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Strategies for working with Aboriginal and Torres Strait Islander people

Mavis Golds is the Aboriginal health coordinator for the Northern Rivers Area Health Service, NSW.


  • Aboriginal and Torres Strait Islander people are culturally different and have their own unique culture.

  • Need to be aware that a lot of people cannot read or write.

  • Do not expect them to fill in forms and questionnaires without assistance.

  • Don't use jargon when asking about medical problems, point to certain parts of the body where the pain might be.

  • In some communities, eye contact does not occur out of respect for their culture.

  • Aboriginal people are more visual and verbal compared to non-Aboriginal society today which is more numerate and literate.

  • Aboriginal and Torres Strait Islander people have large extended families and there are some communities in this area where mothers-in-law do not speak to their sons-in-law.

  • Aboriginal elders do not like being in a confined room.

  • Because of cultural reasons they also like to have their bed heads facing a certain direction - need to ask if their bed is okay.

  • When working with Aboriginal people, there is men's business and women's business, so it is important not to put them in the same room when they are in hospital.

  • When an Aboriginal patient is to see a doctor, please try to make sure they see a doctor of the same gender (although this is not always possible).

  • When there is a death, allow time (at least an hour) for visitors to visit with the deceased. We believe our spirits are still in this room.




Further reading: Mavis spoke to Katherine Breen Kurucsev about her childhood and offers some suggestions on how to improve health services to Aboriginals.

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