Department of Infectious Diseases, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Melbourne, VIC 3000, Australia.
Indigenous Health Equity Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3000, Australia.
Int J Environ Res Public Health. 2022 Nov 24;19(23):15626. doi: 10.3390/ijerph192315626.
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).
2019 年冠状病毒病（COVID-19）大流行影响了人们的生计和心理健康。澳大利亚的原住民和托雷斯海峡岛民继续经历与殖民有关的代际创伤，并且可能会因为政府对公共卫生紧急情况的反应而经历与创伤有关的痛苦。我们旨在为原住民和托雷斯海峡岛民制定一个对文化有响应的、以创伤知情为基础的公共卫生紧急情况应对框架。这项由原住民和托雷斯海峡岛民领导的研究包括：（i）审查以创伤知情为基础的公共卫生紧急情况应对措施，以制定草案框架；（ii）对 110 名原住民和托雷斯海峡岛民的父母进行访谈，了解 COVID-19 对他们生活的影响；（iii）与 36 名利益相关者进行研讨会，使用框架分析讨论大流行经历，以完善对文化有响应的、以创伤知情为基础的框架。该框架包括：一个总体理念（文化谦逊、安全和响应性）；主要推动者（地方领导和长老）；支持策略（提供基本需求和资源、良好运作的社会系统、人权、尊严、选择、正义和道德、相互依存和集体责任以及加强现有系统）；相互依存的核心概念（安全、透明度和赋权、整体支持、联系和协作以及同情、保护和关爱）；以及核心目标（安全感、复原力、幸福感、自我和集体效能、希望、信任、复原力以及从悲伤和失落中恢复）。
