Identifying how the principles of self-determination could be applied to create effective alcohol policy for First Nations Australians: Synthesising the lessons from the development of general public policy

Stearne, Annalee; Allsop, Steve; Shakeshaft, Anthony; Symons, Martyn; Wright, Michael

doi:10.1016/j.drugpo.2021.103260

Cited by 9 publications

(14 citation statements)

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“…The lack of consensus achieved when panellists were asked to rate six "real-life" examples (Table 5) reflects Larsen's [91] findings that self-determination in policy development may not be present across all stages. For example, it is possible for self-determination to be evident in some stages of the policy process and completely absent in others [15,91]. Further to this, the type of representation of First Nations Australians (Fig.…”

Section: Interrelated Nature Of Elements Needed For Self-determination To Be Evident In Policy Development Processesmentioning

confidence: 99%

“…A critical point is that simply including First Nations Australians in policy development does not equate to self-determination [30,59,60]. However, while the right to self-determination in the development of policy, including that related to health and alcohol, affecting First Nations Australians is necessary [60,61], we were unable to find studies that demonstrated how selfdetermination could be achieved in this setting [15]. To address this knowledge gap, this study aims to identify expert opinion on what is needed for First Nations Australians' self-determination in the development of healthand alcohol-related policy.…”

Section: Introductionmentioning

confidence: 95%

“…Previous studies have described key elements needed to improve First Nations Australians' health and well-being; these include recognition and removal of historical and ongoing colonization, dispossession, exclusion and discrimination, and the promotion of First Nations Australian-led decision-making [12][13][14]. The principle of self-determination, which was identified and recognized by the United Nations (UN) in the years after the Second World War, includes recognition of the right to determine one's own political status, and to pursue social, economic and cultural development [15]. This is consistent with the collective right of self-determination in the Universal Declaration of Human Rights [16].…”

Section: Introductionmentioning

confidence: 99%

“…Following decades of advocacy, the 2007 UN Declaration on the Rights of Indigenous Peoples (UNDRIP) acknowledged the vital importance of self-determination [18][19][20][21][22][23]. Australia initially opposed the UNDRIP but became a signatory in 2009, with some caveats 2 [15,18,[23][24][25].…”

Section: Introductionmentioning

confidence: 99%

“…There are also many layers to self-determination, including both personal and community empowerment. While it is complex, challenging to define and means different things to different people in varying contexts [27][28][29][30], we define self-determination as "… the internationally recognised and on-going right of Indigenous Peoples to collectively determine their own pathway, within and outside of existing settler societies" [15].…”

Section: Introductionmentioning

confidence: 99%

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First Nations Australians’ self-determination in health and alcohol policy development: a Delphi study

Stearne

Lee

Allsop

et al. 2022

Health Res Policy Sys

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Background Recognition of the role of structural, cultural, political and social determinants of health is increasing. A key principle of each of these is self-determination, and according to the United Nations (2007), this is a right of Indigenous Peoples. For First Nations Australians, opportunities to exercise this right appear to be limited. This paper explores First Nations Australian communities’ responses to reducing alcohol-related harms and improving the health and well-being of their communities, with a focus on understanding perceptions and experiences of their self-determination. It is noted that while including First Nations Australians in policies is not in and of itself self-determination, recognition of this right in the processes of developing health and alcohol policies is a critical element. This study aims to identify expert opinion on what is needed for First Nations Australians’ self-determination in the development of health- and alcohol-related policy. Methods This study used the Delphi technique to translate an expert panel’s opinions into group consensus. Perspectives were sought from First Nations Australians (n = 9) and non-Indigenous Peoples (n = 11) with experience in developing, evaluating and/or advocating for alcohol interventions led by First Nations Australians. Using a web-based survey, this study employed three survey rounds to identify and then gain consensus regarding the elements required for First Nations Australians’ self-determination in policy development. Results Twenty panellists (n = 9 First Nations Australian) participated in at least one of the three surveys. Following the qualitative round 1 survey, six main themes, 60 subthemes and six examples of policy were identified for ranking in round 2. In round 2, consensus was reached with 67% of elements (n = 40/60). Elements that did not reach consensus were repeated in round 3, with additional elements (n = 5). Overall, consensus was reached on two thirds of elements (66%, n = 43/65). Conclusions Self-determination is complex, with different meaning in each context. Despite some evidence of self-determination, systemic change in many areas is needed, including in government. This study has identified a starting point, with the identification of elements and structural changes necessary to facilitate First Nations Australian community-led policy development approaches, which are vital to ensuring self-determination.

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Section: Interrelated Nature Of Elements Needed For Self-determination To Be Evident In Policy Development Processesmentioning

confidence: 99%