NACCHO Aboriginal Health : Our ACCHO Members #Deadly good news stories #QLD #VIC #WA #NT #SA

1.National : Aboriginal Community Controlled Health Organisations pharmacist Special Interest Group ( SIG )  launched

2.NT : Wurli-Wurlinjang Aboriginal Health Service $2.4 million for culturally safe and trauma-informed intensive family-focused case management services

3. WA : AHCWA chairperson Michelle Nelson-Cox speaks about cashless welfare cards

 4. WA  : Wrongful conviction shines light on lack of translators

 
 5. QLD Deadly Choices calls  for volunteers for the 2017 Murri Rugby League Carnival

6. SA :  Nunkuwarrin Yunti ACCHO promotes World Hepatitis Day.

7.VIC :  VAHS mob promotes Healthy Lifestyle message  at World Indigenous Basketball Challenge!

8. QLD : Apunipima Cape York Health Council  Growing Deadly Families

9. NSW Redfern National Children’s Day Celebration

How to submit a NACCHO Affiliate  or Members Good News Story ? 

 Email to Colin Cowell NACCHO Media    

Mobile 0401 331 251

Wednesday by 4.30 pm for publication each Thursday

National : Aboriginal Community Controlled Health Organisations pharmacist Special Interest Group ( SIG )  launched

“For too long Aboriginal people have suffered shorter lifespans, been sicker and poorer than the average non-Indigenous Australian, however, highly trained pharmacists have a proven track record in delivering improved health outcomes when integrated into multidisciplinary practices,

“Strong international evidence supports pharmacists’ ability to improve a number of critical health outcomes, including significant reductions in blood pressure and cholesterol and improved diabetes control. A number of studies have also supported pharmacists’ cost-effectiveness.

Some ACCHOs have already shown leadership in the early adoption of pharmacists outside of any national programs or support structures. NACCHO and PSA are committed to supporting ACCHOs across Australia to meet the medicines needs in their communities by enhancing support for those wishing to embed a pharmacist into their service.”

NACCHO CEO Pat Turner said disparities in the health between Indigenous and non-Indigenous Australians are confronting SEE Previous NACCHO post

Pictured above Mike Stephens Director of Medicines Programs and Policy in Cover Photo

See previous NACCHO Pharmacy posts

See previous NACCHO QUMAX posts

In recognition of the growing number of pharmacists working in Aboriginal Community Controlled Health Organisations (ACCHOs), the peak national body for pharmacists, the Pharmaceutical Society of Australia (PSA) has launched the ACCHO Special Interest Group (SIG).

The ACCHO SIG was launched on 30 July at PSA17 in Sydney during theAboriginal Health Service Pharmacist forum.

PSA National President Dr Shane Jackson said pharmacists working in ACCHOs have specific needs and skills and having a Special Interest Group with the primary role of supporting them will assist PSA to drive the growth of this career path.

“In many cases pharmacists working in these positions are providing innovative and diverse services that have the potential to be informative and relevant to the evolution of pharmacy services and inter-professional care.

“Consultation with these pharmacists and services about their needs is vital to ensure PSA and the National Aboriginal Community Controlled Health Organisation (NACCHO) deliver relevant and meaningful benefits to PSA members and the wider pharmacy and health sectors,” Dr Jackson said.

A key role of the National ACCHO SIG Committee will be to provide up-to-date information to NACCHO and PSA on relevant issues that relate to both organisations.

This will include input on improvements to PSA’s professional development and practice support programs that benefit ACCHO pharmacists. The SIG will also provide NACCHO with input on pharmacy-related trends and practices that affect ACCHOs.

It is a joint committee to be run by PSA and NACCHO to foster collaboration, inform relevant policy and strengthen the relationships between these organisations with a shared commitment to embedding pharmacists in ACCHOs nationally.

PSA also welcomed the announcement of a trial to support Aboriginal health organisations to integrate pharmacists into their services.

The ACCHO SIG will support pharmacists participating in this trial.

Dr Jackson said having a culturally responsive pharmacist integrated within anAboriginal health service builds better relationships between patients and staff, leading to improved results in chronic disease management and Quality Use of Medicines.

 NT : Wurli-Wurlinjang Aboriginal Health Service $2.4 million for culturally safe and trauma-informed intensive family-focused case management services.

The Federal Government will provide up to $2.4 million for a tailored project to address family violence experienced by Indigenous women and children in Katherine.

Minister for Indigenous Affairs Minister Nigel Scullion said the funding formed part of the $25 million Indigenous-focused package under the Third Action Plan of the National Plan to Reduce Violence against Women and their Children 2010-2022.

“I am pleased to announce this support for Wurli-Wurlinjang Aboriginal Health Service, a local community service with specialist experience in supporting Aboriginal and Torres Strait Islander families,” Minister Scullion said.

“The funding will deliver culturally safe and trauma-informed intensive family-focused case management services.”

Wurli-Wurlinjang Aboriginal Health Service CEO, Suzi Berto, said the project would provide intensive family-focused case management delivered within a trauma-informed framework to address behaviour often associated with domestic violence. It would also aim to break the cycle of domestic and family violence and child removals from families.

“Wurli welcomes this new program and would like to thank the Federal Government for selecting Wurli to take on this particular project,” Ms Berto said.

Minister Scullion said community-based, culturally-appropriate solutions were required to reduce the rate of family violence experienced by Aboriginal and Torres Strait Islander women and children.

“In total, $18.9 million will be invested in eight Indigenous community organisations across Australia to deliver a range of services, including trauma-informed therapeutic services for children, services for perpetrators to prevent future offending and intensive family-focused cased management.

“We have actively sought the views of Aboriginal and Torres Strait Islander people on how best to address family violence.

“Wurli-Wurlinjang Aboriginal Health Service has been identified based on its expertise, as well as local needs in the community.

3. WA : AHCWA chairperson Michelle Nelson-Cox speaks about cashless welfare cards

” Targeting welfare is not, by itself, a panacea but it just might give Roebourne the circuit-breaker it needs to allow the state government to build a safe and resilient community.

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.

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 chairperson Michelle Nelson-Cox said the group did not support the “ill-conceived idea” that cashless welfare cards could turn the tide on child abuse.

FROM NEWS LTD

Paedophiles in Western Australia’s Pilbara region are allegedly using welfare payments to bribe children for sex, prompting the police commissioner to call for an expansion of the cashless welfare program.

But the Aboriginal Health Council of WA says the commissioner should be more concerned about policing in remote communities rather than advocating further disempowerment of indigenous people.

Police Commissioner Karl O’Callaghan said in an opinion piece in The West Australian newspaper on Tuesday that welfare cash was also being used for drugs, alcohol and gambling at Roebourne and surrounding Aboriginal communities.

He said in an area of about 1500 people, there were 184 known child sex abuse victims, with police charging 36 people with more than 300 offences since the operation began late last year, plus another 124 suspects.

Mr O’Callaghan, who will retire this month after 13 years as police commissioner, said that in 2014 the previous government noted 63 government and non-government providers delivering more than 200 services to Roebourne.

“Despite all of this effort, we have failed to protect the most vulnerable members of that community and have witnessed sufferers of abuse grow up and become offenders, and so the cycle continues,” he said.

“We often find children sexually abusing children.”

The commissioner said the problem was so widespread that some families had normalised it and he described the hopelessness as a “cancer quickly spreading throughout the community”.

“Given the longstanding issues in Roebourne, we ought now to be looking at more fundamental structural reform around welfare and income to reduce the opportunity for offending,” he said.

AHCWA chairperson Michelle Nelson-Cox said the group did not support the “ill-conceived idea” that cashless welfare cards could turn the tide on child abuse.

“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,” she said.

“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 also said the commissioner’s admission that officers could not protect children in remote communities was gravely concerning.

Imagine if you were taken into custody to be questioned over a crime you did not commit in a language you could not even read and write in — and were then charged with murder.

4. WA  : Wrongful conviction shines light on lack of translators

It sounds like a third world travel nightmare.

But this actually happened in Australia to Gene Gibson, a shy young man from the tiny Gibson Desert community of Kiwirrkurra.

As reported ABC

While there were many complex factors which led Mr Gibson to being jailed for the manslaughter of Josh Warneke in 2014, after a conviction which was quashed earlier this year, it might never have ended up that way if he had a skilled interpreter to steer him through crucial meetings with police.

Mr Gibson’s first language is Pintupi, with Kukutja his second.

He has a limited understanding of English and his cognitive impairment makes it difficult for him to comprehend complex information.

Today the Court of Appeal outlined its reasons for quashing his conviction, explaining that Mr Gibson’s problems with language were one reason why “the plea was not attributable to a genuine consciousness of guilt”.

It gives many examples of how Mr Gibson often did not understand his own lawyer, who in turn could not understand what the interpreter was telling Mr Gibson about important matters like how to plead.

He was originally charged with murder but pleaded guilty to manslaughter after police interviews were deemed inadmissible for several reasons, including the lack of a qualified interpreter.

Stranger in your own land

Mr Gibson, like many Indigenous Australians who do not speak English as a first language, is somewhat like a foreigner in his own justice system.

It is something which concerns WA’s chief justice Wayne Martin.

Earlier this month, he told a conference of criminal lawyers in Bali that language was causing “significant disadvantage” for Indigenous people in the justice system, with WA’s translation services not reaching everyone who needed them.

“If we do not have properly resourced and effective interpreter services for Aboriginal people, then they will continue to fare badly in the criminal justice system,” he wrote in a submission to a Senate committee inquiry last year.

The interpretation and translation of Indigenous languages for the WA justice system is undoubtedly a niche industry.

There are about 45 Indigenous languages in the Kimberley, many of them considered highly endangered. Fewer than 600 people speak Pintupi, according to the Australian Indigenous Languages Database.

So not only do you have to find an interpreter who speaks Pintupi, but you also need someone who is trained to understand police and court proceedings, and relay them to a defendant.

It is a massive problem, according to Faith Baisden, the coordinator of First Languages, which helps Indigenous communities maintain their languages.

“Particularly in those small community groups we’re talking about, we’re not necessarily going to find someone who’s got the skill and the confidence to be trained. It takes really specialised training,” she said.

Another problem is that WA’s only Indigenous language interpreting service is struggling for funding.

The Kimberley Interpreting Service (KIS) is dependent on federal money after being stripped of funding by the WA Government in recent years.

But its chief executive Dee Lightfoot said she was hopeful of securing money from the new WA Government in September’s budget, with Treasurer Ben Wyatt writing to inform her he was reviewing her request.

She said Mr Gibson needed an interpreter to help him navigate the justice system from the very start

5. QLD Deadly Choices calls  for volunteers for the 2017 Murri Rugby League Carnival

 

Volunteers aged 16+ years are needed for the 2017 Murri Rugby League Carnival! More details are below! To register your interest please email admin@murrirugbyleague.com.au.

6. SA :  Nunkuwarrin Yunti ACCHO promotes World Hepatitis Day. 

World Hepatitis Day. Nunkuwarrin Yunti provides treatment, Specialists, prevention, advocacy and information support for people with Hepatitis. Here is Jorge from our Harm Minimisation Team #showyourface

OR VIEW HERE

7.VIC :  VAHS mob promotes Healthy Lifestyle message  at World Indigenous Basketball Challenge!

Check out our newest healthy lifestyle local sport champions!

These deadly women make up the Maal-Ya Indigenous Basketball team. They are off to Vancouver, Canada on Sunday to play in the World Indigenous Basketball Challenge!

So proud to see these women represent their mobs and proudly display our Healthy Lifestyle Values: staying smoke free, healthy eating, active living, drinking water and being deadly role models!

With Georgia Bamblett, Courtney Alice, Thamar Atkinson, Montanna Hudson, Sophie Atkinson, Klarindah Hudson-Proctor, Edward Bryant, Tyler Atkinson and June Bamblett.

Good luck Maal-Ya! Can’t wait to hear how you go! Stay tuned to this page and Sports Carnival for updates throughout the week!

#StaySmokeFree #Gofor2and5 #DrinkWaterUMob

Sportcarnival VicHealth Victorian Aboriginal Community Controlled Health Organisation Inc

8. Apunipima Cape York Health Council  Growing Deadly Families

Apunipima Cape York Health Council Region Two Manager Johanna Neville and Maternal and Child Health Worker Florida Getawan will head to Brisbane today to deliver a presentation on the Baby One Program to the Queensland Clinical Senate’s Growing Deadly Families Forum.

Johanna and Florida will focus on the Baby One Program, an integral part of antenatal care in Cape York

‘Apunipima’s award winning, Aboriginal and Torres Strait Islander – led home visiting Baby One Program runs from pregnancy until the baby is 1000 days old,’ Florida said.

‘Baby Baskets – an integral feature of the Baby One Program – are provided to Families at key times during pregnancy and the postnatal period. The Baskets act as both an incentive to encourage families to engage with health care providers, as a catalyst for health education and as a means to provide essential items to families in Cape York.’

‘It’s well known that best practice care during pregnancy and baby’s early years has been proven to provide positive health outcomes. There is a still a gap in the maternal and child health outcomes for Aboriginal and Torres Strait Islanders compared to other Australians. It’s this gap we are trying to bridge with the Baby One Program which sees Aboriginal and Torres Strait Islander Health Workers visit families in their homes to deliver health care and health education.’

Florida Getawan helps deliver the Baby One Program in Cairns and Kowanyama and said home visiting makes the difference when it comes to mums getting care.

‘As a Maternal and Child Health Worker I spend time in Cairns and Kowanyama, educating pregnant women about healthy eating, what’s good and what’s not good for them during pregnancy such as the dangers of smoking, and safe sleeping for bubba,’ she explained. ‘I love doing home visits and yarning with mothers about healthy parenting and being a support person for them in their own space.

I love being there for families who are too shy to come to the clinic so if I can engage with them in their own environment, families feel safe to access health information I love watching mothers grow because I’ve had seven pregnancies myself and can relate to what they are going through and I’m able to develop a healthy relationship with them.’
Johanna and Florida will deliver their presentation at the Brisbane Convention and Exhibition Centre 10:50 am on Thursday 3 August 2017.

About the Growing Deadly Families Forum

The Queensland Clinical Senate – which provides clinical leadership by developing strategies to safeguard and promote the delivery of high quality, safe and sustainable patient care – is holding the Growing Deadly Families Forum which will focus on improving the health of Queensland’s Aboriginal and Torres Strait Islander women and families, through a healthier start to life.

The Forum runs from 3 – 4 August.

 

9. NSW Redfern National Children’s Day Celebration

AMS Redfern will be celebrating ‘National Aboriginal and Torres Strait Islander Children’s Day’ come along and share stories about the importance of staying connected to culture and having strong positive family relationships
Friday 4th August from 2:30 pm-4:30 pm
#BBQ will be provided
#Value our rights, Respect our Culture, Bring us home.
#Limited Giveaways

 

 

 

NACCHO Aboriginal Health @amapresident says Treat Dependence And Addiction As Chronic Brain Disease

Behavioural addictions – such as pathological gambling, compulsive buying, or being addicted to exercise or the internet – and substance dependence are recognised as chronic diseases of the brain’s reward, motivation, memory, and related circuitry,

Substance abuse is widespread in Australia. Almost one in seven Australians over the age of 14 have used an illicit substance in the past 12 months, and about the same number report drinking 11 or more standard alcoholic drinks in a single session.

Left unaddressed, the broader community impacts include reduced employment and productivity, increased health care costs, reliance on social welfare, increased criminal activity, and higher rates of incarceration.”

AMA President, Dr Michael Gannon pictured above with NACCHO Chair on a recent visit to NT ACCHO Danila Dilba

Read view over 170 Articles last 5 years NACCHO Alcohol and other drugs

Substance dependence and behavioural addictions are chronic brain diseases, and people affected by them should be treated like any other patient with a serious illness, the AMA says.

Releasing the AMA’s Harmful Substance Use, Dependence, and Behavioural Addiction (Addiction) 2017 Position Statement today, AMA President, Dr Michael Gannon, said that dependence and addiction often led to death or disability in patients, yet support and treatment services were severely under-resourced.

Download copy Harmful Substance Use, Dependence and Behavioural Addiction (Addiction) – 2017 – AMA position statement

“Substance use does not inevitably lead to dependence or addiction. A patient’s progression can be influenced by many factors – genetic and biological factors, the age at which the use first started, psychological history, family and peer dynamics, stress, and access to support.

“The costs of untreated dependence and addictions are staggering. Alcohol-related harm alone is estimated to cost $36 billion a year.

“Those affected by dependence and addictions are more likely to have physical and mental health concerns, and their finances, careers, education, and personal relationships can be severely disrupted.

“Left unaddressed, the broader community impacts include reduced employment and productivity, increased health care costs, reliance on social welfare, increased criminal activity, and higher rates of incarceration.

“About one in 10 people in our jails is there because of a drug-related crime.

“Given the consequences of substance dependence and behavioural addictions, the AMA believes it is time for a mature and open discussion about policies and responses that reduce consumption, and that also prevent and reduce the harms associated with drug use and control.

“Services for people with substance dependence and behavioural addiction are severely under-resourced. Being able to access treatment at the right time is vital, yet the demand for services outweighs availability in most instances.

“Waiting for extended periods of time to access treatment can reduce an individual’s motivation to engage in treatment.

“While the Government responded quickly to concerns about crystal methamphetamine use with the National Ice Action Strategy, broader drug policy appears to be a lower priority.

“The recently-released National Drug Strategy 2017-2026 again lists methamphetamine as the highest priority substance for Australia, despite the Strategy noting that only 1.4 per cent of Australians over the age of 14 had ever tried the drug.

“The Strategy also notes that alcohol is associated with 5,000 deaths and more than 150,000 hospitalisations each year, yet the Strategy puts it as a lower priority than ice.

“The updated National Drug Strategy is disappointing. The fact that no additional funding has been allocated to the Strategy to date means that any measures that require funding support are unlikely to occur in the short to medium term.

“The Government must focus on those dependencies and addictions that cause the greatest harm, including alcohol, regardless of whether some substances are more socially acceptable than others.

“General practitioners are a highly trusted source of advice, and they play an important role in the prevention, detection, and management of substance dependence and behavioural addictions. Unfortunately, limited access to suitable treatment can undermine GPs’ efforts in these areas.”

 

NACCHO Aboriginal Health and #NSPC17 #SuicidePrevention : Full Transcript June Oscar Conference Speech

 

” Addressing the social disadvantage plaguing our communities is critical to solving many of the challenges facing our peoples, including suicide. It is critical to realizing the human rights of Aboriginal and Torres Strait Islander peoples. Our nation must face up to the devastation that has been wrought upon our peoples and which overwhelms us today.

I have said before, that I will work to make sure that human rights are more than just words on a page for our people, but a part of our lived reality. I know that we have much work to do in order to be closer to that day.”

Aboriginal and Torres Strait Islander Social Justice Commissioner, June Oscar. SEE FULL speech part 2

The worst response to suicide within Aboriginal and Torres Strait Islander communities is to ignore social disadvantage and instead attribute the loss of life to individual failure or weakness.

“Addressing the social disadvantage plaguing our communities is critical to solving many of the challenges facing our peoples, including suicide.

“Our nation must face up to the devastation that has been wrought upon our peoples and which overwhelms us today,” according to the Aboriginal and Torres Strait Islander Social Justice Commissioner, June Oscar.

“The colonisation of our country has come at a great cost for our peoples. We see it everyday in the health and wellbeing of our peoples, in the lack of jobs and in the trauma and disadvantage that surrounds us.

“We see the cost in the eyes of our children who have come to expect this life of pain, of interaction with the care and justice systems, drugs, alcohol and little hope that things will change.

“We must work to challenge the view that somehow our position in society is simply because of our failure or weakness as individuals.

“It is essential that we find ways to ensure that suicide is the rarest of tragedies in our communities. At a time when our peoples are faced by so many challenges, when our life expectancy is already significantly shorter than the non-Indigenous population, we cannot afford to have it shortened even further by suicide.”

Addressing the National Suicide Prevention Conference on 27 July 2017, Commissioner Oscar said the words of colleague Richard Weston are helpful in this context.

“Richard said earlier this year that it’s not about trying to have a debate in this country about blame or guilt for non-Aboriginal people, it’s really just trying to understand how we got to where we are.

“If we understand how we got to where we are, we can create solutions that can change the situation.”

Commissioner Oscar said suicide prevention strategies should acknowledge and build on relationships, culture, resilience and respect.

“These are key to our existence as Aboriginal and Torres Strait Islander people. Our culture is both an ancient and continuing source of resilience. And it is a necessary part of the solutions that we are forging in our communities right across this country.

“Research tells us that strong cultural connections are a necessary ingredient for good health and wellbeing. Of course we already know this but we need to build the evidence base around what works.

“Our culture is the inspiration behind the therapeutic economies giving hope to our women in the Kimberley.

“Similar initiatives exist across the country and we are finding new and innovative ways to broach this difficult subject. I want to acknowledge the work of Walpiri elders for trying to find a way to reach and reconnect with their young people through the development of the Kurdiji App. I look forward to seeing what other creative solutions our people come up with to tackle this important issue. This is the cultural medicine that our people need.

“We also know that bringing about change means moving away from discussions that are based in the ‘deficit’ and channelling our efforts into the strengths-based programs and services such as those that I have already mentioned.

“The language of strength, not deficit is what will keep our cultures and our communities alive.

“We need to shift how Aboriginal and Torres Strait Islander peoples are able to participate in Australian society.

“We need structures, schools, safe spaces where we see ourselves reflected back to us, where we are respected, where we have the same opportunities as others, but also where our voices are heard. I don’t mean having a separate society for our peoples but one where we clearly see a place for ourselves and our children in what exists around us. This is what cultural security looks like.”

Part 2 : Conference Strengthens Indigenous Suicide Prevention : Ken Wyatt

Leading Aboriginal and Torres Strait Islander people involved in tackling suicide have received Australian Government scholarships to enable them to attend this week’s National Suicide Prevention Conference.

Minister for Indigenous Health, Ken Wyatt AM, said their participation would provide important perspectives and contribute to the knowledge shared at the event, to be hosted in Brisbane by Suicide Prevention Australia (SPA) from 26-29 July.

“Sharing ideas, experiences and bringing together people involved in suicide prevention and those with lived experience is crucial to finding the best ways forward,” Minister Wyatt said.

“The Turnbull Government is pleased to sponsor both the conference and the indigenous participants.

“We are committed to suicide prevention around Australia but we need a special focus on indigenous suicide, to help reduce the unnecessary loss of life that contributes to the difference in indigenous and non-indigenous life expectancy.”

Approximately 400 people, including 11 scholarship recipients, are expected at the conference, which has the theme “Relationships, resilience and respect: Responding to vulnerability in life”.

The conference aims to increase the profile of indigenous suicide prevention, with a focus on learning from programs featured in the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project.

“The conference will complement the Turnbull Government’s $34 million commitment to 12 national suicide prevention trials, which will gather evidence on better suicide prevention in regional areas of Australia, particularly in high-risk populations” Minister Wyatt said.

Specific areas of focus for the trials include Indigenous communities in the Kimberley and Darwin regions and former Defence Force members in Townsville.

 
Part 3 : Cultural strength is key to suicide prevention : Full Speech

[Introduction in Bunuba]

Yaningi warangira ngindaji yuwa muwayi ingirranggu, Jagara and Turrbal yani u.   Balangarri wadjirragali jarra ningi – gamali ngindaji yau muwayi nyirrami ngarri thangani. Yaningi miya ngindaji Muwayi ingga winyira ngarragi thangani.  Yathawarra, wilalawarra jalangurru ngarri guda.

I stand here today on the lands of the Jagara and Turrbal People. There are many of us that have come from afar, we come speaking different languages, and we are strangers to these lands. The ear of this land is hearing our different languages and we reassure that we gather and talk together with good feeling.

I would like to begin by acknowledging the Traditional Owners of the land upon which we meet, the Jagara and Turrbal peoples.

I am a proud Bunuba woman from Fitzroy Crossing in Western Australia, and it gives me great pleasure to be here with you all to discuss this critical issue that impacts far too many Australians, and far too many of our peoples.

I am all too familiar with the devastation that suicide wreaks on our communities. And it is a sad fact that, like many of you, I speak with firsthand experience of its terrible impacts on my own community.

It is devastating that the Kimberley is going through its second inquest in as many years on this issue. I gave evidence in 2007 and I sincerely hope that this current process can lead to substantive changes that are so desperately needed. But I know that this is an issue that affects so many of our peoples across this nation, not just in my homelands.

I address you today as the first Aboriginal woman appointed to the role of the Aboriginal and Torres Strait Islander Social Justice Commissioner at the Australian Human Rights Commission in 30 years. I look forward to bringing my experiences from living in community to this role and to elevating the voices of our people, throughout my term to address the various challenges facing our communities.

I am proud to follow in the footsteps of my predecessors such as Mick Gooda and Tom Calma who have both been strong advocates on this issue and many others affecting our peoples for many years.

People like Tom Calma and my fellow Western Australian, Professor Pat Dudgeon, have been fighting long and hard to make Governments sit up and take action on this national tragedy – particularly how it effects Australia’s First Peoples.

I will reference their work in the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project –in my remarks today.

I am grateful for their leadership and point to their work to tackle the underlying issues of suicide for our people. But I am also grateful for the work of everyone in this room for what you are doing everyday to improve the lives of our people. We have all been touched by suicide in some way or another and together, I know that we have the best chance of bringing hope and change to our communities.

But we know that we know that this is not an issue that we can tackle alone, that the causes are complex and demand responses that address the quality of life of our peoples.

Over the next 30 minutes or so, I want to discuss the historical and societal conditions that lead to suicide and self-harm in Aboriginal and Torres Strait Islander communities. And then, drawing on my own experience in my community in Western Australia, look at the things we know can and must be done to reverse those conditions.

Rights based approach

It is appropriate to highlight the need for a ‘Rights’ based approach in discussing suicide in Australia.

We need to be clear about how a Rights-based framework is critical to understanding how to tackle the causes of suicide.

The Universal Declaration of Human Rights, the bedrock of Rights internationally for the last 70 years says that: Everyone has the right to a standard of living adequate for the health and well-being…(1)

The United Nations Declaration on the Rights of Indigenous Peoples also speaks to the rights of Indigenous peoples, like all other peoples to enjoy the same rights to life, liberty and security. It highlights the particular need for the rights of Indigenous elders, women, children and people with disability to be protected.(2)

These human rights frameworks are a critical starting point for all peoples. But for Aboriginal and Torres Strait Islander peoples, we know that the reality of our existence falls far, far short of these standards. We know that particularly in the remoter parts of the country that our peoples are living on top of each other and sometimes without the benefit of running water. We know the reality of some town camps where, cut off from basic services our people sleep outside, go hungry and struggle to keep warm.

I saw similar conditions during my drive from my home in Fitzroy Crossing to take up my new role the city of Sydney. I travelled through many places across the country and saw our old people living in tin shacks far from essential services. These conditions are a breeding ground for suicide, self-harm and ill health to prosper.

This reality jars against the image of Australia as a prosperous nation. Our country ranks as one of the richest OECD countries on earth and yet Aboriginal and Torres Strait Islander peoples do not sit at this table of wealth.

We know that our nation’s prosperity and our people’s place amongst the most socially and economically disadvantaged are no coincidence. These events are inextricably linked.

The colonization of our country has come at a great cost for our peoples. We see it everyday in the health and wellbeing of our peoples, in the lack of jobs and in the trauma and disadvantage that surrounds us.

We see the cost in the eyes of our children who have come to expect this life of pain, of interaction with the care and justice systems, drugs, alcohol and little hope that things will change.  The normalization of this despair is killing our people.  We must all work harder to change the narrative of low expectations, that is set upon us by others and which we inherit, but we must also demand more from government.

Our very survival in this country, is testament to our strength as a peoples and to our ability to adapt to our conditions. It is evidence of the strength of our culture which we know must be the bedrock of any solutions to many of the challenges that we face.

We know that suicide speaks to our experience as Aboriginal and Torres Strait Islander peoples, as a peoples who are still grappling with our existence in a world that is very different from that of our ancestors.

We must work to challenge the view that somehow our position in society is simply because of our failure or weakness as individuals. We know that much of our experience as First Peoples is a product of the past.

Addressing the social disadvantage plaguing our communities is critical to solving many of the challenges facing our peoples, including suicide. It is critical to realizing the human rights of Aboriginal and Torres Strait Islander peoples. Our nation must face up to the devastation that has been wrought upon our peoples and which overwhelms us today.

I have said before, that I will work to make sure that human rights are more than just words on a page for our people, but a part of our lived reality. I know that we have much work to do in order to be closer to that day.

It would be easy to focus solely on the heartbreak that is suicide in our communities. We must give place to mourning and acknowledgement of those we have lost.

But it is essential that we find ways to ensure that suicide is the rarest of tragedies in our communities. At a time when our peoples are faced by so many challenges, when our life expectancy is already significantly shorter than the non-Indigenous population, we cannot afford to have it shortened even further by suicide.

The power of culture

The power of our culture in healing and the necessity of community designed and led solutions are key antidotes for change.

I am encouraged by the theme of this conference – with the focus on Relationships, Resilience and Respect.

These are key to our existence as Aboriginal and Torres Strait Islander people. Our culture is both an ancient and continuing source of resilience. And it is a necessary part of the solutions that we are forging in our communities right across this country.

We know the healing power and protective role that culture plays in our communities. Our culture kept us safe and healthy long before the British arrived on our shores and long before we even had words to describe the devastation of suicide. It has been a reservoir of strength that has sustained us throughout time.

Research tells us that strong cultural connections is a necessary ingredient for good health and wellbeing. Of course we already know this but we need to build the evidence base around what works.

Our culture is the inspiration behind the therapeutic economies giving hope to our women in the Kimberley – who are creating new lives for themselves away from violence and drug dependence through making wearable art.

Similar initiatives exist across the country and we are finding new and innovative ways to broach this difficult subject. I want to acknowledge the work of Walpiri elders for trying to find a way to reach and reconnect with their young people through the development of the Kurdiji App. I look forward to seeing what other creative solutions our people come up with to tackle this important issue. This is the cultural medicine that our people need.

We know that culture is a critical ingredient of any approach for addressing suicide in our communities and is a lifeline to all of us but especially our most vulnerable.

We also know that bringing about change means moving away from discussions that are based in the ‘deficit’ and channelling our efforts into the strengths-based programs and services such as those that I have already mentioned.

The language of strength, not deficit is what will keep our cultures and our communities alive.

I know that there will be plenty of facts provided at this conference about the size and nature of suicide, so I will just quickly run through a few details regarding suicide in our communities.

In my home state of Western Australia, suicide rates for Aboriginal people in remote areas of the state are some of the worst in the world. It is well documented that self-harm rates are at least 10 times higher than non-Indigenous people.(3)

Across the country, suicide accounts for up to 30 per cent of the premature deaths of our young people under the ages of 18 years.(4)

Aboriginal and Torres Strait Islander young people between the age of 15 and 24 years are over five times more likely to die of suicide than their non-Indigenous peers.(5)

Trauma

It is still not well understood enough in the wider Australian community, why suicide and self-harm are so prolific among Aboriginal and Torres Strait Islander peoples. But for us we know this phenomenon is intimately linked to trauma.

To borrow the term from Professor Colin Tatz, I think non-Indigenous people can sometimes suffer ‘wilful amnesia’ about the history of the First Peoples of this country and this means we are all left poorer for it.

The impact of 200 plus years of colonisation, government policies resulting in dispossession, stolen generations and brutal assimilation have caused a level of trauma that passes from one generation to the next.

Our children and grandchildren continue to suffer the terrible impact of the sufferings of their parents, grandparents and elders.

The words of Richard Weston, are helpful in this context, he said earlier this year that: it’s not about trying to have a debate in this country about blame or guilt for non-Aboriginal people, it’s really just trying to understand how we got to where we are.

So if we understand how we got to where we are, we can create solutions that can change the situation.(6)

A cycle of despair and the toll of intergenerational trauma are the conditions too many Aboriginal and Torres Strait Islander people live with.

We know that a society that boldly acknowledges the wrongs of the past, and is determined to address those wrongs in the present will succeed in creating a stronger and safer place for Aboriginal and Torres Strait Islander people to prosper.

20 years ago, the Bringing them Home report told Australians and the world the truth of the Stolen Generations. It also told us something that we know all too well which is that – “trauma compounds trauma”.

That Report further stated that: Trauma experienced in childhood becomes embedded in the personality and physical development of the child. Its effects, while diverse, may properly be described as ‘chronic’. These children are more likely to ‘choose’ trauma-prone living situations in adulthood and are particularly vulnerable to the ill-effects of later stressors.

The cycle must be broken in order to stem the flow of suicide in our families and communities. We need to ensure that the conditions are right for healing.  We know that the best way to achieve this is by addressing the social disadvantage I spoke of earlier, but also supporting Aboriginal and Torres Strait Islander families to create strong communities as the basis for healing.

The best support structures begin with mentally and spiritually strong families, clans and communities.

Sadly, we know that even the best, most connected, well serviced communities still have a huge challenge in addressing the needs of generational trauma.

The reality is many Aboriginal and Torres Strait Islander communities are dealing with trauma in conditions that are unacceptable for non-Indigenous Australia.

FASD and Suicide

We know that with all the energy in being strong, that some of us succumb to the trauma around us. Far too many of our people and particularly our young people look to drugs and alcohol to numb their pain.

This is an issue that is very close to my heart.

One of the big challenges in our communities, with clear links to suicide and self-harm is the prevalence of Fetal Alcohol Spectrum Disorder or FASD.

There are many symptoms and outcomes of intergenerational trauma but this is one of the most acute issues that I have experienced in community.

After a series of tragic suicides in 2006 a coronial inquest examined why so many Kimberley Aboriginal people were taking their own lives.

Not surprisingly it found that alcohol abuse was the primary reason for the suicide epidemic of Kimberley Aboriginal people.

I have said before, that my own impossible dream was to bring about better life opportunities for the children in my community and town of Fitzroy Crossing. I know that like me, many of us see the pain that our people, carry around and we want to take that away. But sometimes wounds are so deep for cultural medicine alone to fix.

After 50 deaths and attending too many funerals, I found it unacceptable that people I knew were dying in such high numbers from alcohol related preventable deaths. I knew that if we did not act, we would continue to see our families suffering and caught in a rut of grief and loss for years to come.

This was painfully disturbing to see and incredibly difficult to live within this environment of deep sadness, in a country as rich and blessed as Australia in the twenty first century.(7)

In February 2008, the State Coroner described the living conditions for Aboriginal people in Fitzroy Crossing as a “national disaster with no disaster response.”(8)

Remember, trauma compounds trauma.

Along with several other key leaders, we took an unprecedented step. With the support of our elders we lobbied the Director of Liquor Licensing seeking an initial 12 month moratorium on the sale of full strength take-away liquor across the Fitzroy valley.

We were met with fierce resistance, especially from some members of our own community who were addicted to a destructive lifestyle, but we were unrelenting in what we knew was a necessity to break a circuit of chaos and grief.

The restrictions have now been in place for nearly 10 years due to ongoing community support. Many who opposed our efforts are now thankful of the positive impacts that have become entrenched since the restrictions were put in place.

Independent evaluations have shown some great results due to the restrictions; large reductions in alcohol related police interventions, large reductions in alcohol related presentations to hospital and an increase in school attendance.

As a community, we started to change the conditions that incubate suicide and self-harm- but alcohol management is just one plank in the program of solutions that are needed.

Let me be clear, while we have seen some amazing results in my home community in Fitzroy Crossing, alcohol restrictions have never been intended as a panacea.

Alcohol management is just one part of an ongoing strategy for my community. We know that the support services that are desperately needed are often lacking in our communities if they exist at all.

While there has been some good progress in Fitzroy Crossing, we still lose too many people, particularly our young people, to suicide.

I am disheartened to hear that a decade on we are back again before another Coronial Inquiry.

I despair, as I am sure many of you do, knowing that inquiries aren’t a substitute for action but remain hopeful that the findings might translate into meaningful change for our communities.

Hard as it is, I know that we must continue to thrust the suicide epidemic that we are facing across the country into the spotlight.

I thank the work of people like Professors Pat Dudgeon and Tom Calma for doing just this through the work of the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation.

We know from that report, as with all other issues affecting our communities, that approaches to suicide prevention must be community owned and led if they are to be successful.

The Report recognises our holistic approach to health and articulates the connection between culture, healing, social determinants such as housing and education, and the generational impact of trauma.

One of the keys to preventing suicide is to remove the siloed approach to all these issues and instead, consider them all together. Our community controlled services are at the forefront of providing holistic, wrap-around services that look at the entirety of need.

Such approaches are a core part of the ongoing criticisms of how governments tend to organise their programs and services. When it comes to suicide prevention, we cannot afford to live with the chaos of disconnected programs and services.

The Close the Gap Campaign, of which I am a member, has been calling on the Federal government to fund an Implementation Plan for the National Aboriginal and Torres Strait Islander Suicide Prevention Strategy.

This Strategy has a holistic view of our mental, physical, cultural and spiritual health. It has an early intervention focus that works to build strong communities through more community-focused and integrated approaches to suicide prevention.

A considered Implementation Plan with Government support is needed to genuinely engage with our communities, organisations and representative bodies to develop local, culturally appropriate strategies to identify and respond to those most at risk within our communities.

A future Implementation Plan should begin with the recommendations of the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project Report from last year.

Conclusion

But there is a final point that I wish to make about this important issue and that is about the issue of place.

Too many Aboriginal and Torres Strait Islander peoples do not feel at home in the place we call our own. We feel at unease at the ever increasing role of governments and other agents in our lives. Daily experiences of racism and disadvantage are the norm and eat away at our health and wellbeing. It is sad that we live in a world so desensitised to our trauma that 10 year olds committing suicide are met with expectation and not surprise.

This is an indictment on our country. This is the story of Australia.

Brick by brick, structures have been built on our ancestral homes, leaving little room for our cultural way of life.

The challenge for us in the modern world is how do we continue to be sustained by the world’s oldest living culture in a society that seems to give it so little value. Walking in two worlds of what it means to be an Indigenous person in this country is not an easy path. Sadly, it is too easy to get swept up in the pain when you are surrounded by little else.

We need to shift how Aboriginal and Torres Strait Islander peoples are able to participate in Australian society.

We need structures, schools, safe spaces where we see ourselves reflected back to us, where we are respected, where we have the same opportunities as others, but also where our voices are heard. I don’t mean having a separate society for our peoples but one where we clearly see a place for ourselves and our children in what exists around us. This is what cultural security looks like.

I want to finish up by using a quote from Yolngu leader, Gularrwuy Yunupingu, which I believe speaks to so many things. He said:

What Aboriginal people ask is that the modern world now makes the sacrifices necessary to give us a real future. To relax its grip on us. To let us breathe, to let us be free of the determined control exerted on us to make us like you. And you should take that a step further and recognise us for who we are, and not who you want us to be. Let us be who we are – Aboriginal people in a modern world – and be proud of us. Acknowledge that we have survived the worst that the past had thrown at us, and we are here with our songs, our ceremonies, our land, our language and our people – our full identity. What a gift this is that we can give you, if you choose to accept us in a meaningful way’(9)

It is my hope that one day we won’t need conferences like these, and that our people will find a place in our country where they feel strong and supported and exist on equal footing with their fellow Australians.

That day is yet to come but being in the presence of you all gives me great hope for the future.

Thank you

Help

Lifeline 13 11 14

Suicide Call Back Service 1300 659 467

BeyondBlue 1300 224 636 or

Mensline 1300 789 978

KidsHelpline 1800 551 800

 

 

 

NACCHO This weeks top Aboriginal Health #Jobalerts : #Aboriginal Health Workers #Dental #Pharmacy #Chronic Disease #TacklingSmoking

This weeks #Jobalerts

Please note  : Before completing a job application please check with the ACCHO or stakeholder that job is still available

1.Pharmacist – FIFO to Maningrida – Arnhem Land

2. ATSICHS Dental Services Brisbane : Oral Health Therapist

3.Carnarvon Medical Services Aboriginal Corporation : Chronic Disease Coordinator Close 4 August

4.Tackling Indigenous Smoking Support Officer (OVAHS) close 16 August

5.Generalist HR role Central Australian Aboriginal Congress

6.Congress Alice Springs ABORIGINAL HEALTH PRACTITIONER – WOMENS HEALTH

7. Registered Nurses Brewarrina Aboriginal Health Service Ltd (BAHSL)

8-9 : Jullums Lismore AMS Registered Nurse / Child and Family Nurse and Aboriginal Health Worker/ Practitioner

10. Rekindling The Spirit  : Positions Vacant – Counsellors

11. Nganampa Health Council  :Personal Care Attendant (Remote Area Aged Care Facility)
 
12.Chronic Kidney Disease Educator – Derby (KRS)

12.Flinders Island Aboriginal Association Inc.Tobacco Action Worker 

  Register or more INFO

How to submit a Indigenous Health #jobalert ? 

NACCHO Affiliate , Member , Government Department or stakeholders

If you have a job vacancy in Indigenous Health 

Email to Colin Cowell NACCHO Media

Tuesday by 4.30 pm for publication each Wednesday

1.Pharmacist – FIFO to Maningrida – Arnhem Land

We are seeking an enthusiastic professional pharmacist passionate about providing quality services to the people of Maningrida in western Arnhem Land. This onsite position presents unique and rewarding challenges as part of the primary health care team.

About the Role

The position is full-time (40 hours per week) providing direct dispensing and counselling about medicines to clients of the Aboriginal Health service.

  • The pharmacist also acts as advisor to medical, nursing and allied health staff including Aboriginal staff on the safe and effective use of medicines in the community.
  • Dose administration aid packing is minimal as this is co-ordinated offsite

Skills and Requirements

  • A degree in pharmacy and registration as a pharmacist with the Australian Health Professional Registration Authority is essential
  • Experience and high level of performance in clinical pharmacy.
  • Demonstrated ability, or willingness to acquire the ability, to interact with Aboriginal people in a sensitive and culturally safe way.
  • Demonstrated ability to work collaboratively in a multidisciplinary health care team
  • Ability to plan, negotiate and implement changes to day to day practice to ensure the highest standard of care possible to clients of the service.

Benefits

There is potential to increase the impact of clinical services for the people of Maningrida for the innovative person who can develop professional services to suit the population and the health service.

Other benefits include

  • Generous salary including remote living and relocation allowances
  • Conditions are negotiable and can be by fly in fly out from Darwin or living in the community
  • Professional support and mentoring is available from the co-ordinating pharmacy in Darwin

For further information please contact

Shelley Forester Ph: 0412700560

Email: shelley.forester@udcp.com.au

  • Applicants are required to provide a current CV and contact details for at least two referees.
  • Applicants are asked to submit a one page summary of how they meet the above criteria.

2. ATSICHS Dental Services Brisbane : Oral Health Therapist

Position Title
Oral Health Therapist
Department/Team
Department/Team Dental
Location
ATSICHS Dental Services
Salary Range
$70,835 – $80,508 base salary, plus Superannuation
Employment Status
12 month contract role with view to permanency
Reports To
Dental Services Manager
Direct Reports
Nil

Organisational History and Structure      

ATSICHS Brisbane is a not-for-profit community owned health and human services organisation delivering on the unique health and wellbeing needs of Aboriginal and Torres Strait Islander people in greater Brisbane and Logan. We are the largest, most comprehensive Aboriginal Medical Health Service in Queensland, and Australia’s second oldest. We are determined to create a flourishing future and lasting legacy for our people and our community.

Our services include medical and dental clinics, mums and bubs programs, an aged care facility, family and child safety services, foster and kinship care, social and emotional wellbeing services, kindergarten programs and a youth service.

We have five core values which shape the way that we work:

  • Community
  • Respect
  • Collaboration
  • Quality
  • Accountability

Our vision for the future is that we are world leaders in Indigenous health and social support services provided in an urban setting. To do this we are focussing on four strategic priorities:

  1. Work smarter, work together
  2. Ensure easy to access services for every stage of life
  3. Champion healthy individuals and thriving families
  4. Build a strong and sustainable organisation.

Position Outline               

As a key member of the ATSICHS Brisbane team, the Oral Health Therapist is expected to personally contribute to the shaping and achievement of ATSICHS vision and goals. The Oral Health Therapist will provide three (3) key functions:

Supports dental care delivery:

Supports dental care delivery by providing general and emergency oral health care to Murri School Students as well as other eligible clients; diagnosing dental decay and gum diseases, provide dental examinations, cleaning, scaling and extracting, taking X-Rays and impressions for mouthguards, and brining complex dental items to the attention of Dentist. Educates students and patients by giving oral hygiene, plaque control, and postoperative instructions. Assist in encouraging students and patients to make an active change to their oral care with the aid of ATSICHS approved oral health educational material.

Operates within CQI and clinical governance framework:

Oral Health Therapists support processes that ensure the delivery of dental care is performed within the highest quality. Included activities involve CQI, contributing to policy implementation, audits and reporting of clinical incidents.

Actively contributes in developing a flourishing team:

Support fellow staff in a team environment to build collegiality and a sense of belongingness within the team and ATSICHS family. Staff will actively participate in team activities and contribute to a flourishing workplace culture that promotes the ethos and values of ATSICHS Brisbane as a long standing Aboriginal Community Controlled Organisation.

Skills, Competencies, Qualifications, Education and Experience

Essential:

  • Certificate, Diploma or Degree in Oral Health Therapy and be eligible to register with AHPRA
  • Hold a current radiation licence
  • Demonstrated experience that demonstrates practical skills and knowledge in the provision of dental care to clients
  • Demonstrated ability to meet targets and performance outcomes
  • Ability to support a continuous improvement model for achieving outcomes
  • Proven ability to prioritise workload and meet deadlines
  • Effective communication skills – both in writing ad verbal
  • Working with Children’s Card (Blue Card) or be eligible to apply.

Desirable, but not mandatory:

  • Previous experience working with Aboriginal and Torres Strait Islander people.
  • Knowledge of EXACT

How to Apply    

Applications can only be submitted through seek link

Applications must be submitted before 14th August 2017

ATSICHS HR on 07 3240 8900

APPLY HERE

3.Carnarvon Medical Services Aboriginal Corporation   :  Chronic Disease Coordinator (Registered Nurse / Aboriginal Health Practitioner) Close August 4

About the Organisation

Carnarvon Medical Services Aboriginal Corporation (CMSAC) is an Aboriginal Community Controlled Health Service established in 1986. CMSAC aims to provide primary, secondary and specialist health care services to Carnarvon and the surrounding region.

For more information please visit http://www.cmsac.com.au

About the Opportunity CMSAC is currently seeking an experienced Registered Nurse or Aboriginal Health Practitioner to join their multidisciplinary team as a Chronic Disease Coordinator.

As the Chronic Disease Coordinator you will be supported by a diverse team of Doctors, Aboriginal Health Practitioners, Nurses, Medical Receptionists and a Clinical Practice Coordinator providing a range of culturally appropriate and comprehensive primary health care services to the local Aboriginal communities.

Your responsibilities will include (but not be limited to) the following:

  • Providing day to day health services to the community in a professional, confidential and culturally safe manner
  • Utilising a holistic approach to assessing clients and their families by supporting and developing patient understanding of their condition, treatment and prevention strategies
  • Conducting opportunistic screening and follow-up of patients
  • Developing and implementing strategies that promote health education to clients, their families and the community with a focus on chronic disease management and health prevention
  • Providing Support and Advice on appropriate levels of follow-up to clients requiring short and long-term pharmaceutical support including instructing client/care givers how to take medication, the correct dosage, storage and security
  • Maintaining accurate documentation and record of all client encounters on the patient information & recall system
  • Maximising Medicare billings through effective patient records processes

To be successful, you will be a Registered Nurse or Aboriginal Health Practitioner, have experience working in a similar role within an AMS or primary health setting. You will have a sound knowledge of general practice, primary health care and the social and emotional wellbeing needs of Aboriginal and Torres Strait Islander peoples.

Your strong interpersonal, communication and organisational skills will enable you to strengthen existing community partnership, establish and sustain stakeholder relationships, determine priorities and manage workloads in order to meet agreed timelines and achieve results.

Most importantly, you must be able to effectively communicate, promote and uphold CMSAC initiatives and values, acting as a role model in the community.

Before applying please visit http://www.ahcwa.org.au/employment to view the full Position Description.

About the BenefitsA generous remuneration package including salary sacrificing options is on offer.

In addition:

  • CMSAC will negotiate relocation assistance with the right candidate
  • You’ll enjoy a fantastic work/life balance, with Monday – Friday hours, 8:30am – 5pm, with no on-call requirements
  • 5 weeks annual leave

**The successful candidate must be willing to undergo a Drug Screen, provide a current Police Clearance and Working with Children Check and possess a C Class Drivers License.

Aboriginal and Torres Strait Islander people are encouraged to apply.

Applications close 5pm, Friday 4 August 2017

Here at SWAMS we have an exciting position available for someone looking to make a difference. As an Aboriginal Health Worker, you will be involved in

 4.Tackling Indigenous Smoking Support Officer (OVAHS) close 16 August
5.Generalist HR role Central Australian Aboriginal Congress

In the 40 years since it was established, Central Australian Aboriginal Congress (Congress) has become the largest Aboriginal medical service in the Northern Territory.  Congress is one of the most experienced in Aboriginal health in the country, is a national leader in comprehensive primary health care, and is a strong political advocate for the health of Aboriginal people.

Based in Alice Springs and reporting to the General Manager Human Resources, a newly created role has emerged.  The Organisational Capability Manager is a generalist HR role responsible for developing and leading workforce initiatives, strategic projects, building HR capability and workforce training and development.  Specific areas of focus in the first instance include :-

  • leading a refresh of the people performance and management framework;
  • leading the review of the WHS management system;
  • leading talent planning and implementation activities for organisational change projects and workforce development;
  • strengthening a reporting framework that captures meaningful data to promote organisational performance, assist decision making, minimise risk and enable achievement of the broader organisational objectives and priorities.

Applications are invited from experienced HR practitioners with appropriate tertiary qualifications and superior communication, negotiation and strategic thinking skills.  Experience in developing organisational capability for a large, geographically dispersed and multi-disciplinary entity will be highly regarded.  Pragmatism, intuition, commercial acumen, sound judgement, drive, energy, credibility and authenticity are also important qualities sought.

Offered initially on a contract basis for a period of 2-3 years, there is a genuine opportunity for the scope to extend well beyond this timeframe and expand in breadth of responsibility.  An attractive remuneration package commensurate with skills and experience, together with relocation assistance will be offered in order to attract the right candidate.

For a job and person specification, please visit hender.com.au and for further information on our client, please visit caac.org.au

Applications in Word format only should be addressed to Justin Hinora.

Telephone enquiries are welcome on (08) 8100 8849.

APPLY HERE

6.Congress Alice Springs ABORIGINAL HEALTH PRACTITIONER – WOMENS HEALTH

  • Base salary: $60, 781.50 – 76,206 (p.a.)
  • Total effective package: $77,473 – 94,675 (p.a.)*
  • Full Time 2 Year Contract
  • Aboriginal Identified Position
  • Female Identified Position

Central Australian Aboriginal Congress (Congress) has over 40 years’ experience providing comprehensive primary health care for Aboriginal people living in Central Australia. Congress is seeking an Aboriginal Health Practitioner (AHP) who is interested in making a genuine contribution to improving health outcomes for Aboriginal people.

The Aboriginal Health Practitoner : Women’s Health, is a specialised role which works closely with clnicians and General Practitioners to provide women’s health focused care, including cervical screening, contraceptive counselling, management of sexually transmitted infections, adult health checks, immunisations, manitains recall lists, health promotion and coordination of the Obstetric and Gynaecologist specialist clinic.

Alice Springs offers a unique lifestyle in a friendly and relaxed atmosphere in the heart of Australia. It is within easy reach of Uluru (Ayers Rock) and Watarrka (Kings Canyon) and a host of other world heritage sites.

As well as a wonderful lifestyle and rewarding work, Congress offers the following:

  • Competitive salaries
  • Six (6) weeks annual leave
  • 9.5% superannuation
  • Generous salary packaging
  • A strong commitment to Professional Development
  • Family friendly conditions
  • Relocation assistance (where applicable)
  • District allowance and Remote Benefits

For more information on the position please contact the Alukura Manager, Tahnia Edwards on (08) 89532727 and email: tahnia.edwards@caac.org.au.

Applications close: Thursday 10 August 2017

*Total effective package includes: base salary, district allowance, superannuation, leave loading, and estimated tax saving from salary packaging options.

Contact Human Resources on (08) 8959 4774 or vacancy@caac.org.au for more information. Only shortlisted applicants will be contacted.

To apply for this job go to: CONGRESS WEBSITE

& enter ref code: 3644957.

7.Registered Nurses Brewarrina Aboriginal Health Service Ltd (BAHSL)

About the Organisation

Brewarrina Aboriginal Health Service Ltd (BAHSL) is a non-profit organisation dedicated to improving not only the health but the youth, culture, education and housing of the organisation’s clients and the Brewarrina community in general. Operating with close ties to the accredited Walgett Aboriginal Medical Service, BAHSL services are available to the surrounding communities and small towns in the area, and provide a resource centre for:

  • Health related issues
  • Medical advice and treatment
  • Individual and family counselling
  • Information and advice about issues relating to substance abuse
  • Sexual health services
  • Family violence
  • Children’s health/issues
  • Adolescent health
  • Women’s and men’s health
  • Healthy lifestyle (including healthy eating)
  • Eye Health

About the Opportunity

Brewarrina Aboriginal Health Service Ltd (BAHSL) has an exciting opportunity for a Registered Nurse to join their multidisciplinary team of dedicated health professionals working throughout in Brewarrina, NSW.

In this role, your primary focus will be on planning, implementing, monitoring and evaluating Enhanced Primary Health Care plans for the program’s clients, in collaboration with BAHSL Aboriginal Health Workers.

To be successful in this position, you will be a Registered Nurse (List A) with experience providing Primary Health Care to those suffering from chronic disease and across a range of other settings. You will require experience in working with Aboriginal communities and have an understanding of health issues in rural/remote areas and the impact of socio-economic factors on Aboriginal communities.

Candidates with previous experience in wounds management, community care, and adult immunisation will be highly regarded.

Please note: Candidates are required to hold registration with AHPRA, a working with children check, and a criminal history check.

BAHSL will reward your commitment with an excellent base salary (dependent upon skills and experience) and access to salary sacrificing arrangements!

Applicants currently located outside the Brewarrina region will be considered – and you’ll enjoy assistance with relocation costs (reimbursed after probation period) and help in finding suitable rental accommodation!

Advance your career in Aboriginal health in this varied role – APPLY NOW!

Please note, due to the nature of this position, Aboriginal people are encouraged to apply.

APPLY HERE

8 – 9 Lismore AMS Registered Nurse / Child and Family Nurse and Aboriginal Health Worker/ Practitioner

Jullums Lismore AMS is currently looking for the following positions to join the team:

Registered Nurse / Child and Family Nurse

This is an identified position open to Aboriginal & Torres Strait Islander people

However, Registered Nurses who are not indigenous but able to meet the Selection Criteria are encouraged to apply

Aboriginal Health Worker/ Practitioner

This is an identified position, open to Aboriginal and Torres Strait Islander people

Minimum qualifications, Certificate IV

About Us:

Jullums Lismore Aboriginal Medical Service is a not-for-profit Aboriginal Community Controlled Health service under the management of Rekindling the Spirit, providing primary health care services to Aboriginal people throughout the Lismore area. Jullums is committed to promoting health, wellbeing and disease prevention, involving a holistic approach to diagnosis, and the management of illness.

About the Role:

Reporting to the Practice Manager, both these positions are responsible for a high standard of primary health services that focuses on the prevention, early detection and management of health problems for Aboriginal and Torres Strait Islander people. As a member of a multi-disciplinary team these roles ensure effective screening, service delivery and administration practices are delivered in accordance with our patient centred Model of Care.

The ideal candidates will have proven experience in providing health services to Aboriginal and Torres Strait Islander people.

To request a copy of the Position Description and Selection Criteria, or if you wish to apply for the position by sending a covering letter with your CV, please contact

amanda@rubirockservices.com

10. Rekindling The Spirit  : Positions Vacant – Counsellors

Rekindling The Spirit is a Lismore based, community organisation run by Aboriginal and Torres Strait Islander people for Aboriginal and Torres Strait Islander families, who offer a holistic approach to working with those families and communities to support the achievement of positive and lasting changes in their lives.

Rekindling the Spirit supports Aboriginal and Torres Strait Islander men and women to find their own path of empowerment through spiritual and emotional healing, by offering services that can help relieve poverty, distress, sickness, destitution, trans-generational trauma and other misfortunes. Our counselling, assistance, education and supplementary services focus on reducing the occurrence of domestic and family violence plus child abuse through the promotion of healing and wellbeing within families and the community.

Rekindling The Spirit is looking for a number of Full Time Male and Female Counsellors to provide front line, face to face services to support the implementation and ongoing management of a new program for our clients and community.

Ideal candidates will be Aboriginal and/or Torres Strait Islander people with proven experience in providing counselling services to Aboriginal and Torres Strait Islander people. All counsellors with experience providing counseling services to Aboriginal and Torres Strait Islander people are encouraged to apply to ensure Rekindling The Spirit is able to recruit the highest quality candidates to support our community.

As the successful applicant, you will be responsible for a number of aspects of the programs, including:  Conducting client intake and assessments for the RTS DV Perpetrator Program

  •  Provide face to face counseling
  •  Facilitate Rekindling The Spirit group based activities
  • Conduct exit interviews and evaluation of participants
  • Develop and maintain effective referral pathways
  • Arrange and participate in meetings, team activities, community network presentations, special ceremonies and approved events and field work activities as required
  • Participate in program and service planning, review and evaluation, including data collection and documentation of new initiatives

To be successful, you will:

  • hold a minimum of a Diploma or relevant qualifications in Counselling, Substance Misuse, Mental Health, Aboriginal Health Worker, Community Services or another related field or be willing to undertake further study.
  • have proven experience in providing counselling and/or group facilitation experience in, drug and alcohol, domestic violence, health, social and emotional wellbeing counselling to Aboriginal and Torres Strait Islander people;
  • have a demonstrated ability to work appropriately and effectively with Aboriginal and Torres Strait Islander people;
  •  possess high level communication skills and well developed computer skills.

Aboriginal and Torres Strait Islander people are encouraged to apply.

Criminal history screening and working with children/vulnerable persons checks will be carried out prior to commencement of employment.

If you have a strong interest in this role and wish to apply for the position, please send a covering letter with your CV to amanda@rubirockservices.com

11.Nganampa Health Council  :Personal Care Attendant (Remote Area Aged Care Facility)

Nganampa Health Council is an Aboriginal owned and controlled health organisation operating on the Anangu Pitjantjatjara Yankunytjatjara Lands in the far north west of South Australia. Across this area, we operate seven clinics, an aged care facility and assorted health related programs including aged care, sexual health, environmental health, health worker training, dental, women’s health, male health, children’s health and mental health.

When you join Nganampa Health, you are joining a community of primary health care professionals, united by our desire to make a difference. We learn and experience something new every day, and we are supported by the professionalism and spirit of our colleagues and our organisation.

A fantastic opportunity now exists for a full-time Personal Care Attendant to join our dedicated aged care team, based in Pukatja (Ernabella), in remote North West, South Australia.

Working under the direction of the Residential Care Manager, you will be responsible for planning and delivering person centred care to residentsof theTjilpiku Pampaku Ngura aged care facility.

To be successful, you will have demonstrated experience in Australia as a Personal Care Worker, working with frail, aged and disabled people in an aged care setting. You’ll hold a Certificate III or IV in Aged Care, or an equivalent EN qualification. This could also be a great opportunity for an existing EN looking for a change in role or to move away from a traditional hospital environment.

We are seeking an adaptable and flexible individual who can display the initiative, discretion and cultural sensitivity needed to support and drive the organisation’s objectives and values. You must be able to both communicate and participate effectively within a cross-cultural, multi-disciplinary health team.

Why join the Nganampa Health team

As a Personal Care Attendant at Nganampa Health, you will receive an excellent remuneration up to $58,880 (with Certificate IV qualifications), plus super. You will also receive a range of benefits including:

  • Annual district allowance;
  • Furnished rent-free housing including some meals;
  • Penalty & leave loadings and overtime entitlements;
  • Free electricity and subsidised internet and telephone access;
  • Relocation assistance (negotiable);
  • Generous leave provisions: 6 weeks annual leave, 3 weeks recreation leave, 3 weeks sick leave and 2 weeks study leave!
  • Annual airfares; and
  • Salary sacrificing options to greatly increase your take home pay by up to $16,000!

These incredible rewards bring your salary package up to an approximate $133,000 per annum!

APPLY HERE

12. Chronic Kidney Disease Educator – Derby (KRS)
 
About Kimberley Renal Services
Kimberley Renal Services (KRS) includes 4 Renal Health Centres based in Fitzroy Crossing, Broome, Kununurra, and Derby and a mobile prevention unit.The incidence of Kidney Disease in the Kimberley is one of the highest in Australia. Chronic Kidney disease (CKD) and End-Stage Kidney Disease (ESKD) incidence within the Aboriginal population of the Kimberley greatly exceeds the national burden of disease. Dialysis prevalence for this region has more than tripled in the last decade and is increasing at a much faster rate than in the rest of Western Australia (WA).KRS and the regional Aboriginal Community Controlled Health Services (ACCHS) have developed a renal strategic plan to help combat this health crisis. This has enabled many patients to return to the Kimberley from Perth, which is 2,500kms away, to receive their treatment.

About the Opportunity The Kimberley Renal Service has an opportunity for a Chronic Kidney Disease Educator to join their multidisciplinary team based in Derby WA. This role will be offered on a full-time basis.Reporting to the Renal Health Centre Manager, you will be responsible for raising awareness and understanding of the factors which lead to development of chronic kidney disease.

To be successful in this role, you will be an experienced Registered Nurse – eligible for registration with the national nurses board of Australia – and advanced renal clinical skills. You will also have a commitment to the philosophy and practice of Aboriginal Community Control and knowledge of Equal Opportunity and OSH legislation.

KRS is looking for candidates with strong communication, decision-making and problem-solving skills, along with the ability to work both autonomously and as part of a multidisciplinary team. A high level of integrity and a dedication to maintaining patient confidentiality will ensure you flourish in this position.

About the Benefits

KRS is an organisation that truly values its team, and is committed to improving employee knowledge, skills and experience. In addition, staff development programs are not only encouraged but are often paid for by KRS. These are highly attractive opportunities for someone with a desire to develop their professional knowledge and experience in the area of Aboriginal and Torres Strait Islander health!

There are also a wide range of fantastic additional benefits for the role, including:

  • Attractive base salary of $84,960 PLUS Super;
  • Accommodation Allowance of $13,000;
  • Electricity Allowance of $1,440; and
  • After 12 months of service, you will receive annual airfares of $1,285.

APPLY HERE


13.Flinders Island Aboriginal Association Inc.Tobacco Action Worker 

Flinders Island Aboriginal Association Inc. (FIAAI) currently have a vacancy for a Tobacco Action Worker within FIAAI’s Tackling Indigenous Smoking Program. Contracted until June 2018 (with the possibility of extension beyond this date), this position presents an opportunity to be part of a small Launceston-based team dedicated to reducing the level of Aboriginal smoking throughout Tasmania.

DOWNLOAD pdf tis_job_ad

Reporting to the local Team Leader, this role is available full time or part time by negotiation.

As the Tackling Indigenous Smoking Program involves collaboration with Aboriginal (and other) organisations, schools and Communities around the state, a willingness to undertake some travel in the role is essential.

A driver’s licence is also essential, and significant connection to Tasmanian Aboriginal Communities is highly desirable.

If you’re interested in making a difference to Tasmanian Aboriginal health outcomes and can demonstrate the above we’d love to hear from you.

For more information about this position and a job description which includes process for applying contact Lee Seymour at the FIAAI

Tackling Smoking office on 6334 5721 or via

email at:

lee.seymour@fiaai.org.au

NACCHO Research Alert : @NRHAlliance Aboriginal health risk factors #rural and #remote populations

 ” Health risk factors like smoking, excessive drinking, illicit drug use, lack of physical activity, inadequate fruit and vegetable intake and overweight have powerful influences on health, and there are frequently clear inter-regional differences between the prevalence of these.

While it can be argued that there is some degree of personal choice involved in whether individuals have a poor health risk profile, there is clear evidence that external factors such as environment, opportunity, and community culture each have very strong influences.

For example, access to affordable healthy food can often be poor in smaller communities and this, coupled with lower incomes in these areas, adversely affects the quality of peoples’ diets, the prevalence of overweight, and consequently the prevalence of chronic disease.”

From the National Rural Health Alliance Research View HERE

National data pertaining to personal health risk factors typically comes from the ABS National Health Survey and the AIHW National Drug Strategy Household Survey (NDSHS). Some State and Territory Health Departments run their own health surveys (which cannot be aggregated nationally with each other or with the ABS survey because of the different methodologies and definitions used (think different State rail gauges). Consequently data describing aspects of health in regional and especially remote areas can be thin (ie with imprecise estimates in some or all areas).

Example 1

Table 14: Fruit and vegetable consumption, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

Roughly 60% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate fruit intake, closer to 50% in remote areas (compared with around 50% of all Australians 18+ in major cities and regional/rural areas).

Roughly 95% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate vegetable intake, perhaps higher (98%) in Very remote areas (compared with around 90%-94% of all Australians 18+ in major cities and regional/rural areas).

Example 2

NACCHO provided graphic

Table 16 Below : Overweight and Obesity, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

Aboriginal and Torres Strait Islander people in rural/regional and Remote areas (29%-33%) were a little more likely to be overweight than those in Major cities (28%), with those in Very Remote areas (26%) least likely to be overweight.

Aboriginal and Torres Strait Islander people in Inner regional areas (41%) were more likely to be obese than those in Major cities (38%), but those in Outer regional (36%) and remote areas (~33%) were less likely to be obese.

Overall, Aboriginal and Torres Strait Islander people in Inner Regional areas were most likely to be overweight/obese (70%), those in Major cities, Outer Regional and Remote areas were less likely to be overweight/obese (~66%), while those in Very Remote areas were the least likely to be overweight/obese (59% )

At the time of writing, the most recent National Health Survey was conducted in 2014-15[1], while the most recent AIHW NDSHS[2] was conducted in 2016, with most recently available results from the 2013 NDSHS. The most recent ABS Australian Aboriginal and Torres Strait Islander Health Survey[3] was conducted in 2012-13.

Some organisations (eg the Public Health Information Development Unit (PHIDU)) have calculated modelled estimates for small areas (eg SLA’s and PHN’s), where the prevalence of some risk factors has been predicted based on the age, sex and socioeconomic profile of the population living there.

Some sites (eg ABS) present risk factor data as crude rates, other sites (eg PHIDU) present risk factor data as age-standardised rates.  The advantage of the age-standardised rates is that the effect of age is largely removed from inter-population comparisons.

For example, older populations (eg those in rural/regional areas) would be expected to have higher average blood pressure than younger (eg Major cities) populations even though the underlying age-specific rates happened to be identical in both populations (because older people tend to have higher blood pressure than younger people).

While crude rates for the older population will be higher, the age-standardised rates in such a comparison would be the same – indicating a higher rate that is entirely explainable by the older age of one of the populations.

Both crude and age standardised rates are useful in understanding the health of rural and remote populations.

 


[1] http://www.abs.gov.au/ausstats/abs@.nsf/mf/4364.0.55.001

[3] http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocumentSmoking

Table 1: Smoking status, by remoteness, 2013 and 2014-15

MC

IR

OR/Remote

Percentage

Current daily smoker (18+) (crude) 2014-15 (a)

13.0

16.7

20.9

Current smoker (18+) (Age standardised) 2014-15 (b) (includes daily, weekly, social etc smoking)

14.6

19.0

22.4

MC

IR

OR

Remote+ Very Remote

Current smoker (daily, weekly, or fortnightly) 14+ (crude) 2013 (c)

14.2

17.6

22.6

24.6

Current smoker (daily, weekly, or fortnightly) 14+ (Age standardised) 2013 (d)

14.2

18.6

23.6

24.4

Mean number of cigarettes smoked per week, smokers aged 14 years or older 2013 (e)

85.9

113.1

109.4

126.2

Sources:

Compared with Major cities (13%), the prevalence of daily smoking by people 18 years and older in Inner regional (17%) and Outer regional/Remote areas (21%) is higher.

The NDSH survey reflects these trends albeit with a slightly different age group (14+) and a different definition of smoking (daily plus less frequently), but the NDSH survey adds detail for remote areas where smoking rates are higher again (around 25% versus around 23% in Outer regional).

In addition, the average number of cigarettes smoked by each smoker is higher in regional/rural areas (~110/week) than in Major cities (86/week), and higher again (126/week) in remote areas.

 

Smoking – exposure, uptake, establishment, quitting

Table 2: Smoking characteristics by Remoteness, 2013, 2014 and 2014-15

MC

IR

OR

remote

8.8

17.8

19.3

27.8

Proportion of pregnant women who gave birth and smoked at any time during the pregnancy (2013, crude, National Perinatal Data Collection, exposure tables, Table 5.1.2 )

8.5

17.0

18.9

27.5

Proportion of pregnant women who gave birth and smoked in the first 20 weeks of pregnancy (2013, crude, National Perinatal Data Collection) exposure tables, Table 5.2.2)

3.6

3.1

4.1

*9.4

Proportion of dependent children (aged 0–14) who live in a household with a daily smoker who smokes inside the home (2013, crude, NDSHS exposure tables, Table 6.3)

2.5

2.0

2.7

*2.9

Proportion of adults aged 18 or older who live in a household with a daily smoker who smokes inside the home (2013, crude, NDSHS, exposure tables, Table 7.3)

16.2

15.4

14.7

15.5

Average age at which people aged 14–24 first smoked a full cigarette (2013, crude, NDSHS, uptake tables, Table 9.3)

17.8

22.7

17.8

28.3

Proportion of 12–17 year old secondary school students smoking at least a few puffs of a cigarette (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, uptake tables, Table 10.3

54.7

61.1

64.9

67.2

Proportion of persons (aged 18 or older) who have smoked a full cigarette (2013, crude,  NDSHS, uptake tables, Table 10.8)

2.5

3.4

2.5

3.7

Proportion of secondary school students (aged 12–17) who have smoked more than 100 cigarettes in their lifetime (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, transition tables, Table 2.3)

20.2

25.9

44.1

45.2

Proportion of young people (aged 18–24) who have smoked more than 100 cigarettes in their lifetime (2013, crude, NDSHS, transition tables, Table 2.6)

21.3

16.8

19.0

15.5

Quitting: Proportion successfully gave up for more than a month (2013, crude, NDSHS, cessation tables, Table 4.3)

29.2

34.2

31.7

32.9

Quitting, Proportion unsuccessful (2013, crude, NDSHS, cessation tables, Table 4.3)

46.3

48.0

47.4

45.2

Quitting: Proportion any attempt (2013, crude, NDSHS, cessation tables, Table 4.3)

35.2

36.3

36.1

36.0

Mean age at which ex-smokers aged 18 or older reported no longer smoking (2013, crude, NDSHS, cessation tables, Table 11.2)

53.1

51.5

46.3

45.0

The proportion of ever smokers aged 18 or older who did not smoke in the last 12 months (2013, crude, NDSHS, cessation tables, Table 12.3)

4.9

6.0

4.8

7.0

Proportion of secondary school students (aged 12–17) who were weekly smokers (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, established tables, Table 1.3)

6.9

9.3

6.8

10.4

Proportion of secondary school students (aged 12–17) who were monthly smokers (2014, crude, Australian Secondary Students Alcohol and Drug Survey 2014, established tables, Table 13.3)

13.0

16.7

21.2

18.8

Proportion of adults aged 18 or older who are daily smokers (2014-15, crude, ABS NHS, established tables, Table 3.3)

10.9

7.8

2.9

n.p.

Proportion of smokers aged 18 or older who are occasional smokers (smoke weekly or less than weekly) (2014-15, crude, ABS NHS, established tables, Table 14.3)

40.1

44.7

42.3

52.7

Proportion of Aboriginal and Torres Strait Islander people aged 18 or older who are daily smokers (2012-13, crude, ABS Australian Aboriginal and Torres Strait Islander Health Survey 2012–13, established tables, Table 8i.3)

Source: http://www.aihw.gov.au/alcohol-and-other-drugs/data/ (sighted 11/7/17)
Note: Those estimates above with asterix have large standard errors and should be treated carefully.

Women in rural and remote areas were much more likely to smoke during pregnancy, with 28% of women in remote areas smoking during pregnancy, compared with 18-19% in regional/rural areas, and 9% in Major cities.

It is unclear whether exposure to environmental tobacco smoke varies by remoteness.

Young people outside major cities appeared to have their first cigarette at an earlier age (~15 years as opposed to ~16 years in Major cities.

Secondary school students in Inner regional (~23%) and remote (~28%) areas were more likely to have had at least a few puffs of a cigarette than those in major cities (~18%).

While 20% of young people in Major cities had smoked more than 100 cigarettes in their lifetime, 26%, 44% and 45% of young people in Inner regional, Outer regional and remote areas had done so.

People outside Major cities were as likely or slightly more likely to have attempted to quit smoking, but were less likely to be successful (and more likely to be unsuccessful).

A higher proportion of secondary students outside Major cities were weekly or monthly smokers (6%, 5% and 7% in IR, OR and remote areas versus 5% in Major cities weekly, 9%, 7%, and 10% in IR, OR and remote areas versus 7% in Major cities monthly).

Table 3: Current daily smoker, Aboriginal and Torres Strait Islander people 15+ years, by Remoteness, 2012-13

MC

IR

OR

R

VR

Crude Percent

Current daily smoker

36.2

40.9

39.8

47.4

51.1

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

Prevalence of smoking amongst Aboriginal and Torres Strait Islander people 15 years and older is around 35%-40% in Major cities and regional/rural areas, and close to 50% in remote areas. Note that while the pattern is similar in Table 2 and Table 3 above, the figures for 18+ and 15+ year olds are slightly different.

Smoking Trends

Table 4: Comparison of declines in smoking rate estimates across remoteness areas, people 18+, based on ABS NHS surveys, 2001 to 2011-12

Survey year

MC

IR

OR/Rem

Australia

Crude percent daily smokers

2001

21.9

21.9

26.5

22.4

2004-05

19.9

23.0

26.2

21.3

2007-08

17.5

20.1

26.1

18.9

2011-12

14.7

18.3

22.2

16.1

2014-15

13.0

16.7

20.9

14.5

Source: ABS National Health Surveys

From Table 4 above, rates of smoking have clearly declined in Major cities areas, but have been slower to decline in Inner regional and Outer regional/Remote areas. Rates of smoking in rural areas, apparently static last decade, now appear to be declining. Rates in Major cities and Inner regional areas have declined to 0.59 and 0.76 times the 2001 rates in these areas. The 2014-15 rate in Outer regional areas is 0.79 times the 2001 rate.

Figure 1: Daily smokers 18 years and older, 2007-08, 2011-12 and 2014-15, NHS

Figure 1: Daily smokers 18 years and older, 2007-08, 2011-12 and 2014-15, NHS

Source: ABS NHS http://www.aihw.gov.au/alcohol-and-other-drugs/data/ established tables, Table 3.3 (sighted 11/7/17)

Figure 2: Smokers 14 years and older, 2007, 2010 and 2013, NDSHS

Figure 2: Smokers 14 years and older, 2007, 2010 and 2013, NDSHS

Source: AIHW NDSHS http://www.aihw.gov.au/alcohol-and-other-drugs/data/ tobacco smoking table S3.12 (sighted 11/7/17)

Note: Smokers include daily, weekly and less frequent smokers.

Figures 1 and 2 above both show clear declines in Major cities and Inner regional areas, but the trend in Outer regional and Remote areas is less clear, with ABS data showing a decline in daily smoking rates for people aged 18+ between 2007-8 and 2014-15, but NDSHS data showing little change in smoking rates for people 14+ between 2007 and 2013.

Alcohol

Table 5: Alcohol risk status, by remoteness, 2013 and 2014-15

Alcohol consumption

MC

IR

OR/Rem

Exceeded 2009 NHMRC lifetime risk guidelines, people 18+, crude %, 2014-15 (a)

16.3

18.4

23.4

Exceeded 2009 NHMRC lifetime risk guidelines, people 15+, age standardised %, 2014-15 (b)

15.7

17.4

22.0

Exceeded 2009 NHMRC single occasion risk guidelines, people 18+, crude %, 2014-15 (a)

42.7

48.5

46

MC

IR

OR

R/VR

Abstainer/ex-drinker, crude %, 14+, 2013 (c)

23.1

18.9

20.5

17.5

Low lifetime risk, crude %, 14+, 2013 (c)

60.2

62

56.9

47.6

High lifetime risk, crude %, 14+, 2013 (c)

16.7

19.1

22.6

34.9

low single occasion risk, crude %, 14+, 2013 (c)

40.4

41.8

38.1

30.8

Single occasion risk less than weekly, crude %, 14+, 2013 (c)

23.5

24.4

23.6

22.8

Single occasion risk at least weekly, crude %, 14+, 2013 (c)

13

14.9

17.8

28.9

Sources:

Table 6: Alcohol consumption against 2009 NHMRC guidelines, Aboriginal and Torres Strait Islander people 15+ years, by Remoteness 2012-13

MC

IR

OR

R

VR

Percent

Exceeded lifetime risk guidelines

18.0

18.7

18.2

22.5

14.3

Exceeded single occasion risk guidelines

56.7

57.4

50.7

59.0

41.4

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

The figures in Table 6 are not strictly comparable with those for the total population in Table 5, because  Table 6 refers to people who are 15 years and older, while Table 5 refers to people who are 18 years and older.

The percentage of the 15+ ATSI population exceeding 2009 NHMRC Lifetime risk guidelines is around 15-20% with little apparent inter-regional variation, compared with, for the total population 18+,  16% in Major cities, increasing to 23% in Outer regional/remote areas.

The percentage of the 15+ ATSI population exceeding the 2009 single occasion risk guidelines is around 50-60%, and around 40% in Very remote areas, compared with, for the total population 18+,  40-50% in Major cities, rural and regional areas.

Alcohol trends

Table 7: Type of alcohol use and treatment for alcohol, by remoteness area (per 1,000 population)

MC

IR

OR

R/VR

single occasion risk (monthly) 2004

287

304

321

370

2007

285

292

312

437

2010

274

312

329

413

2013

250

273

315

422

lifetime risk 2004

200

215

234

262

2007

199

210

238

314

2010

189

225

251

310

2013

167

191

226

349

very high risk – yearly 2004

167

185

206

243

2007

172

183

206

288

2010

161

183

218

266

2013

151

166

194

258

very high risk – monthly 2004

77

84

104

130

2007

78

89

100

153

2010

79

94

113

154

2013

70

70

100

170

very high risk – weekly 2004

21

27

41

38

2007

24

28

24

50

2010

37

43

54

78

2013

27

28

38

70

Closed treatment episodes 2004–05

61

72

60

58

2007–08

76

84

80

129

2010–11

69

96

87

135

2013–14

68

79

93

155

Source: NDSHS,  http://www.aihw.gov.au/alcohol-and-other-drugs/data/  alcohol -supplementary data tables, Table S18

Notes:
Single occasion risk (monthly): Had more than 4 standard drinks at least once a month
Lifetime risk: On average, had more than 2 standard drinks per day
Very high risk (yearly): Had more than 10 standard drinks at least once a year
Very high risk (monthly): Had more than 10 standard drinks at least once a month
Very high risk (weekly): Had more than 10 standard drinks at least once a week

There is a clear increase in the prevalence of people who drink alcohol in such a way as to increase their single occasion risk (eg from car accident, assault, fall, etc) and their lifetime risk (eg from chronic disease – liver disease, dementia, cancer etc) as remoteness increases.

In 2013, single occasion risk ranged from 25% of people 14 years or older in major cities to 42% of people in remote areas, while lifetime risk increased from 17% in major cities to 35% in remote areas.

In 2013, The prevalence of people who drank more than 10 standard drinks in one sitting at least once per week, increased from just under 3% in Major cities to 7% in remote areas.

In 2013-14, there were just under 70 closed treatment episodes per 1,000 people living in Major cities, increasing to around 80 and 90 per 1,000 population in Inner and Outer regional areas, to 155 per 1,000 people living in remote Australia.

 

Illicit drug use 2013

Table 8: Illicit drug use, “recent users” 14+, 2013

MC IR OR remote

Crude percent

Cannabis

9.8

10.0

12.0

13.6

Ecstasy

2.9

1.5

1.6

*1.8

Meth/amphetamine

2.1

1.6

2.0

*4.4

Cocaine

2.6

0.8

*1.1

*2.5

Any illicit drug

14.9

14.1

16.7

18.7

Source: AIHW National Drug Strategy Household Survey, 2013. http://www.aihw.gov.au/alcohol-and-other-drugs/data/  Illicit drug use (supplementary) tables S5.6, S5.11, S5.17, S5.21, S5.26.

Note: * indicates large standard error (therefore some degree of uncertainty)

Illicit drug use appears to be higher in Outer regional and remote areas compared with Major cities and Inner regional areas, in large part due to higher rates of cannabis use in these areas, but with apparent lower use of ecstasy and cocaine in regional areas compared with Major cities.

 

Physical activity

Table 9: Physical inactivity, people 18+, 2014-15

MC

IR

OR/Remote

Percentage of people aged 18+ who undertook no or low exercise in the previous week (crude) (a)

64.3

70.1

72.4

Percentage of people aged 18+ who undertook no or low exercise in the previous week (age standardised) (b)

64.8

68.6

71

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) PHIDU (ABS NHS data) (http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas) sighted 18/7/2017

Note that level of exercise is based on exercise undertaken for fitness, sport or recreation in the last week.

Physical inactivity appears to be more prevalent with remoteness, increasing from 65% of people in Major cities to 71% in Outer regional/remote areas.

Table 10: Average daily steps, 2011-12

MC

IR

OR/Rem

Average daily steps, 18+ years, 2011-12 (a)

7,393

7,388

7,527

Average daily steps, 5-17years, 2011-12 (b)

9,097

9,266

9,160

Sources:

In 2011-12, adults living in Outer regional/Remote areas took slightly more steps than those living in Major cities or Inner regional areas, while the number of steps taken by children and adolescents in regional/Remote areas was slightly greater compared with those in Major cities.

Table 11: Average time spent on physical activity and sedentary behaviour by persons aged 18+, 2011-12

MC

IR

OR/Remote

Australia

Hours

Physical activity(a)

3.9

3.4

3.9

3.8

Sedentary behaviour (leisure only)(b)

29.3

28.0

27.9

28.9

Sedentary behaviour (leisure and work)(b)

40.2

35.2

36.0

38.8

Notes:
(a) Includes walking for transport/fitness, moderate and vigorous physical activity.
(b) Sedentary is defined as sitting or lying down for activities.

Source: ABS 2011-12 Australian Health Survey (Physical activity) http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0042011-12?OpenDocument  Table 5.1

Adults living in Inner regional and Outer regional/Remote areas were about as likely as (or very slightly less likely than) those in Major cities to be sedentary in their leisure time, but appeared to be slightly less likely to be sedentary overall (ie their work involved a greater level of physical activity).

Table 12: Whether children aged 2-17 years met physical and screen-based activity recommendations, 2011-12

MC

IR

OR/Rem

Crude percentage

Met physical activity recommendation on all 7 days(a)(b)

27.5

34.3

34.2

Met screen-based activity recommendation on all 7 days(b)(c)

28.0

29.7

31.0

Met physical activity and screen-based recommendations on all 7 days (a)(b)(c)

9.7

10.9

14.2

Notes:
(a) The physical activity recommendation for children 2–4 years is 180 minutes or more per day, for children 5-17 years it is 60 minutes or more per day. See Physical activity recommendation in Glossary.
(b) In 7 days prior to interview.
(c) The screen-based recommendation for children 2–4 years is no more than 60 minutes per day, for children 5-17 years it is no more than 2 hours per day for entertainment purposes.

Source:
ABS 2011-12 Australian Health Survey (Physical activity) http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0042011-12?OpenDocument  Table 14.3

Children in rural and regional Australia appeared more likely (34% vs 28%) to meet physical activity recommendations and slightly more likely (30%vs 28%) to meet screen-based activity recommendations than their Major cities counterparts.

 

Fruit and vegetable consumption

Table 13: Fruit and vegetable consumption, people 18+ years, by remoteness, 2014-15

MC

IR

OR/Remote

Crude Percentage

Inadequate fruit consumption(a)

50.0

50.6

51.2

Inadequate fruit consumption(b)

50.4

48.3

48.0

Inadequate vegetable consumption(a)

93.4

93.5

89.3

Inadequate vegetable consumption(b)

n.p.

n.p.

n.p.

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) PHIDU (ABS NHS data) (http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas) sighted 18/7/2017

Note that adequacy of consumption is based on comparison with 2013 NHMRC guidelines.

Half of adult Australians eat insufficient fruit, with little clear difference between major cities and regional/rural areas.

Around 90% of adult Australians ate insufficient vegetables, with little clear difference between major cities and regional/rural areas.

Table 14: Fruit and vegetable consumption, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

MC

IR

OR

R

VR

Crude Percent

Inadequate daily fruit consumption (2013 NHMRC Guidelines)

59.0

60.6

56.9

54.9

49.1

Inadequate daily fruit consumption (2003 NHMRC Guidelines)

62.1

63.6

59.8

58.3

51.6

Inadequate daily vegetables consumption (2013 NHMRC Guidelines)

95.9

93.5

93.6

94.5

97.9

Inadequate daily vegetables consumption (2003 NHMRC Guidelines)

93.8

90.6

90.5

91.2

96.1

Source: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocument Table 2 (sighted 12/7/17)

Roughly 60% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate fruit intake, closer to 50% in remote areas (compared with around 50% of all Australians 18+ in major cities and regional/rural areas).

Roughly 95% of Aboriginal and Torres Strait Islander Australians 15+ in Major cities and regional/rural areas have inadequate vegetable intake, perhaps higher (98%) in Very remote areas (compared with around 90%-94% of all Australians 18+ in major cities and regional/rural areas).

 

 

Overweight and Obesity

Table 15: Overweight and Obesity, people 18+ years, by remoteness, 2014-15

MC

IR

OR/Remote

Crude Percentage

Persons, overweight/obese (a)

61.1

69.2

69.2

Age standardised percentage

Males overweight (b)

43.8

41.1

34.3

Males obese (b)

25.8

33.1

38.2

Females overweight (b)

28.9

28.3

30.1

Females obese (b)

25.0

32.4

33.7

People  overweight (b)

36.2

34.4

31.4

People obese (b)

25.4

32.6

35.8

Sources:
(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) ABS NHS http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas

Adults in rural/regional areas are more likely to be overweight or obese than people in Major cities (69% vs 61%).

However, there were inter-regional BMI and gender differences:

  • Compared with those in Major cities, males in Inner regional and especially Outer-regional areas were less likely to be overweight (41% and 34%, vs 44%) but much more likely to be obese (33% and 38% vs 26%).
  • Compared with those in Major cities, females in Inner regional and Outer-regional areas were about as likely to be overweight (~29%) but much more likely to be obese (~33% vs 25%).

 

Table 16: Overweight and Obesity, Aboriginal and Torres Strait Islander people 15+ years, 2012-13

MC

IR

OR

R

VR

Crude Percent

Overweight

27.5

28.8

30.1

32.5

26.4

Obese

37.9

41.3

36.2

33.1

32.3

Overweight/obese

65.4

70.1

66.2

65.6

58.8

Aboriginal and Torres Strait Islander people in rural/regional and Remote areas (29%-33%) were a little more likely to be overweight than those in Major cities (28%), with those in Very Remote areas (26%) least likely to be overweight.

Aboriginal and Torres Strait Islander people in Inner regional areas (41%) were more likely to be obese than those in Major cities (38%), but those in Outer regional (36%) and remote areas (~33%) were less likely to be obese.

Overall, Aboriginal and Torres Strait Islander people in Inner Regional areas were most likely to be overweight/obese (70%), those in Major cities, Outer Regional and Remote areas were less likely to be overweight/obese (~66%), while those in Very Remote areas were the least likely to be overweight/obese (59%).

These figures compare with 61% – the prevalence of overweight/obesity for (predominantly non-Indigenous) people living in Major cities.

 

High blood pressure

Table 17: High blood pressure, people 18+, by Remoteness, 2014-15

MC

IR

OR/Remote

Percentage

Crude % (a)

21.9

27.1

24

Age standardised % (b)

22.7

24.6

22.1

Sources:

(a) ABS NHS (http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4364.0.55.0012014-15?OpenDocument Table 6.3)
(b) ABS NHS http://phidu.torrens.edu.au/social-health-atlases/data#social-health-atlas-of-australia-remoteness-areas

Age for age, people in rural/regional Australia appeared to be as likely, or very slightly more likely to have high blood pressure than their counterparts in Major cities (~23% vs ~24%). However, because people in rural/regional areas are older (on average), the prevalence of people with high blood pressure is higher (~26% vs 22%) than

Updated 31/07/2017
To view archived Risk Factors click here

NACCHO Aboriginal Health Events #SaveADate @SNAICC #ChildrensDay #Garma2017 #NACCHOAgm17

4 – 7 August :  Garma Festival

4 August : Aboriginal and Torres Strait Islander Children’s day

7 August : Victorian Aboriginal Health Education Conference

8-9 August : 2nd World Indigenous Peoples Conference on Viral Hepatitis Alaska in August 2017

12 – 14 September SNAICC National Conference

13 September : Webinar Reducing the mental health impact of Indigenous incarceration on people, communities and services

20-23 September : AIDA Conference 2017

29 Sept : Closing the Prison Gap Focus on the Children Tweed Heads NSW

26-27 October Diabetes and cardiovascular research, stroke and maternal and child health issues.

10 October  : CATSINAM Professional Development Conference Gold Coast

18 -20 October  : 35th Annual CRANAplus Conference Broome

30 October2 Nov  :NACCHO AGM Members Meeting Canberra

27-30 November  :Indigenous Allied Health Australia : IAHA Conference Perth

If you have a Conference, Workshop Funding opportunity or event and wish to share and promote contact

Colin Cowell NACCHO Media Mobile 0401 331 251

Send to NACCHO Media

mailto:nacchonews@naccho.org.au

NACCHO CONFERENCE WEBSITE

4 – 7 August  : Garma Festival  

 ” We have come to a time in our nation’s history when the Australian people have an opportunity to decide whether or not to deal with the relationship between my people and those that came after us and changed our way of life. Either a real process of settlement, or makarrata, will now start, or the nation will turn its back on these issues, leaving these challenges for the next generation.

The starting point for this makarrata process was arrived at by the Aboriginal leadership at Uluru and is given voice in the Uluru Statement. “

Galarrwuy Yunupingu is Gumatj clan leader, Yothu Yindi Foundation chairman and Australian of the Year 1978 see full text at the bottom of page

Report from Stephen Fitzpatrick  The Australian 31 July 2017

Malcolm Turnbull will be pressed to acknowledge indigenous constitutional recognition proposals that were ignored three years ago by his predecessor, Tony Abbott, when he attends the annual Garma cultural festival in northeast Arnhem Land this week.

Garma figurehead Galarrwuy Yunupingu wrote to Mr Abbott in September 2014 with suggestions for discussions, praising the then prime minister’s commitment and “capacity to bridge historical failures in the nation’s relationship with Aboriginal people”.

It is understood that beyond a cursory acknowledgment of the letter’s receipt from a staffer, Mr Abbott did not respond to its suggestions even though several weeks later at a gala event for the official Recognise campaign he promised to “sweat blood” for a referendum on the matter.

The revelation will substantially ramp up pressure on Mr Turnbull and Bill Shorten, who will also attend the festival, to commit to proposals contained in the recent Prime Minister’s Referendum Council report and the Uluru Statement from the Heart.

Please Note

This Saturday night, #QandA will stream live from #Garma.

For the first time ever, we will premiere on social media.

Join us at 9:45pm AEST

GARMA WEBSITE

4 August , Children’s Day

SNAICC has announced the theme for this year’s Aboriginal and Torres Strait Islander Children’s day

Held on 4 August each year, Children’s Day has been celebrated across the country since 1988 and is Australia’s largest national day to celebrate Aboriginal and Torres Strait Islander children.

The theme for Children’s Day 2017 is Value Our Rights, Respect Our Culture, Bring Us Home which recognises the 20th anniversary of the Bringing them Home Report and the many benefits our children experience when they are raised with strong connections to family and culture.

The ‘Children’s Day’ website is now open

7 August Victorian Aboriginal Health Education Conference

See above for registration links

12 – 14 September SNAICC National Conference

Includes 2 pre-conference masterclasses, 3 plenaries, 56 concurrent sessions, and a social/cultural program.

Register now!

13 September : Webinar Reducing the mental health impact of Indigenous incarceration on people, communities and services

Developed in consultation with NACCHO and produced by the Mental Health Professionals’ Network a federally funded initiative

Join our interdisciplinary panel as we explore a collaborative approach to reducing the mental health impact of Indigenous incarceration on people, communities and services.

The webinar format will include a facilitated question and answer session between panel members exploring key issues and impacts of incarceration on individuals, families and communities.

The panel will discuss strategies to enhance cultural awareness and develop responsive services for Indigenous communities affected by incarceration. Strategies to increase self-esteem and enhance emotional, physical and spiritual wellbeing of individuals will also be explored.

When: Wednesday 13th September, 2017

Time: 4.30pm – 5.45pm (AEST)

Where: Online – via your computer, tablet or mobile

Cost: Free

Panel:

  • Dr Mark Wenitong (Medical Advisor based in QLD)
  • Dr Marshall Watson (Psychiatrist based in SA)
  • Dr Jeffrey Nelson (Clinical Psychologist based in QLD)
  • Julie Tongs (OAM) (CEO Winnunga Nimmityjah Aboriginal Health Service – Narrabundah ACT)

Facilitator:

  • Dr Mary Emeleus (General Practitioner and Psychotherapist based in QLD)

Read more about our panel.

Learning Outcomes:

Through an exploration of incarceration, the webinar will provide participants with the opportunity to:

  • Describe key issues and impacts of incarceration on individuals, families and communities
  • Develop strategies to enhance culturally aware and responsive services for Indigenous people and communities affected by incarceration
  • Identify strategies to increase self-esteem and enhance emotional, physical and spiritual wellbeing

Before the webinar:

Register HERE

 

20-23 September AIDA Conference 2017

The AIDA Conference in 2017 will celebrate 20 years since the inception of AIDA. Through the theme Family. Unity. Success. 20 years strong we will reflect on the successes that have been achieved over the last 20 years by being a family and being united. We will also look to the future for AIDA and consider how being a united family will help us achieve all the work that still needs to be done in growing our Indigenous medical students, doctors, medical academics and specialists and achieving better health outcomes for Aboriginal and Torres Strait Islander people.

This conference will be an opportunity to bring together our members, guests, speakers and partners from across the sector to share in the reflection on the past and considerations for the future. The conference will also provide a platform to share our individual stories, experiences and achievements in a culturally safe environment.

Conference website

29 Sept : Closing the Prison Gap Focus on the Children Tweed Heads NSW

  • Emeritus Professor Judy Atkinson and Margaret Hayes will “Focus on the Children”, describing their work with young people excluded from mainstream schools due to their behaviour.
  • Leanne Phillips and Cathy Stillwell will talk about “Healing the Womyn Healing the Child”
  • Jyi Lawnton and Casey Bird will describe “Indigenous Policy and the Scientific Gaze”
  • Chris Lee and Associate Professor Helen Farley discuss “Making the Connection”, the use of technology to address the issues of literacy and numeracy in juvenile justice settings
  • Dr Anthea Krieg will talk about her work in Ceduna, South Australia, coordinating services to prevent incarceration of First Nations children.

More info bookings Website

30 Sept : The 2017 Human Rights Photography competition  Closes

The 2017 Human Rights Photography competition is now open to children and adults around the country, with a $600 camera prize up for grabs for the most outstanding image!

For almost a decade, the Australian Human Rights Commission has been holding photo competitions every couple of years. Our last competition attracted a record 450 entries.

Photography is a powerful medium with a long history in the promotion and advancement of human rights around the world. Photos foster empathy for the suffering and experience of others, community engagement and positive social change. No one can forget the impact of photos such as Nick Ut’s famous photo The Terror of War of child Kim Phuc after a napalm attack during the Vietnam War.

Our focus for this year’s competition will be the experiences of people at home. The theme for the 2017 competition is Home, inspired by Eleanor Roosevelt’s famous quote “Where, after all, do universal human rights begin? In small places, close to home…

The shortlisted and winning photos to be displayed at the 2017 Human Rights Awards on 8 December in Sydney.

So, what are you waiting for?

About the competition

  • Enter at https://photocompetition.humanrights.gov.au/
  • There will be two categories for entries: Under 18 and 18 & over.
  • Overall winners will receive their prizes at the 2017 Human Rights Awards on December 8 in Sydney. A selection of photos from the Competition will also be on display.
  • Main prizes worth $600.
  • The competition will close on 30 September 2017.

If you have a query about the competition, please email photocomp@humanrights.gov.au

Photo Credit: Nimboi’s Bat by Sean Spencer, from the 2011 competition.

10 October CATSINAM Professional Development Conference Gold Coast

catsinam

Contact info for CATSINAM

18 -20 October 35th Annual CRANAplus Conference Broome

We are pleased to announce the 35th Annual CRANAplus Conference will be held at Cable Beach Club Resort and Spa in Broome, Western Australia, from 18 to 20 October 2017.

THE FUTURE OF REMOTE HEALTH AND THE INFLUENCE OF TECHNOLOGY

Since the organisation’s inception in 1982 this event has served to create an opportunity for likeminded remote and isolated health individuals who can network, connect and share.

It serves as both a professional and social resource for the Remote and Isolated Health Workforce of Australia.

We aim to offer an environment that will foster new ideas, promote collegiate relationships, provide opportunities for professional development and celebrate remote health practice.

Conference Website

 

26-27 October Diabetes and cardiovascular research, stroke and maternal and child health issues.

‘Translation at the Centre’ An educational symposium

Alice Springs Convention Centre, Alice Springs

This year the Symposium will look at research translation as well as the latest on diabetes and cardiovascular research, stroke and maternal and child health issues.  The event will be run over a day and a half.
The Educational Symposium will feature a combination of relevant plenary presentations from renowned scientists and clinicians plus practical workshops.

Registration is free but essential.

Please contact the symposium coordinator on 1300 728 900 (Monday-Friday, 9am-5pm) or via email at events@baker.edu.au  

30 October2 Nov NACCHO AGM Members Meeting Canberra

We welcome you to attend the 2017 NACCHO Annual Members’ Conference.

On the new NACCHO Conference Website  you find links to

1.Registrations now open

2. Booking Your Accommodation

3. Book Your Flights

4. Expressions of Interest Speakers, case studies and table top presentations Close

5. Social Program

6.Conferences Partnership Sponsorship Opportunities

7.NACCHO Conference HELP Contacts

The NACCHO Members’ Conference and AGM provides a forum for the Aboriginal community controlled health services workforce, bureaucrats, educators, suppliers and consumers to:

  • Present on innovative local economic development solutions to issues that can be applied to address similar issues nationally and across disciplines
  • Have input and influence from the ‘grassroots’ into national and state health policy and service delivery
  • Demonstrate leadership in workforce and service delivery innovation
  • Promote continuing education and professional development activities essential to the Aboriginal community controlled health services in urban, rural and remote Australia
  • Promote Aboriginal health research by professionals who practice in these areas and the presentation of research findings
  • Develop supportive networks
  • Promote good health and well-being through the delivery of health services to and by Indigenous and non-Indigenous people throughout Australia.

Where :Hyatt Hotel Canberra

Dates : Members’ Conference: 31 October – 1 November 2017
Annual General Meeting: 2 November 2017

CLICK HERE

27-30 November Indigenous Allied Health Australia : IAHA Conference Perth

iaha

Abstracts for the IAHA 2017 National Conference are now open!

We are calling for abstracts for concurrent oral presentations and workshops under the following streams:
– Care
– Cultures
– Connection

For abstract more information visit the IAHA Conference website at: https://iahaconference.com.au/call-for-abstracts/

Makarrata the map to reconciliation: over to you, leaders

We have come to a time in our nation’s history when the Australian people have an opportunity to decide whether or not to deal with the relationship between my people and those that came after us and changed our way of life. Either a real process of settlement, or makarrata, will now start, or the nation will turn its back on these issues, leaving these challenges for the next generation.

The starting point for this makarrata process was arrived at by the Aboriginal leadership at Uluru and is given voice in the Uluru Statement. The Uluru Statement has now set out the issues for assessment. As it should, the statement goes further than constitutional recognition and takes us into the heart of the relationship between Aboriginal and Torres Strait Islander people and the rest of the nation. This gives us a process where we can now get serious and look to a proper settlement. All of us, as Australians, are part of this process.

The principles of makarrata have guided Yolngu people in North East Arnhem Land through difficult disputes for centuries and they are useful as a guide to the current challenge.

First, the disputing parties must be brought together. Then, each party, led by their elders, must speak carefully and calmly about the dispute. They must put the facts on the table and air their grievances. If a person speaks wildly, or out of turn, he or she is sent away and shall not be included any further in the process. Those who come for vengeance, or for other purposes, will also be sent away, for they can only disrupt the process.

The leaders must always seek a full understanding of the dispute: what lies behind it; who is responsible; what each party wants, and all things that are normal to peacemaking efforts. When that understanding is arrived at, then a settlement can be agreed upon. This settlement is also a symbolic reckoning — an action that says to the world that from now on and forever the dispute is settled; that the dispute no longer exists, it is finished. And from the honesty of the process and the submission of both parties to finding the truth, then the dispute is ended. In past times a leader came forward and accepted a punishment and this leader once punished was then immediately taken into the heart of the aggrieved clan. The leader’s wounds were healed by the men and women of the aggrieved clan, and the leader was given gifts and shown respect — and this former foe, who had caused pain and suffering to people, would live with those that had been harmed and the peace was made — not just for them but for future generations.

In this way the parties were able to come together, to trade, to marry, to work together and make their lives together. The dispute was over and peace and harmony were achieved.

The same thing is happening now. We know we are a part of this nation — we want to be a part of this nation — but we want to have our grievances settled in a calm and proper way. We want our wounds healed, our injuries tended to and to be given an equal shot at the prosperity of this nation. We want unity and togetherness — a shared future.

This is the work of the Referendum Council and all the delegates who came together at Uluru.

The words that have come out of Uluru are truthful as is required by makarrata and so the process has now started. The aggrieved party has just called the other to come forward and meet with it. And like in the old days when the elders would send a gift of cycad bread to the other group to request the meeting in a peaceful way, so too is the final Referendum Council report a sign of friendship.

Now, in the spirit of makarrata Aboriginal and Torres Strait Islander people have invited the Prime Minister to Gulkula to meet with us. The Prime Minister, should he come, will be treated with the greatest of respect, for he is Her Majesty’s elected representative, and the leader of the Australian people. He is the right person to come and the right person to treat with us. He and the Leader of the Opposition are the right people to work with us, along with, in time, the leaders of each of the states and territories.

There is a difficult task here. It is the same issue that was faced by my father, by old man Birrikitji, his brother Buwatpuy, and the others when they stood on the sand at Birany Birany and sought to make the peace between disputing clans. They were all hard men, peacekeepers, and peacemakers. They agreed the words that made the peace. They agreed to the form of the settlement. What they agreed was then put forward and was accepted. Our task is much greater, and much more complicated, but, as I see it, the principles are the same.

The words from Uluru are clear, but they are a position from one party, not the final settlement. What I see as required now is the true partnership of the Prime Minister and Leader of the Opposition to take the settlement process forward and to a conclusion. We have before us a simple proposal that can be understood by all Australians — with genuine leadership, we can make it a reality.

Galarrwuy Yunupingu is Gumatj clan leader, Yothu Yindi Foundation chairman and Australian of the Year 1978

NACCHO @FPDNAus Aboriginal Health @NDIS 2016 progress report survey The National #Disability Strategy

 ” By any measure Aboriginal and Torres Strait Islander people with disability are amongst some of the most disadvantaged Australians; often facing multiple barriers to meaningful participation within their own communities and the wider community.

The prevalence of disability amongst Aboriginal and Torres Islander people is significantly higher than of the general population. Until recently, the prevalence of disability in Aboriginal and Torres Strait Islander communities has only been anecdotally reported. However, a report by the Commonwealth Steering Committee for the Review of Government Service Provision made the following conclusions:

The proportion of the indigenous population 15 years and over, reporting a disability or long-term health condition was 37 per cent (102 900 people). The proportions were similar in remote and non-remote areas. This measure of disability does not specifically include people with a psychological disability. [note 1]

The high prevalence of disability, approximately twice that of the non-indigenous population, occurs in Aboriginal and Torres Strait Islander communities for a range of social reasons “

SEE First Peoples Disability Network Australia (FPDN) Intro and Ten-point plan for the implementation of the NDIS in Aboriginal and Torres Strait Islander Communities VIEW HERE or Below

Read over 15 NACCHO NDIS Articles published

 See Background 1 below

The DSS need to improve under the National Disability Strategy.

We want to hear your thoughts about disability policy in Australia!

Are you a person with disability, a family member, a carer, or are you just interested in the rights of people with disability?

Tell us what you think about the lives of people with disability in Australia. This may include questions about things like health care, employment and access to the local community for people with disability.

Answer this survey and tell us how things have improved in the last two years. This feedback will help us understand what areas need to improve under the National Disability Strategy.

The National Disability Strategy

The National Disability Strategy 2010-2020 (the Strategy) helps us to create better policies, programs and communities so people with disability are able to lead happy and fulfilling lives.

The Strategy identifies six areas that people with disability are concerned about.  They are:

  1. Taking part in the in the community
  2. Your rights to fair treatment
  3. Work and money
  4. Personal and community support
  5. Learning and Skills
  6. Health and Wellbeing

What will my feedback be used for?

Your feedback will help inform the 2016 Progress Report.  Reporting is an important part of the Strategy.  Every two years we develop a progress report that looks at the achievements of the Strategy.  An important part of the report is finding out what people with disability, their families and carers think.  We also work with other government agencies and state and territory governments to collect feedback and data to help inform the 2016 Progress Report.

How can I access the survey?

The survey can be completed online via the 2016 Progress Report Stakeholder Survey page.

If you would like a hard copy of the survey to complete, please email nationaldisabilityst@dss.gov.au or ring (02) 6146 2507.

Please note: Requests for a hard copy of the survey must be made by 4 August 2017.

Completed hard copy surveys can be mailed to:

National Disability Policy Team
The Department of Social Services
Reply Paid
GPO Box 9820
Canberra ACT 2601

When will the survey open/close?

The survey will be open from Monday 17 July 2017 and will close on Monday 21 August 20

Background 1 of 2

What is the NDIS?

Will the NDIS mean more or less support?

Is the NDIS diagnosis based or needs based?

Am I eligible for the NDIS?

Where is the NDIS available now?

What supports does the NDIS cover?

How does the NDIS process work?

I have an NDIS plan. What’s next?

When will the NDIS be here for all Australians?

Where can we get more help

Full details below or download Help Guide Here :

NDIS your Questions answered Download

NACCHO Aboriginal Health #disability and @NDIS : Your Top 10 Questions answered about the National Disability Insurance Scheme

BACKGROUND from FPDN

Ten-point plan for the implementation of the NDIS in Aboriginal and Torres Strait Islander Communities

Introduction

We are First Peoples Disability Network Australia (FPDN) – a national organisation of and for Australia’s First Peoples with disability, their families and communities. Our organisation is governed by First Peoples with lived experience of disability

By any measure Aboriginal and Torres Strait Islander people with disability are amongst some of the most disadvantaged Australians; often facing multiple barriers to meaningful participation within their own communities and the wider community.

The prevalence of disability amongst Aboriginal and Torres Islander people is significantly higher than of the general population. Until recently, the prevalence of disability in Aboriginal and Torres Strait Islander communities has only been anecdotally reported. However, a report by the Commonwealth Steering Committee for the Review of Government Service Provision made the following conclusions:

The proportion of the indigenous population 15 years and over, reporting a disability or long-term health condition was 37 per cent (102 900 people). The proportions were similar in remote and non-remote areas. This measure of disability does not specifically include people with a psychological disability. [note 1]

The high prevalence of disability, approximately twice that of the non-indigenous population, occurs in Aboriginal and Torres Strait Islander communities for a range of social reasons, including poor health care, poor nutrition, exposure to violence and psychological trauma (e.g. arising from removal from family and community) and substance abuse, as well as the breakdown of traditional community structures in some areas. Aboriginal people with disability are significantly over-represented on a population group basis among homeless people, in the criminal and juvenile justice systems[note 2], and in the care and protection system (both as parents and children).[note 3]

The advent of the National Disability Insurance Scheme (NDIS) presents an opportunity for Aboriginal and Torres Strait Islander people with disabilities to engage – many for the first time – with the disability service system in a substantive way. Currently, most Aboriginal and Torres Strait Islander people with disabilities remain at the periphery of the disability service system. This continues to occur for a range of reasons some of which are well established. However, one factor that remains little understood is the reluctance of Aboriginal and Torres Strait Islander people with disabilities to identify as people with disability. This preference to not identify presents a fundamental barrier for the successful implementation of the NDIS. The First Peoples Disability Network (Australia) (FPDN) argues that it has a central role in addressing not only this fundamental barrier but also in facilitating the roll out of the NDIS more broadly into Aboriginal and Torres Strait Islander communities.

FPDN argues passionately that for positive change to happen in the lives of Aboriginal and Torres Strait Islander people with disability, the change must be driven by community itself. It cannot be imposed, implied, intervened or developed with well-meaning intention from an external service system that the vast majority of Aboriginal and Torres Strait Islander people with disabilities have little or no experience of in the first place.

Throughout many communities across the country, Aboriginal and Torres Strait Islander people with disability are supported and accepted as members of their communities. However, many communities lack the resources to adequately support people with disability. Furthermore, the service system tends to operate from a ‘doing for’ as opposed to ‘doing with’ approach, which only further disenfranchises communities because they simply do not feel that they can self-direct their future. The NDIS does have the potential to address some of these concerns by giving Aboriginal and Torres Strait Islander people with disability the opportunity to self-direct their funding, for instance. The challenge in this area will be that many Aboriginal and Torres Strait Islander people with disability have had little or no experience in self-managing funds.

It must be remembered that in many ways the social movement of Aboriginal and Torres Strait Islander people with disability is starting from an absolute baseline position. This is reflected, for example, by the fact that few Aboriginal and Torres Strait Islander people with disability have an understanding of the language of the disability service system. It is the view of FPDN that the application of the NDIS in Aboriginal and Torres Strait Islander communities will need to have a different look and approach to what is advocated for with regard the rest of the Australian population. It may be that the application of the NDIS in Aboriginal and Torres Strait Islander communities takes a longer process. But the FPDN argues that it is critical to get it right as it is the experience of many Aboriginal and Torres Strait Islander people that they are usually the first to be blamed when new programs are not taken up by Aboriginal and Torres Strait Islander people.

FPDN has developed a 10-point plan for the implementation of the NDIS in Aboriginal and Torres Strait Islander people with disabilities. The development of this 10 point plan is based upon extensive consultation as well as drawing upon the decade long experience of the FPDN in advocating for the rights of Aboriginal and Torres Strait Islanders people with disabilities.

The plan was launched in May 2013 at Parliament House, Canberra.

Ten-point plan

  • Recognise that the starting point is the vast majority of Aboriginal people with disability do not self-identify as people with disability. This occurs for a range of reasons including the fact that in traditional languages there are no comparable words for disability. Also, many Aboriginal people with disability are reluctant to take on the label of disability; particularly when they already experience discrimination based on their Aboriginality. In many ways disability is a new conversation in many communities. In these instances the NDIS is starting from a baseline position. As a consequence change in this area is likely to happen on a different timeline to that of the mainstream NDIS.
  • Awareness raising via a concerted outreach approach informing Aboriginal and Torres Strait Islander people with disability, their families and communities about their rights and entitlements, and informing Aboriginal and Torres Strait communities about the NDIS itself and how to work this new system effectively. There is no better way to raise awareness then by direct face-to-face consultation. Brochures and pamphlets will not be appropriate as this is a new conversation in many communities.
  • Establish the NDIS Expert Working Group on Aboriginal and Torres Strait Islander People with disability and the NDIS. In recognition of the fact that there is a stand-alone building block for the NDIS focused upon Aboriginal and Torres Strait Islander people with disability, FPDN views it not only as critical but logical that a specific Expert Working Group be established to focus on Aboriginal and Torres Strait Islander people with disability. The new working group would operate in the same way the four current working groups do, that is it would be chaired by two members of the National People with Disability and Carers Council. To ensure its effectiveness but also critically to influence prominent Aboriginal leaders as well as the disability sector, members would be drawn from Aboriginal and Torres Strait Islander people in community leadership positions, as well as involving prominent disability leaders. The FPDN believes such an approach is warranted not only because of the degree of unmet need that is well established but also because this has the potential to be a very practical and meaningful partnership between government, the non-government sector, and Aboriginal and Torres Strait Islander communities.
  • Build the capacity of the non-Indigenous disability service system to meet the needs of Aboriginal people with disability in a culturally appropriate way. Legislate an additional standard into the Disability Services Act focused upon culturally appropriate service delivery and require disability services to demonstrate their cultural competencies.
  • Conduct research on the prevalence of disability and a range other relevant matters. Critically, this work must be undertaken in partnership with Aboriginal and Torres Strait Islander people with disability to ensure a culturally appropriate methodology. There remains very little reference material about disability in Aboriginal and Torres Strait Islander communities. This needs to be rectified to ensure that we are getting a true picture of the lived experience of Aboriginal and Torres Strait Islander people with disability.
  • Recognise that  a workforce already exists in many Aboriginal and Torres Strait Islander communities that does important work, often informally. This work needs to valued and recognised, with the potential for employment opportunities in some communities.
  • Recognise that it’s not always about services. Many communities just need more resources so that they can continue to meet the needs of their own people with disabilities. There may be perfectly appropriate ways of supporting people already in place, however what is often lacking is access to current technologies or appropriate technical aids or sufficient training for family and community members to provide the optimum level of support.
  • Recruitment of more Aboriginal and Torres Strait Islander people into the disability service sector.
  • Build the capacity of the social movement of Aboriginal and Torres Strait Islanders with disability by supporting existing networks and building new ones in addition to fostering Aboriginal and Torres Strait Islander leaders with disability. These networks play a critical role in breaking down stigma that may exist in some communities but are also the conduits for change, and will be integral to the successful implementation of the NDIS in Aboriginal and Torres Strait Islander communities.
  • Aboriginal and Torres Strait Islander ‘Launch’ sites focused upon remote, very remote, regional and urban settings. It is critical that this major reform be done right. Therefore it is appropriate to effectively trial its implementation. To this end, FPDN can readily identify key communities that would be appropriate as trial sites.

NACCHO Aboriginal Remote Health : Governments urged to fund dialysis treatment in remote communities

 ” The premature death of Dr G Yunupingu could have been prevented if recommended funding models for dialysis services were already in place, his doctor has said.

With a new funding model to increase the service in remote communities currently under consideration, Dr Paul Lawton urged swift government action to assist in Yunupingu leaving a legacy.

He had been in Darwin for dialysis services because there was no service for him in his home community of Galiwink’u, on Elcho Island. His situation was a high profile example of the growing urgent circumstances for remote-living Indigenous renal patients.

Lawton said there had been a lot of work done in recent years – particularly by Miwatj Health and central Australia’s Purple House – to increase on-country dialysis support, including self-operated dialysis on Elcho Island.

The kidney specialist said G Yunupingu – like Dr M Yunupingu who died in 2013 – advocated for better health outcomes and options for Indigenous people, and both would be proud to leave a legacy if their stories prompted change. ”

Reports Helen Davidson from Darwin writing in the Guardian  See Full report Part 1 Below

The case for change

Aboriginal and Torres Strait Islander people experience disproportionate levels of CKD regardless of urban, region or rural locality. Compared with the general population, Aboriginal and Torres Strait Islanders are four times more likely to have CKD and develop ESKD

In remote and very remote areas of Australia, the incidence of ESKD for Aboriginal and Torres Strait Islander people is especially high with rates almost 18 times and 20 times higher than those of comparable non-Indigenous peoples.

The greater prevalence of CKD in some Aboriginal and Torres Strait Islander communities is due to the high incidence of risk factors including diabetes, high blood pressure and smoking, in addition to increased levels of inadequate nutrition, alcohol abuse, streptococcal throat and skin infection and poor living conditions.

See Kidney Health Australia Recommendation

Download full Budget submission Kidney Health Australia

3. Investing in appropriate patient support services in remote and regional locations

In remote areas, 78% of patients have to relocate to access dialysis or transplant services, compared with 39% of those who live in rural areas and 15% of urban Indigenous ESKD patients.

Separation from country creates significant biological, psychological, social and economic consequences on the health and wellbeing of consumers, their families, communities the wider health and welfare system.

At present, there is inadequate support for Aboriginal and Torres Strait Islander patients to assist and support the renal pathway journey, including emotional and social support.

Incidence of new Indigenous patients starting kidney replacement therapy. 2010-2014

A Patients Opinion

” One possible solution is to explore the possibility of using the Kimberley Aboriginal Medical Services (KAMS) plane which arrives every Friday from Broome with medicines for the clinic, and transports nurses in and out.

Why can’t some of our mob go on that plane for appointments, so avoiding all those hours of travel, especially for our elderly?

My wife also suffers from serious kidney issues. We have been told that renal dialysis is the next step. This will involve twice weekly dialysis which would be done in Broome. For this treatment, we will be expected to leave our family, “country” and home to live in Broome, over 1000 kilometres away.”

I am an Aboriginal man living in the remote desert area of Mulan Aboriginal Community in the Tanami Desert. see Health Authority responses below part 2 

See also :  Indigenous health organisations unite to improve remote dialysis treatment 

Part 1 :Dialysis funding could have prevented Dr G Yunupingu’s death, says doctor

The musician’s doctor says his premature death would have been prevented if he could have been cared for on his home island

The 46-year-old Gumatj musician and singer from remote Arnhem Land died in Royal Darwin hospital last Tuesday, after battling kidney and liver illnesses.

He had been in Darwin for dialysis services because there was no service for him in his home community of Galiwink’u, on Elcho Island. His situation was a high profile example of the growing urgent circumstances for remote-living Indigenous renal patients.

Media reports aired questions about how Yunupingu spent his last days before being hospitalised, but his doctor Paul Lawton said Yunupingu was in control of his health decisions even if they weren’t always on his doctor’s terms, and suffered being away from home.

The kidney specialist said G Yunupingu – like Dr M Yunupingu who died in 2013 – advocated for better health outcomes and options for Indigenous people, and both would be proud to leave a legacy if their stories prompted change.

“Of course he would have been much happier not to have to have a legacy but to be home supported by family on Elcho Island. He may be alive today if that were possible,” he said.

“It could have been possible if there was a funding model that allowed that to happen. Such a funding model has been proposed, and it needs to be supported and agreed to by the minister forthwith.”

Indigenous Australians suffer kidney disease at rates up to 50 times that of non-Indigenous people. The rate of end-stage kidney disease is seven times higher for Indigenous people, and in very remote communities it is 30 times higher.

The number of people at end-stage is growing annually, forcing large numbers to travel into town centres for care, away from family, country, and culture.

“Every person from a remote community … when they end up in renal failure and have to start dialysis, the first thing people want to know is when and if they can get home and if they can receive treatment close to home,” Lawton said. “Dr Yunupingu was no different.”

In 2015 the federal government launched a review of more than 5,700 items on the Medicare Benefits Scheme to determine how they can be “aligned with contemporary clinical evidence and practice and improve health outcomes for patients”.

The review is led by expert panels exploring different areas of health, and has no mandate to find savings.

The expert panel on renal health has published its recommendations, including a new MBS item to provide dialysis in very remote areas by nurses, Aboriginal health practitioners and health workers.

The report noted the likelihood of direct costs of providing staffed dialysis services in very remote areas being much higher, but said no studies so far had considered the broader impact of relocating for treatment.

“It has undeniable social, economic and health consequences,” the report countered. “As a result of these social and economic costs, relocated patients often miss treatments, which has a negative impact on health outcomes.

“As requirements for dialysis can extend over many years, it makes sense to provide services where people live, have support and can continue to contribute to their communities.”

The report is open for public comment, and according to the department of health a final report will be delivered to the minister in December this year.

“It’s a big step forward potentially but one of the challenges in bureaucracies is that sometimes these things spend a lot of time going around in circles,” Lawton said.

Lawton said there had been a lot of work done in recent years – particularly by Miwatj Health and central Australia’s Purple House – to increase on-country dialysis support, including self-operated dialysis on Elcho Island.

“But unfortunately we weren’t able to get him home to Elcho Island because supported dialysis is not available. And clearly a blind man can’t do dialysis themselves.”

PART 2

Access To Specialist Healthcare in the Kimberley For Desert People.

I am an Aboriginal man living in the remote desert area of Mulan Aboriginal Community in the Tanami Desert. I live with my elderly wife and extended family. Mulan is our home.

For people living in very remote communities such as ours, English is a second or third language. Communication with mutual understanding is vital.

I’m sharing this story about our recent healthcare experiences so that frail persons don’t suffer as my wife did.

Recently my wife required a cardiac appointment in Broome.

This involved a morning flight from Mulan to Halls Creek; waiting for the Greyhound bus; then leaving at 10pm that evening to ride to Broome (8 hours to the west). All this was booked through the Patient Assisted travel Scheme office (PATS).

After her appointment my wife was left in Broome with no money, no return bus fare and no accommodation. She spent the night homeless. My wife was rescued by the local police who recognised she was hypoglycaemic and took her to Broome Hospital where she was stabilised.

With the help and intervention of a friend, PATS was contacted and a return bus fare was organised for that evening to Halls Creek where my wife was hospitalised for three days waiting for a flight back to Mulan. This could have been avoided with better planning, travel, accommodation and effective communication.

One possible solution is to explore the possibility of using the Kimberley Aboriginal Medical Services (KAMS) plane which arrives every Friday from Broome with medicines for the clinic, and transports nurses in and out.

Why can’t some of our mob go on that plane for appointments, so avoiding all those hours of travel, especially for our elderly?

My wife also suffers from serious kidney issues. We have been told that renal dialysis is the next step. This will involve twice weekly dialysis which would be done in Broome. For this treatment, we will be expected to leave our family, “country” and home to live in Broome, over 1000 kilometres away.

Kidney disease is a major health concern in our communities. My point is why can’t we have a dialysis machine in Balgo – our biggest community in the desert, 30 minutes from my community? This would reduce the number of patients and their carers travelling to a major town, so avoiding a lot of financial and other social situations. I know there are renal machines in other communities – it makes sense! In the long run, the money spent on transferring our mob across the Kimberley would surely pay for a machine and staff.

My wife will require ongoing medical care. Yet her experience is part of a much larger story where our younger people (who escort loved ones to towns for treatment) are subject to the vices a town offers. In going to town, many of them get lost from their cultural identity. Having services in country closer to home and keeping our families in community helps to avoid these social issues.

I hope that sharing our story will result in more effective planning and improved services in the future.

Response 1 to Mulan Man

Dear Mulan Man,

Firstly I want to apologise again for your wife’s experience in Broome. It was very good of your friend to notify us of your wife’s situation at the time, and I am pleased the PATS officer on the day was able to make contact with your wife and her escort to provide them with some refreshments and return tickets to Halls Creek. You are right, there was a communication issue in the arrangement of this trip, as the PATS staff had expected your wife to return to the PATS office directly after her appointment to retrieve her return ticket, but this was clearly not your wife’s expectation. We will work to improve this communication.

I would also like to thank you very much for engaging with us in this forum to share your story, which was clearly distressing, and yet also includes suggestions for improvement. Your story is a great example of what a forum like this can bring to the planning and delivery of health services.

The WA Country Health Service aims to provide care closer to home, where this is safe and feasible. We need to hear from the people living in communities like yours to be able to gain a real appreciation of the challenges you face, and work to ease your access to our services, either by better travel arrangements, or bringing the care closer to you.

Where possible, in new remote clinic builds or funded remote clinic refurbishments, we are ensuring there is the capacity for a dialysis room to accommodate home dialysis therapy on country. Examples of this are Wangkatjunka and Looma remote clinics. There are Renal Dialysis Hostels being built or already built in Kununurra, Fitzroy Crossing, Derby and Broome, to ease the burden of accommodation when people do need to attend the dialysis centres in those towns. WA Country Health Service is also developing a Renal Health Strategy, and will continue to work in close partnership with our renal service delivery providers.

I agree there are also opportunities for us to work more cohesively with other agencies in the Kimberley in undertaking the logistics of moving our consumers, equipment and those delivering care around the region. You have provided some very logical suggestions to resolve the issues you raised, and we would like to arrange to meet with you, and members of your community, to further identify the barriers you face accessing health care and your suggested solutions to those barriers.

You can contact me to discuss how to arrange this meeting. The other signatories to this reply will also attend to engage with you and your community.

Margi Faulkner, Broome Hospital Operations Manager

Dr David Gaskell, Kimberley Regional Medical Director

Carmen Morgan, Kimberley Regional Director of Nursing and Midwifery

Response 2

Dear Mr Mulan Man

We’ve had opportunity to talk together recently which I’ve valued.

Thanks to your help, I want to share here some of the changes we’ve made in improving our health services.

As you know, the Patient Assisted Travel Scheme (PATS) provides travel and accommodation subsidies to patients for whom specialist care is not locally available.

PATS is State-funded with one policy for all WA. All PATS staff are required to follow these State-wide rules. They seek to ensure a safe and planned journey when transporting clients from home to a health service and back.

PATS policy ensures that vulnerable patients can choose a family member as escort to accompany them. This escort is responsible for assisting the patient throughout the journey. Roles include assistance in communication, physical support, need for encouragement, and help with cultural needs. You have pointed out that some aboriginal people speak other languages more fluently than English (like Kukutja). PATS staff seek to identify need for a translator and so make necessary arrangements.

Yet there are many variables beyond our control which create uncertainty – like phone coverage, bus and plane operations, timings, the conduct of the escort and other people, or the weather. For the patient, navigating all this uncertainty only compounds the stress of suffering and separation from home. Of all this, I am mindful.

So, in response to the first part of your story, have we done anything to improve the provision and quality of our PATS services?

Yes, we have made several improvements. Here’s the current situation:

The PATS booking service has been increased from 5 days to every day of the week, from 0800hrs to 1600hrs, by phone or email. This ensures that, every day, a PATS officer is able to make a booking or assist a patient with their journey. We have extended the Aboriginal Liaison Officer (ALO) service from 5 days to every day of the week. ALO hours have been extended also. Broome now has 5 positions. Between them, they work every day, including weekends, from 0630 to 2200 hours. As this period covers the arrival and departure times of all scheduled Greyhound bus and plane services, an Aboriginal Liaison Officer is present to meet clients from their plane or bus and assist them with their onward journey. So transport home can be booked, our Aboriginal Liaison Officers inform all transiting clients to present to the PATS Front Office. With arrangements in place, patients return to and wait in the transit lounge. From there, an officer takes them to the bus or plane on time. Remoter health facilities do not have a PATS Office, of course, so the PATS team works closely with local staff to ensure that travel planning and documentation are explained clearly and in person to clients. A spare seat on the KAMS (Kalamunda Aeronautical Model Society) plane, when available, has been allocated to PATS clients and will be used for this purpose in the future. A major development just pre-dating your post was that WACHS Kimberley secured the Skippers Charter Plane service from Broome to Halls Creek via Fitzroy Crossing, 3 times weekly. This flight schedule had been at risk of closure.

Thanks for your engagement on and off line. I think that being in closer touch makes so much difference. I’m aware that your wife had an awful experience not long ago. I hope that she gains some peace of mind in knowing that you sharing her story has led to improvements which will help other patients on their travels to and from health care.

Regarding the need for dialysis care closer to home, we have spoken together. I need to post this now yet I wish to reassure you here that the ‘bigger picture’ is being looked at by all the key agencies – WA Department of Health, WA Country Health Service, Kimberley Aboriginal Medical Services overseeing the Kimberley Renal Service, and our visiting specialists from Royal Perth Hospital. Much thought and planning are going in to improving the delivery of quality-assured services closer to home. In the township of Fitzroy Crossing, for example, a new Renal Health Centre is soon to open with 4 dialysis chairs. Yet there are many communities (as in your desert community of Mulan in the Kutjungka) without access to a haemodialysis service nearby. We are acutely aware. All of us Kimberley Health providers want to deliver the State Government’s commitment to have a mobile dialysis unit operate here in the dry season, as soon as possible. This will allow dialysis patients to go home for a while so they can re-connect with family and friends on Country. Given the right resources, this will be delivered. I will keep in touch.

Would it be helpful if we meet together? If you would like this, if privileged to be invited, I will come to your Country soon.

With best wishes to you and your wife,

David

Dr David Gaskell

a/Regional Director, Regional Medical Director

WA Country Health Service, Kimberley

NACCHO Aboriginal Health and #PSA17SYD Minister Hunt announces Aboriginal Health Services will be able to employ a pharmacist if a link with a community pharmacy is not available

 ”  I have reached agreement with the PSA and Pharmacy Guild of Australia to allow Aboriginal health services to employ pharmacists if there were local areas problems in accessing pharmacy services. “

The Federal government is moving to give certainty to community pharmacy over location rules, Health Minister Greg Hunt said.

Rural and Indigenous health advocacy through the infrastructure of community pharmacy

 ” The standard of health care for rural areas should be equal to the standards available in metropolitan areas. The Pharmacy Guild of Australia (the Guild) is guided by the principle that all Australians have a right to equity and access to community pharmacy services.

The Guild represents pharmacists who are the proprietors of community pharmacies. Approximately 20% of the total 5,350 community pharmacies across Australia are located within Categories 2-6 of the Pharmacy Access/Remoteness Index of Australia (PhARIA). “

SEE WEBSITE

Speaking at PSA17 in Sydney today, Mr Hunt announced a raft of initiatives which he says will exemplify the “vital role” the profession plays in primary health care.

Reported by AJP

A key announcement is that the government will soon introduce legislation to remove the existing sunset clause on pharmacy location rules, a move that drew applause from the floor.

Mr Hunt said feedback from pharmacy owners on location rules was that:

“The threat of taking location rules away was a threat to their very existence” and had prompted the government to action.

Mr Hunt also announced he had reached agreement with the PSA and Pharmacy Guild of Australia to allow Aboriginal health services to employ pharmacists if there were local areas problems in accessing pharmacy services.

The Minister also provided details on recent 6CPA pharmacy trial announcements around asthma management and ensuring culture-specific medicine reviews in indigenous communities.

Funding would be provided for a pharmacist and consumer awareness campaign around biosimilar medicines, he also announced.

 

NACCHO Aboriginal Health : Our ACCHO Members #Deadly good news stories #QLD #SA #VIC #ACT #NSW #WA #NT #Tas

1.1 VIC : Congrats to Laura Thompson at Victorian Aboriginal Health Service, HESTA Team Excellence finalist.

1.2 VIC : VAHS hosted by CEO Adrian Carson and The Institute for Urban Indigenous Health Team QLD

2.NSW : Aboriginal students were encouraged to think about a future in ACCHO health at a new Careers Expo in Kempsey.

3. Apunipima Cape York Health Council Welcomes New CEO

4. NT : OFFICIAL GARMA 2017 PROGRAM Will go ahead

5. SA Deadly Choices QLD Training in SA Community homelands  

6.WA Wirraka Maya Health Service Aboriginal Corporation

7. ACT  : The ACT government is ‘patronising, paternalistic’ on Indigenous contracts says Julie Tongs

 8. Tasmanian Aboriginal Centre Aboriginal Cultural Awareness Training

How to submit a NACCHO Affiliate  or Members Good News Story ? 

 Email to Colin Cowell NACCHO Media    

Mobile 0401 331 251

Wednesday by 4.30 pm for publication each Thursday

1.VIC : Congrats to Laura Thompson at Victorian Aboriginal Health Service, HESTA Team Excellence finalist

Congrats to Laura Thompson at Victorian Aboriginal Health Service, Team Excellence finalist in the HESTA Primary Health Care Awards!

Team Excellence Award

The Healthy Lifestyle Team and #HerTribe

Victorian Aboriginal Health Service

Preston, VIC

For implementing #HerTribe — a 16-week health and empowerment program improving health and social outcomes for Aboriginal women and their families.

1.2 VIC : VAHS hosted by CEO Adrian Carson  and The Institute for Urban Indigenous Health Team QLD

Thanks to The Institute for Urban Indigenous Health for hosting some of our VAHS staff this week and giving us a tour of your deadly clinics and programs!

Great to meet lots of new faces and make new connections whilst sharing the learnings of your services.

Looking forward to showing you around The Health Service when the weather warms up enough for you in chilly Melbourne.

2.NSW : Aboriginal students were encouraged to think about a future in ACCHO health at a new Careers Expo in Kempsey.

News Coverage Watch video

Local Aboriginal Medical Services Werin, Durri and Galambila are partnering with the Mid North Coast Local Health District (MNCLHD) and four local universities to present the inaugural Aboriginal Careers in Health Expo in Kempsey.

Pictured above : Mid North Coast Local Health District Aboriginal Workforce Manager Helene Jones and Workforce Support Manager Lyn Luckie prepare for the inaugural Careers Aboriginal Careers in Health Expo at Kempsey.

The expo provided Aboriginal students from across the Mid North Coast with an opportunity to explore the various career options available in the local health sector.

MNCLHD, Southern Cross University, the University of Newcastle, UNSW Rural Medical School, Charles Sturt University, TAFE NSW and local Aboriginal Medical Services Werin, Durri and Galambila participated.

Interactive activities provided more than 150 students with inspiration and insight into various roles within health. Students were offered the opportunity to have one-on-one conversations with health professionals throughout the day and participate in interactive workshops related to specific careers.

Aboriginal students in Years 9, 10 and 11 from all secondary schools on the Mid North Coast were invited to attend.

MNCLHD chief executive Stewart Dowrick said the expo provided a unique opportunity for students to learn what it is like to work in the health sector and the career and study pathways available.

“We are committed to providing employment opportunities for Aboriginal people living in this region,” Mr Dowrick said.

“This event provides a fantastic opportunity to encourage young people in our area to consider a career in health.”

3. Apunipima Cape York Health Council Welcomes New CEO

Apunipima Cape York Health Council warmly welcomes new CEO Paul Stephenson who will start his new role on Monday 31 July.

Paul was Apunipima’s Executive Manager: Primary Health Care between 2012 and 2015 before taking on the role of the General Manager for Australian Regional and Remote Community Services in the Northern Territory.

Apunipima Chairperson Thomas Hudson said Paul had an impressive and extensive executive leadership and management record within remote primary health as well as governance through various Board appointments.

‘He brings a wealth of experience in primary health care within Cape York with both Apunipima and with Queensland Health so has an understanding and appreciation of both systems.’

‘Prior to working for Apunipima, Paul was an ex-officio Apunipima Board member while employed as Cape York Health Service CEO and Torres Strait and Northern Peninsula Area Health Service District CEO.  In 2012, Paul took up the position of Executive Manager: Primary Health Care with Apunipima, a role he held for three years. Most recently, Paul has been working in the Northern Territory as General Manager Australian Regional and Remote Community Services.

‘With a registered nursing background, Paul has continued to influence the primary health profession with a track record of advocating and being involved in state level workforce advisory and health service development committees.’

Mr Hudson thanked outgoing CEO Cleveland Fagan for the invaluable contribution he had made to Apunipima.

‘On behalf of the Apunipima Board of Directors and staff I want to thank Cleveland for his commitment and dedication to the organisation.’

‘He has lead the organisation for 10 years and overseen the building of stand-alone clinics, the opening of four Wellbeing Centres, the establishment of the first electronic medical record system on Cape York and the award – winning maternal and child health initiative the Baby One Program and the commitment from government to transition community health care to a community led model.’

Cleveland has made an enormous contribution to Apunipima and will be sincerely missed. We wish him well in future endeavours.’

‘I also want to thank Executive Manager: Primary Health Care Paula Arnol for her support during the CEO recruitment process. Her professionalism and dedication are second to none.’

4. NT : OFFICIAL GARMA 2017 PROGRAM Will go ahead

The Yothu Yindi Foundation is pleased to announce the release of the official Garma 2017 Program Booklet.

The Program Booklet is the comprehensive guide for guests travelling to Gulkula, near the township of Gove in northeast Arnhem Land, Northern Territory.

YYF CEO Denise Bowden said it contained the schedules for all activities, forums and workshops taking place over the course of the four days.

“YYF prides itself on offering an innovative program that pushes the boundaries, and we’re excited to again bring new elements to the Garma experience this year,” she said.

“We continue to reflect our Board’s value on learning by devoting the first day of Garma to a day of education, with a cultural curriculum and a specific education forum on the Friday,” she said.

“We’ve put a strong emphasis on literacy by introducing a Poetry Slam competition, overseen by legendary Australian actor Jack Thompson, all of which is open to anyone who wants to participate.

“We’re also pleased to present Garma’s first ever Comedy Night, which will provide some light relief to balance out the serious conversations taking place during the day.

“The Program Booklet also highlights the many talented artists whose work will be on display at the new-look Gapan outdoor art gallery. Guests will find a Garma photographic exhibition on display, our chance to share the images that have been very popular over the many years we’ve hosted Garma.

“The booklet also places in the spotlight the talented musicians set to rock the musical stage when the sun goes down.”

Mrs Bowden said the Program Booklet would also be of interest to those not able to attend Garma this year.

“You can read about the feats of our Yolngu Heroes, the significance of the Gulkula site, an explanation of the Yolngu seasons, the importance of the bunggul performances, and the meaning behind Yolngu clan designs.

“There’s also an introduction to Yolngu matha for those wanting to learn the basics of the local language.”

The Official Garma Program Booklet can be viewed on the YYF site at: http://www.yyf.com.au/pages/?ParentPageID=116&PageID=128

Garma 2017 will take place between 4-7 August, with over 2500 attendees expected to walk through the ticketing gates.

For more information on this year’s event, please visit garma.com.au

*Please note the 4 day program is subject to change due to the very remote nature of this event. Organisers will endeavor to keep to a bare minimum any significant changes.

Media Contact: Jason Frenkel 0402 282 251.

5. SA Deadly Choices QLD Training in SA Community homelands  

Did you know this fact about the word ‘deadly’? Deadly Choices is designed to help improve the excellent health choices made by Aboriginal people in South Australia.

Our Deadly Choices Facilitator training is about to kick off out at beautiful Umuwa, APY Lands

The boys are definitely enjoying themselves out at Umuwa We are lucky to host the training & educate but also learn from the Nganampa team.

Time for our team photo with the Nganampa Health Service team. It’s been a long 3 days but very valuable & enjoyed by all.

6.WA Wirraka Maya Health Service Aboriginal Corporation

Photos from NAIDOC Weekend “Be at your Best” Basketball Carnival July 2017

7. ACT  : The ACT government is ‘patronising, paternalistic’ on Indigenous contracts says Julie Tongs

Julie Tongs said the ACT government has “done just what governments in Australia have been doing and getting away with for centuries – blame Aboriginal people”.  Photo: Melissa Adams

Written by Julie Tongs chief executive of the Winnunga Nimmityjah Aboriginal Health and Community Service, which tendered unsuccessfully for both the Indigenous housing services and the Step Up for Our Kids Indigenous services.

The decision by the ACT government to extend the contracts, without a public or open process, to mange the ACT’s two Indigenous homelessness services to two non-Aboriginal organisations continues the patronising and paternalistic polices favoured by the government.

It really is quite stunning, in light of the well documented failings of the ACT government to meet the needs of Aboriginal Canberrans, that it stubbornly maintains polices and attitudes that have, for example, led to the ACT having the highest Indigenous incarceration rate and the highest rate of contact of Aboriginal children in the care and protection system in Australia.

The overwhelming weight of evidence across Australia is that optimal outcomes are achieved in dealing with Indigenous disadvantage when the responses are designed in collaboration with and delivered by the local Aboriginal community and the organisations that support and sustain it.

In light of this, it is beyond the understanding of the Aboriginal community in Canberra that the ACT government has disregarded the importance of the local Aboriginal community having a role in the managing or providing of services to the Indigenous Boarding House or the Indigenous Supported Accommodation Service. The government clearly believes these Aboriginal specific, and tiny, services are better provided by Every Man Australia and Toora, two non-Aboriginal mainstream organisations.

As wonderful as these organisations may be, the fact is they are managed, led and in the main staffed by non-Aboriginal Australians. In the case of Every Man Australia, an organisation, to be blunt, set up by anglo-celtic men for anglo-celtic men and managed and led by anglo-celtic men, the government’s decision that it is better able than specialist local Aboriginal managed and staffed organisations to support vulnerable, disadvantaged Aboriginal women and children living in Indigenous specific supported housing is deeply hurtful and insulting to the Aboriginal community.

It is perhaps ironic that the decision by the ACT government to again exclude any Aboriginal involvement in the management of Indigenous specific housing in Canberra was made at the same time as the Children’s Commissioner, Jodie Griffiths-Cook, in responding to questions about the scandalous rate of removal of Aboriginal children from their families in Canberra, said that one of the things that the ACT government needed to do better “is actually engaging with the Aboriginal community in the ACT”. The commissioner said the question that needed to be asked of the government was: “What is needed by the Aboriginal families that are coming to the attention of care and protection that we’re not supporting them with?”

It is clear to the Aboriginal community, and on the basis of the commissioner’s recent comments to the ACT Human Rights Commission, that what is needed is for the government to permit Aboriginal people and reputable and experienced Aboriginal organisations a role in and responsibility for decisions over their lives. This applies most particularly to those Aboriginal people suffering grievously from generations of disadvantage and discrimination. In other words, what is required is a genuine commitment to self-determination.

The ACT government has, however, chosen in relation to its much vaunted Step Up for Our Kids Strategy, despite the fact that between 25 per cent and 30 per cent of children in out of home care in Canberra are Aboriginal (from a population base of 1.5 per cent), that “stepping up for Aboriginal kids” should be undertaken solely by non-Aboriginal organisations.

Attempts by local Aboriginal-managed services to be part of the Step Up for Our Kids Strategy have been rebuffed by the government without cogent explanation. I am sure the ACT is the only jurisdiction in Australia that has deliberately excluded Aboriginal organisational involvement in programs designed to address the shameful over-representation of Aboriginal children in the care and protection system. It can be no surprise then that the ACT is the worst performing jurisdiction in Australia.

The extent to which the ACT government is out of step with the rest of Australia in refusing to engage with Aboriginal people and service delivery organisations in delivering services to Aboriginal people is exemplified by the announcement made by Federal Indigenous Affairs Minister Nigel Scullion on July 7.

Whereas the ACT government has a practice of unashamedly favouring non-Aboriginal organisations to deliver Indigenous specific services Senator Scullion has announced that from the end of the current financial year the Commonwealth will only disburse funds under the Indigenous Advancement Strategy to Aboriginal organisations and businesses. He based his decision on the overwhelming evidence that the best outcomes from services designed to address Indigenous disadvantage are achieved when those services are designed and delivered by Aboriginal organisations.

If only we had in the ACT a government with the same insight and understanding of the needs of Aboriginal people.

8. Tasmanian Aboriginal Centre Aboriginal Cultural Awareness Training

Aboriginal Cultural Awareness Training 3rd August 2017 at piyura kitina (Risdon Cove) from 9.00am to 4.00pm : The costs are as follows:

$145- for general person/employee
$90- for students etc
$0- to unemployed Community Members
$0 for staff