In Australia, the proportion of Aboriginal children in out-of-home care (placement of a child with alternate caregivers on a short or long-term basis) is up to 17 times that of non-Aboriginal children in states such as Western Australia.
Data also suggest the rates for Aboriginal children are increasing, and that Aboriginal children are entering out-of-home care at earlier ages and staying for longer durations. Also, of concern, the number of Aboriginal children placed with kinship carers is declining.
A National Health and Medical Research Council funded project led by Prof Sandra Eades with the ACCP’s Associate Professor Melissa O’Donnell as a Chief Investigator, supported by ACCP Research Assistants Fernando Lima, and Miriam Maclean is providing detailed and contemporary and integrated data to estimate rates of Aboriginal children entering the child protection system and identifying the intergenerational health predictors of children and families before they enter the child protection system and health outcomes after they are in care.
Aims
This project which is co-creating research knowledge through partnerships with Aboriginal communities is aiming to
Aboriginal Led Process
Addressing the over-representation of Aboriginal children in care will require Aboriginal-led strategies, and governments working in partnership with communities and families, and wholistic strategies that cross-government portfolios and include the voices of families and communities.
Importantly, listening to perspectives from the Aboriginal comunity is helping to identify the support systems required for kinship carers so that children going into out-of-home care can stay connected to their culture and community.
Findings
Our team has utilised the linked Western Australian data which integrates child protection data with health data for Aboriginal children and families to find:
Impact on Aboriginal Mothers
Further research is being conducted to investigate the health and wellbeing of mothers of Aboriginal children who entered out-of-home care. Mothers who have a child removed have a high level of contact with health services. A high proportion of mothers whose child were removed had mental health diagnoses, or hospitalisations related to alcohol and drug, injury or poisoning, assault and potentially preventable hospitalisations. We also identified that mothers experience high levels of comorbidity with largest groups containing mothers who experienced hospitalisation for alcohol and drug use, and a mental health diagnosis, followed by mothers who experienced hospitalisation for alcohol and drugs, assault and mental health diagnoses.