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Session 5: Indigenous health and the paradigm shift

Session 5: Indigenous health and the paradigm shift. Northern Territory Emergency Intervention. Biggest, most controversial policy shift in 30 years End of self-determination era? Taken up (mostly) by Rudd government We will analyse some of the arguments made for and against the intervention.

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Session 5: Indigenous health and the paradigm shift

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  1. Session 5: Indigenous health and the paradigm shift

  2. Northern Territory Emergency Intervention • Biggest, most controversial policy shift in 30 years • End of self-determination era? • Taken up (mostly) by Rudd government • We will analyse some of the arguments made for and against the intervention

  3. Northern Territory Emergency Intervention • Announced 21st June 2007 • Ostensibly response to Ampe Akelyernemane Meke Mekarle (Little Children are Sacred) Report of child abuse in 45 NT remote communities • Howard/Brough speeches about ‘normalising’ communities and joining the ‘mainstream’ • Applies to 73 communities >200 residents • Racial Discrimination Act suspended – soon to be special measure • $1.3 bn over 4 years (as of Jan 08)

  4. Measures • Quarantining of 50% welfare for food/rent/goods • Licensing of community stores • Compulsory acquisition of 5-year leases over townships • Bans on alcohol and pornography • More police (plus Norforce logistical support) • Voluntary child health checks • Resources for schools, school meals, child protection • New and improved housing and tenancy agreements • Government business managers appointed • Abolish remote area exemption for ‘activity testing’ and more employment services • Permit system abolished (unsuccessful repeal in 2008) • Abolition of CDEP

  5. Altman 2008:3

  6. Response to intervention • Generated huge response • Plenty of hype from all sides: • ‘Involuntary forensic examinations’ • ‘People fleeing army invasion’ • Women for Wik • Langton/Pearson/Yunipungu • ‘Children’ vs ‘rights’

  7. Group exercise • Consider 8 quotes presenting different arguments for and against the intervention • Government Fact Sheet for reference • Analyse the issue in terms of the concept allocated to your group: • Equality • Indigenous culture • Human rights • Agency

  8. Group exercise • Judging the intervention from the perspective of this concept, make an argument for or against it • You may take the standpoint of one or multiple positions in the debate: • Indigenous communities (not/included in intervention) • Indigenous adults (women and/or men) • Indigenous children • Government (territory and/or federal) • Public health professionals • Wider Australian community • These positions, and the four concepts, are not mutually exclusive

  9. Groups feed back

  10. Further discussion • ‘Rights of children’ • Role of incentives and obligations in public health and social policy • ‘Capacity to benefit’ from community development • Self-determination vs. ‘joining the mainstream’ • Altman quote

  11. The Implicit Association Test • If you choose you can undertake a test called the IAT • The results from this test will only be seen by you and won’t be used in any research • The test takes about 15 minutes to complete • We will complete it in small groups over lunch and then discuss it afterwards.

  12. Computer Exerciseand Lunch

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