Non-Governmental Organisations to Combine for Work on Chronic Disease in Aboriginal Peoples, Torres Strait Islanders and Rural and Remote Populations

2000 ◽  
Vol 8 (4) ◽  
pp. 239-242 ◽  
Author(s):  
Pat Field ◽  
Gordon Gregory
Keyword(s):  
Chronic Disease ◽  
Aboriginal Peoples ◽  
Rural And Remote ◽  
Torres Strait

The use of clozapine in a rural and remote region of Australia

2020 ◽  
pp. 103985622097527
Author(s):  
Bridson Tahnee ◽  
Abeysundera Hesitha ◽  
Arunachalam Arulmathy ◽  
Lam Anthea ◽  
Mora Linda ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Torres Strait Islander ◽  
Psychotic Disorders ◽  
Clinical Information ◽  
Antipsychotic Treatment ◽  
Rural And Remote ◽  
Access To Treatment ◽  
Regional Area ◽  
The Mean ◽  
Torres Strait

Objective: Clozapine is the most effective antipsychotic available for treatment-resistant schizophrenia. Unfortunately, it is often underutilised or administered late in the treatment course, if at all. This issue is further augmented in rural and remote regions where access to treatment is sparse. This study is the first of its kind to investigate the use of clozapine in a remote and regional area of Australia with a high proportion of Aboriginal and/or Torres Strait Islander individuals. Methods: This study includes all individuals who were commenced on clozapine between June 2013 and June 2018. Relevant clinical information was sourced from electronic medical records and descriptive statistical analysis performed. Results: A total of 3850 patients with psychotic disorders were reviewed over 5 years, of whom 63 were commenced on clozapine. The majority were male ( n = 50, 79.4%) with a mean age of 33.9 years (standard deviation 11.0). A total of 34.9% ( n = 22) identified as Aboriginal and/or Torres Strait Islander. The mean length of time between diagnosis and commencement of clozapine was 7.2 years (standard deviation ±4.6 years), while the mean number of antipsychotic medications tried prior to clozapine was 4.2 (standard deviation ±1.6 antipsychotics). Clozapine was discontinued in 57.1% of the individuals in this study (41% within the first 12 months). The most common cause for cessation was poor compliance ( n = 19, 30.2%). Conclusion: While clozapine remains the most effective antipsychotic treatment, it is often commenced late in the treatment or ceased prematurely. Further work is required, particularly in remote and regional populations, to ensure treatment adherence for optimal patient outcomes.

What's in a Name?: Exploring the Implications of Eurocentric (Re)naming Practices of Aboriginal and Torres Strait Islander Nomenclature in Australian Education Practices

2016 ◽  
Vol 45 (2) ◽  
pp. 181-190 ◽  
Author(s):  
Sara Weuffen ◽  
Fred Cahir ◽  
Margaret Zeegers
Keyword(s):  
Teaching And Learning ◽  
Torres Strait Islander ◽  
Aboriginal Peoples ◽  
Indigenous Australians ◽  
Australian Curriculum ◽  
Curriculum Assessment ◽  
Australian Education ◽  
History Of ◽  
Torres Strait ◽  
Naming Practices

The aim of this article is to provide teachers with knowledge of ways in which Eurocentric (re)naming practices inform contemporary pedagogical approaches, while providing understandings pertinent to the mandatory inclusion of the cross-curriculum priority area: Aboriginal and Torres Strait Islander histories and cultures (Australian Curriculum Assessment and Reporting Authority, 2015). While we have focused on Eurocentric naming practices, we have also been conscious of names used by Aboriginal peoples and Torres Strait Islanders to name themselves and others and as non-Indigenous Australians we acknowledge that it is not our place to explore these in detail, or offer alternatives. In this article, we have explored the history of nomenclature as it relates to original inhabitants, the connotations of contemporary (re)naming practices in Australian education and discussed the importance of drawing on cultural protocols and engaging local communities for teaching and learning of Aboriginal and Torres Strait Islander histories and cultures. It is anticipated that discussions arising from this article may open up spaces where teachers may think about ways in which they approach Aboriginal and Torres Strait Islander histories and cultures.

scholarly journals Resetting the Narrative in Australian Aboriginal and Torres Strait Islander Nutrition Research

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Annabelle Wilson ◽  
Roland Wilson ◽  
Robyn Delbridge ◽  
Emma Tonkin ◽  
Claire Palermo ◽  
...  
Keyword(s):  
Land Tenure ◽  
Food Systems ◽  
Torres Strait Islander ◽  
Production Systems ◽  
Well Being ◽  
Government Policies ◽  
Aboriginal Peoples ◽  
Australian Aboriginal ◽  
Nutrition Research ◽  
Torres Strait

ABSTRACT As the oldest continuous living civilizations in the world, Aboriginal and Torres Strait Islander peoples have strength, tenacity, and resilience. Initial colonization of the landscape included violent dispossession and removal of people from Country to expand European land tenure and production systems, loss of knowledge holders through frontier violence, and formal government policies of segregation and assimilation designed to destroy ontological relationships with Country and kin. The ongoing manifestations of colonialism continue to affect food systems and food knowledges of Aboriginal peoples, and have led to severe health inequities and disproportionate rates of nutrition-related health conditions. There is an urgent need to collaborate with Aboriginal and Torres Strait Islander peoples to address nutrition and its underlying determinants in a way that integrates Aboriginal and Torres Strait Islander peoples’ understandings of food and food systems, health, healing, and well-being. We use the existing literature to discuss current ways that Australian Aboriginal and Torres Strait Islander peoples are portrayed in the literature in relation to nutrition, identify knowledge gaps that require further research, and propose a new way forward.

Placing Torres Strait Islanders on a Sociolinguistic and Literate Continuum: A Critical Commentary

1991 ◽  
Vol 19 (3) ◽  
pp. 39-53 ◽  
Author(s):  
Martin Nakata
Keyword(s):  
Torres Strait Islander ◽  
Educational Achievement ◽  
Oral Traditions ◽  
Aboriginal Peoples ◽  
Critical Examination ◽  
Aboriginal Education ◽  
Torres Strait Islander People ◽  
Linguistic Differences ◽  
Critical Commentary ◽  
Torres Strait

Much of the literature on Torres Strait Islander, as well of Aboriginal, education begins from the assumption that oral traditions and cultures have a profound effect on educational achievement. But how easy is it to plot Islanders on an oral/literate continuum (cf. Goody, 1978)? The purpose of this paper is a critical examination of a sociolinguistic model designed to describe Torres Strait Islander and Aboriginal peoples in terms of oracy and literacy by Watson (1988). As part of her attempt to explain mathematics education as it relates to Aboriginal and Torres Strait Islander people, her continua attempt at an analysis via a theoretical framework built on socio-demographic and linguistic differences between orate and literate traditions. Watson (1988, p.257) suggest that, “...there exists the same type of continuum linking use of Torres Strait Islander languages and English.”

Cancer outcomes for Aboriginal and Torres Strait Islander Australians in rural and remote areas

2015 ◽  
Vol 23 (1) ◽  
pp. 4-18 ◽  
Author(s):  
Abbey Diaz ◽  
Lisa J. Whop ◽  
Patricia C. Valery ◽  
Suzanne P. Moore ◽  
Joan Cunningham ◽  
...  
Keyword(s):  
Torres Strait Islander ◽  
Cancer Outcomes ◽  
Rural And Remote ◽  
Remote Areas ◽  
Rural And Remote Areas ◽  
Torres Strait

scholarly journals Understanding practitioner professionalism in Aboriginal and Torres Strait Islander health: lessons from student and registrar placements at an urban Aboriginal and Torres Strait Islander primary healthcare service

2017 ◽  
Vol 23 (5) ◽  
pp. 446 ◽  
Author(s):  
Deborah A. Askew ◽  
Vivian J. Lyall ◽  
Shaun C. Ewen ◽  
David Paul ◽  
Melissa Wheeler
Keyword(s):  
Health Care ◽  
Primary Healthcare ◽  
Healthcare Service ◽  
Torres Strait Islander ◽  
Medical Curriculum ◽  
Aboriginal Health ◽  
Aboriginal Peoples ◽  
Medical Professionalism ◽  
Clinical Placements ◽  
Torres Strait

Aboriginal and Torres Strait Islander peoples continue to be pathologised in medical curriculum, leaving graduates feeling unequipped to effectively work cross-culturally. These factors create barriers to culturally safe health care for Aboriginal and Torres Strait Islander peoples. In this pilot pre-post study, the learning experiences of seven medical students and four medical registrars undertaking clinical placements at an urban Aboriginal and Torres Strait Islander primary healthcare service in 2014 were followed. Through analysis and comparison of pre- and post-placement responses to a paper-based case study of a fictitious Aboriginal patient, four learning principles for medical professionalism were identified: student exposure to nuanced, complex and positive representations of Aboriginal peoples; positive practitioner role modelling; interpersonal skills that build trust and minimise patient–practitioner relational power imbalances; and knowledge, understanding and skills for providing patient-centred, holistic care. Though not exhaustive, these principles can increase the capacity of practitioners to foster culturally safe and optimal health care for Aboriginal peoples. Furthermore, competence and effectiveness in Aboriginal health care is an essential component of medical professionalism.

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