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A Culturally Responsive Trauma-Informed Public Health Emergency Framework for Aboriginal and Torres Strait Islander Communities in Australia, Developed during COVID-19

Author

Listed:
  • Simon Graham

    (Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, VIC 3000, Australia)

  • Ilias Kamitsis

    (Indigenous Health Equity Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3000, Australia)

  • Michelle Kennedy

    (School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2308, Australia)

  • Christina Heris

    (National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT 2601, Australia)

  • Tess Bright

    (Indigenous Health Equity Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3000, Australia)

  • Shannon K. Bennetts

    (Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
    Intergenerational Health Group, Murdoch Children’s Research Institute, Parkville, VIC 3000, Australia)

  • Kimberley A Jones

    (Indigenous Health Equity Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3000, Australia)

  • Renee Fiolet

    (Indigenous Health Equity Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3000, Australia)

  • Janine Mohamed

    (The Lowitja Institute, Collingwood, VIC 3066, Australia)

  • Caroline Atkinson

    (We Al-Li, Goolmangar, NSW 2480, Australia)

  • Catherine Chamberlain

    (Indigenous Health Equity Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3000, Australia
    Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia
    The Lowitja Institute, Collingwood, VIC 3066, Australia
    NGANGK YIRA: Murdoch University Research Centre for Aboriginal Health and Social Equity, Murdoch University, Perth, WA 6150, Australia)

Abstract

The Coronavirus Disease 2019 (COVID-19) pandemic impacted peoples’ livelihoods and mental wellbeing. Aboriginal and Torres Strait Islander peoples in Australia continue to experience intergenerational trauma associated with colonization and may experience trauma-related distress in response to government responses to public health emergencies. We aimed to develop a culturally responsive trauma-informed public health emergency response framework for Aboriginal and Torres Strait Islander peoples. This Aboriginal and Torres Strait Islander-led study involved: (i) a review of trauma-informed public health emergency responses to develop a draft framework (ii) interviews with 110 Aboriginal and Torres Strait Islander parents about how COVID-19 impacted their lives, and (iii) a workshop with 36 stakeholders about pandemic experiences using framework analysis to refine a culturally responsive trauma-informed framework. The framework included: an overarching philosophy (cultural humility, safety and responsiveness); key enablers (local leadership and Eldership); supporting strategies (provision of basic needs and resources, well-functioning social systems, human rights, dignity, choice, justice and ethics, mutuality and collective responsibility, and strengthening of existing systems); interdependent core concepts (safety, transparency, and empowerment, holistic support, connectedness and collaboration, and compassion, protection and caring); and central goals (a sense of security, resilience, wellbeing, self- and collective-efficacy, hope, trust, resilience, and healing from grief and loss).

Suggested Citation

  • Simon Graham & Ilias Kamitsis & Michelle Kennedy & Christina Heris & Tess Bright & Shannon K. Bennetts & Kimberley A Jones & Renee Fiolet & Janine Mohamed & Caroline Atkinson & Catherine Chamberlain, 2022. "A Culturally Responsive Trauma-Informed Public Health Emergency Framework for Aboriginal and Torres Strait Islander Communities in Australia, Developed during COVID-19," IJERPH, MDPI, vol. 19(23), pages 1-16, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15626-:d:983039
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    References listed on IDEAS

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    1. Tahir Ali & Petra Topaz Buergelt & Douglas Paton & James Arnold Smith & Elaine Lawurrpa Maypilama & Dorothy Yuŋgirrŋa & Stephen Dhamarrandji & Rosemary Gundjarranbuy, 2021. "Facilitating Sustainable Disaster Risk Reduction in Indigenous Communities: Reviving Indigenous Worldviews, Knowledge and Practices through Two-Way Partnering," IJERPH, MDPI, vol. 18(3), pages 1-28, January.
    2. Bowen, E.A. & Murshid, N.S., 2016. "Trauma-informed social policy: A conceptual framework for policy analysis and advocacy," American Journal of Public Health, American Public Health Association, vol. 106(2), pages 223-229.
    3. Mélissa Généreux & Marc Lafontaine & Angela Eykelbosh, 2019. "From Science to Policy and Practice: A Critical Assessment of Knowledge Management before, during, and after Environmental Public Health Disasters," IJERPH, MDPI, vol. 16(4), pages 1-17, February.
    Full references (including those not matched with items on IDEAS)

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