Remote Australia Online

Students from low-socioeconomic (low-SES) backgrounds living in rural, regional and remote (RRR) communities in Australia experience intersecting equity challenges and disadvantages impacting upon their study success. Using in-depth semi-structured interviews, this study explored the experience of 42 students living in low-SES RRR communities in Australia. More specifically, the study considers, from the student experience, how public libraries and universities can work in partnership to support study success. Thematic analysis revealed two key themes: 'student as person', encompassing RRR low-SES students' context, lived experience and study needs; and 'access', describing key enablers and barriers to students' access to key study needs and support from the public library in their local areas, and their university. This study shows that collaboration between universities and public libraries through understanding of the needs, context and experience of RRR low-SES students can initiate and inform targeted action to help support these students, increase inclusion and belonging, and facilitate student success.

INTRODUCTION: Previous studies have demonstrated early-career James Cook University (JCU) medical graduates are more likely to practise in regional, rural and remote areas than other Australian medical practitioners. This study investigates whether these non-metropolitan practice location outcomes continue into mid-career, and identifies the key underlying demographic, selection process, curriculum and postgraduate training factors associated with JCU graduates choosing to currently practise in regional, rural and remote areas of Australia. METHODS: This study used the JCU medical school's graduate tracking database to identify 2019 Australian practice location data for 931 JCU medical graduates across postgraduate years (PGY) 5-14. This data was sourced primarily from the Australian Health Practitioner Regulation Agency, and then categorised into Modified Monash Model (MMM) rurality classifications using the Department of Health's DoctorConnect website. For these mid-career (PGY5-14) cohorts, multinominal logistic regression was undertaken to identify specific demographic, selection process, undergraduate training and postgraduate career variables found to be associated with a 2019 practice location in a regional city (MMM2), large to small rural town (MMM3-5) or remote community (MMM6-7). Additional multinominal logistic regression analysis was then used to determine the key independent predictors of mid-career JCU medical graduates working in regional cities (MMM2), rural towns (MMM3-5) and remote communities (MMM6-7) in 2019. RESULTS: Around one-third of mid-career (PGY5-14) JCU medical graduates were working in regional cities during 2019, mostly in North Queensland, with a further 14% in rural towns and 3% in remote communities. These first 10 cohorts were undertaking careers in general practice (n=300, 33%), as subspecialists (n=217, 24%), rural generalists (n=96, 11%), generalist specialists (n=87, 10%) or hospital non-specialists (n=200, 22%). Key statistically significant, independent predictors of JCU MBBS graduates practising in MMM3-5 and MMM6-7 locations in 2019 were, respectively, being awarded a rurally bonded Australian Government undergraduate Medical Rural Bonded Scholarship (MRBS) (p=0.004, prevalence odds ratio (POR)=3.5; p=0.017, POR=7.3); graduation from the JCU postgraduate general practice training program, JCU General Practice Training (p=0.001, POR=3.9; p<0.001, POR=20.1) and internship training in a hospital located in a regional city (p=0.003, POR=2.4; p=0.049, POR=4.3) or in a rural or remote town (p=0.033, POR=5.0; p=0.002, POR=54.6). JCU MBBS graduates practising in MMM3-5 locations was also predicted by a rural hometown at application to the medical school (p=0.021, POR=2.5) and choosing a career in general practice (p<0.010, POR=4.4) or in rural generalism (p<0.001, POR=26.4), while JCU MBBS graduates practising in MMM6-7 locations was also predicted by undertaking an extended 20- or 35-week undergraduate rural placement during year 6 (p=0.014, POR=8.9). CONCLUSION: The findings show positive outcomes from the first 10 cohorts of JCU medical graduates for regional Queensland cities, with a significantly higher proportion of mid-career graduates practising in regional areas of Queensland than the percentage of the overall Queensland population. The proportion of JCU medical graduates practising in smaller regional and remote towns is similar to the overall Queensland population. The recent establishment of the postgraduate JCU General Practice Training program for vocational generalist medicine training and the Northern Queensland Regional Training Hubs for building local specialist training pathways should further strengthen the retention and recruitment of JCU and other medical graduates across the northern Australia region.

Northern Australia has the potential to become a powerhouse within Australia (Australian Government, 2015). However, as the same report pointed out, the realisation of this potential is threatened by Northern Australia’s exposure to substantial natural hazards. These hazards include bushfires, cyclones and flooding as well as extreme heat and humidity for six months of the year. At the same time, the resources and capabilities required to mitigate the complex natural hazard risk are declining. Infrastructure issues that can be traced to how extreme weather and climatic conditions make construction and maintenance difficult and expensive. Social factors such as low population densities, communities of varying degrees of remoteness, low population diversity and population turnover compound to introduce other significant challenges to the human component of mitigation planning.

Author summary Melioidosis, caused by the environmental bacterium Burkholderia pseudomallei, disproportionately affects Australian First Nations peoples in the Northern Territory of Australia. The Katherine region has some of the highest rates of homelessness in Australia, and social inequity impacts health outcomes for First Nations people whose access to care is further complicated by remoteness. In this study, we describe the clinical features and epidemiology of melioidosis in the Katherine region over a 32-year period. Almost three quarters of melioidosis cases were First Nations Australians, over half lived in a very remote region, and diabetes and hazardous alcohol consumption were common risk factors. Following a severe flooding event in the region in 1998, a spike in cases of melioidosis was seen, the majority presenting as skin and soft tissue infections. The B. pseudomallei isolates in the study were extremely genetically diverse, reflecting the large geographic area of the Katherine region. With predicted climate change-driven increases in severe weather events and subsequent increases in melioidosis cases, public health priorities in the region should include addressing high rates of homelessness and hazardous alcohol consumption, optimisation of diabetes management, and ongoing education in First Nations languages regarding prevention of B. pseudomallei exposure.

The evaluation was underpinned by Indigenist research methodology and made use of a mixed-method approach to assess participants’ attitudes and beliefs about gender, violence and Aboriginal cultures, and whether participants’ engagement with the project impacted their knowledge, attitudes and beliefs. The evaluation aimed to: • construct a baseline of participants’ attitudes and beliefs about gender, violence and Aboriginal cultures • assess the overall impact of the projects on participants’ attitudes about gender, violence and Aboriginal cultures • assess the impact of resources and products and the extent to which they communicate key anti-violence, anti-racist and gender-equitable messages to a wide audience • begin establishing the evidence base about primary prevention in the Northern Territory and primary prevention within Aboriginal and Torres Strait Islander communities.

This resource is a high level summary of the research report Rante-rante ampe Marle and Urreye “Safe, Respected and Free from Violence” projects evaluation including key findings and recommendations for policy and practice. The evaluation of two primary prevention projects in the Northern Territory by Dr Chay Brown and her colleagues at the Equality Institute and Tangentyere Council Aboriginal Corporation provides insights into what works to reduce violence against women. This short summary includes background information as well as highlighting key findings and implications for policy makers and practitioners. This publication provides a high level introduction to the evaluation project and is designed to support practitioners, policy makers and program designed to gain a quick insight into research report.

Indigenous Australians face a disproportionately severe burden of chronic disease relative to other Australians, with elevated rates of morbidity and mortality. While genomics technologies are slowly gaining momentum in personalised treatments for many, a lack of pharmacogenomic research in Indigenous peoples could delay adoption. Appropriately implementing pharmacogenomics in clinical care necessitates an understanding of the frequencies of pharmacologically relevant genetic variants within Indigenous populations. We analysed whole-genome sequence data from 187 individuals from the Tiwi Islands and characterised the pharmacogenomic landscape of this population. Specifically, we compared variant profiles and allelic distributions of previously described pharmacologically significant genes and variants with other population groups. We identified 22 translationally relevant pharmacogenomic variants and 18 clinically actionable guidelines with implications for drug dosing and treatment of conditions including heart disease, diabetes and cancer. We specifically observed increased poor and intermediate metabolizer phenotypes in the CYP2C9 (PM:19%, IM:44%) and CYP2C19 (PM:18%, IM:44%) genes.

BACKGROUND: Disparities exist in pregnancy and birth outcomes between Australian Aboriginal women and their non-Aboriginal counterparts. Understanding patterns of health service use by Aboriginal women is critical. This study describes the use of maternal health services by remote dwelling Aboriginal women in northern Australia during pregnancy, birth and the postpartum period and their burden of disease. METHODS: A retrospective cohort study of maternity care for all 412 maternity cases from two remote Aboriginal communities in the Northern Territory of Australia, 2004-2006. Primary endpoints were the number and type of maternal health-related complications and service episodes at the health centers and regional hospital during pregnancy, birth, and the first 6 months postpartum. RESULTS: Ninety-three percent of women attended antenatal care. This often commenced late in pregnancy. High levels of complications were identified and 23 percent of all women required antenatal hospitalization. Birth occurred within the regional hospital for 90 percent of women. By 6 months postpartum, 45 percent of women had documented postnatal morbidities and 8 percent required hospital admission. The majority of women accessed remote health services at least once; however, only one third had a record of a postnatal care within 2 months of giving birth. CONCLUSION: Maternal health outcomes were poor despite frequent service use throughout pregnancy, birth, and the first 6 months postpartum suggesting quality of care rather than access issues. These findings reflect outcomes that are more aligned with the developing rather than developed world and have significant implications for future planning of maternity services that must be urgently addressed.

Objectives The aim of the study was to assess the prevalence of anxiety and depression in older Aboriginal and Torres Strait Islander adults. Methods A modified version of the PHQ-9 (KICA-dep) and the Geriatric Anxiety Inventory (GAI) were administered as part of a wider dementia prevalence study conducted in the Torres Strait. Results were compared to diagnoses obtained on Geriatric review to evaluate their applicability in the region. Results A total of 236 participants completed the KICA-dep and 184 completed the GAI short form. Of these, 10.6% were identified with depression and 15.8% with anxiety. Some participants found questions about suicide ideation and self-harm offensive and others had difficulty understanding concepts on the GAI. The KICA-dep performed poorly in comparison to diagnosis on geriatric clinical review, so results are unlikely to reflect the true prevalence of depression in the region.Conclusions Further research is required to explore the underlying dimensions of depression and anxiety and terminology used to express mood symptoms in the Torres Strait. Clinical Implications - Current mental health screening tools are not applicable for the Torres Strait - More work is required to determine how symptoms of depression and anxiety are expressed within Torres Strait communities

The 2007 Northern Territory Emergency Response (NTER) targeted Aboriginal communities in the Northern Territory in Australia. The NTER imposed draconian measures unfavourable to health, contributing to health inequities. There is little research investigating why the NTER was framed so negatively, and how this framing passed into legislation so unassailably. We used institutional theory to understand what factors contributed to the NTER agenda framing, what institutional factors enabled its dominance over pro-equity frames, and what lessons can be learned for future efforts to improve public policies for health equity. We interviewed 21 key policy actors, including actors with a role in the NTER, government opposition, Aboriginal civil society, non-Indigenous stakeholders, and actors from the Little Children Are Sacred report and Northern Territory government, and the Coalition of Aboriginal Organisations that provided alternative pro-equity policy framings that were not taken up. We found Federal government framing was driven by a deficit discourse of Aboriginal and Torres Strait Islander peoples in the media, and the Federal government's interest in winning the upcoming election, trialling welfare reform, and gaining more control over Northern Territory Indigenous Affairs. The framing passed almost unchanged into legislation because of the government's closed processes that excluded Aboriginal perspectives, the media's failure to report dissenting Aboriginal voices, and the power the Federal government was able to wield over the Northern Territory. The most critical action needed for more pro-equity Indigenous Affairs policy is resourced structures to provide more structural power for Aboriginal and Torres Strait Islander people to influence policy.

Rural and remote SMEs are likely to be digitally disadvantaged due to their location and organization size. As AI continues to be added many everyday products, services, applications and devices, the potential exists to either widen or narrow the gap. Building upon existing digital divide literature we propose a fourth wave of digital divide to address the concerns of AI. Our research aims to develop an understanding of how AI impacts the digital experience of regional and remote SMEs through the application of Activity Theory. This study will provide a robust foundation for further research into AI in and the digital divide, with a focus directed by from regional and remote SME participants.

Aim To describe the strength of a cross-sector and multi-university collaboration in co-designing an extended nursing placement innovation in rural and remote Australia. Context Registered nurses are Australia's largest health workforce. Short-duration placements can limit nursing student exposure to rural and remote practice, impacting student capacity to tailor and contextualise their practice, navigate complex inequities, establish a sense of belonging and consider rural practice post-registration. Extended nursing placements have been recommended to address these challenges, but there are no guidelines governing their development and limited resources to support implementation. Approach Methods adopted in program development included the following: (1) collaboration establishment; (2) co-defining challenges confronting nurse education in these contexts; (3) co-developing guiding principles; (4) co-designing a new approach to nurse education, the Extended Nursing Placement Program (ENPP); and (5) the co-contribution of stakeholders to program design, implementation and evaluation. Regional stakeholders include a NSW and Victorian Local Health District/Service, three Aboriginal health services and the Royal Flying Doctor Service of Australia. University participants include two metropolitan universities, a University Department of Rural Health and final-year Bachelor of Nursing students. Program implementation in Semester 1 of 2022 with seven final-year nursing students. Conclusion The authors propose that the adoption of collaborative approaches can contribute to re-framing student nurse education and the development of a rural-ready nursing workforce. These approaches can provide regions and universities with the opportunity to avoid student churn whilst promoting the attainment of skills required to work, live and thrive in these locations.

Indigenous language bilingual schooling, introduced in Australia's Northern Territory (NT) in 1973, was a reality for over twenty-five schools at the program's height. Today, the language-of-instruction in these same settings is English only, with only 7 state schools operating bilingual programs. Overt Government hostility began with an attempt to defund Indigenous bilingual education in 1998-99. This paper argues that the discursive techniques used to justify these cuts were crucial to developing key themes in 'mainstreaming discourses' in Indigenous politics, which has rehabilitated assimilationist thinking in a neoliberal context through the 2000s and since. Using a discourse-historical method, this paper elucidates how mainstreaming discourses were constructed against bilingual education in the 1998?99 debate, and how they emphasized English-only education geared towards neoliberal assimilation for remote Indigenous communities. Indigenous bilingual education was conceived as part of 'failed' self-determination in remote Australia. This paper enhances understanding of the patterns and themes of mainstreaming discourses by tracing their genealogical development in this debate.

Once housing is constructed, its sustainability depends on the efficacy of property maintenance. In remote Indigenous communities in Australia, responsive or reactive approaches to property maintenance dominate over planned and preventive attention, leaving housing in various states of disrepair. By documenting an approach that is succeeding in this wider context, this article shows the commonplace situation of poorly maintained social housing is entirely interruptible. It does so by examining an alternative and exceptional approach taken on the remote A?angu Pitjantjatjara Yankunytjatjara (APY) Lands in South Australia, where housing benefits from a planned maintenance program combined with an environmental health program. Through detailed empirical analysis of program datasets, interviews, and ethnographic fieldwork, this article describes the expert, systematic, and attentive work required to sustain functional housing in the wider context of undersupply, crowding, and challenging environmental conditions. We argue for the necessity of planned maintenance approaches as an essential component of sustainable housing, both to extend the life of housing assets and to ensure householder health and wellbeing.

Participatory scenario planning (PSP) has mainly concerned scenario development and outreach, with less emphasis on scenario assessment. However, eliciting stakeholder responses to scenarios, focusing on subjective wellbeing, can increase the legitimacy, relevance, and applicability of PSP. We developed a PSP exercise with a multi-stakeholder, cross-cultural group in the Fitzroy River (Martuwarra) basin in Western Australia. Four scenarios were developed collaboratively, each describing alternative development pathways in the basin by 2050. We held two scenario assessment workshops: a multi-stakeholder workshop and a workshop with Traditional Owners (Aboriginal Australians) only. We first asked participants to consider and discuss the current situation in the basin regarding how well nine categories of wellbeing were satisfied. Then, for each scenario, participants assessed and scored the change in each wellbeing category relative to the current situation. Participants’ ratings followed a similar pattern in both workshops, except for the scenario with strong policy and increased large-scale irrigation, which was scored mostly positively by the multi-stakeholder group, and mostly negatively by Traditional Owners. We identified different discourses that help to explain these results: (a) scenarios with large-scale agriculture, or with poorly regulated development, would increase the money circulating in the region, and benefits would trickle down to local communities through employment, enhancing most wellbeing categories; and (b) such modes of development might create jobs but could negatively impact other areas of wellbeing, potentially affecting culturally or environmentally significant places and increasing social inequities. We discuss how these results can support planning in the region, and how trade-offs were approached.

Background: In rural and remote Australia, general practitioners (GPs) provide care across the continuum from primary to secondary care, often in Visiting Medical Officer (VMO) arrangements with a local hospital. However, little is known about the role of GP-VMOs in improving the perceived quality of care and health outcomes for rural and remote communities. Methods: We collected qualitative data from three GP-VMOs (all aged >55 years) and 10 patients (all aged over 65 years) in three local health districts of New South Wales, Australia. Thirteen in-depth interviews were conducted between October 2020 and February 2021. We employed thematic analysis to identify key roles of GP-VMOs in improving the perceived quality of care and health outcomes of rural and remote patients. Results: Our study advances the current understanding regarding the role of GP-VMOs in improving the perceived quality of services and health outcomes of rural and remote patients. Key roles of GP-VMOs in improving the perceived quality of care include promoting the continuity of care and integrated health services, cultivating trust from local communities, and enhancing the satisfaction of patients. Conclusions: GP-VMOs work across primary and secondary care creating better linkages and promoting the continuity of care for rural and remote communities. Employing GP-VMOs in rural hospitals enables the knowledge and sensitivity gained from their ongoing interactions with patients in primary care to be effectively utilised in the delivery of hospital care.

In the Aboriginal community of Ntaria, visual communication is utilized to enhance storytelling, kinship relationships, and cultural knowledge. This research investigates how digital design tools could generate new forms of representation and connection while leading to the creation of employment pathways for young adults. Detailed in this paper is how Ntaria Design, a student-led enterprise was cultivated through a design and enterprise education program run at Ntaria School, part of a three-year participatory action study. From a Western Arrarnta perspective, the value of design, and the resulting development of a design-based enterprise was mediated by Country, culture, and community. This in turn necessitated new ways of teaching, learning, and engaging in research together on-Country. The establishment of Ntaria Design illuminates how design education can build entrepreneurial capacity while enabling Aboriginal youth to engage in commercial pathways on their own terms, and according to their own life-worlds.

Until recently, throughout Arnhem Land in the Northern Territory, Australia, both ceremonial and popular music forms have been almost entirely the domain of men. This article is written by an innovative group of women from this region, who are currently forging new ways to negotiate musical practices, compose, play instruments, sing and perform in public. The Ripple Effect Band are a ground-breaking all-female rock band from the community of Maningrida on the north central coast of Arnhem Land who are using a contemporary music framework to enter a socio-musical space dominated by men. The article will examine the band?s creative processes and how they are negotiating agency as women performing music. The authors will discuss the construction of identity with a particular focus on the role of language and song in the expression of cultural knowledge and the assertion of clan allegiance.

This study describes the distribution of the Australian pharmacists’ workforce using a range of indicators and identifies predictors of practising outside of metropolitan and regional areas.A cross-sectional description of the 2019 pharmacy workforce. Pharmacists who completed the 2019 workforce survey as reported in the Australian National Health Workforce Dataset (NHWDS). The main outcome measures were the number of pharmacists per 100 000, the proportion working less than 35 h a week, the proportion with primary qualification from overseas (outside of Australia and New Zealand) and the proportion aged 65 years or older. Additionally, predictors of practising outside of metropolitan and regional areas were also identified.Nationally, there were 102 pharmacists/100 000 with one-third working less than 35 h a week. About 10% of pharmacists obtained their primary qualification from overseas and 4% were 65 years old or older. Males were more likely to practise outside of metropolitan and regional areas [OR, 1.40 (1.30–1.50); P < 0.001], while younger people were less likely to practise outside of these locations [OR, 0.71 (0.66–0.76); P < 0.001]. Those who had obtained their primary qualification overseas were also more likely to practise outside of metropolitan and regional areas.Analysis of the 2019 NHWDS suggests an uneven distribution of the pharmacist workforce. Also, three predictors of practising outside of major cities and regional centres were identified.

Safe drinking water and effective sanitation is a basic human right. The health of Aboriginal and Torres Strait Islander Peoples living on traditional Country in remote Australia can be supported or undermined by these essential services. Despite global and Australian commitments to the Sustainable Development Goals, water and sanitation service levels have regularly been identified as unreliable, unsafe, and of a lower standard than non-Indigenous and non-remote settlements. This research sought to identify the optimal conditions to enable consistent delivery of safe water and sanitation in remote Indigenous communities of Australia. Using a combination of literature reviews, interviews with key stakeholder groups and applied research findings, key conditions for improved water and sanitation outcomes were identified. These included technology for water and sanitation that is fit for purpose, people and place; capacity-building, training and ongoing support for local Indigenous service operators; and that all personnel involved in delivery require a level of cultural competency to the local and Indigenous context. These findings are intended to contribute to informing more sustainable water and sanitation outcomes in Indigenous communities.

Purpose: Poor health outcomes for patients living in rural and remote areas of Australia are often attributed to the lack of a range of accessible health professionals delivering health services. Community pharmacists are already an integral part of these communities and as such are often the most frequently consulted health professionals. The aim of this study was to explore rural pharmacist knowledge and experiences of expanded pharmacy and to identify the barriers and enablers to remote pharmacists providing expanded pharmacy services (EPS), which can be described as services outside of usual medication management tasks. Methods: Rural and remote pharmacists (Modified Monash Model (MMM) categories 2– 7) participated in an online survey. Descriptive statistics and chi-squared tests were performed and data from open-ended questions were analyzed, categorized into themes and quantitized. Results: Two-thirds (n=13, 68%) of rural pharmacists surveyed (n=19) had knowledge of EPS in rural pharmacies and the majority (n=17, 89%) agreed that these services would benefit rural communities. Mental health service referral was considered very/extremely important by the majority (n=16, 84%) of respondents; however, no pharmacists were currently providing mental health screening services while (n=15, 79%) were willing to provide these services. While staff shortages, costs, time and training were indicated to be the main barriers to the provision of EPS, enablers included accessibility of rural pharmacies and a perceived need. Conclusion: This study indicated that pharmacists are already providing some EPS and see value in their implementation; however, what constitutes an expanded service was unclear to some participants. Mental health services were highlighted as most important demonstrating a recognized burden of mental illness in rural and remote locations. Findings from this pilot study will provide further understanding for future development of the pharmacist’s scope of practice and implementation of EPS.

Summary Background Few studies have assessed whether children exposed to in utero hyperglycaemia experience different growth trajectories compared to unexposed children. Objectives To assess association of type 2 diabetes (T2D) and gestational diabetes mellitus (GDM) with early childhood weight, length/height and body mass index (BMI) trajectories, and with timing and magnitude of peak BMI in infancy. Methods PANDORA is a birth cohort recruited from an Australian hyperglycaemia in pregnancy register, and women with normoglycaemia recruited from the community. Offspring growth measures were obtained from health records over a median follow-up of 3.0?years (interquartile range 1.9?4.0). This analysis included children born to Aboriginal mothers with in utero normoglycaemia (n = 95), GDM (n = 228) or T2D (n = 131). Growth trajectories (weight, length/height and BMI) were estimated using linear mixed models with cubic spline functions of child age. Results After adjustment for maternal factors (age, BMI, parity, smoking, and socioeconomic measures) and child factors (age, gestational age at birth, and sex), children born to mothers with T2D or GDM had lower weight, length/height and BMI trajectories in infancy than children born to mothers with normoglycaemia, but similar weight and BMI by completion of follow-up. Children exposed to T2D had lower mean peak BMI 17.6 kg/m2 (95% confidence interval [CI] 17.3-18.0) than children exposed to normoglycaemia (18.6 kg/m2 [18.1-18.9]) (p = 0.001). Conclusions Maternal hyperglycaemia was associated with differences in early childhood growth trajectories after adjustment for maternal BMI. Exploration of associations between in utero hyperglycaemia exposure and growth trajectories into later childhood is required.

This is the edited transcript of Session 5 of the Symposium on Creative Collaborations in Intercultural and Intermedial Spaces, convened by Creative Arts and English, La Trobe University, 7-9 July 2020. This session, chaired by Hester Joyce, began with an online screening of the documentary film, Homeland story. The screening was followed by a Q&A on Zoom with filmmaker, Glenda Hambly, and anthropologist, Neville White. This edited transcript of the post-screening discussion concludes with an afterword by Glenda Hambly: At the end came the script.

The Edge of Sacred project was conducted with the Nauiyu community in northern Australia and investigated trauma and traditional healing practices. Study participants from the community identified negative social changes and an escalation in anti-social behaviour, such as higher rates of bullying, violence, risky sexual behaviour and children accessing pornography, when mobile phones and social networking sites were used inappropriately. The research utilised Dadirri, a place-based, performative healing praxis that engaged community members in a truth-telling journey. Shared stories revealed social impacts derived from accessing mobile technologies and the ensuing cultural colonisation affected all aspects of Nauiyu community life. We present the findings of mobile phone use behaviours in this remote context and the performance of negative, traumatised and harmful identities that occupy social media and are enabled through social networking sites. Despite the corrosive effects of colonisation, the community unanimously believed that empowerment through truth-telling exists within and belongs to Nauiyu. The traditional holistic healing practice of Dadirri reframes identities, reclaiming Indigenous Lore.

The Northern Territory (NT) has the highest levels of alcohol consumption and harms in Australia. Since the creation of the NT Liquor Act 1978, which came into effect in 1979, numerous legislated alcohol policies have been introduced to attempt to address these harms. We present a narrative historical overview of alcohol policies implemented in the NT from 1979 to 2021.