Dave Palmer

In the Ngaanyatjarra Lands of desert Western Australia, older people are being encouraged to participate meaningfully in student education. This initiative is being led by two of the authors of this article, senior Ngaanyatjarra women, both of whom work with the Ngaanyatjarra Lands School with its campuses in eight remote communities spread over hundreds of kilometres. Elderly men and women, some of whom are residents in the Ngaanyatjarra Aged Care home (Ngaanyatjarra Health Service, 2021), are eagerly participating in the planning of bush trips, gathering their traditional resources, seeds, grinding stones, bush resins, recalling stories, songs, and dances—as they prepare for the bush camps with students. During the camps the schoolteachers step back and the elderly lead in what is known as two‐way science. At first glance, this work may look like it is simply focused on the educational needs of students with senior Yarnangu acting in a supporting role. However, this article will demonstrate the continuous connections and responsibilities, laid out in the Tjukurrpa (the Dreaming), between the old and the young, to their ancestral lands. It sets out how according to " Tjukurrpa thinking, " the principal way to provide good care is by helping senior people remain on country with family, pass on their knowledge to younger people, and thus keep strong languages and kurrunpa (people's spirit) alive.

Introduction: The management of early childhood caries (ECC) is challenging. Objectives: A model of care based on Atraumatic Restorative Treatment and the Hall Technique (ART-HT) to manage ECC was evaluated among remote Aboriginal communities in Australia. Methods: Aboriginal communities in the North-West of Western Australia were invited to participate and consenting communities were randomized into early or delayed intervention for the management of ECC. Children were examined at baseline and at the 11-mo follow-up. The early intervention group (test) was provided with the ART-based dental care at baseline while the delayed intervention group (control) was advised to seek care through the usual care options available within the community. At follow-up, both groups were examined by calibrated examiners, and were offered care using the ART-HT approach. Changes from baseline to follow-up in caries experience were tested using paired tests. Multivariate analysis after multiple imputation of missing data used generalised estimating equation (GEE) controlling for clustering within communities. Results: A total of 25 communities and 338 children (mean age = 3.6 y, SD 1.7) participated in the study (test = 177). At follow-up, 231 children were examined (68% retention, test = 125). At follow-up, children in the test group had more filled teeth (test filled teeth = 1.2, control filled teeth = 0.2, P < 0.001) and decreased levels of decayed teeth (mean test = 0.7 fewer teeth with decay, mean control = 1.0 more tooth with decay, P < 0.001). GEE analysis controlled for baseline caries experience, age, sex, and community water fluoride levels found increased rates of untreated decayed teeth (RR = 1.4, P = 0.02) and decreased rates of filled teeth (RR = 0.2, P < 0.001) at follow-up among the control group. Conclusion: A model of care relying on the principles of minimally invasive atraumatic approaches enabled the delivery of effective dental services to young children (<6 y) in remote Aboriginal Australian communities resulting in increased levels of care and improved oral health.

Dinah Norman a-Marrngawi explained that her Country cannot hear English, it can only hear Yanyuwa. We support Dinah’s position – because the English language underpins the Australian colonial project, and has been used to separate, ignore and take from Country, her peoples and their knowledges. Country responds to people, however, for example when there is empathic, creative communication and engagement with landscapes, and when liyan and wirrin is the basis for human and ecological wellbeing. We propose a practice for people new to this participation; of ‘becoming family with place’. It integrates four ways of knowing, to celebrate an ontopoetic for Country that is experiential, creative, propositional and participative – a post-conceptual knowing for human flourishing. It is for coming home to Country, and is for learning and educational purposes.

Building on a methodology of Cooperative Inquiry, the outcomes of five interconnected place-based learning projects from Australia are synthesised and elaborated in this paper. The methodology can facilitate the everyday living and sharing of an Earth-based consciousness: one that enriches Transformative Sustainability Education (TSE) through recognising meanings and stories in landscape, and celebrates Indigenous ways of knowing, being and doing. Indigenous-led environmental education is shown to link with one of the longest continuous environmental education systems in the world and it is contended that because of its ongoing history, environmental education carries a cultural obligation. In Australia, every landscape is Indigenous and storied, and all Australians have an inherent right to learn that joy in place, along with the responsibility to care for it. Teaching and learning a relationship with place as family, is one way that environmental education can lead that campaign. This place-based methodology is a lifetime commitment involving everyday actions for change, a whole-of-education dedication.

This paper is set out as a conversation between three people, an Indigenous person and two non-Indigenous people, who have known and worked with each other for over 30 years. This work has involved them researching with communities in central Australia and the south west of Western Australia. The discussion concerns itself with ideas and practices that come from three conceptual traditions; English, Noongar and Pitjantjatjara to talk about how to build ngapartji ngapartji (“you give and I give in return”, in Pitjantjatjara), karnya birit gnarl (respectful and kind ways of sweating/working with people, in Noongar), between marlpara (“colleagues”, in Pitjantjatjara) and involving warlbirniny quop weirn (singing out to the old people, in Noongar).

Background: The caries experience of Aboriginal children in Western Australia (WA) and elsewhere in Australia is more than twice that of non-Aboriginal children. Early childhood caries (caries among children <6 years) has a significant impact on the quality of life of children and their caregivers, and its management is demanding and commonly undertaken under general anesthesia. A randomized controlled trial using a minimally invasive dentistry approach based on Atraumatic Restorative Treatment (ART) in metropolitan Perth, WA, has demonstrated a significant reduction in the rate of referral to a dental specialist for dental care among children with early childhood caries, potentially reducing the need for treatment under general anesthesia. The tested approach was clinically successful and was without adverse effects on child dental anxiety. The model of ART-based primary care requires further testing and development if similar outcomes for Aboriginal children in remote and rural settings are to be achieved. Objective: The study aims to develop, implement, and evaluate a remote primary care model to deliver effective primary dental services, encompassing treatment and preventive services, to Aboriginal preschool children (based on minimally invasive approaches including ART). Methods: This is a two-arm parallel cluster randomized controlled study in which a test group will be provided with the intervention treatment at the start of the study and a control group will be provided with the intervention treatment 12 months after study commencement (delayed intervention). Participating communities, stratified by size of community (ie, number of children in the sample frame) and baseline caries experience, will be randomly assigned using a computer-generated block randomized list into immediate (test group) or delayed intervention (control group; provided with standard care). Informed consent will be obtained from all participants. Aboriginal research assistants will explain the study to the parents and assist the parents in completing the questionnaires. Participants in the randomized study will be examined at baseline and at 12 months follow-up by a calibrated examiner. Test group participants will subsequently be contacted and appropriate appointments coordinated for treatment. Control group participants will be provided with standard preventive care by the Aboriginal Health Workers and managed for treatment as per standard procedures. Results: Community consultations have been undertaken and 26 communities have agreed to participate. Fieldwork is in progress to recruit study participants. Conclusions: The significance of the study lies in its holistic approach to testing the model of care. Clinical evaluations as well as oral health‒related quality of life evaluations will be undertaken. Cost-effectiveness and cost-utility evaluations will assist in the development of policy options for oral health services for rural and remote communities. The elicitation of caregiver perspectives through focus group interviews will supplement the clinical, psychosocial, and cost-utility evaluations and provide a richer evaluation of the intervention.

Coastal tourism continues to experience sustained growth on a global scale, leading to concerns regarding socio-cultural, economic and environmental impacts. To-date, the explicit integration of tourism development with coastal management has lagged behind more traditional planning concerns, presenting an opportunity and challenge for managers. Spatial planning using public participation geographical information systems (PPGIS) offers one solution for integration that is cognisant of the centrality of place in tourism. PPGIS was used to document spatially explicit data on place values, activities and development preferences along the remote, Aboriginal-managed Port Smith (Purnturrpurnturr) coastline in Western Australia. The research was developed and implemented as a collaborative partnership between Aboriginal custodians and University researchers. Ninety-seven questionnaires containing participatory mapping were conducted with residents and visitors. The participatory mapping approach successfully identified areas of potential conflict and allows tourism planners and managers to implement spatial planning that explicitly recognises and accounts for visitor values and preferences. Tourism, as well as marine spatial planning, can be enhanced by a holistic approach that considers both tangible and intangible socio-spatial data. Such an approach is likely to foster a more nuanced appreciation of what is valued in the landscape, providing greater insights to support sustainable long-term planning.

Methods used to investigate the history of mapping the coastal areas of Australia have relied heavily on the journals, diaries, ship's logs, maps, and other accounts of European mariners available in the archival record. Although these records give some details of the part played by local Indigenous peoples, such texts by themselves are a far from reliable way to arrive at authoritative conclusions about Indigenous influence in coastal exploration. Taking the form of a dialogue, this article revisits archival material concerned with coastal exploration along the southern areas of what is now Western Australia from a fresh perspective, drawing out instances where the Nyungar took “center stage” and where mariners' perceptions were shaped by their interest in the Nyungar and Nyungar knowledge. It draws upon Nyungar methods for “reading” the history of contact along the southern coast, incorporating oral accounts, knowledge of the Nyungar language, and Nyungar place-names to “talk back” to the old texts.