Understanding the role of law and culture in Aboriginal and/or Torres Strait Islander communities in responding to and preventing family violence

ANROWS, 2020

Family violence within Aboriginal and Torres Strait Islander communities attracts considerable attention in policy, research and practice.

Many Aboriginal and Torres Strait Islander peoples have advocated for community-led approaches to family violence that are culturally safe, involve Aboriginal or Torres Strait Islander justice models and recognise Aboriginal or Torres Strait Islander Law and Culture.

This project used a strengths-based approach to explore the role that Aboriginal and Torres Strait Islander Law and Culture plays in prevention, intervention and healing in Aboriginal and Torres Strait Islander family violence, and how this can be supported. The project was grounded in an understanding of family violence as shaped by the impacts of colonisation.

The research was undertaken in partnership with Aboriginal and Torres Strait Islander place-based programs in six sites: the Kimberley (two sites) and the Pilbara (Western Australia), the Tiwi Islands and Darwin (Northern Territory), and Mornington Island (Queensland).

The final report emphasises the need for improved understandings within mainstream systems and services of the nature of Aboriginal and Torres Strait Islander family obligations and interconnections, as well as acknowledgement of the link between violence and issues that stem from colonisation, such as alcohol misuse and intergenerational trauma. It recommends a greater focus on prevention, healing and diversions from the criminal legal system; the involvement of both men and women in the design and implementation of local family violence strategies; and interventions that worked at the family, rather than individual, level.

Working appropriately in Aboriginal sexual health (video)

YoungDeadlyFree, 2019

Learn about cultural awareness in Aboriginal health settings. It’s about being respectful, recognising differences, and being open to learning.

  • Watch video below:

 

‘My mob is telling their story and it makes me feel good’: here’s what Aboriginal survivors of child sexual abuse told us they need

The Conversation, October 22, 2019 6.00am AEDT

There are an estimated 60,000 survivors of institutional child sexual abuse in Australia. Based on the private sessions held as part of the Royal Commission into Institutional Responses to Child Sexual Abuse, 15% of survivors are Aboriginal. That suggests an estimated 9,000 Aboriginal survivors. This is likely an under estimation.

Not only do Aboriginal survivors experience the trauma of institutional child sexual abuse, if they were part of the Stolen Generations, they also experience the cultural trauma from being forcibly removed from family as children because they were Aboriginal. These children were denied connection to community, country, spirituality, language and culture.

This context and its impacts today, including ongoing disadvantage and systemic racism, needs to be understood in developing healing solutions for Aboriginal survivors.

Actions to support Lesbian, Gay, Bisexual, Trans and Gender Diverse, and Intersex elders

Australian Department of Health, February 2019

We know that LGBTI older people and elders are likely to have experienced violence, stigma and discrimination throughout their lives. As a result, they may be reluctant to disclose their identities or histories to aged care services and therefore remain isolated or invisible within both the aged care sector and the broader community. Combined with general stigmatisation and invisibility of LGBTI needs at large, this results in a lack of awareness of the unique needs of LGBTI elders and older people, including a lack of targeted services to support them. In addition, the fear of mistreatment or rejection from aged care providers can lead to LGBTI elders and older people delaying seeking care until their health deteriorates or a crisis occurs.

Many LGBTI elders and older people have lived through a time where identities were pathologised or criminalised, aversion therapies were encouraged, and non-consensual surgeries were routinely performed. As a result, many LGBTI older people have learned to conceal their sexual orientation, gender identity or intersex status in order to be safe, particularly when interacting with the health or social services sector. The fear and mistrust of these services in the past have led LGBTI elders and older people to be reluctant to utilise mainstream services, including aged care. Reliving past discrimination when encountering new forms of discrimination in the aged care
environment can lead to feelings of anxiety and/or depression.

The Action Plan is a resource that will assist aged care service providers to better understand how they can advocate for and support LGBTI elders and older people. By providing culturally safe and inclusive services, providers will build confidence amongst LGBTI elders and older people and their carers, families of choice (who may or may not include biological family) and allies that aged care services are available for them and they will be given the support and care they need as they age.

The Consumer Guide captures the voice of LGBTI peoples expressed through those consultations. It is intended both to help LGBTI peoples express their needs when speaking with aged care providers and as a resource to support people working in aged care to understand the perspectives of LGBTI peoples.

It’s hard to think about, but frail older women in nursing homes get sexually abused too

The Conversation, November 22, 2018 6.02am AEDT

We don’t often think of older women being victims of sexual assault, but such assaults occur in many settings and circumstances, including in nursing homes. Our research, published this week in the journal Legal Medicine, analysed 28 forensic medical examinations of female nursing home residents who had allegedly been victims of sexual assault in Victoria over a 15-year period.

The majority of the alleged victims had some form of cognitive or physical impairment. All 14 perpetrators who were reported were male, half of whom were staff and half other residents.

 

 

Factors associated with testing for HIV in people aged ≥50 years

BMC Public Health 2018 18:1204

https://doi.org/10.1186/s12889-018-6118-x

Published: 26 October 2018

Factors associated with testing for HIV in people aged ≥50 years: a qualitative study

Abstract

Background

Despite a decline in the number of new HIV infections in the UK overall, the number and proportion of new HIV diagnoses in people aged ≥50 years continues to increase. People aged ≥50 years are disproportionately affected by late diagnosis, which is associated with poorer health outcomes, increased treatment complexity and increased healthcare costs. Late HIV diagnosis also has significant public health implications in terms of onward HIV transmission. It is not fully understood what factors affect the decision of an older person to test for HIV. The aim of this study was to identify factors associated with testing for HIV in people aged ≥50 years who tested late for HIV.

Methods

We interviewed 20 people aged ≥50 years diagnosed late with HIV to identify factors associated with HIV testing. Interviews were audio recorded, transcribed verbatim and thematically analysed.

Results

Seven themes associated with HIV testing in people aged ≥50 years were identified: experience of early HIV/AIDS campaigns, HIV knowledge, presence of symptoms and symptom attribution, risk and risk perception, generational approaches to health and sexual health, stigma, and type of testing and testing venue.

Conclusion

Some factors associated with testing identified in this study were unique to older individuals. People aged ≥50 years often do not perceive themselves to be at risk of HIV. Further, stigma and a lack of knowledge of how to access HIV testing suggest a need for health promotion and suggest current sexual health services may need to adapt to better meet their needs.