1. Case Study: Kellie
PBL Group 2

2. Background Information

3. 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

4. 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

5. 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

6. Issues

7. 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.

8. Occupational Performance

9. 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

10. Conceptual Framework
The Kawa Model

11. Kellie’s Kawa

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

13. 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

14. Child Protection Act
Child Protection Order ended when Kellie turned 18

15. Intervention

16. Evaluation

17. References
Australian Institute of Health and Welfare (2013). Rural, remote and metropolitan areas (RRMA) classification.
Australian Indigenous Health InfoNet. ( 2013). The context of indigenous health. Retrieved on 31st August 2013 from: 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 doi: /j x
Nelson, A. (2007). Seeing white: A critical exploration of occupational therapy with Indigenous Australian people. Occupational Therapy international Journal, 14(4), doi: /oti.236
Watts, E. & Carlson, G. (2002). Practical strategies for working with Indigenous people living in Queensland, Australia. Occupational Therapy International Journal, 9(4), doi: /oti.169 
NSW Department of Community Services. (2009). Working with Aboriginal Communities : A practice Resource. Retrieved on 31st August 2013 from: al.pdf