One of the main reasons is reporting to child protection services before a child is born, with separation of infants from their parents shortly after birth. This is a national crisis reflecting systemic failures, discrimination, impacts of colonisation and harmful policies, including the Stolen Generations.
We must take meaningful steps to enshrine the full intent of the Secretariat of National Aboriginal and Islander Child Care’sAboriginal and Torres Strait Islander Child Placement Principle in legislation and implementation in practice.
Another Stolen Generation
In 2018-19, one in five First Nations children removed into out-of-home care was less than one year old. The same year, First Nations infants were removed at a rate of 44.1 per 1,000 – nine times that of non-Indigenous infants.
This represents failed progress towards the Closing the Gap target to reduce over-representation of First Nations children in out-of-home care by 45% by 2031. Rather, the gap is widening and urgent reforms are needed.
Maintaining the best interests of the child and the integrity of Indigenous families and communities should be primary considerations in development, social families and health and education programmes.
Fear of child protection services
Child protection “risk assessment” guidelines are driving increased notifications from health services. These can be triggered by parental homelessness, previous involvement with child protection services (as a child or adult), mental ill-health, young parenthood, cognitive impairment, substance use or family violence.
Prenatal child protection notifications are made to ensure families get support. However, fear of child protection services is a barrier to this support. Many “risk factors” are directly related to socio-economic deprivation, inadequate access to the social aspects of health, and systemic discrimination.
Child protection responses are often punitive, removing an infant if the mother cannot comply with directives.
For example, identifying family violence is crucial, but notifications can be used as an additional threat against mothers by their perpertrators in coercive relationships. Child protection involvement is then experienced as further (systemic) violence, rather than care.
Increasing fear of losing a baby is likely to discourage women from disclosing domestic violence to welfare workers, putting lives at greater risk. Responses to threats (for example, fight, flight or freeze) can also negatively affect maternal and fetal health and behaviour.
Lack of culturally safe support for families
In a survey of perinatal health care workers, 98% reported that trauma, stress and grief significantly impacted First Nations parents - yet only 43% were not satisfied their service could address these issues.
a lack of culturally safe support for mothers before or after they are separated from their child. Some babies are removed shortly after birth without the mother even being told this was being considered
a lack of transparency, accountability and documentation by child protection services.
These systemic failures lead to immeasurable pain for First Nations families. They can also exacerbate intergenerational trauma.
Outcomes for children admitted to out-of-home care in Australia are poor. A study of young people leaving this mode of care reported nearly 50% attempted suicide within four years.
Children removed from their parents often also experience:
lifelong interactions with child protection and justice systems
entrenched disadvantage and institutionalisation
disconnection from culture, community and family.
The high costs of out-of-home care could be better invested in preventing family disruption.
A better way forward
Health care services specialise in complex physical health issues (for example, caring for pre-term babies). Yet, complex social and emotional health issues are classified as “risk factors” and parents are referred to child protection services for “support”, despite mental health and other expertise being available.
According to the World Health Organisation, health is
a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.
Health care services must develop expertise and resource capacity to address social and emotional complexity - including cultural expertise and ways of talking about sensitive issues. This might include yarning, storytelling and deep listening, or dadirri.
Child protection notifications should only be made when concerns remain about risks to the child after support is provided. Child protection support should then be provided in partnership with health care services. Decisions must be transparent, with professional review, research and evaluation to foster expertise.
Principles to follow
The Aboriginal and Torres Strait Islander Child Placement Principle provides an organising framework to coordinate efforts, ensuring a comprehensive response with First Nations children and families at the centre.
Examples under the placement principle could include
prevention: enabling universal access to culturally safe care
partnership: a community-driven co-design of an appropriate model
participation: honest, transparent interactions with parents — no baby should be removed without prior authentic discussions
connection: if child safety concerns still remain, efforts must be made to preserve connections to family, community, culture and Country.
These connections are essential elements for First Nations people’s cultural, social and emotional wellbeing. The welfare of parents must also be considered. Too often parents are left alone, without support, following the removal of their baby.
Child protection services must be culturally safe and responsive to the First Nations children and families they serve. Grounded on these foundations, the Family Matters Building Blocks provide an evidence-informed framework, emphasising all families enjoy access to high quality, culturally safe universal and targeted family supports.
This is aimed at ensuring children can thrive, and are best developed and delivered by First Nations communities themselves.
In this SNAICC Family Matters National Week of Action, we argue over-representation of First Nations children in out-of-home care is not accidental, and we are calling for change to support families to stay together from the start.
We can do this better – and we must.
Those interested in joining the Family Matters campaign can find more information here.
Catherine Chamberlain receives funding from the National Health and Medical Research Council as a Career Development Fellow, and Lead Investigator on the Healing the Past by Nurturing the Future project.
Birri O'Dea receives funding from the Australian Government (Research Training Program Scholarship) and the Alison Mary Jackson and Nancy Rosemary Kingsland Scholarship as part of her PhD Candidature.
Helen Milroy receives funding from the Million Minds Mental Health Research Mission, Telethon Trust, and Perth Children's Hospital Foundation. Helen is a board member of Young Lives Matter, Gayaa Dhuwi Proud Spirit Australia and Beyond Blue and is a Commissioner with the National Mental Health Commission.
Jacynta Krakouer received funding from the Australian Government (Research Training Program Scholarship) as part of her PhD candidature. She is also affiliated with SNAICC and is a member of the SNAICC Family Matters Leadership Group.
Paul Gray is co-chair of the Family Matters campaign - a national campaign led by SNAICC - National voice for our children, to ensure that Aboriginal and Torres Strait Islander children and young people grow up safe and cared for in family, community, and culture. He receives funding from the Australian Research Council investigating effective restoration practice and consults on child protection systems and practice.
email@example.com does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.
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This content was originally published by The Conversation. Original publishers retain all rights. It appears here for a limited time before automated archiving.By The Conversation