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Purro Birik - (Healthy Spirit)
6.2 Coordination and
The need for coordination
of service planning at the State, regional and local levels was another
common topic throughout the consultations.
Many Koori health services
will continue to be limited in effectively meeting the social, emotional and
cultural wellbeing needs of their communities unless funding bodies can
provide resources in a way that: is flexible and takes into account local
community needs; is more equitable across the State; and that recognises the
status of the 26 community controlled Koori health organisations in
While consultations in some
areas recognised the value of the Koori Services Improvement Strategy (KSIS)
which is being driven by Aboriginal Affairs Victoria (AAV), it was noted
that the benefits of this strategy would be limited without Commonwealth
involvement in the planning.
for improving coordination included the folowing:
VACCHO, the State, and
the Commonwealth should work together to ensure resources are effectively
and equitably targeted; that the status of all community
controlled health services is recognised; and that the intent of existing
high-level agreements on the planning and development of Koori-specific
services (for example, Achieving Improved Aboriginal Health Outcomes [DHS
and VACCHO 1996] and the Commonwealth, State, VACCHO, ATSIC agreement on
Health ) is upheld.
Koori health services
should be able to negotiate with funding bodies on the regional level how
their service will use funding, particularly in relation to workforce
planning. The holistic philosophy of Koori health services should be a
fundamental principle for all Koori-specific health planning.
funding must be community controlled, and workers employed through this type
of funding should be employed by Koori community controlled health services.
consultations also clearly recognised the benefits of establishing
partnerships between mental health services and Koori health services.
Koori health services
need a mechanism to join together on a regional level to examine common
issues and in some instances shared initiatives (for example, supported
accommodation, training centres, and healing places).
There needs to be active
local partnerships between Koori health services and mainstream services
(other than mental health) which can provide specialist complementary input
on social, emotional and cultural wellbeing issues (for example, alcohol and
drug services, domestic violence services, homelessness services, community
justice panels, and protective services).
There needs to be more
active accountability for existing agreements between funding bodies and VACCHO. Some funding bodies are developing models for the provision of
Koori-specific services without consulting VACCHO, and without accounting
for existing agreements (particularly in relation to community control).