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    Delivering culturally appropriate residential rehabilitation for urban Indigenous Australians: a review of the challenges and opportunities

    Access Status
    Open access via publisher
    Authors
    Taylor, Kate
    Thompson, Sandra
    Davis, R.
    Date
    2010
    Type
    Journal Article
    
    Metadata
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    Citation
    Taylor, Kate and Thompson, Sandra and Davis, Robyn. 2010. Delivering culturally appropriate residential rehabilitation for urban Indigenous Australians: a review of the challenges and opportunities. Australian and New Zealand Journal of Public Health. 34 (S1): pp. S36-S40.
    Source Title
    Australian and New Zealand Journal of Public Health
    DOI
    10.1111/j.1753-6405.2010.00551.x
    ISSN
    13260200
    School
    Centre for International Health (Curtin Research Centre)
    URI
    http://hdl.handle.net/20.500.11937/47446
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To review the challenges facing Indigenous and mainstream services in delivering residential rehabilitation services to Indigenous Australians, and explore opportunities to enhance outcomes. Methods: A literature review was conducted using keyword searches of databases, on-line journals, articles, national papers, conference proceedings and reports from different organisations, with snowball follow-up of relevant citations. Each article was assessed for quality using recognised criteria. Results: Despite debate about the effectiveness of mainstream residential alcohol rehabilitation treatment, most Indigenous Australians with harmful alcohol consumption who seek help have a strong preference for residential treatment. While there is a significant gap in the cultural appropriateness of mainstream services for Indigenous clients, Indigenous-controlled residential organisations also face issues in service delivery. Limitations and inherent difficulties in rigorous evaluation processes further plague both areas of service provision.Conclusion: With inadequate evidence surrounding what constitutes ‘best practice’ for Indigenous clients in residential settings, more research is needed to investigate, evaluate and contribute to the further development of culturally appropriate models of best practice. In urban settings, a key area for innovation involves improving the capacity and quality of service delivery through effective inter-agency partnerships between Indigenous and mainstream service providers.

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