NACCHO Aboriginal #MentalHealth and #SuicidePrevention : Read and Watch @beyondblue Chair The Hon Julia Gillard AC speech @UniofAdelaide Truth-telling and reconciliation will enhance the social and emotional wellbeing of Indigenous Australians.

” Suicide in our Indigenous communities is one of the greatest challenges of our times and its causes are complex.

Beyond Blue cannot claim or seek to be a specialist or comprehensive provider of social and emotional wellbeing or suicide prevention services for Aboriginal and Torres Strait Islander people.

That is a role which is more appropriately the domain of Aboriginal-led and community-controlled organisations.

But we can apply what we have learnt so far through our Reconciliation Action Plan, our growing cultural competencies, and strong relationships with Aboriginal and Torres Strait Islander peoples, leaders and organisations.

We can complement the work of the Aboriginal organisations and others by ensuring our major interventions are suitable for, and accessible to, Aboriginal and Torres Strait Islander people wherever possible, and use our well-known brand and strength in communications to fight racism and discrimination.

We will recognise those inherent protective factors of Indigenous cultures and communities – those powerful forces of resilience, humour, spirituality and connectedness – that can and should be utilised as sources of strength and healing.

We are ready to work alongside Indigenous people and communities in co-designing solutions to provide better outcomes for health and wellbeing.

We intend to be the best ally we can be, lend our voice when required and listen to learn.

We need to educate ourselves and ask questions when we need to; to commit, to support, to ally.

We pledge to be a positive force for change as the nation addresses the issue of constitutional recognition of Aboriginal and Torres Strait Islander peoples.

Aboriginal and Torres Strait Islander peoples have always resisted actions designed to destroy their culture, disperse their families and sever their connections to Country.

The day will come when we look with pride upon that determination, and indeed celebrate it as a complete history.

The Hon Julia Gillard AC University of Adelaide public lecture 2019 3 September 2019

Yellaka Dance Group 

Read over 230 Aboriginal Mental Health articles published by NACCHO in past 7 years

Read over 150 Aboriginal Suicide Prevention articles published by NACCHO in Past 7 years

I acknowledge the traditional owners of the land on which we meet and in the spirit of reconciliation, pay my respects to Elders past and present. Yellaka, thank you for your warm Greeting to Country.

Introduction

The is the second time I have had the privilege of being so welcomed by Yellaka. The first time was at the recent South Australian State dinner to celebrate 125 years of women’s suffrage in our State – a milestone to be inspired by.

In fact, that dinner was very important for me in preparing for this lecture.

It caused to me to reflect on the complexity of history; on our achievements and failings. In that speech I spoke about the need to erect a permanent monument to celebrate the fight for women’s suffrage and all that was gained here in South Australia in 1894.

But in doing so, I said care must be taken to tell the whole story, not part of it.

Despite Aboriginal men and, as a result of women’s suffrage, Aboriginal women having the right to vote, it was common for them neither be told about it nor supported to enrol. Sometimes this oppressive neglect morphed into a more active discouragement from participating.

This pernicious repudiation of a human right was compounded by a direct legal bar, when in the 1902 Commonwealth Franchise Act, Aboriginal and Torres Strait Islander people were excluded from voting in federal elections. It was not until 1962 that Indigenous Australians could have a say in who governed our nation.

We cannot tell the history of how our democracy developed without looking squarely at how equality was denied for so long.

This is just one example of the need to tell the deeper truths that lie beyond the surface.

To quote the words of Labor Prime Minister Paul Keating in his famed Redfern Speech, we need:

Recognition that it was we who did the dispossessing.

We took the traditional lands and smashed the traditional way of life. We brought the diseases. The alcohol.

We committed the murders.

We took the children from their mothers.

We practised discrimination and exclusion.

It was our ignorance and our prejudice.

And our failure to imagine these things being done to us.

With some noble exceptions, we failed to make the most basic human response and enter into their hearts and minds.

We failed to ask – how would I feel if this were done to me?

Friends, this question is as profoundly challenging today as it was when Paul spoke those words almost thirty years ago. Trying to answer it requires honesty, empathy, intellectual understanding, spiritual depth.

Today, I am asking you to bring those characteristics with you as we discuss the tragic topic of suicide and Indigenous Australians.

Honesty

First, with honesty, let’s confront the facts.

Since 2012, suicide has been the leading cause of death among young Aboriginal and Torres Strait Islander people aged 15 to 34.

The suicide rate for Aboriginal and Torres Strait Islander teenagers aged 15 to 19 of both genders is around four times that of their non-Indigenous peers.

Despite Aboriginal and Torres Strait Islander people comprising around three per cent of the Australian population, they account for thirty per cent of the suicide deaths among those under 18 years of age.

There are significant suicide or self-harming clusters that can occur within a single community or locale over a period of weeks or months.

For example, In February, Western Australia’s State Coroner handed down her report on a cluster of 13 deaths that occurred in less than four years in the Kimberley region and included five children aged 10 to 13.

The Coroner spoke of the deaths as profoundly tragic, individually and collectively, of dysfunction, alcohol, domestic violence and grief.

But she added:

to focus only upon the individual events that occurred shortly before their deaths would not adequately address the circumstances attending the deaths. These tragic individual events were shaped by the crushing effects of inter-generational trauma and poverty upon entire communities. That community-wide trauma, generated multiple and prolonged exposures to individual traumatic events for these children and young persons.

Watch video 

Please note : Julia Gillard starts her talk at about 27 minutes into the 1hr 10 min event, and talks for just under 30 minutes. It finishes with a Q&A session (of about 20 minutes).

Empathy

The Coroner here is calling to our ability to show empathy. To walk alongside our First Peoples and try to understand how history and lived reality come together and can create circumstances of despair.

Great damage has been done to our Aboriginal and Torres Strait Islander communities through two centuries of discrimination, dislocation and cultural disruption.

Culture is a word that is often tangled up with nationality, but it entails much more.

Our culture determines so much of our identity; our values, the way we view the world, the way we interact with others, our sense of belonging.

And if the foundations of culture are systemically disrupted – connection to land, traditional places and practices, languages, spirituality, family and kinship ties – it causes devastation across generations.

But honesty also requires us to recognise that there is both deep lingering pain from our history, and new pain that arises in the present.

Imagine not getting the job you’re qualified for because of the colour of your skin; to know you are being followed by a store detective just for being you; to feel the stranger sitting beside you slip sideways to create greater distance.

These are everyday situations – the constant but subtle cues of difference – and where being racially different is nearly always positioned as a liability.

Put simply, racism, including these kinds of behaviours, is not only bad for mental health and wellbeing – it both causes and perpetuates high levels of social and emotional distress for Aboriginal and Torres Strait Islanders. In addition, there is a ‘dose’ effect for psychological distress caused by racism: the more a person is exposed to it, the greater the impact.

That was why Beyond Blue launched its Stop, Think, Respect invisible discriminator campaign in 2014 with a repeat run in 2016.

The campaign – the most viewed and shared in Beyond Blue’s history – highlights the routine everyday impact of subtle racism on the social and emotional wellbeing of Aboriginal and Torres Strait Islander people.

The campaign aimed to change behaviour by encouraging non-Indigenous Australians to think about their often, unconscious behaviours and to think again before they act.

  • To think before they laughed along – even uncomfortably – at a racist joke in the pub.
  • To challenge why they may not sit beside an Aboriginal person on a crowded bus.

But it was the reaction from Indigenous people that was most revealing.

They told us they loved the campaign because finally somebody had noticed that, for them, every day could be a little tougher than it should be.

Over half of Aboriginal and Torres Strait Islander people who experience racial discrimination report feelings of psychological distress, meaning they are at elevated risk of anxiety and depression, substance use and contemplating or attempting suicide.

Empathy requires us to recognise that the threads of the past and the attitudes shown in the present day are woven together. For non-Indigenous Australians, our collective failure to face up to all of the brutal truth of our history and its ongoing effects holds us back from full understanding today.

For Indigenous Australians, the interconnected issues of cultural dislocation, personal trauma and the ongoing stresses of disadvantage, racism and exclusion are absolutely contributing to the heightened risk of mental health problems, substance misuse and suicide.

All this was acknowledged by the Royal Commission Into Aboriginal Deaths In Custody. That report was tabled in 1991.

Intellectual understanding

Driven by empathy, we also need to engage intellectually on the best ways to provide culturally appropriate services and supports to prevent Indigenous suicide.

Nothing less than profound systemic reform is needed to improve social and emotion wellbeing.

Such major change must be culturally informed and co-designed. As many Aboriginal and Torres Strait Islander people continue to remind us, Indigenous policies and responses must be led by Indigenous people, which might mean solutions that look different to anything that has been implemented before.

Innovation and new efforts are needed nationally and locally.

In 2009 the Rudd Government launched the ‘Closing the Gap’ response as a measurable account of Indigenous disadvantage that would be reported to parliament annually on progress.

In the 10 years since launch most of the indicators of disadvantaged have remained stubbornly unmoved. Aboriginal and Torres Strait Islander people can expect to live 10 to 17 years less than other Australians.

While there have been some improvements against some performance indicators, these have been small and incremental.

And babies born to Indigenous mothers still die at more than twice the rate of other Australian babies.

Aboriginal and Torres Strait Islander people experience higher rates of preventable illness such as heart disease, kidney disease and diabetes.

And a major contributing factor to the life expectancy gap is suicide.

There are no mental health or suicide prevention targets in Australia’s Closing the Gap strategy despite the alarming statistics on Indigenous suicide and psychological distress, but as a member of the steering committee, Beyond Blue is adding our voice to rectifying this.

At the same time, we are calling for this act of national leadership, as an organisation we are trying to be a good partner in locally led change models.

In November 2018, Beyond Blue launched Be You: a Commonwealth-funded national initiative that aims to strengthen the mental health literacy, resilience, self-care and help-seeking of every member of Australia’s school communities and early childhood settings.

In January, Minister Wyatt announced $2.3 million over two years to pilot and evaluate a culturally appropriate, place-based adaptation of Be You for schools in the Kimberley and Pilbara regions of WA, in partnership with Aboriginal communities.

That work is now underway. And we are taking a very different approach to this work than what we would normally.

Local stakeholder engagement has confirmed that we must be guided by local communities to genuinely co-design the project; to employ people with community relationships and credibility; and to engage Aboriginal community-controlled organisations to support implementation and delivery of the program.

It’s still very early days, but we are gaining much from partnering with Indigenous communities.

Spiritual depth – Uluru Statement from the Heart

Honesty, empathy, intellectual understanding, all are necessary in the cause of tackling the rate of Indigenous suicide.

But so is spiritual depth, the ability to transcend a divided past, address the dispiriting inequalities of the present and embrace a united future.

Just over two years ago, 250 Aboriginal and Torres Strait Islander leaders endorsed by standing ovation the Uluru Statement from the Heart.

In burning prose it describes that the sovereignty of this nation’s First peoples is ‘a spiritual notion: the ancestral tie between the land, or ‘mother nature’, and the Aboriginal and Torres Strait Islander peoples who were born therefrom, remain attached thereto, and must one day return thither to be united with our ancestors. This link is the basis of the ownership of the soil, or better, of sovereignty.’

It goes on to say:

Proportionally, we are the most incarcerated people on the planet. We are not an innately criminal people. Our children are aliened from their families at unprecedented rates. This cannot be because we have no love for them. And our youth languish in detention in obscene numbers. They should be our hope for the future.

These dimensions of our crisis tell plainly the structural nature of our problem. This is the torment of our powerlessness.

We seek constitutional reforms to empower our people and take a rightful place in our own country. When we have power over our destiny our children will flourish. They will walk in two worlds and their culture will be a gift to their country.

We call for the establishment of a First Nations Voice enshrined in the Constitution.’

As we all know, changing our constitution is difficult in every sense. Conducting and carrying a referendum by a special majority is hard to do. Our history books are littered with the stories of failed referendums. Nineteen referendums proposing 44 changes to the Constitution have been held since Federation but the Australian people have agreed to only eight changes with the last ‘yes’ vote occurring in 1977.

Of course, the Indigenous leaders who gave us the Uluru statement from the heart know this history. They neither underestimate how hard it is to have voters accept change, nor the joy that can come when they do. Many of them were alive when more than 90 percent of Australians voted in the 1967 referendum to allow First Nations people to be included in the census and for the Federal Parliament to have the power to legislate for an improved future.

In the Uluru statement, Indigenous leaders are specifically calling for a comparable act of national unity. There is some reason to believe that voting Australians in their millions are prepared to answer that call.

The Australian Reconciliation Barometer is a national research study conducted every two years to measure and compare attitudes and perceptions towards reconciliation.

In 2018 the Barometer found:

  • 90 per cent of Australians believe the relationship between Aboriginal and Torres Strait Islander people is important;
  • 95 per cent believe that it is important for our First Peoples to have a say in matters that affect them;
  • and 80 per cent support a formal truth telling process.

That there is a public mood for change is further confirmed by the Australian Constitutional Values Survey of 2017 released by the Centre for Governance and Public Policy at Griffith University.

It found 61 per cent of respondents would vote “yes” in a referendum to add an Indigenous voice to Parliament.

So, we increasingly desire a richer understanding of our shared history and some form of national reconciliation, but change can be hard to achieve, even when the majority is willing.

Successive Prime Ministers and governments, Indigenous leaders and organisations have tried to advance this cause.

The government I led set out to bring a referendum on constitutional recognition to the people by the 2013 election. I appointed an Expert Panel on Constitutional Recognition of Indigenous Australians to advise on the wording.

On that panel were some of our most persuasive and respected Indigenous leaders, including The Hon. Ken Wyatt AM, the first Indigenous Australian to serve in the House of Representatives.

The panel’s recommendations were sensible and smart.

But before we could proceed, we needed to diagnose the prospects of success at a referendum. The very worst thing we could do would be to put a referendum proposal forward only to have it fail.

The consensus was we did not have time to build momentum for change ahead of a 2013 election.

That need for certainty remains a critical issue for today’s leaders as they move towards a proposal to put to the people.

But much has changed since 2013 and we can all be heartened by that.  I am especially heartened that we have, for the first time, extremely talented and respected Aboriginal people from both sides of politics leading Indigenous policy and discussion on this issue.

With bi-partisan support, shared commitment and collaboration, change is achievable.

We know wellbeing is intrinsically linked to a strong sense of self, connections to community, and recognition of culture.

That is why I and my Beyond Blue Board colleagues recently approved a comprehensive Aboriginal and Torres Strait Islander Strategy to guide our contribution for the next five years. Through the Strategy, we have resolved to continue to advocate on national issues of importance to Aboriginal and Torres Strait Islander people.

We are particularly determined to raise our voice in support of an openhearted and respectful response to the Uluru Statement from the Heart.

Beyond Blue acknowledges that there are still community and political discussions occurring about constitutional change and recognition. As that conversation continues, Beyond Blue advocacy will be aimed at our nation adopting the kind of far-sighted change that can bring a new era of healing and unity.

This isn’t a mental health organisation dabbling in politics. We do it because structural discrimination has a profound and proven negative impact on individual and community wellbeing and mental health.

This is absolutely about ‘sticking to our knitting’.

This is about the Board of Beyond Blue supporting action on the basis there will be significant benefit to a population group at higher risk of mental health conditions and suicide, and who experience discrimination and disadvantage.

The Board of Beyond Blue also accepts the invitation issued in the Uluru Statement from the Heart to walk with you in ‘a movement of the Australian people for a better future’.

To our federal parliamentarians who are working through how best to respond to the Uluru statement my personal message is this; I know what it is like to be beset with doubts about the best way to respond to a call to address trauma and despair. To worry about making the wrong decision, one that risks more damage.

I went through every painful permutation of that in my head when I worked through whether to call a Royal Commission into Child Sexual Abuse in Institutional Settings. I am not ashamed to say here that in the face of such a major decision, I was afraid.

Specifically, I was afraid that holding a Royal Commission would retraumatise, rather than heal.

As history records, I worked through those fears and called the Commission. I know now from my own observations of the impact of the Royal Commission that great healing can come from heeding the call, truth-telling and acknowledgement of past trauma.

I ask our current leaders on all sides of the parliamentary chamber to work through their fears and concerns. I ask our current leaders to heed the call of the Uluru Statement from the Heart.

Conclusion

Suicide in our Indigenous communities is one of the greatest challenges of our times and its causes are complex.

Beyond Blue cannot claim or seek to be a specialist or comprehensive provider of social and emotional wellbeing or suicide prevention services for Aboriginal and Torres Strait Islander people.

That is a role which is more appropriately the domain of Aboriginal-led and community-controlled organisations.

But we can apply what we have learnt so far through our Reconciliation Action Plan, our growing cultural competencies, and strong relationships with Aboriginal and Torres Strait Islander peoples, leaders and organisations.

We can complement the work of the Aboriginal organisations and others by ensuring our major interventions are suitable for, and accessible to, Aboriginal and Torres Strait Islander people wherever possible, and use our well-known brand and strength in communications to fight racism and discrimination.

We will recognise those inherent protective factors of Indigenous cultures and communities – those powerful forces of resilience, humour, spirituality and connectedness – that can and should be utilised as sources of strength and healing.

We are ready to work alongside Indigenous people and communities in co-designing solutions to provide better outcomes for health and wellbeing.

We intend to be the best ally we can be, lend our voice when required and listen to learn.

We need to educate ourselves and ask questions when we need to; to commit, to support, to ally.

We pledge to be a positive force for change as the nation addresses the issue of constitutional recognition of Aboriginal and Torres Strait Islander peoples.

Aboriginal and Torres Strait Islander peoples have always resisted actions designed to destroy their culture, disperse their families and sever their connections to Country.

The day will come when we look with pride upon that determination, and indeed celebrate it as a complete history.

I look forward with hope to that day and I thank you.

NACCHO Aboriginal Health and #SuicidePrevention : @KenWyattMP Unprecedented commitment to reducing suicide – – particularly youth suicide – in the Kimberley, national, state and local representatives came together to commit to action

“The intention is to sustain this groundswell of support from the community and government, with everyone indicating their strong commitment to delivering sustainable change.

It was recognised that reducing suicide is not just about health and mental health; it is about looking at broader community issues and addressing those that put Aboriginal people at a higher risk.

It was heartening to see emerging young leaders, like Jacob Smith, Bianca Graham and Trent Ozies, speak confidently about the willingness of our young people to lead and action positive change to improve their future and that of future generations.”

Kimberley Aboriginal Medical Services Deputy CEO and Trial Working Group Co-Chair, Rob McPhee, said it had been a unique opportunity to bring together community and government agencies with a common goal.

Read over 150 Aboriginal Health and Suicide prevention articles published by NACCHO over past 7 years 

This week, national, state and local representatives, came together to commit to action to reduce the unacceptably high rate of suicide, particularly youth suicide, in the Kimberley.

Community members and leaders, health and social services organisations, and Federal and State Government representatives reaffirmed their commitment to suicide prevention at two landmark meetings. These pulled together many distinct but overlapping themes, including youth social and emotional wellbeing.

A Youth Wellbeing Workshop, a joint initiative of the Western Australian Government and the Australian Government funded Kimberley Aboriginal Suicide Prevention Trial (the Trial), was the first of several opportunities for community input on the State Government’s Statement of Intent on Aboriginal Youth Suicide.

A subsequent meeting of the Trial’s Working Group, co-chaired by Minister for Indigenous Australians, Ken Wyatt and attended by Western Australian Deputy Premier, Roger Cook and recently appointed National Suicide Prevention Advisor, Christine Morgan, was an opportunity to further build on this momentum, receive feedback from the preceding day’s youth forum, and hear more about the Trial’s progress, as it enters its fourth and final year.

Photo Above L to R: WA Deputy Premier, Roger Cook; Member for the Kimberley, Josie Farrer; youth leader, Jacob Smith; Australian Minister for Indigenous Australians, Ken Wyatt; Kimberley Aboriginal Medical Services Deputy CEO, Rob McPhee; WA Department of Premier and Cabinet, Director Aboriginal Policy, Kate Alderton; National Suicide Prevention Advisor, Christine Morgan; Acting WA Mental Health Commissioner, Jennifer McGrath; and youth leader, Bianca Graham.

Part of the solution, is the need for young people to be empowered, upskilled and employed, and to have a strong representational voice and structures to support their work.

The Trial has made significant progress in recent months, with work completed or well underway on:

  • Eight community action plans in the East and West Kimberley
  • Two Empowered Young Leaders’ forums, an impact statement and report with recommendations
  • A regional “no wrong door’ approach for people seeking help from mental health and social and emotional wellbeing services
  • A traditional healers’ model to work with mental health services
  • Upskilling GP capacity and confidence in suicide prevention.

There are also plans to run a workshop to explore safe spaces for young people.

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

The outcomes will be evaluated by the Australian Government, as part of a national evaluation to find the most effective approaches to suicide prevention for at-risk populations and share this knowledge across Australia.

Helplines

If you find yourself in an emergency, or at immediate risk of harm to yourself or others, please contact emergency services on 000. Other 24-hour services include: Lifeline on 13 11 14 and Suicide Call Back Service on 1300 659 467.

NACCHO Aboriginal Health Save a Date Conferences and Events : Features 12 September #RUOKDay Download resources #RUOKStrongerTogether : This week #OCHREDay and next months @QAIHC Youth Summit

Upcoming feature NACCHO SAVE A DATE events

12 September R U OK Day

This week

29th  – 30th  August 2019 NACCHO #OCHREDAY

2- 5 September 2019 SNAICC Conference

12 September 2019 QAIHC YOUTH HEALTH SUMMIT

15-19 September 50 year of PHAA Annual Conference Adelaide 17 – 19 September #AustPH2019

23 -25 September IAHA Conference Darwin

24 -26 September 2019 CATSINaM National Professional Development Conference

2- 4 October  AIDA Conference 2019

9-10 October 2019 NATSIHWA 10 Year Anniversary Conference

16 October Melbourne Uni: Aboriginal and Torres Strait Islander Health and Wellbeing Conference

4 November NACCHO Youth Conference -Darwin NT

5 – 7 November NACCHO Conference and AGM  -Darwin NT

5-8 November The Lime Network Conference New Zealand

 

12 September R U Ok Day

 

Regardless of where we live, or who our mob is, we can all go through tough times. Times when we don’t feel great about our lives or ourselves. That’s why it’s important to always be looking out for each other. Together, we’re stronger right?’

Download the full kit

Ask the question – R U OK?

If someone you know – a family member, someone from your community, a friend, neighbour or workmate – is doing it tough, they won’t always tell you. Sometimes it’s up to us to trust our gut instinct and ask someone who may be struggling, R U OK? By asking and listening, we can help those we care about feel more supported and connected, which can help stop them from feeling worse over time.

Help to start the conversation.

The Conversation Guide contains lots of valuable information on how to go about asking R U OK? as well as the importance of listening with an open mind, encouraging action, and checking in. Posters are available too, to put up in your workplace, school or community group as a reminder to ask people, R U OK?

Don’t forget! R U OK?Day – 12 September 2019

It’s important to ask the question every day. We need to trust the signs and your instinct if you feel someone might be struggling. R U OK?Day is a national reminder, to reach our to your mob. Learn more about the signs to watch our for that something might be up

A conversation can change a life. 

Watch these videos to hear personal stories from mob across the country, talking about how being asked R U OK? helped them through a tough time. Use the links below to view and share these stories with your friends and community.

Connect on social media #RUOKStrongerTogether

Make sure your mob know that they can talk to you if they need to. Share your support by posting our social media graphics on you social networks. These graphics promote the importance of checking in with people and asking R U OK? Sometimes we all need a reminder.

We’ve developed a range of resources to help you start the conversation.

Download the Digital Kit – link this to Stronger Together page , or you can order printed copies at merchandise@ruok.org.au

29th  – 30th  Aug 2019 NACCHO OCHRE DAY Registrations are now closed 

This year’s NACCHO Ochre Day men’s health conference will be held in Melbourne this week

You can follow all the action on social media ( Facebook , Twitter and Instagram ) using the hashtag #OCHREDay

 

Download the exciting 2 day program 

This year’s conference is being held on Thursday 29 and Friday 30 August and has some exciting keynote speakers that include National Camping on Country Ambassador Ernie Dingo and Coordinator Lomas Amini, Preston Campbell from The Preston Campbell Foundation and Associate Professor Ray Lovett from the Australian National University.

See full list of speakers HERE

Sponsored by Aboriginal Health TV

Website 

Full report on 2018 OCHRE DAY in Hobart with 15 NACCHOTV Interviews

2- 5 September 2019 SNAICC Conference

Preliminary program and registration information available to download now!

Less than 3 weeks until our discounted early bird offer closes.

Visit  for more information.

15-19 September 50 year of PHAA Annual Conference Adelaide 17 – 19 September 

The Australian Public Health Conference (formally the PHAA Annual Conference) is a national conference held by the Public Health Association of Australia (PHAA) which presents a national and multi-disciplinary perspective on public health issues. PHAA members and non-members are encouraged to contribute to discussions on the broad range of public health issues and challenges, and exchange ideas, knowledge and information on the latest developments in public health.

Through development of public health policies, advocacy, research and training, PHAA seeks better health outcomes for Australian’s and the Conference acts as a pathway for public health professionals to connect and share new and innovative ideas that can be applied to local settings and systems to help create and improve health systems for local communities.

In 2019 the Conference theme will be ‘Celebrating 50 years, poised to meet the challenges of the next 50’. The theme has been established to acknowledge and reflect on the many challenges and success that public health has faced over the last 50 years, as well as acknowledging and celebrating 50 years of PHAA, with the first official gathering of PHAA being held in Adelaide in 1969.

Conference Website 

12 September 2019 QAIHC YOUTH HEALTH SUMMIT

Expressions of interest closing soon!

Calm minds, Strong bodies, Resilient spirit

Are you an Aboriginal and/or Torres Strait Islander aged between 18 and 25 who is passionate about improving the health of your community?

Join us at the 2019 QAIHC Youth Health Summit in Brisbane on 12 September 2019. We want to hear from you about what is needed to help Aboriginal and Torres Strait Islander young people in your community thrive.

The Summit will be a powerful day of sharing and learning, and will cover a range of topics including:

  • Exercise
  • Healthy relationships
  • Support networks
  • Mental health
  • Nutrition
  • Sexual health
  • LGBTQI needs
  • Chronic disease.

All sessions will be facilitated in an environment of cultural safety to promote honest and free discussions between everyone in attendance.

This Summit will help us shape QAIHC’s Youth Health Strategy 2019-2022 which will support Queensland’s Aboriginal and Torres Strait Islander Community Controlled Health Organisations.

Website 

ATTEND

Express an interest in attending the Youth Health Summit

23 -25 September IAHA Conference Darwin

24 September

A night of celebrating excellence and action – the Gala Dinner is the premier national networking event in Aboriginal and Torres Strait Islander allied health.

The purpose of the IAHA National Indigenous Allied Health Awards is to recognise the contribution of IAHA members to their profession and/or improving the health and wellbeing of Aboriginal and Torres Strait Islander peoples.

The IAHA National Indigenous Allied Health Awards showcase the outstanding achievements in Aboriginal and Torres Strait Islander allied health and provides identifiable allied health role models to inspire all Aboriginal and Torres Strait Islander people to consider and pursue a career in allied health.

The awards this year will be known as “10 for 10” to honour the 10 Year Anniversary of IAHA. We will be announcing 4 new awards in addition to the 6 existing below.

Read about the categories HERE.

24 -26 September 2019 CATSINaM National Professional Development Conference

 

 

The 2019 CATSINaM National Professional Development Conference will be held in Sydney, 24th – 26th September 2019. Make sure you save the dates in your calendar.

Further information to follow soon.

Date: Tuesday the 24th to Thursday the 26th September 2019

Location: Sydney, Australia

Organiser: Chloe Peters

Phone: 02 6262 5761

Email: admin@catsinam.org.au

2- 4 October  AIDA Conference 2019

Print

Location:             Darwin Convention Centre, Darwin NT
Theme:                 Disruptive Innovations in Healthcare
Register:              Register Here
Web:                     www.aida.org.au/conference
Enquiries:           conference@aida.org.au

The AIDA 2019 Conference is a forum to share and build on knowledge that increasingly disrupts existing practice and policy to raise the standards of health care.

People with a passion for health care equity are invited to share their knowledges and expertise about how they have participated in or enabled a ‘disruptive innovation to achieve culturally safe and responsive practice or policy for Indigenous communities.

The 23rd annual AIDA Conference provides a platform for networking, mentoring, member engagement and the opportunity to celebrate the achievements of AIDA’S Indigenous doctor and students.

9-10 October 2019 NATSIHWA 10 Year Anniversary Conference

 

2019 Marks 10 years since the formation of NATSIHWA and registrations are now open!!!

During the 9 – 10 October 2019 NATSIHWA 10 Year Anniversary Conference will be celebrated at the Convention Centre in Alice Springs

Bursaries available for our Full Members

Not a member?!

Register here today to become a Full Member to gain all NATSIHWA Full Member benefits

Come and celebrate NATSIHWA’s 10 year Anniversary National Conference ‘A Decade of Footprints, Driving Recognition’ which is being held in Alice Springs. We aim to offer an insight into the Past, Present and Future of NATSIHWA and the overall importance of strengthening the primary health care sector’s unique workforce of Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners throughout Australia.

During the 9-10 October 2019 delegates will be exposed to networking opportunities whilst immersing themselves with a combination of traditional and practical conference style delivery.

Our intention is to engage Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners in the history and knowledge exchange of the past, todays evidence based best practice programs/services available and envisioning what the future has to offer for all Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners.

Watch this space for the guest speaker line up, draft agenda and award nominations

15-17 October IUIH System of Care Conference

15 October IUIH 10 year anniversary

Building on the success of last year’s inaugural conference, the 2019 System of Care Conference will be focusing on further exploring and sharing the systems and processes that deliver this life changing way of looking at life-long health care for Aboriginal and Torres Strait Islanders.

This year IUIH delivers 10 years of experience in improving health outcomes for Aboriginal and Torres Strait Islander people with proven methods for closing the gap and impacting on the social determinants of health.

The IUIH System of Care is evidence-based and nationally recognised for delivering outcomes, and the conference will share the research behind the development and implementation of this system, with presentations by speakers across a range of specialisations including clinic set up, clinical governance, systems integration, wrap around services such as allied and social health, workforce development and research evidence.

If you are working in:

  • Aboriginal and Torres Strait Islander Community Controlled health services
  • Primary Health Networks
  • Health and Hospital Boards and Management
  • Government Departments
  • The University Sector
  • The NGO Sector

Watch this video for an insight into the IUIH System of Care Conference.

Download brochure HERE IUIH System of Care Conference 2019 WEB

This year, the IUIH System of Care Conference will be offering a number of half-day workshops on Thursday 17 October 2019, available to conference attendees only. The cost for these workshops is $150 per person, per workshop and your attendance to these can be selected during your single or group registration.

IUIH are also hosting a 10 years of service celebration dinner on Tuesday 15 October – from 6.30-10pm. Tickets for this are $150 per person and are not included in the cost of registration.

All conference information is available here https://www.ivvy.com.au/event/IUIH19/

15 October IUIH 10 year anniversary

16 October Melbourne Uni: Aboriginal and Torres Strait Islander Health and Wellbeing Conference

The University of Melbourne, Department of Rural Health are pleased to advise that abstract
submissions are now being invited that address Aboriginal and Torres Strait Islander health and
wellbeing.

The Aboriginal & Torres Strait Islander Health Conference is an opportunity for sharing information and connecting people that are committed to reforming the practice and research of Aboriginal & Torres Strait Islander health and celebrates Aboriginal knowledge systems and strength-based approaches to improving the health outcomes of Aboriginal communities.

This is an opportunity to present evidence-based approaches, Aboriginal methods and models of
practice, Aboriginal perspectives and contribution to health or community led solutions, underpinned by cultural theories to Aboriginal and Torres Strait Islander health and wellbeing.
In 2018 the Aboriginal & Torres Strait Islander Health Conference attracted over 180 delegates from across the community and state.

We welcome submissions from collaborators whose expertise and interests are embedded in Aboriginal health and wellbeing, and particularly presented or co-presented by Aboriginal and Torres Strait Islander people and community members.

If you are interested in presenting, please complete the speaker registration link

closing date for abstract submission is Friday 3 rd May 2019.
As per speaker registration link request please email your professional photo for our program or any conference enquiries to E. aboriginal-health@unimelb.edu.au.

Kind regards
Leah Lindrea-Morrison
Aboriginal Partnerships and Community Engagement Officer
Department of Rural Health, University of Melbourne T. 03 5823 4554 E. leah.lindrea@unimelb.edu.au

4 November NACCHO Youth Conference -Darwin NT

The NACCHO Youth Conference will again take place the day before the Members Conference on Monday 4 November at the Darwin Convention Centre.

The conference theme is Healthy Youth – Healthy Futures and it is a day of learning, sharing, and connecting on health issues affecting young Aboriginal and Torres Strait Islander people.

This year we aim to have around 80 youth delegates attend to hear from guest speakers, voice their ideas and solutions and connect with the other future leaders in the sector.

Registrations will open in early September 2019, so please encourage the young people from your community who you think will benefit attending.

I strongly encourage those who can afford it to arrange for your youth delegates to remain for the Members Conference and AGM so they can increase their understanding of the Sector as a whole and learn how to network and build useful contacts.

Darwin Convention Centre

Website to be launched soon

Conference Co-Coordinators Ros Daley and Jen Toohey 02 6246 9309

conference@naccho.org.au

5 – 7 November NACCHO Conference and AGM  -Darwin NT

As you may be aware, this year’s conference is being held in Darwin on Tuesday 5 and Wednesday 6 of November at the Darwin Convention Centre.

The theme for our conference is Because of Them We Must: Improving Health Outcomes for 0 to 29 Year Olds and will focus on how our Sector is working to improve the health and wellbeing outcomes for children, youth and young adults.

Clearly those in the 0 – 29 year age bracket are a significant proportion of our total population. If we can get their health and wellbeing outcomes right, we should hopefully overtime reduce the comorbidity levels which are so debilitating for so many of our older people.

There are many amazing examples in our sector of how we work with young people. I would like to see us share them at the conference.

Please let us know if you have an idea for a presentation that will highlight innovative and successful work that you do in this area.

To make a submission please complete this online form.

If you have any questions or would like further information contact Ros Daley and Jen Toohey on 02 6246 9309 or via email conference@naccho.org.au

Darwin Convention Centre

Website to be launched soon

Conference Co-Coordinators Ros Daley and Jen Toohey 02 6246 9309

conference@naccho.org.au

7 November

On Thursday 7 November, following the NACCHO National Members Conference, we will hold the 2019 AGM. In addition to the general business, there will be an election for the NACCHO Chair and a vote on a special resolution to adopt a new constitution for NACCHO.

Once again, I thank all those members who sent delegates to the recent national members’ workshop on a new constitution at Sydney in July. It was a great success thanks to your involvement and feedback.

5-8 November The Lime Network Conference New Zealand 

This years  whakatauki (theme for the conference) was developed by the Scientific Committee, along with Māori elder, Te Marino Lenihan & Tania Huria from .

To read about the conference & theme, check out the  website. 

NACCHO Aboriginal Health and #SuicidePrevention @pat_dudgeon @TTanja23 : Download New @CBPATSISP guidelines to improve assessments for our mob presenting to hospital with self-harm and suicidal thoughts

There is now growing evidence that the legacy of colonisation has contributed to the disproportionate rat.   es of suicide and suicidal behaviours and other disadvantages experienced by Aboriginal and Torres Strait Islander people.

The effects of colonisation are evident in the structural barriers and lack of access to culturally responsive hospitals and family support services that underscore the urgent need for these guidelines as part of a broader suicide prevention strategy.”

Professor Pat Dudgeon, Director of the Centre for Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention  ( CBPATSISP )

“Assessing risk of suicide is a complex task in any setting, but particularly in the hospital setting, as it can be a very discomforting time for people. There is a pressing need to respond adequately and carefully during this time.”

Aboriginal clinical psychologist, Tanja Hirvonen

Read over 150 Aboriginal Health and Suicide Prevention articles published by NACCHO over past 7 years 

The Menzies School of Health Research (Menzies), commissioned by CBPATSISP have developed evidenced-based the Guidelines for best practice psychosocial assessment of Aboriginal and Torres Strait Islander people presenting to hospital with self-harm and suicidal thoughts (the Guidelines) to improve the quality of care and outcomes for people presenting with suicidal thoughts and behaviours.

Download 30 Page PDF Copy 

CBPATSISP best practice_guidelines_FINAL

A history of self-harm is one of the strongest known risk factors for suicide and represents an important opportunity to engage with people in a preventive intervention.

The Guidelines contain 227 evidence-based recommendations that have been endorsed by an expert panel of Aboriginal and Torres Strait Islander and non-Indigenous professionals and those with lived experience using the Delphi method for establishing an expert consensus on best practice.

The Guidelines provide the principled basis for culturally appropriate health care. To better achieve cultural responsiveness in practice and improve the quality of care for Aboriginal and Torres Islander people presenting to hospital with self-harm and suicidal thoughts, the guidelines contains recommendations for appropriately and effectively interacting with and engaging Aboriginal and Torres Strait Islander people in ways that are empowering and de-stigmatising.

Tanja Hirvonen states,

“It was highlighted that the type of assessment tool that is used is significant, but just as critical is to ensure that the right information is gathered, and people are appropriately supported during a very critical time in their lives, within a culturally safe model of practice and care.”

Recommendations in the guidelines for evaluating risks, strengths and needs of Aboriginal and Torres Strait Islander people have a strong grounding in the concept of social and emotional wellbeing to ensure that assessments inform the most appropriate and effective options for care in the hospital and recovery in the community.

A number of recommendations have also been included to help clinicians respond in developmentally and culturally appropriate ways to self-harm and suicidal thoughts amongst young Aboriginal and Torres Strait Islander people.

Professor Pat Dudgeon concluded:

“These new Guidelines have potential to make a genuine difference for Aboriginal people at risk of suicide or self-harm who present at emergency departments. CBPATSISP is committed to disseminating these guidelines widely and we will advocate to ensure that relevant agencies, such as the Australian Indigenous Psychology Association, are supported to develop cultural competence training and engage hospitals in embedding these guidelines into practice at a national level.”

The guidelines can be also be found online from CBPATSISP and Menzies websites

If you or someone you know needs help contact your nearest ACCHO or call:

 

NACCHO Aboriginal #MentalHealth and #SuicidePrevention : Remote jobless ” CDP ” to be trained as Indigenous ‘crisis’ contacts says @KenWyattMP #Garma2019

 

“In the past we used to walk with our fathers and our grand­fathers and have a yarn with them.

If we had a proper look at the data we would find there were a lot less suicides when our communities were strong and our families were there all the time.

And then the policies of the past impacted that level of bonding, families have been broken in some instances.”

Mr Wyatt revealed his plan as he prepares to visit Garma and a remote Northern Territory community where leaders say jobs have helped save their young people.

On Saturday 3 August at 11.15 the Voices workshop at Garma

The official Program Booklet can be viewed HERE

Featuring

Minister for Indigenous Australians Ken Wyatt

Pat Turner : Coalition of Peak Organisations

Mick Dodson

June Oscar

From Today’s Australian 

Unemployed Indigenous people in remote towns and communities will be trained as round-the-clock emergency contacts for troubled young people as part of the Morrison government’s plan to address the scourge of indigenous suicide.

Minister for Indigenous Australians Ken Wyatt wants some of the 29,000 Aboriginal people in the Community Development Program — formerly work-for-the-dole — to serve as “permanent part-time youth engagement people”.

CDP participants are required to complete 20 hours a week of work-like duties that benefit their community, but so far none have performed this role.

Those indigenous people found suitable for the role would complete a mental health first aid course and be available to listen and mentor, Mr Wyatt said.

Aboriginal Australians take their own lives at twice the rate of other Australians, and the figures are even higher among indigenous youth.

The Arnhem Land community of Gunyangara was crippled by ­indigenous youth suicide in the years before the local Aboriginal corporation took control of the town’s services and began employing its young residents to run a diverse range of businesses. ­Locals now build their own houses, including by making bricks and milling the wood for frames.

Djawa Yunupingu said the community had survived “very bad times”. No resident had taken their own life for 10 years: “We made our own destiny,” he said.

Mr Wyatt will visit 10 newly built houses at Gunyangara today before facing some of the nation’s most respected backers of the Uluru Statement from the Heart at the Garma festival at nearby Gulkula.

He has pledged to take Australians to a referendum on constitutional recognition of indigenous Australians, one of the elements of the Uluru statement. He has not committed to what many consider the most important first step — a constitutionally enshrined voice. Woolworths — Australia’s biggest employer — and mining giants BHP and Rio Tinto are among corporate supporters of a constitutionally enshrined voice, and two former High Court chief justices have set out to explain why it can be achieved without compromising the authority of parliament. But yesterday Mr Wyatt made his strongest plea yet for Uluru backers to compromise.

“There are some things I have had to set aside from my younger days when I had fire in my belly,” he said. “We hope to have what we want, an optimum outcome. We also have to be pragmatic.”

Mr Wyatt warned that if the referendum failed, statistics showed it was unlikely to be resurrected. He indicated it was better to take the question of constitutional recognition of indigenous Australians to a referendum and win, than to ­include the question of a constitutionally enshrined voice and lose.

NACCHO Aboriginal Health and #SuicidePrevention #MentalHealth #ClosingTheGap : Read full speech @BeyondBlue Chair The Hon. Julia Gillard AC opening #NSPC19

 ” I acknowledge the Traditional Owners of the land on which we meet, the Boon Wurrung people of the Kulin Nation, and, in a spirit of reconciliation, pay my respect to their Elders – past and present………….

Today, First Nations people are twice as likely to die by suicide than non-Indigenous people.

Since 2012, suicide has been the leading cause of death among young Aboriginal and Torres Strait Islander people aged 15 to 34 years of age.

Improving social and emotional wellbeing in Aboriginal and Torres Strait Islander communities and reversing the suicide toll are inextricably linked to issues of post-colonial, intergenerational trauma, the need for secure housing, a fair go inside and outside the justice system, access to education and employment opportunities, and tackling racism.

And as many Aboriginal and Torres Strait Islander people continue to remind us, Indigenous policies must be led by Indigenous people whose solutions look different to ours. “

The Hon Julia Gillard Chair of Beyond Blue and 27th Prime Minister of Australia.

To read full speech 

Read over 140 + Aboriginal health and Suicide Prevention articles published by NACCHO over past 7 years 

Here are selected extracts

1.Today, First Nations people are twice as likely to die by suicide than non-Indigenous people.

In every part of our country, and for the sake of our society and economy, we need to continue to stress that maintaining good mental health and preventing suicide is a social, economic and political imperative.

As we all know, this imperative is especially vital for some groups who face significantly higher risk of suicide.

People of culturally and linguistically diverse backgrounds, LGBTI communities, rural and regional Australians, and our young people and the most elderly.

Once again, I am drawn to the leadership of Professor De Leo who observed that great cultural sensitivity should be applied when designing effective suicide-prevention strategies to tackle social issues of such importance and magnitude.

That they must reflect the unique needs and experiences of communities and that the communities themselves must show us the way.

He points out that many risk factors for suicide are the same for both Indigenous and non-Indigenous people: trauma, housing stress, substance abuse and unemployment among them.

But there are also personal issues that show more frequently in Indigenous suicide such as relationship breakdown and recent bereavement.

The significance of culture has never been as apparent to me as when I visited Aboriginal and Torres Strait Islander communities.

Culture is a word that is often tangled up with nationality, but it entails much more.

Our culture determines so much of our identity; our values, the way we view the world, the way we interact with others, our sense of belonging.

Our culture protects us.

And if a single piece of our culture is taken away, erased or replaced, it leaves us feeling uncertain, disconnected.

Today, First Nations people are twice as likely to die by suicide than non-Indigenous people.

Since 2012, suicide has been the leading cause of death among young Aboriginal and Torres Strait Islander people aged 15 to 34 years of age.

Improving social and emotional wellbeing in Aboriginal and Torres Strait Islander communities and reversing the suicide toll are inextricably linked to issues of post-colonial, intergenerational trauma, the need for secure housing, a fair go inside and outside the justice system, access to education and employment opportunities, and tackling racism.

And as many Aboriginal and Torres Strait Islander people continue to remind us, Indigenous policies must be led by Indigenous people whose solutions look different to ours.

I am heartened that we have, for the first time, Aboriginal people from both sides of politics leading Indigenous policy.

It is hard to believe that, despite the alarming statistics on Indigenous suicide and psychological distress, there are no mental health or suicide prevention targets in Australia’s Closing the Gap strategy.

Rectifying this is something Beyond Blue has been calling for.

2. Research and the #YouCanTalk Campaign 

In February 2018, Beyond Blue released research by the University of Melbourne and Whereto Research Based Consulting, which detailed what advice can be given to the public to increase the likelihood that they will ask about and support someone who may be at risk of suicide.

This was rigorous, scientific but also humanistic research that I hope Diego would approve of.

The research team spoke to experts, studied existing literature and surveyed over 3,000 Australians from all walks of life.

People who said they had not been affected in any way by suicide.

People who had been touched directly by suicide.

And people who had attempted suicide in the previous 12 months.

Those who had thought about or attempted suicide confirmed that having someone listen to them with empathy and show care and support was the most important and helpful thing to them.

The research confirmed a deep community concern about suicide, and that most people want to do more to prevent suicide in their communities, but don’t know how.

They were unsure where to start, how to identify the often very subtle verbal and non-verbal warning signs.

The words to use, or even whether they should say anything at all.

Because:

• 50 per cent of research participants believed only a professional can help prevent suicide;

• 40 per cent worried that talking about suicide made things worse;

• And 30 per cent believed discussing suicide would make it happen.

That research underpinned a collaborative response by the Black Dog Institute, Everymind, headspace, Lifeline, ReachOut, RU OK? and Beyond Blue.

The result was the #YouCanTalk campaign.

#YouCanTalk aims to debunk the myths, build up the confidence of the community, and equip individuals to have safe and helpful conversations about suicide and provide empathetic and practical support to people thinking about suicide.

It is about mobilising the community and empowering family and friends to act as ‘eyes and ears’, hopefully before their loved ones reach crisis point.

The first phase of the social media campaign went live in July last year.

Using the combined power and reach of the social networks and online communities of all seven organisations, the message reached an audience of over 18 million and was the top trending Twitter topic on launch day.

A second phase is in development with an expanded group that now includes SANE Australia, the Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention and Roses in the Ocean.

#YouCanTalk is owned, and can be used, by everyone.

And it’s already having positive ripple effects.

NACCHO Aboriginal #MentalHealth @georgeinstitute Download new screening tool to help Aboriginal and Torres Strait Islander people combat depression

“ This tool, which was developed in conjunction with Aboriginal communities and researchers, will help us address easily treated problems that often go undiagnosed. It will also help us to assess the scale of mental health problems in communities.

Up until now, we couldn’t reliably ascertain this in a culturally appropriate way, which has remained a huge concern.

We need better resources and funding for mental health across Australia, but particularly for Aboriginal and Torres Strait Islander people and within under-resourced health services. We hope this tool will be a turning point.”

Lead researcher Professor Maree Hackett, of The George Institute for Global Health, said mental health problems experienced by Aboriginal and Torres Strait Islander peoples have been overlooked, dismissed and marginalised for too long. 

A culturally-appropriate depression screening tool for Aboriginal and Torres Strait Islander peoples not only works, it should be rolled out across the country, according to a new study.

Researchers at The George Institute for Global Health, in partnership with key Aboriginal and Torres Strait primary care providers conducted the validation study in 10 urban, rural and remote primary health services across Australia.

The screening tool is an adapted version of the existing 9-item patient health questionnaire (PHQ-9) used across Australia and globally accepted as an effective screening method for depression. The adapted tool (aPHQ-9) contains culturally-appropriate questions asking about mood, appetite, sleep patterns, energy and concentration levels. It is hoped the adapted questionnaire will lead to improved diagnosis and treatment of depression in Aboriginal communities.

The results of the validation study were published in the Medical Journal of Australia 1 July 2019

Download the 7 page study  mja250212

The aPHQ-9 is freely available in a culturally-appropriate English version, and can be readily used by translators when working with First Nation communities where English is not the patients first language.

It is estimated up to 20 per cent of Australia’s general population with chronic disease will have a diagnosis of comorbid major depression. [1]

Approximately similar proportions will meet criteria for moderate or minor depression. Mental illness and depression are also considered to be key contributors in the development of chronic disease.

Across the nation, chronic disease (cardiovascular disease, cerebrovascular disease, diabetes, chronic kidney disease and chronic obstructive pulmonary disease) accounts for 80 per cent of the life expectancy gap experienced by Aboriginal people [2]  

How the tool works

The adapted tool, which was evaluated with 500 Aboriginal and Torres Strait Islander peoples, contains culturally-appropriate questions.

For example, the original (PHQ-9) questionnaire asks:

  • Over the last two weeks, how often have you been bothered by any of the following problems: Little interest or pleasure in doing things?
  • Feeling down, depressed or hopeless

The adapted (aPHQ-9) tool instead asks:

  • Over the last two weeks have you been feeling slack, not wanted to do anything?
  • Have you been feeling unhappy, depressed, really no good, that your spirit was sad?

Download: Adapted Patient Questionnaire with scoring (PDF 117 KB)

Download: Adapted Patient Questionnaire without scoring(PDF 114 KB)

Professor Alex Brown, of the South Australian Health and Medical Research Institute, who was co-investigator on the study, said the importance of using culturally appropriate language with First Nations people cannot be underestimated.

“In Australia, as with many countries around the world, everything is framed around Western understandings, language and methods. Our research recognises the importance of an Aboriginal voice and giving that a privileged position in how we respond to matters of most importance to Aboriginal people themselves.

“What we found during this study was that many questions were being lost in translation. Instead of a person scoring highly for being at risk of depression, they were actually scoring themselves much lower and missing out on potential opportunities for treatment.

“It was essential that we got this right and that we took our time speaking with Aboriginal people and ascertaining how the wording needed to be changed so we can begin to tackle the burden of depression.”

Aboriginal psychologist Dr Graham Gee, of the Murdoch Children’s Research Institute, saidAboriginal communities have unacceptably high rates of suicide which need to be addressed. “Identifying and treating depression is an important part of responding to this major challenge. It’s clear this tool is much needed.”

The new tool will be available for use at primary health centres across Australia and will be available to download here from Monday July 1.

The George Institute for Global Health

The George Institute for Global Health conducts clinical, population and health system research aimed at changing health practice and policy worldwide.

Established in Australia and affiliated with UNSW Sydney, it also has offices in China, India and the UK, and is affiliated with the University of Oxford.  Facebook at thegeorgeinstitute  Twitter @georgeinstitute Web georgeinstitute.org.au

[1] https://www.aihw.gov.au/reports/mentalhealthservices/mentalhealthservicesinaustralia/reportcontents/summary/prevalenceandpolicies

[2] https://www.aihw.gov.au/reports/indigenousaustralians/contributionofchronicdiseasetothegapinmort/contents/summary

Additional Media 

Doctors can now use the new tool

Extract from the Conversation 1 July 2019

In 2014-15, more than half (53.4%) of Aboriginal and Torres Strait Islander peoples aged 15 years and over reported their overall life satisfaction was eight out of ten or more. Almost one in six (17%) said they were completely satisfied with their life. These positive data are testament to Aboriginal and Torres Strait Islander peoples’ ongoing endurance.

But over the years, events like colonisation, racism, relocation of people away from their lands, and the forced removal of children from family and community have disrupted the resilience, cultural beliefs and practices of many Aboriginal and Torres Strait Islander Australians. In turn, these factors have impacted their social and emotional well-being.

This may explain why Aboriginal and Torres Strait Islander peoples are twice as likely to be hospitalised for mental health disorders and die from suicide than their non-Aboriginal counterparts.

Teenagers aged 15 to 19 are five times more likely than non-Indigenous teenagers to die by suicide.

The importance of being able to more accurately identify those at risk can’t be understated.

While screening all Aboriginal and Torres Strait Islander peoples who present to general practice for depression is not recommended, the new questionnaire is a free, easy to administer, culturally acceptable tool for screening Aboriginal and Torres Strait Islander peoples at high risk of depression.

People who might be at heightened risk of depression include those with chronic disease, a history of depression and those who have been exposed to abuse and other adverse events.

Without a culturally appropriate tool, Aboriginal and Torres Strait Islander people with depression and suicidal thoughts might fly under the radar. This questionnaire will pave the way for important discussions and the provision of treatment and services to those most in need.

If this article has raised issues for you or you’re concerned about someone you know, call Lifeline on 13 11 14. Visit the Beyond Blue website to access specific resources for Aboriginal and Torres Strait Islander people.

Maree Hackett, Professor, Faculty of Medicine, UNSW and Geoffrey Spurling, Senior lecturer, Discipline of General Practice, The University of Queensland

This article is republished from The Conversation under a Creative Commons license. Read the original article.

NACCHO Aboriginal Health and #SuicidePrevention @cbpatsisp The #WISPC18 #NISPC18Conference Report, released this week, confirms the urgent need for action in colonised countries throughout the world

Our people know the solutions, as is evidenced in the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP), Solutions that work: What the evidence and our people tell us along with countless other reports and bodies of work. It’s time for all parties to work together, and with us on co-designing and implementing clinically proven culturally driven solutions.”

Professor Pat Dudgeon, a Psychologist and Project Director at the Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention (CBPATSISP), has found intergenerational trauma and suicide to be a legacy of colonisation for Indigenous peoples the world over.

Download the Report

SuicidePreventionReport_JUNE-2019_FINAL_WEB

Read over 140 Aboriginal Health and SUicide Prevention articles published by NACCHO in past 7 years 

Indigenous suicide is a global concern. The 2nd National and World Indigenous Suicide Prevention Conferences in Perth WA in November 2018 brought together Indigenous peoples from Australia, Canada, United States of America and New Zealand. The Conference Report, released today, confirms the urgent need for action in colonised countries throughout the world.

Suicide rates have been increasing worldwide and are especially high amongst Indigenous peoples. The critical importance of identifying and implementing effective suicide prevention strategies in Indigenous communities was highlighted by a report Global Overview: Indigenous Suicide Rates. Prepared for and launched at the Conferences, the report details the consistently higher rates of suicide amongst Indigenous compared to non-Indigenous people and demonstrates the urgency for action.

Indigenous Elders, policy makers, researchers and community members representing LGBTIQ+SB, Youth, and Lived Experience participants came together at the Conferences to recognise the impacts of colonisation and subsequent trauma, disadvantage, marginalisation and lack of action by government on Indigenous issues and the need for healing and recovery processes for suicide prevention.

Professor Pat Dudgeon, a Psychologist and Project Director at the Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention (CBPATSISP), has found intergenerational trauma and suicide to be a legacy of colonisation for Indigenous peoples the world over.

There’s an emerging story about people who have been colonised. Usually the takeover of their lands has been quite brutal. There were genocides and people removed from country and treated like second-class citizens, which in itself is traumatic.

Professor Dudgeon cited the work of psychologists Professor Michael Chandler and Professor Christopher Lalonde as pointing a way forward in preventing suicide in Aboriginal and Torres Strait Islander communities.

They looked at Canadian First Nation tribes and found that some communities had no suicide and others were right off the scale. So they examined the communities that had no or low suicide rates and coined the term ‘cultural continuity’. Translated into plain English, those communities had good self-determination. They had their own councils, they were in charge, they had agency over their community and their lives.

Another factor was that they were doing cultural reclamation activities. These could be simple things like building a long house or ensuring you had your cultural ceremonies happening. These issues corresponded directly to suicide rates.

Recovery from colonisation is our globally shared agenda and the conference enabled delegates to examine issues and identify solutions that are needed. Indigenous peoples from all countries who attended the conferences are calling upon their respective governments to recognise the Indigenous Rights declaration, the right to self-determination and the right for data sovereignty.

Recommendations included a dedicated National Aboriginal and Torres Strait Islander Suicide Prevention Strategy and Implementation Plan; allocation of greater levels of program funds for Aboriginal and Torres Strait Islander communities; and an Elders call on all levels of government for an immediate response to unacceptable rates of suicides of young people, including a Royal Commission or ‘Truth and Reconciliation’ as the basis for healing and moving forward, programs and services to recognise and support the restoration and maintenance of culture and identity for the younger generation.

As Professor Dudgeon says:

Our people know the solutions, as is evidenced in the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP), Solutions that work: What the evidence and our people tell us along with countless other reports and bodies of work. It’s time for all parties to work together, and with us on co-designing and implementing clinically proven culturally driven solutions.

The next Conference will continue the legacy of the Calls to Actions and Recommendations. Ms Carla Cochrane who is the Regional Research Coordinator for the First Nations Health and Social Secretariat of Manitoba is coordinating and planning the 3rd World Suicide Prevention Suicide Prevention Conference that will take place in Winnipeg, Manitoba, Canada in August 2020.

Ms Cochrane stated:

The 2018 Conference allowed us to share our stories and to connect on all levels, including spirit, with the promotion of life.  Even though we come from different regions, our experiences and history are very similar and so is our strength, perseverance and resiliency to overcome the challenges we may face. Our connection to who we are as Indigenous people, our connection to the land and our languages set this foundation and this was highlighted at the conference.

Our focus at the 2020 Conference will be on continuing the legacy of the Calls to Actions and Recommendations from the 2018 Conference and on strengthening our communities through sharing our stories and our Knowledge.

  • Lifeline: 131 114
  • Kids Helpline: 1800 551 800
  • Mensline: 1300 78 99 78
  • Suicide Call Back Service 1300 659 467
  • Open Arms Veterans and Families Counselling 1800 011 046
  • Qlife – 1800 184 527
  • National Indigenous Critical Response Service 1800 805 801

NACCHO Aboriginal Health and #SocialMedia #MentalHealth #SuicidePrevention : Is your mob safe online ? New Report: Urges parents and communities to seek support with children’s online safety

Kids are growing up in two worlds, the real world and an online world. Just like we protect kids from dangers in the real world, it’s important to protect their safety in their online world too.

Many of our mob are unsure how to help keep their kids safe online. These resources are designed to educate Aboriginal and Torres Strait Islander parents and carers of children aged 5 – 18 about the importance of starting the chat with young people around online safety.

Visit Be Deadly Online to find out more about the big issues online, like bullying, reputation and respect for others “

Download StarttheChatandStaySafeOnlinepdf

Start the Chat

Download Aboriginal and Torres Strait Islander Resources Here

“eSafety has built engaging and award-winning educational content to help adults understand the issues and trends so they can have informed conversations with young people about what they are doing and experiencing online.

There is no substitute for being as engaged in our kids’ online lives the way we are in their everyday lives.

There is no one-size-fits-all approach when it comes to parenting in the digital-age. Our materials seek to accommodate these differing parenting styles and are tailored to be used in accordance with your child’s age, maturity and level of resilience,” 

eSafety Commissioner, Julie Inman Grant

Download the Report eSafetyResearchParentingDigitalAge

Parents are the first port of call for most young people affected by negative experiences online but less than half of parents feel confident to manage the situation, according to new research issued yesterday.

The report, Parenting in the digital age, conducted by the eSafety Commissioner (eSafety) explores the experience of parents and carers raising children in a fast-paced connected world.

eSafety found only 46% of Australian parents feel confident in dealing with online risks their children might face, with only one third (36%) actively seeking information on how to best manage situations like cyberbullying, unwanted contact or ‘sexting’ and ‘sending nudes’.

According to the eSafety Commissioner, Julie Inman Grant, the findings reinforced the importance of providing resources to support parents and carers in managing conversations about online safety.

“We know dealing with online issues can be challenging for many parents. The issues are complex, nuanced and ever-changing and are different from what we experienced growing up,” says Inman Grant.

“The research shows 94% of parents want more information about online safety. This is why it is critical to equip parents and carers with up to date resources and advice on how to keep our children safer online. Australian parents need to know they are not alone in navigating this brave new online world and that there is constructive guidance to help them start the chat.”

Starting the chat, an important part of growing up safe online

“Everyone has a role to play in further safeguarding our children online and we are seeking the help of all parents, carers, educators, counsellors and anyone else that has a connection to a child or young person to answer this call.”

 

Starting the chat with teens, key to online safety (Stars Foundation)

The report also uncovered the varied parenting styles used to help manage online safety in the home. Parents with older children were more likely to favour an open parenting style, providing guidance and advice, while parents with younger children were more likely to adopt a restrictive approach by controlling online access and setting rules around internet-use.

“There is no one-size-fits-all approach when it comes to parenting in the digital-age. Our materials seek to accommodate these differing parenting styles and are tailored to be used in accordance with your child’s age, maturity and level of resilience,” adds Inman Grant.

Now is the time to start the chat.

Visit eSafety.gov.au for a free copy of the report, as well as tools, tips and advice for parents, carers and educators to help manage these conversations, including tailored information for Aboriginal and Torres Strait Islanders as well as resources in various translated languages.

NACCHO Aboriginal #MentalHealth #SuicidePrevention @NMHC Communique : @GregHuntMP roundtable meeting to review investment to date in mental health and suicide prevention : #TimeToFixMentalHealth #TomCalma @AUMentalHealth @FrankGQuinlan @PatMcGorry @amapresident @headspace_aus

” Minister for Health, Greg Hunt, hosted a Government-led roundtable this week to review investment to date in mental health and suicide prevention, to hear from the sector on current gaps and priorities, to understand what is and is not working, and to advise on the upcoming national forum on youth mental health and suicide prevention.

Minister Hunt and Prime Minister Scott Morrison are committed to working towards zero-suicide for all Australians, including our youth.

From the National Mental Health Commission 6 June 

( The Indigenous ) Suicide rates are an appalling national tragedy that is not only depriving too many of our young people of a full life, but is wreaking havoc among our families and communities.

As anyone who has experienced a friend or family member committing suicide will know, the effects are widespread and devastating and healing can be elusive for those left behind.

It is time that we draw a line under this tragic situation that is impacting so significantly on Aboriginal and Torres Strait Islander communities  “

Noting Professor Tom Calma AO was a participant in the meeting via telephone link and opened the meeting with a discussion on Indigenous suicide. 

See this quote and 140 Plus Aboriginal Health and Suicide Prevention articles published by NACCHO in last 7 Years 

Those in attendance welcomed the Government’s commitment, with a number noting that suicide prevention needs to be a priority across all age groups, especially those groups with the highest suicide rates.

The conversation covered a range of key issues, challenges and opportunities for reform and action. Particular discussion points included:

  • Social determinants of mental health: there is a fundamental need to focus on the social determinants of mental health for all Australians, noting and emphasising the range of factors that contribute to distress in young Australians. This is an important factor for all young people and communities, with particular reference to the factors impacting on Aboriginal and Torres Strait Islander children and youth.
  • The impact of trauma and disadvantage: conversation centred on the impacts of trauma and disadvantage and the importance of supporting, for example, young people in out-of-home care, those living in poverty and individuals who are in the justice system.
  • Support for children and families: in order to improve the lives of young Australians, there is a need to better support children and families in the early years. This includes support for neurodevelopmental disorders. In the same way headspace has been developed for young people, there was a suggestion that mental health services focused on children and families could show real benefits.  There is strong support for a focus on prevention
  • Support for Schools: a continued need was highlighted around the role of, and support for, schools, including primary schools and early learning centres. Schools are a critical component of a ‘whole of community’ approach in building supportive environments for children and young people.   It was suggested that for families who may not seek services but who were in need a way of ‘connecting’ may be through digital tools, to identify and support children and parents in those families.
  • Impact on youth: young people can be seriously impacted and influenced by the suicide death of other young people who are their friends, peers, family members or celebrities. More timely and sophisticated data and comprehensive local responses are needed to assist in the reduction of risk for further lives being lost following a suicide.
  • Data: The importance of being able to collect, analyse and provide accurate data was highlighted.  This data is significant across mental health services and particularly for suicide prevention, treatment and support services.
  • Service reform: there is a need for service reform to better respond to people with mental health concerns that are too complex to be managed by a GP at a primary health care level but not so acute as to require specialist tertiary mental health services. While there are some good programs and services to build upon, there is a lack of equity across all regions and access remains a key issue for those requiring psychological and other services. We also need to integrate mental health services with drug and alcohol services.
  • Workforce development: there is an urgent need to focus on training and supporting the diverse professionals working with those at risk of or with mental health issues – health and allied health staff, drug and alcohol workers, school counsellors, psychologists, peer workers and many others. The role of peer workers was recognised as being a critical one and this must be included in all workforce development strategies and initiatives.
  • Peer and carer support: many families and peers supporting those who are in suicidal distress and/or living with challenging mental health and drug and alcohol concerns needed immediate and quality support themselves as they are also at risk for mental ill-health. Families and friends are the largest non-clinical workforce providing care and support for Australians and there is an immediate need to provide better supports for them.
  • Regional and national leadership: while attendees were supportive of regional planning and action, it was suggested that stronger guidance at a national level was needed in order to ensure equity and quality of service responses across the country, with a recognition of the importance of the role of Primary Health Networks.  Further work is needed to ensure that the roles and responsibilities of all governments were clarified, together with accountability. The Fifth National Mental Health and Suicide Prevention Plan, and particularly the Suicide Prevention Implementation Plan, are key drivers for clearer accountability and integrated and coordinated responses.
  • Funding models: there was discussion on how best to fund services across the range of needs, including the current review of Medicare and the role of private health insurance.

A collective agreement and strong commitment was reached that a collaborative approach is vital to achieving improved mental health outcomes for all Australians, including children and youth.

There is significant support for a 2030 Vision for mental health and suicide prevention, to be led by the Commission and to ensure that the systematic changes required to best service the community can be identified, prioritised and achieved. This Vision would be look beyond the current plans and strategies.

Attendees acknowledged the commitment to mental health and quality program responses in recent years, together with the increased funding in the 2019/20 federal budget for expanded youth and adult mental health services in the community, together with initiatives to strengthen the collection of critical data around suicide and mentally healthy workplaces.  They also noted the current enquiries being undertaken by the Productivity Commission and the Victorian Royal Commission.  However, there needs to be an increased focus on longer term systems reform.  The Commission has been tasked with taking a leading role in this and will work closely with the sector to develop a reform pathway.

Participants embraced the importance of hope, recognising not only the significant investment to date but that youth mental health services in Australia have been copied by other nations.  There is strong support for improvements in mental health and suicide prevention across all levels of government and community.

As outlined by the Minister for Health, this was an opportunity to review the current status and continue this important discussion.  It is one of many conversations that will continue with the sector at organisational, group and individual levels.

The Commission will provide updates in sector engagement and discussions as they occur.

Lucy Brogden

Chair, National Mental Health Commission

Christine Morgan

CEO, National Mental Health Commission

 

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