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The Health And Well-Being Of Indigenous Drug And Alcohol Workers: Results From A National Australian Survey, Ann M. Roche, Vinita Duraisingam, Allan Trifonoff, Amanda Tovell

Aboriginal Policy Research Consortium International (APRCi)

The increasing demand for alcohol and other drug (AOD) treatment services among the Australian Indigenous population, complex organisational challenges and limitations, and high unemployment rates are likely to negatively impact Indigenous AOD workers' health and well-being. Building the capacity of Indigenous AOD workers is vital, as they play a crucial role in the delivery of treatment services and offer essential support to their communities. A national online survey was conducted to examine organisational, workplace and individual factors that might contribute to levels of stress and well-being among workers who provide services to Indigenous clients. A total of 294 eligible surveys …

Tourists' Perceptions Of Aboriginal Heritage Souvenirs, Janet Chang, Geoffrey Wall, Jul-Cheng (Richard) Hung

Aboriginal Policy Research Consortium International (APRCi)

Heritage souvenirs are an indispensable part of indigenous tourism and the authenticity of indigenous heritage is a vital aspect of such tourism. This study adopts a mixed methods approach to explore the perceived authenticity of glass bead souvenirs of the Paiwan Tribe in Pintung County, Taiwan. The study explores differences in the evaluations of authenticity among stakeholders and the factors that influence perceptions of authen- ticity. An understanding of tourists’ perceptions of indigenous heritage offers valuable information for the creation of indigenous souvenirs and for reviving the promotion of indigenous culture.

How To Make Climate Change Research Relevant For Indigenous Communities In Torres Strait, Australia, Claire O'Neill, Donna Green, Willie Lui

Aboriginal Policy Research Consortium International (APRCi)

Several Torres Strait communities have significant infrastructure and sacred sites located only a few metres above sea level. As a consequence, these areas are vulnerable to erosion due to the projected increase in storm surge intensity caused by climate change. Common sense suggests that Islanders would welcome new scientific research about how climate change might affect them, in order to understand the significance of these impacts and the timeframes involved. However, one leader has taken a seemingly counterintuitive stance, and has refused to let new climate research occur. We explore why this position was taken, and the implications of this …

Quality Indicators Of Diabetes Care: An Example Of Remote-Area Aboriginal Primary Health Care Over 10 Years, Julia V. Marley, Carmel Nelson, Vicki O'Donnell, David Atkinson

Aboriginal Policy Research Consortium International (APRCi)

To describe service characteristics of Derby Aboriginal Health Service (DAHS) and document diabetes management activities and intermediate clinical outcomes for Aboriginal patients with type 2 diabetes.

Poverty, Work And Social Networks: The Role Of Social Capital For Aboriginal People In Urban Australian Locales, Julie Lahn

Aboriginal Policy Research Consortium International (APRCi)

In this article, I present the key findings from a project entitled “The Social Context of Indigenous Poverty”. The research involved a series of interviews with Aboriginal people in urban SE Australia on issues of poverty, social capital and social exclusion. In the article I draw together Aboriginal perspectives on the meaning of poverty to reflect on the relevance of social capital concepts for understanding Aboriginal economic disadvantage and hence, the merits of policy framed in these terms.

Indigenous MéTissage: A Decolonizing Research Sensibility, Dwayne Donald

Aboriginal Policy Research Consortium International (APRCi)

This paper is a report on the theoretical origins of a decolonizing research sensibility called Indigenous Métissage. This research praxis emerged parallel to personal and ongoing inquiries into historic and current relations connecting Aboriginal peoples and Canadians in the place now called Canada. I frame the colonial frontier origins of these relations – and the logics that tend to inform them – as conceptual problems that require rethinking on more ethically relational terms. Although a postcolonial cultural theory called métissage offers helpful insights towards this challenge, I argue that the postcolonial emphasis on hybridity fails to acknowledge Indigenous subjectivity in …

Growth And Empowerment For Indigenous Australians In Substance Abuse Treatment, Stacey L. Berry, T. P. Crowe, F. P. Deane, M. Billingham, Y. Bhagerutty

Aboriginal Policy Research Consortium International (APRCi)

This paper describes psychosocial outcomes of an Indigenous residential substance abuse rehabilitation centre in Australia, examines the sensitivity to change of the new Growth and Empowerment Measure (GEM), and explores the degree to which service users value cultural components of the treatment program. Participants were 57 Indigenous and 46 non-Indigenous male clients from Oolong House. Intake, 8-weeks, and 16-weeks (program completion) measures of Kessler 10 Psychological Distress Scale (K10), Drug Taking Confidence Questionnaire (DTCQ-8), and GEM were completed. The Treatment Component Evaluation (TCE) was completed at 16-weeks. There were significant improvements for participants, with a decrease in psychological distress and …

An Intensive Smoking Intervention For Pregnant Aboriginal And Torres Strait Islander Women: A Randomised Controlled Trial, Sandra J. Eade, Rob W. Sanson-Fisher, Mark Wenitong, Katie Panaretto, Catherine D'Este, Conor Gilligan, Jessica Stewart

Aboriginal Policy Research Consortium International (APRCi)

Objective: To determine the effectiveness of an intensive quit-smoking intervention on smoking rates at 36 weeks’ gestation among pregnant Aboriginal and Torres Strait Islander women. Design: Randomised controlled trial. Setting and participants: Pregnant Aboriginal and Torres Strait Islander women (n= 263) attending their first antenatal visit at one of three Aboriginal community-controlled health services between June 2005 and December 2009. Intervention: A general practitioner and other health care workers delivered tailored advice and support to quit smoking to women at their first antenatal visit, using evidence-based communication skills and engaging the woman’s partner and other adults in supporting the quit …

Prevalence Of Mental Illness Among Aboriginal And Torres Strait Islander People In Queensland Prisons, Edward B. Hefferman

Aboriginal Policy Research Consortium International (APRCi)

Objective: To estimate the prevalence of mental disorder in a representative sample of Aboriginal and Torres Strait Islander people in Queensland prisons.

Design, setting and participants: Cross-sectional assessment of mental health using the Composite International Diagnostic Interview (CIDI) and clinical interviews, conducted by Indigenous mental health clinicians who undertook specific training for this purpose, with support from forensic psychiatrists when indicated. We assessed adults who self-identified as Indigenous and were incarcerated in six of the nine major correctional centres across Queensland (housing 75% of all Indigenous men and 90% of all Indigenous women in Queensland prisons) between May and June …

Mental Disorders And Communication Of Intent To Die In Indigenous Suicide Cases, Queensland, Australia, Diego De Leo, Allison Milner, Jerneja Sveticic

Aboriginal Policy Research Consortium International (APRCi)

In comparing Indigenous to non-Indigenous suicide in Australia, this study focussed on the frequency of the association between some psychiatric conditions, such as depression and alcohol abuse, and some aspect of suicidality, in particular communication of suicide intent. Logistic regression was implemented to analyze cases of Indigenous (n = 471) versus non-Indigenous suicides (n = 6,655), using the Queensland Suicide Register as a data source. Compared to non-Indigenous suicides, Indigenous cases had lower odds of being diagnosed with unipolar depression, seeking treatment for psychiatric conditions or leaving a suicide note. Indigenous suicides had greater odds of verbally communicating suicide intent …

Magic And Superstition In Baseball In Taiwan: An Examination Of The Puyama Aborigines’ Use Of The Betel Nut, Junwei Yu

Aboriginal Policy Research Consortium International (APRCi)

Much work has been published on the place of rituals in numerous areas of life with reference both to general activities and, more specifically, to sport. As yet, however, there has been no significant study of the use of magic by and on behalf of players in Taiwan where baseball can legitimately be described as the national sport. This article seeks to fill that void by focusing in particular on the practices of the island’s Puyama aboriginal people and the use of the betel nut to cast spells on opponents. The data for this study were collected during two research …

The First Year Counts: Cancer Survival Among Indigenous And Non-Indigenous Queenslanders, 1997–2006, Susanna M. Cramb, Gall Garvey, Patricia C. Valery, John D. Williamson, Peter D. Baade

Aboriginal Policy Research Consortium International (APRCi)

Objective: To examine the differential in cancer survival between Indigenous and non-Indigenous people in Queensland in relation to time after diagnosis, remoteness and area-socioeconomic disadvantage.

Design, setting and participants: Descriptive study of population-based data on all 150 059 Queensland residents of known Indigenous status aged 15 years and over who were diagnosed with a primary invasive cancer during 1997–2006.

Main outcome measures: Hazard ratios for the categories of area- socioeconomic disadvantage, remoteness and Indigenous status, as well as conditional 5-year survival estimates.

Results: Five-year survival was lower for Indigenous people diagnosed with cancer (50.3%; 95% CI, 47.8%–52.8%) compared with non-Indigenous …

Bridging The Gap Between Theory And Practice In Climate Change Vulnerability Assessments For Remote Indigenous Communities In Northern Australia, Donna Green, Stephanie Niall, Joe Morrison

Aboriginal Policy Research Consortium International (APRCi)

This paper considers the Australian federal government’s approach to climate adaptation policy for remote northern Indigenous communities through the close examination of a seminal Scoping Study. This approach is taken to illustrate the lag between adaptation theory and practice, and to highlight important considerations to enable the development of a just and effective policy. The analysis suggests that policy in this area would benefit from the further consideration of three factors, namely the role of uncertainty in climate policy, the need for meaningful consultation with communities, and the benefit of integrating contextual and bottom-up assessment of vulnerability with decision-making in …

Mental Health Of Indigenous Australians: A Review Of Findings From Community Surveys, Anthony F. Jorm, Sarah J. Bourchier, Stefan Cvetkovski, Gavin Stewart

Aboriginal Policy Research Consortium International (APRCi)

Objective: To assemble what is known about the mental health of Indigenous Australians from community surveys. Data sources: A systematic search was carried out of publications and data sources since 2000 using PubMed, PsycINFO, Australian Medical Index, the National Library of Australia and datasets known to the authors.

Study selection: Surveys had to involve representative sampling of a population, identify Aboriginal and Torres Strait Islander people and include a measure of mental health.

Data extraction: 11 surveys were found. Data were extracted on prevalence rates for Indigenous people by age and sex, along with comparison data from the general population, …

Psychosis In Indigenous Populations Of Cape York And The Torres Strait, Ernest M. Hunter, Bruce D. Gynther, Carrick J. Anderson, Leigh-Ann L. Onnis, Jeffrey R. Nelson, Wayne Hall, Bernhard T. Baune, Aaron R. Groves

Aboriginal Policy Research Consortium International (APRCi)

Objective: To describe and characterise treated psychotic disorders in the Indigenous populations of Cape York and the Torres Strait.

Design: Cross-sectional analysis of patients with a psychotic disorder identified by treating psychiatrists.

Setting and participants: Indigenous patients aged 􏰀 15 years in Cape York and Torres Strait communities receiving treatment for a psychotic disorder over 3 months in 2010.

Main outcome measures: Prevalence of psychosis diagnoses, intellectual disability, and substance use comorbidities.

Results: 171 patients were included. The prevalence rate in this population was 1.68%, higher for males (2.60%) than females (0.89%), and twice as high in the Aboriginal (2.05%) …

Effect Of Dialect On Identification And Severity Of Speech Impairment In Indigenous Australian Children, Bethany J. Toohill, Sharynne Mcleod, Jane Mccormack

Aboriginal Policy Research Consortium International (APRCi)

This study investigated the effect of dialectal difference on identification and rating of severity of speech impairment in children from Indigenous Australian backgrounds. The speech of 15 Indigenous Australian children identified by their parents/caregivers and teachers as having ‘difficulty talking and making speech sounds’ was assessed using the Diagnostic Evaluation of Articulation and Phonology. Fourteen children were identified with speech impairment on the Diagnostic Evaluation of Articulation and Phonology using Standard Australian English (AusE) as the target pronunciation; whereas 13 were identified using Australian Aboriginal English (AAE) as the target. There was a statistically significant decrease in seven children’s severity …

Natural And Unnatural Disasters: Responding With Respect For Indigenous Rights And Knowledges, Richard Howitt, Olga Havnen, Siri Veland

Aboriginal Policy Research Consortium International (APRCi)

A key challenge for contemporary democratic societies is how to respond to disasters in ways that foster just and sustainable outcomes that build resilience, respect human rights, and foster economic, social, and cultural well-being in reasonable timeframes and at reasonable costs. In many places experiencing rapid environmental change, indigenous people continue to exercise some level of self-governance and autonomy, but they also face the burden of rapid social change and hostile or ambiguous policy settings. Drawing largely on experience in northern Australia, this paper argues that state policies can compound and contribute to vulnerability of indigenous groups to both natural …

Housework Metaphor For Gambling Public Health Action: An Indigenous Perspective, Lorna Dyall, Zoe Hawke, Ruth Herd, Papa Nahi

Aboriginal Policy Research Consortium International (APRCi)

Housework,thosedutiesdoneathomeorinone’scommunitytokeepandcleanand tidy, is used in this paper as a metaphor for Māori involvement in gambling public health action in New Zealand. For over a decade Māori have been developing their own voice, public health actions, gambling services, research and workforce development initiatives to address gambling related harm at a whānau, community, local government, national and now international level. Involvement in gambling public health action has required Māori to utilise our Treaty of Waitangi and now international indigenous peoples’ rights to ensuring legislation and host responsibility requirements are met at all levels in New Zealand society. Housework which is a demanding …

Justice, Culture And The Political Determinants Of Indigenous Australian Health, Dominic O'Sullivan

Aboriginal Policy Research Consortium International (APRCi)

Indigenous Australian health is distinguished by a median age of death in the order of 20 years less than that of the non-indigenous population (Australian Bureau of Statistics, 2009). This makes Australia unique among comparable post-colonial societies in failing to make substantive reductions to the indigenous/non-indigenous health differential. Relatively poor indigenous housing, educational attainment, labour market participation and access to traditional resources for economic purposes contribute to the differen- tial. These contributing variables have an inherently political character which is integral to examining the just distribution of public authority, the purpose of political activity, equal political participation and cultural responsiveness …

A Bibliometric Analysis Of Research On Indigenous Health In Australia, 1972-2008, Gemma E. Derrick, Andrew Hayen, Simon Chapman, Abby S. Haynes, Berenika M. Webster, Ian Anderson

Aboriginal Policy Research Consortium International (APRCi)

Objective: To determine the growth patterns and citation volume of research publications referring to Indigenous health in Australia from 1972 to 2008 compared to seven selected health fields. Methods: Web of Science was used to identify all publications (n=820) referring to the health of Indigenous Australians authored by Australian researchers, 1972 to 2008. Citations for each publication were also captured. Growth was compared with selected health fields as well as with overall Australian research publications. Results: Research publications referring to Indigenous health, while remaining relatively small in number, grew at an average annual rate of 14.1%, compared with 8.2% across …

Aborigines, Sport And Suicide, Colin Tatz

Aboriginal Policy Research Consortium International (APRCi)

It is surprising that a nation so dedicated to sport has ignored its role in trying to alleviate youth suicide. Involvement in sport has shown to deflect, even deter, juvenile delinquency. Similarly, there is evidence (and reason) enough to show a strong connection between sport and suicide among the young. Sport is a major element in contemporary Aboriginal life: it provides meaning, a sense of purpose and belonging; it is inclusive and embracing in a world where most Aboriginal youth feel alienated, disempowered, rejected and excluded.

An Aboriginal Parenting Crisis, Lynn Barnett

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Australian Approaches For Managing ‘Country’ Using Indigenous And Non-Indigenous Knowledge, Emilie J. Ens, Max Finlayson, Karissa Preuss, Sue Jackson, Sarah Holcombe

Aboriginal Policy Research Consortium International (APRCi)

This paper synthesises the lessons learnt and challenges encountered when applying Indigenous and non-Indigenous knowledge and methods in natural and cultural resource management (NCRM) in northern and central Australia. We primarily draw on the papers within this special issue of Ecological Management & Restoration, which originated largely from the Indigenous land management symposium at the 2010 Ecological Society of Australia conference. Many of the papers and therefore this article discuss practical experiences that offer insight for enhanced on-ground cross-cultural NCRM and can inform broader thinking and theoretical critiques. A wider literature is also drawn upon to substantiate the points and …

Decolonizing Indigenous Disability In Australia, David Hollinsworth

Aboriginal Policy Research Consortium International (APRCi)

Cultural diversity and social inequality are often ignored or downplayed in disability services. Where they are recognized, racial and cultural differences are often essentialized, ignoring diversity within minority groups and intersectionality with other forms of oppression. This is often an issue for Indigenous Australians living with disability. This paper argues that understanding Indigenous disability in Australia requires a critical examination of the history of racism that has systematically disabled most Indigenous people across generations and continues to cause disproportionate rates of impairment. Approaches that focus on the cultural ‘otherness’ of Indigenous people and fail to address taken-for-granted normative ‘whiteness’ and …

Emplacement And Displacement: Perceiving The Landscape Through Aboriginal Australian Acrylic Painting, Fred Myers

Aboriginal Policy Research Consortium International (APRCi)

Aboriginal Australian acrylic paintings have long been considered representations of mythologically invested landscape. This understanding has been made problematic by recent writings on ‘dwelling’. As common usage of the term ‘landscape’ seems to prioritize vision, to suggest that the acrylic paintings are landscapes only strengthens the suspicion that they are artifacts of displacement or distancing, rather than examples of the emplacement emphasized in this ‘dwelling perspective’. However, this paper will demonstrate that the relationship between acrylic painting and the land is more complex than such an interpretation. It will argue that the Aboriginal objectification of their relationship to the land …

Evaluation Of A Culturally Adapted Training In Indigenous Mental Health And Wellbeing For The Alcohol And Other Drug Workforce, Racheal Hinton, Tricia Nagel

Aboriginal Policy Research Consortium International (APRCi)

Indigenous Australians have high rates of mental illness comorbid with substance misuse. The complex needs of this client group create challenges for the alcohol and other drug (AOD) workforce. This paper describes the outcomes of an Indigenous-specific “Yarning about Mental Health” training for the AOD workforce to strengthen knowledge and skills in mental health approaches and in their engagement with Indigenous clients. The training provides culturally adapted strategies and tools for understanding mental health, promoting wellbeing, and delivering brief interventions in the substance misuse setting. A nonexperimental evaluation which incorporated pre-post questionnaires was conducted with workshop participants attending one of …

Gender, Culture And Intervention: Exploring Differences Between Aboriginal And Non-Aboriginal Children’S Responses To An Early Intervention Programme, Gary W. Robinson, William B. Tyler, Sven R. Silburn, Stephen R. Zubrick

Aboriginal Policy Research Consortium International (APRCi)

Evaluation of a group parenting programme in the Northern Territory of Australia showed significant differences in benefits for Aboriginal and non-Aboriginal boys and girls. The analysis considers whether boys and girls from different cultural backgrounds present with different problems; whether parental expectations for boys and girls differ and whether the intervention activates different responses in different settings. Conclusions suggest that there is a need to closely examine the ‘cultural logic’ of interventions, the appropriateness of their assumptions about child development and hypothesised mechanisms of change in different settings.

Have The Health Gaps Between Indigenous And Non-Indigenous Australian Children Changed Over Time? Results From An Australian National Representative Longitudinal Study, Lixin Ou, Jack Chen, Kem Hillman

Aboriginal Policy Research Consortium International (APRCi)

The purpose of this study was to evaluate the changes of health gaps between Indigenous and non- Indigenous children over time and to explore critical factors that contribute to the changes. We employed data consisting of two cohorts of Australian children: infant (0/1 year) and children (4/5 years) that are part of the Longitudinal Study of Australian Children. Health outcomes were measured by physical outcome index (POI) and parent-rated health during 2004, 2006 and 2008. We used first-order autoregressive modelling to examine the longitudinal relationship between the changes in health outcomes and possible contributing risk factors. The results showed that …

Growing Up Our Way : The First Year Of Life In Remote Aboriginal Australia, Sue Kruske, Suzanne Belton, Molly Wardaguga, Conceptual Narjic

Aboriginal Policy Research Consortium International (APRCi)

In this study, we attempted to explore the experiences and beliefs of Aboriginal families as they cared for their children in the first year of life. We collected family stories concerning child rearing, development, behavior, health, and wellbeing between each infant’s birth and first birthday. We found significant differences in parenting behaviors and childrearing practices between Aboriginal groups and mainstream Australians. Aboriginal parents perceived their children to be autonomous individuals with responsibilities toward a large family group. The children were active agents in determining their own needs, highly prized, and included in all aspects of community life. Concurrent with poverty, …

‘I Really Want To Make A Difference For These Kids But It’S Just Too Hard’: One Aboriginal Teacher’S Experiences Of Moving Away, Moving On And Moving Up, Ninetta Santoro

Aboriginal Policy Research Consortium International (APRCi)

This paper draws on longitudinal data to examine the changing professional identity of one beginning teacher over a three-year period. Using a post-structuralist framework and theories of social class and capital, I highlight the complexities, contradictions and impossibilities of new graduate, Luke, sustaining an identity as ‘Aboriginal teacher’ in Australian schools. I trace the shift in his commitment to working with underachieving Aboriginal boys in challenging school contexts at the beginning of his career, to his move into a middle-class white girls’ school towards the end of his third year of teaching. I suggest this was a result of the …