Diversity

Behind Bars &

Beyond Alison Coelho CEH

Acknowledgements

Pastor Daniel Community Leader Zachariah Tapuwa Bofu-Community Engagement-CEH

CEH •  Provides support to agencies in Victoria and

across Australia on developing culturally competent service systems. This is undertaken via training, capacity building, research, resource development, project management and consultancy.

§  Multicultural Health & Support Service §  partnerships with the community,

education, support and advocacy

CEH are leaders in: • Cultural Competency • Health Literacy • Community Participation • Understanding Collectivism

& Health Belief Systems

MHSS works with: •  communities from refugee &migrant backgrounds, asylum seekers and mobile populations including international students

•  service providers, and; Multicultural •  organisations including

ethno-specific services.

What we know •  In 2016 65, 000 people are living with Hepatitis

B of that 7.1% are people born in Africa and Middle East

•  1 in 4 people living with Hep B will die of liver cancer

•  Only 5% of people living with Hep B are on treatment

•  In 2016 55,760 people living with Hepatitis C •  New medicines have a 95% cure rate Ref: 1. MacLachlan, J et al fact sheet, Hepatitis Victoria 2016 2. Department of Health Victoria surveillance data 2016

What we know

•  In 2016 there were 279 new cases of HIV

•  Of the new cases 64 were people from a refugee or migrant background

•  Greatest proportion of late diagnosis –CALD communities

Ref: 1. MacLachlan, J et al fact sheet, Hepatitis Victoria 2016 2. Department of Health Victoria surveillance data 2016

Community Recommendations for diversity behind bars and beyond

Community Needs •  Included in decisions

•  Protective factors of community connections

•  Preventing recidivism

Collectivism

Health belief systems

Biomedical

•  Illness caused by abnormality in the organs or system

•  Diagnostic testing

•  Clinical or medical treatment

Magico-spiritual

•  Cause of illness is mystical

•  People can use protective amulets or symbols

•  Practitioners have supernatural powers & use magic

Traditional •  Core aspect of relationship & environment •  Individual is active & a central participant •  Diverse therapies

Definition-stigma stigma can be defined as: •  labelling of differences •  stereotyping those labelled •  separation (‘us’ and ‘them’ thinking) •  status loss and discrimination •  enabled by power relations •  (Link B. and Phelan J. “Conceptualising

Stigma”, Annual Review of Sociology 2001.)

Definition-stigma •  attribute that is deeply discrediting within a

particular social interaction-Goffman (1963) •  Social groups create deviance- Becker (1963) •  labelling of differences, stereotyping,

separation, status loss/discrimination, power- Link & Phelan (2001)

•  social relationships, disclosure concerns –(Sayles et al 2008)

•  power relations and social order -Parker & Aggleton (2003)

Stigma settings •  Home •  Community •  Ourselves Internal & External •  Religion •  Workplace •  Sport •  School •  Health care setting •  Media

Thank you Alison Coelho Acting Executive Manager CEH Manager, MHSS alisonc@ceh.org.au