2.2 ATSI Lecture Series Flashcards
why is it important to understand indigenous health?
- APS Apology and AHPRA mandates culturally safe practice
- understanding = professionalism, respectful, informed, effective
other reasons to understand ATSI perceptions of health?
- respecting diverse worldviews
- understanding cultural practices and beliefs
- building trust
- addressing historical/social contexts
- need for culturally competent psychological care, personalising approaches
- effective communication
- recognition of unique stressors/trauma
- avoiding ongoing colonisation, empowerment
what are the social determinants of health
conditions in which people are born, grow, live, work, and age
outline the 8 colonial impacts on health
- disruption to traditional lifestyle + practices
- new diseases
- cultural suppression, identity loss
- intergenerational trauma
- discrimination, marginalisation
- economic disempowerment
- psychological impact
- environmental degradation
what is a defecit-based narrative and what are its impacts?
- focuses on perceived problems, shortcomings, deficiencies
- emphasises disadvantage, neglecting strengths, resilience, contributions
what is a strengths-based narrative and what are its impacts?
- emphasises strengths, resilience, cultural richness, celebrating wisdom
- allows conversations about using assets to solve problems, overcome adversity
what are the strengths of ATSI communities?
- connection to land + nature
- community + family-oriented culture
- respect for elders
- storytelling
- resilience + survival
- traditional ecological knowledge
- traditional governance
what are the current patterns of ATSI mental health?
- life expectancy lower
- 2/3 ATSI with at least 1 long-term health condition
- 1/3 w high or very high levels psychological distress
- suicide rates > 2x rest of aus for ATSI
what does the closing the gap report reveal?
- suicide rates among ATSI rising
- worsening distress in ATSI communities
- increasing incarceration rates esp young people
what are the three types of psychological tools + level appropriate for ATSI?
- made for mob by mob tools
- mainstream tools tweaked for ATSI
- mainstream tools known to be culturally safe anyway
outline by mob for mob + examples
- fully developed modalities, tools, methods FOR ATSI
- healing the past (perinatal trauma tool), APAR research method
outline partially validated modalities
- partially validated, tweaked for ATSI
- Kessler Psychological Distress Scale: K5
outline safe mainstream tools
- mainstream tools known to be safe for ATSI
- CBT
what is the importance of guidelines and processes?
you can have the best psychologist ever and the best most appropriate toos but if APPROACH isn’t sound/appropriate this is redundant
what can institution of psychology do?
- education - all psychs understand ATSI practice, training
- ethical considerations in research and work
- understand role as practitioner/researcher
- continue to learn
what can we do individually?
- transparency in approach
- mindfulness of power differential
- patience and flexibility
- supervision and mentorship
