paul callaghan - nsw dept family & community - aboriginal mental health and the path to...
DESCRIPTION
Paul Callaghan, Chief Executive, Aboriginal Housing Office, NSW Department of Family and Community Services delivered this presentation at the Inaugural Integrating Mental Health into the National Disability Insurance Scheme. This conference focuses on the latest plans to integrate mental health services into a new funding scheme and how its implementation will affect the future direction of disability policy reform for people with mental illness in Australia. For more information about the event, please visit the conference website: http://www.healthcareconferences.com.au/mentalhealthndisTRANSCRIPT
Aboriginal Mental Health and the
Path to Wellbeing
Paul Callaghan, CEO
Aboriginal Housing office
1
The Importance of Story
2
Traditional Life Cycle
3
Spirit
Birth
Childhood
Young Adult
Parenthood
Grandparent
Elder
Old Age Elder
Death
Traditional Life Cycle / Learning Model
4
Spirit
Birth
Childhood
Young Adult
Parenthood
Grandparent
Elder
Old Age Elder
Death
5
Traditional System ------------------------ Mind – Technical - Life Body Spirit
Cultural Identity Connection Country Connection Mob
Sense of: • Self • Place • Purpose
Wellbeing
Country Rite of Passage
Lore
Traditional Education System
Traditional Story Contemporary Story
Health 9 3
Housing 9 4
Employment 10 4
Education 10 3
6
58.5 years v 79.1 male
66.2 years v 84.7 female
X2 cardiovascular death – 70% modifiable risk factors
7
X2.2 high psychological distress
X2.9 self harm
X3 severe disability 35-54 years
8
What is success?
Living your story
9
My Story
10
Community Story
11
Traditional Life Cycle / Learning Model
12
Spirit
Birth
Childhood
Young Adult
Parenthood
Grandparent
Elder
Old Age Elder
Death
13
Traditional System ------------------------ Mind – Technical - Life Body Spirit
Cultural Identity Connection Country Connection Mob
Sense of: • Self • Place • Purpose
Wellbeing
Country Rite of Passage
Lore
Traditional Education System
Learning Systems
Support Systems
Transgenerational Pain and Trauma
14
Government Policies
Lateral Violence
15
4+2 Model of Wellbeing
A House
16
Wall One - Education
17
Wall Two – Employment
18
Wall Three – A House
19
20 20 20
Wall Four – Sense of Self
Floor – Hope
21 21 21 21
Roof - Opportunity
22 22 22 22 22
NDIS
• The NDIS will be responsible for non-clinical supports that focus on a person’s functional ability including those that enable people with mental illness to undertake activities of daily living and participate in the community and in social and economic life
23
NDIS
• Functional capacity including psychosocial
– Communication
– Social interaction
– Learning
– Mobility
– Self-care
– Self-management
• Persist over a lifetime
• Participation in community and employment
24
2011 208,000 population
2016 235,000
2026 303,000
2031 345,000
25
Story
26
27