Creating Cultural Safety

"Cultural safety is vital for addressing the historical and ongoing impacts of racism and colonisation, reducing health inequities, and improving healthcare access, quality, and safety in health and human services environment for Aboriginal and Torres Strait Islander peoples." Source: Lowitja Institute

Engaging with community

June Oscar AO
Previous CEO of Marninwarntikura Women’s Resource Centre

Video length: 1m 22s

Cultural safety in health policy and programs

Professional Reflections

By Bea, Senior Social Worker, Royal Far West

"Cultural safety is a foundational piece to how we work with families around assessments.

For example, when we use the Vineland assessment for an NDIS application, we adapt and slow down the process to achieve greater cultural safety for clients. The Vineland assessment is used because it is a standardised and accepted method by NDIS. However, it is not generally considered culturally appropriate in remote Aboriginal locations. Here, we adopt a relational and adaptable way of working and a two-way team means we are still able to use this assessment, however we conduct it quite differently. We run the assessment over a few appointments and we work at the pace of the family, have lots of breaks and ensure understanding throughout with our two-way team model. 

We prioritise ‘yarning’ over yes/no (closed questions) and talk a lot about strengths throughout to support emotional safety.

Sometimes we are limited in what is considered ‘credible’ evidence, but cultural safety is never an added bonus; rather a first order requirement. This way of working takes careful consideration, authentic connection and care. Whilst resource intense, our perspective is that a safe assessment is an accurate one, so why would you bother doing it without this level of care?"

Wrap around models of care

Professor Elizabeth Elliott AO
Distinguished Professor in Paediatrics and Child Health at the University of Sydney

Video length: 56s

Reflective Tool for working with Community

The reflective tool below has been designed to take you through important steps leading to diagnosis and supports whilst creating cultural safety. Consider each one and how it applies to your unique interactions with community.

The person with disability and or their family should determine the pace of this process. Move to the next step when everyone is ready. Sometimes several sessions will be required to build rapport which may seem time consuming in a Western medical model. Allowing this time to build trust will ensure a more productive and culturally appropriate service delivery model.

Either explicitly enquire/discuss the most appropriate terms/language used or be guided by the terms the family/community navigators use. Service providers could propose the following terms to discuss deficits: unique traits/unique characteristics/quirks/areas of support. Alternatively, focus on the strategies and paths people need to take to achieve a goal or address a deficit.

Reflective Tool