Week 11 Flashcards
what facrtors help shape mntal helth and wellbeing?
- genetic history
- biology
- environmental exposures
- environmental exposures in utero
What are some issues facing mental health in indigenous communities?
- lack of access to good nutrition
- poor water quality
- alcohol intake during pregnancy
- overcrowding
- persistent infections
- parental hental health
What can help buffer indigenous children from adverse effects impacting mental health?
good parental mental health
What is a significant factor contributing to indigenous mental health that is often overlooked?
Culture and separation from culture.
what prevalence do indigenous populations have in regards to mental health?
twice as likely to have high levels of distress and mental illness
What are the most common mental health presentations in the indigenous communities?
- depression
- anxiety
- PTSD
- substance-induced psychosis
- attempted suicide
- self-injury
What are the barriers in accessing mental health services for indigenous populations?
- shame
- stigma
- dependency
- high mortality rates create a fear of hospitals
- institutionalised racism and discrimination
- family and community responsibilities
- Past experience - overcoming negative experiences of theirs or ancestors
What are the 9 guiding principles set by the National Strategic Framework for indigenous mental health?
C- culturally valid understandings must shape care
H - human rights of indigenous people must be recognised and respected. Human rights specific to mental health must be addressed
E - must be recognised that experiences of trauma and loss, since the english, are a disruption to cultural wellbeing and have intergenerational effects
F - centrality of family and kinship must be recognised as well as bonds of reciprocal affection, responsibility and sharing.
S - indigenous peoples have great strengths, creativity and endurance and a deep understanding of relationships between humans and their envirnonment
G - There no single indigenous culture, but numerous groups
R - racism, stigma, environmental adversity and social disadvantage constitute ongoing stressors with negative impacts
M - indigenous mental health is viewed in a holistic contect, encompassing mental, physical, cultural and spiritual health
S - Self-determination ins central
- indigenous mental health is viewed in a holistic contect, encompassing mental, physical, cultural and spiritual health
- Self-determination ins central
- culturally valid understandings must shape care
- must be recognised that experiences of trauma and loss, since the english, are a disruption to cultural wellbeing and have intergenerational effects
- human rights of indigenous people must be recognised and respected. Human rights specific to mental health must be addressed
- racism, stigma, environmental adversity and social disadvantage constitute ongoing stressors with negative impacts
- centrality of family and kinship must be recognised as well as bonds of reciprocal affection, responsibility and sharing.
- There no single indigenous culture, but numerous groups
- indigenous peoples have great strengths, creativity and endurance and a deep understanding of relationships between humans and their envirnonment
What factors are included in Spcial and Emotional Wellbeing (SEWB)?
- physical
- Social emotional
- spiritual and cultural
What are the impacts on social and emotional wellbeing for indigenous communities?
- poverty (2.5x more likely to be born into lowest group)
- little or no education/employment
- dependent on government or low paid wages
- inadequate housing
- high incarcerations (28% of all prisonsers)
- low self-esteem
- substance dependency
- High mortality rate
- Violence
- Lack of future direction and hopelessness
What is the prevalence of mental health illness on indigineous people in jail?
73% of males
86% females
What are the main findings from Dickson et al on Indigenous mental health?
- youth suicide rate is much higher
- self harm is much higher
- suicidal ideation higher
- living rural and isolated communities increases suicidal risk
What were the main findings of Murrup-Stewart et al on indigneous mental helth?
that indigenous health services need to be:
- culturally safe
- holistic
- integrate appropriate staffing
- include culturally relevant activities
- Value patient/participant experiences
What are some considerations you should take on board when dealing with indigenous people?
Traditional Historical Contemporary Gaps in knowledge Solutions
What are examples of traditional considerations when dealing with indigenous?
- different concepts, beliefs and meanings
- sense of self
- external attributions
- site of distress
- identity and role
- autonomy and relatedness
- life continum
- belonging
- birth & bereavement
- sharing learning, cognitive development
What are examples of historical considerations when dealing with indigenous?
- psychological genocide
- profound trauma
- abuse
- loss and grief
- extreme powerlessness
- misdiagnosis
- mislabelling
What are examples of contemporary considerations when dealing with indigenous?
- place in society
- present trauma, loss grief
- future uncertainty
- ientity issues
- psychologial strengths
- apology
What are examples of gaps in knowledge considerations when dealing with indigenous?
- impact of racism and distrimination
- appropriate diagnostic systems
- treatment options
- culturally valid tools
- cultural and spiritual
What are examples of solutions considerations when dealing with indigenous?
truth in national history
- human rights
- safe development
- inclusiveness
- pride, positive images
- profesisonal development
- indigenous therapies
- tackling racism
What are some of the barriers fo CALD communities?
- lack of knowledge/understanding
- stigma
- concerns about confidentiality
- language barriers
- cultural misunderstandings
- previous negative experience
What is the Framework in mental health care for CALD communities?
A web based tool for mental health services, assisting organisations to improve the services devlivery for CALD communties.
Consists of organisation self assessment and rating scale, an implementation guide and supporting tools and resources
What are the 5 key concepts of the Framework in CALD mental health?
- cultural responsiveness
- risk and protective factors
- culturally responsive practice
- consumer and carer participation
- recovery and cultural diversity
What are the key risk and protective factors considered byt he Framneowrk for CALD?
migration and acculturation
racial discrimination and equity
language acquisition
refugee experiences
Define an asylum seeker?
person who has fled their own country and applied to the government for protection as a refugee
define a refugee?
perosn outside their own country and unable or unwilling to return due to a well founded fear
Define a displaced person?
person who have been forced to flee due to violence, human rights violations or natural disasters
