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新冠疫情期间澳大利亚原住民和托雷斯海峡岛民的心理健康与福祉

Mental health and well-being of Aboriginal and Torres Strait Islander peoples in Australia during COVID-19.

作者信息

Dudgeon Pat, Alexi Joanna, Derry Kate, Brideson Tom, Calma Tom, Darwin Leilani, Gray Paul, Hirvonen Tanja, McPhee Rob, Milroy Helen, Milroy Jill, Murray Donna, Sutherland Stewart

机构信息

Transforming Indigenous Mental Health and Wellbeing Project Poche Centre for Indigenous Health University of Western Australia, Crawley WA Australia.

Gayaa Dhuwi (Proud Spirit) Australia Parkes ACT Australia.

出版信息

Aust J Soc Issues. 2021 Dec;56(4):485-502. doi: 10.1002/ajs4.185. Epub 2021 Sep 20.

Abstract

In May 2020, an independent working party was convened to determine the mental health and well-being needs of Aboriginal and Torres Strait Islander peoples in Australia, in response to COVID-19. Thirty Aboriginal and Torres Strait Islander leaders and allies worked together in a two-month virtual collaboration process. Here, we provide the working party's five key recommendations and highlight the evidence supporting these proposals. Aboriginal and Torres Strait Islander self-determination and governance must be prioritised to manage the COVID-19 recovery in Aboriginal and Torres Strait Islander communities. To mitigate long-term social and economic impacts of COVID-19 to Australian society, the historical underinvestment in Aboriginal and Torres Strait Islander peoples must be reconciled. Equitable, needs-based funding is required to support strengths-based, place-based initiatives that address the determinants of health. This includes workforce and infrastructure development and effective evaluation. There is a clear, informed pathway to health and healing for Aboriginal and Torres Strait Islander peoples being enacted by Aboriginal and Torres Strait Islander leadership and community organisations; it remains to be seen how these recommendations will be implemented.

摘要

2020年5月,为应对新冠疫情,一个独立工作小组召开会议,以确定澳大利亚原住民和托雷斯海峡岛民的心理健康及福祉需求。30位原住民和托雷斯海峡岛民领袖及盟友在为期两个月的虚拟协作过程中共同努力。在此,我们提供该工作小组的五项关键建议,并强调支持这些提议的证据。在管理原住民和托雷斯海峡岛民社区的新冠疫情恢复工作时,必须优先考虑原住民和托雷斯海峡岛民的自决权和治理。为减轻新冠疫情对澳大利亚社会的长期社会和经济影响,必须解决历史上对原住民和托雷斯海峡岛民投资不足的问题。需要基于需求的公平资金,以支持基于优势、因地制宜的举措,这些举措要解决健康的决定因素。这包括劳动力和基础设施发展以及有效的评估。原住民和托雷斯海峡岛民领袖及社区组织正在为原住民和托雷斯海峡岛民制定一条清晰、明智的健康与康复之路;这些建议将如何实施还有待观察。

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