National Aboriginal and Torres Strait Islander Occupational Therapy Network, Sydney, Australia.
Orange Local Aboriginal Lands Council, Orange, Australia.
Disabil Rehabil. 2021 Sep;43(19):2713-2719. doi: 10.1080/09638288.2020.1713236. Epub 2020 Jan 21.
Aboriginal and Torres Strait Islander people are experts and advocates in disability services. The Aboriginal Ability Links Program is one example where this expertise and advocacy occurs. The primary aim of the Aboriginal Ability Links Program is to support Aboriginal people, who live with a disability, to connect with family, communities and services, build confidence, work towards goals, and plan for the future. This program is guided by a set of principles, one of which includes the application of person-centred care approaches. This project explores person-centred care approaches used in one service, which is delivering the Aboriginal Ability Links Program.
Key in this Community Based Participatory Research was Aboriginal leadership, guidance, and participation. This project used yarning for data collection and thematic analysis for data analysis. Multiple yarning sessions took place, and five case scenarios were developed. Three Aboriginal Ability Linkers were involved in the research yarning sessions, as was the manager of the service. Consultation yarning sessions with additional Aboriginal Ability Linkers, as well as other managers and an Elders group confirmed the results of this project.
The results revealed the person-centred care approach used by Aboriginal Ability Linkers. This person-centred care approach included: have a yarn and connect with culture; connect with community, including elders; critically reflect on yourself and your practice; be trauma informed and aware of contexts; encourage voices and choices, and finally, strengthen relationships with and between key stakeholders.
Aboriginal Ability Linkers provide essential services, which promote a strength-based approach and culturally responsive services with Aboriginal communities. This person-centred approach can be applied in other disability and disability-related settings.IMPLICATIONS FOR REHABILITATIONThis person-centred care approach offers disability services providers a framework for working with Aboriginal people.The person-centred care approach incorporates Aboriginal philosophical approaches and builds on the previous work of Aboriginal disability scholars.This person-centred care approach is embedded in a decolonising framework and as such, guides disability workers to reflect on themselves, the Australian context and the impact of trauma in Aboriginal communities.
原住民和托雷斯海峡岛民是残疾服务方面的专家和倡导者。 Aboriginal Ability Links 项目就是这种专业知识和倡导的一个例子。 Aboriginal Ability Links 项目的主要目的是支持残疾的原住民与家人、社区和服务建立联系，建立信心，朝着目标努力，并规划未来。该计划遵循一套原则，其中之一是应用以人为本的护理方法。该项目探讨了在提供 Aboriginal Ability Links 项目的一项服务中使用的以人为本的护理方法。
本社区参与式研究的关键是原住民的领导、指导和参与。该项目使用了闲聊收集数据和主题分析进行数据分析。进行了多次闲聊会议，并制定了五个案例情景。三名 Aboriginal Ability Linker 参与了研究闲聊会议，服务经理也参与了。与其他 Aboriginal Ability Linker 以及其他经理和一个长者团体进行了协商闲聊会议，确认了本项目的结果。
结果揭示了 Aboriginal Ability Linker 使用的以人为本的护理方法。这种以人为本的护理方法包括：闲聊和连接文化；与社区，包括长者联系；批判性地反思自己和自己的实践；了解创伤和背景；鼓励声音和选择；最后，加强与关键利益相关者的关系。
Aboriginal Ability Linker 提供重要的服务，促进以优势为基础的方法和对与原住民社区相关的文化敏感的服务。这种以人为本的方法可以应用于其他残疾和残疾相关的环境中。
这种以人为本的护理方法为残疾服务提供者提供了一个与原住民合作的框架。以人为本的护理方法融合了原住民哲学方法，并建立在原住民残疾学者的先前工作基础上。这种以人为本的护理方法嵌入在去殖民化框架中，因此指导残疾工作者反思自己、澳大利亚背景以及原住民社区中的创伤影响。
