Chapter 5 - Community-based solutions
We believe that strategies
which improve young Aboriginal people's lives and the health and well-being of
their families and communities will be the most effective of all in combating
substance misuse among young people.[229]
Introduction
5.1
The success of interventions to prevent Indigenous petrol
sniffing depends on how effectively a proposed solution addresses the causes of
petrol sniffing. As discussed in chapter 2, the causes of petrol sniffing cover
a myriad of issues including cultural, familial, social and economic. For truly
successful interventions, a combination of solutions must be utilised including
diversionary activities, management of substance supply and demand as well as
strategies that address basic survival issues of housing, safety, poverty and
hunger.
5.2
Many Indigenous and remote communities endure harsh conditions,
not only associated with limited access to housing, schooling, health care and
law and order but also limited access to basic resources and opportunities that
urban communities take for granted. These are generally resources that provide
for opportunities to undertake meaningful activities and have productive lives.
Community-based programs and initiatives in Indigenous communities have proven
to be one effective strategy in reducing the prevalence of petrol sniffing by
addressing issues of boredom, reduced social engagement, low self esteem and feelings
of hopelessness. In Yuendumu:
The Yuendumu Youth Program provides young people with diverse
and vibrant alternatives to petrol sniffing and other substance misuse.
Activities this year have included mural painting, pool, swimming,
roller-skating, basketball, softball, concerts, discos, football, video games,
film nights and cultural excursions.[230]
5.3
Essential elements when developing community-based
programs include community consultation and the involvement of Indigenous
people combined with continued support from 'outsiders'. These elements need to
be a balanced and are dependent on community requirements. Dr
Maggie Brady
stated:
I think it is very much up to outsiders to provide the
structures and support that can back up Aboriginal people in their attempts to
feel that they can have legitimate interventions with younger people and that
enable them to intervene in ways they want to do but feel restrained from
doing...outside authority figures like the police, the school and the clinic...Mt
Theo is a good example of that. When Mt Theo
started, Andrew, the non-Aboriginal youth worker who was instrumental in getting
it off the ground, was attached to the school...Because Andrew was part of the
school, that initially gave him the outside structure to work from and he was
able to negotiate with the people at the outstation and help to get Mt Theo
started. I think that supporting non-Aboriginal workers – youth workers, for
example – and Aboriginal workers, if they are attached to another structure,
helps to negotiate those difficult pressures, intrigues and kinship
difficulties that can often sabotage the best programs.[231]
5.4
The Committee heard many accounts from communities who
have utilised various funding sources to implement a range of successful
programs. However, it was made clear that the success of these community-based
programs and initiatives is dependent on a number of factors, including:
- engagement and commitment of the community;
- adequate and consistent funding; and
- community capacity to effectively run programs.
Community engagement
5.5
Many Indigenous communities have experienced great
success with community-based programs which have contributed towards reducing
the number of children and young adults that are sniffing petrol. The active
engagement of the community is an integral factor to the success of any community-based
program:
One of the key features that has made Mt
Theo successful is the fact that it is
community controlled and community operated. From the start, it was totally
independent from external sources of funding or resources.[232]
It gets back to how we [Yarrenyty-Arltere Learning Centre]
started and the way it was set up, and that was that it was a community driven
program. It was basically driven by the core group of people who were affected
by the sniffing, and it involved all the families of the young people and the
young people themselves.[233]
In communities where the parents have allowed the community to
operate the night patrol there has been much more success than in communities
were the parents would step in between the kids and the night patrol. Where you
have communities united in a particular approach and that carry it out, you
have a better chance of success.[234]
5.6
The Alice Springs Town Council commented on the positive
outcomes of having the support of the parents and the community for diversionary
programs, and stated that they favour the delivery of programs associated with
assistance to the elderly/infirm, sporting group involvement, community
projects, job/skills training, lifestyle skills (for example typing, cooking),
life skills (for example conflict resolution, anger management), leadership,
drug/alcohol/substance abuse eduction, culture or education development.[235]
5.7
The Queensland Police Service (QPS) has worked
cooperatively with local communities to develop activity centres which have proven
to be effective in engaging community members. The QPS commented that:
Activity centres have engaged community members and provided
opportunities to participate in worthwhile activities. Those activities have resulted
in increased self-esteem and encouraged positive behaviour. The effectiveness
of those initiatives lies in recognising the need to address many of the environmental
and social conditions that give rise to volatile substance misuse, alcohol and
drug abuse.[236]
5.8
The
involvement of the entire community in the development of community-based
solutions will produce supported programs and create a sense of belonging,
ownership and understanding in the community. Families and young people
affected by petrol sniffing as well as ex-sniffers can provide valuable insight
into initiatives to combat sniffing. The Committee heard from members of
communities that young mothers are struggling and need parenting support and
young children do not receive clear messages regarding petrol sniffing as there
are little or no culturally-appropriate educational resources.[237]
5.9
The Drug and Alcohol Office in Western
Australia stated that one of the more important
factors in preventing sniffing is 'strong community engagement and the
community actually getting involved'. In Balgo, a cultural health committee
called Palyalatju Mapampa
was 'engaging, particularly the women in the community, in activities like bush
medicine and so on. That provided some community strength for the community
that in turn supported the community engagement.'[238]
5.10
The establishment of an outstation in Mt
Theo has proved successful in rehabilitating
young petrol sniffers and this success has been attributed to the dedication of
the traditional owners at the outstation and the involvement of the home
community.[239] The Committee visited Yuendumu
and Mt Theo
and these successful initiatives are described in more detail in the case study.
Case Study – Yuendumu
and Mt Theo Program
Yuendumu is a community of about 1,150 people located
290 km northwest of Alice Springs and Mt Theo is an outstation 160 km
north-west of Yuendumu. The Mt Theo outstation is funded by the Commonwealth. Mt Theo is the most well known successful program.
From the 1970s to 1994, the Yuendumu community
experienced increasingly serious problems with petrol sniffing among its young
people. By 1993, there were up to 70 sniffers in a population of about 400. The
community was plagued with problems caused by the petrol sniffers, including violence
and damage to property. The Yuendumu Warlpiri elders decided to send young petrol sniffers to the Mt Theo outstation. At the same time, a program of activities
was started in Yuendumu to ensure that young people had access to activities
and opportunities when they returned from Mt Theo to the community
Traditional owners at Mt Theo provide guidance to the young people and teach them
traditional culture. This has been a true partnership of Indigenous and
non-Indigenous skills, drawing strength and experience from both cultures. In
addition to the outstation, the Mt Theo program now includes the Jaru Pirrjirdi Youth
Development Program, the Yuendumu and Willowra Youth Programs and outreach and
education services. The outstation now focuses on preventing petrol sniffing
throughout the entire Warlpiri region, taking in sniffers from Yuendumu,
Willowra, Nyrripi and Alice
Springs. Mt Theo outstation has also taken young people from the
justice system.
The Jaru Pirrjirdi (Strong Voices) project engages youth as leaders,
working on community development projects. Night School provides youth
development and educational activities. Many of the past clients of the
outstation are engaged in Night School as part of the Mt Theo follow-up and after care program. The Mt Theo program continues to case manage each former petrol sniffer who has
resided at Mt Theo. However, lack of resources limits follow-up of
clients who return to Alice
Springs.
Today petrol sniffing is a rare occurrence in Yuendumu
and the zero tolerance approach of the community ensures early intervention if
any one is found sniffing
The success of the Mt Theo/Yuendumu Substance Misuse
Program lies in giving young people traditional culture and respite from
sniffing at Mt Theo, with diversion through education and recreation
activities in the home community of Yuendumu. At Mt Theo, young people are geographically isolated and have no
access to petrol, so they have a chance to recover from the effects of
sniffing, while people in the communities have some respite from the
destructive behaviour of the sniffers. The Mt Theo outstation acts as an important deterrent against
sniffing petrol in Warlpiri communities.
Other attributes of its success are the need for
continuity in the availability of services and funding for a comprehensive
holistic approach including prevention, diversion, intervention, immediate
response, treatment and rehabilitation as well as opportunities for education,
employment, sport and other recreational activities
Source: Mt Theo-Yuendumu Substance Misuse Program – Information
provided at Yuendumu and accessible at http://www.mttheo.org/pdf/report_low_res.pdf
and Submission 25 (DoHA &
DIMIA)
5.11
Outstations require the commitment of the family group
and at times this may place enormous strain on individuals. The DoHA
and OIPC stated that 'outstations are an Aboriginal initiative and the needs
and wishes of Aboriginal staff working at outstations must be respected. Although
governments can support them, outstations must be initiated, controlled and
maintained by Aboriginal people.'[240]
5.12
Dr Russell
Thompson remarked on the success of the Mt
Theo Program:
It is a credit to Mt
Theo and the youth diversionary
petrol-sniffing program that they have managed to do what no-one else has been
able to do. The key to this is that the problem of petrol misuse has been owned
by the local community and the response has been grassroots – it has come from
the local community – and it has worked. It is very difficult to address a
dysfunctional youth culture. Five years ago in the Warlpiri Homelands, petrol
sniffing was the dominant youth culture. The dominant youth culture now
revolves around multimedia, music and sports, and it is very vibrant and very
healthy.[241]
5.13
More successful programs with higher participation in
activities are generally those where there is local ownership and support. CAYLUS
pointed to the Docker River Youth Program which it considered 'would give the
best opportunity to break the cycle of substance abuse in remote communities'. CAYLUS
also noted that the investment required to bring other communities up to the
standard of Docker River
'would pay dividends in a number of areas beyond petrol sniffing'.[242] The Docker River Program is
explained further in the case study below.
Case
Study - Docker River Youth Program
Ms
Pauline Fietz, who undertook a study of the program and described
it in detail in her submission, concluded that:
The
Docker River Youth Program can claim to have been instrumental in eliminating
experimental petrol sniffing (typically 10-15 age group) in the community. It
has also decreased the rate of chronic sniffing, by making the environment much
less favourable to senior sniffers and diverting younger sniffers away from the
sniffing recruitment process.
The Docker River Program serves to illustrate the
conditions that must be met for a programme to be successful. The program
provides activities on a regular and consistent basis for people aged from three
to 30. The activities are meaningful to the participants, culturally sensitive
and appropriate for the age and gender of the participants.
It provides links to the
community through the use of an Indigenous Youth Team, intergenerational
activities such as traditional hunting and gathering and communication and
collaboration with local councils, senior administrative officers, Aboriginal
leaders, and family members.
The guidance and support of
the Youth Team provides the capacity to ensure that the activities are relevant
and stimulating. The team is also a crucial role model for the younger members.
The quality of the staff has been critical. Docker River has been able to recruit and retain skilled and
committed male and female youth workers. The workers are multi-skilled. They
hunt and butcher camels, cook, coach and umpire sports, cut hair, paint murals,
build waterslides, choreograph dance routines, DJ, drive 4WDs across long and
rugged distances, maintain and repair equipment and infrastructure, administer, plan, report and apply for funding, provide crisis support and
care, mentoring, referrals, health treatments and counselling and support to
young people and their families.
The workers have the
enthusiasm, commitment and energy to work from eight am until the closure of the
Recreation Hall between 9.30 am and 12.00 noon. Weekends involve
organising and running day and overnight trips. Interest is maintained over the summer holiday break with externally
supplied workshops. Evening and holiday periods tend to be peak times for
petrol sniffing so providing diversionary activities at these times is critical
to reducing the incidence.
The program has sufficient
infrastructure, although the
standard is generally not that expected in mainstream recreational programs.
The infrastructure includes a recreation hall, a pool room, computer room and
broadcasting room, a store room, stage and kitchen. They are also being funded to operate two
troop carrier vehicles, allowing separation of the sexes and access to bush activities.
Submission 37, pp.4–7 (Ms
P. Fietz).
5.14
Tangentyere Council have noted that while the most
effective initiatives have been community directed, support for local members
provided from external bodies assisted with achieving success in most community
support programs:
In the central Australian region, the most effective initiatives
have been those directed and initiated by Indigenous people. In many cases the
success has required support from external bodies or people working in
partnership with local people to achieve this success. The most successful
initiatives are Mt Theo and Yarrenyty Arltere Learning Centre (YALC). Both programs
are driven by community expertise and vision and supported through a
partnership with non-indigenous people and in the case of YALC, Tangentyere
Council, an indigenous organisation with the infrastructure and expertise to
assist.
In addition there are successful outstations including Ipolera
and Ilpurla, run by local people and only recently receiving support through
Government funding and programs such as Tangentyere's CAYLUS initiative.[243]
5.15
The Central Australian Youth Link Up Service (CAYLUS),
although recognising the importance of local community involvement, emphasised the
need to ensure a range of skills were available to support programs:
Mt. Theo
is an example of strong partnership between indigenous and non-indigenous
people, combining both systems of intelligence and expertise. Whilst its routes
were firmly in a community movement, a core feature of the movement at Yuendumu
was that Non Indigenous Community Staff with a range of skills helped on the
program. By the time sniffing was clearly beaten, the Mt Theo Yuendumu
Substance Misuse Aboriginal Corporation was one of the best resourced youth
initiatives in the region.[244]
Programs and funding
Youth programs
5.16
The NPY Women's Council emphasised the importance of
adequate funding and commented that 'where there exist diversionary activities
and ‘community level activities’ that are reasonably well funded and properly
run, they work well'. However, the Council stated that 'unfortunately these are
few and far between in our region, particularly in the NT and SA communities'.[245]
5.17
The Waltja Tjutangku Palyapayi Aboriginal Corporation
(Waltja) commented that 'all the community-based youth services we are aware of
are fragile at best and often rely upon a variety of factors to support their
continuance (eg, staffing, budget, sound governance within the community,
accommodation for workers from outside the community, etc)'.[246]
5.18
Waltja also described
limitations in funding available through existing Commonwealth sources for infrastructure
such as staff accommodation or major equipment such as transport for youth
programs:
Waltja would also argue strongly that the amount of funding
required to support youth services, especially fledgling ones, needs to be
increased to a sustainable level. We recommend streamlining various funding
opportunities available to remote communities for youth services to make a
viable service possible in each community and to ensure that it not only had
the staffing positions but also the infrastructure and equipment to operate
well.[247]
5.19
The Committee visited Mornington
Island, a community which has
implemented successful community-based programs. However, the community
commented that the support of diversionary activities has not been very strong
and this combined with a lack of resources and social capital has proved
problematic. The case study below describes some Mornington
Island initiatives.
Case
Study – Mornington Island
Petrol sniffing has been a problem for Mornington Island, on and off, in annual cycles with the wet for many
years, but since the introduction of alcohol management plans petrol sniffing
has tended to linger. The community of Mornington Island have been searching for a long-term solution. The
community as a whole, including indigenous organisations, and health services,
came together to develop strategies to stop petrol sniffing.
Camps were set up with Oxfam's assistance to provide
alternatives to sniffing in a supportive environment of family and community.
The camps run during the school holidays and aim to build skills to make the
kids more independent. The young people make their own campsites, go fishing
and hunting and work as a team. The camps operate during school holidays. The
aim is to break the cycle of sniffing and relieve the daily stresses and
pressures in the community. They have had some success. However, this is
undermined when people return to the community where sniffable fuel is
available and diversionary activities are not as well supported as is required.
This last wet season has seen a return to sniffing in the community.
Members of the Petrol Sniffing Steering Committee
described the community plan to the Committee as an integration of all services
to address not just petrol sniffing but also the related issues of domestic
violence, child neglect and youth suicide.
Mornington Island has access to sport and recreation facilities including
discos and dance groups and has a recently constructed Police Citizens Youth
Club. However, the programs require more resources and social capital to allow
them to operate during the evening and on weekends when petrol sniffing is most
likely to occur.
The Community was looking forward to Opal fuel being
made available as an adjunct to the programs running.
Source: Living Black, 31.10.05; and Submission 38, p.15 (Queensland Government).
5.20
The Yarrenyty Arltere Learning Centre (YALC) in Alice
Springs was established to address serious levels of petrol sniffing
and other inhalant abuse in a Town Camp community. Since its opening the YALC,
which is described in the case study, has been successful in getting young
people back into school, and in many cases attending school for the first time.
The Tangentyere Council attributed some of the success of YALC to 'long term
resourcing and support from government agencies and the strong support from the
Council, who manage the program and provide additional services to assist
programs and participants.'[248]
Case Study – Yarrenyty Arltere Learning Centre
At the Yarrenyty Arltere Learning Centre (YALC) adults
are learning alongside their children, acting as positive role models and
having ownership for what happens and for determining solutions for their own
problems. The community has reported a decrease in violence, petrol sniffing
and involvement in the criminal justice system. The school based nurse also
reports an improvement in health status. People are rebuilding their lives.
Operating at the centre is a:
-
Northern Territory
Dept. of Education primary school;
-
Accredited art
program for adults;
-
Building training
course for 'at risk’ young men;
-
A nutrition
program;
-
Alcohol and other
drug outreach program;
-
Additional
programs in social and emotional well being to support learning; and
-
Regular health
clinics, counselling services, financial management and on-going community
development programs.
The centre is an example of a successful whole of
government initiative. The Commonwealth Department of Family and Community
Services Local Answers to Local Problems Initiative has funded the Coordinator.
The NT Department of Health and Community Services funds the operational
expenses, the nutrition position and the community worker position who are both
local indigenous people.
The NT Education Department, through the Gillen Primary School, funds a teacher and assistant to operate from a
school annex for children aged 4-15 years. There is a classroom and a full time
teacher based at YALC.
Accredited adult education programs are delivered by
various Aboriginal Registered Training bodies. Currently Batchelor Institute
for Indigenous Tertiary Education provides training to the centre. The centre
must apply for funding for each training course to NT Department of Employment
Education and Training. The Batchelor College currently provides certificate courses in Art and Craft and Community maintenance.
In the past year, funding from the Department of
Health and Ageing has allowed the establishment of an Alcohol and other Drug
outreach position. Factors of success
include:
- The
process that YALC undertakes of empowering people and including them in the
process.
- Long
term resourcing and support from government agencies.
-
Strong
ownership by the community for the project, who through the YALC Community
Committee provide planning, goal setting and decision making.
-
Being
able to respond flexibly to situations and find solutions from within the
community.
-
Strong
partnerships with other agencies/services, in particular the NT Department of
Education, Employment and Training, Family & Childrens Services, case
management services.
-
Dedicated
and stable YALC staff. The program has
had a stable staff over the last reporting period who are commited and are
flexible to deal with children and adults who have suffered serious abuse over
a long period of time. Children in the school program have very poor attention
spans and serious behaviour problems; most had foetal alcohol syndrome or
parents who were chronic inhalant substance abusers. It takes great
perserverence to work full time with this group.
-
Strong
support from the
Yarrenyty Arltere Housing Association to support YALC initiatives and provide further governance and
management.
-
Strong
support from Tangentyere Council, who manage the program and provide additional
services to assist programs and participants.
Source: Submission 21, pp.2-17 (Tangentyere Council).
Outstations
5.21
Outstations, like the one operating in Mt
Theo, are community-based initiatives that
provide diversion and deter young people from sniffing. They also deliver a
range of treatment services such as detoxification and rehabilitation. The
Commonwealth funds three central Australian outstations: Intjartnama (130 km
west of Alice Springs), Ilpurla (220 km southwest
of Alice Springs) and Mt
Theo (450 km northwest of Alice
Springs).
5.22
The success of the Mt
Theo program has resonated loudly in other
communities. The Australians for Native Title and Reconciliation, South
Australia (ANTaR SA), in their submission, commented
on the belief Anangu traditional owners expressed that they are under resourced
and unable to effectively address petrol sniffing in their community:
One matter in particular, is an apparent lack of financing for a
community programme similar to that at Mt
Theo in the NT, where community elders are
able to take sniffers away from sources of petrol, and work with sniffers to
re-integrate them into their communities.[249]
5.23
Outstations require a great commitment of funding and
resources to ensure they operate effectively. DoHA
and DIMIA commented on the funding of outstations:
This arrangement is difficult to manage and sustain, but does
provide an opportunity for families and elders to re-connect with their young
people and to pass on their cultural knowledge and skills. Young people are
more likely to heed their elders in this less stressful and complex
environment. In terms of treatment, however, it is important that these centres
have access to competent staff, medical support, first-aid training and
telecommunication facilities. Sniffers should also be carefully assessed before
being sent to outstations, as it is not appropriate for those who are disabled
or unstable to be sent to such remote locations. [250]
5.24
The Alcohol and other Drugs Council of Australia (ADCA)
recognised that outstations play an important role in the treatment of petrol
sniffing. However, they commented:
Although outstations do have a role in treatment of petrol
sniffing, it is unlikely that removing sniffers to outstations will provide the
community with a long term solution. It is essential outstations are
complemented by prevention and treatment strategies which address social and
environmental factors in the community that may contribute to petrol sniffing.
It is also important to remember that outstations are not
available to all Aboriginal communities in remote Australia.
Outstations are often a community response to petrol sniffing, and specific to
the cultural needs of a specific tribal group. For this reason, there is a need
for more Government support to assist individual communities to develop their
own individual response to the petrol sniffing in their own community.[251]
5.25
The Committee heard much evidence that Indigenous
communities have very different characteristics and a 'one size fits all model'
will not work in all communities. Mr Blair
Mr McFarland,
the Coordinator of CAYLUS, emphasised that while one model may not suit all
communities, core components of that model can be applied. He considers that
communities should be able to develop their own 'outstation' model and need the
resources and capacity to allow them to do this:
[Kintore] community is looking at out-stations and not at a Mt
Theo model. That community wants support for
taking kids to family out-stations – so a family has an out-station and with a
bit of support they can take their kids to that out-station but not anybody
else's kids. From that similar base of support in the community another family
can take their kids to their out-station...[Kintore's] solution is not a Mt Theo;
it is a more versatile base from which to fund smaller family based Mt Theos.
The point is that you cannot export a model, but you can export the core components
of what made that model work. In Yuendumu, it is that the community wanted to
do something. Each and every community wants to do something. Sometimes people
talk about them as if they are dysfunctional communities, but often they have a
strong desire to deal with the kids and stop the sniffing. Often they have
never had any help or the help they have had has been patchy – they have had a
bit of help from this agency and a bit from that and nothing consistent and
nothing that really looks at what they want.[252]
5.26
The success of the Mt
Theo outstation is highly commendable and
the role of outstations in preventing petrol sniffing and improving the lives
of young Indigenous people makes outstations a positive community initiative.
Adequate funding and resources need to be made available to communities so that
they can develop the capacity of community elders and members who can then create
outstations that will meet the needs of their communities.
5.27
The Committee heard of successful initiatives that
engage troubled children, not only those children at risk of sniffing, and enable
them to develop practical skills such as horse and cattle care and management
as well as learning about the pastoral industry. Mr
Barry Abbott
for the past forty years has run a very successful treatment program for petrol
sniffers at the Ilpurla Outstation west of Alice Springs
where young people work as station hands and gain practical skills. Mr
Abbott advised:
I have people from the age of 21 right down to 15 at the moment.
When some of the kids that we have are finished with us, I talk to the
community about getting a job for them when they are old enough. If they are
under age, I talk to people about getting them back in school. Quite a few of
them have gone back to school and are doing pretty well. Before they got to me,
they would just run away from school and get into petrol, drugs and whatever.[253]
5.28
Professor Hunter
from the Remote Area Mental Health Service in Queensland
also referred to a program in Far North Queensland, which taught a range of
skills including working with horses:
In terms of out-of-community solutions, there is only one place
that I have seen up here that really made an impact and that is a place called
Petford, run by a charismatic and extraordinary person who, with young people
at risk, focused activities on working with horses and preparing people for the
pastoral industry...By getting them to learn how to break horses, track horses
and do trick riding, he was doing something which was about dealing with their
own self-control but with an organism that they could relate to. I think that
that was very important.[254]
Rehabilitation facilities
5.29
The aim of rehabilitation and respite facilities is to
provide a place where sniffers, either chronic or intermittent, can undertake
programs to stop sniffing and receive health care and treatment. The level of
care required and the provision of other diversionary activities and programs will
depend on whether the community is concentrating on youth prevention programs
or if the community needs facilities to provide care for chronic users with
acquired brain injury. It is possible to provide rehabilitation services at
outstations. However, the level of rehabilitation services needed in each
community will determine the type of rehabilitation facility required to meet
the needs of the sniffers in the community.
5.30
The lack of regional respite centres and rehabilitation
facilities located in towns accessible to chronic sniffers was reiterated by
witnesses. Many family members provided evidence that their sons and daughters
have to move from the local community area to access these facilities. The
ability to provide high level care and early rehabilitation intervention is
imperative for communities suffering from the effects of petrol sniffing.
5.31
DoHA and
DIMIA are exploring the extent to which residential models, developed primarily
to address adult substance misuse in urban societies, will meet the needs of
young Aboriginal people with substance abuse problems. An assessment will be
undertaken in 2006 that will consider the most feasible options and compare
these with outcomes that can be obtained from alternative arrangements such as
respite, dry out services and outstation programs. Also, as part of the Eight
Point Plan, the Commonwealth will undertake a scoping exercise into the need
for rehabilitation and treatment facilities for petrol sniffers, including
respite and support services.[255]
5.32
In response to Indigenous community concerns regarding
the need for rehabilitation facilities in regional areas, the Commonwealth
committed $2.2 million to South Australia
for a facility on the APY Lands. The SA Government has agreed to provide
additional recurrent funding of around $1 million per year. The Northern
Territory Government continues to fund a rehabilitation facility in Darwin
and plans to establish a new rehabilitation facility in Alice
Springs.[256]
5.33
The NPY Women's Council expressed concerns about the
adequacy of the number of detoxification and rehabilitation facilities and
commented on the lack of progress with the proposed AP Lands rehabilitation
facility:
The SA Government...acquired a commitment of funds, around $2M,
from the Commonwealth to build a rehabilitation centre for those who misuse
substances (inhalant, alcohol, illicit drugs) on or near the AP Lands, as per
the SA Coroner's 2002 and 2005 recommendations, but a suitable site has yet to
be chosen and accurate costing determined. No date is set for the commencement
of for construction.[257]
5.34
Once the AP Lands facility is built and in operation,
evidence suggests that the rehabilitation facility will not be made available
to chronic sniffers with serious brain damage who often exhibit high levels of
anti-social, violent and or uncontrollable behaviour.[258] The NPY Women's Council commented
'such persons [chronic and violent sniffers], when they come to the attention
of mental health services, are in my experience deemed not to have a mental
illness as defined under Mental Health legislation, but rather an
"acquired" or "organic" brain injury, for the sufferers of
which there are no services'.[259]
5.35
Ms Rosalie
Nethercott, mother of Desmond
a sniffer with acquired brain injury, provided further comment on the provision
of health and rehabilitation services:
Desmond, as a young man now with
organic brain injury, is kind of blamed by every health sector that I take him
to for help. He does not fit into the mental health system because they say: 'He
is not a schizophrenic or bipolar. He does not have a mental illness. He has
acquired brain injury or an organic brain injury.' So I take him to the
acquired brain injury disability mob and they say, 'He was not hit by an axe or
he was not born like that.' So he does not fit into their little box either.[260]
5.36
The NPY Women's Council also commented that the
rehabilitation facility in South Australia will operate on a system of
voluntary admittance which defeats the purpose, as they are 'constantly asked
to have sniffers taken into treatment whether they wish to go or not, and the
likelihood in my view that some families will feel sorry for their relative and
simply collect them, an involuntary regime should be considered.' The problem
with this voluntary regime is made clear by a statement made by an NPYWC
Executive member during a presentation about this proposed facility in June
2005:
They’ll want to go home because they’ll miss their family and
they'll ask their family to ask for them to go home and that’s what will happen.
We have a huge problem...Just say, if my child sniffs petrol, I will want to
bring him home if he asks me. We have got plenty of family and the community
constables are our family as well, so they'll just get asked to bring them
home. And now of course because hanging themselves is such entrenched behaviour
they'll just go and hang themselves.[261]
5.37
The South Australian Government stated that the
construction of the AP Lands rehabilitation facility is anticipated to start
in 2006. This will be complemented by the mobile outreach service which is
planned to commence in the first half of 2006. This service will provide
assessment, counselling and drug education in communities and has a role in
assisting the reintegration of rehabilitated clients back into communities.[262]
5.38
The delay in the establishment of the rehabilitation
facility was discussed at length during the South Australian public hearing. Ms
Rosalie Nethercott
provided comment on this delay:
I had heard that the government was going to build a petrol
sniffer's rehab centre at Amata. I did not know that they had promised it two
years ago, and I did not know that they had promised it in 1986, but I want it
done.
He [my Son] is planning in his mind to commit crimes of
increasing severity so that he can get longer periods in jail, because the
safest place for a young Aboriginal man – where he gets service delivery, where
he gets three meals a day, where he sleeps safe and sleeps warm, where he
watches videos, where he has a job making furniture and where he does art – is
in jail. That is the only place he can get all of those things together.[263]
5.39
The problems that result from a lack of rehabilitation
and respite facilities were also stated by Ms
Vicki Gillick
from the NPY Women's Council:
We have another disability client who is disabled from chronic
petrol sniffing. There is no permanent place in Alice Springs
for him. We cannot find family carers; there is no-one...We have to get contract
carers at $400 a day in Alice Springs in a
self-contained motel room because there is no other accommodation in Alice.[264]
5.40
With rehabilitation facilities providing services for
sniffers in some Indigenous communities, DoHA
and DIMIA commented:
On return to the community following a period of rehabilitation,
it is critical that follow-up interventions, preferably community-based, are
available to ensure the ongoing rehabilitation and reintegration of the person
into their home community.[265]
Community capacity
5.41
The NPY Women's Council emphasised the importance of
the community having both the ability and capacity to successfully deliver
programs and initiatives:
The practice, as has occurred on the Anangu Pitjantjatjara
Lands, of giving over the employment of youth workers to often dysfunctional
community councils, or simply to community councils without any capacity to
support and supervise staff, is a model destined to fail. Similarly, the practice
of employing local Aboriginal workers who lack skills or qualification and
expecting them, without a solid, qualified co-worker, to carry out difficult
work for which they are untrained (consider the level of education in the
region) is misguided at best, and stupid and potentially dangerous at worst.[266]
5.42
Ms Pauline
Fietz also cautioned against expecting
communities to take on too much responsibility, especially in the delivery of
youth programs:
Policies directed at
petrol sniffing and youth diversion have typically emphasised the need for
'community responsibility'. This assumes a high degree of community capacity,
when communities are frequently fractured, driven by internal family politics
and by dysfunctional administration. In addition, community administrative
systems are usually overburdened and unable to provide youth workers with the
requisite support they need in order to maintain the delivery of youth
services. This places the sustainability of youth programmes at risk.[267]
5.43
The Alcohol and Other Drugs Council of Australia (ADCA)
commented on an alternative solution to the problem of recruiting staff in
remote Aboriginal communities:
...to invest resources in the up-skilling of local community
members to take on needed paid positions. This will help increase the
likelihood that youth workers remain in the community for extended periods of
time, and would also contribute to the development of the community.[268]
5.44
Indigenous community
organisations are funded by the Department of Employment and Workplace Relations
and the Torres Strait Regional Authority to run Community
Development Employment Projects (CDEP) in urban, rural and remote
Aboriginal and Torres Strait Islander communities. CDEPs provide a source of
support for communities wishing to establish activities to develop work and
employment skills.[269]
5.45
Mr Bill Edwards commented
on the impact of unemployment benefits in Aboriginal communities and gave his
observations of CDEP:
Pukatja community was one of the first to experiment with a
Community Development Employment Project (CDEP). By agreement of community
members, the benefits were paid to the Community Council, which then paid them
out in return for work on community projects. However, the scheme has had
varied results.[270]
5.46
The Commonwealth's Eight Point Regional Strategy for
Central Australia[271] will provide
the following benefits to communities developing community-based programs:
It will support the lifting of Remote Area Exemptions [for
activity based testing] by providing access to a range of services such as
CDEP, improve educational outcomes through alternative learning environments,
and provide alternative activities such as land management and recreational
activities...specific interventions for any community will be designed and
implemented in conjunction with the local people, building on the existing
investment and infrastructure, taking account of local circumstances and
addressing any identified needs.[272]
5.47
DoHA has
engaged the Council for Aboriginal Alcohol Program Services to deliver the
Youth Wellbeing Project in the top end region of the Northern
Territory. This project aims to:
Increase the capacity of Indigenous communities affected by
petrol sniffing...the Project will support and train members of Indigenous
communities to improve their understanding of petrol sniffing issues and a
"two-way learning" cultural exchange format will be developed between
young people and people with specific expertise in the required area.[273]
5.48
The Commonwealth has also provided funding for CAYLUS
to assist communities in the area of Alice Springs in
developing responses to petrol sniffing at a community and regional level. The
CAYLUS initiative is described in the case study:
Case Study – Central Australian Youth Link-Up
Service (CAYLUS)
The Central Australian Youth Link Up Service (CAYLUS)
is a consortium of organisations in Central Australia
which was formed and supported in 2002 by Tangentyere Council to develop
specific youth programs, link existing programs and services and develop a
holistic and coordinated approach to address youth health issues across the
region. Funding is provided by the Commonwealth to provide these services.
CAYLUS implements a broad promotion,
prevention and early intervention strategy for increasing health and wellbeing
of all young people in communities affected by petrol sniffing. It provides
regional coordination of youth and inhalant substance misuse issues; works
collaboratively with communities and agencies to develop, fund and implement
strategies and projects for addressing youth issues; increases positive
activities for young people; and manages a flexible need-based brokerage fund
that is used to assist remote Indigenous communities with short term or
start-up funding of projects.
Tangentyere, through CAYLUS is currently
negotiating with the NT Police for funding for a position to improve the human
resource capacity of remote communities they service in order to prevent these
sort of problems. The position is titles
“Youth Workforce Development worker” and the role is to assist remote communities
recruit, interview, employ and supervise youth worker positions. The position
would also provide orientation, training and logistical and administrative
support to the workers, as well as liaising with Universities regarding
appropriate youth worker course development that would equip workers for work
in the region, and arrange student and volunteer placements, especially over
the summer holidays when schools are closed and young people are bored and hot.
CAYLUS assists communities in the areas of
Alice Springs, Pintubi/Luritja, Walpiri and Western
Arrente Pitjantjatjara in developing
responses to petrol sniffing at a community and regional level. The CAYLUS
project has been successful in gaining a second round of funding of $1 million
to 30 June
2007.
Source: Submission 20, p.7 (CAYLUS);
Submission 25, pp.12, 27 (DoHA
and DIMIA).
5.49
The need for a long term commitment to capacity
building was illustrated by the example of Mt
Theo:
With capacity building and community empowerment – owning
problems and solutions – it is very difficult to measure outcomes and glean
evidence to support what you are doing. Taking Mt
Theo as an example, they were working for
five years before any changes started to become apparent. It takes time and
patience.[274]
Community governance
5.50
The Committee heard
evidence from many witnesses that the consistency of external support offered
to Indigenous communities varies, as does the level and extent of support
available and the awareness within the communities that support is available.
5.51
Indigenous communities require skills in governance and
management if they are to have oversight responsibilities of diversionary
programs. The Office of the Registrar of Aboriginal Corporations (ORAC)
supports and regulates Aboriginal corporations that are incorporated under the Aboriginal
Councils and Associations Act 1976. The ORAC provides training for board
members and key staff in good corporate governance.[275]
5.52
The Waltja Tjutangku Palyapayi Aboriginal Corporation
provided the Committee with evidence that 'Waltja communities appreciate the
efforts being made to improve leadership, governance and management at local
and regional levels, with several of our own Executive members having benefited
from governance training provided through ORAC'.[276]
5.53
The Western Australian Government suggested that a
major reason for 11 communities in the Ngaanyatjarra Lands having
significantly lower levels of petrol sniffing, when compared with the central
desert communities, is the strong community governance arrangements.[277]
Support for the community
5.54
DoHA and DIMIA stated that a key element of the Eight Point Plan
is to strengthen and support communities' capacities for dealing with petrol
sniffing and its effects:
Strategies might include recruiting and training people to work
with key communities to assist in developing their capacity to deal with the
issue, implementing parenting and family well being projects and getting local
people into leadership/capacity building programs. Again, the specific strategy
implemented in any community will be designed and implemented in conjunction
with the local people building on the existing investment and infrastructure,
taking account of local circumstances and addressing any identified needs.[278]
5.55
The Central Australian Cross
Border Reference Group on Volatile Substance Use provides advice on developing
a whole of government, community engaged approach to addressing volatile
substance misuse in the cross border region. This group provides support
for local community strategies to reduce petrol sniffing. It also acts as a
clearing house of community and regional ideas, and facilitates the sharing of
information between members and other stakeholders. The group contains representatives
of Commonwealth, State and Territory Governments, Aboriginal Health Forums, and
service providers such as Nganampa Health Council, NPY Women's Council, APY
Council, and Ngaanyatjarra Health Service and Ngaanyatjarra Council. [279]
5.56
The Central Australian Cross
Border Reference Group on Volatile Substance Use has commissioned some
much needed research on interventions and rehabilitation for petrol sniffers
and other volatile substance users. This evaluation will assist in determining
positive achievements and identify successful areas of intervention. However, the
lack of evidence provided to the Committee suggests that little work has been done
to date on evaluating government-funded interventions.
Conclusion
5.57
The extent and success of diversionary community-based
activities in Indigenous communities who struggle with young people sniffing
petrol is largely dependent on the strength of the community, the involvement
and engagement of key community members, the provision of adequate funding and
the capacity of the community as a whole, including both Indigenous people and people
outside of the community.
5.58
The Committee notes the success of community-based
programs in Mt Theo
and Docker River
as well as the success of the Yarrenyty Arltere Learning Centre and the CAYLUS
service delivery model. All of these community initiatives possessed the
following critical elements:
- the programs were community driven and operated
by the community;
- involvement of families and young people
affected by sniffing; and
- support provided by agencies in partnership with
local people to provide essential infrastructure and expertise.
5.59
The strength of a community and the determination of
key members can produce highly effective community-based programs. Indigenous
communities are independent, have varying levels of cohesiveness and stability and
a 'one-size-fits-all' approach can not be applied across all communities.
However, the success in some communities provides valuable information on critical
elements for communities embarking on community-based programs to prevent
petrol sniffing. The Committee considers that one key problem in the past has
been the loss of such information and the lack of a coordinated program to
ensure successful information sharing.
5.60
The Committee heard from many Indigenous communities
that have achieved great success with community-based activities that have
reduced the number of young people sniffing in their communities. However, many
complaints were heard by community members all over Australia
on the absence of continual funding, the lack of support and governance
provided to build capacity in the community and the continued lack of essential
facilities to support community intervention into petrol sniffing. The
Committee heard from many Indigenous communities where one person, normally the
youth worker, had achieved excellent results in preventing young people from
sniffing and how this person had left the community due to a lack of training,
support or funding.
Recommendation 14
5.61
The Committee strongly supports the development of
community-based programs and recommends that State, Territory and Commonwealth
Governments provide long-term funding for community-based programs and when
providing funding ensure that:
- strong agency support is provided;
- programs are established which build the
capacity of community members such as training in youth work and training that
builds skills of program management and governance;
- appropriate levels of funding are made available
to ensure the operation of youth programs during times of need, for example
into the evenings and during school breaks when petrol sniffing is more
prevalent; and
- adequate resources are provided for trained,
skilled and committed staff to be retained in communities on a permanent basis
rather than a fly-in-fly-out roster system.
Recommendation 15
5.62
The Committee recognises that there are some elements
that are critical to the success of community programs and recommends that:
- government funded programs must provide for
these critical elements including community ownership, the involvement of
families and youth in their development and combined with the provision of
essential support and expertise;
- the Commonwealth identify, evaluate and provide
ongoing support to allow the continuation and further development of those
community-based programs that have proven particularly successful; and
- the Commonwealth develop and implement a
communication strategy that facilitates information sharing and the development
of such programs in other communities.
Recommendation 16
5.63
The Committee acknowledges the success of Yuendumu
programs including the Mt Theo
outstation and while recognising that this model will not fit for all
communities, recommends that the Commonwealth provide long term funding and
support to assist other interested communities to develop similar programs.
Recommendation 17
5.64
The Committee notes that as part of the Eight Point
Regional Strategy for Central Australia, the Commonwealth
is undertaking an assessment of the most feasible options for rehabilitation
facilities for petrol sniffers. The Committee considers the provision of
rehabilitation facilities for petrol sniffers a priority and recommends that
Commonwealth, State and Territory Governments urgently provide adequate levels
of additional funding for new and existing rehabilitation facilities.
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