Abstract

Author(s)

Ian James¹, Robert Leidig²

Affiliations

1. Mental Health Strategy and Planning, 2. National Indigenous Network Initiative

Introduction

Aboriginal and Torres Strait Islander people continue to face significant social and economic disadvantage, stemming largely from the policies that have affected their wellbeing across generations.

The loss of cultural connection, language, land, and the continuous effect of alcohol, drugs, and the impact of domestic and family violence contribute to trauma, grief, and ongoing psychological distress, which are key drivers of the high suicide rates, mental health issues and social and emotional imbalances within our communities.

While current policies and practices give the illusion of many things being done to make a change in the trajectory of the Aboriginal and Torres Strait Islander health the fact is that mainstream models of mental health support and treatment have not lowered the high rates of health and mental health problems.

Discussion

Providing a culturally informed mental health and social emotional wellbeing service is essential for improving care for Aboriginal and Torres Strait Islander peoples. This involves incorporating respectful cultural knowledge into care practices, breaking away from a one-size-fits-all mindset, and recognising the
significant role of culture in influencing wellbeing outcomes.

The Aboriginal SEWB Centre applies a ‘whole of family, whole of life’ spiritual and holistic approach in supporting cultural security and integrity and will provide urgent mental health assessment and treatment with a social emotional wellbeing wrap around model, including crisis interventions and therapies to All of Age guests who do not require the services of an ED. This is achieved by integrating culturally based and safe practices, involving Traditional Healers and lived
experiences alongside mainstream clinicians. First Nations perspectives prioritise connections to family, land, law, and language, emphasising responsibilities outlined in traditional lore. These values are upheld through ceremonies and gatherings that reinforce cultural identity and belonging.

By understanding and implementing these cultural practices and knowledge, we can address the impacts of ongoing colonisation and strive towards better health outcomes. Embracing diverse cultural perspectives and collaborative care approaches, pave the way for more holistic and effective mental health services.