Дисертації з теми "Aboriginal australians – mental health services"
Щоб переглянути інші типи публікацій з цієї теми, перейдіть за посиланням: Aboriginal australians – mental health services.
Оформте джерело за APA, MLA, Chicago, Harvard та іншими стилями
Ознайомтеся з топ-21 дисертацій для дослідження на тему "Aboriginal australians – mental health services".
Біля кожної праці в переліку літератури доступна кнопка «Додати до бібліографії». Скористайтеся нею – і ми автоматично оформимо бібліографічне посилання на обрану працю в потрібному вам стилі цитування: APA, MLA, «Гарвард», «Чикаго», «Ванкувер» тощо.
Також ви можете завантажити повний текст наукової публікації у форматі «.pdf» та прочитати онлайн анотацію до роботи, якщо відповідні параметри наявні в метаданих.
Переглядайте дисертації для різних дисциплін та оформлюйте правильно вашу бібліографію.
1
McGough, Shirley-Ann. "Facilitating equity in mental health outcomes for Aboriginal people within mainstream mental health services in Western Australia: A grounded theory study." Thesis, Curtin University, 2015. http://hdl.handle.net/20.500.11937/1275.
Повний текст джерелаАнотація:
This study developed a substantive theory that explores the provision of culturally safe care in a mental health setting and identified factors that inhibit or facilitate the experience. 28 mental health professionals working in mainstream mental health settings in Western Australian were interviewed for this study. The basic social psychological problem shared by participants was the experience of being unprepared. To address this, participants engage in a basic social psychological process of “seeking solutions by navigating the labyrinth”. The findings of this study have implications for service providers, clinical practice, policy and planning, research, education and Aboriginal patients and other key stakeholders.
2
Jackson, Pulver Lisa Rae. "An argument on culture safety in health service delivery towards better health outcomes for Aboriginal peoples /." University of Sydney. Public Health and Community Medicine, 2003. http://hdl.handle.net/2123/609.
Повний текст джерелаАнотація:
The bureaucratic measure of health service, health performance indicators, suggest that we are not effective in our legislative responsibility to deliver suitable health care to some of the populations we are meant to serve. Debate has raged over the years as to the reasons for this, with no credible explanation accepted by those considered stakeholders. One thing is clear though, we have gone from being a culture believing that the needs of the many far outweigh those of the few, to one where we are barely serving the needs of the 'any'. This is most evident in the care delivered to the Aboriginal and Torres Strait Islander people of Australia.
3
Jackson, Pulver Lisa Rae. "An argument on culture safety in health service delivery: towards better health outcomes for Aboriginal peoples." Thesis, The University of Sydney, 2003. http://hdl.handle.net/2123/609.
Повний текст джерелаАнотація:
The bureaucratic measure of health service, health performance indicators, suggest that we are not effective in our legislative responsibility to deliver suitable health care to some of the populations we are meant to serve. Debate has raged over the years as to the reasons for this, with no credible explanation accepted by those considered stakeholders. One thing is clear though, we have gone from being a culture believing that the needs of the many far outweigh those of the few, to one where we are barely serving the needs of the 'any'. This is most evident in the care delivered to the Aboriginal and Torres Strait Islander people of Australia.
4
Parsons, Meg. "Spaces of disease the creation and management of Aboriginal health and disease in Queensland 1900-1970 /." Connect to full text, 2008. http://hdl.handle.net/2123/5572.
Повний текст джерелаАнотація:
Thesis (Ph. D.)--University of Sydney, 2009.Degree awarded 2009; thesis submitted 2008. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept.of History, Faculty of Arts. Title from title screen (viewed 3 December, 2009). Includes graphs and tables. List of tables: leaf 9. List of illustrations: leaves 10-12. Includes bibliographical references. Also available in print form.
5
Bartlett, Ben. "Origins of persisting poor Aboriginal health an historical exploration of poor Aboriginal health and the continuities of the colonial relationship as an explanation of the persistence of poor Aboriginal health /." Connect to full text, 1998. http://setis.library.usyd.edu.au/~thesis/adt-NU/public/adt-NU1999.0016/index.html.
Повний текст джерелаАнотація:
Thesis (M.P.H.)--Dept. of Public Health & Community Medicine, Faculty of Medicine, University of Sydney, 1999."An historical exploration of poor aboriginal health and the continuities of the colonial relationship as an explanation of the persistence of poor aboriginal health " Includes bibliographical references (leaves 334-349).
6
Peiris, Priyajit David. "Building better primary care systems for indigenous peoples : a multimethods analysis." Thesis, The University of Sydney, 2010. http://hdl.handle.net/2123/12717.
Повний текст джерела
7
Paradies, Yin Carl. "Race, racism, stress and indigenous health /." Connect to thesis, 2006. http://eprints.unimelb.edu.au/archive/00002514.
Повний текст джерела
8
Macdonald, Mary Ellen 1969. "Hearing (unheard) voices : aboriginal experiences of mental health policy in Montreal." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84525.
Повний текст джерелаАнотація:
The focus of this dissertation is the mental health experiences of Aboriginal people in Montreal as they interface with health policy, and lack thereof, for this population.Drawing on anthropological fieldwork from Montreal, Eastern Quebec, and Ontario, this thesis endeavours to unravel the jurisdictional tapestry that Aboriginal clients must negotiate when seeking services in Montreal. Using an ethnographic methodology, this project provides an understanding of the ordering of health services for Aboriginal clients from street-level to policy offices.
This thesis draws on three theoretical areas (theories of illness, aboriginality, and public policy) to explicate four themes that emerge from the data. Analysis moves along a continuum between the illness experience and the macro-social determinants of politics and bureaucracy that impact the health of the individual as well as support and organize systems of care.
Discussion of Theme #1 (evolution of mental health and wellness categories in health theory, policy and practice) and Theme #2 ( the culture concept in health policy) demonstrates that despite the progressive evolution of concepts in health theory and policy, Aboriginal people generally do not find services in Montreal that provide culturally-sensitive, holistic care. Discussion of Theme #3 (barriers to wellness created by jurisdiction) argues that jurisdictional barriers prevent clients' access to even the most basic and rudimentary services and that such barriers can actually disable and increase distress. Discussion of Theme #4 ( Aboriginal-specific services) looks at the pros and cons of creating an Aboriginal-specific health centre in Montreal.
Together, these four themes show that understanding Aboriginal people in Montreal requires contextualizing their embodied experience within the colonial history and institutional racism which characterizes many healthcare interactions, and clarifying the bureaucracy that complicates the search for well-being. Montreal's Aboriginal problematic is located in a system characterized by entrenched bureaucracy, jurisdictional complexity and injustice, these elements mapping onto Aboriginal reality with serious repercussions for individual identity and well-being.
Hearing the voices of Aboriginal people in Montreal as they seek out care for mental health problems requires the resolution of jurisdictional and policy clashes that currently silence their suffering. This thesis endeavours to advance this crucial social agenda.
9
Best, Odette Michel, and n/a. "Community Control Theory and Practice: a Case Study of the Brisbane Aboriginal and Islander Community Health Service." Griffith University. School of Arts, Media and Culture, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20060529.144246.
Повний текст джерелаАнотація:
It is accepted protocol among Indigenous communities to identify one's link to land. I was born and raised in Brisbane. My birth grandmother is a Goreng Goreng woman, my birth grandfather is a Punthamara man. However, I was adopted by a Koombumberri man and an anglo-celtic mother after being removed at birth under the Queensland government policy of the day. The action of my removal and placement has had profound effects upon my growing and my place within my community today. For the last 15 years I have worked in the health sector. My current position is as a Lecturer within the Department of Nursing, Faculty of Science, University of Southern Queensland, Toowoomba. My areas of expertise are Indigenous Health and Primary Health Care. I have been employed in this capacity since January 2000. Prior to my full time employment as a nursing academic I have primarily been located within three areas of health which have directly impacted upon my current research. I was first positioned within health by undertaking my General Nurse Certificate through hospital-based training commenced in the late 1980s. For me this training meant being immersed within whiteness and specifically the white medical model. This meant learning a set of skills in a large institutionalised health care service with the provision of doctors, nurses, and allied medical staff through a hospital. Within this training there was no Indigenous health curriculum. The lectures provided on 'differing cultures' and health were on Muslim and Hindu beliefs about death. At that point I was painfully aware of the glaring omission of any representation of Indigenous health and of acknowledgment of the current outstanding health differentials between Indigenous and non-Indigenous Australians. I knew that the colonisation process inflicted upon Indigenous Australians was one of devastation. The decline in our health status at the time of colonisation had been felt immediately. Since this time our health has been in decline. While in the 1980s it was now no longer acceptable to shoot us, poison our waterholes, and incarcerate us on missions, we were still experiencing the influence of the colonisation process, which had strong repercussions for our current health status. Our communities were and remain rife with substance abuse, violence, unemployment, and much more. For Indigenous Australians these factors cannot be separated from our initial experience of the colonisation process but are seen as the continuation of it. However, there was no representation of this and I received my first health qualification.
10
Best, Odette Michel. "Community Control Theory and Practice: a Case Study of the Brisbane Aboriginal and Islander Community Health Service." Thesis, Griffith University, 2004. http://hdl.handle.net/10072/366110.
Повний текст джерелаАнотація:
It is accepted protocol among Indigenous communities to identify one's link to land. I was born and raised in Brisbane. My birth grandmother is a Goreng Goreng woman, my birth grandfather is a Punthamara man. However, I was adopted by a Koombumberri man and an anglo-celtic mother after being removed at birth under the Queensland government policy of the day. The action of my removal and placement has had profound effects upon my growing and my place within my community today. For the last 15 years I have worked in the health sector. My current position is as a Lecturer within the Department of Nursing, Faculty of Science, University of Southern Queensland, Toowoomba. My areas of expertise are Indigenous Health and Primary Health Care. I have been employed in this capacity since January 2000. Prior to my full time employment as a nursing academic I have primarily been located within three areas of health which have directly impacted upon my current research. I was first positioned within health by undertaking my General Nurse Certificate through hospital-based training commenced in the late 1980s. For me this training meant being immersed within whiteness and specifically the white medical model. This meant learning a set of skills in a large institutionalised health care service with the provision of doctors, nurses, and allied medical staff through a hospital. Within this training there was no Indigenous health curriculum. The lectures provided on 'differing cultures' and health were on Muslim and Hindu beliefs about death. At that point I was painfully aware of the glaring omission of any representation of Indigenous health and of acknowledgment of the current outstanding health differentials between Indigenous and non-Indigenous Australians. I knew that the colonisation process inflicted upon Indigenous Australians was one of devastation. The decline in our health status at the time of colonisation had been felt immediately. Since this time our health has been in decline. While in the 1980s it was now no longer acceptable to shoot us, poison our waterholes, and incarcerate us on missions, we were still experiencing the influence of the colonisation process, which had strong repercussions for our current health status. Our communities were and remain rife with substance abuse, violence, unemployment, and much more. For Indigenous Australians these factors cannot be separated from our initial experience of the colonisation process but are seen as the continuation of it. However, there was no representation of this and I received my first health qualification.Thesis (Masters)
Master of Philosophy (MPhil)
School of Arts, Media and Culture
Full Text
11
Beale, B. L. "Maternity services for urban Aboriginal women : experiences of six women in Western Sydney /." View thesis, 1996. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030613.161127/index.html.
Повний текст джерела
12
Garay, Jasper. "Social and Emotional Wellbeing service experiences of Aboriginal young people in New South Wales, Australia: listening to voices, respecting experiences, improving outcomes." Thesis, University of Sydney, 2021. https://hdl.handle.net/2123/24528.
Повний текст джерелаАнотація:
Many Aboriginal and Torres Strait Islander young people in New South Wales have lived experiences of mental health/social and emotional wellbeing services and systems. These lived experiences and knowledges are of great value to services and systems that are seeking to improve mental health/social and emotional wellbeing health outcomes through systemic reform. The lived experiences of Aboriginal and Torres Strait Islander young people are crucial to developing an authentic understanding of why some services and systems work and why some services and systems do not work; they also offer a consumer perspective on how mental health/social and emotional wellbeing services and systems could be improved.
While there is a growing body of research providing evidence suggesting that young Aboriginal and Torres Strait Islander peoples experience very high burdens of mental health/social and emotional wellbeing challenges, there is minimal research on mental health/social and emotional wellbeing help-seeking, service experiences or on what works (and why or why not). This research fills part of that knowledge gap.
This research forms part of a larger body of work being undertaken by the Study of Environment on Aboriginal Resilience and Child Health (SEARCH) team in partnership with several Aboriginal Community Controlled Health Services (ACCHS) in New South Wales, Australia. It aims to privilege the voices, experiences, and perspectives of Aboriginal and Torres Strait Islander young people who use mental health/social and emotional wellbeing services and systems in New South Wales. Through this data the research aims to establish a consumer perspective on how current mental health/social and emotional wellbeing services and systems can build upon current strengths and successes. It also aims to preview
4
suggestions for change by positioning the voices of Aboriginal and Torres Strait Islander young people as experts on their own needs.
Aboriginal young people involved in this study did have suggestions for reforms to Social and Emotional Wellbeing services that would improve outcomes across five key themes: access, cultural appropriateness, early intervention, service integration, and effectiveness. Overall, enhanced accessibility to holistic Social and Emotional Wellbeing services that genuinely support clients in their wellbeing journeys was identified as needed. Earlier intervention services were identified as important and requiring further embedment in communities, with services that do exist suggested to better utilise culturally informed and person-centered approaches to care.
This thesis presents a synthesis of related literature, mental health/social and emotional wellbeing data and policies and uses qualitative health research methods to position the voices, experiences, and perspectives of current Aboriginal and Torres Strait Islander young people as experts in this research
13
Sevo, Goran, and sevo1984@yubc net. "A multidimensional assessment of health and functional status in older Aboriginal Australians from Katherine and Lajamanu, Northern Territory." The Australian National University. Faculty of Arts, 2003. http://thesis.anu.edu.au./public/adt-ANU20051021.144853.
Повний текст джерелаАнотація:
Human health is multidimensional: apart from physical, mental, and social aspects, it also
incorporates subjective perceptions of health, and functional status (FS). Given that elderly
persons have very distinctive health and social needs, multidimensional assessment (MA)
of health proves particularly useful in this age group.¶
Aboriginal populations suffer poor health, and there are relatively few studies addressing
the health problems of older Aboriginal Australians, mainly because of their distinctive
demographic structure, and the low proportion of their elderly. Also, there is no prior
information available on MA of health in this Australian population group.¶
This thesis offers a MA of health in older Aboriginal persons from two, urban and
rural/isolated, locations in the NT, Katherine and Lajamanu (the NT survey).¶
This thesis specifically addresses the following questions:
- what is the physical health, FS, subjective perception of health, and social
functioning amongst the NT survey participants?
- what are the possible similarities and differences in various dimensions of health
between the two major survey locations, what age and gender patterns are
observed, and what are the reasons for these patterns, similarities and
differences?
- how do various dimensions of health relate to each other, and why?
- how do current findings relate to broader Aboriginal and non-Aboriginal
populations, and why?
- what can MA add to a better understanding of various aspects of morbidity and
health care use?
- what are its possible implications for health planning?¶
Findings from this work indicate poor physical health amongst participants in almost all
investigated aspects, comparable to information available from other Aboriginal
populations. These are accompanied by low levels of ability for physical functioning. Despite this, subjective perception of health is rather optimistic amongst participants, and
levels of social functioning high. Use of health services is mainly related to available health
infrastructure. Important health differences exist between Katherine and Lajamanu, and
they became particularly visible when all dimensions of health are considered together.¶
The Main conclusions from the current work are that 1) poor physical health is not
necessarily accompanied by similar level of deterioration in other dimensions of health:
even though participants from the isolated community of Lajamanu experience most
chronic diseases, their ability for physical functioning is better, self-perceived health (SPH)
more optimistic and levels of social functioning highest 2) institutionalised participants from
Katherine suffer by far the worst health of all sample segments in this study; at least some
of the poor health outcomes are potentially avoidable, and could be improved by more
appropriate residential choices for Aboriginal elderly 3) better health infrastructure does
not necessarily bring better health in all its dimensions, suggesting that other factors
(primarily socio-economic and cultural) should be addressed in conjunction with this in
solving complex health problems of Aboriginal Australians, and 4) it provides strong
support that MA can become a useful tool in comprehensive health assessment of older
Aboriginals.
14
Sibthorpe, Beverly. ""All our people are dyin' ": diet and stress in an urban Aboriginal community." Phd thesis, 1988. http://hdl.handle.net/1885/109811.
Повний текст джерелаАнотація:
This is primarily a study of dietary practices and nutrient intakes in
relation to health in an urban Aboriginal community in New South Wales.
It examines the assumption that poor diet is one of the major, if not
the major, contributing factors in poor Aboriginal health. The data
indicate that in the community studied dietary patterns were consistent
with those of the wider society. Intakes of nutrients were not always
optimal compared with recommended dietary intakes (RDIs) for Australia,
but compared to the rest of the Australian population, and different
sub-sections within it, they were not as poor as expected. In
particular, the high fat, high sugar, largely vitamin deficient diet
frequently assumed to be ubiquitous in Aboriginal communities is not
supported by this study. Consequently, it is argued that the importance
of the role of diet in poor Aboriginal health may have been over-stated.
In re-evaluating the current emphasis on diet and other 'lifestyle'
factors it is suggested that the scope of the analysis needs to be
considerably broadened to include other factors which may be more
ambiguous in terms of their effects on health. What seems particularly
important is the high level of stress evident in the community studied.
This stress seems to be derived from a particular set of historical and
contemporary social conditions which, it is argued, need to be more
fully considered as part of the totality of environmental factors which
impinge on the health of Aborigines in settled Australia.
15
Parslow, Ruth Adeline. "A study of Australians' access to health services for common mental health problems." Phd thesis, 2002. http://hdl.handle.net/1885/146160.
Повний текст джерела
16
Gardner, Karen Louise. "Sustaining quality improvement in indigenous primary health care : a sociological analysis." Phd thesis, 2011. http://hdl.handle.net/1885/155965.
Повний текст джерелаАнотація:
Sustaining the delivery of effective chronic disease care is a major imperative for health systems worldwide. As the prevalence of chronic conditions continues to rise, health systems struggle to provide high quality care that meets the standards set out in practice guidelines. Reorientation of primary health care systems to support the delivery of prevention and management over long timeframes is required. Continuous quality improvement programs are increasingly being used to make and monitor progress towards meeting these objectives. They use participatory action methods to stimulate changes to clinical practice and to the systems that support it. Although research has demonstrated that these programs can be effective, little is known about how they are implemented and sustained, the mechanisms that underpin their impacts, or the influence of implementation processes and context on outcomes. There is a need for research approaches that are better informed by theory to help identify mechanisms and explain change processes or lack of them in different settings. This thesis uses a case study design to investigate factors associated with the sustainability of a large scale CQI program in Indigenous primary health care services in Australia. Drawing on sociological approaches, the study develops and applies a complexity perspective to conceptualise sustainability as the dynamic outcome of interactions between elements of programs and the broader health system and stakeholder environments. It brings together concepts from complex adaptive systems and actor network theory to conduct an in-depth examination of the processes through which participants were engaged in CQI, their use of the audit tools and processes and development of strategies to enact and sustain change. The study demonstrates that despite initial enthusiasm and a complex but broadly conducive environment for developing CQI, using the tools and processes was intensive and time consuming and changing practices to support improvement priorities required services to adapt and realign clinical and administrative processes within and between service systems. Processes of change were reflexive, operating in loops and feedbacks that produced results which were not always intended or predictable. Changes in one part of the system inevitably led to impacts in another. Partial engagement among the stakeholders, workforce shortage and turnover, inter{u00AD}professional relations, poorly aligned patient information systems, bureaucracy and competing priorities in the service environment impeded efforts. Services that were better able to address the impediments they faced had: organisational buy-in; supportive clinical and managerial leadership; someone at the health centre level to coordinate and drive CQI; resources to support team involvement and facilitation; internal communication and feedback; and decision making processes that allowed managers to enact change at the service level. The thesis makes recommendations for changes in practice at the local and regional levels, and in policy at the national level, that will be required to support the widespread adoption and sustained practice of CQI. These practical conclusions are founded in an enhanced theoretical repertoire developed by this thesis that furthers an understanding of implementation processes, and of the relationship between context and programme, in order to improve the sustainability of CQI programmes.
17
Tynan, Michael. "Trust and psychosocial stress in an urban Aboriginal community." Phd thesis, 2003. http://hdl.handle.net/1885/151743.
Повний текст джерела
18
Senior, Kate Adèle. "A Gudbala Laif? : health and wellbeing in a remote Aboriginal community - what are the problems and where lies responsibility?" Phd thesis, 2003. http://hdl.handle.net/1885/109708.
Повний текст джерелаАнотація:
The the sis is a study of a single community, its health, expectations and
aspirations. It is a study of understand in g and responsibility in the
context of dependence. The primarily ethnographic work for this thesis
was undertaken in Ngukurr over thirteen months between 1999 and
2002. Ngukurr is a remote town on the south east border of Arnhem Land in
Australia’s Northern Territory. Its long term residents are Aboriginal
people. The thesis presented here examines these people’s
understanding of health and illness in their community and their
attainment of a good life. My study focuses on issues around people’s
engagement with and disengagement from, the management of their
health and health service delivery.
My thesis is guided by the following questions:
• how do people assess their health status?
• how a republic health services perceived?
• what expectations does the community have about the type and
quality of the services provided ?
• do people seek an active role in the management of their
health ?
People’s attitudes to and expectations for their health are examined in
the context of a history of direct welfare dependence till the mid nineteen
seventies; followed by local self government in which fiscal and
administrative responsibility were held by Government or outside
individuals. The evidence for health status, morbidity, and mortality among the
remote indigenous population is significantly worse than non indigenous
Australians and h a s been the subject of extensive Commonwealth and
State health programs to little obvious effect.
The literature I survey shows that people in poor communities rate their
health more highly than the objective data suggests. Ngukurr residents
rate their health in a similar way, b u t their apparent satisfaction masks
complex beliefs about illness and concerns about health.
I demonstrate that the community believes that outside influences are
more important than personal actions as a cause of poor health, that
there is little respect for the community’s view of health or health
services, and in consequence there is little point in taking personal or
collective responsibility.
Ngukurr residents are not disinterested in health. They are acutely
aware of the patterns of morbidity and mortality in their community and
consider these to have a negative impact on their quality of life. Their
ability to bring about changes in these patterns is limited by different
paradigms of health and illness which sometimes appear as fatalism,
powerlessness in the non-Aboriginal domain, loss of confidence due to
poor communication with non indigenous providers, and consequent low
expectations with regard to personal and community health.
This creates a challenge for current policies to devolve management
responsibility for health services to local communities. Policy makers
should make considerable efforts to u n d e rs tan d local health beliefs and
value systems and ensure that changes are appropriate, rather than
making changes in health systems based on non-indigenous
understandings of needs.
19
Molloy, L. "Mental health nursing and its practice with Aboriginal and Torres Strait Islander peoples in public mental health services : a multi-sited ethnography." Thesis, 2018. https://eprints.utas.edu.au/30185/1/Molloy_whole_thesis_ex_pub_mat.pdf.
Повний текст джерелаАнотація:
Since the 1990s, significant problems with the public mental health services provided to Aboriginal and Torres Strait Islander peoples have been identified. Mental health professionals have been found to have had little understanding of Aboriginal and Torres Strait Islander culture, and this has often resulted in inappropriate treatment and care.
The purpose of this multi-sited ethnography was to undertake an ethnographic analysis of the culture of mental health nursing in relation to its practice with Aboriginal and Torres Strait Islander users of public mental health services. Data collection, conducted between February 2014 and October 2016, involved interviews, observational fieldwork and document analysis. Observational fieldwork included participant observation at two Australia College of Mental Health Nurses conferences and nonparticipant observation in two public mental health services: (i) a regional mental health service; and (ii) an inner city mental health service. In-depth interviews were conducted with seventeen mental health nurses from across the country. Document analysis was undertaken of relevant documents, including historical documents related to the speciality.
Mental health nurses practising in public mental health services described how the ideology of biomedical psychiatry dominated treatment and care. This dominance constricted mental health nursing practices to those that complemented biomedical interventions, stifling the development of culturally appropriate care for Aboriginal and Torres Strait Islander service users. While local and national attempts to improve mental health services for Aboriginal and Torres Strait Islander peoples focused on raising individual cultural awareness, the institutional culture in services was dominated by interventions which ignored culture and its implications or care and treatment.
The research found that many mental health nurses were unclear about what form specialist practice would take in addressing social and emotional wellbeing for Aboriginal and Torres Strait Islander service users. The speciality of mental health nursing had not developed a clear knowledge base to support practice and the approaches to nursing care were disunited. Practice was constructed from individual nurse’s belief and ideas and shaped by their experience of working in mental health services.
Mental health nurses positioned the Aboriginal and Torres Strait Islander service user as Other both to themselves, and to non-Indigenous service users. Cultural difference and the legacy of colonisation, including its impact on the health of Aboriginal and Torres Strait Islander peoples, contributed to these beliefs of alterity. Despite an emphasis on difference, mental health nurses did not relate this to Indigenous ways of understanding ill-health using the concept of social and emotional wellbeing. While cultural differences were recognised, what they meant for the nurses or their nursing practice was interpreted in diverse ways. In these circumstances, approaches towards care for Aboriginal and Torres Strait Islander peoples varied considerably between mental health nurses.
20
Gillor, Guy I. "Taking control : a case study of the National Aboriginal and Islander Health Organisation (NAIHO)." Thesis, 2012. http://handle.uws.edu.au:8081/1959.7/520284.
Повний текст джерелаАнотація:
Social services, such as health, are often at the centre of political struggles, and are often shaped by the actions of social movements. This thesis examines the politics surrounding the development of grassroots health infrastructures in a colonialist context. In particular, this thesis sets out to examine the way in which struggle and resistance in such a context shape health infrastructures and challenge the policy process. The methodology employed is a single-unit case study analysis, focusing on the Aboriginal community-controlled health services (ACCHSs) movement in Australia. The rise of such community-controlled social services during the 1970s was one of the manifestations of the land rights movement. The ACCHSs movement developed around some similar concepts to a global Primary Health Care (PHC) movement, which focused on what is now defined as the social determinants of health. This approach argues that poor health outcomes are often derived from social and political causes. The research relies on a number of primary sources. One such source is activist literature from the time period. Fifty four issues of the AMS Newsletter, produced by the Redfern AMS, from the year 1973 to 1991 were located in the course of the data collection. These newsletters offer precious analysis from the point of view of prominent activists in the movement, and unfold some of its political history and development. Other primary sources explored are a variety of official reports, released and unreleased. This research identifies one unreleased report, the 1980 Program Effectiveness Review on Aboriginal Health, and the battle over its suppression, as a defining experience in the development of the movement. The ACCHSs movement started with the establishment of the Redfern Aboriginal Medical Service (AMS) in 1971. The movement has endured, and today there are over 150 ACCHSs across Australia. However, very little information about the movement’s history and early development is available. This case study focuses on the national aspect of the movement, and in particular, the establishment of a national umbrella organisation, the National Aboriginal and Islander Health Organisation (NAIHO). The findings of this thesis follow the development of the movement from the history of the first ACCHSs in Redfern, of NAIHO in the mid 1970s, until its mysterious demise in the late 1980s. NAIHO was eventually replaced by the National Aboriginal Community Controlled Health Organisation (NACCHO) in the early 1990s, which still exists today. The investigation of the development of the movement follows some repeating themes which emerge from the data. Some of the main themes explored include: the theory and practice of community control; the approach of the movement to the social and political determinants of health; the question of funding and its implications to community control; the relationship between the movement and different State and federal departments; and the policy process. The findings of this research trace the political history of the movement, focusing on its national organisation, through periods of development and change. The ACCHSs movement was able to survive the turn to neoliberalism, and the weakening of the wave of social movements from which it emerged. Yet the movement changed in this process. These changes are identified as a shift from a ‘movement’ to a ‘sector’ framework. Furthermore, the findings identify some of the effects such movements have on shaping the policy process. In particular, two competing types of approaches to the policy process are identified: a declaratory process, in which policy is exclusively decided on and dictated by government, and a treaty-like policy process, in which policy is jointly prepared and agreed upon by those affected by the policy.
21
Howell-Jones, Gail E. "Counselling First Nations : experiences of how aboriginal clients develop, experience, and maintain successful healing relationships with non-aboriginal counsellors in mainstream mental health settings, a narrative study." Thesis, 2005. http://hdl.handle.net/2429/18446.
Повний текст джерелаАнотація:
Aboriginal people in Canada experience disproportionately high rates of
family violence, suicide, substance abuse, and mental health problems such as
depression and posttraumatic stress disorder. However, although culturally based
healing resources for aboriginal people are inadequate to meet the need, available
mainstream mental health services are underutilized by aboriginal clients.
Therefore, while building on previous research looking at the problems faced by
mainstream services and non-aboriginal counsellors in engaging and helping
aboriginal clients, this research assumed there have been successes and examined
aboriginal experiences of successful engagement and healing within such
contexts. The methodology for this study is a narrative based approach that meets
the mandates for ethical and appropriate indigenous research as described by
those of authority in the field of indigenous research, and answers the question:
How do aboriginal clients develop, experience, and maintain successful healing
relationships with non-aboriginal counsellors in mainstream mental health
settings? Narrative analysis of interviews with seven aboriginal mental health
clients who believed they had a positive counselling experience in a mainstream
setting produced findings that suggest common themes of interaction and
discovery mark successful counselling relationships. Generally clients described
an increased sense of connection and belonging, harmony, integration of
traditional aboriginal and non-aboriginal practice and beliefs, self-acceptance,
understanding, and balance as critical. However the defining characteristic of a
successful counselling experience was expressed as the capacity of the
counselling relationship to increase each client's clarification of how aboriginality
is meaningfully and uniquely understood. These findings have implications for
mainstream mental health services and indigenous research in general.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate