1. WINNUNGA NIMMITYJAH Wiradjuri language meaning STRONG IN HEALTH

2. Winnunga Nimmityjah Aboriginal Health Service, Canberra ACT

3. Client Demographics  Clients: Over 10,000 clients registered  Around 3000 clients seen per year  Local community – ACT and surrounding areas including Queanbeyan & Yass  Substantial transient community  Clients from across Australia

4. Close the Gap – culturally appropriate holistic primary health care  Sessional Doctors (10) & Public Health Doctor  Clinical Aboriginal Health Worker  Otitis Media School Program  Practice Nurses  Opioid Nurse (outreach)  Dental Service  Prison Health Service  Diabetes Clinic (monthly)  Aboriginal Midwifery Access Program

5. Close the Gap – culturally appropriate holistic primary health care  Psychiatry and Psychotherapy  Counselling and Support Services  Bringing Them Home  Dual Diagnosis  Drug and Alcohol  Ted Noffs Youth Liaison  Youth at Risk Program  Social and Emotional Well-being  Suicide Intervention  Child and Adolescent Mental Health  Housing, Centrelink and Legal services Liaison

6. Close the Gap – maternal and child health  Aboriginal Midwifery access program Two midwives and Aboriginal Access Worker Antenatal care at Winnunga Shared care policy with hospitals Close working relationship with hospital Aboriginal Liaison Officers Outreach home visiting program (antenatal and postnatal) Support and transport provided at hospital visits and specialist appointments Birth support provided Referrals to Winnunga Social Health Team if appropriate  Aboriginal and Torres Strait Islander Child Health Checks  Childhood vaccinations

7. ABORIGINAL MIDWIFERY ACCESS PROGRAM TEAM

8. Close the Gap – chronic disease  Primary Prevention Adult health checks Smoking – No More Bunda program for clients and staff. Free nicotine replacement therapy. Winnunga gym Access to hydrotherapy, water aerobics Promotion of good nutrition

9. Close the Gap – chronic disease  Secondary prevention and disease management Care plans and team care arrangements Register of diabetics and cardiovascular disease Monthly diabetes clinic - diabetes educator, dietitian, podiatrist, NDSS supplies Diabetes cycle of care Standard management guidelines Encourage and monitor regular blood pressure checks, HbA1c Facilitate specialist appointments

10. Close the Gap – emotional social wellbeing  Counselling Support – Stolen Generation  Counselling Support – Substance Misuse  Parenting & Family Support  Family Violence Counselling  Grief & Loss Counselling  Youth Support  Crisis Management  Suicide Intervention  Carers Respite

11. Close the Gap – community and social support  Women’s and men’s groups  Cultural camps  Community days  Sporting programs – boxing, netball  Facilitate access to services Housing Centrelink Legal services Aged care

12. Close the Gap – workforce  Alcohol and Other Drug training  Aboriginal Health Worker training  On-site training for medical students and GP registrars  Admin trainees  Dental trainee

13. Aboriginal Health Worker class – 2007/08

14. Close the Gap – building the evidence base  Research and evaluation Prison health project –Developed a model of health for the new ACT prison –Partnerships with ACT Corrections and Health, AIATSIS, NSW Corrections and ANU I Want to be Heard –Needs analysis of illicit drug users (2004) Where’s your country, who are your people? –Trialing and evaluation of screening and brief interventions for problematic alcohol use

15. Close the Gap – what is required?  Winnunga business plan Adequate sustained funding to deliver the services needed Optimise health outcomes through service delivery Infrastructure Community development Health data and research

16. Close the Gap – what is required?  Winnunga business plan Co-ordination and linkages Governance Policy development and implementation Build workforce Quality improvement and risk management Public relations