1ASSESSMENT TASK Aboriginal concept of social and emotional well- being and difference of it with mental health concepts Social and emotional wellbeing is the state if mind in which every individual is able to think and act as per his/her own abilities, understand the way they should cope with personal and professional stress and could contribute to the community with an increased productivity (Australian Indigenous HealthInfoNet, 2019). This is considered as one of the primary aspect of mental health and well- being in the aboriginal community as it connects their religious, cultural, social and spiritual well- being due to which they feel connected to their land, people, and family members (Salmon et al., 2019). As per the aboriginal concept of social and emotional well- being these are the aspects of mental health in which there is a tremendous capacity to impact the holistic health of any individual (Cairney et al., 2017). While discussing these terms with the respect of aboriginal concepts, it should be mentioned that these aspects of mental health is vulnerable to be affected with the past experience of any individual or by the healthcare policies implemented for the growth and development of the care process (Newton et al., 2015). Similarly, the concept of mental health should also be discussed which contradicts this central idea of social and emotional wellbeing and as per this, it is mentioned that this concept is used by non- indigenous people to describe their feelings and thought process. For non-indigenous people, it is the ability which allows the people to cope with their complications and stressors (Dudgeon et al., 2016). Therefore, from this concept, it could be mentioned that both of these concepts focuses on two different aspects of mental health and well- being. However, if the differences of these two concepts are being analysed, the positive and negative aspect of both of these should be identified (Bodkin-Andrews & Carlson, 2016). While the mental health concept on indigenous people focuses upon the mental health complications by neglecting the aspects which could influence its improvement or could influence mental health well- being, social and emotional
2ASSESSMENT TASK wellbeing focuses upon a holistic nature of the process (Dudgeon et al., 2016). Another difference of these concepts is associated with their involvement within their lifestyle as aboriginals includes the concept of social and emotional wellbeing for their daily life however, among non-indigenous people, the concept of mental health is to identify people that are suffering from mental health complications. Therefore, the difference of both of these concepts are associated with their ways these are perceived by community members. Hence, Bodkin-Andrews and Carlson (2016), identifies the application of aboriginal concept of social and emotional wellbeing in the healthcare facilities would be beneficial as the patients as they would be able to see their holistic healthcare associated with their mental health and would be able to take care of their mental health in every aspect (Le Grande et al., 2017). Therefore, from this discussion about the aboriginal concept of social and emotional well- being and the concept of mental health of non- indigenous people, it is seen that aboriginal concept focuses upon a holistic aspect of mental health whereas, the mental health concept focuses upon the negative aspects associated with the process (Dudgeon et al., 2016). Development of aboriginal medical services and its alignment with primary health principles stated by the World Health Organisation As per Department of Health (2019), aboriginal health and its concepts are not only associated with their physical and mental health aspects but also includes their emotional, social, spiritual and cultural wellbeing as these aspects help to develop an effective lifestyle for the patients. Aboriginal Medical Services are associated with the aboriginal community, in which every aspect of healthcare is developed and implemented by the aboriginal community and tries to deliver a holistic and culturally competent care to patients of its community members (Panaretto et al., 2014). In this aspect, the primary aspect which should be analysed is the ability of this health service for its community members by excluding the governmental benefits from the care service (World Health Organisation, 2019). On the first
3ASSESSMENT TASK instance, it could seem that the aboriginal people and their medical healthcare process would not be helpful without the involvement of the governmental personnel and schemes. However, as per the research of Salmon et al. (2019), it is mentioned that the concepts and beliefs of healthcare of this community is much more developed and full of compassion that would help the patients to overcome their complications (physical and mental) and contribute in the improved outcome for the healthcare. As per Lloyd et al. (2015), the aboriginal medical service is termed as Aboriginal Community Controlled Health Services and this medical health service helps the aboriginal community to understand the importance of their health care and then implement the interventions so that they could understand the importance of it. However, it has been mentioned by Cresp et al. (2016) that the aboriginal medical health service helps care professionals associated with it to comply with the primary health principles so that the aboriginal community could be provided with effective care. The principles of primary healthcare is associated with its accessibility, its inclusion or public participation and implementation of the modern healthcare technologies (World Health Organisation, 2019). Hence, equity, empowerment, accessibility, collaborative nature, self- determination nature and community connection are the primary six principles developed by the World Health Organisation so that every healthcare organisation focuses on these and include these for effective healthcare processes (World Health Organisation, 2019). Hence, to understand the fact that aboriginal medical healthcare service comply with the World Health Organisation’s primary healthcare service or not, the information provided by The Royal Australian College of General Practitioners (2019), should be analysed. As per this data, the aboriginal medical service uses and implements every important aspect which is mentioned by the WHO such as the public health programs, mental health consultancies, development and successful implementation of the drug and alcoholic services and differentiation of healthcare facilities for specific and important and successful development of care process
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4ASSESSMENT TASK (Freeman et al., 2016). Therefore, from the discussion associated with these aboriginal medical services and the critical mental and physical health services, it was evident that application of this specific health service would help the aboriginal community to improve its health condition and develop abilities for its contribution in the development of Australia (Freeman et al., 2016). Therefore, from these conversations, it could be mentioned that the aboriginal medical service includes multiple aspects which complies with the primary health principles by the World Health Organisation (World Health Organisation, 2019). Application of social and emotional well- being upon the aboriginal community controlled health services Prior to understand the effects of aboriginal mental health services upon the complete Australian healthcare service, if it is implemented in the national governmental healthcare service, the primary difference between these two aspects should be understood. As per Reid, Taylor and Hayes (2016), the mainstream Australian healthcare process is associated with the free rights of the doctors as the doctors are in charge of the processes and system in this healthcare process. Whereas, in community controlled care process, every clinician is associated with any community board and they need to justify their actions to this community for the improved outcome of the patients (Ridani et al., 2015). Hence, it is important that the Australian healthcare system also implements the community healthcare service processes as this will make the clinicians and healthcare professionals to answer a broad for every action that they take and impacts the life of the patients. Despite the positive aspects of the Australian governmental healthcare system which aims to provide equal healthcare facilities to every individual in society, lower cost medication and facilities are only provided through public healthcare system (Priest et al., 2017). On the other hand, as per Tighe et al. (2017), if aboriginal health service or medical service is implemented in the care process, then the nursing professionals would be able to provide every patients of the community with equality
5ASSESSMENT TASK and equity in accessibility and implementation of interventions. Hence, through these aspects, the Australian healthcare system would reach to the last and poorest member of the society and the standard of healthcare would improve. Social and emotional wellbeing approach application in the Australian general healthcare system would help the patients to understand the importance of their emotional, social and cultural wellbeing for their holistic healthcare and they would be able to take active part in the care interventions (Reid, Taylor & Hayes, 2016). Further, with implementation of this concept in the society, people would develop abilities to understand the primary concepts associated with mental health and the focus of the health care process would shift from treating mental health complications to preserving and maintain mental well- being among communities so that the rate of mental health complications such as depression stress and other life style complications could be minimised. Further, as per Ridani et al. (2015), implementation of aboriginal medical services upon the Australian healthcare system would make the nursing professionals and other clinicians to understand the importance of cultural and social aspect of healthcare and cultural competency would be achieved in every healthcare process through their increased ability to comply with the critical cultural competency. However, as per Priest et al. (2017) the health care services run by the aboriginal community would be less technology oriented and more would depend upon the humanised aspects of healthcare delivery and hence the rate at which the modern Australian healthcare system helps increasing numbers of patients would not be achieved. Hence, this aspect would have both positive and negative aspects associated with it.
6ASSESSMENT TASK References Australian Indigenous HealthInfoNet. (2019). Social and Emotional Wellbeing - Health Topics - Australian Indigenous HealthInfoNet. Retrieved 19 December 2019, from https://healthinfonet.ecu.edu.au/learn/health-topics/social-and-emotional-wellbeing/ Bodkin-Andrews, G., & Carlson, B. (2016). The legacy of racism and Indigenous Australian identity within education.Race Ethnicity and Education,19(4), 784-807. Cairney, S., Abbott, T., Quinn, S., Yamaguchi, J., Wilson, B., & Wakerman, J. (2017). Interplay wellbeing framework: a collaborative methodology ‘bringing together stories and numbers’ to quantify Aboriginal cultural values in remote Australia.International journal for equity in health,16(1), 68. Cresp, R., Clarke, K., McAuley, K. E., McAullay, D., Moylan, C. A., Peter, S., ... & Edmond, K. M. (2016). Effectiveness of the Koorliny Moort out‐of‐hospital health care program for Aboriginal and Torres Strait Islander children in Western Australia.Medical Journal of Australia,204(5), 197-197. Department of Health | Primary health care and Indigenous health: Australia. (2019). Retrieved 19 December 2019, from https://www1.health.gov.au/internet/publications/publishing.nsf/Content/health- oatsih-pubs-linkphc~health-oatsih-pubs-linkphc-changes~changes3 Department of Health. (2019). Department of Health | Primary health care and Indigenous health: Australia. Retrieved 19 December 2019, from https://www1.health.gov.au/internet/publications/publishing.nsf/Content/health- oatsih-pubs-linkphc~health-oatsih-pubs-linkphc-changes~changes3
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7ASSESSMENT TASK Dudgeon, P., Calma, T., Brideson, T., & Holland, C. (2016). The Gayaa Dhuwi (Proud Spirit) Declaration–a call to action for aboriginal and torres strait islander leadership in the Australian mental health system.Advances in Mental Health,14(2), 126-139. Freeman, T., Baum, F., Lawless, A., Labonté, R., Sanders, D., Boffa, J., ... & Javanparast, S. (2016). Case study of an aboriginal community-controlled health service in Australia: Universal, rights-based, publicly funded comprehensive primary health care in action.Health and human rights,18(2), 93. Le Grande, M., Ski, C. F., Thompson, D. R., Scuffham, P., Kularatna, S., Jackson, A. C., & Brown, A. (2017). Social and emotional wellbeing assessment instruments for use with Indigenous Australians: A critical review.Social Science & Medicine,187, 164- 173. Lloyd, J. E., Delaney-Thiele, D., Abbott, P., Baldry, E., McEntyre, E., Reath, J., ... & Harris, M. F. (2015). The role of primary health care services to better meet the needs of Aboriginal Australians transitioning from prison to the community.BMC family practice,16(1), 86. Newton, D., Day, A., Gillies, C., & Fernandez, E. (2015). A review of Evidence‐Based Evaluation of Measures for Assessing Social and Emotional Well‐Being in I ndigenous A ustralians.Australian Psychologist,50(1), 40-50. Panaretto, K. S., Wenitong, M., Button, S., & Ring, I. T. (2014). Aboriginal community controlled health services: leading the way in primary care.Medical Journal of Australia,200(11), 649-652.
8ASSESSMENT TASK Priest, N., Thompson, L., Mackean, T., Baker, A., & Waters, E. (2017). ‘Yarning up with Koori kids’–hearing the voices of Australian urban Indigenous children about their health and well-being.Ethnicity & health,22(6), 631-647. Reid, J. S., Taylor, K., & Hayes, C. (2016). Indigenous health systems and services.Understanding the Australian health care system, 153-166. Ridani, R., Shand, F. L., Christensen, H., McKay, K., Tighe, J., Burns, J., & Hunter, E. (2015). Suicide prevention in Australian Aboriginal communities: a review of past and present programs.Suicide and Life ‐Threatening Behavior,45(1), 111-140. Salmon, M., Skelton, F., Thurber, K. A., Kneebone, L. B., Gosling, J., Lovett, R., & Walter, M. (2019). Intergenerational and early life influences on the well-being of Australian Aboriginal and Torres Strait Islander children: overview and selected findings from Footprints in Time, the Longitudinal Study of Indigenous Children.Journal of developmental origins of health and disease,10(1), 17-23. The Royal Australian College of General Practitioners. (2019). RACGP - The Aboriginal Medical Service Redfern. Retrieved 19 December 2019, from https://www.racgp.org.au/afp/2012/june/the-aboriginal-medical-service-redfern/ Tighe, J., Shand, F., Ridani, R., Mackinnon, A., De La Mata, N., & Christensen, H. (2017). Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: a pilot randomised controlled trial.BMJ open,7(1), e013518. World Health Organisation. (2019). A vision for primary health care in the 21st century. Retrieved 19 December 2019, from https://www.who.int/docs/default-source/primary- health/vision.pdf