Programs to improve the social and emotional wellbeing of Aboriginal and Torres Strait Islander communities

Attending to the social and emotional wellbeing of those from Aboriginal and Torres Strait Islander cultural backgrounds is widely recognised to play a key role in effective social work practice. However, relatively little is currently known about what effective practice comprises, and significant challenges exist in any effort to demonstrate that programs do achieve significant change both for individual participants and the communities in which they live. This paper considers one program, Seasons for Healing, to illustrate the type of intervention that holds promise when working with adults and discusses the difficulties that arise in both defining and assessing program outcomes.

Anti-environmentalism and the Australian culture war

As well as waging a culture war against Aboriginal self-determination, multiculturalism, postmodernism in education, and the non-nuclear family, the New Right in Australia has also sought to discredit the environmental movement. Using discourse analysis, this article examines this largely neglected dimension of the culture war. It is demonstrated that for over twenty years, the New Right has prosecuted a discursive struggle to undermine the claims of environmentalists in order to legitimise a set of ecologically and socially destructive corporate practices; and that this partly accounts for Australia's recent poor record on environmental issues. It is also shown that this campaign fits into a broader pattern of discursive conflict over issues of gender and ethnicity which have been deployed to disorganise and discredit opposition to radical neoliberalism. This analysis in turn reveals some ways in which anti-environmentalism might be countered.

Traditional indigenous Australian stories for children

 The thesis explores how Aboriginality is portrayed in texts that offer specific representations of Indigenous Australian culture through traditional story or legend. It examines a selection of texts from the twentieth century and make observations about the significance of these postcolonial publications in transforming reader understanding of Indigenous traditional culture

Toward an understanding of the poor health status of Indigenous Australian men

The purpose of this study was to investigate perceptions of health and health behaviors among Indigenous Australian men. Using a participatory action research (PAR) framework, we conducted two focus groups and 40 individual semi-structured interviews with men between the ages of 18 and 35 years in each of three locations across Australia. We used the health beliefs model to provide a framework for the analyses. Participants recognized that their Indigenous status placed them in a vulnerable position with regard to health, and that there might be serious consequences of failing to follow a good diet and engage in appropriate exercise. However, they delineated a number of barriers to engaging in such health behaviors. These perceived barriers require addressing at a range of policy levels within government, with a focus on social structures and institutionalized discrimination, as well as unemployment, poverty, dispossession, and cultural oppression.

Chronic condition management and self-management in Aboriginal communities in South Australia : outcomes of a longitudinal study

OBJECTIVES: This paper describes the longitudinal component of a larger mixed methods study into the processes and outcomes of chronic condition management and self-management strategies implemented in three Aboriginal communities in South Australia. The study was designed to document the connection between the application of structured systems of care for Aboriginal people and their longer-term health status. METHODS: The study concentrated on three diverse Aboriginal communities in South Australia; the Port Lincoln Aboriginal Health Service, the Riverland community, and Nunkuwarrin Yunti Aboriginal Health Service in the Adelaide metropolitan area. Repeated-measure clinical data were collected for individual participants using a range of clinical indicators for diabetes (type 1 and 2) and related chronic conditions. Clinical data were analysed using random effects modelling techniques with changes in key clinical indicators being modelled at both the individual and group levels. RESULTS: Where care planning has been in place longer than in other sites overall improvements were noted in BMI, cholesterol (high density and low density lipids) and HbA1c. These results indicate that for Aboriginal patients with complex chronic conditions, participation in and adherence to structured care planning and self-management strategies can contribute to improved overall health status and health outcomes. CONCLUSIONS: The outcomes reported here represent an initial and important step in quantifying the health benefits that can accrue for Aboriginal people living with complex chronic conditions such as diabetes, heart disease and respiratory disease. The study highlights the benefits of developing long-term working relationships with Aboriginal communities as a basis for conducting effective collaborative health research programs.

Measuring problem gambling in Indigenous communities : an Australian response to the research dilemmas

This paper examines evidence relating to harmful consequences of gambling in the Australian Indigenous population and highlights the failure of research to date to define problem gambling from Indigenous perspectives or to tailor research processes to accommodate the cultural beliefs and experiences of Indigenous groups. It advocates for the development of a unique set of measures to assess the function of problem gambling aspects, negative impacts, trends, risks and protective factors. This would be informed by more recent qualitative studies into gambling that are specific to Indigenous communities. Additionally, this paper argues the need to adapt and validate a commonly applied assessment tool, such as the Canadian Problem Gambling Index, to monitor prevalence of problem gambling over time. Targeted research into Indigenous people's experiences of gambling will facilitate the development of culturally based responses and interventions into problem gambling.

Considering Aboriginal palliative care models: the challenges for mainstream services

This review discusses palliative care and end-of-life models of care for Aboriginal people in the Australian state New South Wales, and considers Aboriginal palliative care needs by reflecting on recent literature and lessons derived from Aboriginal consultation. Aboriginal people in Australia account for a very small proportion of the population, have poorer health outcomes and their culture demonstrates a clear resistance to accessing mainstream health services which are viewed as powerful, isolating and not relevant to their culture, way of life, family and belief systems. Aboriginal people regard their land as spiritual and their culture dictates that an Aboriginal person needs to know their origins, emphasising the value placed on kin and also demonstrating a strong desire to remain within their own country. Currently Aboriginal people tend to not access palliative care services in mainstream facilities; and there is very little data on Aboriginal admissions to palliative care centres. Over the last two decades only two models of palliative care focusing on and developed in Aboriginal communities have been implemented. The seminal contribution to Aboriginal Palliative Care was in the form of a resource kit developed to support palliative care providers to examine their practice for cultural appropriateness for Aboriginal and Torres Strait Islanders. The "living model" coming from this project is adaptive and flexible, enabling implementation in different Aboriginal country as a participative process with community input. The Australian government"s National Indigenous Palliative Care Needs Study similarly indicated that Australian empirical research on Aboriginal palliative care service provision is in its infancy, and comprehensive data on the rates of Aboriginal access to palliative care services did not exist. What literature does exist is drawn together in an argument for the development and need for culturally specific Aboriginal palliative care models, which are culturally appropriate, locally accessible and delivered in collaboration and partnership with Aboriginal controlled health services. This is essential because Aboriginal people are a minority cultural group who are disconnected from mainstream health service delivery, and have a sense of cultural isolation when accessing mainstream services. It is preferable that palliative care is delivered in a collaboration between Aboriginal Controlled Health Service and mainstream palliative care services to ensure a dignified end of life for the Aboriginal person. These collaborations and partnerships are fundamental to ensure that a critical mass of Aboriginal clinicians are trained and experienced in end of life care and palliation. Developing palliative care programs within Aboriginal communities and training Aboriginal Health Workers, promoted and developed in partnership with the Aboriginal community, are important strategies to enhance palliative care service provision. Further partnerships should be championed in this collaborative process, acknowledging a need for palliative care models that fit with Aboriginal peoples" community values, beliefs, cultural/ spiritual rituals, heritage and place.

Building audiences: Aboriginal and Torres Strait Islander arts

FOREWORDAs a culturally ambitious nation we are shaped by our cultural engagement and it is an important catalyst for critical discourse. It is vital that audiences and artists discuss their experiences, enabling us as a community to come together through engagement with diverse practice that challenges and entertains. This research has been undertaken in response to the Australia Council’s strategic vision for a nation where there are no borders to accessing Australian arts, and all Australians are able to experience and cherish Aboriginal and Torres Strait Islander arts and culture.Building Audiences provides an insight into the nature of existing Australian audiences and the broader public. It reveals how Australians engage with Aboriginal and Torres Strait Islander arts in the public sphere as audiences, highlighting that this engagement is part of a broader national dialogue about their relationship with and towards Indigenous Australia.

Aboriginal palliative care and mainstream services

The Aboriginal person's strong wish to die at home with family, surrounded by their 'country' and in their own community means effective palliative care services must be Aboriginal centred and focused.

Book review: An Appreciation of Difference: WEH Stanner and Aboriginal Australia, edited by Melinda Hinkson and Jeremy Beckett, xvii + 293 pp, Aboriginal Studies Press, Canberra, 2008, ISBN 9780855756604 (pbk), $39.95

An Appreciation of Difference: WEHStanner and Aboriginal Australia is a tribute nearly 30 years after his death to one of the lost esteemed anthropologists who worked in Indigenous Australian contexts. It is also a reflection on what Stanner achieved in his lifetime and what his work contributes to current Indigenous issues and Indigenous studies in Australia today.

Ubby's underdogs: a transformative vision of Australian community

In Black Words White Page (2004), his seminal study of Aboriginal cultural production in Australia, Adam Shoemaker notes that ‘when Oodgeroo Noonuccal’s first collection of poetry appeared in print in 1964, a new phase of cultural communication began in Australia’ (2004, p. 5). The ‘new phase’ to which Shoemaker refers pertains to the many plays, collections of poetry and novels by Aboriginal authors published between 1964 and 1988 and directed to Australian and international audiences. Flying under the radar of scholarly attention, Aboriginal authors and artists also produced significant numbers of children’s books during this time, including Wilf Reeves and Olga Miller’s The Legends of Moonie Jarl, published by Jacaranda Press in 1964 (see O’Conor 2007), Oodgeroo Noonuccal’s Stradbroke Dreamtime (1972), and the picture books of Dick Roughsey and many other Aboriginal authors and artists (see Bradford 2001, pp. 159-90).

FASD: From isolation to inclusion in Australian schools.

This research investigated pedagogical approaches required for the successful inclusion of children and young people living with Fetal Alcohol Spectrum Disorders. The research applied an Indigenist constructivist qualitative method working with one school community. The development of a National Framework for Achieving Inclusion for Australian Students with FASD demands urgent policy and support for educators to meet the complex learning needs of students with FASD.