Lecture 12 - First Nations Approaches to Social and Emotional Well Being Flashcards
What is the Competency 8 from AHPRA?
It is the expectation held by AHPRA for all psychologists that practitioners will be able to work in a culturally safe and respectful way with First Nations peoples that centre their values, beliefs, and understandings, as outlined in the First Nations framework for SEWB.
To be able to work within a health equity framework.
Is SEWB Framework a systems view?
Yes.
Has cultural continuity been found to reduce risk of suicide?
Yes.
SEWB problems come from what?
Changes to the harmony of the integration of the cultural determinants of SEWB, such as connection to land, connection to family, community, body, emotion/mind, culture, spirituality and ancestors.
What is health equity?
Ensuring everyone has a fair and just opportunity to be as healthy as possible.
What are Aboriginal Community Controlled Health Organisation?
ACCHO.
They are healthcare services that function on the basis of the values and principles important to First Nations peoples around health and well being.
Does mental ill health comes from the outside in.
What percentage of First Nations peoples experience experience high-very high levels of psychological distress?
Around 30%
What measure of psychological distress has been assessed to be culturally appropriate for assessing psychological distress for First Nations peoples?
K5. However, the K5 does not work within First Nations populations. It characterises 31% of the population as having mental illness.
Why is it important to use mental health assessments for the population they were designed for?
If you don’t use the assessment tool in the population it was designed and developed for, then you run the significant risk of misdiagnosing or not capturing the relevant symptoms for that individual. There is a long history of over diagnosis and misdiagnosis of First Nations peoples, which has lead to policy and practices that have imparted untold and severe grief and pain to First Nations peoples, such as the stolen generation.
Using the K10 or K6 or K5 risks the overmedicalisation of normal human suffering in First Nations populations and can lead to medicating or institutionalising individuals as opposed to addressing the social, historical, and political determinants of SEWB that has lead to the disharmony of the cultural determinants of health and brought about suffering, struggle, or ill-health.
What are the cultural determinants of the First Nations Framework of SEWB?
First Nations ways of being, knowing, and doing.
What are some ways that the cultural determinants can be used to increase resilience after a distressing event or experience?
Connection to body.
Connection to emotions.
Connection to family, kinship.
Connection to spirituality.
Connection to community.
Connection to culture.
Connection to land.
Normalise distress. The distress is understandable.
When it comes to risk management, why is it so important to recognise and be attuned to the resources the individual has in the moment?
Psychological work can take time. When someone is in severe distress they need help now. Helping the individual access and utilise the resources available to them in the moment can help manage risk and prevent further harm.
