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Social & Emotional Wellbeing Assignment

   

Added on  2020-04-07

10 Pages2736 Words125 Views
Leadership ManagementDisease and DisordersPublic and Global HealthHealthcare and ResearchPolitical Science
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Social & Emotional Wellbeing Aboriginal and Torres- Strait Islander: Social & Emotional Wellbeing IntroductionAboriginals and Torres- Strait Islanders population has used this term ‘social &emotional wellbeing’ (SEWB) to describe about the societal, emotional, cultural as well asspiritual wellbeing of an individual (Gee, 2014). SEWB emphasize the relation of Aboriginalswith land, family, community as well as spirituality that are important to individuals; whichaffects their wellbeing (Langham, 2017). All the health professionals should meticulouslyconsider SEWB while caring Aboriginals, which is highly sensitive. Australian Medical servicesputs greater efforts in improving Indigenous health by adopting WHO’s primary health careprinciples (Marles, 2012). This post discusses about the importance of SEWB rather than mentalhealth activities while implementing Health based programs among Indigenous population.. Difference between SEWB and mental healthSEWB is a complex and multidimensional concept with certain resonance forAboriginals & Torres- Strait Islanders (Dudgeon, 2014) whereas mental health is mostly used bythe non-Indigenous population to describe about the thinking, feeling, coping and ability toparticipate in daily activities and that mental health involves absence of any mental disorders.Most of the Aboriginals & Torres- Strait Islanders states that the term ‘mental health’ as well as‘mental illness’ focuses only on problem aspect and fail to involve those factors thatencompasses and influence a person’s wellbeing (Bowins, 2016, Sherwood, 2013). Moreover,the holistic view of health in SEWB has pushed the Aboriginals and Islanders to prefer the term‘social & emotional wellbeing’ rather than mental health. 1
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Social & Emotional Wellbeing Gee (2014) suggested that though the terms SEWB and mental health & illness are usedinterchangeably, the later terms should be considered as a part of an individual’s SEWB ratherthan equating them with SEWB. Additionally, Aboriginals believe that SEWB is ‘a multifacetedaspect of health that not only encompasses mental health, but also the varied health andwellbeing domains such as their link to country, culture, ancestry, spirituality family along withcommunity (Sherwood, 2013). Considering SEWB and mental health as an aspect of culturalconstructions can definitely enhance the effect of cultural responsiveness and strengths relatedapproach in-order to manage the emerging issues among individuals. In-regard to Aboriginal & Torres-Strait Islanders, many past events have imposed aserious effect on their SEWB. According to Zubrick (2014), colonization has caused a profoundeffect on the cultural practices and their implication on SEWB among Aboriginals (Sherwood,2013). Varied factors have been found to be linked with SEWB as racial discrimination, lifestresses, grief, loss of lands (dispossession), societal exclusion, policies and actions includingchild removals (care with protection orders), unresolved life- trauma, incarceration, societal andeconomic disadvantages, family violence, unemployment, substance abuse along with physicalhealth issues (Zubrick, 2014). Gee (2014) has also identifiedmany factors that influences SEWBas the link of Aboriginals with country, their spiritual beliefs, ancestral origin, kinship, selfdetermination, cultural continuity as well as governance in community (Parker, 2013). Accordingto Professor Milroy, three themes were found to have affected Aboriginals and Islanders as thedenial of humanity; existence as well as identity (Gee, 2014). 2
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Social & Emotional Wellbeing Aboriginal Medical Services and its alignment with PHCAboriginal community controlled healthcare services (ACCHS) also called as AboriginalMedical Services (AMS) has pioneered the current comprehensive primary health care (PHC) inAustralia by following the Alma Ata’s Declaration of World Health Organization (Freeman,2015). In 1970s, ACCHS was developed in response to the poorer access to health care servicesas well as varied discrimination practices in the usual healthcare provided to the Aboriginals. Itsservices provided a modified primary health-related care model in-regard to the general healthcare practice, which was supported and funded by the Medicare services.The first ACCHS service that includes the Central- Australian’s Aboriginal Congress(later termed as Congress) was developed based on the effect of public (local Aboriginalpopulation) meetings for formulating plans to seek collective advocacy as well as for takingaction to support the Aboriginal’s rights that includes the right to health. Dwyer (2011) has statedthat nearly 150 ACCHS services were found to have served about one- third to half of theAboriginals.In present days of Australia, the self determination based policies of 1980s and1990s were modified by a practice that was featured by a paternalistic- interventionism as well asa deficit-model related to the Aboriginals health- and wellbeing (NACCHO, 2011). ACCHSorganizations are found to play a greater role in giving the voice for and render control to localAboriginal and Islander communities (Sherwood, 2013).ACCHS strives to provide PHC as enshrined by the WHO in the Alma-Ata declaration-1978 based on its definition for PHC as ‘essential health-care that are practically applied,scientifically sound as well as acceptable by society with all the technologies made accessibleuniversally to individuals, families and communities; by their fullest participation and at an3
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