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实施和评估一个名为“Yawardani Jan-ga”(马的帮助)的文化安全、基于优势的马术辅助学习项目的方案,该项目旨在支持澳大利亚原住民儿童和青少年的社会和情感福祉。

Protocol to implement and evaluate a culturally secure, strength-based, equine-assisted learning program, "Yawardani Jan-ga" (horses helping), to support the social and emotional wellbeing of Australian aboriginal children and young people.

作者信息

Coffin Juli, Vaz Sharmila, Kickett-Tucker Cheryl, Milroy Helen, Olsson Craig, Kirby Meg, Nelson Lesley, McPhee Rob, Cross Donna

机构信息

Ngangk Yira Institute for Change, Murdoch University, Perth, Western Australia (WA), Australia.

The University of Western Australia, Perth, WA, Australia.

出版信息

PLoS One. 2024 Dec 30;19(12):e0312389. doi: 10.1371/journal.pone.0312389. eCollection 2024.

Abstract

Australian Aboriginal people experience stressors from inequalities across crucial social determinants, including deep and entrenched disadvantage and exclusion. The impact of unaddressed historical issues is pervasive and intergenerational. The disproportionate rates of Aboriginal youth suicide, juvenile detention and imprisonment highlight the inadequacy of existing social and emotional wellbeing programs and services for Aboriginal children and young people. There is increasing recognition in Australia that aligning social and emotional wellbeing interventions with Western values and conceptions of mental health is one of the main barriers to service uptake among Aboriginal people. This suggests fundamental questions remain unanswered about what type of services effectively address the complex constellation of social-emotional and wellbeing challenges arising from intergenerational poverty and trauma. Yawardani Jan-ga is an Aboriginal-led, operated, culturally secure, Equine-Assisted Learning (EAL) project designed by and with local Aboriginal young people, community Elders, members, and experts to address the complex constellation of social-emotional, spiritual and wellbeing needs of Aboriginal children and young people, aged 6-26 years, across multiple communities in the Kimberley region of Western Australia. EAL is a strengths-based learning approach where participants work with horses' inherent characteristics to learn transferable life skills, such as communication skills, self-awareness, and emotional regulation, to promote social and emotional growth and wellbeing. Although EAL has been previously used with Aboriginal children and young people internationally, they are yet to be widely used with Aboriginal people in Australia. Here, we describe the three subcomponents of the Yawardani Jan-ga implementation science project and the planned Participatory Action Research and phenomenological approaches to capture the distinctive experiences of participants and the local communities where the intervention is implemented. We anticipate that findings will build an evidence base that informs policy and practice by understanding key intervention elements of social and emotional wellbeing support for Aboriginal youth, how to incorporate Aboriginal worldviews across different stages of interventions, and how to capture impact best using culturally secure methods.

摘要

澳大利亚原住民面临着关键社会决定因素不平等所带来的压力源,包括深刻且根深蒂固的劣势和排斥。未得到解决的历史问题影响广泛且代代相传。原住民青年自杀、少年拘留和监禁的比例过高,凸显了现有针对原住民儿童和青年的社会和情感健康项目及服务的不足。在澳大利亚,越来越多的人认识到,将社会和情感健康干预措施与西方价值观及心理健康观念相结合,是原住民接受服务的主要障碍之一。这表明,关于何种类型的服务能有效应对因代际贫困和创伤而产生的复杂社会情感和健康挑战,一些基本问题仍未得到解答。Yawardani Jan-ga是一个由原住民主导、运营、具有文化安全性的马辅助学习(EAL)项目,由当地原住民青年、社区长者、成员和专家共同设计并参与,旨在满足西澳大利亚金伯利地区多个社区6至26岁原住民儿童和青年复杂的社会情感、精神和健康需求。EAL是一种基于优势的学习方法,参与者通过与马的固有特性合作,学习可迁移的生活技能,如沟通技巧、自我意识和情绪调节,以促进社会和情感成长及健康。尽管EAL此前已在国际上用于原住民儿童和青年,但在澳大利亚尚未广泛应用于原住民。在此,我们描述Yawardani Jan-ga实施科学项目的三个子组件,以及计划采用的参与式行动研究和现象学方法,以捕捉参与者和实施干预措施的当地社区的独特经历。我们预计,研究结果将建立一个证据基础,通过了解对原住民青年社会和情感健康支持的关键干预要素、如何在干预的不同阶段纳入原住民世界观,以及如何使用具有文化安全性的方法最佳地衡量影响,为政策和实践提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423a/11684595/0f6b7b208e15/pone.0312389.g001.jpg

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