PSYC1002 Lesson 2.2.pptx

PSYC1002 – Mental health conditions Lesson 2.1. Introduction to Mental Health Conditions and Professional Practice Tanja Hirvonen – Jaru and Bunuba – Clinical Psychologist We acknowledge and pay our respects to the sovereign owners of the lands w...

PSYC1002 – Mental health conditions Lesson 2.1. Introduction to Mental Health Conditions and Professional Practice Tanja Hirvonen – Jaru and Bunuba – Clinical Psychologist We acknowledge and pay our respects to the sovereign owners of the lands we meet on today, and their Elders and our Elders past and present. We also wish to acknowledge and respect the continuing culture, strength, and resilience of all Aboriginal and Torres Strait Islander peoples and communities. Positionality – recognising your position to place and time. Positionality – recognising position to place and time. Learning Outcomes yesterday 1. Mental Health in Australia – diversity in complexity and needs, 2. Know what positionality is, and how to describe it as a psychology student, 3. Develop an understanding of the knowledge systems from where psychology was derived, 4. Know why the APS Apology 2016 was carried out, and the background to this symbolic gesture, 5. Know of the Human Rights and Self-Determination background for Aboriginal and Torres Strait Islander peoples, 6. Know of the importance of the United Nations Declaration of the Rights of Indigenous Peoples - for the field of psychology. Learning Outcomes today 1.Understand what decolonisation in psychology means and describe this. 2.Understand what cultural safety, cultural awareness and cultural competency is, 3.Be able to describe, identify and understand the social and emotional wellbeing framework, 4.Introduction to reflexivity. Develop the understanding and practice of reflexivity, What does decolonisation mean? Australia needs to decolonise its mental health system and empower more Indigenous psychologists Cultural Safety – or awareness? Cultural awareness Cultural responsiveness Cultural Competency Cultural Safety Cultural Safety – AHPRA Cultural safety definition Principles The following principles inform the definition of cultural safety: Prioritising the Ministerial Council’s goal to deliver healthcare free of racism supported by the National Aboriginal and Torres Strait Islander Health Plan 2013-2023 Improved health service provision supported by the Safety and Quality Health Service Standards User Guide for Aboriginal and Torres Strait Islander Health Provision of a rights-based approach to healthcare supported by the United Nations Declaration on the Rights of Indigenous Peoples Ongoing commitment to learning, education and training Cultural Safety – AHPRA Definition Cultural safety is determined by Aboriginal and Torres Strait Islander individuals, families and communities. Culturally safe practise is the ongoing critical reflection of health practitioner knowledge, skills, attitudes, practising behaviours and power differentials in delivering safe, accessible and responsive healthcare free of racism. Cultural Safety – AHPRA How to To ensure culturally safe and respectful practice, health practitioners must: Acknowledge colonisation and systemic racism, social, cultural, behavioural and economic factors which impact individual and community health. Acknowledge and address individual racism, their own biases, assumptions, stereotypes and prejudices and provide care that is holistic, free of bias and racism. Recognise the importance of self-determined decision-making, partnership and collaboration in healthcare which is driven by the individual, family and community. Foster a safe working environment through leadership to support the rights and dignity of Aboriginal and Torres Strait Islander people and colleagues. Let’s go back to Mental Health The concept of mental health comes more from an illness or clinical perspective and its focus is more on the individual and their level of functioning in their environment. Wellness from an Indigenous Standpoint (Swan & Raphel, 1995) Social and Emotional Wellbeing (SEWB) Social and Emotional Wellbeing The social and emotional wellbeing concept is broader than this and recognises the importance of connection to land, culture, spirituality, ancestry, family, and community, and how these affect the individual. Social and emotional wellbeing problems cover a broad range of problems that can result from unresolved grief and loss, trauma and abuse, dislocation, racism and discrimination, and social disadvantage. Reflexivity Reflexivity As articulated by Pete Smith and colleagues (2022, pg 2-3): “It critically examines one’s own attitudes, values, and biases, with a view to engaging with people in a manner that is culturally safe, meaning free of racism and attitudes of superiority (Wilson, 2014). For mental health professionals, reflexivity is about looking closely at one’s own practice (Bennett et al., 2018) and becoming aware of power and privilege and how they have impacted Indigenous people in the past and present (Bennett & Gates, 2019). Instead of asking what is this information and how can I acquire it, reflexivity asks who am I in response to this information and what is it asking of me (Kilcullen et al., 2018).” Recommended reading: Smith, P., Rice, K., Schutte, N., & Usher, K. (2022). Reflexivity: a model for teaching and learning cultural responsiveness in mental health. Australian Psychologist. https://doi.org/https://doi.org/10.1080/00050067.2022.2078648 Reflexivity For example: - Who am I in this space? - How am I seeing myself? - What is being evoked in me? - Where is my discomfort, resistance, avoidance? - How is power showing up in the room? - How much am I listening, being, attuning? - Who’s voice is being privileged? - What am I assuming? - Where are my knowledge gaps? - What learning do I need to do? Recommended reading: Wilson, A. (2014). Addressing Uncomfortable Issues: Reflexivity as a Tool for Culturally Safe Practice in Aboriginal and Torres Strait Islander Health. The Australian Journal of Indigenous Education, 43(2), 218-230. https://doi.org/https://doi.org/10.1017/jie.2014.24 Take home messages - It is everyone’s responsibility to provide culturally safe care. - Self-reflexivity and cultural safety go hand in hand. - Indigenous knowledges have significant epistemological value. - Indigenous knowledges such as SEWB can enrich your experiences with Aboriginal and Torres Strait Islander peoples. - APS Apology, AHPRA, UNDRIP are all ways to support transformation in decolonisation efforts.