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Community views on ‘Can perinatal services safely identify Aboriginal and Torres Strait Islander parents experiencing complex trauma?’
Journal article   Open access   Peer reviewed

Community views on ‘Can perinatal services safely identify Aboriginal and Torres Strait Islander parents experiencing complex trauma?’

Catherine Chamberlain, Paul Gray, Helen Herrman, Fiona Mensah, Shawana Andrews, Jacynta Krakouer, Pamela McCalman, Alison Elliott, Judy Atkinson, Birri O'Dea, …
Child abuse review (Chichester, England : 1992), Vol.32(1), e2760
2022
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Published (Version of Record)CC BY-NC-ND V4.0 Open Access

Abstract

trauma Pediatrics, Perinatology and Child Health Aboriginal and Torres Strait Islander Law 170106 Health, Clinical and Counselling Psychology FOS: Health sciences FOS: Psychology FOS: Sociology FOS: Law 160299 Criminology not elsewhere classified indigenous perinatal assessment risks 160799 Social Work not elsewhere classified 111701 Aboriginal and Torres Strait Islander Health
Family and extended kinship systems which nurture healthy, happy children are central to Aboriginal and Torres Strait Islander cultures. Since colonisation, Aboriginal and Torres Strait Islander communities have been impacted by intergenerational cycles of trauma, stemming from colonial violence, genocidal policies and discrimination, including the forced removal of children from their families. Becoming a parent offers a unique life-course opportunity for trauma recovery and preventing intergenerational trauma. However, identifying or ‘recognising’ complex trauma carries significant risk of harm for Aboriginal and Torres Strait Islander parents due to reactive prenatal child protection involvement potentially compounding experiences of trauma, and limited benefits due to lack of culturally appropriate support. The Aboriginal-led participatory Healing the Past by Nurturing the Future project aims to co-design safe, accessible and feasible perinatal awareness, recognition, assessment and support strategies for Aboriginal and Torres Strait Islander parents experiencing complex trauma. This paper presents views of 38 workshop participants to determine prerequisites for ensuring benefits outweigh risks of assessment to safely recognise parents experiencing complex trauma, consistent with screening criteria. Six essential elements were identified from thematic analysis: high-quality holistic care; cultural, social and emotional safety; empowerment, choice and control; flexible person-centred approaches; trusting relationships; and sensitive, skilled communication. Key Practitioner Messages The impacts of colonisation and rates of Aboriginal and Torres Strait children in out-of-home care mean that there can be a myriad of issues facing Aboriginal and Torres Strait Islander parents with regard to perinatal child protection involvement. The benefits must outweigh the risks of identifying parents experiencing complex trauma. Assessment must be offered within foundations of supportive relationships and holistic care in culturally-safe, empowering settings, where choices are respected and skilled communication approaches are used.

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UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#10 Reduced Inequalities

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InCites Highlights

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Collaboration types
Domestic collaboration
Citation topics
6 Social Sciences
6.24 Psychiatry & Psychology
6.24.93 Trauma and PTSD
Web Of Science research areas
Family Studies
Social Work
ESI research areas
Social Sciences, general
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