Aboriginal People and Communities
It is important to recognise and respect the importance of family, community and connection to country for Aboriginal people and communities.
Family and community
Kinship and family are particularly important for Aboriginal people and involve responsibilities that are not typical in non-Aboriginal families. While contemporary Aboriginal families vary widely in terms of their family ties, they generally have a more extensive concept of family than western cultures.
Aboriginal communities are an extension of the family and may be involved in strategies that increase and support enablement. Elders are cultural knowledge holders in the community and may be a source of knowledge for holistic wellness for the mind, body and spirit.
When working with Aboriginal people, try to involve their family, community and Elders, and consult them directly with the person’s permission and where appropriate. You should also think about engaging other key people in the person’s life when delivering healthcare, to support their enablement.
Connection to country
Connection to country or land is important in Aboriginal cultures and can significantly impact how Aboriginal people access healthcare services. It will be different for different people, so explore what connection to the land means to each person and try to incorporate it into their healthcare plan.
Staying on land may also be important, provide treatment locally wherever possible. If out-of-area treatment is required, explain why it is important, where it can be provided, and give them timeframes for travel and treatment if possible.
Culturally responsive practice
Culturally safe and responsive practices are built on a foundation of trust. Many Aboriginal people are reluctant to engage with government employees and organisations, due to the damaging effects of past policies and legislation.
Tips to build trust
- Do not hurry, allow time for questions and actively involve people in developing healthcare plans and treatment options.
- Encourage input from family and community members.
- Listen to the concerns, opinions and beliefs that are raised.
- Ask permission to work together and develop a healthcare plan.
- Thank people for their involvement.
- Always do what you say you will do, being reliable is key to building trust.
The Bringing them Home Report and National Aboriginal and Torres Strait Islander Health Plan 2017-2023 may also help you understand the context of Aboriginal peoples and communities.1 2
References
- Commonwealth of Australia: Human Rights and Equal Opportunity Commission. Bringing them Home Report. Sydney; Commission; 1997.
- Commonwealth f Australi: Dept of Health. National Aboriginal and Torres Strait Islander Health Plan 2017-2023. Canberra: Dpet of Health; 2018.
Resources
Further information
- Bringing them Home ReportOrganisationAustralian Human Rights CommissionDescriptionReport of the National Inquiry into the Separation of Aboriginal and Torres Strait Islander Children from Their Families April 1997Licensing/Cost--
- Families and cultural diversity in AustraliaOrganisationAustralian Institute of Family StudiesDescriptionFurther reading on Aboriginal family life and values.Licensing/Cost--
Policy frameworks, agreements and plans for Aboriginal health
- Closing the GapOrganisationDepartment of the Prime Minister and CabinetDescriptionClosing the Gap aims to improve the lives of Aboriginal and Torres Strait Islander Australians.Licensing/Cost--
- National Aboriginal and Torres Strait Islander Health Plan 2013-2023OrganisationThe Department of HealthDescriptionWeb page includes link to the 2013-2023 Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan and other relevant documents.Licensing/Cost--
- Aboriginal and Torres Strait Islander HealthOrganisationThe Department of HealthDescriptionInformation about Commonwealth Aboriginal and Torres Strait Islander health activitiesLicensing/Cost--
Resources for working with Aboriginal people
- User Guide for Aboriginal and Torres Strait Islander HealthOrganisationAustralian Commission on Safety and Quality in Health CareDescriptionA guide for health service organisations to address six actions from the NSQHS Standards that are specific to Aboriginal and Torres Strait Islander people.Licensing/Cost--
- Cultural Responsiveness In Action FrameworkOrganisationIndigenous Allied Health AustraliaDescriptionA framework for culturally responsive practice with an Aboriginal and Torres Strait Islander focus.Licensing/Cost--
- Respecting the Difference: An Aboriginal Cultural Training Framework for NSW HealthOrganisationNSW HealthDescriptionMandatory training for NSW Health staff, includes links to policy directives and other information.Licensing/Cost--
- National guide to a preventive health assessment for Aboriginal and Torres Strait Islander peopleOrganisationRACGP & NACCHODescriptionA guide to best practice preventive healthcare for Aboriginal and Torres Strait Islander patients. You can also access The National Guide Podcast and other resources from this page.Licensing/Cost--
- National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017-2023OrganisationDepartment of the Prime Minister and CabinetDescriptionThis Framework provides a dedicated focus on Aboriginal and Torres Strait Islander social and emotional wellbeing and mental health. It sets out a comprehensive and culturally appropriate stepped care model that is equally applicable to both Indigenous specific and mainstream health services.Licensing/Cost--
- Providing culturally appropriate palliative care to Aboriginal and Torres Strait Islander PeoplesOrganisationAustralian Government Department of Health and AgeingDescriptionThis national resource kit was developed to support the provision of palliative care to Aboriginal and Torres Strait Islander patients, their families and communities, and to encourage service providers to examine their practice for cultural appropriateness.Licensing/Cost--
- Telehealth consultations with Aboriginal people for pain managementOrganisationAgency for Clinical Innovation Pain Management NetworkDescriptionGuide for clinicians on providing chronic pain management services to Aboriginal people via telehealth.Licensing/Cost--