aboriginal belief on health
Poor health for Aboriginal and Torres Strait Islander people is more than just physical illness; it is a manifestation of spiritual and emotional alienation from land, family and culture
cortex of aboriginal health
There is a clear relationship between the social disadvantages experienced by Aboriginal people and Torres Strait Islander people and their current health status
health issues in aboriginal community
Aboriginal and Torres Strait Islander people in Australia have a higher mortality, higher infant mortality, greater rate of hospitalisation, higher burden of disease, higher levels of trauma and grief and more social disadvantage than any other Australians
what causes aboriginal health issues
poverty and powerlessness, are reflected in measures of education, employment, and income
whats NACCHO
is the national peak body representing over 150 Aboriginal community controlled health services across the country on aboriginal health and wellbeing issues.
whats VACCHO
is Victorias peak representative Aboriginal health body.
VACCHO is a centre of expertise, policy advice, training, innovation and leadership in Aboriginal health
VACCHO advocates for the health equality and optimum health of all Aboriginal people in Victoria.
whats ACCHO
is an aboriginal community controlled health organisation is a primary health care service initiated and operated by the local Aboriginal community.
Delivers holistic, comprehensive and culturally appropriate health care to the community.
history of aboriginal community controlled health organisations
The first Aboriginal Community Controlled Health Organisation was established in Redfern, Sydney in 1971
Followed by the Victorian Aboriginal Health Service, Fitzroy
Over the next 30 years more than 30 Aboriginal community controlled health services were established in Victoria
whats aboriginal health workers
aboriginal people working within holestic primary health care as determined by their local community.
-work collaboratively with multidisciplinary health teams to achieve better outcomes for aboriginal peopled community
key role facilitating relationships between aboriginal patients and other health professionals in oder to provide care that meets the physical, emotional, social and cultural needs of the patient
what do pharmaceutical society of Australia recommend when communicating with aboriginals
- Exhibit qualities of respect, reciprocity, equality and integrity
- Avoid being judgmental and/or making assumptions
- Be culturally responsive
- Communicate effectively – use direct and indirect methods
- Respect diversity
- Invest in positive relationships
whats person entered care for aboriginal patients
treat your Aboriginal patients as you would your family, with respect and understanding
aboriginal community controlled services
most successful type of health service Department of health and aged care, approach about how we do it, how we approach health has a greater impact the what we do.
accessing appropriate safe care
- Getting patients to see the right health professionals at the right time
- hard to get patients to travel from homes, towns or camps. Tele health, transport and outreach services help with this.
- home visiting is valueless - Getting patients to feel comfortable.
- closer to community feels more safe. - Linking patients wiht Indigenous specific programs.
Effective communication in indigenous health care
patient is the expert in the room
- establish trust and support
- allow patients to open up to you
- clients are the experts
- reflective thinking
- therapeutic relationship with the service
- signposting
- open ended questions
- understand family dynamics and kinship roles.
12 principles for working effectively with Australian indigenous people
- Stand back, be quiet, listen, hear and wait
- Get to know the local community
- Be respectful at all times
- Find a local cultural mentor for advice and guidance
- Have an open heart
- Don’t assume you know because you are experienced
- Communication in practice is king
- Don’t participate in racist behaviour
- Learn to laugh at yourself and with others at you
- The health status
- Community control
- Be cognisant of cycle by staffing
whats the spiral affect
start off broad and then try and get into the more specific.
whats clinical yarning
is a patient centred approach that joins Aboriginal cultural communication preferences with biomedical understandings of health and disease.
whats the three areas of clinical yarning in order
social yarn
diagnostic yarn
management yarn
whats social yarn
practitioner aims to find a common ground and develop interpersonal relationship.
-Asking about families and whats important to them.
whats diagnostic yarn
practitioner facilitates the patient health story while interpreting through biomedical or scientific lens.
- finding out about their health.
- open ended questions, allow for time to hear responses, don’t use leading questions.
whats management yarn
employs stories and metaphors as tools for patients to help them understand a health issue.
- explain in terms they will understand and relate to.
- common plan with patient
factors of cultural safety
- no judgement
- no threat
- patient perspective
- not to challenge their identity/who they are
- respect and sensitivity
- full acceptance
- respecting diversity
factors of cultural respect
recognition of culture/different cultures
- health professional perspective
- providing competent and skilled care
