12 results on '"Marlene Longbottom"'
Search Results
2. Leading with local solutions to keep Yarrabah safe: a grounded theory study of an Aboriginal community-controlled health organisation’s response to COVID-19
- Author
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Janya McCalman, Marlene Longbottom, Sara Fagan, Ruth Fagan, Suzanne Andrews, and Adrian Miller
- Subjects
Self-determination ,Indigenous ,Capacity ,Pandemic ,COVID-19 response ,Primary healthcare ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Pandemics such as COVID-19 are a serious public health risk for Australian Aboriginal and Torres Strait Islander communities, yet primary healthcare systems are not well resourced to respond to such urgent events. At the start of the COVID-19 pandemic, a federal government advisory group recommended a rapid, tailored Indigenous response to prevent predicted high morbidity and mortality rates. This paper examines the efforts of one ACCHO, which in the absence of dedicated funding, pivoted its operations in response to COVID-19. Gurriny Yealamucka Health Service (Gurriny) is the only primary healthcare service in the discrete Indigenous community of Yarrabah, Far North Queensland. Methods The research was conducted at the request of the Chief Executive Officer of Gurriny. Using grounded theory methods, thirteen Gurriny staff and five Yarrabah and government leaders and community members were interviewed, transcripts of these interviews and 59 documents were imported into NVIVO-12 and coded, and key concepts were compared, organised into higher order constructs, then structured into a theoretical framework. Results Gurriny responded to COVID-19 by leading with local solutions to keep Yarrabah safe. Four key strategies were implemented: managing the health service operations, realigning services, educating and supporting community, and working across agencies. These strategies were enabled or hindered by five conditions: the governance and leadership capacity of Gurriny, relying on the health taskforce, locking the door, “copping it”, and (not) having resources. A year after the first case was experienced in Australia and on the eve of vaccine rollout to Indigenous communities, there have been no COVID-19 cases in Yarrabah. Discussion The success of the locally led, holistic, comprehensive and culturally safe response of Gurriny suggests that such tailored place-based approaches to pandemics (and other health issues) are appropriate, but require dedicated resourcing. Key challenges were the fragmented and rapidly changing government processes, poorly coordinated communication and resource allocation channels, and bottlenecks in hierarchical funding approval processes. Conclusions The COVID-19 response in Yarrabah demonstrates the need for governance reform towards greater resourcing and support for local decision making by Aboriginal community-controlled health organisations.
- Published
- 2021
- Full Text
- View/download PDF
3. Digital Support for Indigenous Research Methodologies.
- Author
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Kathleen Clapham, Helen Hasan, Bronwyn Fredericks, Dawn Bessarab, Peter Kelly, Valerie Harwood, Kate Senior, Marlene Longbottom, and Elizabeth Dale
- Published
- 2021
- Full Text
- View/download PDF
4. White Feminism and Carceral Industries: Strange Bedfellows or Partners in Crime and Criminology?
- Author
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Ann DesLandes, Marlene Longbottom, Crystal McKinnon, and Amanda Porter
- Abstract
In this article, we examine the existing policy and academic literature on punitive responses to gender-based and family violence, focusing, in particular, on women’s police stations. Specialist women’s police stations have been a feature of policing in Argentina, Brazil, and other South American as well as Central American countries since the late 1980s. They are considered to be a phenomenon of ‘the global South’, having also been set up in some African and Asian countries including Sierra Leone and India. In this article, we critique research on women’s police stations as well as the public discourse within which women’s police stations are being proposed as a solution to domestic violence – looking at questions of research design, methodology, empiricism, ethics, and criminological claims to knowledge or ‘truth’. We reflect on the significant dangers posed by the potential transfer of women’s police stations to the Australian context, especially for sovereign Indigenous women and girls. Finally, we critique what we see as deep-seated contradictions and anomalies inherent in ‘southern theory’ and white feminist carceralism.
- Published
- 2022
5. Responses to the primary health care needs of Aboriginal and Torres Strait Islander women experiencing violence: A scoping review of policy and practice guidelines
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Kathleen F Clapham, Patricia Cullen, Tamara Mackean, Maree L. Hackett, Rebecca Ivers, Keziah Bennett-Brook, Julieann Coombes, Natasha Walker, Marlene Longbottom, and Julie Redfern
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Native Hawaiian or Other Pacific Islander ,Cultural safety ,Public policy ,Violence ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Health Services, Indigenous ,Humans ,030212 general & internal medicine ,Sociology ,Social determinants of health ,Health policy ,Community and Home Care ,Government ,030505 public health ,Primary Health Care ,Australia ,Public Health, Environmental and Occupational Health ,Policy analysis ,Policy ,Health promotion ,Domestic violence ,Female ,L431 ,0305 other medical science - Abstract
Issue Addressed\ud It is demonstrated that primary health care (PHC) providers are sought out by women who experience violence. Given the disproportionate burden of violence experienced by Aboriginal and Torres Strait Islander women, it is essential there is equitable access to appropriate PHC services. This review aimed to analyse whether Australian PHC policy accounts for the complex needs of Aboriginal and Torres Strait Islander women experiencing violence and the importance of PHC providers responding to violence in culturally safe ways.\ud \ud Methods\ud Using the Arskey and O’Malley framework, an iterative scoping review determined the policies for analysis. The selected policies were analysed against concepts identified as key components in responding to the needs of Aboriginal and Torres Strait Islander women experiencing violence. The key components are Family Violence, Violence against Aboriginal and Torres Strait Islander Women, Social Determinants of Health, Cultural Safety, Holistic Health, Trauma, Patient Centred Care and Trauma‐and‐Violence‐Informed Care.\ud \ud Results\ud Following a search of Australian government websites, seven policies were selected for analysis. Principally, no policy embedded or described best practice across all key components.\ud \ud Conclusion\ud The review demonstrates the need for a specific National framework supporting Aboriginal and Torres Strait Islander women who seek support from PHC services, as well as further policy analysis and review.\ud \ud So what\ud Aboriginal and Torres Strait Islander women disproportionately experience more severe violence, with complex impact, than other Australian women. PHC policy and practice frameworks must account for this, together with the intersection of contemporary manifestations of colonialism and historical and intergenerational trauma
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- 2020
6. Evaluating an Aboriginal community controlled residential alcohol and other drug services: Use of benchmarking to examine within treatment changes in wellbeing
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Peter J. Kelly, Joe Coyte, Laura D. Robinson, Frank P. Deane, Sophie Russell, Kathleen Clapham, Elizabeth Dale, Marlene Longbottom, Ryan Solley, and Amanda L. Baker
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Male ,Benchmarking ,Health (social science) ,Native Hawaiian or Other Pacific Islander ,Ethanol ,Substance-Related Disorders ,Australia ,Quality of Life ,Medicine (miscellaneous) ,Health Services, Indigenous ,Humans ,Indigenous Peoples - Abstract
Aboriginal Community Controlled Organisations (ACCO) have an important role in the Australian health-care sector. However, there has been a lack of research evaluating ACCOs in the treatment of alcohol and other drug (AOD) use. Using a benchmarking approach, the present study examined within treatment changes on measures of wellbeing for people attending a residential AOD ACCO.The study focused on The Glen, an AOD residential treatment service that is managed by the Ngaimpe Aboriginal Corporation (n = 775). The Glen is a male-only service and provides treatment to both Indigenous and non-Indigenous men. The evaluation focused on measures of wellbeing (i.e. symptom distress and quality of life) collected at intake, 30 and 60 days during the person's stay. Comparative benchmarking was conducted with a cohort of men who were attending non-ACCO residential AOD treatment services (n = 4457).The Glen participants demonstrated statistically significant improvements on measures of wellbeing. The Glen participants were more likely to complete treatment than participants attending non-ACCO services. Likewise, Indigenous people attending The Glen were more likely to complete treatment (compared to Indigenous people attending non-ACCO services). Rates of reliable and clinically significant change suggested that changes in quality of life were largely equivalent between The Glen and non-ACCO services, while participants attending The Glen tended to demonstrate larger reductions in symptom distress compared to the non-ACCO services.The study provides further support for the important role that ACCOs play in supporting Indigenous people in their recovery.
- Published
- 2021
7. Digital Support for Indigenous Research Methodologies
- Author
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Peter J. Kelly, Kate Senior, Valerie Harwood, Elizabeth Dale, Helen Hasan, Dawn Bessarab, Bronwyn L. Fredericks, Marlene Longbottom, and Kathleen F Clapham
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Information Systems and Management ,medicine.medical_treatment ,Mindset ,Information technology ,Support group ,Intervention (counseling) ,medicine ,Information system ,Sociology ,Social network analysis ,business.industry ,Community Participation ,Indigenous research ,QA75.5-76.95 ,Public relations ,T58.5-58.64 ,Focus group ,Indigenous Research Methodologies ,Human-Computer Interaction ,Work (electrical) ,Aboriginal Community Controlled Organisation ,Electronic computers. Computer science ,Digital Support ,Business, Management and Accounting (miscellaneous) ,business ,Social Network Analysis ,Information Systems - Abstract
Research undertaken by outsiders into issues of concern to Aboriginal communities frequently ignores community culture and the knowledge embedded within Aboriginal communities. Methodologies are adopted which perpetuate the colonialist mindset of non-indigenous Australians leading to failed solutions to Aboriginal problems. This paper describes an Aboriginal-led community-based research project, exploring the role of Aboriginal Australians in caring for, and transforming, their own communities. It focuses on the roles that Information Systems can play when providing an accessible platform for Aboriginal voices. The authors conducted an in-depth case study of one Aboriginal Community Controlled Organisation (ACCO), the Illawarra Koori Men’s Support Group (IKMSG). The research consisted of a social network analysis (SNA) of the inter-organisational links of the IKMSG; interviews and focus groups with members of the IKMSG and the co-design of their first website. The prominence of the IKMSG in the SNA maps suggests that its work in the community is highly respected and that the model produced by this research can act as a guide for success in other ACCOs. The findings have been used to develop a theoretical model of Aboriginal community engagement and intervention. This model can enable authentic outcomes to projects which address Aboriginal concerns and support the conduct of community-led research in Aboriginal communities.
- Published
- 2021
8. Leading with local solutions to keep Yarrabah safe: a grounded theory study of an Aboriginal community-controlled health organisation’s response to COVID-19
- Author
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Sara Fagan, Suzanne Andrews, Janya McCalman, Adrian Miller, Ruth Fagan, and Marlene Longbottom
- Subjects
medicine.medical_specialty ,COVID-19 response ,Native Hawaiian or Other Pacific Islander ,Health informatics ,Indigenous ,Grounded theory ,Health administration ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Health Services, Indigenous ,Humans ,030212 general & internal medicine ,Pandemics ,Government ,Capacity ,Pandemic ,business.industry ,SARS-CoV-2 ,030503 health policy & services ,Health Policy ,Public health ,Nursing research ,Corporate governance ,Research ,Australia ,COVID-19 ,Public relations ,Self-determination ,Grounded Theory ,Public Health ,Queensland ,Public aspects of medicine ,RA1-1270 ,0305 other medical science ,business ,Primary healthcare - Abstract
Background Pandemics such as COVID-19 are a serious public health risk for Australian Aboriginal and Torres Strait Islander communities, yet primary healthcare systems are not well resourced to respond to such urgent events. At the start of the COVID-19 pandemic, a federal government advisory group recommended a rapid, tailored Indigenous response to prevent predicted high morbidity and mortality rates. This paper examines the efforts of one ACCHO, which in the absence of dedicated funding, pivoted its operations in response to COVID-19. Gurriny Yealamucka Health Service (Gurriny) is the only primary healthcare service in the discrete Indigenous community of Yarrabah, Far North Queensland. Methods The research was conducted at the request of the Chief Executive Officer of Gurriny. Using grounded theory methods, thirteen Gurriny staff and five Yarrabah and government leaders and community members were interviewed, transcripts of these interviews and 59 documents were imported into NVIVO-12 and coded, and key concepts were compared, organised into higher order constructs, then structured into a theoretical framework. Results Gurriny responded to COVID-19 by leading with local solutions to keep Yarrabah safe. Four key strategies were implemented: managing the health service operations, realigning services, educating and supporting community, and working across agencies. These strategies were enabled or hindered by five conditions: the governance and leadership capacity of Gurriny, relying on the health taskforce, locking the door, “copping it”, and (not) having resources. A year after the first case was experienced in Australia and on the eve of vaccine rollout to Indigenous communities, there have been no COVID-19 cases in Yarrabah. Discussion The success of the locally led, holistic, comprehensive and culturally safe response of Gurriny suggests that such tailored place-based approaches to pandemics (and other health issues) are appropriate, but require dedicated resourcing. Key challenges were the fragmented and rapidly changing government processes, poorly coordinated communication and resource allocation channels, and bottlenecks in hierarchical funding approval processes. Conclusions The COVID-19 response in Yarrabah demonstrates the need for governance reform towards greater resourcing and support for local decision making by Aboriginal community-controlled health organisations.
- Published
- 2021
9. Integrating Trauma and Violence Informed Care in Primary Health Care Settings for First Nations Women Experiencing Violence: A Systematic Review
- Author
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Julieann Coombes, Kathleen F Clapham, Keziah Bennett-Brook, Natasha Walker, Marlene Longbottom, Maree L. Hackett, Patricia Cullen, Tamara Mackean, Faye Worner, and Rebecca Ivers
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Health (social science) ,Cultural safety ,Social Stigma ,MEDLINE ,Stigma (botany) ,Interpersonal communication ,Disclosure ,Violence ,Trust ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Health care ,Humans ,Confidentiality ,030212 general & internal medicine ,Applied Psychology ,Aged ,Primary Health Care ,business.industry ,05 social sciences ,Public Health, Environmental and Occupational Health ,050301 education ,Structural violence ,Workforce ,Female ,Psychology ,business ,0503 education - Abstract
It is imperative that access to primary health care services is equitable as health care practitioners are often the first responders to women who experience violence. This is of particular importance for First Nations women who disproportionately experience interpersonal and structural violence when compared to non-First Nations women, as well as the ongoing impact of colonization, racism, and intergenerational trauma. To understand how primary health care services can provide equitable and effective care for First Nations women, we explored how trauma and violence informed care is integrated in primary health care settings through the lens of an equity-oriented framework. A systematic search of electronic databases included Medline (via Ovid), Scopus, Informit, and PubMed and grey literature. Six studies were included in the review and we undertook a narrative synthesis using the equity-oriented framework to draw together the intersection of trauma and violence informed care with culturally safe and contextually tailored care. This review demonstrates how equity-oriented primary health care settings respond to the complex and multiple forms of violence and intergenerational trauma experienced by First Nations women and thus mitigate shame and stigma to encourage disclosure and help seeking. Key attributes include responding to women’s individual contexts by centering family, engaging elders, encouraging community ownership, which is driven by a culturally competent workforce that builds trust, reduces retraumatization, and respects confidentiality. This review highlights the importance of strengthening and supporting the workforce, as well as embedding cultural safety within intersectoral partnerships and ensuring adequate resourcing and sustainability of initiatives.
- Published
- 2021
10. Indigenous Australian children and the impact of adoption legislation in New South Wales
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Marcia Langton, Marlene Longbottom, Hannah McGlade, and Kathleen F Clapham
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Economic growth ,Native Hawaiian or Other Pacific Islander ,Political science ,Adoption ,Humans ,Legislation ,General Medicine ,New South Wales ,Child ,Indigenous - Published
- 2018
11. Collaborating for community-engaged scholarship in health and wellbeing
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Rowena Ball, Kathleen F Clapham, Roxanne Bainbridge, Michael Adams, Dawn Bessarab, Yvette Roe, Ngare Wilkinson, Bronwyn L. Fredericks, Marlene Longbottom, Carolyn Daniels, Clair Anderson, and Len Collard
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030505 public health ,Higher education ,Cultural safety ,business.industry ,Computer science ,05 social sciences ,Professional development ,050301 education ,Autoethnography ,Public relations ,Indigenous ,03 medical and health sciences ,Mainstream ,Emic and etic ,0305 other medical science ,business ,0503 education ,Engaged scholarship - Abstract
In this article, we provide an emic perspective of being uniquely positioned as part of Australia’s only multidisciplinary Indigenous research network, the National Indigenous Research and Knowledges Network (NIRAKN). We used collaborative autoethnography and reflection in our practices and experiences. Our purpose was to better understand and improve the functionality of our research network and practice, and to offer some direction for the growth and sustainability of NIRAKN and similar networks. Our narratives strongly demonstrate that mainstream models of support for Indigenous researchers have major limitations for professional development and cultural safety, and do not meet our needs and realities. The significant message is that we need appropriately resourced exclusive spaces and must lead, develop and define the theoretical and cultural specifications and applications of Indigenous researcher support models in higher education institutions. The model should be cross-disciplinary, have national and international reach and be characterised by connectedness, cultural safety and self-determination, and be located in a resource-rich environment.
- Published
- 2016
12. Trauma and Violence Informed Care Through Decolonising Interagency Partnerships: A Complexity Case Study of Waminda’s Model of Systemic Decolonisation
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Marlene Longbottom, Tamara Mackean, Rebecca Ivers, Faye Worner, Julieann Coombes, Cleone Wellington, Hayley Longbottom, Keziah Bennett-Brook, Maree L. Hackett, Patricia Cullen, and Kathleen F Clapham
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Social Work ,Native Hawaiian or Other Pacific Islander ,Health, Toxicology and Mutagenesis ,media_common.quotation_subject ,lcsh:Medicine ,complexity theory ,Social Welfare ,Context (language use) ,Violence ,Racism ,Article ,Indigenous ,03 medical and health sciences ,0302 clinical medicine ,Health Services, Indigenous ,Humans ,030212 general & internal medicine ,Sociology ,Aboriginal ,racism ,First Nations ,media_common ,030505 public health ,business.industry ,lcsh:R ,Partnership Practice ,Public Health, Environmental and Occupational Health ,Collaborative learning ,primary health ,Public relations ,decolonisation ,Facilitator ,Workforce ,whiteness ,Wounds and Injuries ,trauma and violence informed care ,Female ,Thematic analysis ,0305 other medical science ,business ,culturally safe - Abstract
Through the lens of complexity, we present a nested case study describing a decolonisation approach developed and implemented by Waminda South Coast Women's Health and Welfare Aboriginal Corporation. Using Indigenous research methods, this case study has unfolded across three phases: 1) Yarning interviews with the workforce from four partner health services (n = 24), 2) Yarning circle bringing together key informants from yarning interviews to verify and refine emerging themes (n = 14), 3) Semi-structured interviews with a facilitator of Waminda's Decolonisation Workshop (n = 1) and participants (n = 10). Synthesis of data has been undertaken in stages through collaborative framework and thematic analysis. Three overarching themes and eight sub-themes emerged that centred on enhancing the capabilities of the workforce and strengthening interagency partnerships through a more meaningful connection and shared decolonisation agenda that centres Aboriginal and Torres Strait Islander families and communities. Health and social services are complex systems that function within the context of colonisation. Waminda&rsquo, s innovative, model of interagency collaboration enhanced workforce capability through shared language and collective learning around colonisation, racism and Whiteness. This process generated individual, organisational and systemic decolonisation to disable power structures through trauma and violence informed approach to practice.
- Published
- 2020
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