Mental Health and Well-being of Aboriginal and Torres Strait Islander Peoples in Australia During COVID-19

Overview

Journal Aust J Soc Issues

Date 2021 Dec 13

PMID 34898755

Citations 7

Authors

Pat Dudgeon

Joanna Alexi

Kate Derry

Tom Brideson

Tom Calma

Leilani Darwin

Paul Gray

Tanja Hirvonen

Rob McPhee

Helen Milroy

Jill Milroy

Donna Murray

Stewart Sutherland

Affiliations

Soon will be listed here.

Abstract

In May 2020, an independent working party was convened to determine the mental health and well-being needs of Aboriginal and Torres Strait Islander peoples in Australia, in response to COVID-19. Thirty Aboriginal and Torres Strait Islander leaders and allies worked together in a two-month virtual collaboration process. Here, we provide the working party's five key recommendations and highlight the evidence supporting these proposals. Aboriginal and Torres Strait Islander self-determination and governance must be prioritised to manage the COVID-19 recovery in Aboriginal and Torres Strait Islander communities. To mitigate long-term social and economic impacts of COVID-19 to Australian society, the historical underinvestment in Aboriginal and Torres Strait Islander peoples must be reconciled. Equitable, needs-based funding is required to support strengths-based, place-based initiatives that address the determinants of health. This includes workforce and infrastructure development and effective evaluation. There is a clear, informed pathway to health and healing for Aboriginal and Torres Strait Islander peoples being enacted by Aboriginal and Torres Strait Islander leadership and community organisations; it remains to be seen how these recommendations will be implemented.

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References

Cunningham J, Cass A, Arnold P . Bridging the treatment gap for Indigenous Australians. Demands for efficiency should not be met at the expense of equity. Med J Aust. 2005; 182(10):505-6. DOI: 10.5694/j.1326-5377.2005.tb00014.x. View

Smith A, R Armfield N, Caffery L . Telehealth a game changer: closing the gap in remote Aboriginal communities. Med J Aust. 2019; 211(1):43-43.e1. DOI: 10.5694/mja2.50208. View

Bourgeault I, Maier C, Dieleman M, Ball J, MacKenzie A, Nancarrow S . The COVID-19 pandemic presents an opportunity to develop more sustainable health workforces. Hum Resour Health. 2020; 18(1):83. PMC: 7602762. DOI: 10.1186/s12960-020-00529-0. View

Almomani E, Sullivan J, Hajjieh M, Leighton K . Simulation-based education programme for upskilling non-critical care nurses for COVID-19 deployment. BMJ Simul Technol Enhanc Learn. 2022; 7(5):319-322. PMC: 8936668. DOI: 10.1136/bmjstel-2020-000711. View

Eades S, Eades F, McCaullay D, Nelson L, Phelan P, Stanley F . Australia's First Nations' response to the COVID-19 pandemic. Lancet. 2020; 396(10246):237-238. PMC: 7377785. DOI: 10.1016/S0140-6736(20)31545-2. View

Arrazola J, Masiello M, Joshi S, Dominguez A, Poel A, Wilkie C . COVID-19 Mortality Among American Indian and Alaska Native Persons - 14 States, January-June 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(49):1853-1856. PMC: 7737685. DOI: 10.15585/mmwr.mm6949a3. View

Smith A, R Armfield N, Wu W, Brown C, Perry C . A mobile telemedicine-enabled ear screening service for Indigenous children in Queensland: activity and outcomes in the first three years. J Telemed Telecare. 2012; 18(8):485-9. DOI: 10.1258/jtt.2012.gth114. View

Panaretto K, Wenitong M, Button S, Ring I . Aboriginal community controlled health services: leading the way in primary care. Med J Aust. 2014; 200(11):649-52. DOI: 10.5694/mja13.00005. View

Fitts M, Russell D, Mathew S, Liddle Z, Mulholland E, Comerford C . Remote health service vulnerabilities and responses to the COVID-19 pandemic. Aust J Rural Health. 2020; 28(6):613-617. PMC: 7753557. DOI: 10.1111/ajr.12672. View

10.

Gwynne K, Jeffries Jr T, Lincoln M . Improving the efficacy of healthcare services for Aboriginal Australians. Aust Health Rev. 2018; 43(3):314-322. DOI: 10.1071/AH17142. View

11.

Sherwood J . Colonisation - it's bad for your health: the context of Aboriginal health. Contemp Nurse. 2014; 46(1):28-40. DOI: 10.5172/conu.2013.46.1.28. View

12.

Marmot M, Friel S, Bell R, Houweling T, Taylor S . Closing the gap in a generation: health equity through action on the social determinants of health. Lancet. 2008; 372(9650):1661-9. DOI: 10.1016/S0140-6736(08)61690-6. View

13.

Flint S, Davis J, Su J, Oliver-Landry E, Rogers B, Goldstein A . Disproportionate impact of pandemic (H1N1) 2009 influenza on Indigenous people in the Top End of Australia's Northern Territory. Med J Aust. 2010; 192(10):617-22. DOI: 10.5694/j.1326-5377.2010.tb03654.x. View

14.

Lai G, Taylor E, Haigh M, Thompson S . Factors Affecting the Retention of Indigenous Australians in the Health Workforce: A Systematic Review. Int J Environ Res Public Health. 2018; 15(5). PMC: 5981953. DOI: 10.3390/ijerph15050914. View

15.

Berger M, Sarnyai Z . "More than skin deep": stress neurobiology and mental health consequences of racial discrimination. Stress. 2014; 18(1):1-10. DOI: 10.3109/10253890.2014.989204. View

16.

Jefferies S, French N, Gilkison C, Graham G, Hope V, Marshall J . COVID-19 in New Zealand and the impact of the national response: a descriptive epidemiological study. Lancet Public Health. 2020; 5(11):e612-e623. PMC: 7553903. DOI: 10.1016/S2468-2667(20)30225-5. View

17.

Durey A, Thompson S . Reducing the health disparities of Indigenous Australians: time to change focus. BMC Health Serv Res. 2012; 12:151. PMC: 3431273. DOI: 10.1186/1472-6963-12-151. View

18.

Sabbioni D, Feehan S, Nicholls C, Soong W, Rigoli D, Follett D . Providing culturally informed mental health services to Aboriginal youth: The YouthLink model in Western Australia. Early Interv Psychiatry. 2018; 12(5):987-994. DOI: 10.1111/eip.12563. View

19.

Gone J . Redressing First Nations historical trauma: theorizing mechanisms for indigenous culture as mental health treatment. Transcult Psychiatry. 2013; 50(5):683-706. DOI: 10.1177/1363461513487669. View

20.

Caffery L, Bradford N, Wickramasinghe S, Hayman N, Smith A . Outcomes of using telehealth for the provision of healthcare to Aboriginal and Torres Strait Islander people: a systematic review. Aust N Z J Public Health. 2016; 41(1):48-53. DOI: 10.1111/1753-6405.12600. View