Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative study
IntroductionMany Aboriginal and Torres Strait Islander people living on Kaurna Country in northern Adelaide experience adverse health and social circumstances. The Taingiwilta Pirku Kawantila study sought to understand challenges facing Aboriginal and Torres Strait Islander communities and identify...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1206371/full |
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| author | Anna P. Dawson Anna P. Dawson Eugene Warrior Odette Pearson Odette Pearson Mark A. Boyd Mark A. Boyd Judith Dwyer Kim Morey Tina Brodie Kurt Towers Sonia Waters Cynthia Avila Courtney Hammond Katherine J. Lake Katherine J. Lake ‘Uncle’ Frank Lampard ‘Uncle’ Frank Lampard ‘Uncle’ Frank Wanganeen Olive Bennell Darrien Bromley Toni Shearing Nathan Rigney Schania Czygan Nikki Clinch Andrea Pitson Alex Brown Alex Brown Natasha J. Howard Natasha J. Howard |
| author_facet | Anna P. Dawson Anna P. Dawson Eugene Warrior Odette Pearson Odette Pearson Mark A. Boyd Mark A. Boyd Judith Dwyer Kim Morey Tina Brodie Kurt Towers Sonia Waters Cynthia Avila Courtney Hammond Katherine J. Lake Katherine J. Lake ‘Uncle’ Frank Lampard ‘Uncle’ Frank Lampard ‘Uncle’ Frank Wanganeen Olive Bennell Darrien Bromley Toni Shearing Nathan Rigney Schania Czygan Nikki Clinch Andrea Pitson Alex Brown Alex Brown Natasha J. Howard Natasha J. Howard |
| author_sort | Anna P. Dawson |
| collection | DOAJ |
| description | IntroductionMany Aboriginal and Torres Strait Islander people living on Kaurna Country in northern Adelaide experience adverse health and social circumstances. The Taingiwilta Pirku Kawantila study sought to understand challenges facing Aboriginal and Torres Strait Islander communities and identify solutions for the health and social service system to promote social and emotional wellbeing.MethodsThis qualitative study applied Indigenous methodologies undertaken with Aboriginal and Torres Strait Islander governance and leadership. A respected local Aboriginal person engaged with Aboriginal and Torres Strait Islander community members and service providers through semi-structured interviews and yarning circles that explored community needs and challenges, service gaps, access barriers, success stories, proposed strategies to address service and system challenges, and principles and values for service design. A content analysis identified the breadth of challenges in addition to describing key targets to empower and connect communities and optimize health and social services to strengthen individual and collective social and emotional wellbeing.ResultsEighty-three participants contributed to interviews and yarning circles including 17 Aboriginal community members, 38 Aboriginal and Torres Strait Islander service providers, and 28 non-Indigenous service providers. They expressed the need for codesigned, strengths-based, accessible and flexible services delivered by Aboriginal and Torres Strait Islander workers with lived experience employed in organisations with Aboriginal and Torres Strait Islander leadership and governance. Community hubs and cultural events in addition to one-stop-shop service centres and pre-crisis mental health, drug and alcohol and homelessness services were among many strategies identified.ConclusionHolistic approaches to the promotion of social and emotional wellbeing are critical. Aboriginal and Torres Strait Islander people are calling for places in the community to connect and practice culture. They seek culturally safe systems that enable equitable access to and navigation of health and social services. Aboriginal and Torres Strait Islander workforce leading engagement with clients is seen to safeguard against judgement and discrimination, rebuild community trust in the service system and promote streamlined access to crucial services. |
| first_indexed | 2024-03-11T22:37:10Z |
| format | Article |
| id | doaj.art-b2b3d8b825214f989141dfaea61863a2 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-11T22:37:10Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-b2b3d8b825214f989141dfaea61863a22023-09-22T13:13:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-09-011110.3389/fpubh.2023.12063711206371Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative studyAnna P. Dawson0Anna P. Dawson1Eugene Warrior2Odette Pearson3Odette Pearson4Mark A. Boyd5Mark A. Boyd6Judith Dwyer7Kim Morey8Tina Brodie9Kurt Towers10Sonia Waters11Cynthia Avila12Courtney Hammond13Katherine J. Lake14Katherine J. Lake15‘Uncle’ Frank Lampard16‘Uncle’ Frank Lampard17‘Uncle’ Frank Wanganeen18Olive Bennell19Darrien Bromley20Toni Shearing21Nathan Rigney22Schania Czygan23Nikki Clinch24Andrea Pitson25Alex Brown26Alex Brown27Natasha J. Howard28Natasha J. Howard29Wardliparingga Aboriginal Health Equity, South Australian Health and Research Institute, Adelaide, SA, AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, AustraliaWardliparingga Aboriginal Health Equity, South Australian Health and Research Institute, Adelaide, SA, AustraliaWardliparingga Aboriginal Health Equity, South Australian Health and Research Institute, Adelaide, SA, AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, AustraliaDivision of Medicine, Northern Adelaide Local Health Network, Adelaide, SA, AustraliaCollege of Medicine and Public Health, Flinders University, Adelaide, SA, AustraliaWardliparingga Aboriginal Health Equity, South Australian Health and Research Institute, Adelaide, SA, AustraliaWardliparingga Aboriginal Health Equity, South Australian Health and Research Institute, Adelaide, SA, AustraliaDivision of Medicine, Northern Adelaide Local Health Network, Adelaide, SA, AustraliaAboriginal Services, AnglicareSA, Adelaide, SA, AustraliaAboriginal Health, Sonder, Adelaide, SA, AustraliaWardliparingga Aboriginal Health Equity, South Australian Health and Research Institute, Adelaide, SA, AustraliaWardliparingga Aboriginal Health Equity, South Australian Health and Research Institute, Adelaide, SA, AustraliaIndigenous Health Equity, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, VIC, AustraliaDivision of Medicine, Northern Adelaide Local Health Network, Adelaide, SA, AustraliaExecutive Office, Kaurna Elder and Aboriginal Community Representative, Adelaide, SA, AustraliaExecutive Office, Kaurna Elder and Aboriginal Community Representative, Adelaide, SA, AustraliaExecutive Office, Nunga Mi:Minars Inc., Adelaide, SA, Australia0Executive Office, InCompro Inc., Adelaide, SA, AustraliaDivision of Medicine, Northern Adelaide Local Health Network, Adelaide, SA, Australia1Aboriginal Health Promotion, Wellbeing SA, Adelaide, SA, AustraliaAboriginal Health, Sonder, Adelaide, SA, Australia2Statewide Operations, South Australian Department for Corrections, Adelaide, SA, Australia3Aboriginal Education Directorate, South Australian Department for Education, Adelaide, SA, Australia4Indigenous Genomics, Telethon Kids Institute, Adelaide, South Australia, Australia5National Centre for Indigenous Genomics, Australian National University, Canberra, ACT, AustraliaWardliparingga Aboriginal Health Equity, South Australian Health and Research Institute, Adelaide, SA, AustraliaAdelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, AustraliaIntroductionMany Aboriginal and Torres Strait Islander people living on Kaurna Country in northern Adelaide experience adverse health and social circumstances. The Taingiwilta Pirku Kawantila study sought to understand challenges facing Aboriginal and Torres Strait Islander communities and identify solutions for the health and social service system to promote social and emotional wellbeing.MethodsThis qualitative study applied Indigenous methodologies undertaken with Aboriginal and Torres Strait Islander governance and leadership. A respected local Aboriginal person engaged with Aboriginal and Torres Strait Islander community members and service providers through semi-structured interviews and yarning circles that explored community needs and challenges, service gaps, access barriers, success stories, proposed strategies to address service and system challenges, and principles and values for service design. A content analysis identified the breadth of challenges in addition to describing key targets to empower and connect communities and optimize health and social services to strengthen individual and collective social and emotional wellbeing.ResultsEighty-three participants contributed to interviews and yarning circles including 17 Aboriginal community members, 38 Aboriginal and Torres Strait Islander service providers, and 28 non-Indigenous service providers. They expressed the need for codesigned, strengths-based, accessible and flexible services delivered by Aboriginal and Torres Strait Islander workers with lived experience employed in organisations with Aboriginal and Torres Strait Islander leadership and governance. Community hubs and cultural events in addition to one-stop-shop service centres and pre-crisis mental health, drug and alcohol and homelessness services were among many strategies identified.ConclusionHolistic approaches to the promotion of social and emotional wellbeing are critical. Aboriginal and Torres Strait Islander people are calling for places in the community to connect and practice culture. They seek culturally safe systems that enable equitable access to and navigation of health and social services. Aboriginal and Torres Strait Islander workforce leading engagement with clients is seen to safeguard against judgement and discrimination, rebuild community trust in the service system and promote streamlined access to crucial services.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1206371/fullAboriginal and Torres Strait Islander peoplessocial and emotional wellbeingindigenous methodologiesyarning circlesqualitativesocial determinants of health |
| spellingShingle | Anna P. Dawson Anna P. Dawson Eugene Warrior Odette Pearson Odette Pearson Mark A. Boyd Mark A. Boyd Judith Dwyer Kim Morey Tina Brodie Kurt Towers Sonia Waters Cynthia Avila Courtney Hammond Katherine J. Lake Katherine J. Lake ‘Uncle’ Frank Lampard ‘Uncle’ Frank Lampard ‘Uncle’ Frank Wanganeen Olive Bennell Darrien Bromley Toni Shearing Nathan Rigney Schania Czygan Nikki Clinch Andrea Pitson Alex Brown Alex Brown Natasha J. Howard Natasha J. Howard Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative study Frontiers in Public Health Aboriginal and Torres Strait Islander peoples social and emotional wellbeing indigenous methodologies yarning circles qualitative social determinants of health |
| title | Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative study |
| title_full | Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative study |
| title_fullStr | Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative study |
| title_full_unstemmed | Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative study |
| title_short | Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative study |
| title_sort | exploring self determined solutions to service and system challenges to promote social and emotional wellbeing in aboriginal and torres strait islander people a qualitative study |
| topic | Aboriginal and Torres Strait Islander peoples social and emotional wellbeing indigenous methodologies yarning circles qualitative social determinants of health |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1206371/full |
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