Clinicians & Front-line Workers
Resources for Clinicians & Front-line Workforces
Clinicians, including psychologists, psychiatrists, emergency medicine specialists, GPs and nurses, have important roles to play in supporting the mental health and social and emotional wellbeing of Aboriginal and Torres Strait Islander people, and in preventing suicide.
Other front-line workers who provide services to Indigenous people can also make essential contributions. Social workers, youth workers, and any staff who support community programs and services, need to understand how Indigenous people may exhibit distress and how to respond to individuals, families and whole communities.
For some professionals, supporting Aboriginal and Torres Strait Islander people’s mental health and social and emotional wellbeing will be part of their education, training and supervision. For many others, their development in these domains will occur in the workplace, with limited formal oversight.
All workforces need to understand how to work with Indigenous people in a culturally responsive and safe way that supports positive and trusting relationships.
This section of the Manual includes resources that apply in all these situations.
Resources
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Cultural Respect Framework 2016-2026 for Aboriginal and Torres Strait Islander Health
Orygen partnered with The Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention (CBPATSISP), which led the co-design process with community using a participatory action research approach. This guide looks at early warning signs of self-harm, factors that may influence young First Nations people to self-harm, and how to get help, including managing a crisis and injuries. Young Aboriginal people in Western Australia co-developed the guide with an Aboriginal expert advisory group, Aboriginal and non-Aboriginal health workers, local Elders, and Aboriginal families and communities from across the state. While the guide was co-developed by, and for, Aboriginal people in Western Australia, it may be broadly applicable to First Nations families and communities right across the country.
This resources describes how past traumas can have a lasting effect on the lives of Aboriginal and Torres Strait Islander people, including new generations. Source: Trauma & Grief Network
This fact sheet aims to provide a basic understanding of psychotic illnesses, recognising what it looks and feels like, and offering coping strategies within our different cultural contexts. Source: 13YARN
Our mob has strong community values and places great emphasis on care, respect, and love, but sometimes things can go wrong. Struggling with domestic violence? There is always a hand stretched out for you. Source: 13YARN
Evidence-based practice resource which links approaches to engagement and support with a discussion of the evidence for them. Source: Orygen Youth Health
Exploration and Design
This toolkit, designed to support the Aboriginal and Torres Strait Islander alcohol and other drugs workforce, may also be valuable for mainstream workers supporting Indigenous clients with AOD and social and emotional wellbeing issues. It addresses issues including: Heavy work demands Defining roles and boundaries Role stigmatisation Translating mainstream work practices to ensure they are culturally sensitive A lack of cultural understanding and support Geographical isolation. The toolkit comprises workbooks, case studies and a discussion guide as well a collection of fact sheets for supervisors to support their teams: The complex personal lives of Indigenous AOD workers Indigenous ways of working Rewarding workers Mentoring Recruiting and retaining workers Clinical supervision Developing teams. And fact sheets for workers to prevent stress and burnout: Worker wellbeing – A Guide For Workers Mentoring – A Guide For Workers Clinical Supervision – A Guide For Workers Goal setting – A Guide For Workers. Source: NCETA
Policies & Position Statements
From Clinical and Peak Groups
This section of the Manual outlines the policies and positions of key groups in relation to Aboriginal and Torres Strait Islander people’s mental health and social and emotional wellbeing, highlights the commitments of these groups to improving outcomes for Indigenous people, and describes the expectations on their members.
Professional bodies and sector peak organisations have a strong influence on how their members practise. This is true at an individual level, in terms of professional standards and continuing professional development. It also applies at an organisational level, as service providers influence and are influenced by the collective decisions of peak groups.
Australia has multiple Indigenous organisations which focus holistically on the health, mental health and social and emotional wellbeing of Aboriginal and Torres Strait Islander people, and/or on the education and employment of Indigenous people in health professions.
Mainstream clinical professional representative organisations may be less focused on and/or less capable in supporting Aboriginal and Torres Strait Islander people. The intersection between clinical and cultural support may sometimes be a particular challenge for mainstream clinicians.
Published policies and positions with regard to the mental health and social and emotional wellbeing of Aboriginal and Torres Strait Islander people from both groups are summarised here.
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The Apology
National Aboriginal and Torres Strait Islander Suicide Prevention Strategy
AIPA provides leadership on issues related to the social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples.
The Australian College of Emergency Medicine, which represents emergency department doctors, notes that Indigenous people use Emergency Departments almost twice as frequently as non-Indigenous people - representing 3 per cent of the population but 5.6 per cent of ED visits.
The Royal Australian College of General Practitioners has a Faculty of Aboriginal and Torres Strait Islander Health. Its Council is chaired by Wiradjuri man Associate Professor Peter O’Mara and includes GPs and representatives from NACCHO and AIDA.
The Healing Foundation is a national Aboriginal and Torres Strait Islander organisation that partners with communities to address the ongoing trauma caused by actions including the forced removal of children from their families.
The Royal Australian College of Physicians (specialist doctors) does not include Indigenous health among its current 15 policy and advocacy priorities.
The LIME Network advocates for improved teaching and learning about Indigenous health in medical schools, as well as for best practice in the recruitment and retention of Indigenous medical students and trainees.
Coroner's Court Resources
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