RESEARCH SUMMARY...2019/12/03  · Dyall, D., Ralph, N., Hokke, S. & Nicholson, J. (2019). Healing...

4
RESEARCH SUMMARY The ‘Healing the Past by Nurturing the Future’ Project NUMBER 2: JUNE 2019 About Us Healing the Past by Nurturing the Future’ is an Aboriginal-led project which aims to co-design awareness, recognition, assessment and support strategies for Aboriginal and Torres Strait Islander (Aboriginal) parents during the perinatal period (from pregnancy to child age two) who have experienced complex childhood trauma. The project commenced in 2017 and current funding runs until 2021. We are grateful for funding from the National Health and Medical Research Council (NHMRC) and the Lowitja Institute CRC. What does this project aim to achieve? HPNF aims to co-design safe, acceptable and feasible perinatal strategies to support Aboriginal parents experiencing complex trauma. Strategies will be developed under 4 domains: 1. Awareness of the impact of trauma on parents and the potential for triggering during the perinatal period 2. Safe Recognition of parents who may benefit from assessment and support 3. Assessment of areas where parents may be distressed, to understand their experiences of complex trauma 4. Support strategies for parents to heal and to help nurture the parent-child relationship Why is this project important? Child maltreatment and adverse childhood experiences (ACEs) can lead to ongoing impacts on physical, social and emotional wellbeing. These distress symptoms are often called ‘complex post-traumatic stress disorder’ or complex trauma’. Aboriginal people are also affected by grief and loss from current or historical events. Becoming a parent can be ‘triggering’ for those who have experienced childhood maltreatment. However, it is also a ‘window of opportunity’ for healing and nurturing the parent-child relationship. Currently, there is a lack of evidence about how we can best support Aboriginal parents experiencing complex trauma.

Transcript of RESEARCH SUMMARY...2019/12/03  · Dyall, D., Ralph, N., Hokke, S. & Nicholson, J. (2019). Healing...

Page 1: RESEARCH SUMMARY...2019/12/03  · Dyall, D., Ralph, N., Hokke, S. & Nicholson, J. (2019). Healing th e Past by Nurturing the Future— co-designing perinatal strategies for Aboriginal

RESEARCH SUMMARY

The ‘Healing the Past by Nurturing the Future’ Project

NUMBER 2: JUNE 2019

About Us

‘Healing the Past by Nurturing the Future’ is an Aboriginal-led project which aims to co-design awareness, recognition, assessment and support strategies for Aboriginal and Torres Strait Islander (Aboriginal) parents during the perinatal period (from pregnancy to child age two) who have experienced complex childhood trauma.

The project commenced in 2017 and current funding runs until 2021. We are grateful for funding from the National Health and Medical Research Council (NHMRC) and the Lowitja Institute CRC.

What does this project aim to achieve?

HPNF aims to co-design safe, acceptable and feasible perinatal strategies to support Aboriginal parents experiencing complex trauma. Strategies will be developed under 4 domains:

1. Awareness of the impact of trauma on parents and the potential for triggering during the perinatal period

2. Safe Recognition of parents who may benefit from assessment and support

3. Assessment of areas where parents may be distressed, to understand their experiences of complex trauma

4. Support strategies for parents to heal and to help nurture the parent-child relationship

Why is this project important?

Child maltreatment and adverse childhood experiences (ACEs) can lead to ongoing impacts on physical, social and emotional wellbeing. These distress symptoms are often called ‘complex post-traumatic stress disorder’ or ‘complex trauma’. Aboriginal people are also affected by grief and loss from current or historical events.

Becoming a parent can be ‘triggering’ for those who have experienced childhood maltreatment. However, it is also a ‘window of opportunity’ for healing and nurturing the parent-child relationship. Currently, there is a lack of evidence about how we can best support Aboriginal parents experiencing complex trauma.

Page 2: RESEARCH SUMMARY...2019/12/03  · Dyall, D., Ralph, N., Hokke, S. & Nicholson, J. (2019). Healing th e Past by Nurturing the Future— co-designing perinatal strategies for Aboriginal

What are the values guiding the project?

Artwork by Danielle Dyall

Where will the research take place?

Key stakeholders from all Australian jurisdictions will be involved in workshops. However, research activities will take place in three areas: Melbourne, Victoria; Adelaide, South Australia; and Alice Springs, Northern Territory (below). These were selected based on existing relationships as well as interest from key stakeholders. Who will be involved?

This is a community-based participatory action research study (action research). This means that we will follow the “plan, act, observe, reflect” cycle for each part of the project, and we will work with:

Aboriginal parents

Service providers and health professionals

Community leaders and researchers

Wider Aboriginal community

The Conceptual Framework guiding the project (right) was developed to ensure safe research processes, drawing on Aboriginal meanings of social and emotional wellbeing.

Illustrated in this framework are the 8 core project values and the 4 domains of perinatal care we aim to address (awareness, recognition, assessment, support).

The project will be guided by Indigenous Research Excellence criteria.

Melbourne

Adelaide

Alice Springs

Photo by Jenna Norman on Unsplash

Page 3: RESEARCH SUMMARY...2019/12/03  · Dyall, D., Ralph, N., Hokke, S. & Nicholson, J. (2019). Healing th e Past by Nurturing the Future— co-designing perinatal strategies for Aboriginal

What is ‘co-design’ and why is it important?

An important part of our co-design or ‘action research’ is working alongside the community to develop strategies that are meaningful and culturally safe. This is particularly important for the HPNF project because:

There is limited published evidence about how to best support parents experiencing complex trauma;

Aboriginal understandings of social and emotional wellbeing and knowledge need to be central in our research and care for families;

We need to be mindful of the potential risks and harms and avoid unhelpful ‘labelling' of parents which might undermine their existing resilience, coping skills and ways of parenting.

How will we do this?

We will facilitate 4 stakeholder workshops across 3 study phases (right) in which we plan and reflect on a range of research activities including:

Evidence reviews

Community leader and parent discussion groups

Service provider discussion groups

Development and evaluation of an assessment tool to identify parents experiencing complex trauma

“Songs of Strength” by Shawana Andrews © 2018

A father, mother, and child wearing

possum skin cloaks and looking to the ancestors and past generations. The

parents are connected with a songline which gives them strength. The stones

below represent a strong foundation and the stitching on the cloaks represent

relational connectedness of Aboriginal people and worldview.

Overview of the Research Plan

Page 4: RESEARCH SUMMARY...2019/12/03  · Dyall, D., Ralph, N., Hokke, S. & Nicholson, J. (2019). Healing th e Past by Nurturing the Future— co-designing perinatal strategies for Aboriginal

Suggested citation

Bennetts, S.K., Chamberlain, C. and the Healing the Past by Nurturing the Future team (2019). Research Summary 2: Healing the Past by Nurturing the Future Project.

For more information

Chamberlain, C., Gee, G., Brown, S. J., Atkinson, J., Herrman, H., Gartland, D., Glover, K., Clark, Y., Campbell, S., Mensah, F.K., Atkinson, C., Brennan, S.E., McLachlan, H., Hirvonen, T., Dyall, D., Ralph, N., Hokke, S. & Nicholson, J. (2019). Healing the Past by Nurturing the Future—co-designing perinatal strategies for Aboriginal and Torres Strait Islander parents experiencing complex trauma: framework and protocol for a community-based participatory action research study. BMJ Open, 9(6), e028397.

Link to full article: https://bmjopen.bmj.com/content/9/6/e028397

E: [email protected]

P: +61 03 9479 8799

W: https://www.latrobe.edu.au/jlc/research/healing-the-past

Watch our YouTube Video Healing the Past by Nurturing the Future

What are the expected outcomes?

Development of a safety framework for working with parents, service providers, key stakeholders, team members and the wider Aboriginal community.

Understanding of parents’ experiences of complex trauma and evidence for support strategies that are safe, acceptable and feasible when working with Aboriginal parents during the perinatal period.

Development and evaluation of an assessment tool to assist service providers to recognise and assess symptoms of complex trauma experienced by Aboriginal parents.

Sharing of our research with the community in a variety of ways, including community meetings, scientific publications, conference presentations, a study website, a YouTube video, and Research Summaries (such as this). Photo by Kelly Sikkema on Unsplash