Aboriginal and TSI health

Question 1

developing a management plan

Answer 1

1. Collaboration with the patient- mx more likely to be successful when pt involved in decision making and understands the plan
2. Developing a culturally appropriate plan- determine community resources, extended resources (family, NGO’s), equal emphasis on physical and mental well-being. Collaboration with appropriate stakeholders (IHLO, extended family, elders)
3. working with IHLO- the interface between psychiatrist, pt, family and community. Community continuity. Provide support. Ensure implementation of mx plan.

Partnership and trust
Respect and collaboration
working relationships

Question 2

factors that impact mx plan implementation

Answer 2

access- can they get there, can they afford it, waiting times
adherence- do they understand the quantities, time of day to take the medication
support- family support, adequate diet, anything that may interact
understanding- of the illness, its progression

Question 3

language

Answer 3

avoid jargon
plain english
diagrams
respond sensitively
give time to think
slow speech
consult with IHLO/community to build knowledge of local language

Question 4

enhancing knowledge

Answer 4

utilise resources- individual, community, elders, traditional healers, staff at ATSI services, literature, peers
take time to engage
assess existing knowledge
be culturally aware- history, healing/traditioinal practices?
understand context
create connections
partake in health service orientation

Question 5

creating narratives

Answer 5

consider psychosocial factors: recognised that people with social disadvantage, cultural point from colonisation, transgenerational trauma

understand the context- important to have idea of context, strengths, supports

collect data- kinship structure, who’s who, traditional healing, language, matriach, did person get raised by grandparents

the synthesis of data into a salient understanding as to why they’re experiencing the difficulties they are and presenting in the way they are.

Question 6

collect data about

Answer 6

community
cultural identity
language
family and kinship
family history
any relevant info
gender related issues
cultural/spiritual
cultural strengths