Co-Designing Health Service Evaluation Tools That Foreground First Nation Worldviews for Better Mental Health and Wellbeing Outcomes

Michael Wright, Aunty Doris Getta, Aunty Oriel Green, Uncle Charles Kickett, Aunty Helen Kickett, Aunty Irene McNamara, Uncle Albert McNamara, Aunty Moya Newman, Aunty Charmaine Pell, Aunty Millie Penny, Uncle Peter Wilkes, Aunty Sandra Wilkes, Tiana Culbong, Kathrine Taylor, Alex Brown, Pat Dudgeon, Glenn Pearson, Steve Allsop, Ashleigh Lin, Geoff Smith, Brad Farrant, Leanne Mirabella and Margaret O’Connell
Additional contact information
Michael Wright: School of Allied Health, Curtin University, Bentley, Perth 6102, Australia
Aunty Doris Getta: Elders Co-Researcher Group, Perth 6000, Australia
Aunty Oriel Green: Elders Co-Researcher Group, Perth 6000, Australia
Uncle Charles Kickett: Elders Co-Researcher Group, Perth 6000, Australia
Aunty Helen Kickett: Elders Co-Researcher Group, Perth 6000, Australia
Aunty Irene McNamara: Elders Co-Researcher Group, Perth 6000, Australia
Uncle Albert McNamara: Elders Co-Researcher Group, Perth 6000, Australia
Aunty Moya Newman: Elders Co-Researcher Group, Perth 6000, Australia
Aunty Charmaine Pell: Elders Co-Researcher Group, Perth 6000, Australia
Aunty Millie Penny: Elders Co-Researcher Group, Perth 6000, Australia
Uncle Peter Wilkes: Elders Co-Researcher Group, Perth 6000, Australia
Aunty Sandra Wilkes: Elders Co-Researcher Group, Perth 6000, Australia
Tiana Culbong: School of Allied Health, Curtin University, Bentley, Perth 6102, Australia
Kathrine Taylor: Woodside (Australia), Perth 6000, Australia
Alex Brown: South Australian Health and Medical Research Institute, University of South Australia, Adelaide 5001, Australia
Pat Dudgeon: Poche Centre for Indigenous Health, University of Western Australia, Crawley 6009, Australia
Glenn Pearson: Telethon Kids Institute, University of Western Australia, Nedlands 6009, Australia
Steve Allsop: National Drug Research Institute, Curtin University, Bentley, Perth 6102, Australia
Ashleigh Lin: Telethon Kids Institute, University of Western Australia, Nedlands 6009, Australia
Geoff Smith: Medical School, University of Western Australia, Crawley 6009, Australia
Brad Farrant: Telethon Kids Institute, University of Western Australia, Nedlands 6009, Australia
Leanne Mirabella: Independent Consultant, Perth 6000, Australia
Margaret O’Connell: School of Allied Health, Curtin University, Bentley, Perth 6102, Australia

IJERPH, 2021, vol. 18, issue 16, 1-14

Abstract: It is critical that health service evaluation frameworks include Aboriginal people and their cultural worldviews from design to implementation. During a large participatory action research study, Elders, service leaders and Aboriginal and non-Aboriginal researchers co-designed evaluation tools to test the efficacy of a previously co-designed engagement framework. Through a series of co-design workshops, tools were built using innovative collaborative processes that foregrounded Aboriginal worldviews. The workshops resulted in the development of a three-way survey that records the service experiences related to cultural safety from the perspective of Aboriginal clients, their carer/s, and the service staff with whom they work. The surveys centralise the role of relationships in client-service interactions, which strongly reflect their design from an Aboriginal worldview. This paper provides new insights into the reciprocal benefits of engaging community Elders and service leaders to work together to develop new and more meaningful ways of servicing Aboriginal families. Foregrounding relationships in service evaluations reinstates the value of human connection and people-centred engagement in service delivery which are central to rebuilding historically fractured relationships between mainstream services and Aboriginal communities. This benefits not only Aboriginal communities, but also other marginalised populations expanding the remit of mainstream services to be accessed by many.

Keywords: first nations; co-design; Indigenous research methodologies; service evaluation; participatory action research; relationships; engagement; worldviews (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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