LF Project Annual Report FINAL-updated
Transcription
LF Project Annual Report FINAL-updated
Front and back cover images: Elders Margaret Culbong and Mort Hansen lead service providers on the Reconciliation Walk held at Kent Street Weir, October 2012. Photos by Anne Goodall. LOOKING FORWARD PROJECT Improving the mental health services outcomes for Aboriginal people living in the south‐east metropolitan area of Perth Annual Report December 2012 In collaboration with Ruah Community Services 24 Table of Contents EXECUTIVE SUMMARY 2 PROJECT TEAM 3 COMMUNITY FORUM FINDINGS: FIVE THEMES 5 Recognising and embracing a Nyoongar worldview within services and the health system 6 Cultural Healing 6 Empowerment 7 Promoting the strengths of Nyoongar people and culture 7 Recognising Nyoongar Law and Customs 8 PROJECT METHODOLOGY: PARTICIPATORY ACTION RESEARCH 8 COMMUNITY STEERING GROUP FINDINGS: NYOONGAR SIX SEASONS 10 DOING THEIR OWN WORK: ENGAGING SERVICE PROVIDERS 13 DISSEMINATING THE FINDINGS: TELLING OUR STORY 14 PRESENTATIONS: ALARA CONFERENCE AND ABORIGINAL RESEARCHERS USING PAR 15 MAKING A DIFFERENCE: WORKING TOGETHER 18 NEXT STEPS: EVALUATING SERVICES USING THE MINDITJ KAART‐MOORDITJ KAART FRAMEWORK 20 A FINAL WORD 20 APPENDIX 1 – PROJECT TEAM PROFILES 22 1 1 Executive Summary The Looking Forward Project aims to change the way mental health services are delivered to Aboriginal people living in the south‐east Perth metropolitan region (Armadale to Bentley). Mental health is a highly charged and emotive issue for the Nyoongar community living in this region. There have been significant challenges for the project, in particular the size and scope of the serious and complex mental health issues that are impacting on the Nyoongar community involved in this project. Our methodology for the project has included conducting 11 community forums from March to December 2011, and a further 10 community meetings with a smaller cohort of Aboriginal people (i.e. a Community Steering Group) living in the region from January to August 2012. Our findings from the community forums show that mental health services need to be delivered in a way that demonstrates a comprehensive understanding and respect for an Aboriginal (Nyoongar) cultural worldview. A key finding from the Community Steering Group Process was the development of the Nyoongar Minditj Kaart‐ Moorditj Kaart Framework for systems change. A key aspect of the Nyoongar Minditj Kaart‐Moorditj Kaart Framework is the six Nyoongar seasons, which are central to Nyoongar people’s ontological understanding of their cosmology. In late October and early November 2012 we presented our findings from the project, thus far, at two community feedback meetings. One was held at the Langford Aboriginal Association and the other at the Champion Centre. Approximately 50 people attended the meetings. The project team will engage in an evaluation of service providers in 2013 and 2014. It will commence in April 2013 and extend for a period of approximately 12 months. At this stage, six organisations have signed an agreement to participate in the evaluation. Again, we will use the Nyoongar Minditj Kaart‐Moorditj Kaart Framework as the foundation for the Evaluation Plan. A one‐day workshop with Nyoongar Elders, community members and mental health service providers was held in late November in preparation for the evaluation process. The workshop was the beginning of the process of working together to find ways to decolonise the organisational spaces that historically have failed Nyoongar people. We used the Nyoongar Minditj Kaart‐Moorditj Kaart Framework as a bridge, to allow participants to design the key principles that will shape an evaluation framework to measure changes in service delivery with selected organisations working with Nyoongar people across south‐east Perth metropolitan corridor. 2 2 Introduction The primary aim of the Looking Forward Project is to change the way mental health services are provided to Aboriginal people living in the south‐east Perth metropolitan region (Armadale to Bentley). Findings from the community consultations revealed that mental health services will need to be delivered in a way that demonstrates a comprehensive understanding of and respect for an Aboriginal (Nyoongar) cultural worldview. Mental health services will need to show that they have an understanding of an Aboriginal (Nyoongar) ontological worldview (Nyoongar ways of knowing) and an Aboriginal (Nyoongar) epistemological worldview (Nyoongar ways of doing). The project is located in Nyoongar country, specifically in the south‐ east metropolitan corridor in an area known as Wadjuk boodja. Wadjuk boodja extends along the Swan River, south to Fremantle, east to Armadale and north to Upper Swan. The majority of Aboriginal people living in the region where the research is being Wadjuk boodja extends along the Swan River, south to Fremantle, east to Armadale and north to Upper Swan. conducted are Nyoongar people. This report covers the period from January 2012 to December 2012. It is structured around seven key points. The first provides background to the project team. The second will provide a summary of the main findings from the Community Forums held in 2011. Third, provides an overview of the project methodology. Fourth, will provide a discussion of the main findings from the Community Steering Groups held in 2012. The fifth point discusses the process of working with change undertaken by service providers who agreed to engage in the project. Sixth, will provide a summary of our dissemination process thus far. Seventh, provides an overview of the Nyoongar Elders and Service Providers workshop held in November 2012. Eighth, and finally, an outline of what is planned for 2013. Project Team The partnership arrangement between the Telethon Institute and Ruah Community Services (RCS) has strengthened during the past 12 months. The project team has also expanded in this time and now includes an Educational Designer, a Nyoongar Cultural Consultant and a Nyoongar Elder. 3 3 The Project Team1 consists of: • Michael Wright ‐ Research Manager • Margaret Culbong ‐ Nyoongar Elder/Consultant (see figure 5, page 16) • Danny Ford ‐ Nyoongar Consultant • Margaret O’Connell – Educational Design Consultant • Tanya Jones ‐ Research Assistant • Maxine Drake ‐ Project Officer • Reg Henry – Project Officer • Sheryl Carmody ‐ Ruah Executive Manager • Anne Goodall ‐ Consultant Figure 1. Project team members, Danny, Tanya, Maxine, Margaret, Sheryl and Michael. Reg Henry and Margaret Culbong absent (see Figure 5 page 16). The Project Officer (Maxine Drake) is employed by Ruah Community Services and is based in the Ruah Maddington office, whilst the Research Manager (Michael Wright), the Research Assistant (Tanya Jones) and the Educational Design Consultant (Margaret O’Connell) are based at the Telethon Institute. A Consultant (Anne Goodall) was also contracted for a set period to assist the data collection process with service providers. Danny Ford from Kambarang Services and Margaret Culbong have both been engaged as key Nyoongar Cultural Consultants for the project. Margaret and Danny have assisted the project team by providing cultural advice, and in the areas of community development and project management. Margaret was pivotal in arranging and coordinating one of the two Nyoongar community feedback meetings on the findings from the project. Danny 1 Profiles of the current project team members and consultants are contained in Appendix I. 4 4 has provided cultural support and advice and co‐facilitated the community forums and the community steering group; he also chairs the Elders Community Implementation Committee, which was convened in August 2012. Community forum findings: Five themes We conducted 11 community forums during 2011 over an approximate period of 10 months. Our initial plan was to bring the community and the mental health service providers together in early 2012 to work on designing an evaluation framework. However, during the community forums we came to understand that the local Nyoongar community was very disillusioned with the mental health system. We learned that the community was experiencing a high number of suicides, and that they were frustrated and upset at the apparent disinterest shown by mental health services with regard to assisting the community. As illustrated in the quote below, it was indicated by forum participants that the Nyoongar community was extremely distressed by the lack of response and support from the mental health system in this situation. It was evident the community was definitely not ready to meet with local mental health service providers at that time. Might have a good mental health service but a Nyoongar boy or girl who’s about to commit suicide tonight, they don’t know where to go for support. People ring up all the time‐they have no‐where to go. Guys sitting in these offices are supposed to be out talking to these young people and giving them flyers and promotions but that ‘s not happening. Next minute someone in the community’s committed suicide. There’s a sense of hopelessness and they can’t talk to nobody. People in mental health organisations are sitting on good money but are not out helping the communities. The data we gathered from the forum focus groups were transcribed and cleaned. We undertook a rigorous thematic analysis of the focus group discussions and uncovered the following five key themes: 1. Recognising a Nyoongar worldview within services and the health system, 2. Cultural healing, 3. Empowerment, 4. Promoting the strengths of Nyoongar people and culture, and 5. Recognising Nyoongar Law and Customs. 5 5 Even though each theme is unique there is, not surprisingly, some shared commonality. For example, whilst participants spoke about a service needing to recognise and understand a Nyoongar worldview, they were also saying that they wanted a safe space where cultural healing can occur and where Nyoongar people feel comfortable, safe, and welcomed. A space where, as Nyoongar people, they feel they would have some valued input and control in the process of their interactions with service providers. They particularly expressed that they wanted interventions to be done with them rather than to them. Recognising and embracing a Nyoongar worldview within services and the health system Given that many of the participants who attended the forums were Nyoongar, they expressed a need for mental health services to recognise their unique Nyoongar worldview. They had serious concerns about both the appropriateness and safety of the mainstream system for Nyoongar people, primarily because of the lack of understanding and inclusion by mainstream service providers of Nyoongar knowledge, beliefs and practices as being important to the healing process. For example, most mental health services do not have a spiritual focus; their main purpose is clinical, as one of the participants noted: Because to go to mainstream, it is predominantly non‐Aboriginal anyway, and you can’t relate to that for a start, being Aboriginal. It is as simple as that. You cannot relate to it because the issues you have mental health wise, are all coming to you differently from what it does to a white person. It comes to you in an Aboriginal way, you know, and ‘cause it’s connected spiritually too as well, as an Aboriginal with mental health, it’s connected spiritually. And that’s what needs to be emphasized a lot as well, is the spiritual side with the mental health side. Cultural Healing Again, from the Nyoongar at a number of forums we heard the need for the creation of a safe space that is reflective of a Nyoongar worldview. Importantly, a safe space must be, friendly, trustworthy and non‐ judgmental, and as a healing space it needs to embrace and reflect Nyoongar laws and customs. Connection to land and “We are dealing with people that are grass-roots … family is also integral to the wellbeing of Nyoongar people, hence a healing space would need to be inclusive of family members 6 6 and located in natural surroundings. As a community forum participant noted: As a community oriented person I think there needs to be an emphasis, I suppose, from a group like this, to put forward the proposal that there needs to be a culturally appropriate mental health centre. Or even the word centre – I mean I don’t know, a safe place – simplify it, rather than use the academic words, which is where ‘culturally’ fits into it now. It’s so academic that word. We are dealing with people that are grass‐roots who lack a lot of academic‐in one way, form or another, and it just confuses the situation for them when we use words like that. Empowerment Forum participants said they wanted to have greater control over the way in which services were provided. They were not interested in paternalistic approaches to service provision; rather, they wanted service providers to recognise and acknowledge them as partners in their health care plans. Participants also indicated that Nyoongar people need clear “… walk alongside you [me] while you’re [I] am going through this recovery … information and support to make their own decisions regarding their health needs. They were not interested in paternalistic approaches to service provision; they wanted service providers to work with them, and not for them. So if you [I] had that support, had someone that was able to explain things and walk alongside you [me] while you’re [I] am going through this recovery it would be beneficial for you [me] and your [my] family. Promoting the strengths of Nyoongar people and culture Participants also emphasised that they wanted services to adopt a more positive strengths based approach to addressing mental health issues. Rather than continuing to pathologise Nyoongar people by focusing on perceived deficits and disadvantage, service providers need to recognise and draw on people’s personal and cultural strengths throughout the healing process and encourage Nyoongar families to build on their existing strengths. I feel like this, regards mental health for Aboriginal families, I think they need supportive organisations, people that give them verbal encouragement for when they are trying to kind of like look after their families or look after their health which I think, if they get that positive feedback, for maybe the few things they might be doing to help themselves, that helps to make them a little bit stronger. 7 7 Because we all know that if somebody gives you something positive to kind of—or commend you if a family is trying to do what’s right, that works towards making you strong in that way. Instead of negative feedback, at times. Recognising Nyoongar Law and Customs Forum participants were emphatic that Nyoongar laws and customs need to be acknowledged and recognised by mainstream service providers. In their view both the recognition and acknowledgement of Nyoongar law and customs by mental health services is essential for the long‐term mental health and wellbeing of Nyoongar people. They do not understand because they do not recognise Aboriginal (Nyoongar) culture and Aboriginal (Nyoongar) cultural way of doing things. That’s why you got all these problems that still exist, because they're not prepared to listen to an Aboriginal (Nyoongar) person on how to go about doing things. We now know that past practices have been the cause of much pain and trauma for Indigenous peoples, and these past traumas have been described as a ‘soul wound’2. The Looking Forward project is about healing the ‘soul wound’ through acknowledgement and recognition of Nyoongar law and customs. Professor Chandler also referred to the ‘soul wound’ earlier this year at an event at the Telethon Institute for Child Health Research, when he stated that ‘Cultural Wounds require Cultural Healing’. Our project is a pathway to cultural healing through the recognition and understanding of a Nyoongar worldview. Project methodology: Participatory action research We have employed a participatory action research framework for the project and within the participatory action research structure we have incorporated an Aboriginal (Nyoongar) worldview and knowledge framework. Our approach from the beginning has been one of transparency and inclusiveness. Ever mindful that trust and relationships are essential characteristics for this type of research, we have at all stages consulted with and informed the community about every aspect of the project. There have been significant challenges for the project, in particular the size and scope of the serious and complex mental health issues that are impacting on the Nyoongar 2 Duran B and Walters K, 2004. ‘HIV/AIDS Prevention in "Indian Country": Current Practice, Indigenist Etiology Models, and Postcolonial Approaches to Change,’ AIDS Education and Prevention, 16 (3): 187‐201. 8 8 community involved in this project. Mental health is a highly charged and emotive issue for the Nyoongar community living in this region. Working with a participatory action research framework has provided the project team with the flexibility needed to address community aspirations as they evolve over the course of the project. We changed the direction of the project after hearing about the distress the Nyoongar community was experiencing. We were convinced a change of focus was required due to the community’s reluctance and lack of motivation to engage with the mental health system at that time, so we instead convened a smaller cohort of Nyoongar people who were living in the area to work with us for a further six months. From January to July 2012 we conducted a further 10 community meetings with this smaller cohort of Aboriginal people for the purpose of designing a culturally secure framework of mental health service delivery. The group worked resolutely on the development of the framework, and as most of the group members had attended at least one of the community forums, they had some understanding of our participatory action research process, resulting in a very productive seven‐month period. Even though the change in direction was not part of the original plan, the opportunity to Working with a participatory action research framework has provided the project team with the flexibility needed to address community aspirations as they evolve over the course of the project. work with the community for an additional period of time to concentrate our efforts on collaboratively designing a culturally safe mental health service framework, was especially advantageous. Danny Ford (Nyoongar Consultant) and Margaret O’Connell (Educational Design Consultant) facilitated the Community Steering Group process. Margaret established an online interactive webpage so that group members could view and comment on both the process and the emerging framework. The team placed a huge emphasis on ensuring there was transparency and a sense of co‐ operation throughout the process. Attendance at the meetings was steady with a core group of six to eight participants participating at each of the ten sessions. 9 9 Figure 2. The Looking Forward Project participatory action research lifecycle. Community Steering Group findings: Nyoongar six seasons Our journey of working closely with the Nyoongar community has been both instructive and rewarding. Needless to say it has not been without its challenges, as working with Aboriginal people presents challenges to think and act in different ways. Our methodology for the Community Steering Group process involved ‘letting go’ of preconceptions and assumptions and being open to any and all questions and themes to emerge from the group process. It required that we be sensitive and patient, and adopt a more reflective stance. In doing so, it allowed all of us, Steering Group participants and project team members, to grow in confidence over time. Importantly, being patient and fully attentive provided the space for us to recognise the central themes as they emerged from the process. A key outcome from the Community Steering Group process was the development of a Nyoongar framework for systems change. “… one of the Elders living in the region, Mr Mort Hansen, providing a Nyoongar name for the Framework, Minditj KaartMoorditj Kaart.” This framework is based on the six Nyoongar seasons, which are 10 10 central to Nyoongar people’s ontological understanding of their worldview. The stories that underpin a Nyoongar worldview include the changing seasons that connect place, animals and people within its stories. Although still under development, the Nyoongar framework has been endorsed by the Nyoongar Elders in the region. Our project is being held within Nyoongar laws and customs, with one of the Elders living in the region, Mr Mort Hansen, providing a Nyoongar name for the Framework, Minditj Kaart‐Moorditj Kaart. Figure 3. First Elders meeting to discuss the Minditj Kaart-Moorditj Kaart Framework. The Minditj Kaart‐Moorditj Kaart Framework includes the four principles derived from Chino and DeBryne3 in their model for working with First Nation peoples in New Mexico. These principles act as an ethical basis for engaging in change by respecting and celebrating Nyoongar ways of being, knowing and doing. The Nyoongar framework, Minditj Kaart‐Moorditj Kaart, is a systems change intervention tool, developed with Nyoongar Elders, with the intention of decolonising mainstream spaces, so that they become more inclusive and empowering spaces for Nyoongar people. 3 Chino M and DeBruyn L, 2006. ‘Building True Capacity: Indigenous Models for Indigenous Communities,’ American Journal of Public Health, 96 (4): 596‐599. 11 11 The four foundational principles underpinning the process for change are: 1. Creating and sustaining relationships: Building and sustaining relationships are critical for developing trust in the change process. In the process of systems change, Nyoongar people must be acknowledged, valued and respected and their views and opinions must be acted upon. 2. Securing trust: Service providers must recognise that they have failed Nyoongar people. Therefore, service providers, must be prepared to let go of preconceived assumptions, and show mature leadership and demonstrate that they are prepared to change. They must be prepared to work, both diligently and persistently to gain the trust of the community. 3. Working together: Service providers must work with humility within inequitable power relationships. Within this environment service providers must be honest and transparent in their interactions with the Nyoongar community. 4. Sustaining commitment: Working towards systems change involves sustained commitment and courage. Commitment for systems change will require a high level of maturity to sustain the pressure for change, and to find the courage, strength and tenacity to hold the vision that systems change is achievable. These four ethical principles are critical in the process for systems change. They provide a framework that will allow Nyoongar people and service providers to constructively work together. Both the ethical principles and Minditj Kaart‐Moorditj Kaart Framework will offer a lens through which service providers can begin to understand a Nyoongar worldview. A significant finding from our project has been for us to rethink the term ‘cultural appropriateness’. Broadly speaking, the term has been both misused and ill‐defined in identifying and locating “safe” ways of working with Aboriginal people. The problem is its application and meaning; for the term ‘culturally appropriate’ has become a generic term that groups all Aboriginal Australians the same regardless of their unique cultural identity, because all Aboriginal groups are different. Using the term in its current form, we believe, reinforces colonialist practices and is therefore both disrespectful and disempowering. Like others, we agree with the common view that efforts must be continued to create culturally safe spaces for Indigenous people. We differ, however, in 12 12 that we believe the term ‘cultural appropriateness’, particularly for Nyoongar people, is irrelevant both in its interpretation and application, due to its generic nature, and thus, mainstream groups have misused and undervalued it. In the Perth region, culturally appropriate training in its present form does not adequately acknowledge Nyoongar law and culture. For real change to occur mental health services will need to be delivered in a way that shows an understanding and respect for a Nyoongar worldview “in country”. Hence, our development of a Nyoongar framework for service provision is based on a Nyoongar worldview, on which cultural appropriateness is thus founded. Through the Minditj Kaart‐Moorditj Kaart Framework, we believe we have identified what constitutes an appropriate cultural training format for understanding and working with Nyoongar people. Doing their own work: Engaging service providers From January to June 2012 there was a concerted effort to engage with service providers in the region. Meetings were conducted with interested service providers who were interested in being involved in the project team’s pursuits to initiate service reform. An invitation was extended to them to be involved in a series of intensive preparation sessions over a five‐month period from June to October 2012, culminating in a joint workshop with Nyoongar Elders in late November 2012. There was both keen interest and satisfactory representation during this time, with representatives from nine service provider organisations choosing to participate. Between June and October seven sessions were held with the service providers to engage them in: 1. personal reflections on their understanding of a Nyoongar worldview, their own positions of privilege in Australian society, and the overall directions and goals of the Looking Forward Project. 2. a more intensive process of working at deepening their understanding of their positions of privilege they hold as service providers in their relationships with Nyoongar people. One component of the preparation process was a workshop titled, Working in the Aftermath: Reflections on Wadjella Ways, which was conducted by Tim Muirhead. In this workshop participants explored both the characteristics and the endemic nature of the 13 13 dominant culture and how this impacts upon their relationships with the Nyoongar community, both as citizens and as service providers. Other meetings provided space for ongoing conversation around these topics, as well as other concerns and issues related to service reform. In October 2012, the project hosted a Reconciliation Walk for service providers and Nyoongar community members. Two local Nyoongar Elders living in the south‐east metropolitan corridor, Mr Mort Hansen and Ms Margaret Culbong, led the event. The event was held in the south‐east metropolitan corridor at the Canning River Regional Park, and both Elders shared their knowledge of Nyoongar culture, Nyoongar words and sign language, and personal stories with participants. The event provided an opportunity for service providers and members from the Nyoongar community to be introduced and connect in an informal setting, and to begin the process for strengthening working relationships. Figure 4. Elder Mort Hansen guides participants on the Reconciliation Walk at Kent Street Weir. Photo by Anne Goodall. Disseminating the findings: Telling our story In late October and early November 2012 we presented our current project findings at two community feedback meetings. One meeting was held at the Langford Aboriginal 14 14 Association and the other at the Champion Centre in Armadale. Approximately 50 people attended both meetings in total. The findings both acknowledge and celebrate Nyoongar culture. Indeed, as one of the participants told us, ‘our research methodology based on Nyoongar knowledge and cultural beliefs is about decolonising the research space’. Our research methodology is about finding ways that empower Nyoongar people. Presentations: ALARA Conference and Aboriginal Researchers using PAR We have presented the framework on a number of occasions, both formally and informally, and it has consistently been well received. In September 2012, we delivered the framework twice, once at the Action Learning Action Research Association (ALARA) Inc Australasian conference in Sydney, and a week later to a group of Aboriginal participants working on community projects around Australia and who are engaged in participatory action research as part of the National Empowerment Project. At the ALARA conference workshop we used the Nyoongar Framework to explore ways to better respond to the service needs of Aboriginal clients with workshop participants. We applied the key aspects of the four foundational principles and the six Nyoongar seasons from the framework as learning tools for the ‘our research methodology based on Nyoongar knowledge and cultural beliefs is about decolonising the research space.’ workshop participants. 15 15 Figure 5. Project team members Michael, Tanya, Elder Margaret Culbong, Margaret and Danny in Sydney at the ALARA Australasian conference, September 2012. For the workshop with Aboriginal participants, the Nyoongar Framework was adapted to explore research practices. In this instance, the six Nyoongar seasons was used as a metaphor for exploring their individual research journey by encouraging self‐reflection that responds to the rhythms of their specific community. The Framework’s adaptability and versatility is very much its strength. Feedback from the ALARA conference workshop, was very positive: ‘I liked [the] metaphoric language. Cultural worldview was amazing [and I] enjoyed the thinking in this space.’ 16 16 Figure 6. ALARA conference participants working in smalls groups using the Nyoongar six seasons. Aboriginal participants were also very pleased with our Framework. Positive feedback in response to our question, ‘Things I [they] really liked during the presentation/workshop,’ included: ‘The discussion around the 6 [Nyoongar] seasons and how they relate to the question of how we will engage with our communities.’ Figure 7. Participants from the National Empowerment Project discuss the Nyoongar six seasons with Michael at Marr Mooditj. 17 17 Using the Nyoongar Framework provided participants the opportunity to explore their work practices by looking through the Nyoongar cultural ‘lens’ of the framework with its seasonal and cyclical characteristics. Our research process is being held by Nyoongar leadership, through the presence of the Nyoongar lead researcher, Nyoongar Elder and Nyoongar consultant (that is Michael Wright, Ms Margaret The Framework’s adaptability and versatility is very much its strength. Culbong and Danny Ford, respectively). Making a difference: Working together A one‐day workshop with Nyoongar Elders, community members and mental health service providers was held in late November 2012 in preparation for the evaluation process. The workshop was the beginning of the process of working together to find ways to decolonise the organisational spaces that historically have failed Nyoongar people. We used the Nyoongar Minditj Kaart‐Moorditj Kaart Framework as a tool, to assist participants to determine the key principles of an evaluation framework for measuring changes in service delivery within selected organisations working with Nyoongar people across the south‐east Perth metropolitan corridor. Figure 8. Elders Margaret Culbong and Irene McNamara mentored service providers at the Open Hearts, Open Hands Workshop, November 2012. 18 18 The workshop created the opportunity for Nyoongar Elders and service providers to engage in a process of adaptation and cultural exchange to identify the changes needed to improve both the accessibility and responsiveness of these services. All of the participants recognised the importance of decolonising spaces. A new paradigm is required if we are to effect real change for Nyoongar people and it will only occur if we can effectively decolonise the structures and systems that exclude and disenfranchise Nyoongar people. Importantly, service providers have realised that whilst they are part of the problem, they also understand they have a major role in finding and implementing solutions. We believe that the Minditj Kaart‐Moorditj Kaart Framework achieves this end. Figure 9. Small groups in action (with Elder Albert McNamara, centre) at the Open Hearts, Open Hands Workshop held at Kent Street Weir, November 2012. The workshop was both a unique and positive experience for participants as indicated from the positive feedback about the workshop: ‘I have learned more today about working with Nyoongar people than I have from 2 & 3 day workshops about working with Aboriginal people.’ ‘Access to Elders and well informed presentation. It was great to be a part of this fantastic group of people.’ 19 19 We were particularly encouraged by the enthusiasm of the workshop participants, and we are very confident of our continuing work with both the Nyoongar community and service providers for the next stage of the project. Next steps: Evaluating services using the Minditj Kaart‐Moorditj Kaart Framework The project team will engage in an evaluation of service providers in 2013 and 2014. It will commence in April 2013 and extend for a period of approximately 12 months. At this stage six organisations have signed an agreement to participate in the evaluation. Again we will use the Nyoongar Minditj Kaart‐ Moorditj Kaart Framework as the foundation for the Evaluation Plan. In April 2013 we will meet, both individually and as a project group, with service providers and the Nyoongar Elders to discuss the final draft of the Nyoongar Evaluation Minditj Kaart‐Moorditj Kaart Framework, derived from outcomes of the November 2012 ‘Open Hearts, Open Hands’ workshop. We will … we will use the Nyoongar Minditj KaartMoorditj Kaart Framework as the foundation for the Evaluation Plan. bring together the Minditj Kaart‐Moorditj Kaart Framework with each of the service’s work and organisational structures to form the basis of the evaluation of each service. Over the expected 12‐month period of the evaluation we will arrange for three half‐day workshops with both Nyoongar Elders and key service providers to discuss the process of the evaluation. A final word We, the project team, with the support of the local Nyoongar community are committed to changing systems that oppress, marginalise and disenfranchise Nyoongar people. We have been particularly encouraged by the willingness and openness of service providers to commit to our vision for ongoing and sustainable change. We have learned that service providers involved in the project are keen for change to occur; they just do not know how to do it. We believe the Nyoongar Minditj Kaart‐Moorditj Kaart Framework provides a pathway to guide and support this change process. Without the support and encouragement of the Nyoongar community there would be no project. Therefore, we feel deeply honoured for the ongoing openness and willingness of 20 20 the Nyoongar Elders and community members in the region have shown us and are grateful for their ongoing support of this project. 21 21 APPENDIX 1 – Project team profiles Michael Wright – Research Manager (TICHR) Michael is a Yuat Nyoongar man. His family is from the Moora and New Norcia area. He has worked as a hospital social worker and mental health manager. In 2010, Michael graduated with a PhD that investigated issues of access to services for Aboriginal families whose lives are affected by mental illness. The “Looking Forward” project expands on the work completed for his PhD. Margaret Culbong – Nyoongar Elder/Project Consultant Margaret is a Nyoongar Elder from the Wadjuk clan. She began her career as an enrolled nurse, working with Aboriginal communities in both the Kimberley and the Murchison Gascoyne regions. Over the past 40 years she has worked both within government agencies and Aboriginal organisations to develop health services that are relevant to the needs of Aboriginal families. She was responsible for establishing a number of Aboriginal‐controlled health services and raising the profile of Aboriginal health issues through Western Australia. Margaret continues to be an agent of change for her community across issues including housing, welfare, legal assistance and family support. Danny Ford – Project Consultant Danny is a Nyoongar man with connections to Wadjuk, Ballardong and Yuat clans. He has tertiary qualifications in teaching and social work. Danny has worked in government for 29 years in the child protection and family support area as well as housing and training. The past few years has seen Danny develop a consultancy business and has recently returned to government at the Department for Indigenous Affairs for a short time. Most of Danny's working life has focused on addressing disadvantage for Aboriginal people and the provision of appropriate services. Margaret O’Connell – Educational Design Consultant Margaret is of Anglo‐Australian descent and was born in Perth and raised in the south west. She is an educational designer and action researcher who has worked in the tertiary and further education sectors for over a decade and spent much of that time in the eastern states, recently returning to WA. She has a Master of Education and has experience in project management, strategic development, and training and professional development, particularly in online teaching and learning. Tanya Jones – Research Assistant (TICHR) Tanya is of Anglo‐Australian descent and was born and raised in Perth. She has previously worked as a research assistant in the areas of child and adolescent health promotion and chronic disease self‐management. Her educational background is in psychology. Maxine Drake – Project Officer (Ruah) Maxine is of Anglo‐Australian descent, born in Sydney, but living in Perth all her adult life. She has been a strong consumer advocate, with particular focus on health, including mental health, general practice and prison health services. Sheryl Carmody – Executive Manager (Ruah) Sheryl is of Anglo‐Australian descent and holds an Executive Manager role with Ruah Community Services. She has worked for Ruah since January 1986 and been a major contributor to the development of the organisation’s culture, in particular its value base, inclusive spirituality approach, its concern for healing of relationship to the land and natural world and the organisation’s reconciliation journey and the implementation of the organisation Aboriginal framework and practice standards. Reg Henry – Project Officer (Ruah) Reg is a Nyoongar man from the south west and has worked most of his career in the Social Justice and Community Sectors in a variety of positions from one on one work with people through to training and community development. Reg has been active in his community, 22 22 spending six years as Chairperson of the Medina Aboriginal Cultural Community and several years on the Kwinana Theatre Workshop committee. In 2010, his local community acknowledged him for his contributions as a local leader in the local NAIDOC awards. Reg is Ruah's Culture and Workforce Development Senior Officer and has assisted Project Officer Maxine Drake in building relationships with and engaging local service providers for the project. Anne Goodall – Project Consultant Anne is an Anglo‐Australian with connections to Bunbury, Kalgoorlie, Perth and Victoria. She is passionate about developing lively and resilient communities and places. Since 2005, Anne has been working as a consultant in the areas of community development, stakeholder engagement and planning, and place making. She has tertiary qualifications in Australian history and community development and has previously worked in the government, university, and community sectors. Anne has over 15 years of social research and program evaluation experience. 23 23 Front and back cover images: Elders Margaret Culbong and Mort Hansen lead service providers on the Reconciliation Walk held at Kent Street Weir, October 2012. Photos by Anne Goodall. LOOKING FORWARD PROJECT Improving the mental health services outcomes for Aboriginal people living in the south‐east metropolitan area of Perth Annual Report December 2012 In collaboration with Ruah Community Services 24