https://nationtalk.ca/story/improving-aboriginal-health-and-well-being-a-view-from-the-north-the-conversation. Each group's work is tailored to their locality, and can include activities such as protecting native plants and animals, controlling feral animals and invasive weeds, reducing dangerous wildfires, maintaining tourism and cultural sites, and more. 8 Department of Health, My Life My Lead Consultation Report, 2018 Koori Strong aims to break the cycle of local Aboriginal youth entering the judicial system and help them find stability in their lives. In 2016-17, Aboriginal Victorians accessed mental health care services at approximately 3.7 times the rate of non-Aboriginal patients.

Please see www.pwc.com/structure for further details. Australian children’s health and development is influenced by a complex set of ‘social determinants’ that impact early life. A sample council strategy to improve Aboriginal health and wellbeing Strategic goal Council is committed to helping reduce the health inequalities experienced by Aboriginal Victorians and closing the health gap between Aboriginal and non-Aboriginal community members. As part of this initiative, VACCHO is also developing a dedicated data dashboard enabling each organisation to monitor the number of Aboriginal Health Assessments to capture and extract data around smoking rates, cancer screening participation, sexual health checks and other prevention areas. Government is also working with VACCHO to identify a new approach to diabetes and cardiovascular prevention for Aboriginal Victorians, with the recommendation for a new community-led, strength-based model anticipated in 2020. The health and wellbeing of Aboriginal people is everybody’s business This is one of our most important priorities. It is difficult to know how many Aboriginal Victorians require disability support services, due to limited data which accurately reflects the prevalence and spectrum of disability amongst Aboriginal peoples. Improving the social and emotional wellbeing of Aboriginal Victorians is a key commitment of the Victorian Government, being driven by Balit Murrup: Aboriginal social and emotional wellbeing framework 2017-2027. It requires a genuine and culturally competent co-design process so that when people are going to be affected by a decision, they have a real say in that decision first. But Aboriginal infants in northern Australia still begin life lighter than other Australian babies and nearly 30% require admissionto a neonatal nursery for care. Hospitalisation for a potentially preventable cause includes: For Aboriginal Victorians, barriers to accessing health services and preventative care can include the high cost of care, availability, insurance coverage and a lack of culturally-responsive care. Thanks to a range of recent research and real-life projects, the missing pieces of the puzzle involving health, housing and living environments are starting to become clearer. The Australian Government is committed to improving the health and wellbeing of Aboriginal and Torres Strait Islander Australians. These are three of them: Meaningful housing and environmental policies must first put Aboriginal and Torres Strait Islander people at their centre. We know that complex chronic disease starts in the womb and we know social distress contributesto mental illness and self-harm. This commitment has been formalised in a number of key documents including the. In the last 10 years, the rate for all categories of potentially preventable hospitalisations has increased for Aboriginal Victorians. Increasing access to primary health care is essential for supporting equitable health outcomes.

These changes add to the uncertainty and complexity of an already challenging service system for many Aboriginal people with a disability. To date, efforts have centred on health, infancy and early childhood, education, employment and economic development.

Offering Australians at most risk of bad physical and mental health the […] The Queensland Aboriginal and Torres Strait Islander Social and Emotional Wellbeing Action Plan 2016–18 (this Action Plan) aims to improve social and emotional wellbeing. Current action underway includes: The Royal Commission into Victoria’s Mental Health System currently underway will provide recommendations about other action government can take to realise the shared vision of self-determining, healthy and safe Aboriginal people and communities. Respect for culture is at the centre of how we shape our policies and programs. 15 Department of Education and Training and Queensland Health, Deadly Kids, Deadly Futures Action 2018-2019 Action Plan, 2018 National research, survey and health VicHealth acknowledges the support of the Victorian Government. Key strategies that guide our approach, include: The Closing the Gap framework, which seeks to work in partnership with Aboriginal and Torres Strait Islander people to close the gap in health outcomes between Indigenous Australians and other Australians; and. The declining prevalence of smoking among young people is an encouraging signal that trends are set to decline further. This helped the MTAL survey achieve higher-than-expected engagement with respondents, which in turn helped paint a much more complete picture of the health circumstances and aspirations within the community. And it all starts with a change of perspective. However, we anticipate that this will be included in next year’s Report. This approach has become known in some jurisdictions as ‘local decision making’ and it can take various forms. For thousands of years, our connection to Country and the land has been part of who we are, how we see the world, and how we live. There is much work to be done.

But strong cultural determinants of health can still be enabled and maintained through languages, relationships, customs and community networks.8, The PwC global report on the social determinants of health highlights that 40 per cent of health outcomes are determined by socio-economic factors, 30 per cent by health behaviours and 10% by the physical environment. Under exposure to screening and delayed detection is a significant driver of the survival gap between Aboriginal and non-Aboriginal Victorians in cancer treatment. This also helped inform recommendations to better support AHV tenants through a range of strengthsbased services and activities in the City of Whittlesea. The program included cultural activities, self-care, workshops, wellness and pampering sessions.

The National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing (2017-2023) sets out a comprehensive and culturally appropriate stepped care model that is equally applicable to both Indigenous specific and mainstream health services. The National Indigenous Australians Agency has an important role working across governments to help reduce the health gap between Indigenous Australians and other Australians. More than 100 Ranger groups across Australia work to protect and maintain Indigenous Protected Areas in national parks, on privately-held land, and on sea. The legacy of trans-generational trauma and experiences of systemic racism and discrimination are key drivers of these poorer outcomes. With the oldest living cultures in the world, they have demonstrated resilience and adaptability over thousands of years. However, sometimes clinical support is needed.

Maintaining health and wellbeing as people get older is important and can dramatically impact on a person’s ability to remain independent and to experience a full life.
The importance of place has always been a source of strength for Aboriginal and Torres Strait Islander people. It will also require leaders to step outside their comfort zones and genuinely bring Indigenous Australians into decision-making processes. Aboriginal Victorians with a disability often face additional barriers to achieving health and wellbeing. DHHS is embedding Aboriginal leadership and decision making at all levels, to strengthen accountability and transparency to Aboriginal communities, and capture the diversity of Aboriginal voices. Australian Government Department of Health, The National Aboriginal and Torres Strait Islander Health Plan (2013-2023, The National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing (2017-2023). It has been designed to create environments where Aboriginal service users and staff feel safe and there is no challenge to their identity. The Victorian Government acknowledges Aboriginal and Torres Strait Islander people as the Traditional Custodians of the land and acknowledges and pays respect to their Elders, past and present. A line can be clearly and firmly drawn between inadequate living conditions and poor health. The framework, launched in June 2019, was developed in partnership with Aboriginal communities and organisations and Aboriginal staff from the Department of Health and Human Services.

Improving health outcomes and having a good quality of life will ensure all Victorian Aboriginal communities can thrive. In 2018 around 60 participants attended Nanyubak Yapaneyeputj: Dreaming together retreat on Yorta Yorta Country in Shepparton to celebrate diversity and talk about what it means to be both Aboriginal and LGBTI. This complements the work of the Australian Government Department of Health, which provides culturally-appropriate primary health care for Aboriginal and Torres Strait Islander Australians through the Indigenous Australians’ Health Programme.

Good nutrition is essential to good health and a strong future
Meaningful change will happen when it is created by Indigenous people, not for Indigenous people. Increases in health checks for Aboriginal Victorians reflects the work of ACCHOs who continue to provide culturally-safe and appropriate health services to community. Between 2012 and 2016, there were 942 cancer diagnoses for Aboriginal Victorians (an average of 188 diagnoses per year).

6 ANU, Maya Kuwayu Study, 2019

Note: Communities that participated in this study are not identified in this report. At June 2019, the NDIS identified 3,403 Aboriginal Victorians as potential candidates for NDIS support. The NDIS is driving significant change to interactions and relationships between disability services and clients. An emerging collaboration between Save the Children and the University of Melbourne on the operational build-up of First 1000 Days Australia is aiming to create transformational change with Aboriginal & Torres Strait Islander people and enable them to achieve their aspirations for health and wellbeing.

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