Walking steady to reshape mental health care
Thereās a word in Noongar language ā debakarn. It means steady, to go steady.
Itās a principle that has guided the life and work of Yuat Noongar man and Āé¶¹Ö±²„ Associate Professor Michael Wright.
Associate Professor Wright was the lead investigator on two National Health and Medical Research Council (NHMRC) funded projects that have reshaped the ways Aboriginal people are supported in mental health services across Western Australia.

Fixing a ābrokenā system
Early in his career as a social worker, Associate Professor Wright came to realise a hard truth: the mental health system was failing Aboriginal families.
āThey werenāt getting the help they needed because the system was never designed with them in mind.ā
āIt is common knowledge that Aboriginal people experience significantly lower health and wellbeing compared to other Australians.ā
āSadly, they are twice as likely to die from suicide and almost three times more likely to experience high psychological distress.ā
Aboriginal people face significant barriers in accessing mental health services, due primarily to the lack of culturally responsive services and a deep mistrust of the mental health system.

āItās about simply who gets a place at the table in discussing what healing looks like. And for too long, it hasnāt been us, our mob, Aboriginal people.ā
āWe are rarely, involved or ever truly consulted in what mental health care should look like for our people. Therefore, services donāt consider or even believe, other options need to be considered for our wellbeing, such as family, culture and Country.ā
āFor us to move forward, we, Aboriginal people and service providers, needed to build relationships and create together another narrative in order to influence and drive the process of change.ā
āDebakarn has become the Looking Forward teamās mantra because in reality there is no quick fix to transform a system whose worldview has been designed for it only to work for some.ā
Looking Forward
Associate Professor Wright is the project lead of Looking Forward, Moving Forward ā a NHMRC funded project aimed at changing the way mental health services work with, and for, Aboriginal people.
The project is guided by Elders through the Noongar concept of āBurdiya to Burdiyaā, or āBoss to Bossā.
āElders are central to our work. They know intimately the needs of community,ā Associate Professor Wright said.
āTheyāre the ones who hold our stories, our history and our cultural knowledge. They know through their own lived experience what healing looks like for Aboriginal people.ā

āIn the past, services thought they were doing the right thing by just inviting Elders to meetings ā but unfortunately, that is not enough. Itās not just about them being in the room. Itās about them leading the work.ā
āThe Elders are co-researchers in our projects because there simply is no project without them.ā
āOur research over the past fourteen years has involved over thirty Elders living in the Perth region in partnership with service providers.ā
Together, they developed the Debakarn Koorliny Wangkiny (āSteady Walking and Talkingā) Conditions for Engaging Framework.
āThis framework outlines the conditions necessary to build strong and meaningful relationships between the services and local communities.ā
āIt is centred on Aboriginal knowledge systems, values and protocols to create a space where Aboriginal people are seen, heard and safe within systems of care,ā Associate Professor Wright said.
The framework has since been implemented in mental health and drug and alcohol services across the WA region.
Key findings from the Looking Forward project have also been integrated into the Curtin School of Allied Health curriculum ensuring that future generation of practitioners are equipped to work in culturally responsive ways.
Fourteen years on, Looking Forward continues to make steady gains.
In 2019, Associate Professor Wright and the team were for a new Curtin-led project titled āOur Journey, Our Storyā which builds on the work of Looking Forward.
The team worked with Elders, young people and non-profit organisation, headspace, to co-design more culturally secure mental health services for Aboriginal youths.
Moving Forward
His research revealed what many Aboriginal people already knew at heart: when Aboriginal people are given space to lead, change can happen.
But that change didnāt happen overnight. It took the rebuilding of trust through meaningful relationships. It took debakarn.
āWe had to move slow to move right but thatās how real lasting change happens,ā Associate Professor Wright said.
āAnd it doesnāt just benefit our mob, itās good for us all.ā
And in that steady way, the work continues.
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