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Box 9.7.3Health Education Unit — Jalaris Aboriginal CorporationThe Jalaris Aboriginal Corporation is a small non-government organisation located inthe north west of WA.A small group of people from the Derby community identified a need for anorganisation that could coordinate a holistic approach to addressing the major issues inDerby. The Jalaris Aboriginal Corporation was formed in 1994 and has developedinnovative programs to deal with family strength and health with a particular focus onmeeting the fundamental needs (such as adequate nutrition) of Indigenous parents andyoung children.Jalaris relies on periodic government, non-government and industry partners to deliverservices to the Derby community and outlying communities and stations. The JalarisAboriginal Corporation firmly believe in philosophy of finding local solutions to localissues.On example is the Health Education Unit, which provides an effective link betweencommunity members and the Derby Aboriginal Health Service. The Health EducationUnit is a caravan with medical equipment and educational information that travels tothe homes of people in Derby and to the outlying communities and stations.The caravan enables senior Indigenous women to connect health service professionalsto mothers and children who need health care but are uncomfortable about going tothe clinic. The service also provides meals on wheels for children and provides asupportive environment for mothers and children to visit and access support.Source: AIFS 2003.Box 9.7.4Improving Care for Aboriginal and Torres Strait IslanderPatients programThe Improving Care for Aboriginal and Torres Strait Islander Patients (ICAP) programis a re-orientation of the long standing Koori Hospital Liaison Officer (KHLO) programwhich was established in Victoria in 1982. In 2004, the Victorian Department of HumanService (DHS) partnered with the Victorian Aboriginal Community Controlled HealthOrganisation (VACCHO) to implement a new approach to improving accurateidentification of, and quality care for, Aboriginal and Torres Strait Islander patients inVictorian health services. The former KHLO program was renamed ‘Improving Care forAboriginal and Torres Strait Islander Patients’ to symbolise its shift in focus from inputsto outcomes. From 1 July 2004, the previously separate funding streams wereamalgamated and increased.(Continued next page)OVERCOMINGINDIGENOUSDISADVANTAGE 2007
Box 9.7.4(continued)ICAP encourages:• an outcomes focus leading to improved identification and health care for Indigenouspatients• responses proportional to the number of Indigenous patients• whole of health service responsibility where Indigenous patients are everybody'sbusiness in a health service, not the sole responsibility of designated Koori liaisonstaff• relationships with Indigenous people and organisations.ICAP guidelines have been developed and disseminated to health services as acondition of receiving increased funding. Four key result areas that form the basis forquality of care reporting in this area are:• relationships with Indigenous communities• culturally aware staff• discharge planning• primary care referrals.To support the development of external partnerships and internal cultural change,three ICAP Project Officers have been employed, one in regional and rural Victoria(based at a regional DHS office), one in metropolitan Melbourne (based at St Vincent’sHealth Service) and one based at VACCHO. The role of the ICAP team is to assistboth health services and the Aboriginal community controlled sector with theimplementation of the reforms.A number of results and new initiatives have flowed from ICAP including:• improved relationships between health services and Indigenous organisations• an increasing number of formal and informal partnerships between health servicesand Indigenous organisations• commitment by health services to improve their cultural sensitivity and create awelcoming environment for Indigenous patients and their families• the development of an online ICAP Resource Kit to assist health services meet therequirements set out in the ICAP Guidelines• the creation of new positions that generate new and innovative ways of engagingwith Indigenous patients, for example:– an Aboriginal Policy and Planning Officer position at St Vincent’s Health– an Aboriginal mid-wife position at Ballarat Health Services• increased numbers of Indigenous hospitalisations reported indicating a greaterwillingness to identify and/or higher numbers of patients using health services.Source: Victorian Department of Human Services (unpublished).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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Page 359 and 360:
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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:
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An increased rate may also be due t
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Figure 9.1.1 Placement of Indigenou
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Box 9.2.2(continued)their local com
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Adult repeat offendingFigure 9.2.1
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• Nationally in 2006, 75.3 per ce
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69.0 per cent had been in prison pr
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juvenile justice system and 2 496 a
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juvenile justice system was dismiss
Page 494 and 495:
chronic disease, early child develo
Page 496 and 497:
Page 498 and 499:
Table 9.3.1Expenditure on health ca
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Table 9.3.2Age standardised hospita
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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 524 and 525: Death rates for mental and behaviou
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 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
Page 576 and 577: Menzies School of Health Research 2
Page 578 and 579: infrastructure as well as functioni
Page 580 and 581: some duplication, as patients can h
Page 582 and 583: After adjusting for age differences
Page 584 and 585: Figure 10.1.2 Age standardised hosp
Page 586 and 587: Figure 10.1.3 Hospitalisation rates
Page 588 and 589: Figure 10.1.4 Death rates from dise
Page 590 and 591: In rural and remote areas, there is
Page 592 and 593: In June 2006, an estimated 510 000
Page 594 and 595: Figure 10.2.2 Experienced water int
Page 596 and 597: Types of sewerage systemsIn the 200
Page 598 and 599: Access to cooking, washing and toil
Page 600 and 601: The occupancy standard determines o
Page 602 and 603: • 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
Page 622 and 623:
Data on full time and part time emp
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• CDEP participation accounted fo
Page 626 and 627:
people’s wellbeing (see section 1
Page 628 and 629:
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
Page 634 and 635:
• land-based investments for capi
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Box 11.3.2 (continued)In 2006, fund
Page 638 and 639:
Indigenous Land Use AgreementsIndig
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• Indigenous owned or controlled
Page 642 and 643:
Figure 11.3.4 The growth of Indigen
Page 644 and 645:
and corporate behaviour, and descri
Page 646 and 647:
Box 11.4.2 ‘Things that work’
Page 648 and 649:
Figure 11.4.1 Proportion of univers
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while the proportion of non-Indigen
Page 652 and 653:
State and Territory data on the num
Page 654 and 655:
areas of agreement, ‘governments
Page 656 and 657:
Indigenous organisations, by and la
Page 658 and 659:
• Coordination and decision makin
Page 660 and 661:
Box 11.5.4 (continued)The Board of
Page 662 and 663:
Box 11.5.6 (continued)3. Are effect
Page 664 and 665:
Box 11.5.8 (continued)The Pitjantja
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Box 11.5.10 Governance trainingWuna
Page 668 and 669:
• strategic policy and evaluation
Page 670 and 671:
Box 11.5.13 Developing youth leader
Page 672 and 673:
third parties enter into an equal a
Page 674 and 675:
The OIPC red tape evaluation (OIPC
Page 676 and 677:
old. Some will be new’ (Cornell a
Page 678 and 679:
circumstances or risk profile of th
Page 680 and 681:
11.6 Future directions in dataEmplo
Page 682 and 683:
Table 11A.1.10 Occupation skill lev
Page 684 and 685:
11.3 Indigenous owned or controlled
Page 686 and 687:
Gerritson, R. 2001, Community Capac
Page 688 and 689:
Reconciliation Australia 2006b, 200
Page 690 and 691:
Torres Strait Islander people compr
Page 692 and 693:
Labour force participation and unem
Page 694 and 695:
section 12.1). The files containing
Page 696 and 697:
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
Page 704 and 705:
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,
Page 712 and 713:
• more common among unemployed pe
Page 714 and 715:
13.4 Notes on methodologyThe analys
Page 716 and 717:
13.22 OVERCOMINGINDIGENOUSDISADVANT
Page 718 and 719:
• reviewing and re-engineering pr
Page 720 and 721:
The working group will consider how
Page 722 and 723:
Australian Government commentsThe f
Page 724 and 725:
New South Wales Government comments
Page 726 and 727:
Victorian Government commentsIn Oct
Page 728 and 729:
Queensland Government commentsThe Q
Page 730 and 731:
Western Australian Government comme
Page 732 and 733:
South Australian Government comment
Page 734 and 735:
Tasmanian Government commentsThe Ta
Page 736 and 737:
Australian Capital Territory Govern
Page 738 and 739:
Northern Territory Government comme
Page 740 and 741:
IMPLEMENTATION OFTHE FRAMEWORKA2.21
Page 742 and 743:
Figure A3.2 Proportion of the popul
Page 744 and 745:
• The proportion of the Indigenou
Page 746 and 747:
e disaggregated by different factor
Page 748 and 749:
identify when asked by police. Henc
Page 750 and 751:
Indicators Measures Data sources3 H
Page 752 and 753:
Indicator Measure Data source3.5 La
Page 754 and 755:
Indicator Measure Data source3.10 D
Page 756 and 757:
Indicator Measure Data source5.5 Ch
Page 758 and 759:
Indicator Measure Data source7.5 Tr
Page 760 and 761:
Indicator Measure Data source9.2 Re
Page 762 and 763:
Indicator Measure Data source9.5 Pr
Page 764 and 765:
Indicator Measure Data source11 Eco
Page 766 and 767:
Acronyms and abbreviationsABSACERAI
Page 768:
Australia 1995-2003, Trends and Iss
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