The First National Link-Up Conference – the success of Indigenous family tracing and reunion

The inaugural National Link-Up Conference was held 18-20 March 2003 in Fremantle, Western Australia. The conference focused on the Link-Up services established or enhanced as part of the implementation of recommendations from the Bringing them home report (view report).

The Link-Up network facilitates tracing and reuniting Aboriginal and Torres Strait Islander family members. The conference highlighted Link-Up’s achievements, including the successful reunion of more than 600 Aboriginal and Torres Strait Islanders including some from as far away as the United States, Netherlands and the United Kingdom.

Commonwealth Government funding for Link-Up services was allocated to the Aboriginal and Torres Strait Islander Commission (ATSIC) over a four year period from 1998/99 to 2001/02 with allocation of further funds to 2006.

The conference also showcased the innovative Building Solid Families (BSF) program and included presentations by BSF participants. Over the last financial year the program facilitated 59 reunions, case managed 87 individual cases, conducted 392 general counselling sessions, developed 438 care plans, provided general guidance and support to 975 individuals and provided over 3,000 people with information. The BSF program, initiated by the Western Australia Department of Health and ATSIC, has been widely recognised as a national best practice model with Commonwealth authorities strongly encouraging other states to emulate it.

The conference was attended by about 130 participants, including Link-Up coordinators from around Australia, families reunited through Link-Up services, and representatives from ATSIC and Aboriginal affairs and health organisations.

The Australian Indigenous HealthInfoNet held a mini Internet café at the conference. Staff introduced conference delegates to the online information and services offered through the HealthInfoNet website. The effect of forced separation on the social and emotional wellbeing of individuals was a feature of a number of conference presentations and delegates showed particular interest in the information provided on the HealthInfoNet’s Social and emotional wellbeing webpage.

The Australian Indigenous HealthInfoNet would like to thank the conference organisers and delegates for their support of our initiative.

For further information view:

The National Aboriginal Community Controlled Health Organisation (NACCHO) has a new CEO – Ms Dea Delaney Thiele


Ms Dea Delaney Thiele has been appointed as NACCHO’s new Chief Executive Officer. She succeeds Mr Craig Ritchie who resigned some months ago.

Ms Delaney Thiele, a Dunghutti woman, was born at the Burnt Bridge Mission at Kempsey, NSW. Her family subsequently moved to Redfern in Sydney and then on to Western Sydney where she grew up. She has lived in Canberra since 1998. Her father Mr John Delaney, was a former ATSIC Commissioner (Sydney Region). Ms Delaney Thiele is married with three children.

Ms Delaney Thiele has been actively involved in Aboriginal affairs since 1985 and is a firm believer in the right to self-determination for Aboriginal people. She has spent many years in the Aboriginal community controlled health sector and has served on a number of boards at the local, state and national levels. These include: Chairperson of the Murawina Mt Druitt Aboriginal Childcare Centre; CEO of Daruk Aboriginal Medical Service NSW; membership of the NSW Aboriginal Health and Medical Research Council (AH&MRC) and NACCHO Board (including a period as its Treasurer); and Chairperson of Kamuku Building Enterprises Aboriginal Corporation. Ms Delaney Thiele has also served as a Board Member of the Children’s Hospital at Westmead and the Western Sydney Area Health Service. She holds a post graduate qualification in health management from the University of New England, Armidale and in 1998 joined NACCHO as a policy analyst.

For further information view:

The National Aboriginal Community Control Health Organisation (NACCHO) has a new Chairperson – Henry Councillor

In March 2003 Mr Henry Councillor became the Chairperson of the National Aboriginal Community Controlled Health Organisation (NACCHO), the national peak body for more than 120 Indigenous community controlled health services. Mr Councillor, who was Deputy Chair of NACCHO, takes the helm from Ms Pat Anderson

Henry Councillor, 41, is a Jaru man whose family comes from the Mt Dockwell area of Halls Creek in the Kimberley Region of Western Australia. He has had a long involvement in Aboriginal health that commenced with the Kimberley Aboriginal Medical Service’s Council Inc. (KAMSC) over 20 years ago. In 1994 he was appointed KAMSC’s Chief Executive Officer. He has worked also with the Broome Regional AMS, the Yura Yungi Medical Service at Halls Creek and the East Kimberley AMS.

Mr Councillor is actively involved in a range of local, state and national committees and has stated that one of his main aims as Chairman will be to progress partnerships with mainstream services to improve the health of Aboriginal people. He believes that Aboriginal controlled health services constitute a vital, viable, expanding sector and that the holistic approach adopted by the first centre in Redfern over 30 years ago has proved its worth.

Speaking at the National Rural Health Alliance Conference in Hobart on 2 March 2003, Mr Councillor paid tribute to Ms Anderson’s work during her time as Chair and expressed a desire to maintain the momentum she had begun. NACCHO’s focus, as Mr Councillor explained, is to ensure that the Aboriginal health agenda is represented and prioritised at Commonwealth and State levels. NACCHO is an advocate for Aboriginal people in such areas as the acquisition of funding and building the workforce capacity of Aboriginal health. Mr Councillor said that his personal priorities would be the prevention of youth suicide, and the creation of programs to deal with communicable diseases, diabetes and drug/alcohol abuse – issues he had seen in the Kimberley.

In his keynote address, Healing the Divisions, he focussed on the ongoing poor health status of Aboriginal people and the failure of health services to meet the demand. He called for accountability of services, particularly rural health programs; noted the need to address inequities associated with Aboriginal access to tertiary care; and reinforced the need for benchmarks. He identified successful partnerships between Aboriginal controlled health services and mainstream services including Divisions of General Practice, the Chronic Disease Alliance and the National Rural Health Alliance. He commented that the most pressing issues faced by Aboriginal people – alcohol abuse, violence, powerlessness, discrimination and the need for healthy lifestyles – will not be solved medically and will require community action and advocacy. He concluded that the mainstream health system will need to nurture such an approach.

Mr Councillor will act as Chairperson, a full-time position, until November. At that time, under NACCHO’s Constitution, all member services will have the right to vote at the annual general meeting in Melbourne on who will fill the position of Chairperson for the following two years.

For further information view:

HealthInfoNet at the 2002 NACCHO conference

The National Aboriginal Community Controlled Health Organisation (NACCHO) AGM and conference, held in Adelaide on the 20-21 November, addressed the theme of ‘Looking back – looking forward’.

The plenary session chaired by Margaret Colbung on strengthening the capacity of Aboriginal community-controlled primary health care services was of vital interest to all participants. Guest speakers provided examples of how strategic leadership and capacity building were working in their local areas.

Other plenary sessions focused on:

  • NACCHO – past successes and future plans;
  • initiatives in individual States and Territories;
  • the Framework Agreements and regional planning processes; and
  • positives, negatives, challenges, and structural barriers.

Concurrent sessions addressed a range of issues including:

  • workforce issues;
  • men’s health;
  • substance misuse; and
  • social and emotional well being.

For the first time at a NACCHO conference, the HealthInfoNet conducted for participants a HealthInternet café along the lines of those from other conferences. This provided an opportunity for Board members, senior managers and health professionals from Aboriginal community-controlled services to become more familiar with the HealthInfoNet‘s online services, and with our role in empowering Indigenous people by providing them with access to relevant, high-quality knowledge and information on Indigenous health.

The café was conducted by Neil Thomson and Sandy Angus. New users were guided through major sections of the HealthInfoNet site and assisted in seeking out material relevant to their specific health interests. A positive aspect of the HealthInternet café was the opportunity for delegates to share information on some creative and innovative programs and projects. HealthInfoNet staff used a digital camera to take photos of many people involved in the projects, and we thank them for their permission to take and publish these images on our site.

 

The HealthInfoNet thanks NACCHO for the generous support of the HealthInternet café, and looks forward to contributing to future NACCHO conferences and symposia.

Click here to view images from the conference.

Western Australian Parliamentarians visit HealthInfoNet

Three members of the Western Australian Parliament – Carol Martin, MLA, Member for Kimberley and Chair of the Education and Health Committee, Tony O’Gorman, MLA, Member for Joondalup, and Dianne Guise, MLA, Member for Wanneroo and Deputy Speaker of the Legislative Assembly – visited the Australian Indigenous HealthInfoNet on Friday 6 December.

This visit was arranged when HealthInfoNet research officer, Jane Burns, attended the Path of Honour celebrations at Edith Cowan University’s Joondalup Campus marking the contributions of valued citizens. Carol Martin, who was being honoured as the first Indigenous women to be elected to an Australian Parliament, expressed an interest to Jane in the innovative work of the HealthInfoNet and was keen to visit to learn more.

The visit gave all the parliamentarians a greater awareness of the poor health status of Indigenous Australians as well as some examples of the positive work being done nationally in the area. Professor Neil Thomson, Director of the HealthInfoNet, demonstrated how the HealthInfoNet contributes to improving the health of Australia’s Indigenous people by making relevant, high quality knowledge and information easily accessible.

Carol was particularly impressed at the way in which the HealthInfoNet covered wide-ranging issues so comprehensively. She noted that: ‘the HealthInfoNet is an invaluable resource that politicians and other people interested in Indigenous health should have ready access to’.

All three of the visitors expressed their support and encouragement for the project and were keen to help spread the word through their wide networks.

HealthInfoNet staff with the visiting parliamentarians
Left > right: Ellie Kirov; Tony O’Gorman, MLA; Dianne Guise, MLA; Carol Martin, MLA; Professor Neil Thomson; and Rhonda Murphy
Left > right: Dianne Guise, MLA; Tony O’Gorman, MLA; Krish Gunasekera; Carol Martin, MLA; and Sam Burrow

Say no to smokes project

The following summary was organised by project staff and members of the Say No to Smokes Advisory Committee and is reproduced with the permission of Project Coordinator in 2002, Leanne Woods.

Suggested citation: Say No To Smokes Advisory Committee (2003, 16 January) Say no to smokes project. Australian Indigenous HealthBulletin, 3(1), Brief report 1. Retrieved [access date] from http://www.healthinfonet.ecu.edu.au/html/html_bulletin/bull_31/bulletin_brief_reports_tobacco.htm

Smoking is a major health problem and kills many people. Aboriginal and Torres Strait Islander people are at a greater risk of getting sick or dying before their time through cigarette smoking.

Reports produced by the Health Information Centre, Department of Health in July 2001 comparing tobacco related hospitalisation and death rates found that in Western Australia between 1990 and 1999 the rate of death was 2.2 times higher in Aboriginal and Torres Strait Islander males and 2.8 times higher in Aboriginal and Torres Strait Islander females than the wider community.

In Western Australia between 1994 and 2000 the rate of hospitalisation was 3.1 times higher in Aboriginal and Torres Strait Islander males and 4.4 times higher in Aboriginal and Torres Strait Islander females compared to the wider community.

On 14 November 2002 an Aboriginal and Torres Strait Islander Health and Tobacco Forum was organised for the first time (in Perth, Western Australia) to discuss new research and health programs for Aboriginal and Torres Strait Islander people. We aimed to specifically deal with smoking and health issues for Aboriginal and Torres Strait Islander people and call to action Aboriginal and Torres Strait Islander community leaders to come together and pave the way to improve the health of our people.

The Forum provided an opportunity to meet community leaders, gain support of initiatives that aim to reduce the harm caused by smoking in Aboriginal and Torres Strait Islander communities and raised the profile of smoking as an important public health issue in Aboriginal and Torres Strait Islander communities.

The Forum began with a Noongar Welcome and a moment of silence to acknowledge all Aboriginal and Torres Strait Islander people from the past, present and future and was followed by some Aboriginal and Torres Strait Islander performers. It was an opportunity for Aboriginal and Torres Strait Islander presenters from Perth, Western Australia, Northern Territory, Victoria and New South Wales to show case their projects and for smokers and non-smokers to share their experiences of smoking, why they smoked, why it’s hard for them to quit, what made them quit and how they feel today.

For further information about the Say no to smokes project contact:

Australian Council on Smoking and Health
Level 1, 46 Ventnor Avenue
WEST PERTH WA 6005
Ph: (08) 9212 4300
Fax: (08) 9212 4301
Email: info@acosh.org

Acknowledgments:
The Say No to Smokes Advisory Committee would like to thank the Office of Aboriginal Health; Derbarl Yerrigan Health Service; Department of Health; Cancer Foundation of Western Australia; Australian Council on Smoking and Health and Healthway.

The Western Australian State Government action plan following the Inquiry into response by government agencies to complaints of family violence and child abuse in Aboriginal communities

The Western Australian State Government has produced an action plan based on recommendations from the Inquiry into response by government agencies to complaints of family violence and child abuse in Aboriginal communities (view further information). The action plan is documented in the report Putting people first: the Western Australian State Government’s action plan for addressing family violence and child abuse in Aboriginal communities (view abstract). It acknowledges that there has been a systemic problem in dealing with issues of family violence and child abuse in Aboriginal communities.

The WA Government has accepted most of the recommendations from the Inquiry and a two phase plan of action has been prioritised to address concerns. The action plan includes strengthening responses to child abuse and family violence and responses to vulnerable children and adults at risk. In addition to strengthening safety within communities, the government also aims to facilitate the strengthening of governance, confidence, economic capacity and sustainability. To enable improvements, initiatives will involve: across-government collaboration and coordination; staff as major agents of change; legislation; improved information sharing; inter-agency protocols; reporting processes and data collection; a child death review process and communications technology. The response also includes specific recommendations for the following agencies: Western Australia Police Service; Department for Community Development; Department of Health; Department of Education; Department of Justice; Department of Housing and Works; and Department of Indigenous Affairs.

The WA Government has committed itself to $75 million worth of new initiatives. These include in the first instance: employment of additional Child Protection Workers and specialist Domestic Violence Police Officers; expansion of the Strong Families case management program and maintenance of the Indigenous Family program; revitalisation of the Child Protection Unit services at Princess Margaret Hospital; expansion of sexual assault services and the relocation of the Sexual Assault Referral Centre.

In 2003-4 the Government will expand on the above initiatives and will also:

  • construct and staff multi-functional remote police facilities;
  • provide funding for supporting Aboriginal communities to develop and manage locally specific safety strategies;
  • provide funding for workers to promote and mediate safety and violence prevention strategies in Aboriginal communities;
  • expand community based programs and community supervision agreements to enhance the management of violent offenders;
  • provide funding for extending victim support services for adults and children in Aboriginal communities;
  • employ additional skilled Aboriginal support workers to provide practical counselling and assistance to vulnerable Aboriginal children and youth;
  • provide funding to develop culturally appropriate counselling services for Aboriginal clients and
  • provide funding for a Community Partnerships Fund.

Reference

The Western Australian State Government (2002) Putting people first: the Western Australian State Government’s action plan for addressing family violence and child abuse in Aboriginal communities. Perth: The Western Australian State Government

The full report (PDF – 1.2KB – large file warning!) may be downloaded from the Department of the Premier and Cabinet website

Recommendations from the Inquiry into the Response by Government Agencies to Complaints of Family Violence and Child Abuse in Aboriginal Communities

Background

In 2001 the Premier of Western Australia the Honourable Dr Geoff Gallop announced plans for the Inquiry into the Response by Government Agencies to Complaints of Family Violence and Child Abuse in Aboriginal Communities. With a background of previous reports of abuse within Aboriginal communities, the Inquiry was prompted by the findings of the coronial inquest into the death of 15-year-old Susan Ann Taylor at the Swan Valley Nyoongar Community in Lockridge in 1999. The Coroner’s report had detailed allegations of physical and sexual abuse in the community and raised questions regarding the response of various government departments and other agencies.

Aims of the Inquiry

In 2002, Inquiry members Mrs Sue Gordon (Chairperson) the Hon Kay Hallahan and Mr Darrell Henry were given six months to:

  1. Examine the way that government agencies dealt with violence and child sexual abuse at the Swan Valley Nyoongar community.
  2. Examine how State Government agencies respond to evidence of family violence and sexual abuse that may be occurring in Aboriginal communities generally.
  3. Report with recommendations on practical solutions for addressing incidents of sexual abuse in Aboriginal communities, including any necessary legislative and administrative measures.

More specifically, directions were to:

  • examine the activities of State Government agencies in addressing complaints and the reporting of sexual abuse in Aboriginal communities;
  • identify the barriers and capacity of Government agencies to address the issue of family violence and in particular child sexual abuse in Aboriginal communities;
  • comment and make recommendations on the mandatory reporting of sexually transmitted diseases occurring among children and juveniles;
  • comment on any limitations of DNA testing in the Aboriginal community; and
  • propose support measures for children reporting abuse.

The Inquiry was also to: consider current research into the prevalence, causes and solutions to Aboriginal violence; liaise with the Interdepartmental Committee on Sexual Assault and consult widely including with representatives of Aboriginal communities, youth, health services and related organisations.

The report

The report Putting the picture together: Inquiry into response by government agencies to complaints of family violence and child abuse in Aboriginal communities (view abstract) outlines the framework and procedures used to examine the many factors that underlie family violence and child abuse in Aboriginal communities. The report details how government agencies have responded to these issues.

The Inquiry focused on what needed to change and considerations for future planning. Generally the Inquiry:

  • supported initiatives by the Department of Health (DOH) to build workforce skills, develop new models of services delivery and enhance interagency cooperation;
  • identified a need for more sexual assault services and expansion of specialist services dealing with child abuse with increased training and understanding of child abuse and recommended the employment and training of Aboriginal and non-Aboriginal staff;
  • supported the Department for Community /Development (DCD) submission to the Inquiry which outlined models for service delivery and the need for adequate resourcing;
  • noted and endorsed the work of the Homeless Task Force and made recommendations regarding housing for Aboriginal people;
  • noted and endorsed the work of the Western Australia Police Service and recommended more policing services with 40 new Aboriginal Police Liaison Officers;
  • endorsed a number of justice programs and made a number of recommendations about: the importance of therapeutic services for adult and juvenile offenders while in custody; the need for better referrals between units of the Department of Justice; the employment and training of staff and volunteers and a shift from incarceration-based interventions to non-custodial options;
  • recommended addressing education responses to child abuse including staffing issues and mandatory training for teachers;
  • identified a need for the coordination of capacity building within Aboriginal communities; and
  • examined issues raised by the Coroner’s inquiry into the death of Susan Taylor.

Summary

The Inquiry concluded that current services are unable to adequately address the escalating rates of family violence and child abuse in Aboriginal communities and articulated a community focused systemic response. The 640 page report documents 197 recommendations and findings and suggests that an Implementation Body be established to oversee and implement the recommendations. It also proposes that independent mechanisms be developed to oversee the systems that respond to family violence and child abuse. It recommends the creation of a Children’s Commissioner, a Deputy Children’s Commissioner (Aboriginal) and a Child’s Death Review Team.

Reference

Gordon S, Hallahan K, Henry D (2002) Putting the picture together, inquiry into response by government agencies to complaints of family violence and child abuse in Aboriginal communities. Perth: Department of Premier and Cabinet

The full report (PDF – 4.5MB -large file warning!) may be downloaded from the Department of the Premier and Cabinet website

4th National Indigenous Environmental Health Conference: ‘it’s in our hands, let’s take the lead’

The 4th National Indigenous Environmental Health Conference was held in Adelaide on November 6 and 7. The conference program included:

  • a warm welcome from Kaurna Elder, Aunty Josie Agius;
  • plenary presentations from a diverse range of people active in the area of Indigenous environmental health;and
  • concurrent sessions that addressed a range of issues including:
    • housing;
    • state and territory initiatives;
    • community capacity building;
    • environmental health workers;
    • food supply and the community;
    • and environmental health services on communities.

Since 1998, national Indigenous environmental health workshops and conferences have been held regularly to:

  • provide a forum for the discussion of Indigenous environmental health issues;
  • raise the profile of Indigenous environmental health issues; and
  • give Indigenous environmental health practitioners a voice.

These forums seek to identify at a national level the concerns and issues facing environmental health workers and their communities. They provide an opportunity to share information on projects and techniques, facilitate national networks, and highlight common issues.

Reflecting the conference’s emphasis on the development and sharing of information resources on Indigenous environmental health, staff from the HealthInfoNet and and the University of Western Sydney were given the opportunity to demonstrate their respective websites at a combined Internet café.

Staff introduced conference delegates to the online information services offered through the ‘Australian Indigenous HealthInfoNet‘ and ‘Indigenous communities environmental health’ websites. The café also offered an informal setting for further exchange of information on creative and innovative programs and projects currently being implemented across the nation. HealthInfoNet staff used the digital camera to take photos of conference delegates, all of whom are working to improve environmental health conditions in Indigenous communities. Click here to view our conference slideshow.

The Australian Indigenous HealthInfoNet would like to thank the conference organisers and delegates for their support of our initiative.

NHMRC calls for submissions to revise guidelines for Indigenous health research

The National Health and Medical Research Council (NHMRC) is currently inviting submissions to comment on recently released draft guidelines for Aboriginal and Torres Strait Islander health research. When finalised, the draft guidelines will replace the existing NHMRC Guidelines on ethical matters in Aboriginal and Torres Strait Islander health research (1991).

Much has changed since the development of the 1991 Guidelines. New collaborative partnerships involving research institutes and the community, including the Indigenous community controlled health sector have emerged. There are now more Indigenous researchers and the level of interest in research as a way to contribute to the health of Indigenous peoples has grown.

In recent years, NHMRC has received strong feedback that Indigenous communities, researchers and health organisations see a clear need for a separate complementary set of guidelines covering research in Indigenous health. The feedback has urged the NHMRC to review and update the 1991 Guidelines. The NHMRC has responded by undertaking a three-year review of the guidelines. The three year term comes to an end in mid-2003.

The consultation paper for revision of the NHMRC’s Guidelines on ethical matters in Aboriginal and Torres Strait Islander health research (1991) was released on 13 November 2002. Titled Values and ethics in Aboriginal and Torres Strait Islander health research [1], the paper is different in its approach to the 1991 Guidelines, as the draft guidelines are written around a framework of Aboriginal and Torres Strait Islander values and principles.

The paper starts with a broad description of the present context in which research in Indigenous health occurs, and on that basis the paper describes the philosophical foundation of the approach taken to the guidelines. Finally the paper addresses the guidelines themselves – presenting the important considerations and processes that researchers, communities and health research ethics committees should address.

Public consultation on the draft guidelines will run until the beginning of January 2003. The draft will then be reviewed and revised in the light of the submissions received and the document recommended for endorsement by the NHMRC.

The draft consultation paper is available from the NHMRC website.

For detailed information regarding the call for submissions see the following documents:

References

1. National Health and Medical Research Council (2002) Values and ethics in Aboriginal and Torres Strait Islander health research [consultation draft]. Canberra: National Health and Medical Research Council.

Excerpts from ‘Values and ethics in Aboriginal and Torres Strait Islander health research [consultation draft]’ reproduced with the permission of Sharon Hill, Assistant Director, Health Ethics Section, NHMRC.