Exploring arts-health ecologies in the very remote Barkly Region of Australia.

INTRODUCTION: This article explores links between arts, health, and wellbeing for diverse First Nations and non-Indigenous peoples living in the very remote Barkly Region of the Northern Territory in Australia. The article stems from a major 3-year study of the Barkly arts sector conducted in partnership with Barkly Regional Arts and Regional Development Australia Northern Territory. Key findings relate to an arts-health ecology evident in the region, the interdependence between artists' own health and their arts activity, the value of arts spaces as places of safety and refuge, and the potential of the arts to promote cultural and intercultural healing and development. We discuss these findings in the context of relevant literature and make suggestions for future arts-health and wellbeing related research, policy and practice in rural and remote contexts. METHODS: This study employed an ecological mixed-methods research design, including quantitative and qualitative survey and interview data collection as well as collaborative, data-driven thematic analysis. The ecological approach was used to map a variety of creative practices through a broad range of art forms. Commercial, amateur and subsidised art and creative practices were included in this study and represented the multicultural population of the Barkly Region (both First Nations and non-Indigenous peoples). Arts and creativity in the region were recognized as a complex ecology that saw individuals, businesses, organisations and government working in different ways to sustain culture and contribute to social and economic development. RESULTS: Research participants from diverse cultural backgrounds recognised health and wellbeing benefits of arts and creative activity. Arts participation and engagement were reported to have intrinsic individual health and wellbeing effects such as mental health and mindfulness, emotional regulation, enjoyment, and relief of physical and emotional pain and stress alongside promoting spiritual connection to self, culture and community. The study indicates that the arts can also shape powerful determinants of health and wellbeing such as employment, poverty, racism, social inclusion, and natural and built environments. Barkly arts-health ecology featured extensive involvement from health and human service and arts organisations, which provided a strong foundation for inclusive, healing and holistic regional development. CONCLUSION: This study has outlined how arts and creative activity contribute to holistic regional development in the Barkly desert region, an area with a high percentage of First Nations peoples. Arts and creative activity were reported to have intrinsic health and wellbeing effects for individuals, which included mental health and mindfulness, emotional regulation, enjoyment, and relief of physical and emotional pain and stress as well as promoting spiritual connection to self, others and environment. Arts activities were also seen to shape powerful determinants of health and wellbeing such as employment, poverty, racism, social inclusion, and natural and built environments.

Characterizing public perceptions of social and cultural impacts in policy decisions.

Social scientists and community advocates have expressed concerns that many social and cultural impacts important to citizens are given insufficient weight by decision makers in public policy decision-making. In two large cross-sectional surveys, we examined public perceptions of a range of social, cultural, health, economic, and environmental impacts. Findings suggest that valued impacts are perceived through an initial lens that highlights both tangibility (how difficult it is to understand, observe, and make changes to an impact) and scope (how broadly an impact applies). Valued impacts thought to be less tangible and narrower in scope were perceived to have less support by both decision makers and the public. Nearly every valued impact was perceived to have more support from the public than from decision makers, with the exception of three economic considerations (revenues, profits, and costs). The results also demonstrate that many valued impacts do not fit neatly into the single-category distinctions typically used as part of impact assessments and cost-benefit analyses. We provide recommendations for practitioners and suggest ways that these results can foster improvements to the quality and defensibility of risk and impact assessments.

Developing Responsive Indicators of Indigenous Community Health.

How health is defined and assessed is a priority concern for Indigenous peoples due to considerable health risks faced from environmental impacts to homelands, and because what is "at risk" is often determined without their input or approval. Many health assessments by government agencies, industry, and researchers from outside the communities fail to include Indigenous definitions of health and omit basic methodological guidance on how to evaluate Indigenous health, thus compromising the quality and consistency of results. Native Coast Salish communities (Washington State, USA) developed and pilot-tested a set of Indigenous Health Indicators (IHI) that reflect non-physiological aspects of health (community connection, natural resources security, cultural use, education, self-determination, resilience) on a community scale, using constructed measures that allow for concerns and priorities to be clearly articulated without releasing proprietary knowledge. Based on initial results from pilot-tests of the IHI with the Swinomish Indian Tribal Community (Washington State, USA), we argue that incorporation of IHIs into health assessments will provide a more comprehensive understanding of Indigenous health concerns, and assist Indigenous peoples to control their own health evaluations.

Values-Based Measures of Impacts to Indigenous Health.

Values-based indicators of risks to Indigenous health have the potential to improve the accuracy and quality of a wide range of decisions affecting Native lands and cultures. Current health impact assessment approaches often omit important health priorities rooted in the history, social structures, and cultural context of Indigenous communities. Insights and methods from the decision sciences can be used to develop more culturally appropriate and context-relevant health indicators that can articulate and track changes to important dimensions of Indigenous health. Identifying and addressing priority cultural, social, economic, and environmental contributors to the health of Indigenous communities will help to generate better project alternatives and foster more responsive choices.

When experts disagree (and better science won't help much): using structured deliberations to support endangered species recovery planning.

Progress on recovery plans to conserve endangered species is often blocked due to the lack of an effective framework that technical experts and other knowledgeable stakeholders can use to examine areas of agreement or disagreement about the anticipated effects of management actions. Multi-party, multi-interest resource management deliberations, although increasingly common, are difficult in the context of recovery planning due to the range of potentially affected environmental, economic, and social concerns. These deliberations are further complicated by frequent disagreements among technical experts about how to identify and address various sources of biological uncertainty. We describe the development of a decision-aiding framework as part of an inter-agency plan to assist recovery of endangered Gulf of Maine Atlantic salmon (Salmo salar), using a structured decision making approach that encouraged constructive deliberations based on rigorous analysis. Results are summarized in terms of developing an explicit set of management objectives, clarifying and prioritizing hypotheses concerning barriers to recovery, comparing alternative management initiatives in light of biological uncertainty, and incorporating resource constraints to generate preferred sets of actions. Overall, the use of a structured approach to making recovery decisions improved inter-agency cooperation and facilitated dialogue, understanding, and agreement among participating experts. It also helped to create a defensible basis for further internal discussions as well as for communicating with external stakeholders, including resource users and political decision makers.

Compensating aboriginal cultural losses: an alternative approach to assessing environmental damages.

We first identify six primary problems with conventional practice: lack of context, inadequate participation from aboriginal communities, exclusion of important losses, reliance on market-based measures, neglect of uncertainty, and inadequate treatment of time. We then propose a different approach to compensation, based on insights from the decision sciences and structured decision making. Using case-study examples, we discuss how the proposed approach might address common sources of cultural loss and, in a concluding section, summarize some of the implications for compensation agreements and for environmental management practices.

Using structured decision making to help implement a precautionary approach to endangered species management.

Endangered species protection is a significant risk management concern throughout North America. An extensive conceptual literature emphasizes the role to be played by precautionary approaches. Risk managers, typically working in concert with concerned stakeholders, frequently cite the concept as key to their efforts to prevent extinctions. Little has been done, however, to evaluate the multidimensional impacts of precautionary frameworks or to assist in the examination of competing precautionary risk management options as part of an applied risk management decision framework. In this article we describe how decision-aiding techniques can assist in the creation and analysis of alternative precautionary strategies, using the example of a multistakeholder committee charged with protection of endangered Cultus Lake salmon on the Canadian west coast. Although managers were required to adopt a precautionary approach, little attention had been given to how quantitative analyses could be used to help define the concept or to how a precautionary approach might be implemented in the face of difficult economic, social, and biological tradeoffs. We briefly review key steps in a structured decision-making (SDM) process and discuss how this approach was implemented to help bound the management problem, define objectives and performance measures, develop management alternatives, and evaluate their consequences. We highlight the role of strategy tables, employed to help participants identify, alternative management options. We close by noting areas of agreement and disagreement among participants and discuss the implications of decision-focused processes for other precautionary resource management efforts.

Learning as an objective within a structured risk management decision process.

Social learning through adaptive management holds the promise of providing the basis for better risk management over time. Yet the experience with fostering social learning through adaptive management initiatives has been mixed and would benefit from practical guidance for better implementation. This paper outlines a straightforward heuristic for fostering improved risk management decisions: specifying learning for current and future decisions as one of several explicit objectives for the decision at hand, drawing on notions of applied decision analysis. In keeping with recent guidance from two important U.S. advisory commissions, the paper first outlines a view of risk management as a policy-analytic decision process involving stakeholders. Then it develops the concept of the value of learning, which broadens the more familiar notion of the value of information. After that, the concepts and steps needed to treat learning as an explicit objective in a policy decision are reviewed. The next section outlines the advantages of viewing learning as an objective, including potential benefits from the viewpoint of stakeholders, the institutions involved, and for the decision process itself. A case-study example concerning water use forfisheries and hydroelectric power in British Columbia, Canada is presented to illustrate the development of learning as an objective in an applied risk-management context.

Ten common mistakes in designing biodiversity indicators for forest policy.

This paper identifies 10 common 'mistakes' in developing and using forest biodiversity indicators from the standpoint of making better forest management choices. The mistakes relate to a failure to clarify the values-basis for indicator selection and a failure to integrate science and values to design indicators that are concise, relevant and meaningful to decision makers. The combined effects of these ten mistakes include inconsistent and indefensible on-ground management strategies and hidden trade-offs at a policy level. They result in frustrated professionals, a confused public, an inability to assess performance with respect to key forest policy objectives and, almost certainly, types and amounts of biodiversity conservation that fail to achieve either scientifically or socially preferred levels. Correcting the mistakes will help to address these problems and, more generally, recognizes the need to better understand the interface between science, public values, and decision making.

Testing alternative decision approaches for identifying cleanup priorities at contaminated sites.

This exploratory study compares two approaches for involving nonexpert stakeholders in difficult policy choices. Both approaches have as their goal informing members of the public about contaminated sites and involving them in decisions regarding their cleanup. The first approach focuses on technical information and seeks to improve the available knowledge base so that participants can make choices informed by detailed scientific data. This approach is similar in intent to many of the science-based initiatives in public involvement now being undertaken by EPA, DOE, and other federal or state agencies. The second approach, in contrast, focuses on values-oriented information and seeks to improve stakeholders' ability to make difficult choices in light of required tradeoffs across a variety of technical and nontechnical concerns. The results demonstrate that although both approaches help to increase participants' knowledge level, a values-based approach is more successful in terms of helping nonexpert participants to make decisions aboutwhat have historically been viewed as primarily technical problems.