“From your own thinking you can't help us”: Intercultural collaboration to address inequities in services for Indigenous Australians in response to the World Report on Disability

Abstract

Inequity in service provision for Indigenous Australians with communication disability is an issue requiring urgent attention. In the lead article, note that, even in the relatively affluent Minority World, including Australia, equity in service provision for people with communication disability has not been achieved. In remote communities in the Northern Territory (NT) almost all residents speak a language other than English as their primary language. However, there are no speech-language pathologists (SLPs) in the NT who speak an Indigenous language or who share their cultural background. Specific data on the prevalence of communication disability in this population are unavailable due to a range of factors. The disability data that are available, for example, demonstrating the high level of conductive hearing loss, indicates that the risk of communication disability in this population is particularly high. Change is urgently needed to address current inequities in both availability of, and access to, culturally responsive services for Indigenous people with communication disability. Such change must engage Indigenous people in a collaborative process that recognizes their expertise in identifying both their needs and the most effective form of response to these needs.

Keywords::

• Indigenous
• collaboration
• workforce issues

Acknowledgements

I would like to thank the many Aboriginal people who have shared their knowledge and concerns with me over many years with patience and perseverance. I would also like to acknowledge Glen Speering for his helpful comments on a draft of this paper.

Declaration of interest: The author reports no conflicts of interest. The author alone is responsible for the content and writing of the paper.