Case Study: Kellie PBL Group 2

Background Information

Background :Kamilaroi Tribe Kamilaroi comes from the word ‘Kamil” meaning Main Soul Traditionally ruled by chief elected by elders Made of many sub-tribes Patriarchal in nature Men were hunters and gathers Women cooked and took care of family

Aboriginal Cultue Collectivist culture Culture emphasis importance of family and connectedness Aboriginal perspective of health is HOLISTIC It encompasses the land, environment, physical body, community, relationships, family and law Health is social, emotional and cultural well-being within whole family community

OT and Aboriginal Culture Establish rapport and understand Family dynamics Be mindful of own cultural beliefs and values (Cultural Bias) Importance of family and connectedness Communication “Aboriginal English Dialect” Sorry Business Men’s and Women’s Business Children raised by entire family community

Issues

Occupational Diagnosis Kellie is currently unable to return to live with Cathy (her mother) yet due to concerns regarding Kellie’s dependence and Cathy’s capacity to care for Kellie in her family home. This is evidenced by limited contact by Cathy since Kellie has been in care, possible unidentified psychosocial issues due to previous trauma, access to respite and professional support in Cathy’s area. Sinal and Jo are unable to effectively work with indigenous clients due to perceived inadequacies in ensuring cultural safety and appropriateness. This is evidenced by their lack of experience working with indigenous people and hesitancy to attempt to work with this demographic unassisted.

Occupational Performance

Occupational performance issues & Culture Co-occupations mindful of Men’s and Women’s Business Cultural Kinship roles within family Factor in sorry Business and cultural practices as time use

Conceptual Framework The Kawa Model

Kellie’s Kawa

St. George Remote area, population ~2,400 (AIHW, 2013) Closest Disability Service – Toowoomba (5 hours drive)

Goondir Health Service (AMS) Provides culturally appropriate, specialised health care to Aboriginal and Torres Strait Islander communities Funding from the Commonwealth Department of Health Case management, referral and follow up

Child Protection Act Child Protection Order ended when Kellie turned 18

Intervention

Evaluation

References Australian Institute of Health and Welfare (2013). Rural, remote and metropolitan areas (RRMA) classification. http://aihw.gov.au/rural-health-rrma-classification/ Australian Indigenous Health InfoNet. ( 2013). The context of indigenous health. Retrieved on 31st August 2013 from: http://www.healthinfonet.ecu.edu.au/health-facts/overviews/the- context-of-indigenous-health Nelson, A., Allison, H. and Copley, J. (2006). Understanding where we come from: Occupational therapy with urban indigenous Australians. Australian Occupational Therapy Journal, 54, p. 203-214. doi: 10.1111/j.1440-1630.2006.00629.x Nelson, A. (2007). Seeing white: A critical exploration of occupational therapy with Indigenous Australian people. Occupational Therapy international Journal, 14(4), 237-255. doi: 10.1002/oti.236 Watts, E. & Carlson, G. (2002). Practical strategies for working with Indigenous people living in Queensland, Australia. Occupational Therapy International Journal, 9(4), 277-293. doi: 10.1002/oti.169  NSW Department of Community Services. (2009). Working with Aboriginal Communities : A practice Resource. Retrieved on 31st August 2013 from: http://www.community.nsw.gov.au/docswr/_assets/main/documents/working_with_aborigin al.pdf