Browsing by Author "Fiolet R."
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Item A culturally responsive trauma-informed public health emergency framework for Aboriginal and Torres Strait Islander communities in Australia, developed during COVID-19.(2022-12-24) Graham S.; Kamitsis I.; Kennedy M.; Heris C.; Bright T.; Bennetts S.K.; Jones K.A.; Fiolet R.; Mohamed J.; Atkinson C.; Chamberlain C.The Coronavirus Disease 2019 (COVID-19) pandemic impacted peoples' livelihoods and mental wellbeing. Aboriginal and Torres Strait Islander peoples in Australia continue to experience intergenerational trauma associated with colonization and may experience trauma-related distress in response to government responses to public health emergencies. We aimed to develop a culturally responsive trauma-informed public health emergency response framework for Aboriginal and Torres Strait Islander peoples. This Aboriginal and Torres Strait Islander-led study involved: (i) a review of trauma-informed public health emergency responses to develop a draft framework (ii) interviews with 110 Aboriginal and Torres Strait Islander parents about how COVID-19 impacted their lives, and (iii) a workshop with 36 stakeholders about pandemic experiences using framework analysis to refine a culturally responsive trauma-informed framework. The framework included: an overarching philosophy (cultural humility, safety and responsiveness); key enablers (local leadership and Eldership); supporting strategies (provision of basic needs and resources, well-functioning social systems, human rights, dignity, choice, justice and ethics, mutuality and collective responsibility, and strengthening of existing systems); interdependent core concepts (safety, transparency, and empowerment, holistic support, connectedness and collaboration, and compassion, protection and caring); and central goals (a sense of security, resilience, wellbeing, self- and collective-efficacy, hope, trust, resilience, and healing from grief and loss).Copyright © 2022 by the authors.Item Community perspectives on delivering trauma-aware and culturally safe perinatal care for Aboriginal and Torres Strait Islander parents.(2023-03-24) Fiolet R.; Woods C.; Moana A.H.; Reilly R.; Herrman H.; McLachlan H.; Fisher J.; Lynch J.; Chamberlain C.Background: Since colonisation, Aboriginal and Torres Strait Islander peoples have experienced violence, loss of land, ongoing discrimination and increased exposure to traumatic events. These include adverse childhood experiences which can lead to complex trauma, and are associated with increased incidence of high-risk pregnancies, birth complications and emergence of post-traumatic symptoms during the perinatal period, potentially impacting parenting and leading to intergenerational trauma. The perinatal period offers unique opportunities for processing experiences of trauma and healing yet can also be a time when parents experience complex trauma-related distress. Therefore, it is essential that trauma-aware culturally safe perinatal care is accessible to Aboriginal and Torres Strait Islander parents. Aim(s): This study aimed to understand community perspectives of what 'trauma-aware culturally safe perinatal care' would look like for Aboriginal and Torres Strait Islander parents. Method(s): Data were collected during a workshop held with predominantly Aboriginal and Torres Strait Islander key stakeholders to co-design strategies to foster trauma-aware culturally safe perinatal care. Data were thematically analysed. Finding(s): Four overarching themes represent proposed goals for trauma-aware culturally safe care: Authentic partnerships that are nurtured and invested in to provide the foundations of care; a skilled workforce educated in trauma awareness; empowering and compassionate care for building trust; and safe and accessible environments to facilitate parent engagement. Conclusion(s): Provision of trauma-aware culturally safe care achieving these goals is likely to enable parents experiencing complex trauma to access appropriate support and care to foster healing in the critical perinatal period.Copyright © 2022 Australian College of MidwivesItem Indigenous perspectives on using technology as a supportive resource when experiencing family violence.Fiolet R.; Tarzia L.; Owen R.; Eccles C.; Nicholson K.; Owen M.; Fry S.; Knox J.; Hegarty K.Indigenous peoples face substantial barriers when accessing support for family violence. Delivering family violence resources through technological means has the potential to address barriers, but there is insufficient evidence of their acceptability and appropriateness with Indigenous populations. We interviewed 23 Australian Indigenous people to explore the acceptability of technological resources for family violence. Three focus groups then took place to determine the content and look of a potential online resource. Two main themes were developed through a process of thematic analysis. The first main theme, "They won't feel like they are ever alone" focuses on the practicality and requirements of an online resource and contains three sub-themes. "Even if you're poor you've got a phone", "There has to be anonymity", and "Overcoming barriers". The second main theme "Connected, empowered and strong" is divided into two sub-themes that address the cultural requirements identified as necessary in making an online resource engaging: "A whole of community approach" and "Cultural safety and a healing space". Indigenous people want co-designed, culturally safe and accessible online resources that provide anonymity, promote connection to culture and facilitate a healing process through drawing on Indigenous knowledge and strengths. (PsycInfo Database Record (c) 2022 APA, all rights reserved)Item "You can't replace that feeling of connection to culture and country": Aboriginal and Torres Strait Islander parents' experiences of the COVID-19 pandemic.(2023-03-20) Kennedy M.; Bright T.; Graham S.; Heris C.; Bennetts S.K.; Fiolet R.; Davis E.; Jones K.A.; Mohamed J.; Atkinson C.; Chamberlain C.This Aboriginal-led study explores Aboriginal and Torres Strait Islander parents' experiences of COVID-19. 110 Aboriginal and Torres Strait Islander parents were interviewed between October 2020 and March 2022. Participants were recruited through community networks and partner health services in South Australia, Victoria, and Northern Territory, Australia. Participants were predominantly female (89%) and based in Victoria (47%) or South Australia (45%). Inductive thematic analysis identified three themes: (1) Changes to daily living; (2) Impact on social and emotional wellbeing; and (3) Disconnection from family, community, and culture. COVID-19 impacted Aboriginal and Torres Strait Islander families. Disruption to cultural practice, and disconnection from country, family, and community was detrimental to wellbeing. These impacts aggravated pre-existing inequalities and may continue to have greater impact on Aboriginal and Torres Strait Islander parents and communities due to intergenerational trauma, stemming from colonisation, violence and dispossession and ongoing systemic racism. We advocate for the development of a framework that ensures an equitable approach to future public health responses for Aboriginal and Torres Strait Islander people.Copyright © 2022 by the authors.