RESUMO
Reducing the rate of over-representation of Aboriginal and Torres Strait Islander children in out-of-home care (OOHC) is a key Closing the Gap target committed to by all Australian governments. Current strategies are failing. The "gap" is widening, with the rate of Aboriginal and Torres Strait Islander children in OOHC at 30 June 2020 being 11 times that of non-Indigenous children. Approximately, one in five Aboriginal and Torres Strait Islander children entering OOHC each year are younger than one year. These figures represent compounding intergenerational trauma and institutional harm to Aboriginal and Torres Strait Islander families and communities. This article outlines systemic failures to address the needs of Aboriginal and Torres Strait Islander parents during pregnancy and following birth, causing cumulative harm and trauma to families, communities and cultures. Major reform to child and family notification and service systems, and significant investment to address this crisis, is urgently needed. The Family Matters Building Blocks and five elements of the Aboriginal and Torres Strait Islander Child Placement Principle (Prevention, Participation, Partnership, Placement and Connection) provide a transformative foundation to address historical, institutional, well-being and socioeconomic drivers of current catastrophic trajectories. The time for action is now.
RESUMO
Until the recent death in Dubbo of an Aboriginal man, there have been no deaths from Covid 19 in Australia. The extraordinary success of Aboriginal and Torres Strait Islander populations in controlling the effects of this pandemic has been a global role model. Until early 2021, in spite of their high risk status, dispersed population and fear of health services due to racism, Indigenous outcomes were better than those for non-Indigenous. Aboriginal health leaders at every level brought in worlds best practices and applied them in all urban, rural and remote locations. Instead of the many hundreds of cases, hospitalisation and deaths expected, there were only 150 cases nationwide with15% hospitalised but no one in ICU and no deaths. This result is a complete reversal of the gap and was due to the outstanding Indigenous leadership, that governments at all levels listened to Aboriginal wisdom and that control was handed to those who knew what to do. This result is not only evidence for why a Voice enshrined in the Constitution would work, it heralds a new way of working with Aboriginal people in Australia. This viewpoint makes the case for a different model to engage and empower First Nations to really close the gap - themselves.
Assuntos
COVID-19 , Serviços de Saúde do Indígena , Austrália/epidemiologia , Humanos , Masculino , Havaiano Nativo ou Outro Ilhéu do Pacífico , Pandemias , SARS-CoV-2RESUMO
Arrurle-nge-ntyele researchers lhentere areye-le intelhe-ilepe-ileme apmerrke areye-akerte. Itne akaltye-arle-irreke apmerrke areye akwele urreme-urreme-irreme, utnenge alhwarrpe awelhemele. Kenhe alhentere nhenhe areye akaltye-irretyakenhe iwenhenge-arle apmerrke areye alakenhe anerlte-aneme. Itne itelaretyakenhe nthakenhe-arle arne ingkirreke urrperle-areye-kenhe-le apmerrke areye atnerre ilirtnemere. Researchers itne akaltye-irreke artwe apmerrke Central Australia-arenye-arle akwele health akurne anthurre-ulkere, Australia arenye-arrpenhe areye-nge. Arrpenheme apeke clinic-werne alheme, kenhe itne akenhe itelaretyakenhe iwenhe-arle alhentere ngangkere-le itneke ileme, health itnekenhe-akerte, medications-akerte-arlke. Artwe atningke apeke itelaretyakenhe iwenhenge-arle itne ilkelhetyakenhe uthene akangketyakenhe uthene. The kwenhe PhD project mpwarerle-aneme apmerrke anwerneke-akerte. Anwerne ahentye aneme apmerrke areye atyenpe-irrirtnetyeke, atnerre anemele. Project nhenhe arne atyeperre anwerne-kenhe areye-akerte, angkentye, anpernirrentye, nthakenhe angkentye anwernekenhe intelhetyeke, anyenhenge, apmere-kenhe arritnye ingkirreke, thipe-kenhe arritnye, arne-kenhe arritnye, atnunthe apmere-altye-arlke. Apmerrke areye kwenhe akaltye-irretyeke nthakenhe English angketyeke, read-eme-iletyeke, intelhetyeke-arlke. Apmerrke areye apeke akaltye-irretyeke Akngerrepate arrwekelenye areye-ke, arne mwerre areye itne-arle mpware-warretyarte, kele itne anteme itnenhe ingkentetyeke. Artwe akaperte altywere-areye role models anwernekenhe aneme. 1930's-nge-ntyele governments-le laws mpwareke arritnye Assimilation Policy. Yanhe-iperre, atningke areye uye-akaltye-irreke urrperle-kenhe arne areye-kenhe-ke. Alhentere areye-le anamelhe-ileke arrpenheme apmere itnekenhe-nge-ntyele bungalow-atheke, ayerrere-werne atheke, antekerre-arlke. Assimilation Policys-nge ularre, tyerrtye atningke angkentye-ke uye akaltye-irreke, apmere-akerte, apmere-ke-artweye-ke, kwertengwerle-ke, laws anwernekenhe-arlke. Lhentere arrpenheme ahentye-aneke akaltye-irretyeke Tywerrenge-ke. Arne arrpenheme-ke itne-arle akaltye-irreke artwe-kenhe-ante, kenhe arrpenhe akenhe ingkirreke-ke. Arne nhenhe areye museums-uthene-le organisations arrpenhe areye uthene-le akwete atnyeneme. Alhentere areye-le itnenhe akeme "archives." Itnekenge-ntyele anwerne apmerrke areye akaltye-le-anthetyeke, nthakenhe arrwekelenye anwernekenhe anirntyeke-arteke. Kele, the pipe nhenhe intelhe-ileke apmerrke itnenhe alpeme-iletyeke rlterrke-irrirtnetyeke.
Assuntos
Humanos , AustráliaRESUMO
Decades of reports and policy have drawn attention to the significant social and occupational impairment of many young Aboriginal men in Central Australia. However, the role of mental ill-health as a contributing factor to this impairment, and culturally appropriate intervention targets have received insufficient attention in the psychiatry literature. Despite having the worst health outcomes of any population in Australia, Aboriginal men chronically underuse primary health care services. It's proposed that interventions ensuring cultural continuity through Identity-strengthening with a particular focus on positive Aboriginal masculinities will address a critical mental health gap for young men. In Central Australian and broader Indigenous populations, tangible and measurable kinship, language, religious and economic (KLRE) activities are catalytic vehicles for restoring traditional knowledge that suffer ongoing pressures as a result of colonization and assimilationist Government policy. By transforming KLRE knowledge content from ethnographic archives, these culturally rich repositories may be utilized to create education and engagement materials that will support young Aboriginal men's efforts to obtain and maintain positive mental health. This proposal focuses on building resilience through the acquisition of KLRE knowledge which young Aboriginal men can utilize as resources for enhancing positive identity and mental health outcomes.