scholarly journals Culturally competent communication in Indigenous disability assessment: a qualitative study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Angeline Ferdinand ◽  
Libby Massey ◽  
Jennifer Cullen ◽  
Jeromey Temple ◽  
Kristy Meiselbach ◽  
...  
Keyword(s):  
Cultural Competence ◽  
Indigenous People ◽  
Torres Strait Islander ◽  
Service Providers ◽  
Indigenous Communities ◽  
Disability Assessment ◽  
Culturally Competent ◽  
Torres Strait ◽  
Participant Understanding

Abstract Background Indigenous people tend to exhibit a higher burden of disability than their non-Indigenous counterparts, and are often underserved by disability services. Engaging appropriately with Indigenous communities, families and individuals in the initial stages of disability assessment and planning is crucial in order to build trust and understanding of disability service models and ensure that Indigenous people receive support that is tailored to their needs and cultural realities. This article aims to identify key elements of culturally competent communication in Indigenous disability assessment and planning, and provide recommendations for strengthening capacity in this area. Methods This qualitative research was designed to involve Aboriginal and Torres Strait Islander people at all stages and to reflect the views of Aboriginal and Torres Strait Islander researchers, people and families affected by disability and the community-controlled health sector. Semi-structured individual interviews were undertaken with staff implementing the National Disability Insurance Scheme (NDIS) (n = 4), NDIS participants (n = 24), disability support providers and organisational partners (n = 19) and Community Connectors (n = 8) in Queensland and the Northern Territory of Australia. Key themes derived from thematic analysis included appropriate and adequate engagement of individuals with disability and their families, the role of trusted relationships, and culturally safe and appropriate communication during planning meetings. Results Overall, the research findings highlight that a low level of cultural competence in the initial stages of the disability assessment and planning process exacerbated participant confusion and distrust towards assessment staff and the NDIS. Given difficulties in communication, participant understanding of the NDIS was generally limited. The necessity of culturally safe and appropriate use of interpreters was stressed, as was the role of trusted individuals, including existing service providers, Community Connectors and family members in providing a solid base for participant understanding of the NDIS. Conclusions Cultural competence in disability assessment and planning can be strengthened through multi-level engagement with the Aboriginal community-controlled sector and community leaders. Implementing mechanisms to enable the involvement of families, trusted service providers and Community Connectors can support a more meaningful understanding of individuals’ needs within their cultural context and in relation to their cultural roles.

scholarly journals Developing Culturally Competent Data Publication Resources

1970 ◽  
Vol 14 (1) ◽  
pp. 168-179
Author(s):  
Ryan Stoker ◽  
Gene Melzack ◽  
Jennifer McLean
Keyword(s):  
Cultural Competence ◽  
Torres Strait Islander ◽  
Research Output ◽  
Culturally Competent ◽  
Sensitive Data ◽  
Data Publication ◽  
Digital Curation ◽  
Restricted Form ◽  
Torres Strait ◽  
The University

It is increasingly common for researchers to publish their datasets in open, mediated, or restricted form as a research output. The process of publishing data is complex and there are few guides that are practical or easy to understand. To bridge this gap, the Digital Curation and Data team at the University of Sydney Library initiated a project to develop applied data publication resources. To reflect current University and Library strategies, the team expanded the project to include a cultural competence review of each newly developed resource in order to reflect on the cultural biases that had gone into its creation and the ways in which the resource might appear through alternative cultural lenses, initially focusing on the data publication needs for research relating to Aboriginal and Torres Strait Islander peoples. It may be especially challenging for researchers who are working with culturally sensitive data to find resources that are easy to use and relevant. One initial goal of this project is to ensure that researchers, students and staff can support the ethical and culturally appropriate publication of data relating to Aboriginal and Torres Strait Islander peoples, communities, and knowledges. The team reviewed prototyped resources with researchers who conduct research with Aboriginal and Torres Strait Islander peoples to assess their usefulness and identify gaps. Resources are now being updated to reflect feedback, and additional resources will also be created. The intention is to continue to integrate cultural competence into the University of Sydney’s data curation and publication services and to expand this process to include wider cultural perspectives.  

Aboriginal and Torres Strait Islander Health — Current Policy Issues

1998 ◽  
Vol 26 (1) ◽  
pp. 18-24
Keyword(s):  
Indigenous People ◽  
Torres Strait Islander ◽  
Health Problems ◽  
Australian Bureau ◽  
Government Policies ◽  
Current Policy ◽  
Policy Issues ◽  
Torres Strait ◽  
Australian Bureau Of Statistics ◽  
Torres Strait Islander Health

This article addresses Aboriginal and Torres Strait Islander health problems and critically investigates current government policies which are attempting to raise the health standards of these Indigenous people. Particular emphasis will be placed on the Queensland Aboriginal and Torres Strait Islander population, which, according to the Australian Bureau of Statistics census in 1986, stood at just over 61,000 or 2.4 per cent of the State's population.

scholarly journals Us Mob Online: The Perils of Identifying as Indigenous on Social Media

Genealogy ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 52
Author(s):  
Bronwyn Carlson ◽  
Tristan Kennedy
Keyword(s):  
Social Media ◽  
Indigenous People ◽  
Indigenous Peoples ◽  
Mixed Methods Research ◽  
Indigenous Communities ◽  
Digital Environment ◽  
Collective Identities ◽  
Social Media Platforms ◽  
Insight Into

Social media is a highly valuable site for Indigenous people to express their identities and to engage with other Indigenous people, events, conversations, and debates. While the role of social media for Indigenous peoples is highly valued for public articulations of identity, it is not without peril. Drawing on the authors’ recent mixed-methods research in Australian Indigenous communities, this paper presents an insight into Indigenous peoples’ experiences of cultivating individual and collective identities on social media platforms. The findings suggest that Indigenous peoples are well aware of the intricacies of navigating a digital environment that exhibits persistent colonial attempts at the subjugation of Indigenous identities. We conclude that, while social media remains perilous, Indigenous people are harnessing online platforms for their own ends, for the reinforcement of selfhood, for identifying and being identified and, as a vehicle for humour and subversion.

Community midwifery: a primary health care approach to care during pregnancy for Aboriginal and Torres Strait Islander women

2021 ◽  
Vol 27 (1) ◽  
pp. 57
Author(s):  
Ailsa Munns
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Torres Strait Islander ◽  
Service Providers ◽  
Early Years ◽  
Health Staff ◽  
Liaison Officer ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Torres Strait

Comprehensive primary health care is integral to meaningful client-centred care, with nurses and midwives central to partnership approaches with individuals, families and communities. A primary health model of antenatal care is needed for Aboriginal and Torres Strait Islander women in rural and remote areas, where complex social determinants of health impact on pregnancy outcomes, early years and lifelong health. Staff experiences from a community midwifery-led antenatal program in a remote Western Australian setting were explored, with the aim of investigating program impacts from health service providers’ perspectives. Interviews with 19 providers, including community midwives, child health nurses, program managers, a liaison officer, doctors and community agency staff, examined elements comprising a culturally safe community antenatal program for Aboriginal and Torres Strait Islander women, exploring program benefits and challenges. Thematic analysis derived five themes: Organisational and Accessibility Factors; Culturally Appropriate Support; Staff Availability and Competencies; Collaboration; and Sustainability. The ability of program staff to work in culturally safe partnerships with clients in collaboration with community agencies was essential to building meaningful and sustainable antenatal strategies. Midwifery primary health care competencies were viewed as a strong enabling factor, with potential to reduce health disparities in accordance with Australian Government and research recommendations.

scholarly journals Indigenous Australians with autism: A scoping review

Autism ◽  
2020 ◽  
Vol 24 (5) ◽  
pp. 1031-1046 ◽  
Author(s):  
Benjamin Bailey ◽  
Joanne Arciuli
Keyword(s):  
Autism Spectrum Disorder ◽  
Support Services ◽  
Torres Strait Islander ◽  
Service Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Indigenous Australians ◽  
Torres Strait Islander People ◽  
Provider Perspectives ◽  
Torres Strait

Aboriginal and Torres Strait Islander people with autism spectrum disorder, used interchangeably with the term autism, are among the most marginalised people in Australian society. This review maps out existing and emerging themes in the research involving Indigenous Australians with autism based on a search of the peer-reviewed and grey literature. Our search identified 1457 potentially relevant publications. Of these, 19 publications met our inclusion criteria and focused on autism spectrum disorder diagnosis and prevalence, as well as carer and service provider perspectives on autism, and autism support services for Indigenous Australians. We were able to access 17 publications: 12 journal articles, 3 conference presentations, 1 resource booklet and 1 dissertation. Findings suggest similar prevalence rates for autism among Indigenous and non-Indigenous Australians, although some Aboriginal and Torres Strait Islander people with autism may not receive a diagnosis or may be misdiagnosed. Research on the perspectives of Aboriginal and Torres Strait Islander carers and Indigenous and non-Indigenous service providers is discussed in relation to Indigenous perspectives on autism, as well as barriers and strategies to improve access to diagnosis and support services. Although not the focus of our review, we briefly mention studies of Indigenous people with autism in countries other than Australia. Lay Abstract Aboriginal and Torres Strait Islander people with developmental disabilities such as autism are among the most marginalised people in Australian society. We reviewed research involving Indigenous Australians with autism based on a search of the peer-reviewed and grey literature. Our search identified 1457 potentially relevant publications. Of these, 19 publications were in line with our main areas of inquiry: autism spectrum disorder diagnosis and prevalence, carer and service provider perspectives on autism, and autism support services. These included 12 journal publications, 3 conference presentations, 1 resource booklet and 1 thesis dissertation. Findings suggest similar prevalence rates for autism among Indigenous and non-Indigenous Australians, although some Aboriginal and Torres Strait Islander people with autism may not receive a diagnosis or may be misdiagnosed. We also discuss research on the perspectives of Aboriginal and Torres Strait Islander carers and Indigenous and non-Indigenous service providers, as well as barriers and strategies for improving access to diagnosis and support services.

scholarly journals Editorial

2015 ◽  
Vol 44 (1) ◽  
pp. iii-iv
Keyword(s):  
Torres Strait Islander ◽  
Indigenous Education ◽  
Indigenous Communities ◽  
Australian Journal ◽  
Research Groups ◽  
Research Journal ◽  
Torres Strait

The challenge for any research journal today is how to continue to make the work we publish relevant, contemporary and innovative for the research groups, educational organisations, and Indigenous communities locally and globally that we serve. At the same time, we recognise it is important for us to continue our work in The Australian Journal of Indigenous Education within the critical pedagogical agenda in which it began; that is, the empowerment of Aboriginal and Torres Strait Islander peoples through education, combined with a concern to critique and challenge the national and international colonial contexts in which Indigenous education is positioned today.

What constitutes ‘support’ for the role of the Aboriginal and Torres Strait Islander child health workforce?

2013 ◽  
Vol 37 (1) ◽  
pp. 112 ◽  
Author(s):  
Karen Watson ◽  
Jeanine Young ◽  
Margaret Barnes
Keyword(s):  
Child Health ◽  
Health Services ◽  
Cultural Awareness ◽  
Torres Strait Islander ◽  
Health Workers ◽  
Overall Acceptability ◽  
Torres Strait ◽  
Use Of Health Services ◽  
Torres Strait Islander Health

As well as providing primary health care services, Aboriginal and Torres Strait Islander health workers are known to significantly contribute to the overall acceptability, access and use of health services through their role of cultural brokerage in the communities within which they work. As such they are uniquely positioned to positively influence health improvements for this vulnerable population. This study sought to identify key areas that both Aboriginal and Torres Strait Islander and non-Indigenous health professionals working within Indigenous communities felt were important in providing support for their roles. This group of workers require support within their roles particularly in relation to cultural awareness and capability, resource provision, educational opportunities, collaboration with colleagues and peers, and professional mentorship. What is known about the topic? Aboriginal and Torres Strait Islander health workers are known to significantly contribute to the overall acceptability, access and use of health services in the communities within which they work. As such they are uniquely positioned to positively influence health improvements for this population. What does this paper add? Through consultation with a sample of Indigenous child health workers and child health workers key areas necessary to provide support for the individuals working in these roles have been identified. What are the implications for practitioners? The findings from this study will inform policy and program development in order to more comprehensively support health workers in the community and contribute towards workforce development and satisfaction, recruitment and retention.

Rethinking cultural competence: Insights from indigenous community treatment settings

2011 ◽  
Vol 49 (2) ◽  
pp. 206-222 ◽  
Author(s):  
Dennis C. Wendt ◽  
Joseph P. Gone
Keyword(s):  
Cultural Competence ◽  
Indigenous Communities ◽  
Community Treatment ◽  
Culturally Competent ◽  
Therapeutic Interaction ◽  
Psychotherapeutic Interventions ◽  
Cultural Orientations ◽  
Mental Health Interventions ◽  
Political Commitments ◽  
Professional Psychologists

Multicultural professional psychologists routinely assert that psychotherapeutic interventions require culturally competent delivery for ethnoracial minority clients to protect the distinctive cultural orientations of these clients. Dominant disciplinary conceptualizations of cultural competence are “kind of person” models that emphasize specialized awareness, knowledge, and skills on the part of the practitioner. Even within psychology, this approach to cultural competence is controversial owing to professional misgivings concerning its culturally essentialist assumptions. Unfortunately, alternative “process-oriented” models of cultural competence emphasize such generic aspects of therapeutic interaction that they remain in danger of losing sight of culture altogether. Thus, for cultural competence to persist as a meaningful construct, an alternative approach that avoids both essentialism and generalism must be recovered. One means to capture this alternative is to shift focus away from culturally competent therapists toward culturally commensurate therapies. Indigenous communities in North America represent interesting sites for exploring this shift, owing to widespread political commitments to Aboriginal cultural reclamation in the context of postcoloniality. Two examples from indigenous communities illustrate a continuum of cultural commensurability that ranges from global psychotherapeutic approaches at one end to local healing traditions at the other. Location of culturally integrative efforts by indigenous communities along this continuum illustrates the possibility for local, agentic, and intentional deconstructions and reconstructions of mental health interventions in a culturally hybrid fashion.

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