‘We Can Do This’: a web-based therapeutic program for reducing methamphetamine use and increasing help-seeking amongst Aboriginal and Torres Strait Islander people: Wait-list control, randomised trial protocol (Preprint)

2019 ◽  
Author(s):  
Rachel Reilly ◽  
Rebecca McKetin ◽  
Handan Wand ◽  
Julia Butt ◽  
Matthew Smout ◽  
...  
Keyword(s):  
Health Services ◽  
Help Seeking ◽  
Torres Strait Islander ◽  
Aboriginal People ◽  
Randomised Trial ◽  
Wait List ◽  
Web Based ◽  
Methamphetamine Use ◽  
Therapeutic Program ◽  
Torres Strait

BACKGROUND Methamphetamine use is of deep concern to Aboriginal and Torres Strait Islander communities, but access to culturally appropriate treatment resources and services is limited. Web-based programs have potential as flexible and cost-effective additions to the range of treatment options available to Aboriginal people. The We Can Do This web-based therapeutic program (WBTP) is designed to incorporate evidence-based therapies in a culturally-relevant format using narratives from Aboriginal people to contextualise the therapeutic content. OBJECTIVE The effectiveness of the WBTP will be tested in a wait-list control, randomised trial across multiple sites in urban, regional and remote locations. METHODS Recruitment will commence in May 2019, and results are expected in early 2021. RESULTS Participants will be Aboriginal and Torres Strait Islander people aged 16 or over who have used methamphetamine at least weekly for the previous three months. They will be recruited online and via health services. During the intervention phase, participants will have access to the WBTP for six weeks with optional telephone or face-to-face support provided by participating health services. The primary outcome measure will be the number of days the participant used methamphetamine over the past four weeks compared to wait-list controls, assessed at baseline, one, two and three months. Secondary outcomes will include help-seeking, readiness to change, severity of dependence and psychological distress. CONCLUSIONS The trial of this WBTP builds on existing research supporting the effectiveness of web-based therapies for a range of psychological and other health-related issues including substance use. If successful, the ‘We Can Do this’ WBTP will increase the range of options available to Aboriginal people seeking to reduce or stop methamphetamine use. It may provide a pathway into treatment for people who may otherwise be disengaged with health services for a range of reasons, and will be a culturally-appropriate, evidence-based resource for health practitioners to offer their clients. CLINICALTRIAL The trial is registered with the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12619000134123p.

The Centre of Clinical Research Excellence in Aboriginal and Torres Strait Islander Health: An Operational Rationale and Some Reflections on Progress so far

2006 ◽  
Vol 12 (2) ◽  
pp. 97 ◽  
Author(s):  
Glenn Giles ◽  
Merridy Malin ◽  
Peter Harvey
Keyword(s):  
Health Services ◽  
Clinical Research ◽  
Indigenous People ◽  
Torres Strait Islander ◽  
Aboriginal People ◽  
Aboriginal Health ◽  
Health Council ◽  
Torres Strait ◽  
Research Excellence ◽  
Torres Strait Islander Health

The Centre of Clinical Research Excellence (CCRE) in Aboriginal and Torres Strait Islander Health was established in late 2003 through a major National Health and Medical Research Council (NHMRC) grant involving collaboration between the Aboriginal Health Council of South Australia (AHCSA), Flinders University, and Aboriginal Health Services. Our foundation research communities are the Aboriginal communities served by these Aboriginal Health Services in the Spencer Gulf / Eyre Peninsula region. In recent years a number of collaborative research programs involving chronic illness management, self-management and coordinated care have been implemented in these communities and this work is the basis of the initial CCRE activities. Key objectives of the CCRE are to improve the health status of Indigenous people through conducting relevant and meaningful Aboriginal controlled health research, providing formal training for Indigenous health researchers and developing innovative approaches to health care that can be readily translated and applied to support communities. The inclusion, empowerment and engagement of Indigenous people in the process of managing community health represent tangible strategies for achieving more equitable health outcomes for Aboriginal people. This paper outlines the CCRE operational rationale and presents early activities and outcomes across the three strategic areas of CCRE operations: research, education and training, and translation. Some critical reflections are offered on the progress and experience of the CCRE thus far. A common obstacle this CCRE has encountered is that the limited (especially staff) resources available to the Aboriginal Health Services with which we are collaborating make it difficult for them to engage with and progress the projects we are pursuing.

scholarly journals Experiences and views of a brokerage model for primary care for Aboriginal people

2015 ◽  
Vol 39 (1) ◽  
pp. 26 ◽  
Author(s):  
Sarah Dennis ◽  
Iqbal Hasan ◽  
Lisa Jackson Pulver ◽  
Ian Wilson ◽  
Nicholas Zwar
Keyword(s):  
Health Care ◽  
Health Services ◽  
Access To Health Care ◽  
Torres Strait Islander ◽  
Aboriginal People ◽  
Health Workers ◽  
Urban Setting ◽  
Structured Interviews ◽  
Torres Strait ◽  
Brokerage Service

Objective A mixed methods study was conducted to determine the views of Aboriginal people on their experiences of a brokerage model for access to community-based health services in an urban setting. Methods A broad range of approaches, using surveys, semi-structured interviews and community forums with Aboriginal people were used to find out people’s views and experiences of using the brokerage service. Results Of the 1304 people invited to participate, only 127 people provided feedback on the brokerage service model for Aboriginal people. Of these, 120 people identified as being Aboriginal. Participants said that the service helped them to navigate the system and access health care. Participants felt that the health professionals involved with the service were respectful of their needs. The service was not able to improve access to dental care. Conclusions The brokerage model implemented in this area appears to have been well received and is supporting urban Aboriginal people to access some of the health care needed. What is known about the topic? Aboriginal and Torres Strait Islander people often experience difficulty accessing health services. Urban brokerage models of care were funded by the Office for Aboriginal and Torres Strait Islander Health (OATSIH) under the Improving Indigenous Access to Health Care Services initiative and aimed to increase access to mainstream health services. What does this paper add? The brokerage model of care in South West Sydney has been well-received by the Aboriginal people receiving the service and participants are positive about the role of the service in increasing access to mainstream health care. What are the implications for practitioners? Navigating the healthcare system is difficult for some and a brokerage service with supportive Aboriginal health workers increases access.

Considering the Impact of Social Media on Contemporary Improvement of Australian Aboriginal Health: Scoping Review (Preprint)

2018 ◽  
Author(s):  
Troy Walker ◽  
Claire Palermo ◽  
Karen Klassen
Keyword(s):  
Social Media ◽  
Scoping Review ◽  
Torres Strait Islander ◽  
Aboriginal People ◽  
Aboriginal Health ◽  
Health Messages ◽  
Community Control ◽  
Torres Strait Islander People ◽  
Australian Aboriginal ◽  
Torres Strait

BACKGROUND Social media may have a significant role in influencing the present and future health implications among Australian Aboriginal and Torres Strait Islander people, yet there has been no review of the role of social media in improving health. OBJECTIVE This study aims to examine the extent of health initiatives using social media that aimed to improve the health of Australian Aboriginal communities. METHODS A scoping review was conducted by systematically searching databases CINAHL Plus; PubMed; Scopus; Web of Science, and Ovid MEDLINE in June 2017 using the terms and their synonyms “Aboriginal” and “Social media.” In addition, reference lists of included studies and the Indigenous HealthInfonet gray literature were searched. Key information about the social media intervention and its impacts on health were extracted and data synthesized using narrative summaries. RESULTS Five papers met inclusion criteria. All included studies were published in the past 5 years and involved urban, rural, and remote Aboriginal or Torres Strait Islander people aged 12-60 years. No studies reported objective impacts on health. Three papers found that social media provided greater space for sharing health messages in a 2-way exchange. The negative portrayal of Aboriginal people and negative health impacts of social media were described in 2 papers. CONCLUSIONS Social media may be a useful strategy to provide health messages and sharing of content among Aboriginal people, but objective impacts on health remain unknown. More research is necessary on social media as a way to connect, communicate, and improve Aboriginal health with particular emphasis on community control, self-empowerment, and decolonization.

scholarly journals A scoping review about social and emotional wellbeing programs and services targeting Aboriginal and Torres Strait Islander young people in Australia: understanding the principles guiding promising practice

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Himanshu Gupta ◽  
Noemi Tari-Keresztes ◽  
Donna Stephens ◽  
James A. Smith ◽  
Emrhan Sultan ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Torres Strait Islander ◽  
Aboriginal People ◽  
Program Planning ◽  
Promising Practices ◽  
Emotional Wellbeing ◽  
Social And Emotional ◽  
Torres Strait ◽  
Social And Emotional Wellbeing

Abstract Background Multiple culturally-oriented programs, services, and frameworks have emerged in recent decades to support the social and emotional wellbeing (SEWB) of Aboriginal and Torres Strait Islander (Aboriginal) people in Australia. Although there are some common elements, principles, and methods, few attempts have been made to integrate them into a set of guidelines for policy and practice settings. This review aims to identify key practices adopted by programs and services that align with the principles of the National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017–2023. Methods A comprehensive review of electronic databases and organisational websites was conducted to retrieve studies of relevance. Twenty-seven publications were included in the review. Next, we identified promising practices through a collaborative review process. We then used the principles articulated in the above-mentioned framework as the basis to complete a framework analysis. This enabled us to explore the alignment between current scholarship about SEWB programs and services with respect to the principles of the framework. Results We found there was a strong alignment, with selected principles being effectively incorporated into most SEWB program and service delivery contexts. However, only one study incorporated all nine principles, using them as conceptual framework. Additionally, ‘capacity building’, ‘individual skill development’, and ‘development of maladaptive coping mechanisms’ were identified as common factors in SEWB program planning and delivery for Aboriginal people. Conclusion We argue the selective application of nationally agreed principles in SEWB programs and services, alongside a paucity of scholarship relating to promising practices in young people-oriented SEWB programs and services, are two areas that need the urgent attention of commissioners and service providers tasked with funding, planning, and implementing SEWB programs and services for Aboriginal people. Embedding robust participatory action research and evaluation approaches into the design of such services and programs will help to build the necessary evidence-base to achieve improved SEWB health outcomes among Aboriginal people, particularly young people with severe and complex mental health needs.

scholarly journals Poverty and mental health in Aboriginal Australia

1999 ◽  
Vol 23 (6) ◽  
pp. 364-366 ◽  
Author(s):  
Jonathan Laugharne
Keyword(s):  
Mental Health ◽  
Respiratory Diseases ◽  
Torres Strait Islander ◽  
Aboriginal People ◽  
Central Africa ◽  
Aboriginal Health ◽  
Aboriginal Australians ◽  
Death Rates ◽  
The World ◽  
Torres Strait

When the Australian Governor General, Sir William Deane, referred in a speech in 1996 to the “appalling problems relating to Aboriginal health” he was not exaggerating. The Australia Bureau of Statistics report on The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples (McLennan & Madden, 1997) outlines the following statistics. The life expectancy for Aboriginal Australians is 15 to 20 years lower than for non-Aboriginal Australians, and is lower than for most countries of the world with the exception of central Africa and India. Aboriginal babies are two to three times more likely to be of lower birth weight and two to four times more likely to die at birth than non-Aboriginal babies. Hospitalisation rates are two to three times higher for Aboriginal than non-Aboriginal Australians. Death rates from infectious diseases are 15 times higher among Aboriginal Australians than non-Aboriginal Australians. Rates for heart disease, diabetes, injury and respiratory diseases are also all higher among Aboriginals – and so the list goes on. It is fair to say that Aboriginal people have higher rates for almost every type of illness for which statistics are currently recorded.

Exploring Leave Events for Aboriginal and Torres Strait Islander People From Australian Tertiary Services: A Systematic Literature Review

2020 ◽  
Author(s):  
Julieann Coombes ◽  
Syazlin Sazali ◽  
Tamara Mackean ◽  
Margaret Banks ◽  
Nilva Egana ◽  
...  
Keyword(s):  
Health Services ◽  
Torres Strait Islander ◽  
Primary Objective ◽  
Google Scholar ◽  
Evidence Based ◽  
Torres Strait Islander People ◽  
Policy Document ◽  
Manual Search ◽  
Preventative Measures ◽  
Torres Strait

Abstract Objective The primary objective of this systematic review was to identify contributing causes to leave events from health services for Australian patients. The second objective was to identify evidence based preventative measures for effectively reducing leave events, which could be implemented. Study design Articles published in Australia were included if they reported on Aboriginal and/or Torres Strait Islander people and other Australians who leave health services prior to being seen or discharged by a medical professional. Two researchers screened each abstract and independently reviewed full text articles. Study quality was assessed, and data were extracted with standardised tools.Data sources MEDLINE and Google Scholar were searched for relevant publications from May 27th to June 30th, 2020. The search returned 30 relevant records. Nine additional records were identified by manual search in Google Scholar. References of included articles were searched. From these articles, 11 met the inclusion criteria. Of these 5 were from New South Wales, 2 from Western Australia, 1 each from Queensland and Northern Territory, two were conducted nationally. Data synthesis Four studies used a retrospective cohort method, one included patient interviews,(1) Four cohort studies and two systematic reviews were included. Two government reports and one health policy document were included in this review. All studies were from Australia using mixed methods.Conclusions This review identified causes for, and evidence based preventative measures that have been or could be implemented to reduce Leave Events and describes additional terms and definitions used for Leave Events.

The Planets in Aboriginal Australia

2019 ◽  
Author(s):  
Duane W. Hamacher ◽  
Kirsten Banks
Keyword(s):  
Torres Strait Islander ◽  
Aboriginal People ◽  
Indigenous Australians ◽  
The Sun ◽  
Zodiacal Light ◽  
Retrograde Motion ◽  
Synodic Period ◽  
Relative Brightness ◽  
Torres Strait ◽  
Evening Star

Studies in Australian Indigenous astronomical knowledge reveal few accounts of the visible planets in the sky. However, what information we do have tells us that Aboriginal people are close observers of planets and their motions and properties. Indigenous Australians discerned between planets and stars by their placement in the sky and their general lack of scintillation. Traditions generally describe the ecliptic and zodiac as a pathway of sky ancestors represented by the sun, moon, and planets. This included observing the occasional backwards motion of sky ancestors as they communicate with each other during their journey across the sky, representing an explanation of retrograde motion. Aboriginal and Torres Strait Islander people note the relative brightness of the planets over time and information about the roles they play in their traditions around Australia. Knowledge systems outline the importance placed on Venus as the morning and evening star, making connections to the object as it transitions form one to the other through observations and calculation of the planet’s synodic period. Traditions note the relative positions of the planets to the moon, sun, and background stars, as well as inter planetary dust through zodiacal light, which is perceived as a celestial rope connecting Venus to the sun. The relative dearth of descriptions of planets in Aboriginal traditions may be due to the gross incompleteness of recorded astronomical traditions and of ethnographic bias and misidentification in the anthropological record. Ethnographic fieldwork with Aboriginal and Torres Strait Islander communities is revealing new, previously unrecorded knowledge about the planets and their related phenomena.

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