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Death rates for mental and behavioural disordersFigure 9.4.5 Death rates for mental and behavioural disorders by age,2001–2005a, b, cQld WA SA NTIndigenousper 100 000 population120100806040200Under 25 25–34 35–44 45 and overNon-Indigenousper 100 000 population120100806040200Under 25 25–34 35–44 45 and overa These data are based on ICD–10–AM codes F00–F99. b Care should be taken when using these data asthe rates are based on a small number of deaths. c Calculations of rates for the Indigenous population arebased on ABS Experimental Projections, Aboriginal and Torres Strait Islander Australians (low series, 2001base). There are no comparable population data for the non-Indigenous population. Calculations of rates forthe non-Indigenous population are based on data derived by subtracting Indigenous population projectionsfrom total population estimates and should be used with care.Source: ABS Deaths Registration Database (unpublished); table 9A.4.43.• In 2001–2005, death rates for mental and behavioural disorders were higher forIndigenous people than non-Indigenous people across all age groups(figure 9.4.5).• In 2001–2005, 228 Indigenous people died as a result of mental and behaviouraldisorders in Queensland, WA, SA and the NT combined (table 9A.4.45).OVERCOMINGINDIGENOUSDISADVANTAGE 2007
• From the data available in 2001–2005, mental and behavioural disordersaccounted for:– 2.5 times as many deaths as expected in Queensland– 4.4 times as many deaths as expected in WA– 3.1 times as many deaths as expected in SA– 7.9 times as many deaths as expected in the NT (table 9A.4.46).More data on death rates for mental and behavioural disorders by age and gendercan be found in tables 9A.4.42–46.Mental health of prisoners and juveniles in detentionPrisonersData on the health of prisoners (including mental health) in Australia is sporadic,inconsistent and incomplete (AIHW 2001; AMA 2006). Indigenous prisoners’health data is almost nonexistent.From the few Australian and international surveys that have been conducted onprisoner health, the common finding is that prisoners have high rates of mentalillness and emotional or mental health problems (ABS 1998; Brooke et al. 1996;Butler 1997; Butler and Allnutt 2003; Butler and Milner 2003; Fazel and Danesh2002; Hockings et al. 2002; Victorian Department of Justice 2003). These surveysdo not take into account how the prison environment influences the mental health ofprisoners.The need for more representative data on prisoner health has been one of the mainfactors influencing the development of a minimum dataset for prisoner health.Minimum dataset development is being undertaken by the Prisoner HealthInformation Group. Progress by the working group includes a report examiningcurrent data sources on prisoner health and identifies data gaps and issues(AIHW 2006). Data from the minimum dataset for prisoner health will not beavailable for several years.Another source of data for future reports may be the National Deaths in CustodyProgram (NDICP) database. Six new variables were added to the NDICP database.Two of these new variables relate to prevalence of mental illness and type of mentalillness. These new variables have been added only for deaths that occurred after1996. The Australian Institute of Criminology may be able to provide these data byIndigenous status for future reports.FUNCTIONAL ANDRESILIENT FAMILIESAND COMMUNITIES
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© Commonwealth of Australia 2007IS
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ForewordIn 2003, when heads of Aust
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ContentsForewordContentsAcronyms an
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7.4 Juvenile diversions as a propor
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Acronyms and abbreviationsABSACDPAC
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LSAYLSICMCATSIAMCEETYAMOUNATSISNATS
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GlossaryAboriginalAge standardisedr
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ICDEquivalisedhousehold incomeIncom
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For example, the gross monthly inco
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StatisticalsignificanceStatistical
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In May 1997, I wrote to your predec
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situations of Aboriginal people and
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Other health outcomes deteriorated.
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• Indigenous owned or controlled
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Governments and Indigenous people h
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• on-going government support (in
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Source: ABS (2004b); table 3A.1.1.D
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Apparent retention rates of full ti
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The labour force participation rate
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Home ownership is an important econ
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Substantiated child abuse and negle
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Box 1.16KEY MESSAGES• Comparable
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Age standardised adult imprisonment
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Strategic areas for actionFunctiona
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Box 1.21Things that work• The Jab
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Box 1.25Things that work• Congres
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Box 1.28KEY MESSAGES• Data on too
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elationship between the number of d
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uilt upon, or interventions can ass
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Box 1.37KEY MESSAGES• In 2006, 8
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Box 1.41Things that work• The Cir
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Alcohol consumption at long term ri
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Box 1.47• In 2004-05:KEY MESSAGES
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Prisoners, by known prior adult imp
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Box 1.54Things that work• The Mar
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ceremonies, rituals and history. So
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Communication with service provider
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Hospitalisation rates for Indigenou
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Indigenous people 15 years and over
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Box 1.67Things that work• The Abo
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mining royalties and tourism), Indi
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Box 1.74KEY MESSAGES• Six determi
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Median (mid point) individual incom
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FUTURE DIRECTIONS IN DATANotwithsta
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1 IntroductionIn April 2002, the Co
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In order to provide a comprehensive
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Identify indicators that are of rel
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—— 2004-2007a, Report on Govern
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2 The frameworkThe first two sectio
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3. Strategic areas for actionGovern
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Headline indicatorsThe headline ind
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Figure 2.2.3 A preventive model —
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• Retention at year 9• Indigeno
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Similarly, the previous indicator
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In 2006, following publication of t
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Suggested cultural indicators were
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The ‘Economic participation and d
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• Survey data: surveys, such as t
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• 2004-05 National Health Survey
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—— 2004b, National Aboriginal a
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3 Headline indicatorsSafe, healthy
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specific death rates 1 ) continued
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while the life expectancy of Indige
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Table 3.1.2Age specific death rates
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• In the period 2001 to 2005, age
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Box 3.2.2‘Things that work’ - d
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In 2002, the proportion of Indigeno
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• Among older people (aged 55 yea
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people with at least one long-term
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Table 3.2.1Age standardised hospita
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wellbeing (and other positive healt
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Health and education are intimately
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Figure 3.3.2 Apparent retention rat
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Figure 3.3.4 Apparent retention rat
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• Nationally, the proportion of I
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• their health outcomes and their
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extent to which people over 18 year
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Post secondary attainmentOne measur
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• In 2005, the national load pass
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3.5 Labour force participation and
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communities where the labour market
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Figure 3.5.2 CDEP participation, In
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Table 3.5.1Labour force participati
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• Nationally, the labour force pa
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Figure 3.5.7 Unemployment rate of p
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Figure 3.5.9 Unemployment rate of p
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Figure 3.5.10 Long term unemploymen
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Chapter 12 of this Report discusses
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Box 3.6.2(continued)Median value is
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Figure 3.6.1 Median gross weekly eq
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the population into five equal grou
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Figure 3.6.5 Distribution of gross
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• Age-related patterns in income
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Box 3.7.2‘Things that work’ —
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easonably simple to derive and prov
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Figure 3.7.2 Proportion of Indigeno
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3.8 Suicide and self-harmBox 3.8.1K
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Box 3.8.2(continued)A study found t
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Figure 3.8.2 Intentional self-harm
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Figure 3.8.3 Average annual suicide
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• Analysis of data from the Top E
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healthy and supported by their fami
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Figure 3.9.1 Rate per 1000 children
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Figure 3.9.3 Children aged 0-16 yea
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Table 3.9.1Number of diagnoses of c
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Indigenous than non-Indigenous peop
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Figure 3.10.1 Homicide death rates,
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Figure 3.10.3 Average annual homici
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Table 3.10.1 Comparative statistics
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Patterns and trendsPatterns and tre
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Hospitalisations for assaultFigure
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The lack of a common definition mea
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Box 3.11.2 (continued)A key compone
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• Indigenous women reported highe
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Figure 3.11.2 SAAP support periods:
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New South WalesFigure 3.11.3 Victim
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VictoriaFigure 3.11.5 Victims recor
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non-Indigenous people (65.3 per cen
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Figure 3.11.7 Victim-offender relat
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Northern TerritoryTable 3.11.2 Vict
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murder the offender was ‘other’
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Box 3.12.2 (continued)Victoria’s
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People under 18 years are treated a
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Figure 3.12.1 Age standardised impr
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past five years, the rates of impri
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Juvenile detentionFigure 3.12.4 Juv
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• Nationally on 30 June 2005, the
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3.11 Family and community violenceT
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Table 3A.3.10Table 3A.3.11Table 3A.
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3.6 Household and individual income
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3.11 Family and community violenceT
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Table 3A.11.46Table 3A.11.47Table 3
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—— and AIHW (Australian Institu
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http://www.who.int/hpr/NPH/docs/ott
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Hunter, B. and Gray, M. 1999, Furth
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Swan, P. and Raphael, B. 1995, Ways
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—— 2005, Through Young Black Ey
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—— 2006, Population by Age and
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3.12 Imprisonment and juvenile dete
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4 Strategic areas for action4.1 The
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5 Early child development and growt
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cited in Couzos, Metcalf and Murray
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some Aboriginal communities are ass
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Box 5.1.2(continued)Growth Assessme
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preventable condition for which Ind
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Figure 5.1.2 Deaths from external c
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Box 5.2.2(continued)Between 1993-95
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Figure 5.2.2 Infant mortality, by I
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irth weight are compounded by high
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Box 5.3.2(continued)Strong Women, S
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Box 5.3.2(continued)The model was d
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abies had non-Indigenous mothers an
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5.4 Hearing impedimentsBox 5.4.1Key
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Box 5.4.2(continued)• Chronic oti
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Figure 5.4.2 Prevalence of otitis m
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• Although the hospitalisation ra
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Table 5.5.1Children’s mean number
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• The percentage of Indigenous ch
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difference in scores between Indige
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• According to the 2002 Child Den
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• A greater proportion of Indigen
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Figure 5.5.5 Hospital dental proced
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The proposed Longitudinal Study of
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5.8 References5 Early child develop
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Central Public Health Unit Network
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Mackerras D 1998, Evaluation of the
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Leach, A.J., Boswell, J.B., Asche,
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Harford, J., Spencer, J., Roberts-T
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6 Early school engagement andperfor
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2002). Gaps that appear in children
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Table 6.1.1Participation rates in p
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this approach was legal (DEWR 2006)
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• School participation rates are
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Box 6.3.2(continued)Scaffolding Lit
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Figure 6.3.2 Proportion of year 3 s
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6.3 Year 3 literacy and numeracyTab
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Table 6A.3.46Table 6A.3.47Table 6A.
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NTDE (Northern Territory Department
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Young People, Curtin University of
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7 Positive childhood and transition
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In most states and territories, com
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Attachment tablesAttachment tables
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Nationally comparable learning outc
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Year 5 writingFigure 7.1.3 Proporti
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Year 5 numeracyFigure 7.1.5 Proport
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Year 7 readingFigure 7.1.7 Proporti
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Year 7 writingFigure 7.1.9 Proporti
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Year 7 numeracyFigure 7.1.11 Propor
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then year 7 in 2005, and be tested
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Figure 7.1.15 Proportion of year 3
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non-Indigenous children, reducing t
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7.3 Indigenous cultural studies in
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Box 7.3.2Bendigo Senior Secondary C
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Box 7.3.6Western Arrernte Picture D
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Table 7.3.1 Indigenous employment i
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Box 7.3.8RATEP — a community base
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Box 7.4.2(continued)• Police and
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New South WalesTable 7.4.1NSW, numb
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pattern was observed for non-Indige
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Figure 7.4.2 WA, Indigenous and non
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Figure 7.4.3 SA, proportion of Indi
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7.5 Transition from school to workB
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(see section 7.2 Retention at year
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studying, for both Indigenous and n
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• Similar patterns to those in th
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7.6 Future directions in dataYears
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Table 7A.4.12Table 7A.4.13Victoria,
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Paper National Benchmark Results Re
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Randell, N. (ed.) 2002, Including t
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and important correlates of crimina
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8.1 Alcohol consumption and harmBox
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Patterns of alcohol consumptionThe
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Figure 8.1.1 Alcohol consumption at
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• For both Indigenous and non-Ind
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Table 8.1.3Alcohol consumption at s
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Figure 8.1.4 Alcohol involvement in
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disability and behaviour problems (
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• hospitalisation rates for all c
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Data on tobacco use in this section
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current daily smokers than non-Indi
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Figure 8.2.4 Mothers reporting smok
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8.3 Drug and other substance use an
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In 2004-05, among Indigenous adults
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interventions, there had been a red
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Drug related crimeBroadly speaking,
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Figure 8.3.2 Drug influenced Indige
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• develop an appropriate methodol
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Strait Islander Peoples 2005, ABS C
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AIHW (Australian Institute of Healt
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Makkai T. and Payne J. 2003, Drugs
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• income• suicide and self-harm
Page 474 and 475: Following consultations in 2006, a
Page 476 and 477: Attachment tablesAttachment tables
Page 478 and 479: An increased rate may also be due t
Page 480 and 481: Figure 9.1.1 Placement of Indigenou
Page 482 and 483: Box 9.2.2(continued)their local com
Page 484 and 485: Adult repeat offendingFigure 9.2.1
Page 486 and 487: • Nationally in 2006, 75.3 per ce
Page 488 and 489: 69.0 per cent had been in prison pr
Page 490 and 491: juvenile justice system and 2 496 a
Page 492 and 493: juvenile justice system was dismiss
Page 494 and 495: chronic disease, early child develo
Page 496 and 497: Box 9.3.3‘Things that work’ —
Page 498 and 499: Table 9.3.1Expenditure on health ca
Page 500 and 501: Table 9.3.2Age standardised hospita
Page 502 and 503: presents hospitalisation rates for
Page 504 and 505: lower than those in 2001-02 for bot
Page 506 and 507: Figure 9.3.2 compares the length of
Page 508 and 509: non-remote areas were twice as like
Page 510 and 511: • A greater proportion of discret
Page 512 and 513: The following definitions of mental
Page 514 and 515: Box 9.4.2(continued)Aboriginal Ment
Page 516 and 517: • In 2004-05, 48.0 per cent of In
Page 518 and 519: • Life events or ‘stressors’
Page 520 and 521: • Over the period, the age-standa
Page 522 and 523: Table 9.4.2Indigenous standardised
Page 526 and 527: A WA study on prisoner health and m
Page 528 and 529: • The proportion of children at h
Page 530 and 531: Some Indigenous people living in ci
Page 532 and 533: Figure 9.5.3 Proportion of Indigeno
Page 534 and 535: were judged by their teachers to be
Page 536 and 537: Figure 9.6.2 Participation in exerc
Page 538 and 539: Box 9.6.3Little Yuin Aboriginal Pre
Page 540 and 541: Box 9.6.6Athletics Australia ‘Ath
Page 542 and 543: Box 9.6.8(continued)The Australian
Page 544 and 545: discrete Aboriginal and Torres Stra
Page 546 and 547: Figure 9.7.3 How Indigenous people
Page 548 and 549: Figure 9.7.5 Communication with ser
Page 550 and 551: Indigenous communities. 2 The 2006
Page 552 and 553: with the 1993 Western Australian Ch
Page 554 and 555: Box 9.7.3Health Education Unit —
Page 556 and 557: Box 9.7.5Interpreter accreditation
Page 558 and 559: Box 9.7.8Pre-hospital care in remot
Page 560 and 561: Participation in organised sport, a
Page 562 and 563: 9.3 Access to primary health careTa
Page 564 and 565: age standardised, by remoteness are
Page 566 and 567: Table 9A.4.41Table 9A.4.42Table 9A.
Page 568 and 569: SHRG (Social Health Reference Group
Page 570 and 571: 9.4 Mental healthABS (Australian Bu
Page 572 and 573: Procter, N. 2005, ‘Parasuicide, s
Page 574 and 575:
Daly, A.E. 2001, Implications of De
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Menzies School of Health Research 2
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infrastructure as well as functioni
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some duplication, as patients can h
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After adjusting for age differences
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Figure 10.1.2 Age standardised hosp
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Figure 10.1.3 Hospitalisation rates
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Figure 10.1.4 Death rates from dise
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In rural and remote areas, there is
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In June 2006, an estimated 510 000
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Figure 10.2.2 Experienced water int
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Types of sewerage systemsIn the 200
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Access to cooking, washing and toil
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The occupancy standard determines o
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• There were no statistically sig
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Figure 10.3.4 Proportion of Indigen
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10.2 Access to clean water and func
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Pholeros P., Rainow S. and Torzillo
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Indigenous owned land yields econom
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Box 11.1.2 ‘Things that work’
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Box 11.1.2 (continued)The success o
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Employment by full time/part time s
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Figure 11.1.3 Full time and part ti
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Figure 11.1.5 Full time and part ti
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Data on full time and part time emp
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• CDEP participation accounted fo
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people’s wellbeing (see section 1
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Box 11.2.2 Walking Tourism Business
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11.3 Indigenous owned or controlled
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The potential to derive economic be
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• land-based investments for capi
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Box 11.3.2 (continued)In 2006, fund
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Indigenous Land Use AgreementsIndig
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• Indigenous owned or controlled
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Figure 11.3.4 The growth of Indigen
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and corporate behaviour, and descri
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Box 11.4.2 ‘Things that work’
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Figure 11.4.1 Proportion of univers
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while the proportion of non-Indigen
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State and Territory data on the num
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areas of agreement, ‘governments
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Indigenous organisations, by and la
Page 658 and 659:
• Coordination and decision makin
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Box 11.5.4 (continued)The Board of
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Box 11.5.6 (continued)3. Are effect
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Box 11.5.8 (continued)The Pitjantja
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Box 11.5.10 Governance trainingWuna
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• strategic policy and evaluation
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Box 11.5.13 Developing youth leader
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third parties enter into an equal a
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The OIPC red tape evaluation (OIPC
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old. Some will be new’ (Cornell a
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circumstances or risk profile of th
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11.6 Future directions in dataEmplo
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Table 11A.1.10 Occupation skill lev
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11.3 Indigenous owned or controlled
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Gerritson, R. 2001, Community Capac
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Reconciliation Australia 2006b, 200
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Torres Strait Islander people compr
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Labour force participation and unem
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section 12.1). The files containing
Page 696 and 697:
Attachment tablesAttachment tables
Page 698 and 699:
Patterns of relative disadvantage b
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13.1.2 Differences between women an
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Figure 13.1.3 Relative disadvantage
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13.2 Associations between headline
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Figure 13.2.2 People aged 15 years
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Figure 13.2.4 People aged 15 years
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Box 13.3.1 (continued)For example,
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• more common among unemployed pe
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13.4 Notes on methodologyThe analys
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13.22 OVERCOMINGINDIGENOUSDISADVANT
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• reviewing and re-engineering pr
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The working group will consider how
Page 722 and 723:
Australian Government commentsThe f
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New South Wales Government comments
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Victorian Government commentsIn Oct
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Queensland Government commentsThe Q
Page 730 and 731:
Western Australian Government comme
Page 732 and 733:
South Australian Government comment
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Tasmanian Government commentsThe Ta
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Australian Capital Territory Govern
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Northern Territory Government comme
Page 740 and 741:
IMPLEMENTATION OFTHE FRAMEWORKA2.21
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Figure A3.2 Proportion of the popul
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• The proportion of the Indigenou
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e disaggregated by different factor
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identify when asked by police. Henc
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Indicators Measures Data sources3 H
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Indicator Measure Data source3.5 La
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Indicator Measure Data source3.10 D
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Indicator Measure Data source5.5 Ch
Page 758 and 759:
Indicator Measure Data source7.5 Tr
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Indicator Measure Data source9.2 Re
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Indicator Measure Data source9.5 Pr
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Indicator Measure Data source11 Eco
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Acronyms and abbreviationsABSACERAI
Page 768:
Australia 1995-2003, Trends and Iss
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