National guide to a preventive health assessment for ...

1 National aboriginal Community Controlled health Organisation aboriginal health in aboriginal hands National guide to a preventive health assessment for aboriginal and Torres Strait Islander people Third edition National guide to a preventive health assessment for aboriginal and Torres Strait Islander people. Third edition Disclaimer The information set out in this publication is current at the date of first publication and is intended for use as a guide of a general nature only and may or may not be relevant to particular patients or circumstances. Nor is this publication exhaustive of the subject matter. Persons implementing any recommendations contained in this publication must exercise their own independent skill or judgement or seek appropriate professional advice relevant to their own particular circumstances when so doing. Compliance with any recommendations cannot of itself guarantee discharge of the duty of care owed to patients and others coming into contact with the health professional and the premises from which the health professional operates.

2 Accordingly, The Royal Australian College of General Practitioners Ltd (RACGP) and its employees and agents shall have no liability (including without limitation liability by reason of negligence) to any users of the information contained in this publication for any loss or damage (consequential or otherwise), cost or expense incurred or arising by reason of any person using or relying on the information contained in this publication and whether caused by reason of any error, negligent act, omission or misrepresentation in the information. Artwork by Dreamtime Public Relations and commissioned by, and used for, NACCHO purposes. Recommended citation National aboriginal Community Controlled health Organisation and The Royal Australian College of General Practitioners. National guide to a preventive health assessment for aboriginal and Torres Strait Islander people.

3 3rd edn. East Melbourne, Vic: RACGP, 2018. The Royal Australian College of General Practitioners Ltd 100 Wellington Parade East Melbourne, Victoria 3002. Tel 03 8699 0414. Fax 03 8699 0400. ABN: 34 000 223 807. ISBN: 978-0-86906-487-0 (Print). ISBN: 978-0-86906-486-3 (Web). Published March 2018, reprinted September 2018. The Royal Australian College of General Practitioners 2018. This work is subject to copyright. Unless permitted under the Copyright Act 1968, no part may be reproduced in any way without The Royal Australian College of General Practitioners' prior written permission. Requests and enquiries should be sent to We acknowledge the Traditional Custodians of the lands and seas on which we work and live, and pay our respects to Elders, past, present and future. National guide to a preventive health assessment for aboriginal and Torres Strait Islander people Third edition National aboriginal Community Controlled health Organisation aboriginal health in aboriginal hands National guide to a preventive health assessment for aboriginal and Torres Strait Islander people Third edition i Foreword I am very pleased to release the third edition of the National guide to a preventive health assessment for aboriginal and Torres Strait Islander people ( National guide ) for use throughout Australia.

4 The first edition was instigated and led by the National aboriginal Community Controlled health Organisation (NACCHO) when it was published in 2005. Our aim was to help Australian health services overcome their uncertainty about screening and other preventive health interventions so that aboriginal and Torres Strait Islander peoples could realise health benefits. The National guide did not merely refer to biomedical interventions. We structured preventive interventions as five types, directing users to consider the social determinants of health , thereby making the guide unique. This third edition continues that tradition and has new topics drawn from advice we received from aboriginal Community Controlled health Services and users of the National guide . Our user survey resulted in 554. responses from general practitioners (GPs) and other healthcare providers across Australia.

5 With this feedback, we were able to commission authors with expertise on topics such as child health and wellbeing and fetal alcohol spectrum disorder, as well as on other topics important to aboriginal and Torres Strait Islander peoples. All the revised chapters were sent to external experts and relevant peak bodies across Australia. The support we have received in developing this National guide has been phenomenal. We are proud of the continued collaboration between NACCHO and The Royal Australian College of General Practitioners (RACGP) to create all editions. We thank the NACCHO and RACGP teams for their passion and expertise in making this resource as valuable as it is. We are also pleased that through the promotional efforts of the RACGP and the Australian College of Rural and Remote Medicine, many GPs in general practices across Australia are aware of and are using the National guide to support their delivery of preventive healthcare to their aboriginal and Torres Strait Islander patients.

6 NACCHO and the RACGP will support the implementation of the National guide through social media platforms and implementation workshops across Australia. We also encourage private vendors of clinical information systems to consider and support ways in which the recommendations contained within the National guide can be incorporated in their software. We are thankful for the support of the many peak health bodies and experts that have helped guide this revision. On behalf of the team and contributors, we hope this National guide will help healthcare providers take opportunities to prevent disease and illness in all their aboriginal and Torres Strait Islander patients throughout their lifespan. Mr John Singer Chair NACCHO. February 2018. National guide to a preventive health assessment for aboriginal and Torres Strait Islander people Third edition iii Acknowledgements This National guide to a preventive health assessment for aboriginal and Torres Strait Islander people is a collaborative effort of the National aboriginal Community Controlled health Organisation (NACCHO) and The Royal Australian College of General Practitioners (RACGP).

7 Project lead Associate Professor Sophia Couzos, James Cook University, on behalf of NACCHO. Project coordination Associate Professor Sophia Couzos, James Cook University, on behalf of NACCHO. Ms Kate Freeman, Project Coordinator, RACGP aboriginal and Torres Strait Islander health Clinical editor Professor David Peiris, The George Institute for Global health , on behalf of NACCHO. Editorial Committee Professor David Peiris Associate Professor Sophia Couzos RACGP advisor Dr Timothy Senior Authors Dr Penny Abbott, Western Sydney Dr Hasantha Gunasekera, Dr Nitya Malhotra, Royal Flying University The Children's Hospital at Doctor Service Queensland Westmead Clinical School Section, and Kimberley aboriginal Dr Mary Belfrage, Victorian Medical Services Ltd aboriginal health Service Dr Elizabeth (Libby) Hindmarsh, Chair, RACGP Specific Interests Dr Lea Merone, Apunipima Cape Professor Anne Chang, Menzies Abuse and Violence Network York and James Cook University School of health Research Dr Naomi Houston, Kimberley Dr Malcolm McDonald, Dr Justin Coleman, Inala aboriginal Medical Services Ltd James Cook University Indigenous health Service Dr Jenny Hunt, Dr Sandra Meihubers, Associate Professor Sophia Public health Physician Dental Public health Consultant Couzos, National aboriginal Community Controlled health Professor Amanda Leach, Dr Jacki Mein, Wuchopperen Organisation Menzies School of health health Service Dr James Fitzpatrick, Telethon Research Dr Annapurna Nori, Kids Institute Nunkuwarrin Yunti Dr Nadia Lusis, Victorian Dr Emma Fitzsimons, Danila Dilba aboriginal Community Controlled Dr Rebecca Pedruzzi.

8 health Service health Organisation Telethon Kids Institute iv National guide to a preventive health assessment for aboriginal and Torres Strait Islander people Third edition Professor David Peiris, Dr Vicki Slinko, Queensland Dr Marguerite Tracy, The George Institute for aboriginal and Islander University of Sydney Global health health Council Professor Tim Usherwood, Dr Timothy Senior, Tharawal Professor David Thomas, Menzies University of Sydney aboriginal Corporation School of health Research We acknowledge authors of the first and second editions, whose work formed the foundation for this third edition. Reviewers The following people and organisations contributed information that was used in the National guide and/or reviewed various drafts of this publication. Expert reviewers Professor Bruce Armstrong Dr Ben Ewald Associate Professor Carmela Pestell Professor David Atkinson Ms Summer May Finlay Professor Jenny Reath Dr Frank Beard Dr James Fitzpatrick Professor Kaye Roberts-Thomson Ms Salina Bernard Professor Leon Flicker Professor Malcolm Battersby Professor Anthony Rodgers Professor Kwun Fong Dr Andrew Boyden Professor Sherry Saggers Professor Gail Garvey Professor Jonathan Carapetis Dr Lydia Scott Professor Mark Harris Professor Alan Cass Dr Steven Skov Professor Kelsey Hegarty Professor Anne Chang Professor Hugh Taylor Professor Ernest Hunter Dr Marilyn Clarke Associate Professor Mark Thomas Dr Rowena Ivers Professor Stephen Colaguiri Professor Andrew Tonkin Associate Professor Kelvin Kong Professor Kate Conigrave Professor Paul Torzillo Professor Graeme Maguire Professor Jonathan Craig Dr Lisa Whop

9 Associate Professor Associate Professor Elizabeth Lewis Marshall Dr Simon Wooley Denney-Wilson Associate Professor Patrick Professor Greg Dore Patradoon-Ho Organisational reviewers Cancer Council Australia Heart Support Australia Australasian Society for HIV, Viral Hepatitis and Sexual health Lung Foundation Stroke Foundation Medicine (ASHM). Kidney health Australia National Organisation for Fetal Alcohol Spectrum Disorders National Asthma Council Australia (No FASD) Australia National guide to a preventive health assessment for aboriginal and Torres Strait Islander people Third edition v Adult, young people and child preventive health lifecycle charts Ms Kate Freeman The National guide Project Reference Group The following people participated in Project Reference Group meetings to direct the implementation of the project: Mr Matthew Cooke, Former NACCHO Chair Dr Dawn Casey, NACCHO Deputy CEO.

10 Associate Professor Peter O'Mara, Chair RACGP aboriginal and Torres Strait Islander health Associate Professor Sophia Couzos, James Cook University, on behalf of NACCHO. Professor David Peiris, The George Institute for Global health , on behalf of NACCHO. Dr Nadia Lusis, Victorian aboriginal Community Controlled health Organisation Professor David Atkinson, Kimberley aboriginal Medical Service Council and Australian College of Rural and Remote Medicine Professor Nicholas Zwar, Conjoint Professor, School of Public health and Community Medicine, University of New South Wales Dr Timothy Senior, Medical Advisor, RACGP aboriginal and Torres Strait Islander health Ms Michelle Gonsalvez, Manager RACGP aboriginal and Torres Strait Islander health Endorsement and support of the National guide NACCHO and the RACGP acknowledge the following: Dr Dawn Casey, NACCHO Deputy CEO.