“have you asked the question?” project evaluation … · 2 t “have you asked the question?”...
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NORTH EAST PRIMARY CARE PARTNERSHIP
Sally Berger
NEPCP Koolin Balit Aboriginal Health Project Worker
September 2015
“HAVE YOU ASKED THE QUESTION?”
PROJECT EVALUATION REPORT
PLEASE HELP US TO IMPROVE THE HEALTH OF ABORIGINAL AND TORRES STRAIT ISLANDER VICTORIANS
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Acknowledgements
North East Primary Care Partnership acknowledges the contribution made by the many people involved in the development of the “Have You Asked the Question Are You of Aboriginal or Torres ” Self-Identification Project which included the Resource Kit and the provision of the “Have You Asked the Question?” Training. Many thanks to the following people:
• A major thanks to the Victorian Aboriginal Health Service (VAHS), in particular Jo Atkinson, the Closing the Health Gap Partnership Manager, who provided valuable feedback and advice throughout the development of the resources. Thanks also to Jason King, Executive Officer of the Victorian Aboriginal Health Service, who launched the Resource Kit at the first “Have You Asked the Question? training session on the 18th August 2014
• Queensland Health, in particular Lyndell Leitch, who kindly shared ideas, information and learnings from their experiences in the area of Indigenous self-identification in Queensland.
• To a myriad of Aboriginal community workers and mainstream agency employees who provided feedback on the initial draft of the self-identification resources-too many people to individually mention.
• Gary Saunders who designed the digital artwork element incorporated into these resources and on the training flyer, an element of the larger NEPCP Closing the Health Gap logo.
• Thanks to Karen Rumley at I.D Consulting who undertook the graphic design and resource production component of the project.
• The NEPCP Closing the Health Gap (now Koolin Balit) Working Group who supported the recommendations and activities that were proposed by the NEPCP CtHg Coordinator including the development of the “Have You Asked the Question?” Rresource Pack and accompanying training.
• Austin Health, a member agency of the Closing the Health Gap Working Group for supporting the training component of the project by agreeing to a member of their Aboriginal Health Team to provide the training sessions to support the Project.
• Nathan Leitch, an Austin Health trainer and educator, who provided the two “Have You Asked the Question?” training sessions and who gave very generously of his time despite having changed organizational role when the sessions were delivered.
Project artwork by Gary Saunders © This work and all artwork are copyright. It may be reproduced in whole or in part for study or training purposes subject to an acknowledgement of the source and no commercial use or sale. Reproduction for other purposes or by organisations requires the written permission of the copyright holders. Use of any quotations from this document should be appropriately acknowledged.
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“HAVE YOU ASKED THE QUESTION?” PROJECT
EVALUATION REPORT
Acknowledgement of Traditional Owners of the Land, Past and Present. The North East Primary Care Partnership (NEPCP) would like to acknowledge and pay respect to the
traditional owners of this land-the Wurundjeri people of the Kulin Nation, on which the office of the
NEPCP is located. The NEPCP would also like to pay respect to Wurundjeri Elders, past and present,
and extend that respect to all Aboriginal and Torres Strait Islander people.
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“HAVE YOU ASKED THE QUESTION?” PROJECT
EVALUATION REPORT
Contents
1. Executive Summary...................................................................5
2. Introduction.............................................................................6
2.1 Background Information.............................................................6
3. Overview of the Self-Identification Resources………………….……………………..7
3.1 Background..............................................................................7
3.2 Launch of resources....................................................................7
3.3 Distribution of Resource Pack........................................................7
4. Overview of the Training.............................................................8
4.1 The Trainer………........................................................................8
4.2 Training Days............................................................................8
4.3 Number of people Who Attended the Training....................................8
4.4 Training Content........................................................................8
4.5 Waiting List..............................................................................8
5. Purpose of the Evaluation……………………………………………………………………….…..9
3.1 Aims.......................................................................................9
3.2 Objectives ..............................................................................9
6. Methods.................................................................................10
6.1 The Training Study Area.............................................................10
6.2 Selection of the Training Target Population and Sample.......................10
6.3 Development of the Survey..........................................................10
6.4 Method of Data Collection...........................................................10
6.5 Method of Analysis....................................................................11
6.6 Limitations to the Study.............................................................11
7. Presentation of the Training/Resource Survey Respondent Results………13
7.1 Survey Respondent Information....................................................13 7.2 Agency Name..........................................................................13 7.3 Local Government Area (LGA) Representation...................................13 7.4 Respondent Role......................................................................13 7.5 Discussion of Respondent Results..................................................14
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8. Presentation of Training/Resource Survey Results............................15
8.1 Training day attended by respondents………………………………………………………….15 8.2 Previous attendance at training Related to Self-Identification……………………15 8.3 Type of Self-Identification Training Attended.…………………………………………….16 8.4 When was this Training Received?..………………………………………………………………16 8.5 Level of satisfaction with the Trainer and Training.……………………………………17 8.6 Overall experience of the “Have You Asked the Question?” Training…………18 8.7 Improvements in the 5 Key Concept areas of Yarning, Family, History, Identity and Healing….………………………………………………………………………………….20 8.8 What did you like most about the training? ………………………………………………..22 8.9 What if any, improvements could be made to the “Have You Asked the Question?” Training?..………………………………………………………………………..…………24 8.10 Certificate of Attendance….……………………………………………………………………….…25 8.11 Discussion of Training Survey results.……………………………………………………….….26
9. Presentation of Self-Identification Resource Pack Survey Results.........28 9.1 The Resources Toolkit is an A5 Booklet…Has this booklet been useful?...… 28 9.2 Did you receive the Resource Pack consisting of a mouse-mat, computer monitor sticker, a phone sticker and an A5 Sticker? ……………….…28 9.3 Have You Used the Resource pack? ………………………………………………..…………..29 9.4 Which resource components are important to the survey respondents?….…29 9.5 What did you like most about the “Have You Asked the Question”? Resources? ……………………………………………………………………………………………….……30 9.6 Ideas to improve the resources…………………………………………………………….………32 9.7 Discussion of Resource Pack Survey Results…………………………………………….…..32
10. Any Additional Feedback…………………………………………………………………….….34
11. Unintended Training and Resource Pack Outcomes……………………………..36
12. Conclusion............................................................................39
13. Recommendations..................................................................40
14. Appendices...........................................................................41
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1. Executive Summary This report provides an analysis and evaluation of the ‘Have You Asked the Question?’ training and the ‘Have You Asked the Question?’ “ Are You of Aboriginal or Torres Strait Islander Origin?” resource pack. The training was delivered in support of the launch and roll-out of the “Have You Asked the Question?” resource pack. The method of analysis included a training and resource pack survey and verbal and photographic feedback on the use of the resources within practice. Results of training data showed training satisfaction was very high and substantial improvements in worker knowledge in the areas of yarning, family, history, identity and healing were achieved. Resource pack feedback show that the mouse-mats and stickers were easily implemented into agency environments and proved a successful method to further prompt self-identification of Aboriginal and Torres Strait Islander community members in agencies. Results showed that the resources were simple, clear, easy to read and effective. The highly visual presence of the correct wording designed to be clear and within easy sight, was highly valued by workers. Other elements such as artwork, Aboriginal and Torres Islander Strait flags and Victorian Aboriginal Health Service (VAHS) contact details only added to their approval by agency employees. Report recommendations include:
Service providers require on-going Aboriginal and Torres Strait Islander cultural awareness training that incorporates identity and self-identification issues within a broad social determinants framework.
Opportunities for small group work or practical case-studies or scenarios on ‘asking the question’ could further enhance the training.
The ‘Have You Asked the Question’ resources should be promoted as an effective method to further prompt the self-identification of Aboriginal and Torres Strait Islander community members within mainstream agencies.
The implementation of the ‘Have You Asked the Question’ resources should be encouraged across agencies and sectors and across the North West and Metropolitan region.
This evaluation report concludes that self-identification of Aboriginal and Torres Strait Islander community members can be improved through multiple strategies such as targeted training and implementing the ‘Have You Asked the Question?’ resources. Delivered training demonstrated a marked increase in knowledge bases that support an improved understanding of identity and self-identification issues. Training, on its own however, does not assure that all community members are asked every time about their Aboriginal and Torres Strait Islander status. Identity and self-identification are complex issues. Multiple strategies need to be employed to improve self-identification outcomes and the resource kit has been effective as a continual reminder and in promoting employee confidence to ‘ask the question’. The “Have You Asked the Question?” self-identification resource kit (mouse-mat/stickers/ booklet) has proved to be an innovative way to provide clear, concise and easily accessible resources that support Aboriginal and Torres Strait Islander self-identification practices within universal services.
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2. Introduction
2.1 Background Information
The North East Primary Care Partnership (NEPCP) undertook a number of pieces of work in order to inform the Closing the Health Gap (now Koolin Balit) project including the ‘Collecting Stories’ Project. This project documented individual Aboriginal experiences of the primary health care system in the Northern region. Self-identification was highlighted as one of the key themes that arose from the project. A booklet and DVD were produced. The video can be found at: http://youtu.be/-x1HPd663QU and booklet at http://www.nepcp.org.au/nepcp-collecting-stories-booklet-2012 NEPCP also undertook the 2012 NEPCP Working with Aboriginal People and Communities Survey. This Survey is a very comprehensive workforce survey that was developed to identify trends, strengths and opportunities to develop the skills and capacity of NEPCP member agencies. The Survey elicited almost 500 responses and provided valuable qualitative and qualitative data. The Executive Summary and full Survey report can be found at: http://www.nepcp.org.au/survey From these two pieces of work, key informant interviews and a literature review, self-identification of Aboriginal and Torres Strait Islanders was highlighted as an important first-step in providing culturally responsive service delivery and options to Aboriginal and Torres Strait Islander community members. In order to address some of the issues raised in the Survey which included; use of consistent wording, the incorrect belief that asking the question may be discriminatory or staff stopping asking the question because they are challenged by a community member about why the question is asked, NEPCP felt that a range of resources could be developed to further support self-identification within agencies. Alongside the training, a number of permanent resources were devised to be on-going reminders of the need to continuously ‘ask the question’ using a consistent approach based on the Australian Institute of Health and Welfare( AIHW) guidelines.
The development of the resources is just one of many activities undertaken in the self-identification work space for NEPCP. For example, the distribution of the Queensland Health Self-Identification DVD to each Working Group member agency, the development of a Self-Identification Action Plan, sample policy and procedures, distribution of the updated AIHW Guidelines and various other pieces of work targeted the improvement of self-Identification of Aboriginal and Torres Islander community members within our member agencies.
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3. Overview of Self-identification Resources
3.1 Background The need for improvements in data and cultural responsiveness of services is inextricably linked to the self-identification of Aboriginal and Torres Strait Islander community members. A number of efforts have occurred at a federal and a state level to promote the identification issue, such as video clips, training, posters and resources around ‘asking the question’. Despite these efforts, our local evidence indicated that there was still significant work to be undertaken in this area.
The results of the 2012 NEPCP Working with Aboriginal People and Communities Workforce Survey were very clear. Whilst training is a valuable component of improving self-identification of Aboriginal and Torres Strait Islander community members at North East Primary Care Partnership (NEPCP) agencies, the 2012 Survey found that even with training, staff members can have difficulty consistently asking the identity question. The Survey provided evidence as to why staff members do not ask ‘the question’ and why they stop asking the question including; the lack of a consistent approach to correct wording to be used by staff. It was these issues that NEPCP wanted to specifically target in the development of the Have You Asked the Question? “Are You of Aboriginal or Torres Strait Islander Origin?” Resource Kit and accompanying training.
Without wanting to duplicate the work that were already available, NEPCP and the NEPCP Closing the Health Gap Working group decided that resources that were immediate and reinforced the ‘asking the question’ in a consistent way would assist their workers. Due to the complexity of self-identification and the importance of improving worker’s knowledge of why they were asking the question, it was felt that the distribution of resources should be linked and reflected in a training component.
For further background information about the Project see Appendix 1. ‘Have You Asked the Question’ “Are You of Aboriginal or Torres Strait Islander Origin?” Resource Kit.
3.2 Launch of Resources Jason King, the Executive Officer of the Victorian Aboriginal Health Service (VAHS) launched the Self-Identification Resource Kit on Monday 18th August 2014 following the delivery of the first “Have You Asked the Question?” training session.
3.3 Distribution of Resource pack The Resource Pack was available at the end of the training session to all who attended.
The pack consisted of 1 each of the Mouse-mat, computer monitor sticker, a phone
sticker and an A5 Sticker. The pack also included an A5 booklet which explained the
development of the resources and how to implement them in the workplace, including
photographic images demonstrating sample placement of resources. (See Appendix X for
Samples of each of these items)
Further requests for Resource packs continued after the training was completed. A
number of attendees had returned to their workplaces and showed the “Have You Asked
the Question? ”Resource Kit to their colleagues. This resulted in further requests from
agencies for extra Resource Kits for their workplace.
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4. Overview of Training 4.1 The Trainer As a member of the NEPCP Closing the Health Gap Working Group, Austin Health offered to support the Asking the Question project by asking a member of their Aboriginal Health Team who held an educator and training role to provide the training. Nathan Leitch, the trainer, is a Quandamooka man from South East Queensland, who has lived most of his life in Victoria. Nathan has a background in visual art, but more recently has worked in Aboriginal education and health, focused predominantly on the delivery of Cultural Awareness training, health promotion, advance care planning, and service improvement. Nathan is a resident of Northern Melbourne and is committed to supporting and improving the health experiences of local Aboriginal people
4.2 Training Days
Monday 18th August 2014 and Thursday 21st August 2014 were the 2 training dates.
Two alternate days of training were offered which took into consideration the part-time nature of workers. Therefore the sessions were offered;
On different days- a Monday and a Thursday
One session in morning, one session in afternoon
4.3 Number of People who Attended the Training
A total of 132 people attended the Have You Asked the Question? “Are You of Aboriginal or Torres Strait Islander Origin?” training sessions.
Two training sessions were provided; 68 people attended the training on Monday 18th August 2014. 64 people attended the training on Thursday 21st August 2014
4.4 Training Content
Training content was developed by the trainer and has been delivered previously as part of an education/training program at Austin Health for its staff. The training is based on 5 concept areas of Yarning, Family, History, Identity and Healing. NEPCP did wish to cover a number of points that had arisen as a result of the workforce survey results however these were already incorporated into the training components. Nathan delivered a more comprehensive self-identification/identity training than was envisaged by NEPCP.
4.5 Waiting List There were numerous agencies who wished to attend the “Have You Asked the
Question? Training. Training though was capped at 60 participants per session
although this number was increased slightly for both sessions. Many people
requested to be placed on a waiting list or to be informed about any future self-
identification training opportunities.
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5. Purpose of the Evaluation
3.1 Aims:
The Evaluation aims:
To gain a better understanding of the impact of the “Have You Asked the
Question?” Training on changes to level of knowledge and information held
by the NEPCP member agencies’ workforce in relation to identity and self-
identification of Aboriginal and Torres Strait Islander community members.
To gain knowledge around the usefulness and implementation of the “Have
You Asked the Question? Resources Toolkit by training attendees.
To identify any enablers and barriers (from a worker perspective) to
achieving accurate self-identification of Aboriginal and Torres Strait
Islander people that will support the provision of quality and culturally
appropriate health care
3.2 Objectives:
The Survey objectives include;
To distribute a “Have You Asked the Question?” Survey to all those who
attended the “Have You Asked the Question?” training with a focus on;
Identifying any improvements in the level of knowledge in the key
concept areas of Yarning, Family, History, Identity and Healing.
To Identify whether the “Have You Asked the Question? Resources
Toolkit is practical and can be effectively implemented by the
workforce.
Providing an opportunity for survey respondents to offer ideas for
improvement to the training and resources
To devise and develop recommendations that continue to support the self-
identification of Aboriginal and Torres Strait Islander community members.
To disseminate knowledge gained from survey results to inform individual
agency practices.
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6. Methods 6.1 The Study Area
The targeted study area for receipt of training and the Resource Pack were
NEPCP member agencies or agencies that operate within the Cities of Banyule,
Darebin and the Shire of Nillumbik.
6.2 Selection of the Target Population and Sample
The selected target population was the mainstream workforce of the 18 member
agencies of the North East Primary Care Partnership. It was envisaged that the
specific population group targeted for the sample would include;
Reception/ Administration roles at NEPCP member agencies
Service Coordination/Intake roles at NEPCP member agencies.
First point of contact roles at NEPCP member agencies
6.3 Development of the Survey
The development of the survey was devised to meet the aims and objectives
of the evaluation of both the “Have You Asked the Question?” training and
resource pack. The survey tool was designed to elicit improvements in levels
of knowledge of the 5 key concept areas of Yarning, Family, History, Identity
and Healing presented by the trainer. The survey also aimed to ascertain
whether the “Have You Asked the Question? Resources Toolkit was practical
and could be effectively implemented by the workforce. The survey offered
an opportunity to gain other ideas for improving the training and further
developing the “Have You Asked the Question?” resources. A number of
open responses were also provided to give an opportunity for further
suggestions on the types of information or resources that would assist
agencies in improving accurate identification of Aboriginal and Torres Strait
Islander community members within mainstream workplaces.
6.4 Method of Data Collection
Online Survey
The evaluation outcomes of the “Have You Asked the Question?” training and
resources kit were identified using the web-based Survey Monkey software.
The Online survey link was distributed directly to all those who attended the
“Have You Asked the Question?” training.
The Evaluation link was sent out to participants 2 weeks post-training to give
attendees time to reflect on the training and provide enough time for
attendees to implement the resources within their workplace either by placing
the stickers on their computer monitor/keyboard/phone or the mouse-mat on
their desk.
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6.5 Method of Analysis
The web-based Survey Monkey software enables collection of results in real-
time. The use of this software allows the attainment of both qualitative and
quantitative data. A summary of results are available in multiple formats.
Quanitative Analysis
Statistical collection methods aid the understanding of improvements in the level of
knowledge of the 5 key concept areas based on the training experience. Data
collection can also assist in better understanding how the Resources Toolkit was
used and which components were more successful in their practical implementation.
The Survey Monkey software allows filtering and cross-tabulation of survey results.
A summary of survey results can be presented in multiple formats. The results were
then presented as either Bar Graphs or in Table format.
Qualitative Analysis In accordance with the project aims and objectives, the focus was on the
development of a survey that could provide both qualitative and quantitative data.
The Survey Monkey software enables the viewing of open-ended comments and also
provides textual analysis. The use of qualitative data deems particulars methods are
used when comparing results. Coding, which signifies that the researcher looks for
various categories that may arise from intuition, theory or from the data itself was the
basis for the analysis. Manual coding were used for the qualitative data gathered
from the web-based survey. Any use of qualitative data involved in this survey, with
exception of anonymous direct quotes, involved the use of this material in a
descriptive way only. Anonymous direct quotes were used throughout the report to
demonstrate real experiences which may have been lost within the coding practice.
Chosen direct quotes reflected the majority coded view at that particular question.
Other Feedback
Both written and verbal feedback was received from agency workers that received a
‘Have You Asked the Question? Resource Kit. Any use of the qualitative data
received as verbal and written feedback, with exception of anonymous direct quotes,
involved the use of this material in a descriptive way only.
Photographic Evidence
Previous experience has shown that resources can be disseminated with little or no
use in practice. A request for photographic evidence, to demonstrate whether
resources were used and how they were used in practice, was made of training
attendees. The project worker wanted to guarantee that the resources were actually
being used. In order to evaluate their implementation, the survey was sent out two
weeks after the training attendance. Despite providing visual examples in the A5
Booklet on how to use the resources, the project worker also wanted to evaluate if
the resources could be used in other innovative ways that had not been planned..
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6.6 Limitations to the Study
Overall, the short time-span to complete the survey from survey design and
collection and analysis of data signified that particular criteria had to be met to
complete the survey results within the specified period. The design and methods of
data collection were also restricted due to the above limitations. As the targeted
audience was reception/administration/first point-of-contact staff, it was noted that
these roles may not always provide ‘down time’ for workers to complete the survey.
The survey consisted of 19 questions and dependent on worker role it could take a
respondent approximately 15-20 minutes to complete. This meant that workers had
to dedicate a large amount of time to this survey in comparison to shorter, faster
online surveys. A number of training places had been booked by a team leader or
manager and in a few circumstances the direct email address of the trainee was not
available for survey distribution. Therefore it cannot be certain that the survey
reached all intended training attendees.
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7. Presentation of Training Survey Respondent
Results
7.1 Survey Respondent Information In total, 50 respondents commenced the survey with 49 surveys (98%) being fully completed. There were 132 training participants over the two training days. The total response rate for survey completion by participants was 37%.
7.2 Agency Name The most agency responses for the Survey were from Banyule Community Health, North West Aged Care Assessment Service, Darebin City Council, and Nillumbik Community Health who all had 5 respondents each A range of other agencies were represented amongst respondents including;, Banyule City Council , Children’s Protection Society, Moreland City Council , Northern Support Services , Southern Cross Care, Playgroup Victoria Inc., Banksia Palliative Care, Nillumbik Shire Council, Waratah Special Development School, Northern Support Services ,Youth Support and Advocacy Service ( YSAS), Whitelion, ISIS Primary care , Department of Education and Early Childhood development (DEECD), Merri Community Health Services, Tweddle Child and Family Services, City of Yarra, Melbourne City Mission, Eastern Victorian Aboriginal Child Care Agency (VACCA) and Neami National.
7.3 Local Government Area (LGA) Representation Respondents came from a variety of Local Government Areas (LGAs) although NEPCP principally targeted the LGAs of Banyule, Darebin and Nillumbik from whence the majority of respondents came. However, The LGAs of Moreland, Yarra, Whittlesea, Maroondah, Melbourne, Brimbank, Maribyrnong and Moonee Valley were represented.
7.4 Respondent Role Respondents represented a broad cross-section of agency employees and ranged from non-clinical roles such as reception and administration through to assessment officers, intake workers, nursing, counsellors/social work, project staff and managers. Intake/Service Coordination and Assessment roles had 16 respondents. Reception/Administration had 6 respondents. Counsellor/Social work 5 respondents, Nursing 5 respondents and Case Managers 3 respondents. There was a large number of responses from single roles which included but were not limited to; Youth Outreach Worker, Clinical Supervisor, Team Leader, Respite Manager, Aged Care Assessment Service, Maternal and Child Health, Immunization, Community Nurse, Project Officer, Student Wellbeing Officer, Aboriginal Liaison Worker Child FIRST, Koori Community Engagement Officer, Recreation Facilitator, Manager, Trainer and Pre-School Field Officer amongst other role types.
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Discussion of Respondent Results Of those who completed the survey, the respondents were representative of the targeted worker role type (first point of contact staff) and also the majority of respondents were from the targeted NEPCP catchment areas of Banyule, Darebin and Nilllumbik. Surpisingly, there was large interest from workers who were willing to travel large distances, such as from the Western and Eastern suburbs to attend the training, which may suggest a need for specific self-identification/identity training. Often identity and self-identification training is located within general cultural competency training and yet this topic is itself very complex and deserves to have specific training time dedicated to this topic as a separate unit.
The interest and potential need for this type of training did not highlight any particular role type that attended the training. Workers represented employment roles across the life-span including early years, youth and aged care services. The results indicate that self-identification training and resources are relevant to all and could potentially be ‘rolled out’ to all agencies irregardless of worker position, agency role or organization location.
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8. Presentation of Training Survey Results
8.1 Training Day attended by Respondents
Chart 1: Question 2: Which training day did you attend?
Of the respondents, 54% attended on Thursday 21st and 46% attended on Monday 18th August. Therefore similar numbers of respondents attended both training sessions.
8.2 Previous Attendance at Training Related to Self-Identification
Chart 2: Previous Attendance at Training related to Self-Identification
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The majority of respondents (56%) had never attended any training (including Staff orientations session) related to self-identification of Aboriginal and Torres Strait Islander community members or any training that included issues related to Aboriginal and Torres strait Islander identity (See Chart 2). Only 44% of respondents had participated in the above-mentioned type of training.
8.3 Type of Self-Identification Training Attended
Chart 3: Type of Self-Identification Training
Of those who had received some type of self-identification/identity training, 19 (n=22) respondents stated that this training was incorporated into general Aboriginal cultural competency training. Only 3 people had participated in Self-Identification/Identity only training (See Chart 3).
8.4 When was this Training received?
Table 1: Type of Self-Identification Training
Of those who had received some type of self-identification/identity training, 19 (n=22) respondents stated that this training was received within the last 2 years. Three people stated that they had received this training 2-4 years ago.
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8.5 Level of Satisfaction with the Trainer and Training
Chart 4: Level of Trainer Satisfaction
Please rate your level of satisfaction with the trainer and the training provided.
1. The trainer was knowledgeable about the course material
2. The trainer delivered the content at a satisfactory pace
3. The trainer used appropriate and engaging training methods
4. The trainer was effective in using personal experiences to demonstrate key concepts
5. The trainer encouraged participation and interaction throughout the session
6. The trainer provided adequate time for questions and discussions
7. The trainer answered questions effectively
From the respondents, 94% agreed or strongly agreed that the trainer was
knowledgeable about the course material. Ninety two percent (92%) agreed or
strongly agreed that the trainer delivered the content at a satisfactory pace with the
same results for the use of appropriate and engaging training methods. Seventy six
percent (76%) strongly agreed that the trainer was effective in using personal
experiences to demonstrate key concepts. Ninety two percent (92%) agreed or
strongly agreed that the trainer encouraged participation and interaction throughout
the session. From the respondents, 96% agreed or strongly agreed that the trainer
provided adequate time for questions and discussions and 86% agreed or strongly
agreed that the trainer answered questions effectively. (See Chart 4)
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Comments
There were 15 responses to this question. Not all comments are displayed. Comments displayed reflect the general themes within the comments section.
8.6 Overall experience of the “Have You Asked the Question?” Training
Chart 3: Type of Self-Identification Training
Comments (8 responses displayed)
I was really impressed with the way Nathan used his personal experiences to help us understand the content and to see things from another point of view.
Thank you to Nathan for delivering the information in a genuine and heartfelt manner
Difficult subject for personal experiences to be separated from overall presentation in non-blaming manner
Very engaging, non-threatening speaker
Nathan provided an engaging, poignant and insightful presentation. He was a fantastic speaker and I thoroughly enjoyed the whole presentation.
The best training I have ever seen! It was fantastic.
The trainer was knowledgeable, engaging, honest and open with his presentation.
Friendly, funny and engaging
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1. The number of training hours was sufficient 2 The training room and facilities were adequate 3 The training met my professional expectations 4 The course was pitched at my level of experience 5 I have gained new skills and knowledge in identity and self-identification 6 I feel more confident to ask consumers about their Aboriginal and Torres Strait
Islander status 7 The training has provided an opportunity for me to improve Aboriginal and Torres
Strait islander self-identification practices within my organisation 8 I am very satisfied overall with the training in identity/self-identification 9 I would recommend this training to others.
Of those who had responded, ninety three percent (93%) agreed or strongly agreed that the length of training was sufficient.
Ninety-eight percent (98%) strongly agree or agreed that the training room/facilities were adequate.
Eighty-six percent (86%) agreed or strongly agreed that the training met personal professional expectations and that the course was pitched at their level of experience.
Eighty-six percent (86%) of respondents either agreed or strongly agreed that they had learnt new skills and knowledge in identity and self-identification.
Eighty-six percent (86%) of respondents either agreed or strongly agreed that they felt more confident to ask consumers about their Aboriginal and Torres Strait Islander status
Eighty percent (80%) of respondents agreed strongly or agreed that the training has provided an opportunity to improve Aboriginal and Torres Strait Islander self-identification practices within respondent organisations.
Eighty-six percent (86%) of respondents either agreed or strongly agreed that they were very satisfied overall with the training in identity/self-identification.
Eighty-eight percent (88%) of respondents either agreed or strongly agreed that they would recommend this training to others.
Comments There were 11 responses to this question. Not all comments are displayed. Comments displayed reflect the general themes within the comments section
Comments (4 responses displayed)
Whilst our organization asks the question-it is in a very tokenistic way as we really don’t
take the time to promote/engage in a view that addresses equity.
It should be a simple issue in a way but I do feel more comfortable about this now. Also
descriptions of Indigenous family units and other cultural issues was really interesting and
useful and information I hadn’t really had explained before.
I am in my 60s and often experience 101 again. But I did update and increase awareness
and learn something new.
I have advised my managers that if ever this course is offered again, I would recommend
all team members from (the agency name) be given the option to attend.
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8.7 Improvements in the 5 Key Concept areas of Yarning, Family, History, Identity and Healing
Nathan Leitch-the presenter, spoke to 5 key areas of knowledge that will support you in your working with Aboriginal and Torres Strait islander community members, particularly in the area of self-identification. Have you improved your knowledge of the concepts of Yarning, Family, History, Identity and Healing with respect to Aboriginal and Torres Strait Islander community members?
Chart 4: Type of Self-Identification Training
1. Yarning (included; the Aboriginal concept of 'time' and of 'respect' between generations,
body language and use of silence)
2. Family (included Aboriginal concepts of family and kinship, family may not be related by
blood and a sense of connection to land and people)
3. History (included the impact of dispossession on Aboriginal and Torres Strait Islander
community members today resulting in various issues such as poverty and poor health,
historical mistrust and fear of various institutions and feeling culturally safe).
4. Identity (included; right to self-identify, stereotypes, appearance is not a factor related to
Aboriginality, identity is an individual issue with a number of people only recently
discovering their heritage)
5. Healing (Included; most individuals almost definitely have been affected by several inter-
generational traumas, respect the person's concept of family, traditional beliefs and
connection to country, take time to develop a connection)
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Of those who had responded, ninety percent (90%) agreed or strongly agreed that they improved their knowledge of Yarning, Family and Identity.
Ninety-two percent (92%) strongly agree or agreed that they improved their knowledge of Healing and
Seventy-eight percent (78%) agreed or strongly agreed that their knowledge of History was improved.
Comments
There were 11 responses to this question. Not all comments are displayed. Comments displayed reflect the general themes within the comments section
Comments (7 responses displayed)
Nathan brilliantly painted a picture of all these concepts
I think I already had a good understanding of the negative impacts of
dispossession etc.. but I benefitted a lot from the information presented
regarding other areas.
The powerpoint visual slides were very powerful and provided a clear
message
Basically everyone in the community sector (not just health setting) would
benefit from this training.
Well presented.
I think discussing the above terms and concepts was really important but I
think people wanted more information. I understood it wasn’t a full history
lesson.
Went home and did some research. Now I’m hooked and need to know
more, more, more.
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8.8 What did you like most about the training?
There were 36 responses to this question. Not all comments are displayed. Comments displayed reflect the general themes within the comments section
Comments (33 responses displayed)
The trainer had a complete understanding of Aboriginal issues.
I enjoyed listening to his (the trainers’) personal experience and his own family as
a way to understand the meaning
It is inspiring to hear what a difference it has made to improving services, just by
“asking the question”.
Understanding of how previous/older generations’ upbringing and childhood
experience can affect the younger generation
The generational photos shown by Nathan of his family were very impactful and
everything else was very educational.
Presented by someone who knows from his own experience
I really liked Nathan’s relaxed but respectful approach. I really learnt a lot.
Interaction between presenter and attendees.
I really appreciated Nathan’s sharing of his journey and family history.
Providing a forum for increasing Aboriginal Torres Strait islander awareness with
community workers.
I liked the fact that Nathan spoke about personal experience. Facts and
knowledge is great however when personal stories are told they really stick and
have extra meaning to those who have listened.
The greater cultural understanding of families that it provided.
Gave more of an understanding about the concept of family and a reminder of
how far Australia has to go in terms of Aboriginal health.
I feel more confident in able to answer people if they ask why I needed to ‘ask the
question’ and more likely to feel able to educate those people who make
comments like “would I get more if I was..?”
I definitely learnt some new things.
That it wasn’t blaming white Australia but acknowledged that past injustices
have led to current situation.
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(What did you like most about the training? Continued)
Comments (33 responses displayed)
The speaker and the opportunity to ask questions
The training provided evidence that we need to keep promoting these messages and
creating opportunities for further training.
Its comprehensiveness and hearing Nathan’s personal story was extremely important.
I am personally very passionate about culturally appropriate practice and think this
training on its own has improved my work immensely.
It broadened my skills and gave a deeper understanding of why we ask that question.
Authenticity of presenter and how he opened and developed issues.
Nathan demonstrated and made information “real”.
Challenged me to think deeper about where my thoughts stand and how to
communicate respect.
To have a greater understanding of Aboriginal and Torres Strait Islander people ‘s
difficulties with the health systems. I feel I need to know more; this was a good
beginning.
The friendly manner in which it was presented and good practical tips
Enhanced my awareness of Aboriginal Health and lack of knowledge in this area
Nathan was very personable, used humour to good effect, demonstrated very good
knowledge of the subject and imparted that extremely well.
Nathan was funny but professional and engaging. I have now gone and watched a
documentary he recommended
The trainer was able to speak from direct knowledge; had a great sense of humour;
eloquent and good pace
I thought the use of Nathan's own personal family photos in the training helped engage
the audience as well as delivering a powerful message.
Non blaming approach- inviting one to be curious, added to previous knowledge I had
It had personality, soul and real life context.
Nathan reflected on his own family throughout the presentation. He made it authentic
and engaging for his audience.
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8.9 What (if any) improvements could be made to the “Have You Asked the Question?” Training?
There were 22 responses to this question. Not all comments are displayed. Comments displayed reflect the general themes within the comments section
Comments (13 responses displayed)
More about adverse reactions - more examples of that - from Aboriginal and
non Aboriginal point of view
Please make the workshop longer - opportunities for discussion.
Extra time for more information to be passed on.....
Greater focus on what to do when/if someone does identify, it's not just
enough to 'ask the question', you need appropriate follow through if they do
identify.
More resources to distribute to our work places. Perhaps there is opportunity
for agencies to contribute funds to order more?
No changes-excellent presentation relevant to our work area.
It should be longer! This could easily be fleshed out into a whole day training
and I think workers across many sectors would benefit from detailed training
on cultural competence in working with Aboriginal people.
Excellent presentation relevant to our work area
I think some small group time around a couple of questions and large group
feedback...just to increase self awareness in participants
I would have appreciated advice or support on how to bring it back to my
centre. To look at tools to take it a step further in generating changes. The
information packs are great…but maybe also a thought poster or challenging
thoughts poster to put in the staff room..something to make people ask
questions...or discussion with each other. Or maybe a an A4 sheet or a box of
things to put on the staff room table –that generates grass root discussion.
More practical aspects around actually 'asking the question'
Actual cases with people talking about how they've been treated, to
demonstrate great service and unacceptable service.
That my whole team had attended and learnt the same amazing things that I
did.
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8.10 Certificate of Attendance
All participants were provided a Certificate of Attendance which outlined briefly what was included in the training.
Chart 5: Certificate of Attendance
1. The Certificate of Attendance was valuable as evidence of the specific professional
development received
2. The Certificate of Attendance is useful as a demonstration of specific training received for
future employment
3. Receiving a Certificate of Attendance demonstrates the importance of workers receiving
specific training on identity and self-identification of Aboriginal and Torres Strait Islander
Community members
Of those who had responded, eighty-six percent (86%) agreed or strongly agreed that the Certificate of Attendance was valuable as evidence of specific professional development.
Seventy-eight percent (78%) agreed or strongly agreed that the Certificate of Attendance is useful as a demonstration of specific training received for future employment.
Eighty-four percent (84%) strongly agree or agreed that receiving a Certificate of Attendance demonstrates the importance of workers receiving specific training on identity and self-identification of Aboriginal and Torres Strait Islander community members.
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8.11 Discussion of Training Survey results
Surprisingly the training survey results show that over half of the respondents had
never received prior training around identity or self-identification. As self-identification
of Aboriginal and Torres Strait Islander people is mandatory for a number of services
or incorporated into intake/assessment processes, a higher rate of training attendance
in this area would have been expected. A large number of people who missed out on
a training place asked to be wait-listed for future training opportunities. This interest
indicates a continued and on-going need for mainstream service providers to
undertake self-identification/identity training within a broad social determinants
framework.
Overall, there was strong agreement that the trainer that delivered the “Have You
Asked the Question?” training was knowledgeable, engaging, used personal
experience to great affect and there was adequate provision for questions and
discussion. In particular, a number of comments noted the benefits of Nathan’s use
of family photographs as a true demonstration of historical family experience and
impact on identity over time. The majority of respondents agreed that the number of
training hours was adequate and that the training met their professional expectations
and pitched to their knowledge level. Overwhelmingly (86%) of respondents felt that
this training had given them more confidence to ask consumers about their
Aboriginal and Torres Strait Islander status and had provided them an opportunity to
improve self-identification practices at their organization. The majority of
respondents were very satisfied with the training and would recommend this training
to others.
The training was based on 5 key concept areas of yarning, family, history, identity
and healing. Those who attended the training indicated that there were very strong
improvements in their awareness of these concept areas. In particular, ninety-two
(92%) and ninety percent (90%) respectively felt they had improved their knowledge
of Healing and secondly Yarning/Family and Identity.
From individual comments, the trainer’s style and use of personal experience and
stories added significant value to the learning experience. The training content that
covered five concept areas, broadened people’s understanding and comments
reflected that these new learnings were translatable to worker practice. Attending
the “Have You Asked the Question?” training had also motivated a number of
attendees to continue to increase their knowledge outside of the training experience.
Suggested improvements to the training included making the training longer or
breaking up into smaller groups and provision of more practical examples or case
scenarios around ‘asking the question’. There is opportunity to develop further
education opportunities that complement the training that was presented with a
session/sessions of practical case examples. Eighty six and seventy eight percent of
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training attendees respectively agreed that a Certificate of Attendance was valuable
as evidence of specific professional development and useful when seeking future
employment. The receipt of a Certificate of Attendance recognizes the importance of
this topic and should continue. Post-training, the project worker was contacted by a
number of attendees who had not received their Certificate of Attendance on the day
but saw value in having a Certificate as evidence for professional development
and/or future work opportunities.
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9. Presentation of Self-Identification Resource Pack
Survey Results
9.1 The Resources Toolkit is an A5 booklet that provides information on why the resources were developed and how the resources can be used. Has this booklet been useful?
Chart 6: Resources Toolkit
Of those who had received the A5 Booklet (n= 46), 26 people stated that they found the booklet useful, 1 person did not find it useful and 19 people were still to read the booklet. (See Chart 6)
9.2 Did you receive the Resource Pack consisting of a mouse-mat, computer monitor sticker, a phone sticker and an A5 Sticker?
Chart 7. Resource Pack
From the survey, 43 people received a Resource Pack and 3 people did not.
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9.3 Resource Pack: Mouse-mat, computer monitor sticker, a phone sticker and an A5 Sticker
If yes, since you returned to your office have you or a work colleague been able to use the resources, eg. Have you placed the monitor sticker on the monitor?
Chart 7: Resources Toolkit
From the results, the most popular item was the mouse-mat with 31 people having
implemented the resource and another 9 intending to do so. The Monitor/Keyboard
sticker was the next most popular item with 34 people either implementing or intending
to use this sticker. The A5 Sticker saw 33 people either using or intending to use this
resource. The phone/mobile phone sticker was used by 13 people and 14 people
intending to use this item.
9.4 Which resource components are important to the survey respondents?
Chart 8: Resources Toolkit
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1. The resources highlight the correct wording 'Are You of Aboriginal or Torres Strait Islander
Origin? (AIHW guidelines)
2. The resources (mouse-mat and A5 sticker) contain the Victorian Aboriginal Health Service
phone and website details
3. The resources contain a locally designed artwork
4. Aboriginal and Torres Strait Islander flags as symbols of importance
5. The mouse-mat highlights a number of things to consider: Don't guess, Ask Everyone, Be
sensitive etc.
6. The mouse-mat base is Eco friendly made from 100% recycled car tyre rubber
7. The A5 sticker addresses issues raised by workers such as whether the question is
discriminatory, the right to self-identify, asking all members of a family and not pre-
judging people based on appearance.
8. The A5 sticker provides possible staff responses if a consumer asks why you are asking
them whether they are Aboriginal or Torres Strait Islander
From the results, the four most popular items (being very important or important) in
order were; The correct wording ‘Are you of Aboriginal or Torres Strait Islander Origin?”,
Aboriginal and Torres Strait Islander flags, that the mouse mat is eco-friendly and that
the mouse-mat highlights things to consider in practice.
9.4 What did you like most about the “Have You Asked the
Question?” Resources?
There were 26 responses to this question. Not all comments are displayed. Comments displayed reflect the general themes within the comments section
Comments (24 responses displayed)
“Don't guess, ask everyone” and the artwork
The design and it stands out.
It's direct and concise
The question "Are you of Aboriginal or Torres Strait Islander Orgin" is clear and
easily seen on all resources, the contact details of VAHS is available and there are
examples of how to answer possible responses
Increased awareness
Mouse-mat to prompt me asking the question.
They are colourful, distinctive and available on the day.
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(What did you like most about the ‘Have You Asked the Question?’ Resources? Continued)
Comments (24 responses displayed)
They are simple and have very clear messages.
They have acted as a vehicle to open communication within my team. And
the artwork!!!
Reminders
Simple but effective
Easy to read and understand.
The keyboard sticker
Art work
Having the correct wording
I used to be in an Intake role previously, and I think that in that role these
resources would have been invaluable.
Great for prompts
That it gives responses if you're asked why you're asking the question.
Love the mouse pad the best.
Nice design, looks great
Mouse mat very practical and can be used daily without taking up
unnecessary space…
Just very useful to have such resources.
Easy to use in a practical way
The A5 sticker, as I will be putting it up on staff notice board.
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9.6 Ideas to Improve the Resources
What (if any) improvements could be made to the "Have You
Asked the Question?" resources? (Resources being mouse-mat/stickers)
There were 10 responses to this question. Not all comments are displayed. Comments displayed reflect the general themes within the comments section
From the 10 responses, 8 responses stated that no changes were required. There
were three responses that provided suggestions including; more
information/instructions on what to do once someone does self-identify, that there
were more resources available to distribute to kindergartens, schools and teams.
The final comment was that keep (the resources) up as they are fantastic!
9.7 Discussion of Resource Pack Survey results
From the survey results, the self-identification resources proved extremely successful
as a method to further promote the self-identification of Aboriginal and Torres Strait
Islander community members within mainstream agencies.
The Resources Toolkit that contained background on the development of the
resources, the use of local artwork and photographic examples of the resources and
how they can be practically used in the workplace was seen as very useful by
workers.
The most popular item from the Pack was the mouse-mat, keyboard sticker, A5
sticker and mobile/ phone sticker in that order. However, individual use of items was
often dependent on work spaces and work equipment. The flexible nature of the
resources was also noted with workers also placing stickers on a staff notice-board
and a filing cabinet. Whilst the Booklet provided suggested uses for the resources, it
was positive to note that workers were able to adapt the resources to their own
environment.
Comments (4 responses)
Instruction on what to do if someone does self identify.
More of them that we can distribute to teams, schools, kindergartens etc.
No changes neccessary keep them up they are fantastic!
No changes!
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Workers valued the clear use of the correct wording “Are you of Aboriginal or Torres
Strait Islander Origin? (AIHW guidelines). Other important components were the
presence of the Aboriginal and Torres Strait Islander flags, that the mouse-mat is
eco-friendly and that the mouse-mat highlighted things to consider in practice such
as “Don’t Guess, Ask Everyone. Be sensitive”. Overall, all components contained on
the resources were deemed to be of value including; the Victorian Aboriginal Health
Service (VAHS) contact details, the locally designed artwork and that the A5 sticker
provided some possible staff responses if consumers asked why they are being
asked whether they are of Aboriginal or Torres Strait Islander origin.
The artwork was highly praised in individual comments with many people finding the
design and artwork of the resources visually pleasing. People liked the colour and
how the artwork had been incorporated into the resource design. People also
enjoyed that the wording was simple, easy to read and had the correct wording
(AIHW Guidelines) within easy sight. It was noted in a number of comments that the
resources did not take up unnecessary space on a desk and could easily be placed
on the computer monitor/keyboard or work station and be used/seen on a daily basis.
A number of people also felt that having these resources was a continual prompt and
reminder of why and how to ask the question. One of the aims of the project was to
find a more permanent prompt to reinforce the need to ask the self-identification
question as part of standard work practice. Previous research had noted that some
workers did not ask the question, had stopped asking the question once challenged
or made assumptions about identity in their practice however based on survey
feedback the permanent reminder and use of clear wording in the resources has
ensured a consistent approach and continual reminder to employees workers to ask
all people accessing their services about their Aboriginal or Torres Strait identity
status.
The chosen wording, artwork and design were all seen as highly effective.
Suggested improvements to the resources were “to not make any changes” at all
Access to further resources (each trainee received one pack of resources) for other
workers or teams was the only suggestion provided. Feedback indicates that there a
is no need to modify the resources and their successful implementation is
demonstration of their relevance and usefulness in supporting self-identification of
Aboriginal and Torres Strait Islander community members within mainstream
workplaces.
The “Have You Asked the Question?” self-identification resource kit (mouse-
mat/stickers/booklet) proved to be an innovative way to provide clear, concise and
easily accessible resources that support self-identification practices within
mainstream workplaces. The resources themselves, despite being a locally
produced resource, are very applicable to all work place roles, across agencies and
sectors and have demonstrated that they can be implemented across geographical
regions.
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10. Any Additional Feedback
Please provide any additional feedback that you think would
enhance the training and resources or other ideas for improving
self-identification of Aboriginal and Torres Strait Islander
consumers within agencies.
There were 10 responses to this question. All comments are displayed. Comments
displayed reflect the general themes within the comments section.
Comments (10 responses)
Smaller group setting
Breaking up into groups and having some 'yarn' style presentation would be a
lived experience of how Aboriginal Torres Strait Islander people prefer working
Another training session in six months to check in with people and see if the
training/resources has made a difference
My program is currently attempting to engage Aboriginal young people across
Metropolitan Melbourne. Lack of self-identification is a huge barrier to
receiving our service among other reasons. I would like to discuss this further,
potentially with Nathan if it is within his capacity to do so. I will attempt to
contact him by email.
The resources are great but it is the change in attitude that is most important.
This is a very hard point to quality and quantify. The resourses aim could be to
ignite the discussion and action. Putting it into practice that leads to
acceptance, openess and change in behaviour. The resources are lovely but
just a step in the direction. I think being an agenda item at a meeting to
remind people on a regular basis. Doing a quizz with a message that
stimulates reflections. I think Nathan's passion invites and attracts people ...
We need the beautiful, well considered and greatly thought about resources as
one part. Maybe we need more leaders in organisations to promote and
include the question but also what the question is leading too.
I would have liked to have had more positive conversations and also role plays
or videos of how to approach sensitive issues and what are the sensitive issues.
More toolkits to pass on throughout our team
Thank you so much for this training experience, like I said earlier it is useful to
the entire community and health sector and needs expansion! Thanks Nathan!
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(Any Additional Feedback Continued)
There were a number of suggestions/comments that training attendees made at the
end of the survey. Suggestions included; small group work, a repeat training session
in six months to see if resources/training had made a difference, opportunity for role
plays or videos on how to approach sensitive issues in a practical sense and more
toolkits to be available for other team members. Comments included; that the
resources were great but it is attitude that is hard to change and they (the resources)
can be a starting point to open discussion and start action. The influence of leaders
in an organization was also noted and that this training experience would be
expanded to the entire health and community sector.
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11. Unintended Training and Resource Pack
Outcomes
There were a number of other outcomes from the development of the project that
were unintended.
Interest in the ‘Have You Asked the Question?’ Training exceeded all
expectations and the available places outnumbered those interested to attend.
The training which principally targeted NEPCP catchment agencies saw interest from
a large number of organisations representing various geographical regions of
Melbourne. A number of these agencies from the Western and Eastern regions were
allocated places at one of the training days. A number of people requested to attend
the “Have You Asked the Question?” training that came from rural and regional areas
however a place was not able to be made available due to high local demand. Due
to the high interest, NEPCP initially capped the training at 120 places but slightly
extended this to 132 workers for the two sessions. A number of agencies also
requested that large numbers of staff (up to 12 people) or a whole team attend the
training. However, in order to provide opportunity to the majority it was decided that
a number of agencies send just one worker to represent an agency who could then
share some of the learnings back to their team/agency. A number of agencies who
missed out on a place also offered to pay for a training place.
Training Resource Pack Distribution and Offers to Pay for Resources
All attendees at the training received a Resource Pack however a number of the
agencies made follow-up requests for further resources to be acquired for their
staff/team. A number of agencies also offered to pay for further resources to
distribute to other team/agency staff. However at the time it was decided that the
resource packs should be distributed when the individual had received some training
around identity or self-identification issues. Therefore this request was not taken up.
HealthWest a Primary Care Partnership, who also was offering training, requested
120 packs for distribution in the Western region and a due to the size of the order a
minimal re-order fee was charged.
Follow-up Requests for Further Information Related to Agency Self-
Identification Policies/Guidelines and Practices.
A number of agencies made contact with Sally Berger, the project worker, to discuss
a number of issues related to self-identification policies, procedures and
opportunities to make change at their agency. The project worker sent sample self-
identification policy documents to two agencies, provided feedback on a query that a
health service had around their self-identification procedure and forwarded relevant
self-identification posters as requested. A number of links to the AIHW Guidelines
and sample policy and procedures were forwarded on request.
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(Unintended Training and Resource Pack Outcomes Continued)
Follow-up Requests for Further Training Opportunities
A variety of agencies were wait-listed for the training, in case a place became
available at either of the sessions. A number of these organisations made follow-up
phone calls to ascertain if the training would be repeated in the future. For the
agencies that resided in the Western region, HealthWest training details were
forwarded to them. The disability services sector were also provided with a number
of spaces at the HealthWest training due to NEPCP’s participation on the Balit
Narrum Working Group and the opportunity to support work in this area. The
opportunity was advertised through Balit Narrum and a number of agencies took up
the offer and attended the HealthWest training. A number of agencies also made a
enquires as to whether they could pay to have the same session delivered to their
staff by the same trainer. Agencies were referred to the trainer or details of other
trainers were provided.
Follow-up Request for General Support
A number of agencies made general requests after the self-identification training
including an agency who had had difficulty engaging with young people and wanted
general advice about strategies they could implement to improve access to their
services. Another agency also wanted specific information about Aboriginal-specific
resources in her area of focus. One agency wanted to have further information about
employment, recruitment and retainment of Aboriginal workers. On all these
occasions, NEPCP was able to provide advice or refer the agency to available
resources/supports.
Agency Request to Adapt Resources for their Agency
The NEPCP Worker also had a number of requests by agencies to pay for the
replication of the resources and potentially add their own logos or artwork to the
resources. These requests were not within the scope of the project.
Opportunity for Partnership Work with Other PCPs
A number of agencies from the Western suburbs wanted to attend the NEPCP’s Have You Asked the Question? Training however places had been filled. With consent their details were provided to HealthWest as they had also planned to run Cultural Awareness training sessions. NEPCP was able to support the training by sharing the ‘Have You Asked the Question?’ Resource Kit with HealthWest including permission to use the flyer detail. HealthWest ordered 120 Resource Kits which were distributed to the agencies who attended the cultural awareness training that HealthWest was facilitating in the Western region. Agencies who received a “Have You Asked the Question? Resource Pack included; Councils, Community Health, Not for Profit Organisations, Acute Health and General Practice. (See Appendix 4 for a List of agencies attending HealthWest Cultural Awareness training)
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(Unintended Training and Resource Pack Outcomes Continued)
Email and Photographic Feedback
Many agencies provided positive feedback via emails directly to the Project Worker.
A number of people wanted to thank Nathan for the training and to report the
success of the “Have You Asked the Question? Resources in practice. These emails
expressed positive responses around the artwork, the design and colours, the
practicality of the resources and inparticular, the easy to read exact wording based
on AIHW guidelines. One person proudly sent a photo of how they had used the
resources in their workplace. From this initial image, the project worker made a
request of other employees who had received the resources to send the project
worker photographic evidence on how they were being used in the workplace.
Numerous photographs were received with employees being quite innovative in how
the resources could be adapted for different purposes. (See Appendix 8 for some of
the photographic images received by the project worker).
Continued Resource Pack Distribution
The Resource Pack (mouse-mat and stickers) continues to be distributed widely. On
8th May 2015, Jo Atkinson (VAHS) and Sally Berger, the project worker, made a
presentation to the Victorian Maternal and Child Health Coordinator’s Meeting
including the ‘Have You Asked the Question?’ project. After this meeting, there were
requests by MCH Coordinator’s from eight Local Government Areas (LGAs) to have
enough resources to provide one resource pack for each MCH centre in their LGA.
Over 150 “Have You Asked the Question?” Packs were distributed across the State,
including two regional and rural LGAs. A further four LGAs are committed to
implementing the resources in all their Maternal and Child Health centres. A recent
request from Queensland after a referral from a NACCHO worker has also resulted
in a number of GP clinics in Queensland making use of the “Have You Asked the
Question?” mouse-mat and stickers. Through this interstate contact, NEPCP was
also able to link this Queensland agency back in with a NEPCP Queensland Health
contact that could also provide other locally relevant resources on self-identification.
Up to the writing of this report, requests for “Have You Asked the Question?”
Resource Kits continue to be made demonstrating the popularity and easy
applicability of these resources to local, regional, rural and interstate agencies.
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12. Conclusion
From past research undertaken by North East Primary Care Partnership (NEPCP), training alone does not ensure that there is sustained behaviour change when it comes to asking consumers about their Aboriginal or Torres Strait Islander status. Alongside training, an innovative but clear method for keeping the Indigenous identity question in clear view was required. Feedback from NEPCP agencies enabled the development of the “‘Have You Asked the Question?” Resource Kit. The Kit consists of a mouse-mat, computer/keyboard monitor, phone/iPad sticker, A5 sticker and booklet. Based on the evaluation, both the ‘Have You Asked the Question?’ training and the ‘Have You Asked the Question?’ Resource Kit were successful. Comprehensive training is important in providing a context for ‘asking the question’ and reinforcing why the question needs to be asked. . Allowing workers to gain a broad insight into how colonisation has impacted on Aboriginal social determinants of health leads to a greater awareness on the value of ‘asking the question’. The evaluation showed that when training is demonstrates that Aboriginality is not about skin colour but actually about relationships and cultural connections to community and history, there is a marked increase in understanding of why each person needs to be asked ‘the question’ Resources that are easy to use and easy to implement within workplaces are successful. The “Have You Asked the Question?” self-identification resource kit (mouse-mat/stickers/ booklet) has proved to be an innovative way to provide clear, concise and easily accessible resources that support Aboriginal and Torres Strait Islander self-identification practices within universal services. Consistent wording, based on the AIHW guidelines, located in full view provides a prompt and removes any uncertainty around wording. The presence of local Aboriginal artwork also reinforces the value of Aboriginal culture and having the Victorian Aboriginal Health Service details in plain view also encourages service options for Aboriginal community members. The resources are adapatable to a variety of environments due to the accessible and clear messages they contain. From the evaluation, the ‘Have You Asked the Question?’ Resource Kit is suitable to implement across a wide range of roles, agencies and geographical regions. In conclusion, self-identification of Aboriginal and Torres Strait Islander community members can be improved through multiple strategies such as targeted training and implementing the ‘Have You Asked the Question?’ resources. Delivered training demonstrated a marked increase in knowledge bases that support an improved understanding of identity and self-identification issues. Training, on its own however, does not assure that all community members are asked every time about their Aboriginal and Torres Strait Islander status. Identity and self-identification are complex issues. Multiple strategies need to be employed to improve self-identification outcomes and the resource kit has been effective as a continual reminder and in promoting employee confidence to ‘ask the question’. The “Have You Asked the Question?” self-identification resource kit (mouse-mat/stickers/ booklet) has proved to be an innovative way to provide clear, concise and easily accessible resources that support Aboriginal and Torres Strait Islander self-identification practices within universal services.
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13. Recommendations
Training Training evaluation recommendations include:
Self-identification training should be regarded as one component of a multi-level strategy that can improve self-identification of Aboriginal and Torres Strait Islander community members within mainstream agencies.
Training should not be one-off. Service providers require on-going Aboriginal and Torres Strait Islander cultural awareness training that incorporates identity and self-identification issues within a broad social determinants framework.
Opportunities for small group work or practical case-studies or scenarios on ‘asking the question’ could be incorporated to further enhance training.
“Have You Asked the Question?” Resource Pack Resource Kit evaluation recommendations include:
No changes are required to components/design of the ‘Have You Asked the Question?” Resource Pack
The ‘Have You Asked the Question’ resources form part of a multi-level strategy for improving the self-identification of of Aboriginal and Torres Strait Islander community members within mainstream agencies.
The distribution of the ‘Have You Asked the Question’ resources should preferably accompany some form of cultural awareness training so that there is understanding and reinforcement about self-identification and identity issues.
The ‘Have You Asked the Question’ resources should be promoted as an effective method to further prompt the self-identification of Aboriginal and Torres Strait Islander community members within mainstream agencies.
The implementation of the ‘Have You Asked the Question’ resources should be encouraged across all worker roles, agencies and sectors and across the North West and Metropolitan region.
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14. Appendices
Appendix 1: Have You Asked the Question? “Are You of Aboriginal or Torres Strait Islander Origin?” Resource Pack The Resource Pack consists of an A5 Booklet, one mouse-mat, one monitor/keyboard sticker, one phone sticker and A5 Sticker.
1. Have You Asked the Question? “Are you of Aboriginal or Torres Strait islander Origin? A5 Booklet. 8 page booklet.
Sample Page 1 Booklet Sample Page 2 Booklet Sample Page 3 Booklet Sample Page 4 Booklet
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(A5 Booklet Continued)
Sample Page 5 Booklet Sample Page 6 Booklet Sample Page 7 Booklet Sample Page 8 Booklet
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2. Have You Asked the Question? “Are you of Aboriginal or Torres Strait islander Origin? Mouse- mat. The mouse-mat was designed to consider and address a number of issues. The mouse-mat includes: Are You of Aboriginal or Torres Strait Islander Origin?’ wording in accessibly placed print as a
reminder to staff to use consistent wording as per AIHW guidelines every time
Locally designed artwork element. Feedback from agency staff and consumers showed the importance of incorporating locally designed artwork.
The Aboriginal and Torres Strait Islander flags. The use of the flags on the resources aims to promote the importance of these symbols.
Victorian Aboriginal Health Service(VAHS) logo and contact details. Easy access to VAHS phone and website details for staff use but also to provide contact details to Aboriginal and Torres Strait Islander community members as a service option.
The listing of practice reminders for staff such as Be sensitive, Use exact wording, Don’t guess, ask everyone etc... reflecting some of the issues raised in the Workforce Survey.
Mouse-mat base
is made from
100% recycled
tyres.
Sample Mouse-mat
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3. Have You Asked the Question? “Are you of Aboriginal or Torres Strait Islander Origin? Monitor/Keyboard Sticker This sticker was designed to consider and address a number of issues, including; Are You of Aboriginal or Torres Strait Islander Origin?’ wording in accessibly placed print as a
reminder to staff to use consistent wording as per AIHW guidelines every time
Locally designed artwork element. Feedback from agency staff and consumers showed the importance of incorporating locally designed artwork.
The Aboriginal and Torres Strait Islander flags. The use of the flags on the resources aims to promote the importance of these symbols.
Sample Monitor/ keyboard Sticker
COMPUTER MONITOR/ KEYBOARD STICKER This sticker has been designed to be located on the outside of a computer monitor in a horizontal fashion. The sticker can also be placed on the top of a desk-top keyboard or the keyboard of a laptop above the keys. These stickers are made from a durable material that should resist general wear and tear.
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4. Have You Asked the Question? “Are you of Aboriginal or Torres Strait islander Origin? Phone Sticker This sticker was designed to consider and address a number of issues, including; Are You of Aboriginal or Torres Strait Islander Origin?’ wording in accessibly placed print as a
reminder to staff to use consistent wording as per AIHW guidelines every time
Locally designed artwork element. Feedback from agency staff and consumers showed the importance of incorporating locally designed artwork.
The Aboriginal and Torres Strait Islander flags. The use of the flags on the resources aims to promote the importance of these symbols.
PHONE HANDSET OR MOBILE PHONE STICKER This sticker has been designed to be placed on the hand-set for a desk-top based phone.
The sticker can be placed on the back of a mobile phone handset.
The sticker can also be used on the cover of an iPad or other mobile tablet device or a laptop as a reminder when undertaking home-visiting or external assessments where a worker may need to input data on a mobile device/lap-top.
On phone handset
Inside Laptop
On front of iPad
On mobile phone
On mobile phone
On front of Laptop
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5. Have You Asked the Question? “Are you of Aboriginal or Torres Strait Islander Origin? A5 Sticker The sticker was designed to consider and address a number of issues. The mouse-mat includes: Are You of Aboriginal or Torres Strait Islander Origin?’ wording in accessibly placed print as a
reminder to staff to use consistent wording as per AIHW guidelines every time
Locally designed artwork element. Feedback from agency staff and consumers showed the importance of incorporating locally designed artwork.
The Aboriginal and Torres Strait Islander flags. The use of the flags on the resources aims to promote the importance of these symbols.
Victorian Aboriginal Health Service(VAHS) logo and contact details. Easy access to VAHS phone and website details for staff use but also to provide contact details to Aboriginal and Torres Strait Islander community members as a service option. Answers to Why you need to ask and possible staff responses were included based on the workforce development survey.
A5 STICKER The A5 sticker can be placed on a wall, notice board, desk, filing cabinet or other area that is within easy sight when workers are making contact with community members. If equipment/furniture is being leased or there are concerns about sticker removal in the future, Blue-Tack can be placed on the back of the sticker to attach it to your desk, board etc. This will ensure you have no difficulty removing it in the future. The sticker can be peeled and placed on a thick piece of cardboard and pinned to a noticeboard or other place where it is in view when you ‘Ask the Question’. The A5 sticker contains local art work, VAHS contact details, tips on how and why we need to ‘Ask the Question” as well as providing you some simple responses if either a community member or non-Aboriginal person asks you why are ‘Asking the Question’. These stickers are made from durable material that should resist general wear and tear.
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Appendix 2: Project Resources
2.1 Sample Training Flyer
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2.2 Sample Certificate of Attendance
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Appendix 3: List of Agencies who received “Have You Asked the Question?” Resource Packs at NEPCP’s Have You Asked the question? Training held in August 2014. *Note: Multiple employees from these agencies may have attended sessions.
1. Annecto
2. Austin Health
3. Australian College of Optometry
4. Banksia Palliative Care
5. Banyule City Council
6. Banyule Community Health
7. Basketball Victoria
8. Bubup Wilam Children's Centre
9. Bridgehaven
10. City of Yarra
11. City of Moreland
12. Children’s Protection Society (CPS)
13. Darebin City Council
14. Darebin Community Health
15. North and West Metropolitan Region Department of Education and Training
16. Interact Australia
17. Gambler’s Help Northern
18. ISIS Primary care
19. Life Without Barriers
20. McKillop Family Services
21. Melbourne City Mission
22. Merri Community Health
23. Nillumbik Community Health
24. NEAMI
25. Northern Psychology Clinic
26. Northern Support Services
27. Playgroup Victoria Inc
28. Mercy Health
29. Northern Aged Care Assessment Service
30. Relationships Australia
31. Salvation Army
32. Shire of Nillumbik
33. Southern Cross Care
34. Tweddle Child and Family Health Service
35. Victorian Aboriginal Child Care Agency Eastern
36. Waratah Special Development School
37. Whitelion
38. Yarra City Council
39. Youth Support and Advocacy Service (YSAS)
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Appendix 4: List of Agencies who received “Have You
Asked the Question? Resource Packs at HealthWest
Cultural Awareness Training held at Melton, Werribee and
Wyndham sites in December 2014 –February 2015
*Note: Multiple employees from these agencies may have attended sessions.
1. Active Medical 2. Baptcare, 3. BreastScreen Victoria 4. Brimbank Council 5. Care Connect 6. Carers Victoria 7. Department of Health and Human Services North and West 8. Department of Health and Human Services DHS Grampians 9. Diabetes Victoria 10. Dianella Community Health 11. Djerriwarrh Health Service 12. Evans St Clinic (Sunbury) 13. Gap Rd Medical Centre (Sunbury) 14. Hobsons Bay Council 15. ISIS Primary Care, 16. Lifeworks 17. Melbourne City Mission 18. Melton City Council 19. Royal District Nursing Servive (RDNS ) 20. Sunbury Community Health 21. Scott St Clinic (Melton), 22. Sunshine City Medical, 23. The Clinic (Sunshine) 24. Wyndham City Council 25. Watervale Medical Centre 26. Westcare Clinic (Melton) 27. Western Health
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Appendix 5: List of Agencies who attended the “Through
Aboriginal Eyes” - Orientation to Early Years Services.
Each passenger received a “Have You Asked the Question? Resource Pack in their
“Through Aboriginal Eyes” Calico Bag.
*Note: Multiple employees from these agencies may have attended.
1. Annie Dennis Children’s Centre
2. Banyule City Council*
3. Darebin Child Care and Kindergaten
4. Darebin City Council*
5. Darebin Community Health
6. Early Childhood Intervention Services (ECIS)
7. Goodstart Early Learning Centre Bundoora
8. Gower Street Kindergarten
9. Hellier Street Children’s Centre
10. Kalparrin Early Intervention Centre
11. Noah’s Ark
12. Services Connect –North East
13. Shire of Nillumbik*
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Appendix 6: List of Maternal and Child Health Services that
have received or requested the ‘Have You Asked the
Question?’ Resource Packs
1. Victorian Maternal and Child Health(MCH) Coordinators -8th May 2015
Meeting at Municipal Association of Victoria (50 packs)
2. City of Ballarat MCH staff
3. City of Kingston MCH
4. City of Maribyrnong MCH
5. Knox City Council MCH.
6. Glen Eira City Council MCH
7. Moira Shire Counci MCH
8. Wyndhum City Council MCH
9. City of Melbourne MCH
10. City of Moreland MCH*
11. City of Darebin MCH*
12. Banyule City Council MCH*
13. Nillumbik Shire Council MCH*
*MCH Agencies of the Strong Culture, Strong Future Working Group have agreed to implement the
‘Have You Asked the Question?” Resource Kit across their LGAS
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Appendix 7: List of Other Agencies that received resources
or further resources “Have You Asked the Question?
Resource Packs at
1. Peninsula Health
2. BreastScreen Victoria (25 Packs)
3. Albanycare 7 Day Medical Centre –Queensland (4 packs)
4. PANDA National Perinatal Depression Helpline (15 packs)
5. Mercy Hospital for Women (Heidelberg & Werribee Maternity sites) (30 packs)
6. Banyule Community Health Dietetics Team (4 packs)
7. NEPCP Governance Group October 2014 meeting attendees.
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Appendix 8: Samples of Photographic Evidence of use of
Have You Asked the Question Resources by universal
service providers*
*Images displayed with permission are a selection only of received photographs
City of Ballarat
Maternal and Child Health Centres
City of Hume.
Breastcreen Victoria
123 Clinic, Broadmeadows.
Shire of Nillumbik
Aged and Disability Team
City of Banyule.
Banyule Community Health
West Heidelberg site
Front reception desks.
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(Appendix 8: Photographic Evidence Continued)
City of Banyule
HACC Assessment Team-
Phone sticker on outreach
folder.
City of Moreland
Merri Community Health.
Vic Place site.
City of Maribyrnong
ANNECTO, Footscray
City of Kingston
Maternal and Child
Health Centre
City of Yarra
PANDA National Perinatal
Depression Helpline
City of Darebin
Children, Families and
Community Team
x
“HAVE YOU ASKED THE QUESTION?”
PROJECT EVALUATION REPORT
“The session I attended gave me confidence in ’asking the question’ which I had
hitherto felt uncomfortable with. Having the mouse-mat was a great aid in giving me
confidence to go ahead. I always glance at the bottom right where it says ‘Don’t
Guess, Ask Everyone, Use Exact Wording” and now I do that, without hesitation”
Local Council Worker
“It should be a simple issue in a way- but I do feel more comfortable about this now.
The descriptions of family units and cultural issues was interesting and useful
information and I hadn’t really had them explained to me before”
Early Childhood Worker
HAVE YOU ASKED THE QUESTION? “ARE YOU OF ABORIGINIAL OR TORRES STRAIT ISLANDER ORIGIN? PROJECT EVALUATION REPORT
NORTH EAST PRIMARY CARE PARTNERSHIP AND VICTORIAN ABORIGINAL HEALTH SERVICE, 2015.
PLEASE HELP US TO IMPROVE THE HEALTH OF ABORIGINAL AND TORRES STRAIT ISLANDER VICTORIANS