exploring and articulating deep understandings of language and concepts. Both the community leaders and the non-Indigenous workers in the research team have benefited from this appropriately long-term project.

 

It increased the empowerment and capacity building of the leaders involved, and increased the cultural understanding of non-Indigenous service providers. Togni (2017) demonstrates that the building of stronger bi-cultural wellbeing literacies will “lead to increased help-seeking, strengthened cultural competency within health services and Anangu leadership in strengthening Anangu social and emotional wellbeing (SEWB).”

The importance of recognising the contributions of Indigenous concepts of SEWB is also the focus of Decolonising Psychology: Validating Social and Emotional Wellbeing (Dudgeon, Bray & D’Costa, Walker, 2017) which uses findings from the National Empowerment Project to explore the seven domains of SEWB, namely body, mind and emotions, family, community, culture, Country, and spirituality.

 

In this article, Dudgeon, Bray, D’Costa, and Walker (2017) highlight how SEWB, (an emerging concept within Indigenous psychology), is important in holistically addressing the well being needs of Indigenous people.

The breadth of topics and approaches of the articles in this special issue are a testament to the strong emergence of Australian Indigenous psychology and are just some of the numerous innovations being made in the field across the nation. New methodologies, important findings, strategies for research futures, and guides for practitioners are offered. Each paper makes a significant contribution to both the discipline, the project of Indigenous social justice, and closing the mental health gap.

Indigenous PsychologyIndigenous psychology is emerging as a powerful new discipline and was recognised at a global level with the establishment of the Task Force for Indigenous Psychology in the Society for Humanistic Psychology, Division 32, American Psychological Association in 2010. The Task Force describes Indigenous psychology as:

  1. A reaction against the colonisation/hegemony of Western psychology.
  2. The need for non-Western cultures to solve their local problems—Indigenous practices and applications.
  3. The need for a non-Western culture to recognise itself in the constructs and practices of psychology.
  4. The need to use Indigenous philosophies and concepts to generate theories of global discourse.

We address each of these factors below; however, it is noted that implicit within these is a recognition that the principle of self-determination, confirmed as an underlying principle in the United Nations Declaration of the Rights of Indigenous People (UNDRIP) (2007), is central to wellbeing and the survival of cultural rights. Specifically, there are provisions regarding obligations to respect, recognise, and uphold Indigenous peoples’ individual and collective rights to develop, maintain, and use their own health systems, institutional structures, distinctive customs, spirituality, traditions, procedures, and practices in pursuit of their right to health and mental health and wellbeing. Authors such as Dudgeon and Walker (2015) have examined this relationship in other papers.

  • 1.A reaction against the colonisation/hegemony of Western psychology

The measured and principled response of Australia Indigenous psychology to the colonising impacts of Western psychology has challenged the discipline to re-think foundational assumptions. Since the 1990s Indigenous psychologies across the world have illuminated the ways in which Western therapeutic paradigms have privileged a concept of individual mental health. In short, the normalisation of Western individualism has reduced our understanding of psychological distress and healing. Indigenous therapeutic knowledge about the self as a dynamic flow of connections have until quite recently been silenced, and even pathologised. Yet gains in the discipline over the last few decades have seen a shift from Indigenous people being framed as objects of research to being agents of meaning and transformation. The marginalisation of Indigenous psychological research within the academy is still, however, an issue which requires change.

  • 2.The need for non-Western cultures to solve their local problems—Indigenous practices and applications

There is a broad consensus across Australian Indigenous communities that culturally strong therapeutic knowledge and practices are ones which articulate solutions identified by local communities (Dudgeon et al., 2014). Respect for the cultural knowledge of Elders is also important in the capacity building of on-country healing programs aimed at reducing youth suicide and “highlight the need for continued support for Elders in maintaining and passing on their cultural knowledge to young people” (Solutions That Work: What the Evidence and Our People Tell Us, 2016, p. 22).

  • 3.The need for a non-Western culture to recognise itself in the constructs and practices of psychology

This form of recognition is foundational to the process of decolonisation and for communities to identity their own solutions and articulate their own cultural concepts. However, it is equally important for Western psychology to recognise how the discipline has constructed Indigenous subjectivity and practiced culturally inappropriate therapeutic interventions. In this respect, the Australian Psychological Society has made history by being the first to formally apologise to Indigenous peoples for past oppressive practices and to vow to make systemic changes. The 2016 people was made at the Australian Psychological Society Congress 2016 in Melbourne. This has become a significant event that gained considerable worldwide media attention and has impact not only in Australia but internationally, with the American Psychological Association now developing a similar apology to their Indigenous people. It is fitting that those involved with progressing the APS apology comment in this special edition. Carey et al. provide a brief overview of the APS’s involvement with Aboriginal and Torres Strait Islander people and issues, tracing the history that contextualises the apology. The apology, how it came about and the reaction to it, particularly by APS members, describes a changing discipline. Following the Australian Government’s landmark apology to Aboriginal and Torres Strait Islander people Stolen Generations in 2008, the APS apology speaks to a maturing sense of race relations and nationhood. In my opinion, the apology formally owns and acknowledges the wrongs done, and the denial of the past, the injustice and oppression that was the lot of many Aboriginal and Torres Strait Islander people. In some respects, Aboriginal and Torres Strait Islander people have suffered a double burden—of suffering injustice and also of having that suffering denied. The apology from the nation and the APS is important; they value people and their experiences and give people respect and a genuine presence. A shared journey of healing for us as a nation can progress.

  • 4.The need to use Indigenous philosophies and concepts to generate theories of global discourse

There is a growing recognition of how psychology has been complicit in the processes of colonisation and oppressing Indigenous peoples. Recognising and acknowledging this past is important, hence the importance of the APS apology. Such acknowledgement and apology allows us to move forward, acknowledging colonisation allows decolonisation for both groups and into a more advanced discipline. It allows space for other viewpoints and understandings to emerge that not only benefit Indigenous peoples but all Australians. There is reason for optimism and the potential for empowerment and genuine inclusion of Aboriginal peoples in the discipline. In order to decolonise psychology in Australia, the discipline needs to consider and incorporate Aboriginal culture and beliefs into mental health services and research. We see this happening from the papers in this special edition. There is focus on the development of Aboriginal paradigms, standpoints, and concepts such as social and emotional wellbeing. Further, there is a deep appreciation of cultural difference and a willingness to work to develop mutual understandings. The papers in the special edition show the promise of different approaches and the development of a new phase of Australian psychology.

In 2017 we stand at a new beginning. We are living in a time of continual change. Twenty years ago Ernest Hunter wrote:

Self determination’, ‘quality of life’, ‘wellbeing’: these are terms that have only recently entered the vocabulary of mental health professionals working in indigenous settings. They are unfamiliar and handled with uncertainty and, at times, temerity; they are also unavoidable (1997, p. 821).

This special issue attests to how such terms are now a common part of discussions about Aboriginal and Torres Strait Islander wellbeing, and part of a vanguard movement in psychology.

Such terms have a substantial material force and a political history, as well as being part of the discourse of Indigenous psychology. Globally, the focus on decolonisation has emerged as a new defining movement which is in the process of transforming all disciplines, not only psychology. Decades of complex Indigenous struggles, debates, and victories are driving decolonisation, and it is because of this that terms such as “self-determination” and “wellbeing” resonate with a particular historical dignity.

The Aboriginal and Torres Strait Islander mental health movement is decolonising the discourse of Australian mental health not only within specialised journals but within the public sphere through the opening up of national debates about the relationship between racism and wellbeing. In doing so, the movement has also contributed to the national projects of overcoming racism and de-stigmatising psychological distress by providing insights into the social and cultural determinants of mental health.

TerminologyA range of words are used to describe Aboriginal and Torres Strait Islanders and non-Aboriginal peoples. The term Indigenous is also used by authors, as this includes both Aboriginal and Torres Strait Islander people. While encouraging authors to use terms that best fit the people they write with, I acknowledge that the preferred term is “Aboriginal and Torres Strait Islander peoples.” The Australian Human Rights Commission explains this term in further detail:

Aboriginal and Torres Strait Islander peoples retain distinct cultural identities whether they live in urban, regional or remote areas of Australia. The word ‘peoples’ recognises that Aborigines and Torres Strait Islanders have a collective, rather than purely individual, dimension to their lives. This is affirmed by the United Nations Declaration on the Rights of Indigenous Peoples (2012, p. 6).

NACCHO Aboriginal Health #CarersGateway : Free online resources to support #Aboriginal #carers

It’s rewarding work, but without help Dolly finds herself emotionally and physically drained. Dolly reached out and found that she could get services to help her.

Like Dolly, millions of people in Australia care for others who need help with their everyday lives.

A carer may be someone who looks after their husband or wife, partner, grandparent, uncle, aunty, cousin, child, grandchild or any other family member, a neighbour, a friend or someone in their community who needs help.

Everyone’s situation is different. Some carers look after someone who is an older person or who is unwell or has difficulties getting around. Some carers may look after someone who has a disability, a mental illness or dementia, a chronic condition or a long-term illness or drug and alcohol problems.

Many people looking after someone else don’t think of themselves as carers. They just see caring as what they do to help their families or friends or people in their communities.

Carers need help too – someone they can talk to and find out about services that can help. Carer Gateway is a free, Australian Government funded service that provides information for carers and helps people get in touch with their local services. People can ring up and have a private chat or go online and find out about support in their area, free financial and legal help and what to do in emergencies.  They can also get tips on how to look after themselves so they don’t get burnt out while caring for someone else.

Carer Gateway has short videos about real-life carers in the community – showing how they cope and deal with problems – and how they make the most of the time they spend caring for someone in need.

The videos include Dolly’s story. Dolly is a mother and full-time carer for her two adult daughters, who both need support with their everyday needs.

“It’s pretty much 24/7 around the clock. Four years ago, I realised I was doing a care role and I was also a working mum so quite busy. I thought you know what, it’s time for me to step back and start looking after my own,” she said.

There are free online resources to support Aboriginal carers, including a guided relaxation audio recording and information brochures and posters for use by health and community groups  which can also be ordered from the Carer Gateway ordering form and a Carer Gateway Facebook page to keep up to date on services and supports for carers.

To find out more, Carer Gateway can be contacted on 1800 422 737, Monday to Friday between 8am and 6pm,

or by visiting carergateway.gov.au

You can join the Carer Gateway Facebook community by visiting https://www.facebook.com/carergateway/

 

 

 

NACCHO Aboriginal Mental Health : Download report “Mental health in remote and rural communities “

 ” The poorer mental health of remote and rural Indigenous Australians is also impacted by the social determinants of Indigenous health, which are well recognised nationally and internationally.

These relate to the loss of language and connection to the land, environmental deprivation, spiritual, emotional and mental disconnectedness, a lack of cultural respect, lack of opportunities for self-determination, poor educational attainment, reduced opportunities for employment, poor housing, and negative interactions with government systems

The relationship of remoteness to health is particularly important for Indigenous Australians, who are overrepresented in remote and rural Australia (Australian Institute of Health and Welfare, 2014a).

The National Mental Health Commission (2014a, p. 19) identified that “the mental health needs of Aboriginal and Torres Strait Islander people are significantly higher than those of other Australians.”

Photo above

“ The women of Inkawenyerre, a small settlement in the Utopia community four hours by road north of Alice Springs, regularly take part in a different kind of mental health therapy, known as ‘narrative therapy.’

Narrative therapy taps into the centuries-old tradition among Aboriginal people of story-telling and expression through art. At the family Urapuntja Clinic, both women and children take part in narrative therapy.

They recreate what is commonly seen on any given evening in an Aboriginal community—people sitting around the fire, relating to one another and telling stories.

The activity is enjoyable for participants with group members often laughing and supporting one another as they tell stories and work on their painting—all while promoting good mental health living practice,”

Lynne Henderson, former RFDS Central Operations mental health clinician.

“People who live in the country get less access to care. And they become sicker,”

To increase the access to care, the RFDS said it needed a massive increase in funding. Country Australians see mental health professionals at only a fifth the rate of those who live in the city,

So there should be a five-fold increase in access to mental health care for country Australians.”

RFDS CEO Martin Laverty see story Part 2 below

Mental health in remote and rural communities

Mental health disorders are not more common in rural and regional Australia than they are in Australia’s cities, according to a new report from the Royal Flying Doctor Service (RFDS), but they are a lot harder to treat.

The report, Mental Health in Remote and Rural Communities, found about one in five remote and rural Australians — 960,000 people — experience mental illness.

Download the report HERE

RN031_Mental_Health_D5

But a combination of lack of access to facilities, social stigma, and cultural barriers present challenges to getting people the help they need.

AHCRA believes that’s something that everyone should be concerned about, with access to care regardless of location.

 

Part 1  Indigenous mental health and suicide

Data from the 2011 Australian Census demonstrated that 669,881 Australians, or 3% of the population, identified as Indigenous (Australian Bureau of Statistics, 2013b), and that 142,900 Indigenous Australians, or 21% of the Indigenous population, lived in remote and very remote areas (Australian Institute of Aboriginal and Torres Strait Islander Studies, 2014).

Around 45% of people in very remote Australia (91,600 people), and 16% of people in remote Australia (51,300 people) were Indigenous (Australian Bureau of Statistics, 2013b; Australian Institute of Aboriginal and Torres Strait Islander Studies, 2014).

In 2011–2012 around one-third (30%) of Indigenous adults reported high or very high levels of psychological distress—almost three times the rate for non-Indigenous Australians (Australian Bureau of Statistics, 2014).

In 2008–2012, in NSW, Queensland (Qld), WA, SA and the NT, there were 347 Indigenous deaths11 from mental health-related conditions (Australian Institute of Health and Welfare,

2015a). Specifically, age-standardised death data demonstrated that Indigenous Australians (49 per 100,000 population) were 1.2 times as likely as non-Indigenous Australians (40 per 100,000 population) to die from mental and behavioural disorders (Australian Institute of Health and Welfare, 2015a). Age-standardised deaths from mental and behavioural disorders increased with increasing age in both Indigenous and non-Indigenous Australians in 2008–2012.

Very few Indigenous and non-Indigenous Australians under the age of 35 years died as result of mental and behavioural disorders in 2008–2012. However, Indigenous Australians aged 35 years or older were more likely to die from mental and behavioural disorders than non-Indigenous

Australians in 2008–2012. Specifically, Indigenous Australians (7.2 per 100,000 population) aged 35–44 years were 5.7 times as likely as non-Indigenous Australians (1.3 per 1200,000 population) to die from mental and behavioural disorders (Australian Institute of Health and

Welfare, 2015a). In 2008–2012, Indigenous Australians (14.7 per 100,000 population) aged 45–54 years were 4.9 times as likely as non-Indigenous Australians (3.0 per 100,000 population) to die from mental and behavioural disorders (Australian Institute of Health and Welfare, 2015a).

In 2008–2012, Indigenous Australians (18.3 per 100,000 population) aged 55–64 years were 2.7 times as likely as non-Indigenous Australians (6.9 per 100,000 population) to die from mental and behavioural disorders (Australian Institute of Health and Welfare, 2015a). In 2008–2012,

Indigenous Australians (91.2 per 100,000 population) aged 65–74 years were 2.9 times as likely

as non-Indigenous Australians (31.3 per 100,000 population) to die from mental and behavioural disorders (Australian Institute of Health and Welfare, 2015a).

Further exploration of death data from mental and behavioural disorders illustrates the significant impact of psychoactive substance use (ICD-10-AM codes F10–F19) on Indigenous mortality (Australian Institute of Health and Welfare, 2015a). In 2008–2012, 29.1% of Indigenous deaths due to mental and behavioural disorders were the result of psychoactive substance use, such as alcohol, opioids, cannabinoids, sedative hypnotics, cocaine, other stimulants such as caffeine, hallucinogens, tobacco, volatile solvents, or multiple drug use. During this period, Indigenous Australians (7.3 per 100,000 populations) were 4.8 times as likely as non-Indigenous Australians to die as a result of psychoactive substance use (Australian Institute of Health and Welfare, 2015a).

Similarly, in 2006–2010, there were 312 Indigenous deaths from mental health-related conditions (Australian Institute of Health and Welfare, 2013a). Indigenous Australians living in NSW, Qld, WA, SA and the NT were 1.5 times as likely as non-Indigenous Australians to die from mental and behavioural disorders in 2006–2010 (Australian Institute of Health and Welfare, 2013a).

11 Deaths from mental and behavioural disorders do not include deaths from intentional self-harm (suicide). Intentional self-harm is coded under ICD-10-AM Chapter 19—Injury, poisoning and certain other consequences of external causes.

Age-standardised death data demonstrated that Indigenous males (49 per 100,000 population) were 1.7 times as likely as non-Indigenous males to die from mental and behavioural disorders. Indigenous females were 1.3 times as likely as non-Indigenous females to die from mental and behavioural disorders (Australian Institute of Health and Welfare, 2013a).

The greater number of deaths from mental and behavioural disorders with age may also represent the impact of conditions associated with ageing, such as dementia. For example, in 2014, Indigenous Australians (50.7 per 100,000 population) in NSW, Qld, SA, WA and the NT were 1.1 times as likely as non-Indigenous Australians (45.3 per 100,000 population) to die from dementia (including Alzheimer disease) (Australian Bureau of Statistics, 2016a).

In 2014–2015, Indigenous Australians (28.3 per 1,000 population) were 1.7 times as likely as non-Indigenous Australians (16.3 per 1,000 population) to be hospitalised for mental and behavioural disorders (Australian Institute of Health and Welfare, 2016a).

In 2011–2013, 4.2% of Indigenous hospitalisations were for mental and behavioural disorders (Australian Institute of Health and Welfare, 2015a). Age-standardised data demonstrated that Indigenous Australians (27.7 per 1,000 population) were twice as likely as non-Indigenous Australians (14.2 per 1,000 population) to be hospitalised for mental and behavioural disorders in 2011–2013 (Australian Institute of Health and Welfare, 2015a).

In 2008–2009, Indigenous young people aged 12–24 years (2,535 per 100,000 population) were three times as likely to be hospitalised for mental and behavioural disorders than non-Indigenous young people (Australian Institute of Health and Welfare, 2011).

 

The leading causes of hospitalisation for mental and behavioural disorders amongst Indigenous young people were schizophrenia (306 per 100,000 population), alcohol misuse (348 per 100,000 population) and reactions to severe stress (266 per 100,000 population) (Australian Institute of Health and Welfare, 2011).

A preliminary clinical survey of 170 Aboriginal and Torres Strait Islander Australians in Cape York and the Torres Strait, aged 17–65 years, with a diagnosis of a psychotic disorder, was undertaken to describe the prevalence and characteristics of psychotic disorders in this population (Hunter, Gynther, Anderson, Onnis, Groves, & Nelson, 2011).

Researchers found that: 62% of the sample had a diagnosis of schizophrenia, 24% had substance-related psychoses, 8% had affective psychoses, 3% had organic psychoses and 3% had brief reactive psychoses; Indigenous Australians aged 30–39 years were overrepresented in the psychosis sample compared to their representation in the population (37% of sample versus 29% of population) with slightly lower proportions in the 15–29 years and 40 years and older age groups; almost three-quarters (73%) of the sample were male (versus 51% for the Indigenous population as a whole); Aboriginal males (63% in the sample compared to 46% for the region as a whole) were overrepresented; a higher proportion of males (42%) than females (5%), and Aboriginal (44%) than Torres Strait Islander patients (10%) had a lifetime history of incarceration; comorbid intellectual disability was identified for 27% of patients, with a higher proportion for males compared to females (29% versus 20%) and Aboriginal compared to Torres Strait Islander patients (38% versus 7%); and alcohol misuse (47%) and cannabis use (52%) were believed to have had a major role in the onset of psychosis (Hunter et al., 2011).

In 2015, Indigenous Australians (25.5 deaths per 100,000 population) in Qld, SA, NT, NSW and WA were twice as likely as non-Indigenous Australians (12.5 deaths per 100,000 population) to die from suicide (Australian Bureau of Statistics, 2016b). In their spatial analysis of suicide, Cheung et al. (2012) concluded that higher rates of suicide in the NT and in some remote areas could be explained by the large numbers of Indigenous Australians living in these areas, who demonstrate higher levels of suicide compared with the general population.

The poorer mental health of remote and rural Indigenous Australians is also impacted by the social determinants of Indigenous health, which are well recognised nationally and internationally.

These relate to the loss of language and connection to the land, environmental deprivation, spiritual, emotional and mental disconnectedness, a lack of cultural respect, lack of opportunities for self-determination, poor educational attainment, reduced opportunities for employment, poor housing, and negative interactions with government systems

Part 2 Flying Doctors fight barriers to treat mental illness in rural Australia

Source ABC

Like so many in the bush, Brendan Cullen has a lot on his plate.

He manages a 40,000-hectare property south of Broken Hill. There are 8,000 sheep to keep track of. And that’s just a fraction of the number he looked after previously at another station.

A few years ago, the mustering, the maintenance, juggling bills and family — it all caught up to him.

“You just bottle stuff up. And sometimes you can’t find an out,” he said.

“In the bush you have a lot of time by yourself.”

He spent a lot of that time thinking about his problems. But Mr Cullen was lucky.

He heard about a mental health clinic being run by the Royal Flying Doctor Service (RFDS) in a nearby community and decided to go along.

“Catching up with one of the mental health nurses gave me the tools to be able to work out how I go about living a day-to-day life,” he said.

“My life’s a hell of a lot easier now than what it used to be.”

Mental health disorders are not more common in rural and regional Australia than they are in Australia’s cities, according to a new report from the RFDS, but they are a lot harder to treat.

The report, Mental Health in Remote and Rural Communities, found about one in five remote and rural Australians — 960,000 people — experience mental illness.

But a combination of lack of access to facilities, social stigma, and cultural barriers present challenges to getting people the help they need.

“People who live in the country get less access to care. And they become sicker,” RFDS CEO Martin Laverty said.

To increase the access to care, the RFDS said it needed a massive increase in funding.

“Country Australians see mental health professionals at only a fifth the rate of those who live in the city,” Mr Laverty said.

“So there should be a five-fold increase in access to mental health care for country Australians.”

The impact of distance and isolation when it comes to treating mental disorders can be seen in suicide rates. In remote Australia, the rate is nearly twice what it is in major metropolitan areas — 19.6 deaths per 100,000 people.

The suicide rate is even greater in very remote communities.

If you or anyone you know needs help:

The RFDS has responded by increasing its mental health outreach. In communities like Menindee, about an hour’s drive from Broken Hill in the far west of New South Wales, a mental health nurse is on call once a fortnight.

“I have needed them in the past. I got down to rock bottom at one stage. Even now I appreciate that support,” Menindee resident Margot Muscat said.

Ms Muscat plays an active role in the remote community. But she has also felt pressure in the past to manage that role, her work, and family commitments.

Mental health counselling has given her a valuable outlet.

“Just to know that I wasn’t alone. And that you don’t have to take the drastic step of suiciding, so to speak,” Ms Muscat said.

Some the RFDS’s mental health counselling is done over the airwaves. From its regional base in Broken Hill, mental health nurse Glynis Thorp counsels patients over the phone. Often calls are simply people checking in.

“It’s critically important…often there might only be two people on the property. So no one to talk to maybe,” she said.

“We might get out to a clinic every fortnight, but we might have follow up phone calls to check how people are going. For myself it’s probably a ratio of four to one.”

The RFDS report reveals every year hundreds of serious mental illness incidents require airplanes to be dispatched to remote areas to fly patients out for treatment.

Over three years from July 2013 the RFDS conducted 2,567 ‘aeromedical retrievals’.

The leading causes for evacuation flights due to mental disorder are

The RFDS also uses airplanes to carry its mental health nurses to very remote areas. On a typical day in Broken Hill, the medical team takes off just after dawn to head to three communities hundreds of kilometres away: Wilcania, White Cliffs and Tilpa.

In the opal mining town of White Cliffs, the mental health nurse sees patients at the local clinic. One is “Jane”, who doesn’t want her full name used.

“Without them, we would really be lost here,” she said.

Jane has been counselled by the RFDS and was recently directed to mental health treatment in Broken Hill. But she’s still reluctant to talk openly in town about the help she’s getting.

“In a small community it’s not wise to talk to other people in town,” she said. “And mental health, it does carry a stigma.”

Back on his station south of Broken Hill, Mr Cullen believes that stigma over mental health is slowly changing in the bush.

“People get wind that someone’s had a mental health problem, people talk now. As opposed to, let’s go back five years even, 10 years. It was a closed book,” he said.

“With these clinics, once upon a time you might have had a dental nurse, a doctor, and the like.

“But now you have a mental health nurse…And these clinics are close by. So you’re able to go to them. They come to you.”

NACCHO Aboriginal Health and #BTH20 Report released : Bringing Them Home 20 Years on : An action plan for healing

“ While this report might primarily detail the response from government to the Bringing Them Home report, it is not a report to government about government.

 This is a report for everyone, and outlines as a whole how we can actively support healing for Stolen Generations and their descendants.

There needs to be commitment to making change. We all have a responsibility to do this together.

 The price of not acting on the recommendations means an increased burden for Australia as a whole. It’s time for action. We need to address the unfinished business—for the sake of our Elders, our young ones, for our entire communities and all Australians.”

Bringing Them Home 20 Years on : An action plan for healing

Download the 2017 Report Here :

Bringing Them Home 20 years on – 23 May 2017

 ” Tony Abbott’s signature Indigenous Advancement Strategy worsened the Stolen Generations’ trauma by funnelling mental health and social services funding to non-indigenous NGOs, in some cases to the very churches that ran the insti­tutions to which the children were forcibly removed.

On the 20th anniversary of the landmark Bringing Them Home report, a review to be handed to Malcolm Turnbull and Bill Shorten today says most of its recommendations have not been implemented “

From Todays Australian  See below Part 3 for full Text

Photos below : The PM and Opposition leader meeting with members of the Stolen Generation this morning

“Not only have we denied Aboriginal People the right to their families but their right to culture; stories; traditions & language.”

The Hon Malcolm Turnbull Prime Minister

Part 1 : 20 YEARS ON:  IT’S TIME TO HEAL THE TRAUMA

Australia’s aging Stolen Generations are still struggling with the impacts of unresolved trauma, and need a new policy approach to assist them and their families to heal.

That’s a key finding of a major new report launched today by the Healing Foundation.  The launch marks 20 years since the landmark Bringing Them Home report was tabled in Federal Parliament.

Called Bringing Them Home 20 Years On, the new report sets out an action plan to overhaul Australia’s Indigenous policy landscape.

Healing Foundation Board Chair Steve Larkin said the failure to implement the recommendations of the original Bringing Them Home report has made matters worse for all Indigenous Australians.

“Our Stolen Generations haven’t been able to heal because Australia has failed to address their needs in a co-ordinated, holistic way.  As a result, their grief, loss and anger is being passed onto their kids and grandkids,” said Professor Larkin.

The Healing Foundation found the most pressing needs highlighted by the report are for:

  • Federally coordinated financial reparations similar to the Commonwealth Redress Scheme provided to survivors of child sexual abuse
  • a full analysis of the Stolen Generations changing needs as they age
  • a national study on intergenerational trauma, its impacts, and the best ways to address
  • ensuring all professionals who work with the Stolen Generations and their descendants – from police to mental health workers – are trained in recognising and addressing Indigenous trauma

Chair of the Healing Foundation’s Stolen Generations Reference Committee Florence Onus is one of four generations of women who have been forcibly removed from their families.

“I embarked on my healing journey when at 21, my mother attempted suicide.  With family support I became her full time carer and together we began the journey of healing,” said Ms Onus.

Florence is passionate about breaking the cycle of trauma through healing, education, cultural identity and spiritual nurturing.

At the event in Federal Parliament House Ms Onus and Professor Larkin will present Australia’s political leaders with a copy of the report

Part 2 : Report Executive summary

On 26 May 1997 the landmark Bringing Them Home report was tabled in Federal Parliament. The report was the result of a national inquiry that investigated the forced removal of Indigenous children from their families.

This marked a pivotal moment in the healing journey of many Stolen Generations members. It was the first time their stories—stories of being taken from their families—were acknowledged in such a way.

It was also the first time it was formally reported that what governments did to these children was inhumane and the impact has been lifelong.

Did you know?

  • The first Sorry Day was held on 26 May 1998—exactly one year after the Bringing Them Home Report was presented to the Parliament.
  • The Bringing Them Home Report resulted from an inquiry into the removal of Aboriginal and Torres Strait Islander children from their families, and recommends both an apology to Aboriginal and Torres Strait Islander people and reparations.
  • The term “Stolen Generations” refers to Aboriginal and Torres Strait Islander Australians who were forcibly removed, as children, from their families by government, welfare or church authorities and placed into institutional care or with non-Indigenous foster families.
  • The forced removal of Aboriginal and Torres Strait Islander children began as early as the mid-1800s and continued until the 1970s.
  • Queensland, Tasmania and Western Australia have implemented state-based Stolen Generations reparations schemes

Most Aboriginal and Torres Strait Islander people have been affected by the Stolen Generations.

The resulting trauma has been passed down to children and grandchildren, contributing to many of the issues faced in Indigenous communities, including family violence, substance abuse and self-harm.

Messages from NACCHO CEO Pat Turner and June Oscar

Two decades on and the majority of the Bringing Them Home recommendations have not yet been implemented. For many Stolen Generations members, this has created additional trauma and distress.

Failure to act has caused a ripple effect to current generations. We are now seeing an increase in Aboriginal people in jails, suicide is on the rise and more children are being removed.

Addressing the underlying trauma of these issues through healing is the only way to create meaningful and lasting change. Commemorative events, like the 20th anniversary of the Bringing Them Home report, are an important part of the healing process, for Stolen Generations members, their families and the broader community. In order to change, you have to remember.

The anniversary presents an opportunity to reset—to secure sustainable support to help reduce the impact of trauma.

This report, which was informed by the Healing Foundation’s Stolen Generations Reference Committee and other Stolen organisations, outlines an action plan for long term and holistic change.

As the first stage of taking action, the Healing Foundation has identified four key priorities which can be quickly addressed to build an evidence-based and equitable framework for healing.

Priority one

A comprehensive needs analysis so that we can tailor and deliver more effective service for Stolen Generations members that also represent the best possible return on investment. Right now, we don’t know how many Stolen Generations members are still alive, let alone the demographic data that would enable us to optimise service design and delivery.

We don’t know that needs have changed over the past two decades, as Stolen Generations members reach their elderly years and require specific aged care services.

Priority Two

A national scheme for reparations to ensure equal access to financial redress and culturally appropriate healing services, where state and federal governments – and the institutions that caused the harm – share the cost of the burden. Some States have recently announced reparation schemes for Stolen Generations members, which suggests a promising level of commitment to an overarching federal scheme.

Some states have recently announced reparation schemes for stolen Generations members, which suggests a promising level of commitment to an overarching federal scheme.

Priority Three

Coordinated and compulsory training around stolen Generations trauma so that the organisations working with Aboriginal and Torres Strait Islander communities are better equipped to provide effective and appropriate services.

The aim is to ensure that everyone has the skills to identify and appropriately deal with trauma- from police to frontline social and health workers, and staff at every level within key policy and provider organisations.

Priority Four

A comprehensive study of intergenerational trauma and how we can effectively tackle it. Measures to deal with intergenerational trauma need to underpin future strategies addressing social and health problems in Aboriginal and Torres Strait islander communities, including suicide, domestic violence, substance abuse, incarceration rates and the high numbers of children entering the protection system

Part 3 : Abbott’s Indigenous Advancement Strategy backfired for stolen generations

Tony Abbott’s signature Indigenous Advancement Strategy worsened the Stolen Generations’ trauma by funnelling mental health and social services funding to non-indigenous NGOs, in some cases to the very churches that ran the insti­tutions to which the children were forcibly removed.

From Todays Australian

On the 20th anniversary of the landmark Bringing Them Home report, a review to be handed to Malcolm Turnbull and Bill Shorten today says most of its recommendations have not been implemented.

The review also says the ageing nature of the cohort of indigenous Australians removed from their families for decades up until the 1970s, usually forcibly, means there will be specific aged-care needs that have not yet been planned for.

Attention to financial redress has been inadequate and more work must be done on the impact of the intergenerational trauma behind high rates of suicide, domestic violence, substance abuse, incarceration rates and increasing numbers of children being put in care, it says.

This trauma was identified as a result of the official policies of child removals, and the subsequent brutalisation in institutional settings.

The review, by the Aboriginal and Torres Strait Islander Healing Foundation, says training around Stolen Generations’ trauma must be improved so everyone from “police to frontline social and health workers and staff at every level within key policy and provider organ­isations” can provide effective services. It notes that the number of Stolen Generations members alive is not known but suggests a minimum realistic estimate of 15,000 people, with an extra 160,000 having immediate family who were removed.

The review, co-written by Lowitja institute chairwoman Pat Anderson, notes the failure to act since the 1997 report has “caused additional trauma and distress” for Stolen Generations members and had a “ripple ­effect” on current generations.

It notes research that shows those who had been removed, or who had parents, grandparents, great-grandparents or siblings removed “are around 50 per cent more likely to have been charged by police, 30 per cent less likely to report being in good health, 15 per cent more likely to consume alcohol at risky levels and 10 per cent less likely to be employed” than other indigenous Australians.

It also notes that despite some focus on healing, very little of this has been aimed at repairing relationships between Stolen Generations and their communities, which “has fed lateral violence resulting in increasing isolation”.

The Indigenous Advancement Strategy was introduced by Mr Abbott as prime minister in an attempt to streamline the delivery of services and create better efficiencies. It has been widely panned, including by a Senate committee and the Nat­ional Audit Office, for its hasty and poorly planned implementation, for channelling large program streams through non-indigenous organisations and inadequate indigenous decision-making input. A key focus of constitutional reform talks at Uluru this week by the Referendum Council will be how to achieve “substantive” change giving indigenous Australians a decisive influence on policymaking which affects them.

For more Info

Aboriginal Women’s Health : Download Report : Over imprisonment of Aboriginal women is a growing national crisis

“For too long our women have been ignored by policymakers. It is time for governments at all levels to put Aboriginal and Torres Strait Islander women’s experiences and voices front and centre, and listen to what we have to say about the solutions.

The report highlights the importance of Aboriginal and Torres Strait Islander women having access to specialist, holistic and culturally safe services and supports that address the underlying causes of imprisonment,

Experiences of family violence contribute directly and indirectly to women’s offending, If we are to see women’s offending rates drop, governments must invest in Aboriginal and Torres Strait Islander organisations that work with our women to stop violence.”

Antoinette Braybrook, Co Chair of the Change the Record Coalition and Convener of the National Family Violence Prevention Legal Services Forum.

New report launched to address skyrocketing Aboriginal and Torres Strait Islander women’s imprisonment rates

Download the report here : Aboriginal Woman OverRepresented_online

The over imprisonment of Aboriginal and Torres Strait Islander women is a growing national crisis that is being overlooked by all levels of government in Australia, the Human Rights Law Centre and Change the Record said in a new report launched today.

The imprisonment rate of Aboriginal and Torres Strait Islander women has skyrocketed nearly 250 per cent since the Royal Commission into Aboriginal Deaths in Custody.

Aboriginal and Torres Strait Islander women make up around 34 per cent of the female prison population but only 2 per cent of the adult female population.

The report, Overrepresented and overlooked: the crisis of Aboriginal and Torres Strait Islander women’s growing over imprisonment, calls for system wide change and outlines 18 recommendations to redress racialised and gendered justice system outcomes.

Adrianne Walters, Director of Legal Advocacy at the Human Rights Law Centre said,

“The tragic and preventable death of Ms Dhu is a devastating example of what happens when the justice system fails Aboriginal and Torres Strait Islander women. Ms Dhu was locked up under draconian laws that see Aboriginal women in WA disproportionately locked up for fines they cannot pay. She was treated inhumanely by police and died in their care. At a time when she most needed help, the justice system punished her.”

Annette Vickery, Deputy CEO of the Victorian Aboriginal Legal Service, said, “The vast majority of Aboriginal and Torres Strait Islander women in custody are mothers. While Aboriginal and Torres Strait Islander women are often in custody for short periods, even a short time can cause devastating and long term upheaval – children taken into child protection, stable housing lost, employment denied.

“Governments should be doing everything they can to help women avoid prison to prevent the devastating rippling effects of women’s imprisonment on children and families,” added Ms Vickery.

The report calls for governments to move away from ‘tough on crime’ approaches in reality and rhetoric, and to focus on evidence based solutions that tackle drivers of offending and prevent women coming into contact with the justice system in the first place.

Ms Walters said, “Overzealous policing and excessive police powers, driven by tough on crime politics, see too many Aboriginal and Torres Strait Islander women and men fined and locked up for minor offending. Only last month, the WA Coroner recommended the removal of police arrest and detention powers for public drinking after another Aboriginal woman died in police custody.”

“Governments can act now to remove laws that disproportionately and unfairly criminalise Aboriginal and Torres Strait Islander women, like fine default imprisonment laws in WA and paperless arrest laws in the NT,” added Ms Walters

Ms Walters said, “Aboriginal and Torres Strait Islander women are also being denied bail and options to transition away from courts and prisons to more rehabilitative alternatives. Too often this is because of a lack of housing and programs designed for their social and cultural needs, particularly in regional and remote locations.’

“Rather than enacting harsher laws and barriers to women accessing rehabilitative alternatives, governments must invest in programs that are designed for and by Aboriginal and Torres Strait Islander women and that tackle the root causes of offending,” said Ms Walters.

Response from contributor to the report, Vickie Roach Vickie Roach, a former prisoner turned writer and advocate said “punitive approaches don’t work for Aboriginal and Torres Strait Islander women. They punish our women, their families and communities, for actions that are often the consequence of forced child removal and assimilation policies.”

“Governments should be getting rid of laws that unfairly criminalise our women. They should be trying to close prisons and focusing on alternatives that are healing. You need to respect women’s dignity, but in my experience, so often the criminal justice system just takes it away,” added Ms Roach.

 

NACCHO Aboriginal Youth and Mental Health : Download Report from @MissionAust and @blackdoginst

 ” It is critical that responses to support a young person’s mental health be culturally sensitive and gender sensitive and that they address the structural issues that contribute to higher levels of psychological distress for young females and for Aboriginal and Torres Strait Islander young people.

For example, we know that Aboriginal and Torres Strait Islander people continue to be adversely affected by racism, disconnection from culture, and the long history of dispossession. All of these factors contribute to poor mental health, substance misuse and higher suicide rates.

As a matter of priority, suicide prevention programs that are tailored to the needs of the whole community and focussed on prevention should be available to Aboriginal and Torres Strait Islander people. All programs should be offered in close proximity to community and should be age appropriate as well as culturally sensitive.”

Download a copy of the Five-Year Youth Mental Health Report

 youth-mental-health-report

NACCHO Background References (1-4)

Ref 1:  Read / research the 250 NACCHO Articles

about Aboriginal Mental Health published in past 5 years

about suicide prevention in the past 5 years

Ref 2 :Download the Draft Fifth National Mental Health Plan at the link below:

 “The release of the Draft Fifth National Mental Health Plan is another important opportunity to support reform, and it’s now up to the mental health sector including consumers and carers, to help develop a plan that will benefit all.”

A successful plan should help overcome the lack of coordination and the fragmentation between layers of government that have held back our efforts to date.”

NACCHO and Mental Health Australia CEO Frank Quinlan have welcomed the release of the Draft Fifth National Mental Health Plan and is encouraging all ACCHO stakeholders to engage with the plan during the upcoming consultation period.

Download the Draft Fifth National Mental Health Plan at the link below:

PDF Copy fifth-national-mental-health-plan

You can download a copy of the draft plan;or see extracts below

Fifth National Mental Health Plan – PDF 646 KB
Fifth National Mental Health Plan – Word 537 KB

Ref 3: NACCHO Chairperson, Matthew Cooke see previous press Release

“Clearly Australia’s mental health system is failing Aboriginal people, with Aboriginal communities devastated by high rates of suicide and poorer mental health outcomes. 

Poor mental health in Aboriginal communities often stems from historic dispossession, racism and a poor sense of connection to self and community. It is compounded by people’s lack of access to meaningful and ongoing education and employment. Drug and alcohol related conditions are also commonly identified in persons with poor mental health.

While there was no quick fix for the crisis, an integrated strategy led by Aboriginal community controlled health services is a good starting point.

The National Mental Health Commission Review recommended the establishment of mental health and social and emotional wellbeing teams in Aboriginal Community Controlled Health Services, linked to Aboriginal and Torres Strait Islander specialist mental health services.

None of these can be fixed overnight but we can’t ignore the problems. We are on the brink of losing another generation of Aboriginal people to suicide, poor health and substance abuse.”

What we do know is the solution must be driven by Aboriginal leaders and communities – a model that is reaping great rewards in the Aboriginal Community Controlled health sector.

It must be a community based approach, backed up by governments of all levels.”

NACCHO Chairperson, Matthew Cooke

Ref 4 : Extra info provided by Tom Calma

Prof Pat Dudgeon and Tom Calma chair the ATSI Mental Health and Suicide Prevention Advisory Group to the Commonwealth and Pat Chairs NATSIMHL, the group who created the Gayaa Dhuwi.

Bottom line is that the community should feel confident that all the major initiatives in mental health and suicide prevention are being lead by our people and more can be found at http://natsilmh.org.au

and http://www.psychology.org.au/reconciliation/whats_new/

and http://www.atsispep.sis.uwa.edu.au

Action urgently needed to stem rising youth mental illness

Last week Mission Australia released its joint Five-Year Youth Mental Health Report with Black Dog Institute, sharing the insights gathered about the mental health of Australia’s young people during the years 2012 to 2016.

Learning what young people think is so important to the work we do at Mission Australia. By checking in with them we discover their thoughts about their lives and their futures, and what concerns them most.

The Five Year Mental Health Youth Report presents the findings of the past five years on the rates of psychological distress experienced by young Australians, aged 15-19.

  • Almost one in four young people met the criteria for having a probable serious mental illness – a significant increase over the past five years (rising from 18.7% in 2012 to 22.8% in 2016).
  • Across the five years, females were twice as likely as males to meet the criteria for having a probable serious mental illness. The increase has been much more marked among females (from 22.5% in 2012 to 28.6% in 2016, compared to a rise from 12.7% to 14.1% for males).
  • Young people with a probable serious mental illness reported they would go to friends, parents and the internet as their top three sources of help. This is compared to friends, parents and relatives/family friends for those without a probable serious mental illness.
  • In 2016, over three in ten (31.6%) of Aboriginal and Torres Strait Islander respondents met the criteria for probable serious mental illness, compared to 22.2% for non-Indigenous youth.

In light of these findings, Catherine Yeomans, Mission Australia’s CEO said: “Adolescence comes with its own set of challenges for young people. But we are talking about an alarming number of young people facing serious mental illness; often in silence and without accessing the help they need.

The effects of mental illness at such a young age can be debilitating and incredibly harmful to an individual’s quality of life, academic achievement, and social participation both in the short term and long term.

Ms Yeomans said she was concerned that the mental health of the younger generation may continue to deteriorate without extra support and resources, including investment in more universal, evidence-based mental health programs in schools and greater community acceptance.

Given these concerning findings, I urge governments to consider how they can make a major investment in supporting youth mental health to reduce these alarming figures, Ms Yeomans said.

“We need to ensure young people have the resources they need to manage mental health difficulties, whether it is for themselves or for their peers. Parents, schools and community all play a vital role and we must fully equip them with the knowledge and skills to provide effective support to young people.”

The top issues of concern for those with a probable serious mental illness were: coping with stress; school and study problems; and depression. There was also a notably high level of concern about other issues including family conflict, suicide and bullying/emotional abuse.

The report’s finding that young people with mental illness are turning to the internet as a source of help with important issues also points to prevailing stigma, according to Black Dog Institute Director, Professor Helen Christensen.

“This report shows that young people who need help are seeking it reluctantly, with a fear of being judged continuing to inhibit help-seeking,” said Professor Christensen.

“Yet evidence-based prevention and early intervention programs are vital in reducing the risk of an adolescent developing a serious and debilitating mental illness in their lifetime. We need to take urgent action to turn this rising tide of mental illness.

“We know that young people are turning to the internet for answers and our research at Black Dog Institute clearly indicates that self-guided, online psychological therapy can be effective in reducing symptoms of depression and anxiety.

“While technology can be a lifeline, e-mental health interventions must be evidence-based and tailored to support young people’s individual needs. More investment is needed to drive a proactive and united approach to delivering new mental health programs which resonate with young people, and to better integrate these initiatives across schools and the health system to help young people on a path to a mentally healthier future.”

Armed with this information we are able to advocate on their behalf for the support services they need, and for the broader policy changes.

Download the NACCHO Mental Health Help APP to find your nearest ACCHO

 The Five-Year Youth Mental Health Report shows some alarming results with almost one in four young people meeting the criteria for a probable serious mental illness (PSMI). That figure has gone up from 18.7 per cent in 2012 to 22.8 per cent in 2016.

Girls were twice as likely as boys to meet the criteria for having a PSMI, and this figure rose from 22.5% in 2012 to 28.6% in 2016, compared to a rise from 12.7% to 14.1% for boys.

An even higher number of Aboriginal and Torres Strait Islander respondents met the criteria for having a probable serious mental illness (PSMI ) at 31%.

These results make it clear that mental illness is one of the most pressing issues in our communities, especially for young people, and one that has to be tackled by the governments, health services, schools and families.

Three quarters of all lifetime mental health disorders emerge by the age of 24, but access to mental health services for this age group is among the poorest, with the biggest barriers being community awareness, access and acceptability of services.

What we need is greater investment in mental health services that are tailored to the concerns and help seeking strategies of young people and are part of a holistic wrap around approach to their diverse needs.

For young women, we know that a large proportion (64%) were extremely or very concerned about body image compared to a far smaller number of males (34.8%).

Such a finding suggests that social pressures such as discrimination based on ideals of appearance may need to be addressed to tackle this gender disparity in the levels of probable serious mental illness among girls.

And although girls are more likely to be affected negatively by body image issues, they are more likely to seek help when they need it than boys.

Clearly then, and for a variety of reasons, an awareness of gendered differences is a crucial component in the management of mental health issues.

We need to ensure that all young people, whether they live in urban areas or regional, have the resources they need to manage mental health difficulties, whether it is for themselves or for their peers. Parents, schools and community all play a vital role and we must fully equip them with the evidence-based knowledge and skills to provide effective support to young people.

 

 

 

NACCHO Aboriginal #WorldHealthDay : #LetsTalk about Depression and #mentalhealth

 ” The theme of our 2017 World Health Day campaign is depression

The Gayaa Dhuwi (Proud Spirit) Declaration[4] was developed and launched by the National Aboriginal and Torres Strait Islander Leadership in Mental Health in 2015.

It provides a platform for governments to work collaboratively to embed culturally competent and safe services within the mental health system that are adaptable and accountable to Aboriginal and Torres Strait people.

Nearly one-third of Aboriginal and Torres Strait Islander people aged over 15 years reported having high to very high levels of psychological distress. This was more than twice the levels reported for other Australians.

Aboriginal and Torres Strait Islander women reported these levels of stress more than men.

It is often hard to know how common depression is in the Aboriginal and Torres Strait Islander population, however, because of the way people understand depression and their cultural understanding of mental illness.”

Subscribe to NACCHO Mental Health News Alerts  

  ” Depression needs to be seen within the wider scope of the social and emotional wellbeing of Aboriginal and Torres Strait Islander people; this means looking more holistically at health.

The warning signs for depression in Aboriginal and Torres Strait Islander people may vary between communities, so it is vital that the people working in the area of social and emotional wellbeing are aware of the different languages and understandings used by individual communities when talking about depression.

From Healthinfonet :Does the understanding of depression differ between Aboriginal and Torres Strait Islander communities?

World Health Day, celebrated on 7 April every year to mark the anniversary of the founding of the World Health Organization, provides us with a unique opportunity to mobilize action around a specific health topic of concern to people all over the world.

Depression affects people of all ages, from all walks of life, in all countries. It causes mental anguish and impacts on people’s ability to carry out even the simplest everyday tasks, with sometimes devastating consequences for relationships with family and friends and the ability to earn a living. At worst, depression can lead to suicide, now the second leading cause of death among 1529-year olds.

Yet, depression can be prevented and treated. A better understanding of what depression is, and how it can be prevented and treated, will help reduce the stigma associated with the condition, and lead to more people seeking help.

WHO World Heath Day

“The release of this much awaited Draft Fifth National Mental Health Plan is another important opportunity to support reform, and it’s now up to the mental health sector including consumers and carers, to help develop a plan that will benefit all.”

A successful plan should help overcome the lack of coordination and the fragmentation between layers of government that have held back our efforts to date.”

NACCHO and Mental Health Australia CEO Frank Quinlan have welcomed the release of the Draft Fifth National Mental Health Plan and is encouraging all ACCHO stakeholders to engage with the plan during the upcoming consultation period.

Download the Draft Fifth National Mental Health Plan at the link below:

PDF Copy fifth-national-mental-health-plan

You can download a copy of the draft plan;or see extracts below

Fifth National Mental Health Plan – PDF 646 KB
Fifth National Mental Health Plan – Word 537 KB

View all NACCHO 127 Mental Health articles here

View all NACCHO 97 Suicide Prevention articles here

Priority Area 4: Aboriginal and Torres Strait Islander mental health and suicide prevention

What we aim to achieve

Culturally competent care through integrating social and emotional wellbeing services with a range of mental health, drug and alcohol, and suicide prevention services.

What it means for consumers and carers?

You will receive culturally appropriate care.

Both your clinical and social and emotional wellbeing needs, and the needs of your community, will be addressed when care is planned and delivered.

Summary of actions

  1. Governments will work collaboratively to develop a joined approach to social and emotional wellbeing support, mental health, suicide prevention, and alcohol and other drug services, recognising the importance of what an integrated service offers for Aboriginal and Torres Strait Islander people.
  2. Governments will work with Primary Health Networks and Local Hospital Networks to implement integrated planning and service delivery for Aboriginal and Torres Strait Islander people at the regional level.
  3. Governments will renew efforts to develop a nationally agreed approach to suicide prevention for Aboriginal and Torres Strait Islander people.
  4. Governments will work with service providers, including with Aboriginal Community Controlled Health Organisations, to improve Aboriginal and Torres Strait Islander access to and experience with mental health and wellbeing services.
  5. Governments will work together to strengthen the evidence base needed to inform development of improved mental health services and outcomes for Aboriginal and Torres Strait Islander people.

Overview

Mental health and related conditions have been estimated to account for as much as 22 per cent of the health gap between Aboriginal and Torres Strait Islander people and other Australians, as measured in Disability-Adjusted Life Years. Mental health conditions are estimated to contribute to 12 per cent of the gap in the burden of disease, with another four per cent of the gap attributable to suicide and another six per cent to alcohol and other drug misuse.[1]

The 2012-2013 Australian Aboriginal and Torres Strait Islander Health Survey found that Aboriginal and Torres Strait Islander adults were almost three times more likely to experience high or very high levels of psychological distress than other Australians, are hospitalised for mental health and behavioural disorders at almost twice the rate of non-Aboriginal people, and have twice the rate of suicide than that of other Australians. The breadth and depth of such high levels of distress on individuals, their families, and their communities is profound.

Despite having greater need, Aboriginal and Torres Strait Islander people have limited access to mental health services and professionals. In 2012-2013, the most common Closing the Gap service deficits reported by organisations were around mental health and social and emotional wellbeing services.[2]

Issues such as rural and remoteness, and the diversity and fractured coordination of government funding, policy frameworks and service systems, play a role in hindering the ability of services to adequately and appropriately address the needs of Aboriginal and Torres Islander people. It is also recognised that many services and programmes designed for the general population are not culturally appropriate within a broader context of social and emotional wellbeing as understood by Aboriginal and Torres Strait Islander people.

Aboriginal and Torres Strait Islander people embrace a holistic concept of health, which inextricably links mental and physical health within a broader concept of social and emotional wellbeing. A whole-of-life view, social and emotional wellbeing recognises the interconnectedness of physical wellbeing with spiritual and cultural factors, especially a fundamental connection to the land, community and traditions, as vital to maintaining a person’s wellbeing.

Disruption to this holistic understanding of social and emotional wellbeing caused by dispossession, dislocation, and trauma over generations has, for some Indigenous Australians, created a legacy of grief and psychological distress.

Most Aboriginal and Torres Strait Islander people want to be able to access services where the best possible mental health and social and emotional wellbeing strategies are integrated into all health service delivery and where health promotion strategies are developed with Aboriginal communities to provide a holistic approach. This approach needs an appropriate balance of clinical and culturally informed mental health system responses, including access to traditional and cultural healing, to address mental health issues for Aboriginal and Torres Strait Islander people.

Many Aboriginal and Torres Strait Islander people also continue to experience high levels of exclusion and victimisation, discrimination and racism at personal, societal, and institutional levels. Racism continues to have a significant impact on Aboriginal and Torres Strait Islander people’s decisions about when and why they seek health services, their acceptance of and adherence to treatment.[3]

While governments have been committed to supporting Aboriginal and Torres Strait Islander mental health and suicide prevention, Aboriginal and Torres Strait Islander people have regularly informed governments that much more could be done to improve both the way in which services are structured and the range of services available. There is a need to better coordinate efforts and focus on achieving improved integration of culturally appropriate mental health, social and emotional wellbeing, suicide prevention, and alcohol and other drug services for Aboriginal and Torres Strait Islander people.

Leadership will involve better collaboration and coordination across governments, and set the direction for how services and programmes can better work together. It will assist in driving and embedding change towards a better joined up and whole-of-life approach to mental health, social and emotional wellbeing, suicide prevention, and alcohol and other drug services for Aboriginal and Torres Strait Islander people, to drive the actions that are needed to support better mental health and social and emotional wellbeing, and reduced incidence of suicide, for Aboriginal and Torres Strait Islander people.

The Fifth Plan recognises that self-determination is essential to overcoming the disadvantage that Aboriginal and Torres Strait Islander people experience. While governments have a critical role in providing leadership, actions will be developed in partnership with Aboriginal and Torres Strait Islander people and their communities to ensure that appropriate solutions are developed and key challenges are addressed.

Governments will work collaboratively to improve the cultural safety and capability of the mental health and social and emotional wellbeing workforce, including increasing the proportion of Aboriginal and Torres Strait Islander people working in this field, strengthening the Aboriginal and Torres Strait Islander community controlled health sector and developing the cultural competence of mainstream mental health services. An important factor in this collaborative process will be the inclusion of local Aboriginal and Torres Strait Islander communities in the design and implementation of culturally relevant mental health services. Supporting skill development to enable Aboriginal and Torres Strait Islander people to actively participate in, and conduct research relating to, their own cultures is also important.

Governments recognise the need to improve access to information on what has been shown to work in Aboriginal and Torres Strait Islander communities to improve social and emotional wellbeing, reduce the impact of mental illness and harms associated with alcohol and other drug use, and to prevent suicide.

Action 14: Governments will work with service providers, including with Aboriginal Community Controlled Health Organisations, to improve Aboriginal and Torres Strait Islander access to and experience with mental health and wellbeing services by:

  • increasing knowledge of social and emotional wellbeing concepts and improving the cultural competence and capability of mainstream providers;
  • recognising the importance of Indigenous leadership and supporting implementation of the Gayaa Dhuwi (Proud Spirit) Declaration; and
  • training all staff delivering mental health services to Aboriginal and Torres Strait Islander people, particularly those in forensic settings, in trauma-informed care.

The National Aboriginal and Torres Strait Islander Leadership In Mental Health Group launched the Gayaa Dhuwi (Proud Spirit) Declaration in 2015. The Declaration emphasises the importance of Indigenous leadership in addressing the mental health challenges faced by Aboriginal and Torres Strait Islander people

The Gayaa Dhuwi (Proud Spirit) Declaration[4] was developed and launched by the National Aboriginal and Torres Strait Islander Leadership in Mental Health in 2015. It provides a platform for governments to work collaboratively to embed culturally competent and safe services within the mental health system that are adaptable and accountable to Aboriginal and Torres Strait people.

The five themes of the Declaration are:

  1. Aboriginal and Torres Strait Islander concepts of social and emotional wellbeing, mental health and health should be recognised across all parts of the Australian mental health system, and in some circumstances support specialised areas of practice.
  2. Aboriginal and Torres Strait Islander concepts of social and emotional wellbeing, mental health and healing combined with clinical perspectives will make the greatest contribution to the achievement is the highest attainable standard of mental health and suicide prevention outcomes for Aboriginal and Torres Strait Islander people.
  3. Aboriginal and Torres Strait Islander values-based social and emotional wellbeing and mental health outcome measures in combination with clinical outcome measures should guide the assessment of mental health and suicide preventions services and programmes for Aboriginal and Torres Strait Islander people.
  4. Aboriginal and Torres Strait Islander presence and leadership is required across all parts of the Australian mental health system for it to adapt to, and be accountable to, Aboriginal and Torres Strait Islander people for the achievement of the highest attainable standard of mental health and suicide prevention outcomes.
  5. Aboriginal and Torres Strait Islander leaders should be supported and valued to be visible and influential across all parts of the Australian mental health system.

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What is depression?

Depression is about a person’s state of mood. When a person has depression (often called clinical depression) they feel very low in mood (sad, unhappy, or ‘down in the dumps’) and also lose interest in activities they used to gain happiness from.

It is normal for people to feel sad every once in a while, but clinical depression is very different from the occasional feeling of sadness. There are several ways clinical depression differs from the occasional feeling of sadness, they include:

  • severity (how serious it is); clinical depression usually ranges from mild to severe
  • persistence (strength of the episode)
  • duration (how long it lasts)
  • the presence of typical symptoms (see next section).

When people feel sad or ‘down’ for a long time, usually for longer than 2 weeks, they may be depressed. Depression can affect anyone at any age.

What are the signs and symptoms of depression?

There are a number of signs or symptoms people may show when they have depression. People do not have to have all of them to be diagnosed with depression. The signs and symptoms of depression can include any of the following:

  • waking up feeling sad and not wanting to get out of bed
  • feeling sad for most of the day
  • feeling restless
  • feeling irritable (short-tempered) and/or angry which may lead to arguments with other people
  • not wanting to be around other people (may want to be alone)
  • thoughts of dying or hurting oneself
  • feeling guilty when not at fault
  • crying for no reason
  • losing interest in the things one likes
  • feeling worthless or hopeless
  • not sleeping well (maybe walking around all night), or sleeping too much
  • not eating well, or eating too much
  • less energy; tiredness
  • having problems concentrating, remembering things, or making decisions
  • weight loss or gain.

Does the understanding of depression differ between Aboriginal and Torres Strait Islander communities?

Depression needs to be seen within the wider scope of the social and emotional wellbeing of Aboriginal and Torres Strait Islander people; this means looking more holistically at health. The warning signs for depression in Aboriginal and Torres Strait Islander people may vary between communities, so it is vital that the people working in the area of social and emotional wellbeing are aware of the different languages and understandings used by individual communities when talking about depression.

What are the risk factors for depression?

The factors that can contribute to depression include:

  • previous mental illness
  • poor physical health or long-term illness
  • grief, loss, and bereavement (referred to as a psychological cause)
  • trauma or stressful events
  • recently becoming a parent
  • too much alcohol, or gunga, or other drugs
  • family history of depression (referred to as a biological or genetic cause)
  • stopping any treatment for depression
  • breaking the law
  • social surroundings (e.g., environmental, housing conditions)
  • cultural or spiritual separation from country.

A person’s personality can also be a risk factor for depression. People who are: anxious or worry easily; unassertive (people who do not stand up for themselves); negative and self-critical (people who see themselves in a negative way); or shy and have low self-esteem (lack confidence) are at a higher risk of depression than people who do not have these types of personalities.

How do you treat depression?

There are many different ways to help people suffering from depression. People need to know that they do not have to put up with the feelings of depression. It is important to be supportive and encourage people to seek help from doctors, counsellors, Aboriginal Health Workers, or staff at the local Aboriginal medical service.

Medical treatments for depression can involve:

  • a full health check from a doctor to screen for any contributing health conditions (e.g., diabetes or hepatitis)
  • getting help from mental health professionals to work through any problems
  • medication (usually anti-depressant drugs)
  • limiting the intake of alcohol and other drugs.

Other tips for managing depression include:

  • talking to someone, for example, friends, family, or an Elder
  • getting involved in daily exercise
  • getting involved in activities that make you feel happy (e.g., fishing, going back to country)
  • trying to sleep and eat well
  • learning skills that a person can use when they feel they’re not coping well with a situation.

If the treatment is not working, it is important that people discuss this with their doctor, counsellor, or other mental health professional so that other options can be explored.

NACCHO Aboriginal Health and #Smoking : @KenWyattMP announces $35.2 million funding #ACCHO Anti-smoking programs

These health services are all delivering frontline services to prevent young Indigenous people taking up smoking and to encourage existing smokers to quit.

Reducing smoking rates is central to the Government’s efforts to close the gap in life expectancy, but requires a consistent, long-term commitment”

Minister for Indigenous Health, Ken Wyatt

Over 100 NACCHO Articles about smoking

REDUCING INDIGENOUS SMOKING TO CLOSE THE GAP

The Australian Government will provide $35.2 million next financial year to continue anti-smoking programs targeted to Aboriginal and Torres Strait Islander people in regional and remote areas.

Minister for Indigenous Health, Ken Wyatt, said the Government had approved the continuation of funding to 36 Aboriginal Community ControlledHealth Services and one private health service.

“These health services are all delivering frontline services to prevent young Indigenous people taking up smoking and to encourage existing smokers to quit,”  .

“Reducing smoking rates is central to the Government’s efforts to close the gap in life expectancy, but requires a consistent, long-term commitment.

“Smoking causes the greatest burden of disease, disability, injury and earlydeath among Indigenous people and accounts for 23 per cent of the health gap between Indigenous and non-Indigenous Australians.”

Under the Council of Australian Governments (COAG) National Healthcare Agreement, all governments have committed to halving the 2008 adult daily smoking rate among Indigenous Australians, of 44.8 per cent, by 2018.

“The rate of smoking among Aboriginal and Torres Strait Islander people is still far higher than among other Australians and is damaging their health in many ways,” Minister Wyatt said.

It’s unlikely now that we will meet the COAG target, but we are making progress.

“It’s important that anti-smoking programs are meaningful for Indigenous people and changes made in recent years have ensured that only programs which are evidence based and effective are receiving grants.”

Continued funding for the 37 health services follows a preliminary evaluation of the Tackling Indigenous Smoking program which found that it was operating effectively and using proven approaches to changing smoking behaviour.