Social and Mental Health of Indigenous Australians
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This essay discusses the social and mental health issues faced by Indigenous Australians, the impact of social policies on mental health care, and the gaps that exist. It also explores solutions to improve mental health in this community.
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Running Head: SOCIAL AND MENTAL HEALTH SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS NAME INSTITUTION TUTOR DATE
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2 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS INTRODUCTION The definition of mental health has several meanings and different studies and researches concerning mental health problems have given several definitions. There are many different myths concerning mental health and well-being and to some extent, all those myths give different approach to the causes of mental health (Commonwealth Department of Health & Aged Care, 2000). Individuals with mental health problems have struggled a great deal with stigma and isolation from society. In Australia, psychological problems are extremely high among the Aboriginal individuals and the Torres Strait inhabitants than non-indigenous Australians(Australian Bureau of Statistics, 2001). These vulnerable people may also have their rights violated. This essay discusses what mental health and well-being is all about, social policies and their impacts on the psychological state care in Australia and the gaps that exist. Moreover, the changes that have taken place within the mental health and well-being sector in Australia are also integrated. HEALTH AND MENTAL HEALTH Mental health is emotional and social well- being of a person and it is a vital part of health. In line with the World Health Organization (WHO), health is the whole state of mental and social well-being and not just the absence of sickness or bad condition(Australian Association of Social Workers, 2002). Australia is providing several psychological state services like public and personal medical specialty hospitals, totally different wards for psychopathology in public acute hospitals, community mental care services. Australia spends a lot of money within the psychological state sector to ensure the well-being of people is attained.
3 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS In Australia, the policy response to mental health and well- being has two totally different approaches which include the medical and psychological model. The medical model defines health as a state that is free from sickness whereas social science model is the overall fortune of a person, for example, emotional, behavioural and social comfort (Delaney, Raphael, & Wooding, 1998). The medical model is used by the doctors, psychiatrists, psychologists and characterised by a proper mental health system. In the social science model, psychological state means that an individual is free from a mental disorder. However, there is another model that is most well- liked by psychological state services, the bio-psycho-social model. Bio-psycho-social model is that which deals with the cohesion of the medical model and social science model of health. This model deals with norms and values in social wellbeing(Coppock & Hopton, 2000). This specific model is providing case management approach to medication, social supports, message, and general support. In line with the report, the rate of psychological disorder is high every year in Australia, for instance, one in each 5 Australians can experience a psychological state and it is projected that forty-five percent of Australians could suffer from psychological mental illness at some point in their lives. Aboriginal peoples and Torres Strait inhabitants experience mental disorders more than non- indigenous Australians. According to World Health Organization, between thirty-five and fifty-four percent suffer from mental illness because of certain contributing factors (Hunter, 2004). It is believed that it is because of colonization and suffering that contributed to their depression and poor health. Mental health promotion is an action that should ensure that the health and well-being of a person are improved. This promotion can be done in three ways, for example, prevention, treatment, and care.
4 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS Prevention involves stopping the mental disorder from taking place while treatment is concerned primarily with people who are already having mental disorders. Care is an aid to forestall the ill health and to be absolutely recovered from ill health. The explanation for mental health does not only depend on biological disorders, however, it also can arise from social beliefs and expectations that are not met or realized by individuals. Culture beliefs play an important role as a contributing factor to mental disorders.As a result, individuals develop mental illness and mental disorders (Whiteford & Buckingham, 2005). This is referred to as social construction madness. The law has been passed that a double medical certificate is needed before imprisonment because there have been a violation of human rights and lack of care among the asylums. The incarcerated individuals subjected to a scientific experiment in some asylums and the officers of asylum did not have medical information. Some changes occurred in Australia's mental health treatment practices later in the twentieth century. Primary Australia's voluntary clinic started in 1908 and in 1922 the topic psychopathology was established at Sydney University (Doessel, Scheurer, Chant, & Whiteford, 2005).Techniques of group counseling were introduced because to remedy trauma people could be suffering from during World War II. In 1992 the Australian health ministers developed a mental health policy with an aim to scale back the speed of human rights abuses, to start out the care in the community from the hospitals and to deliver the standard mental health services. Additionally, Australia had enforced a national mental arrangement plan between 1992 and 2008 to initiate a strong community- based mental health care, population primary- based sickness hindrance approach and to form simple real participation between the shoppers as well as the carers (Robinson, 2003). The aboriginal peoples and Torres Strait inhabitants had their own ways and curers to confirm their eudemonia and mental health issues.
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5 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS Aboriginal and Torres Strait inhabitants face the impact of racism, formation, and social exclusion, furthermore, their rate of suicide and mental health issues are extremely high among them than non-indigenous Australians. Most of the individuals from the Aboriginal and Torres Strait inhabitant community had the concern of being hospitalized. So, they failed to disclose their mental state problems with the community health service providers. There are several reasons for this, for instance, lack of education and loss of cultural life are the common reasons. The aboriginal individuals and Torres Strait inhabitant people that are unstable were not ready to access the mental health care services or to appreciate the value of service. Cultural barriers created a niche between them and therefore they could not wish to attend the mental health services (Sary, 2005). To enhance the mental health of the Aboriginal peoples and Torres Strait inhabitants of Australia, the barriers ought to be removed. Moreover, in Aboriginal and Torres Strait inhabitant’s culture, an individual’s ill health affects the fortune of the complete community. There are several factors that extremely smash the well -being of the Aboriginal and Torres Strait inhabitants of Australia, such as, racism, injustice and cultural lose. The people who are unstable are not ready to satisfy their desires and as a result, are not safe; therefore, the resolution was to lock them in an establishment (Collinson, 2003). This situation created a great deal of mental disorder among them. The individuals who are unstable from the Aboriginal and Torres Strait inhabitant community are in need of mental health services to make them free from disorders and there should be different sources to satisfy their basic desires. Social justice and mental health are some of the vital factors of social service. In the 1960s there have been new considerations regarding the rights of individuals living with mental health problems, that results in in-depth discussion, debates, and suggestions regarding the institutionalized care of unstable individuals (Logan & Chung, 2001). The discussion was on
6 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS a worldwide level that every country around the globe came to examine that individuals with mental illness have the same rights as everybody else. In the 1980s the Australian government supported social justice and began deinstitutionalized programs. The deinstitutionalization of programs required most of the government budget to be allocated to the mental health establishments and to be incorporated into the public budget. The budget is allotted for mental health resources in order to support individuals living with mental health problems (Heinonen & Metteri, 2005). The Australian policy states that those people that are terribly sick cannot support themselves and should be taken by the government, given accommodation and food. This made it possible for them to be taken care of as there is no government support for people who do not have a stable income. This undertaking was beneficial because they would keep away from normal people to avoid confrontations. However, recent studies show that individuals with psychological problems are less violent and communities currently perceive psychological problems as normal states. So, the style that was used before to institutionalize the mentally ill individuals is viewed nowadays as an abuse of human rights and neo-liberal principles (Collinson, 2003).There are several changes in Australian social policies like subtraction of institutionalization and the supply of funds to the mental health sector and to confirm the mental health status of the people that are unstable. GAPS AND SOLUTIONS There are certain gaps that still exist in Australian policies of mental health. The racism, which is experienced by the Aboriginal people and the Torres Strait inhabitant community, is one in all the hindrances and it creates a lot of problems within the society (Golightley, 2004).Additionally, racism is a problem touching on the social and emotional well- being of individuals from the Aboriginal and Torres Strait inhabitant community in Australia. To
7 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS unravel this, there ought to be a gaggle message to the individuals from the Aboriginal community and Torres Strait inhabitant to beat this stress, awareness, law, and penalization against racism should be enacted and implemented. Individuals from the Aboriginal and Torres Strait inhabitants do not seem to be ready to access some mental health services because of the accessibility of the services, cost, cultural and language barriers(Green, 2003).The answer to this can be, to distribute all the mental health services closer to the vulnerable communities and individuals. Therefore, the government should make sure that mental health services are accessible to any or all the individuals of the affected community. Mental health gap of young adults is another big problem. Because generally, mental health services do not seem to be ready to assess the issues of young adults, they are vulnerable to the consequences of mental illness(Farone, 2002). On the other hand, the intergenerational trauma among the indigenous people because of their cultural decay has additionally created problems in understanding the benefits of mental health services. As this trauma is intergenerational, it desires a long healing method from a holistic approach since this trauma cannot be removed faster. CONCLUSION There were several studies and researches concerning mental health and well-being and also several findings have been derived from the studies. Though Australia has smart mental health services the mental health system is not fully effective for the Aboriginal individuals and Torres Strait inhabitants thanks to several barriers. For example, the distance of the location of the services and the value of the service are not effective. Thus, if those barriers are removed and people from the Aboriginal and the Torres Strait inhabitant communities can use the mental health services effectively, it will be more practical, and therefore it will reduce the rate of mental health in Australia. This can help to make a healthy society. In the
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8 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS past, the people who had mental problems were incarcerated then again the studies and the new social policies found that it is a violation of human rights. This has currently stopped and due to this, the Australian government has begun to put extra money within the mental health sector to improve the mental health of her people. Currently, there are medical specialty wards, medical specialty clinics, and qualified employees to assist the unstable individuals. According to some reports, the rate of mental illness is high and increasing. In each year, one in each five Australians suffers from a mental disorder and this represents 45 percent of Australians that are affected by mental illness at some point in their lives. This translates that mental health and mental illness in Australia is a big issue that needs intervention.
9 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS REFERENCES Australian Bureau of Statistics. (2004).National Australian Aboriginal and Torres Strait Islander Social Survey 2002,cat no. 4714, Canberra: ABS. Australian Bureau of Statistics. (2001).National Health Survey: Mental Health, Australia.Canberra: Australian Bureau of Statistics. Australian Association of Social Workers. (2002).Australian Association of Social Workers Code of Ethics.Canberra: AASW Burgess, K. (2003). Deinstitutionalisation & Homelessness: mentally ill & missing out. InParity,vol. 16, No. 3, p.16 Commonwealth Department of Health & Aged Care. (2000). Promotion, prevention andEarly Intervention for Mental Health – a monograph.Mental Health and Special Programs Branch, Commonwealth Department of Health and Aged Care: Canberra. Pp. 19-34 Coppock, V. & Hopton, J. (2000).Critical Perspectives on mental health. London: Routledge. Collinson, R. (2003). Deinstitutionalisation– What does it mean in the modern world of mental health? InParity,vol. 16, No. 3, p.13 Delaney, P., Raphael, B. & Wooding S. (1998). Suicide & Self Harm. In S. Couzos and R. Murray (eds.)Aboriginal Health Care,Melbourne: Oxford University Press p. 618
10 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS Doessel, D. Scheurer, R. Chant, D. Whiteford, H.A. (2005). Australia’s National Mental Health Strategy and deinstitutionalisation: some empirical results.Australian & New Zealand Journal of Psychiatry. Farone, D.W. (2002). Mental Illness, Social Construction & Managed Care: Implications for Social Work. InSocial Work in Mental Health, 2002,1, 1, pp.99-113. Green, D. (2003). The end of institutions: housing & homelessness.Parity,Vol 16, No. 3, pp.5-7. Golightley, M. (2004).Social Work & Mental HealthExeter UK: Learning Matters. Heinonen, T. & Metteri, A. (eds.) (2005).Social Work in health & mental health: issues, development & actions.Toronto, Ontario: Canadian Scholar’s Press Hunter, E. (2004). Mental Health. In N. Thomson (ed.)The health of Indigenous Australians,Melbourne: Oxford University Press pp. 81-84 Lucashenko, M. & Kilroy, D. (2005).A Black Woman & a Prison Cell: working with Murri women in Queensland Prisons.South Brisbane Sisters Inside Logan, B. & Chung, D. (2001). Current social work practice in the fields of mental illness and intellectual disability: Changing service approaches to people with a disability? In Australian Social Work. September 2001, Vol. 54, No. 3 pp.31-42 Robinson, C. (2003). I’ve got 33 years of my life to work through! Understanding iterative homelessness: the case of people with mental disorders. InParity, Vol 16, No. 3, pp. 14-15.
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11 SOCIAL AND MENTAL HEALTH OF INDIGENOUS AUSTRALIANS Whiteford, H.A. & Buckingham, W.J. (2005). Ten years of mental health services reform in Australia: are we getting it right? InMedical Journal Australia2005: pp. 396-400. Sary, P. (2005).Closing Asylums for the Mentally Ill: Social Consequences.Melbourne: La Trobe University.