Dec

02

2024

Supporting survivors of sexual violence in CALD+ communities

Health professionals play a key role in supporting people who disclose experiences of sexual violence. For those from culturally and linguistically diverse (CALD), refugee, asylum-seeking, or temporary visa-holding backgrounds, disclosure can be especially challenging due to factors like cultural stigma, language barriers, or fears about immigration status.

To help health professionals provide sensitive and effective care, Prosper Project Australia has developed the We Are Survivors (WAS) campaign. This initiative offers free resources, including tip sheets and webinars, aimed at addressing the unique needs of survivors and equipping practitioners with practical strategies to support them.

Sami from Campbelltown: “I told the nurse what happened, and she said, ‘That sounds complicated. Maybe you should talk to someone else.’ I felt like no one wanted to help me.”

The barriers survivors face

Survivors from CALD+ communities face several barriers when seeking help. Cultural stigma can make disclosing an assault feel shameful or socially isolating, and language barriers may prevent survivors from expressing their experience clearly. Many survivors, particularly refugees or those on temporary visas, fear reporting their assault due to concerns about deportation, legal repercussions or loss of financial support if the perpetrator is someone they rely on.

Health professionals are often the first point of contact for survivors. Their response can determine whether survivors feel safe and supported enough to continue seeking the care and assistance they need.

Executive Director of Prosper Project Australia, Karen Craigie, explains the role health professionals play in supporting survivors:

“Survivors from CALD and refugee communities face unique barriers to disclosing sexual violence. Health professionals are often the first people they turn to, and how we respond in those initial moments is deeply important when building trust and making sure survivors feel heard and supported after what is an incredibly traumatic experience for them.”

Aisha from Ashfield: “When I told my GP about the assault, she looked uncomfortable and changed the subject to my physical symptoms. It made me feel like what happened was not important, and I felt embarrassed.”

The resources available through the We Are Survivors campaign provide health professionals with skills to respond to disclosures in a way that acknowledges and validates the survivor’s experience. They guide practitioners on creating safe, private, and culturally respectful environments while also offering strategies to address common barriers such as fear of not being believed, language difficulties, or concerns about immigration. The campaign also highlights the appropriate use of interpreters to ensure confidentiality and provides practical advice on respecting survivors’ choices about whether or not to report an assault.

The tip sheet outlines different pathways, such as contacting support services, legal assistance, or using the NSW Sexual Assault Reporting Option (SARO), which allows survivors to share information with police anonymously without committing to legal action.

“Our goal is to give health professionals extra skills to respond sensitively and professionally so survivors feel heard and supported at every step,” Karen said.

Practical steps for practitioners

One of the key resources offered by the campaign is a tip sheet designed to help health professionals respond effectively to disclosures. It provides trauma-informed and culturally safe strategies that are straightforward to implement.

Key tips include:

  • Create a safe space: Choose a private, quiet environment where survivors can feel secure to talk about their experiences.
  • Acknowledge and validate: Reassure survivors that you believe them and recognise their courage in coming forward.
  • Avoid assumptions: Understand that survivors may react in different ways due to trauma, including appearing calm or detached.
  • Engage interpreters appropriately: Use trained interpreters if needed but avoid using family members to maintain confidentiality and reduce further distress.
  • Provide clear information: Respect survivors’ decisions and provide non-judgemental guidance about their options, including medical care, counselling, and reporting mechanisms.

Resources available

The We Are Survivors campaign resources are available in six languages—Arabic, Bengali, Vietnamese, Hindi, English and Chinese—to ensure greater accessibility for CALD+ communities and health professionals.

Practitioners can access the free resources below:

Tip Sheet: A practical guide for responding to sexual violence disclosures.

 

On-demand webinars:

 

For more information and to access these resources, visit wearesurvivors.online.

 

**This initiative is funded by the NSW Department of Communities and Justice. We are grateful for their support in sharing these resources to help health professionals navigate these important conversations with care and confidence.

 

Our regional partners

  • Local Health District partners in our footprint: Mid North Coast Local Health District (MNCLHD) & Northern New South Wales Local Health District (NNSWLHD)
  • Aboriginal Medical Services (AMS)
  • The Royal Australian College of General Practitioners (RACGP)
  • Australian College of Rural and Remote Medicine (ACRRM)
  • Rural Doctors Network (RDN)
  • Rural Clinical Schools & Regional Training Hubs
  • General Practitioners
  • Registrars and International Medical Graduates
  • North Coast Allied Health Association (NCAHA)
  • Local Councils
    Pharmaceutical Society of Australia (PSA)
  • Universities including: Charles Sturt University (CSU), University of New South Wales (UNSW), Southern Cross University (SCU)

Aged Care Disaster Management Planning

Strategic Priority Area: One team

North Coast is identified as the region most likely to be impacted by climate change in Australia and also forecasted greatest growth in those 65+.

Healthy North Coast takes a lead role in ensuring the older population and the sector that supports them are prepared for, can respond to and recover from disasters and other emergencies.

We have led eight regional disaster management capacity building workshops, bringing together SES, community organisations and the aged care sector.

We have also developed disaster preparedness tip sheets for both residential and community aged care providers.

Voluntary Assisted Dying

Strategic Priority Area: One team

In May 2022, the NSW Parliament passed the Voluntary Assisted Dying Act 2022. Effective from Tuesday, 28 November 2023, eligible people have the choice to access voluntary assisted dying. 

Healthy North Coast has developed a webpage for both health professionals and consumers, with links to available information and resources.

Living with Dementia resources

Strategic Priority Area: No one is left behind

Healthy North Coast has worked with people living with dementia, their families and local service providers to develop an information booklet that will help them connect with local and national supports along their journey.

Highly regarded by a range of professional supporting those on or starting the dementia journey, the booklet includes commonly asked questions for people to ask their GP and/or specialist.

“It’s a fantastic resource and I give it to everyone on their first diagnosis. Its easy to read, so well planned and thought through and has lots of really useful information, tailored to the region.
I also find it very helpful when educating clinical staff.”

−Geropsychiatric Nurse Practitioner, Mid North Coast.

The resource is available in digital and printed copies, with more than 5,000 distributed across the region. An e-version is available to clinicians via the Dementia and Cognitive Impairment HealthPathway.

Deteriorating Resident Triage Tool Pilot

Strategic Priority Area: One team

The Deteriorating Resident Response Tool (DRRT) has been developed to guide RN’s in Residential Aged Care homes (RACHs) to better understand, anticipate and make clinical decisions responding to the deteriorating health of residents.

The objective of the DRRT is to give RACH staff clear information to triage and provide appropriate care for a range of residents’ health conditions, and, in turn, prevent unnecessary presentations to ED.

The tool has been designed together with a specialist geriatrician, consulting with stakeholders such as Residential Aged Care Managers, NSW Ambulance, GPs, and experts from Mid and North Coast LHDs.

The pilot commences in March with four participating RACHs. Evaluation measures will include effectiveness in building RN confidence and reported reduction in unnecessary hospitalisations. Findings will inform a future planned, region-wide implementation.

North Coast Care Finders Program

Strategic Priority Area: No one is left behind

The Care Finders program is a free region-wide service to support vulnerable older people who have no-one else to help them, to learn about, apply for and set up support services.

Care finders can help people understand what aged care services are available, set up an assessment, and find and choose services. They also help people with access to other supports in the community, both accessing services for the first time and changing or finding new services and supports.

On the North Coast, Healthy North Coast has commissioned four organisations to provide this important service: EACH, Carexcell, Lifetime Connect and Footprints.

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Psychological services in residential aged care homes

Strategic Priority Area: Improving Lives Now

Healthy North Coast commissions two service providers to deliver psychological therapies and supports for older people with, or at risk of developing, a mental illness and who are living in residential aged care homes (RACHs).

The aim of the program is to both provide direct support to residents and their families and carers, as well as upskill the RACH workforce to respond to the needs of residents presenting with mental health concerns.

Healthy Towns. Healthy Communities.

Strategic Priority Area: Securing a Healthier Future

Connection and a sense of belonging are protective factors for both individual and community health and wellbeing. Evidence highlights that the social determinants of health play a critical role in addressing many of our regions health challenges.

That’s why Healthy North Coast has long been committed to supporting communities to strengthen and to build social health. Our initiatives, including contemporary ‘Social Prescribing’, help people to connect to activities, supports and each other, and assist communities to integrate services and bridge gaps.

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Telehealth in Residential Aged Care

Strategic Priority Area: Improving Lives Now

The Royal Commission into Aged Care Quality and Safety identified several critical areas affecting aged care residents and our health system. Key challenges include:

  • Limited access to general practitioners (GPs) and allied health professionals in aged care facilities.
  • Difficulties accessing out-of-hours services

Telehealth offers valuable opportunities to enhance support for residents living in aged care homes. Funded by the Commonwealth Department of Health and Aged Care, this initiative provides telehealth equipment and staff training as part of the response to the Royal Commission’s findings.

By improving access to primary care clinicians, specialist services, and other service providers through telehealth, we can significantly enhance health outcomes for residents, reducing unnecessary hospital transfers and emergency department visits.

The selection of telehealth equipment was guided by our Healthy Ageing Strategy (HAS), a comprehensive digital discovery questionnaire, and consultation workshops with various stakeholders. These efforts included interviews with residents to understand their attitudes toward telehealth, ensuring the initiative meets their needs and preferences.

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Greater Choice at Home Palliative Care Program

Strategic Priority Area: Improving Lives Now

Aims to provide people who have life limiting conditions the opportunity to exercise choice and receive high quality care at home, harnessing improved and better coordinated supports and services that meet their individual needs.

Program objectives:

  • Improve access to palliative care at home and support end-of-life care systems and services (in primary health care and community care)
  • To enable the right care at the right time and in the right place (to reduce unnecessary hospitalisation)
  • Generate and use data to support continuous improvement of services across sectors
  • Use available technologies to support flexible and responsive palliative care at home, including in the after-hours.

These objectives will contribute to achieving the following intended overarching outcomes of:

  • Improved capacity and responsiveness of services to meet local needs and priorities
  • Improved patient access to quality palliative care services in the home
  • Improved coordination of care for patients across health care providers and integration of palliative care services in their region.

Education & training funding elibility

Funding is open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.

Workforce Locum support and R&R funding criteria

  • Available to primary care services in disaster impacted communities within the Healthy North Coast footprint.
  • Available to support short-term workforce coverage, allowing clinicians to rest and recover.
  • Workforce-support funding in total is capped for each site, over a 12-month period:
    • $10k for GPs and/or
    • $5K for nursing and/or
    • $5k administration support and/or
    • $5K allied/pharmacy and other.
  • Funding is not to be used to fill gaps in staffing that have not been able to recruit to and not to replace existing staff.
  • Healthy North Coast will assess requirements and approve available funding directly with the service requesting support.
  • Priority will be given to sites that have immediate, short-term workforce support needs.
  • Requests will be reviewed and supported on a case-by-case basis.
  • Program funding administered via RCTI Agreement (Recipient Created Tax Invoice) to be paid monthly, or on completion of the placement (whichever comes first).
  • Practices will be required to complete a request for payment form monthly, or on completion of the placement (whichever occurs first).

Wellbeing Flexible Funding Criteria & Eligibility

  • Open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.
  • Activity must be purposeful, with the aim of increasing the wellbeing of your team.
  • Requests will be assessed on a case-by-case basis, with funding allocated based on team size.*
  • Following approval by Healthy North Coast, funding will be administered via RCTI Agreement (Recipient Created Tax Invoice) upon providing proof of expenses.
  • Funding cannot be used for the purchase of alcohol, or any other goods or services where the vendor cannot quote their Australian Business Number.
  • Planned activities must occur prior to 30th June 2024.
  • Funding will not be available for retrospective activities.
*Team Size
(Total staff and contractors)
Funding Available
Small (1-5)$500-$1500
Medium (6-20)$1500-$4000
Large (>20)$4000-$5000