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Background Re-defining the way in which care is delivered, to reflect Aboriginal and Torres Strait Islander peoples’ needs and values, is essential for improving the accessibility of primary healthcare. This study focused on developing a Framework to support the quality of care and quality of life of, as well as treatment for, Aboriginal and Torres Strait Islander peoples living with chronic disease. Methods A team of researchers, including thirteen experienced Aboriginal healthcare professionals, came together to undertake this important work. Using a Participatory Action Approach, this study actively engaged people with local knowledge to ensure that the Framework was developed by and for Aboriginal people. Results The final Wellbeing Framework consists of two core values and four elements, each supported by four principles. Importantly, the Framework also includes practical examples of how the principles could be applied. National Reference Group members, including community representatives, policy makers and healthcare providers, reviewed and approved the final Framework. Conclusion The outcome of this collaborative effort is a Framework to guide primary healthcare services to develop locally relevant, flexible approaches to care which can respond to communities’ and individuals’ varied understandings of wellbeing.

Preventing and treating methamphetamine-related harm in Aboriginal and Torres Strait Islander populations is a significant challenge for health care services. Digital health care may offer opportunities to support individuals and families in ways that complement existing methamphetamine treatment options. This study responds to a community-identified priority as Aboriginal Community Controlled Health Services identified methamphetamine use as a key concern and sought support to respond to the needs of people who use methamphetamine and their families. This paper reports on a process evaluation of the web application's acceptability and feasibility when used by clients and clinicians in residential rehabilitation services and primary care. This study is part of a larger project entitled \"Novel Interventions to address Methamphetamine use in Aboriginal and Torres Strait Islander Communities\" (NIMAC), which seeks to develop culturally appropriate and strengths-based prevention and treatment interventions to reduce methamphetamine related harm. \"We Can Do This\" was a web application developed for Aboriginal and Torres Strait Islander people who are seeking to reduce or stop methamphetamine use. Clinicians and clients who had used the web application were recruited through Aboriginal Community Controlled Health Services and Aboriginal residential rehabilitation services in urban and regional Victoria and South Australia. Unidentified usage data was collected from all participants. After using the web application, those who indicated a willingness to be interviewed were contacted and interviewed by phone or in person and asked about the feasibility and acceptability of the web application. The framework method of analysis was used to structure and summarise the resulting qualitative data. Interviews with 24 clients and 11 clinicians explored the acceptability and feasibility of the web application. Acceptability incorporated the following domains: affective attitude, burden, ethicality, cultural appropriateness, coherence, opportunity cost, perceived effectiveness, and self-efficacy. The evaluation of feasibility assessed barriers and facilitators to the implementation of the program, with a focus on demand, practicality, fidelity, and integration. Results indicated that both clients and clinicians found the web application content coherent, relatable, empowering, and culturally safe. Barriers to using the web application for clients included a lack of internet connectivity and personal issues such as scheduling. Process evaluation is often under-valued. However, as \"We Can Do This\" was new, innovative and targeted a hard-to-reach population, understanding its feasibility and acceptability as a clinical tool was essential to understanding its potential. \"We Can Do This\" is unique as the only evidence-based, culturally appropriate internet-based therapeutic program specifically designed for Aboriginal and Torres Strait Islander people who use methamphetamine. Findings suggest it was both acceptable and feasible as a low-cost adjunct to usual care in residential rehabilitation and primary care settings.

Traditional languages are a key element of Indigenous peoples’ identity, cultural expression, autonomy, spiritual and intellectual sovereignty, and wellbeing. While the links between Indigenous language loss and poor mental health have been demonstrated in several settings, little research has sought to identify the potential psychological benefits that may derive from language reclamation. The revival of the Barngarla language on the Eyre Peninsula, South Australia, offers a unique opportunity to examine whether improvements in mental health and social and emotional wellbeing can occur during and following the language reclamation process. This paper presents findings from 16 semi-structured interviews conducted with Barngarla community members describing their own experienced or observed mental health and wellbeing impacts of language reclamation activities. Aligning with a social and emotional wellbeing framework from an Aboriginal and Torres Strait Islander perspective, key themes included connection to spirituality and ancestors; connection to Country; connection to culture; connection to community; connection to family and kinship; connection to mind and emotions; and impacts upon identity and cultural pride at an individual level. These themes will form the foundation of assessment of the impacts of language reclamation in future stages of the project.

This research investigated ideas regarding the concept of culture in contemporary New Zealand by critically evaluating the formal consultation processes surrounding the issue of genetic modification. Such analysis provides a basis for advising those who work within public relations on subtle forms of marginalisation and exclusion, which could be reduced with increased awareness of the dynamics of privilege. The research design involved a multi-sited ethnographic approach drawing on three bodies of empirical data: participant observation within the Royal Commission of inquiry into genetic modification, textual analysis of the written submissions by Interested Persons to the inquiry, and interview material from people who were involved in the inquiry to varying degrees. The main findings indicate that \"culture\" is often used in bureaucratic structures to describe the knowledges and practices of minority groups, where \"minority\" refers to those with less power, rather than those of smaller number. Lack of acknowledgement of the implicit privileging of dominant rhetorics allows for the further marginalisation of less-dominant viewpoints. The findings encourage alertness to the dynamics and implications of unintentional exclusion. By providing a critique of a particular consultative process, this research highlights some of the limitations of bureaucratic consultation and discusses these theoretically as well as descriptively. It is hoped that these critical observations (from within a consultation setting that was remarkably inclusive and egalitarian by most standards) will assist consultative and advisory bodies, as well as policymakers, to design more inclusive processes for democratic participation and deliberation, particularly in relation to controversial technologies.

Purpose - This research investigated ideas regarding the concept of culture in contemporary New Zealand by critically evaluating the formal consultation processes surrounding the issue of genetic modification. Such analysis provides a basis for advising those who work within public relations on subtle forms of marginalisation and exclusion, which could be reduced with increased awareness of the dynamics of privilege.Design methodology approach - The research design involved a multi-sited ethnographic approach drawing on three bodies of empirical data: participant observation within the Royal Commission of inquiry into genetic modification, textual analysis of the written submissions by Interested Persons to the inquiry, and interview material from people who were involved in the inquiry to varying degrees.Findings - The main findings indicate that \"culture\" is often used in bureaucratic structures to describe the knowledges and practices of minority groups, where \"minority\" refers to those with less power, rather than those of smaller number. Lack of acknowledgement of the implicit privileging of dominant rhetorics allows for the further marginalisation of less-dominant viewpoints. Insofar as policymakers have a responsibility to incorporate moral legitimacy and social justice within legislation, the findings encourage alertness to the dynamics and implications of unintentional exclusion.Practical implications - I aim to assist in providing a language with which to better articulate subtle dynamics of power and privilege, exclusion and marginalisation, both generally and within discussions of best practice in public relations.Originality value - By providing a critique of a particular consultative process, this research highlights some of the limitations of bureaucratic consultation and discusses these theoretically as well as descriptively. It is hoped that these critical observations (from within a consultation setting that was remarkably inclusive and egalitarian by most standards) will assist consultative and advisory bodies, as well as policymakers, to design more inclusive processes for democratic participation and deliberation, particularly in relation to controversial technologies.

PurposeAboriginal and Torres Strait Islander (Aboriginal) people are overrepresented in Australian prisons, where they experience complex health needs. A model of care was designed to respond to the broad needs of the Aboriginal prisoner population within the nine adult prisons across South Australia. The purpose of this paper is to describe the methods and findings of the Model of Care for Aboriginal and Torres Strait Islander Prisoner Health and Wellbeing for South Australia.Design/methodology/approachThe project used a qualitative mixed-method approach, including a rapid review of relevant literature, stakeholder consultations and key stakeholder workshop. The project was overseen by a Stakeholder Reference Group, which met monthly to ensure that the specific needs of project partners, stakeholders and Aboriginal communities were appropriately incorporated into the planning and management of the project and to facilitate access to relevant information and key informants.FindingsThe model of care for Aboriginal prisoner health and wellbeing is designed to be holistic, person-centred and underpinned by the provision of culturally appropriate care. It recognises that Aboriginal prisoners are members of communities both inside and outside of prison. It notes the unique needs of remanded and sentenced prisoners and differing needs by gender.Social implicationsSupporting the health and wellbeing of Indigenous prison populations can improve health outcomes, community health and reduce recidivism.Originality/valueOnly one other model of care for Aboriginal prisoner health exists in Australia, an Aboriginal Community Controlled Health Organisation-initiated in-reach model of care in one prison in one jurisdiction. The South Australian model of care presents principles that are applicable across all jurisdictions and provides a framework that could be adapted to support Indigenous peoples in diverse prison settings.

This painting speaks to the relationship between humans, technologies and environments. Although the painting is in no way directly ‘about’ Indigenous peoples, it is influenced by a deep respect for the sustainable relationships with technologies that are possible when these are developed and performed within contexts shaped by awareness of universal interconnection, interdependence and proportional consequence. The transformative serpent – be it imagination, adaptation, destruction, intervention, displacement, creation – necessarily holds potential for disruption.