What Works? A Review of Actions Addressing the Social and Economic Determinants of Indigenous Health

Osborne, Katy; Baum, Fran; Brown, Lynsey

doi:10.1037/e506222014-001

Cited by 47 publications

(51 citation statements)

References 46 publications

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“…Culturally safe practice also requires understandings of impacts upon mental health within the socio‐historical context for Indigenous peoples (Dudgeon, Milroy, & Walker, ). In this context, to ensure such practices are culturally responsive, they must be guided by Indigenous conceptualisations of mental health and mental illness (see for review of programs, Closing the Gap Clearinghouse (AIHW & AIFS), ; Garvey, ; Osbourne, Baum, & Brown, ; Swan & Raphael, ). However, working at the cultural interface of Indigenous and non‐Indigenous knowledge is likely to also provide a further basis for culturally safe practice (Nakata, ).…”

Section: Introductionmentioning

confidence: 99%

Aboriginal and Torres Strait Islander Health and Well‐Being: Implications for a Cognitive Behavioural Therapy Framework

Kilcullen

Swinbourne

Cadet‐James

2016

Australian Psychologist

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Objective: It has been acknowledged that the mental health of Aboriginal and Torres Strait Islander people has been "bedeviled" by the inappropriate application of non-Indigenous models of mental health. To enhance Indigenous health and well-being it is necessary for nonIndigenous practitioners to find a culturally safe way to enter the negotiated space of cross-cultural mental health. This will be facilitated through understanding both the points of similarity and divergence in perspectives of mental health across cultures. The current study aimed to explore urban Aboriginal and Torres Strait Islander's understandings of mental health using a social emotional well-being and cognitive behavioural framework. Method: A qualitative research project was conducted with a sample of 19 Australian Aboriginal and Torres Strait Islander people. Data were collected via individual semi-structured interviews and focus groups. Thematic analysis was conducted to identify themes within the data. Results: Qualitative: Four themes emerged as reflecting health and well-being-coping skills, knowledge, social support, and connectedness. The theme of connectedness to country, family and kinship, cultural knowledge, and social networks emerged as reflecting a unique contribution to Indigenous health and well-being. However, the themes of coping skills, knowledge, and social support shared cross-cultural meaning. In particular, coping skills identified in the behavioural, emotional, and cognitive domains shared many cross-culturally applicable avenues for intervention. Conclusions: Therapeutic interventions in these domains are already well established within cognitive behaviour therapies. Cross-cultural understandings within these themes offer clinicians a culturally safe avenue for supporting Aboriginal and Torres Strait Islander health and well-being.

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Section: Introductionmentioning

confidence: 99%

Aboriginal and Torres Strait Islander Health and Well‐Being: Implications for a Cognitive Behavioural Therapy Framework

Kilcullen

Swinbourne

Cadet‐James

2016

Australian Psychologist

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“…If they are also Indigenous people, then their lives might be further impacted by socio-economic factors. An understanding of the causal pathways between the health, social, and living conditions of Indigenous populations is fundamental to understanding and responding to Indigenous people's mental health needs, and influencing social and economic circumstances (Osborne et al 2013). Social and economic determinants of health are the 'conditions in which people are born, grow, live, work and age and the wider set of forces and systems shaping the conditions of daily life' (World Health Organization, 2013).…”

Section: Introductionmentioning

confidence: 99%

Service and infrastructure needs to support recovery programmes for Indigenous community mental health consumers

Sayers

Cleary

Hunt

et al. 2016

Int J Mental Health Nurs

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Mental health is a major concern in Indigenous communities, as Indigenous people experience poorer health outcomes generally, and poorer social and emotional well-being throughout their lives, compared to non-Indigenous populations. Interviews were conducted with 20 mental health workers from a housing assistance programme for Indigenous clients with mental illness. Service and infrastructure needs identified to support clients were classified under the following overarching theme 'supports along the road to recovery'. Subthemes were: (i) It is OK to seek help; (ii) linking in to the local community; (iii) trusting the workers; and (iv) help with goal setting and having activities that support their achievement. This paper highlights the importance of targeted housing and accommodation support programmes for Indigenous people to prevent homelessness, and the essential services and infrastructure required to support Indigenous clients' mental health needs. These insights may inform service review, workforce development, and further research.

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“…For many Aboriginal families, barriers to health care extend beyond the physical availability and affordability of health services and also include complex socio‐economic, cultural and historical barriers …”

Section: Methodsmentioning

confidence: 99%

Health professional and community perspectives on reducing barriers to accessing specialist health care in metropolitan Aboriginal communities: A semi‐structured interview study

Young

Tong

Gunasekera

et al. 2016

J Paediatrics Child Health

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HEALS facilitated improved health-care access by providing prompt, no-cost services that were strategically targeted to address multiple barriers. HEALS' model of care was built upon strong pre-existing research partnerships, the knowledge and support of five Aboriginal Community Controlled Health Services, and the willingness and motivation of local health-care professionals to help Close the Gap. HEALS highlights the importance of tailoring health services to the needs of Aboriginal families, and provides a framework for other health service delivery initiatives.

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What Works? A Review of Actions Addressing the Social and Economic Determinants of Indigenous Health

Cited by 47 publications

References 46 publications

Aboriginal and Torres Strait Islander Health and Well‐Being: Implications for a Cognitive Behavioural Therapy Framework

Aboriginal and Torres Strait Islander Health and Well‐Being: Implications for a Cognitive Behavioural Therapy Framework

Service and infrastructure needs to support recovery programmes for Indigenous community mental health consumers

Health professional and community perspectives on reducing barriers to accessing specialist health care in metropolitan Aboriginal communities: A semi‐structured interview study

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