Trial of a developmental screening tool in remote Australian Aboriginal communities: A cautionary tale

D’Aprano, Anita; Carapetis, Jonathan R.; Andrews, Ross M.

doi:10.1111/j.1440-1754.2010.01883.x

Cited by 28 publications

(41 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One approach is to focus on culturally appropriate assessment and diagnosis where screening, intervention and monitoring tools for Indigenous populations are developed and used in health care [67-70]. In the area of mental health, Hart et al [71] challenged dominant approaches to service delivery that discount Indigenous knowledge and blame Indigenous people for their limited understanding of mental illness.…”

Section: Discussionmentioning

confidence: 99%

Reducing the health disparities of Indigenous Australians: time to change focus

Durey

Thompson

2012

BMC Health Serv Res

226

192

View full text Add to dashboard Cite

Background Indigenous peoples have worse health than non-Indigenous, are over-represented amongst the poor and disadvantaged, have lower life expectancies, and success in improving disparities is limited. To address this, research usually focuses on disadvantaged and marginalised groups, offering only partial understanding of influences underpinning slow progress. Critical analysis is also required of those with the power to perpetuate or improve health inequities. In this paper, using Australia as a case example, we explore the effects of ‘White’, Anglo-Australian cultural dominance in health service delivery to Indigenous Australians. We address the issue using race as an organising principle, underpinned by relations of power. Methods Interviews with non-Indigenous medical practitioners in Western Australia with extensive experience in Indigenous health encouraged reflection and articulation of their insights into factors promoting or impeding quality health care to Indigenous Australians. Interviews were audio-taped and transcribed. An inductive, exploratory analysis identified key themes that were reviewed and interrogated in light of existing literature on health care to Indigenous people, race and disadvantage. The researchers’ past experience, knowledge and understanding of health care and Indigenous health assisted with data interpretation. Informal discussions were also held with colleagues working professionally in Indigenous policy, practice and community settings. Results Racism emerged as a key issue, leading us to more deeply interrogate the role ‘Whiteness’ plays in Indigenous health care. While Whiteness can refer to skin colour, it also represents a racialized social structure where Indigenous knowledge, beliefs and values are subjugated to the dominant western biomedical model in policy and practice. Racism towards Indigenous patients in health services was institutional and interpersonal. Internalised racism was manifest when Indigenous patients incorporated racist attitudes and beliefs into their lived experience, lowering expectations and their sense of self-worth. Conclusions Current health policies and practices favour standardised care where the voice of those who are marginalised is often absent. Examining the effectiveness of such models in reducing health disparities requires health providers to critically reflect on whether policies and practices promote or compromise Indigenous health and wellbeing - an important step in changing the discourse that places Indigenous people at the centre of the problem.

show abstract

Section: Discussionmentioning

confidence: 99%

Reducing the health disparities of Indigenous Australians: time to change focus

Durey

Thompson

2012

BMC Health Serv Res

226

192

View full text Add to dashboard Cite

show abstract

“…Some countries in which ASQ-3 studies were completed include: Norway [23], Brazil [24], United States of America [25], Chile [26], Peru [27], Netherlands [28], Australia [29], China [30] and India [31].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties and validation of Portuguese version of Ages & Stages Questionnaires (3rd edition): 9, 18 and 30 Questionnaires

Lopes

Graça²,

Teixeira³

et al. 2015

Early Human Development

View full text Add to dashboard Cite

“…This is especially true for evaluation of social and communication skills, which may reach 100% failure in the screening test (48). …”

Section: Do Developmental Screening Tests Provide Satisfactory Predicmentioning

confidence: 99%

“…Blair and Hall are concerned about the risk of stigmatizing parents or criticizing parenting skills and thus suggest social educational augmented services for all (3). In some communities, all children should be regarded as at risk and for them screening tests are probably redundant (48). Proceeding directly to universal developmental interventions and investing in families and community might be the alternative.…”

Section: Do Developmental Screening Tests Provide Satisfactory Predicmentioning

confidence: 99%

Should We Consider Alternatives to Universal Well-Child Behavioral-Developmental Screening?

2015

View full text Add to dashboard Cite

The prevalence of developmental disabilities in the young age is of the order of 15%. When behavioral and social-emotional disorders, physical impairments, and sensory disorders are included, the need for special intervention increases to one out of four children. As the sensitivity and specificity of the best screening tests are in the range of 70–80%, their predictive value is controversial. The cost of conducting definitive tests and repeat screening for those who fail the screening tests is high. Children with severe disorders can be identified clinically without a screening test. The poor predictability, difficulty in implementation, and the high costs of developmental testing suggest that children, particularly those in high-risk communities, might be better served by implementing intervention programs for all, instead of trying to identify the outliers through screening.

show abstract

Trial of a developmental screening tool in remote Australian Aboriginal communities: A cautionary tale

Cited by 28 publications

References 11 publications

Reducing the health disparities of Indigenous Australians: time to change focus

Reducing the health disparities of Indigenous Australians: time to change focus

Psychometric properties and validation of Portuguese version of Ages & Stages Questionnaires (3rd edition): 9, 18 and 30 Questionnaires

Should We Consider Alternatives to Universal Well-Child Behavioral-Developmental Screening?

Contact Info

Product

Resources

About