Purro Birik - 32

About Us!
Nursing Jobs
Nursing & Travel
Education Resources
Nursing Theories
Nursing Specialties
Medical Issues
Mental Health
Nurse Leaders
Services for Nurses
Nurses with a Disablity
Law and Ethics
Nursing & Media
Nursing History
Student Information
Journals A - Z
Business Resources
Nurses MART
Nurses Sites
Nursing & the Arts
Advertising Policy
Privacy Policy

Purro Birik - (Healthy Spirit)



3. Findings

It is crucial that Barwon Health continue to provide services with the understanding that the Wathaurong Koori community require and expect considerable development in the delivery of culturally appropriate services specifically for the Koori community. This development will require of appropriate policies and procedures being designed to guide and direct clinical staff. The creation of a Koori advocate program, Barwon Health Mental Health Services' undertaking to provide cross cultural training for all clinical and non-clinical staff and the Wathaurong Aboriginal co-operative being the sole provider of the cross cultural program, on an ongoing, long-term basis.

There are draft examples of a Koori advocate program, and a cross cultural program included in the appendix section of this report. (Appendix 2 and 7)

Whilst Barwon Health's responsibilities clinically are now clearly defined, there remain significant mental health issues for the Koori community, which will not be met by these strategies and interventions. These issues are broadly described as 'social, emotional and spiritual wellbeing' issues.

"Health does not just mean the physical well-being of an individual but refers to the social, emotional, and cultural wellbeing of the whole community. This is a whole life view and includes the cyclical concept of life-death-life. Health care services should strive to achieve the state where every individual can achieve their full potential as human beings and thus bring about the total well-being of their communities" (Swan. P and Raphael. B, 1995)'

'Social, emotional, and spiritual wellbeing' recognises the importance of a Koori person's connection and view of themselves, their relationship with their immediate and extended family, their community, their land and their spiritual life.

Due to the cultural and spiritual complexities of this concept it will be an extremely challenging task to deliver an effective and culturally appropriate service to meet the 'social, emotional, and spiritual wellbeing' needs of the Wathaurong Koori community.

Lack of exposure to this concept and lack of inservice or professional development in this area, suggests that the staff of Barwon Health Mental Health Services are not ideally placed, experienced or qualified to deliver this service. It is more appropriate for the Wathaurong Aboriginal Co-Operative to be adequately resourced to take on this responsibility. There is a proposal for the development of a community based Koori "social, emotional, and spiritual well-being" service included in the appendix section of this report. (Appendix 6.)

"Traditional Aboriginal culture like many others does not conceive of illness, mental or otherwise, as a distinct medical entity. Rather there is a more holistic conception of life in which individual wellbeing is intimately associated with collective wellbeing. It involves harmony in social relationships and in the fundamental relationship with the land and other aspects of the physical environment. In these terms diagnosis of an individual illness is meaningless or even counterproductive if it isolates the individual from these relationships."(taken from Bringing Them Home, Commonwealth of Australia, 1997)'

The Koori community of Wathaurong defines the "social, emotional and spiritual well-being" issues within their community by the specific group affected by the issue.

Men's Business

Anger management, conflict resolution and violence is a serious issue for the men of the Wathaurong community. The men identify and recognise the need to resolve this.

The men describe serious drug and alcohol issues within their community. They understand this is not just an issue of substance abuse and intoxication, but that these issues create and compound many of the challenges facing the men of Wathaurong. In fact, they recognise that substance abuse is an expression or manifestation of deep underlying issues within their community.

However, the men state categorically that abstinence would not resolve these issues. This is much more complex than simple abuse issues. This is a crucial issue for the men and it must be approached within the context of the community, the society and the multitude of challenges facing the men.

Relationship issues are intrinsically linked to the substance abuse. Whether the inter-personal relationship problems are created through substance abuse, or whether the abuse is an expression of the relationship conflict is irrelevant~ as both issues present challenges and on-going consequences to the men and the community.

Back ] Home ] Up ] Next ]





Home ] Search ] About Us! ] Nursing Jobs ] Nursing & Travel ] Hospitals ] Organizations ] Education Resources ] Nursing Theories ] Nursing Specialties ] Medical Issues ] Mental Health ] Nurse Leaders ] Services for Nurses ] Nurses with a Disablity ] Law and Ethics ] Nursing & Media ] Nursing History ] Student Information ] Conferences ] Journals A - Z ] Biohazards/Terrorism ] Business Resources ] Nurses MART ] Nurses Sites ] Nursing & the Arts ] Advertising Policy ] Privacy Policy ]


Nurses.info is proudly developed and supported by     

 Copyright©nurses.info 2003 - 2010. All Rights Reserved. Contact: