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Government Report on First Nations Healthcare in Prisons Calls for Urgent Changes

New ways to address complex needs

'Freshwater Gooya' by Andrew, $350, #5293, 60cm x 75cm, acrylic on canvas

A wide-ranging report commissioned by the federal government has called for “urgent and proactive” system-level reforms to improve the standard of health care provided to First Nations people in prison.

The final report, released publicly in December, calls on governments at all levels to work together to implement large-scale reforms to address health care needs of incarcerated First Nations people. It also suggests that these reforms should be led by Aboriginal Community Controlled Health Organisations (ACCHOs) and draw on alternative models of custody for First Nations people.

The report leads with six high-level recommendations for systems change to address the serious concerns identified throughout the review.

These include an agreement on a set of national reform principles, and the establishment of a National Partnership Agreement to govern the implementation of changes.

The report also urged governments to investigate the evidence that had been provided to the review and take immediate steps to cease any practices that are violating the human rights of people in prison.

The report suggested that governments should also implement a national program of work for First Nations health care in prisons, and pilot alternative therapeutic models of custody for First Nations people.

The flagship recommendation from the review is for governments to support Aboriginal Community Controlled Health Organisations to lead the policy design and delivery of health services in prisons.

The federal government and all state and territory governments have endorsed the report and committed to developing an approach to implement the recommendations this year, in partnership with Aboriginal Community Controlled Health Organisations.

A wide-ranging report commissioned by the federal government has called for “urgent and proactive” system-level reforms to improve the standard of health care provided to First Nations people in prison.

The final report, released publicly in December, calls on governments at all levels to work together to implement large-scale reforms to address health care needs of incarcerated First Nations people. It also suggests that these reforms should be led by Aboriginal Community Controlled Health Organisations (ACCHOs) and draw on alternative models of custody for First Nations people.

The report leads with six high-level recommendations for systems change to address the serious concerns identified throughout the review.

These include an agreement on a set of national reform principles, and the establishment of a National Partnership Agreement to govern the implementation of changes.

The report also urged governments to investigate the evidence that had been provided to the review and take immediate steps to cease any practices that are violating the human rights of people in prison.

The report suggested that governments should also implement a national program of work for First Nations health care in prisons, and pilot alternative therapeutic models of custody for First Nations people.

The flagship recommendation from the review is for governments to support Aboriginal Community Controlled Health Organisations to lead the policy design and delivery of health services in prisons.

The federal government and all state and territory governments have endorsed the report and committed to developing an approach to implement the recommendations this year, in partnership with Aboriginal Community Controlled Health Organisations.

This
article
was originally printed in the
March 2025
edition of About Time.
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