QAIHC Chair Dorothy Smith “Bridging now with next”
QAIHC welcomes new Board
ACCHO sector honoured at QAIHC Awards for Excellence
Culture and identity key to mental health and wellbeing
Bidgerdii celebrates 30 years
Gindaja CEO Ailsa Lively drives positive change in Yarrabah
Unlocking the value of 715 health checks for ACCHOs
The ACCHO sector and QAIHC
Aboriginal and Torres Strait Islander community controlled health organisations (ACCHOs) were established as a practical expression of Aboriginal peoples’ self-determination over health matters.
These services were created by Aboriginal and Torres Strait Islander peoples independently of government and driven by the need to receive a better quality of care.
What is an ACCHO?
An ACCHO is a primary health care organisation initiated and operated by the local Indigenous community to deliver holistic, comprehensive, and culturally appropriate health care to the community which controls it, through a locally elected Board of Management.
ACCHOs understand the role they play in supporting their local Aboriginal and Torres Strait Islander communities to live better lives. The ACCHO approach has evolved out of an inherited responsibility to provide flexible and responsive services that are tailored to the needs of local Aboriginal and Torres Strait Islander communities. ACCHOs often provide many services over and above their funded activities to ensure their community members gain the services they need.
In line with their holistic health approach ACCHOS support the social, emotional, physical and cultural wellbeing of Aboriginal and Torres Strait Islander peoples, families and communities.
Who is QAIHC?
The Queensland Aboriginal and Islander Health Council (QAIHC) is a leadership and policy organisation. QAIHC was established in 1990 and is the peak organisation representing many of the ACCHOs in Queensland at both a state and national level.
The QAIHC Membership is comprised of 31 ACCHOs and two regional bodies (NATSIHA and IUIH) located throughout Queensland. Nationally, we represent Queensland through its affiliation and Membership on the board of the National Aboriginal Community Controlled Health Organisation (NACCHO).
It is a privilege to write to you as the new Chairperson of QAIHC. I step into this role with pride in our shared history, strong belief in our people, and a clear vision for the road ahead. QAIHC has a 35-year legacy of leadership, advocacy and cultural strength and I am honoured to help lead us into the next chapter.
We already have a strong blueprint, but how successful we are in achieving our priorities will come down to how successful we are in engaging with you, our Members. To achieve a strong culture, strong sector, strong system and strong structures we need to work together as a sector and with our partners and stakeholders. We need to understand the priorities of a new state government, and how this impacts the Closing the Gap agenda and funding reforms, so that we are in a strong position to take advantage of any opportunities for our sector.
CHAIRPERSON’S ADDRESS
I believe in strong community-driven leadership, grounded in culture and accountable to the people we serve. As Chairperson, my role is to help set our direction, make sure we have good governance and cultural integrity, and stay focused on the big picture.
Our leadership must be fair and open and reflect the strengths of Aboriginal and Torres Strait Islander communities across Queensland.
As we look to the future, I believe QAIHC has an important role in “bridging now with next” — carrying the knowledge of our Elders while building for future generations. This means growing and supporting our Aboriginal and Torres Strait Islander workforce, supporting new ideas and technology and making sure Aboriginal and Torres Strait Islander businesses have real opportunities to grow and succeed. We must keep amplifying community voices and focusing on the strengths
already in our communities. Culture should be a core part of everything we do. And our services must reach everyone — including those who feel left out or disconnected because of trauma, access, or other barriers.
My journey has been shaped by my family, community, and a lifelong commitment to justice, healing, and self-determination. I’m a proud Birri Gubba, Bindal, Meriam, woman, and I carry the strength of those who came before me.
I will keep working to make sure our services are inclusive, culturally safe, and led by Community.
I’m here to listen, to learn, and to serve, and I look forward to working with you all to grow a stronger, more connected sector.
In unity,
Dorothy Smith Chairperson, QAIHC
We welcome submissions from our Members and Associates on the great work being undertaken within the Aboriginal and Torres Strait Islander community controlled health organisation (ACCHO) sector.
If you would like to contribute story ideas for consideration or comment on items in the current issue, please contact our Communications Team at communications@qaihc.com.au. Previous issues can be viewed online at qaihc.com.au
Aboriginal and Torres Strait Islander readers are warned that this publication may contain images or names of people who have passed away.
Queensland
View Sector Leader online
QAIHC News
4 ACCHO sector joins together for QAIHC’s State Members Conference 2025
6 Cover Story — QAIHC appoints new chairperson Dorothy Smith: “Bridging now with next”
8 QAIHC welcomes new Board of Directors
10 ACCHO sector honoured at QAIHC Awards for Excellence
12 QAIHC Awards for Excellence winners
14 QAIHC Hall of Fame winner
16 ACCHO sector shines on the red carpet
18 Culture and connection at QAIHC SEWB Gathering
19 QAIHC launches Workforce Strategy at inaugural Workforce Symposium
20 QAIHC flu campaign rolls out for winter
21 Sector-led research takes centre stage at QAIHC Members Research Workshop
22 QAIHC secures RACP funding for Sector Orientation Package project
22 QAIHC helps Brisbane secure International Indigenous Wellbeing Conference
23 Anna celebrates 10 years
Queensland News
24 New Queensland web resource supports First Nations health
25 Indigenous Australians bear disproportionate burden of allergy-related illness
National News
26 Albanese Government cabinet unveiled
27 Community-led vision drives new food security strategy for remote First Nations communities 28
28 Data Feature Story — Mind the gap: Growing links to culture and identity key to wellness
Room 30 Mental Health
32 Feature Story — Healing journey: Gindaja’s mission to upgrade critical infrastructure
34 Five minutes with Gindaja CEO Ailsa Lively
Member News
37 Educating Community about rheumatic heart disease
38 Bidgerdii celebrates 30 years of Community-led health and wellbeing
40 Yarrabah cultural pioneer Dr Darryl Murgha’s inspiring 40-year career
41 “Look ear!” Gurriny launches vital new ear health clinic for kids.
41 Future health leaders rise at Gurriny
42 ACCHO sector mourns passing of former NACCHO Chair Henry Councillor
43 Sheryl Lawton to lead key regional health committee
44 Mob Pod: Connecting communities through innovation on wheels
45 Manngoor Dja unites community for Close the Gap Day celebrations
46 Goondir Health Services to co-lead national digital health model for chronic disease care
Member Support
48 Maximising Medicare: Helping ACCHOs get the most from 715 health checks
51 Safe sex resources still available for ACCHOs
52 Divisional update
54 QAIHC Divisional Directory
56 Deadly Entertainment
ACCHO sector joins together for QAIHC’s State Members Conference 2025
The QAIHC Statewide Members Conference 2025 was filled with bold ideas, engaging discussions, and a shared commitment to self-determination for Aboriginal and Torres Strait Islander communities in Queensland.
Held from 3-4 June 2025 at the Pullman King George Square in Meanjin/Brisbane, the conference’s theme Real in Queensland focused on real reform, real investment and real outcomes.
The event attracted more than 150 delegates from Queensland ACCHOs, as well as government representatives, health and hospital services and more.
Day 1 (3 June 2025)
The conference was officially opened with a Welcome to Country from Aaron Ruska of Tribal Experiences. In response, QAIHC’s special guests from Aotearoa, Aunty Janice Kuka and Rāwiri Crawford (Ngā Mataapuna Oranga), and Graham Bidois Cameron (Health New Zealand) conducted a mihimihi, or introductory speech, in Māori.
Outgoing Chairman Matthew Cooke welcomed delegates to the conference and reflected on his tenure, calling for unity, vigilance, and bold leadership in the face of political and institutional challenges.
He called on the sector to stay united and strategic, regardless of changes in government.
It is real, not only that the reforms are needed, but real that — no matter what side of politics is in power — we remain strong as First Nations Aboriginal and Torres Strait Islander people.”
The keynote address was presented by the Hon. Tim Nicholls MP, Queensland’s Minister for Health and Ambulance Services, who affirmed the Queensland Government’s commitment to meaningful and respectful partnerships with the sector.
Selwyn Button (Productivity Commission) spoke candidly about achieving Close the Gap outcomes by 2031, while Flora Warrior and Dr Abbe Anderson (Cape and Torres Health Commissioning Ltd) highlighted the importance of community-controlled health commissioning in remote communities.
Panel discussions on the day included How do we achieve the Close the Gap outcomes and targets by 2031? and Navigating a changing political landscape and Community-controlled healthcare commissioning. Thanks to panellists Bruce Gibson (Hope Vale Shire Council), Lizzie Adams (Goolburri Aboriginal Health Advancement Co Ltd) and David Harmer (QAIHC), Dr David Rosengren (Queensland Health), Matthew Cooke (Central Qld Health), Renee Williams (Torres Health), Wayne Ah Boo (IUIH), Janice Kuka, Rāwiri Crawford, Rachel Atkinson (PICC), and Andrew Malcolm (Gindaja Treatment and Healing Indigenous Corporation).
Master of Ceremonies Dan Bourchier kept the proceedings on track with humour and grace, guiding guests through a day of meaningful conversations and cultural celebration.
Attendees were also able to personally contribute to a special custom conference artwork, led by Indigenous artists Chern’ee and Brooke Sutton.
Day 2 (4 June 2025)
Day 2’s conference sessions explored the role of First Nations data and culture in care systems.
Graham Bidois Cameron, A/Prof Lisa Whop and Dr Louise Mitchell (Australian National University), Simon Costello (VACCHO) and Scott Brown (QAIHC) provided insights on data use and sovereignty.
QAIHC Acting Deputy CEO David Harmer discussed the outcomes of the Regional Engagement Roadshow, while Natalie Wilde (Department of WATSIPM) provided an update on departmental commitments to Aboriginal and Torres Strait Islander peoples.
In the afternoon, Lizzie and Trent Adams (Goolburri Aboriginal Health Advancement Co Ltd) as well as Joy Savage (Wuchopperen Health Service) shared reflections on how Blak Excellence and cultural brilliance shape the way we deliver health.
Panel discussions on the day included QAIHC’s data and investment priorities, Driving change — Departmental commitments to Aboriginal and Torre Strait Islander peoples and Celebrating Indigenous culture. Thanks to panellists: Dorothy Smith (incoming QAIHC Chairperson), Rāwiri Crawford, Daniel Rosendale, Ailsa Lively (Gindaja Treatment and Healing Indigenous Corporation), Haylene Grogan (First Nations Health Office), Kieran Chilcott (Kalwun Development Corporation) and Suzanne Andrews (Gurriny Yealamucka) for their contributions throughout the day.
The event closed with many attendees heading off for the QAIHC Awards Night.
QAIHC appoints new Chairperson Dorothy Smith: “Bridging now with next”
QAIHC’s new Chairperson Dorothy Smith is looking forward to leading the organisation into its next chapter — grounded in culture, driven by Community and united in its vision to bridge “now with next” for all First Nations people.
Ms Smith, who is also the Chairperson of Townsville Aboriginal and Islander Health Service (TAIHS), was appointed the new QAIHC Chairperson at the Annual General Meeting on 5 June. She takes over the role from outgoing Chairperson Matthew Cooke, who has served since 2020.
“This is reconciliation in action: connecting the wisdom of the past with the hopes of the future and ensuring that our leadership is always for the whole community.”
Ms Smith said she wanted to address five key themes as Chairperson:
Ms Smith said she saw her role as that of a strategic guide — focused on good governance, cultural integrity and longterm direction.
She is a proud descendant of the Birri Gubba Nation through her mother’s side, with strong ties to the Bindal people. On her father’s side, she carries the lineage of the Meriam people of Murray Island and the Kutjala people of Charters Towers. Both her grandfathers also share connection to the Bwgcolman people of Palm Island, having been sent there as children during the era of the Stolen Generations.
As QAIHC marks its 35th year, Ms Smith said QAIHC must reflect on what it wants for “our health, our culture and our future — not just for today, but for the next 50 years and beyond.”
Our role is to bridge now with next, so that the legacy of our Elders continues to guide us, and the dreams of our children can be realised,” she said.
Leadership: QAIHC must stay democratic, transparent, and truly representative of all First Nations people in Queensland. Regional voices must be heard and clearly reflected in our priorities.
Culture and strength: QAIHC’s advocacy should focus on community strengths, with culture practised intentionally and led locally.
Accountability: QAIHC must serve not only those who access our services, but also those disconnected by trauma, distance, or distrust.
Workforce and innovation: As a major employer of First Nations people, QAIHC must prepare for the digital future while supporting staff wellbeing and leadership.
Economic influence: QAIHC should lead in Indigenous procurement, backing Indigenous businesses and driving cultural healing through economic inclusion.
“The day-to-day leadership of QAIHC belongs to our CEO, and it is vital that we, as a Board, empower her fully to lead the organisation with confidence and authority,” she said.
Ms Smith said she was thrilled to be leading QAIHC into the future as she had benefited from community controlled health services through her entire life.
“My journey with QAIHC began through a deep connection to family lines that have helped establish and grow Aboriginal and Torres Strait Islander community-controlled health services across Queensland, such as my hometown of Townsville with TAIHS,” she said.
“As a mother and member of a large kinship network, I have seen firsthand the impact of QAIHC’s Member organisations — from baby immunisations to Elder care and ageing well. My family, like so many others, has benefited from the dedication of our staff, volunteers, and board members.”
Ms Smith is a long-time leader in the community-controlled sector, with over
15 years’ of experience across government, business development, and First Nations engagement. She has held senior roles in justice, health policy, youth and child wellbeing, and Indigenous procurement, as well as is the Managing Director of Goodjoo Pty Ltd, a fully Aboriginal and Torres Strait Islander-owned enterprise and consulting business. Ms Smith brings deep cultural knowledge and a strong track record of bridging commercial and Community priorities.
QAIHC welcomes new Board of Directors
QAIHC Members voted for a new Board of Directors at the June AGM, marking a significant milestone in the organisation’s leadership journey.
Eligible voters selected leaders to advance the Queensland ACCHO sector, to advocate for community priorities and drive forward health equity.
The newly elected Board brings a strong mix of experience, cultural knowledge, and community connection to guide QAIHC’s strategic direction into the future.
Dorothy Smith Chairperson
See story on page 6.
Rachel Atkinson Deputy Chairperson
Rachel Atkinson is a proud Yorta Yorta woman and long-time advocate for Aboriginal and Torres Strait Islander communities. With over 25 years’ experience as a CEO of community-based
organisations, she has led the Palm Island Community Company (PICC) since 2007, guiding its growth into the island’s largest service provider and employer.
Rachel’s governance and advocacy work spans child protection, health, and social services. She is Co-Chair of Family Matters Queensland, and a Director of the SNAICC National Executive.
She also serves on the Queensland First Children and Families Board and is the Deputy Chair of QAIHC. Her career reflects a lifelong commitment to selfdetermination, equity, and improving outcomes for First Nations people.
Malcolm Far North Queensland Director
Andrew Malcolm, raised between Yarrabah and Palm Island, brings deep community insight and over 30 years of experience in Indigenous health, governance, and infrastructure.
A former board member of Wuchopperen Health Service and Okola Corporation, Andrew has held numerous leadership roles across regional and national organisations.
He is currently Chair of NATSIHA and Gindaja Board of Directors, where he champions culturally responsive, community-led healthcare. Andrew’s governance style is collaborative and strength-based, rooted in transparency and equity. A qualified carpenter and registered builder, he has worked across government, community, and private sectors, combining his knowledge of infrastructure, environmental health, and innovation to drive sustainable solutions in Aboriginal and Torres Strait Islander health and well-being.
Matthew Cooke Central Queensland Director
Matthew Cooke is a proud Aboriginal and South Sea Islander from the Bailai (Byellee) people in Gladstone, Central Queensland. Matthew has a background in serving the Aboriginal and Torres Strait Islander community-controlled health sector as both a Director and CEO over the past 15 years.
Mr Cooke is currently the Chief Executive Officer for the Gladstone Region Aboriginal and Islander Community
Andrew
Controlled Health Service Limited, t/a Nhulundu Health Service and Executive Chairperson of the First Nations Bailai, Gurang, Gooreng Gooreng, Taribelang Bunda People Aboriginal Corporation.
Matthew is actively involved in all aspects of Aboriginal and Torres Strait Islander affairs at national, state, regional and local levels. In 2007 he was named Young Leader in Aboriginal and Torres Strait Islander Health, in 2008 received the Deadly Vibe Young Leader Award and in 2011 received the Australian Institute of Management 2011 Young Manager of the Year Award — Gladstone. He was the Chairman of QAIHC from 2020-2025.
Mr Cooke is also a member of the Australian Institute of Company Directors and a Director of the Institute for First Nations Governance Professionals.
Elizabeth Adams
South and South West Queensland Director
Elizabeth “Lizzie” Adams is a proud and passionate Mardigan and Budjiti woman from south west Queensland. She is CEO of Goolburri Aboriginal Health Advancement Co Ltd in Toowoomba,
Executive Director of the Jaydon Adams Memorial Foundation and Chair of the Queensland Aboriginal and Torres Strait Islander Child Protection Peak.
Lizzie has always been fuelled by a passion for improving health outcomes for Aboriginal and Torres Strait Islander people. She got her start in the healthcare sector through her training and work as a nurse, before moving into healthcare administration. As CEO of Goolburri for more than two decades, Lizzie has grown the organisation from humble beginnings to a thriving service with eight office locations and a wide range of health services including GPs, wellbeing services, oral health, aged care, early childhood education and child wellbeing services, employing more than 80 people.
As Executive Director of the Jaydon Adams Memorial Foundation, set up in memory of her son, she seeks to address the social determinants that impact Aboriginal youth and families. The foundation provides mental health first aid training, cultural safety training, social and emotional wellbeing services and the Strong Minds, Strong Spirits Program.
Lizzie has been QAIHC’s South and South West director since early 2025.
Renee Blackman
South East Queensland Director
Renee Blackman, a proud Gubbi Gubbi (Kabi Kabi) woman, is a passionate advocate for the health of Aboriginal and Torres Strait Islander peoples. Starting her career as an Aboriginal Health Worker in the early 1990s, she went on to earn a Bachelor of Nursing in 2000. With over 30 years’ experience, Renee has worked in urban and remote settings as a Registered Nurse and held leadership roles across primary, acute, and community health. Since 2016, she has served in executive positions at ATSICHS Brisbane and is now its Chief Executive Officer. Renee’s leadership continues to drive culturally safe, high-quality care for communities across South East Queensland.
Position vacant
North and Northwest Queensland Director
ACCHO sector honoured at QAIHC Awards for Excellence
Queensland’s ACCHO sector came together to celebrate Community, culture, and the outstanding achievements of those dedicated to improving the health of mob at the biennial QAIHC Awards for Excellence in Brisbane.
The 4 June awards honour those individuals and organisations who have worked tirelessly to strengthen the sector, advocate for change and provide exceptional care to Aboriginal and Torres Strait Islander communities in Queensland.
This year QAIHC recognised Cleveland Fagan, former CEO of QAIHC, for his significant contribution to Queensland’s ACCHO sector with his induction into the QAIHC Hall of Fame.
Six Awards for Excellence were presented to individuals, teams and Member services who embodied the ACCHO spirit:
Member of the Year Award: Kalwun Development Corporation Ltd.
Leader of the Year Award: Fallon Grainer, Mulungu Aboriginal Corporation Primary Health Care Service
Youth Advocate of the Year Award: Shirley Curley, Palm Island Community Company (PICC)
Innovation Excellence Award: Cultural Birth Support Workers, Mookai Rosie Bi-Bayan
Partnership Excellence Award: Carbal Outreach Services Team, Carbal Medical Services
Service Excellence & Patience
Satisfaction Award: Team Gindaja, Gindaja Treatment and Healing
Indigenous Corporation
More than 160 people attended the awards evening at the Pullman King George Square in Meanjin/Brisbane.
The event was emceed by Biripi comedian and entertainer Andy Saunders, who has performed at the Melbourne International Comedy Festival and appeared on Just for Laughs, ABC and Channel 10. The Welcome to Country was presented by Nunukul Yuggera Traditional Dance Troupe and an Acknowledgement of Country was presented by Wagga Torres Strait Island Dance Company, while entertainment was provided by The Jacks Band.
QAIHC thanked sponsors HR Law, Lowitja Institute, Health and Wellbeing Queensland, Deloitte, Health Workforce Queensland and CheckUp for contributing to making the evening such a success.
QAIHC Awards for Excellence winners
Kalwun Development Corporation Limited Member of the Year Award
In 2024, Kalwun marked 30 years of service to the Gold Coast region — a testament to its enduring community impact.
More than 400 people attended Kalwun’s anniversary celebration at the Gold Coast Convention and Exhibition Centre.
Kalwun partnered with IUIH to secure $31.5 million for a new health facility and expansion of the Coomera Hub.
Its Child, Youth and Family Services team now delivers tertiary family intervention services, strengthening support for vulnerable families.
Kalwun also secured funding to support 200 more Elders through the Commonwealth’s Flexible Aged Care Program.
Fallon Grainer
Mulungu Aboriginal Corporation
Primary Health Care Service Leader of the Year Award
Fallon Grainer, a proud Kuku
Djungan, Tagalaka, Tableland Yidinji, Zagareb, Mer and Meuram woman, leads with cultural intelligence and self-determination.
A lifelong Mareeba local, Fallon is a schoolteacher, volunteer and Mulungu Board member. She became a teacher to uplift First Nations children, believing education and healthcare work hand in hand.
As Company Secretary and former Chairperson, Fallon helped lead major projects — including the 2022 opening of the Midin Clinic in Atherton.
A natural leader, she fosters inclusive environments where others thrive. Fallon embodies the Mulungu motto, ‘Building Strong Leaders, Strong Community, Better Health’.
Shirley Curley
Palm Island Community Company Youth Advocate of the Year Award
Shirley Curley, a proud Bwgcolman woman, is a Youth Leader in Deadly Choices’ Tackling Indigenous Smoking (TIS) program and Community Events Officer at PICC. As a TIS ambassador, she leads health promotion activities that support people to quit or avoid smoking and vaping. She also works with clinicians to help youth quit.
Shirley is a mentor to young people navigating early adulthood. Her lived experience makes her a trusted voice for youth in remote communities.
PICC CEO Aunty Rachel Atkinson said, “through her youth leadership, advocacy and mentoring she is a true champion of cultural connection, she is an advocate for ending systemic racism and a leader in creating health equity.”
Cultural Birth Support Workers
Mookai Rosie Bi-Bayan Innovation Excellence Award
Mookai Rosie’s model of care for women birthing off Country is a gold standard benchmark that exists nowhere else in Australia.
After seeing Cape York women experience birth trauma in Cairns without support or continuity of care, Mookai Rosie developed a culturally safe maternal program to address these issues.
It introduced Identified Cultural Birth Support Workers to support expectant mothers alongside midwives. They attend antenatal appointments, promote bonding and assist with positioning during labour.
After discharge, Mookai Rosie supports mothers with follow-up midwife visits and help returning to their home communities.
Carbal Outreach Services Team
Carbal Medical Services Partnership Excellence
Award
Carbal’s Strong Start, Bright Future program exemplifies multi-agency collaboration. The program united Carbal’s outreach team, researchers from the University of Queensland, and agencies across health, education, justice, child safety, and disability sectors to co-design a whole-ofservice approach to FASD.
Team Gindaja
Gindaja Treatment and Healing Indigenous Corporation Service Excellence & Patient Satisfaction Award
Gindaja’s success is grounded in its Model of Care — a framework integrating five key elements and eight principles delivering culturally safe, continuous support.
A 2017, a Model of Care restructure of Gindaja laid the foundation for eight years of expansion. Gindaja’s cultural knowledge, skills and experience, supported by contemporary practice, is seeing positive benefits for community.
Built on trust developed between Carbal and participants in Strong Mothers Strong Families, the program supported mothers whose children were potentially misdiagnosed and who were reluctant to disclose alcohol use.
Yarning circles fostered trust and FASD awareness, enabling culturally appropriate reassessment. As a result, some children received a FASD diagnosis.
UQ researchers called it the most successful trial of its kind, citing authentic data made possible by trust, community engagement and cultural safety.
Buoyed by this success, Gindaja has twice commissioned independent analysis of the Model of Care and Gindaja’s efficiency. The findings were striking – on average, the community saw $2 of benefit for every $1 invested.
This evidence has demonstrated to government agencies that Gindaja’s way of operating delivers high return on investment, while also remaining grounded in Indigenous ways of knowing, being and doing.
QAIHC Hall of Fame inductee
Cleveland Fagan
Cleveland Fagan was a proud Djabugay man with connections to Cairns, Yarrabah, Kuranda, Mareeba and Cape York. From an early age, he knew his life’s work would be dedicated to serving Aboriginal and Torres Strait Islander people. He understood health wasn’t just the absence of illness, it was shaped by physical, social, emotional, spiritual and community factors and addressing it meant tackling not just illness but the social determinants of health.
Throughout his career, Cleveland was a fearless advocate and a champion of self-determination, ensuring Aboriginal and Torres Strait Islander communities had a seat at the table with governments on health matters that impacted them.
Before stepping into the ACCHO sector, Cleveland held positions with the Commonwealth Department of Health and Aging, Queensland Health and the North Queensland Land Council, working with community on issues like cultural heritage, economic development and land management.
Cleveland was brought on as CEO of a struggling Apunipima Cape York Health Council in 2006. Under his leadership, Apunipima transformed from an advocacy body to a primary healthcare service provider, expanding its footprint to 17 communities in the gulf and cape regions. In doing so, he tripled Apunuipima’s workforce and income before his departure 11 years later — a testament to his vision and leadership.
In 2020, Cleveland became CEO of the Queensland Aboriginal and Islander Health Council where he championed community control and self-determination in Aboriginal and Torres Strait Islander health matters. He played a pivotal role in major reforms to Queensland’s hospital system, following QAIHC-commissioned research that exposed systemic racism in every public hospital in Queensland, His advocacy led to the Palaczszuk government implementing health equity legislation that required each hospital and health service in Queensland co-develop a health equity strategy with the region’s ACCHOs — a milestone
achievement for Aboriginal and Torres Strait Islander health.
Cleveland resigned from QAIHC in late 2023 to focus on his health and his work with the Yarrabah Leaders Forum, an organisation he helped form in 2016
His advocacy for Yarrie saw him assist Gindaja Treatment and Healing Indigenous Organisation secure nearly $11 million in infrastructure funding. He also advocated for Gurriny Yealamucka Health Service to transition from a government-run entity to a community-controlled managed health service; the first instance of this in Australia.
Tragically, Cleveland passed away suddenly in June of 2024, just a week before the Yarrabah Leaders Forum was incorporated as a legal entity. However, his legacy lives on through the improved health and wellbeing of Aboriginal and Torres Strait Islander communities across Queensland, including some of the state’s most remote and underserved communities.
Cleveland’s proudest legacy was his family: his wife Ruth, daughters Clevanna and Sara, his grandkids, father Dr Bernard Singleton and his siblings Jason, Royden, Louise and Bernie.
Cleveland’s daughter, Sara accepted his posthumorous Hall of Fame award on behalf of his family.
ACCHO sector shines on the red carpet
Glamour and glitz were the order of the day, as the ACCHO sector graced the red carpet for the QAIHC Awards for Excellence in Brisbane on 4 June.
Attendees donned their best frocks and suits for the bi-annual event, which acknowledges and celebrates the achievements of the ACCHO sector.
The awards recognise the individuals and organisations who have dedicated their work to improving the health of Aboriginal and Torres Strait Islander communities.
The red carpet was an opportunity for people to catch up with friends and colleagues and have a bit of fun before the formalities of the award evening commenced.
Culture and connection at QAIHC SEWB Gathering
Culture was front and centre at the QAIHC Social and Emotional Wellbeing (SEWB) State Gathering 2025 in June, with SEWB workforce coming together to celebrate the role of culture in keeping mob strong, connected, and supported.
Held from 17-18 June at the Hotel Grand Chancellor in Brisbane, the event, themed Yarning to Heal, provided an opportunity for people working in SEWB to share, connect and strengthen their response to mental health in their communities.
The keynote address was provided by Professor Pat Dudgeon and Tegan Schefe, both from the University of Western Australia (UWA), who gave insightful and engaging presentations on the grounding of SEWB principles to Indigenous mental health and wellbeing. Professor Dudgeon also talked about the model of place-based trials in Western Australia, which focused on community-led models and matching workforce models.
The event’s Master of Ceremonies was Cairns Regional Councillor Trevor Tim who helped guide discussions across the two days. Attendees had the
opportunity to hear from a variety of frontline services, with the threads of culture and trust as key success factors.
QAIHC Social Health Programs
Manager Tiana Lea said the event had been “healing.”
The Gathering has felt like a group hug for the soul,” she said.
“Yes, we have our challenges in Community but coming together in this space strengthens us to go back with motivation, resources, and words that have been so generously shared throughout the gathering.
Community must lead the way for our mob. Everyone at the Gathering has show how they are doing exactly that.”
QAIHC launches Workforce Strategy at inaugural Workforce Symposium
Sector leaders from across Queensland gathered to discuss the importance of strengthening the ACCHO workforce and preparing for the future at the inaugural QAIHC Workforce Symposium, held at The Pullman Brisbane on 2 June 2025.
With the theme Bringing our workforce back together: health workers first, stronger communities, the event marked the official launch of the QAIHC Workforce Strategy and elevated the voices, leadership, and aspirations of the Aboriginal and Torres Strait Islander health workforce.
The Strategy was formally launched by outgoing QAIHC Chairman Matthew Cooke, following a keynote address by the Hon Amanda Stoker MP, Assistant Minister for Finance, Trade, Employment and Training.
QAIHC Acting CEO Paula Arnol shared the journey behind the Strategy, which outlines a roadmap to grow a skilled and culturally safe workforce, support sector growth, and meet the evolving health needs of communities.
Ms Arnol described the Strategy as a “call to action” — a shared commitment to strengthen the workforce, protect
cultural knowledge, and create leadership pathways to ensure Aboriginal and Torres Strait Islander communities continue to thrive.
Key speakers included:
Marcy Holdsworth, Regional Manager (Qld), Joint Colleges Training Services — on training the next generation of ACCHO doctors
Greg Richards, General Manager, Sector Development, QAIHC — on the long-term workforce vision
Adam Stephen, Workforce Development and Jurisdiction Manager, QAIHC — on building a future-ready workforce
Two thought-provoking panels explored elevating health worker voices and growing place-based workforce strategies, with contributions from Palm Island Community Company, Queensland Health, Sunshine Coast HHS and QAIHC.
The day concluded with a storytellingon-calico art collaboration led by Casey Coolwell and QAIHC’s Jaymie Lynch, symbolising the shared journey ahead.
Thank you to Angela Young, Executive Director, Aboriginal and Torres Strait Islander Engagement at Children’s Health Queensland, for agreeing to be the Master of Ceremonies and to the more than 65 delegates from over 40 organisations who attended, including ACCHOs, training providers, HHSs, government departments and advocacy bodies.
QAIHC flu campaign rolls out for winter
QAIHC launched a new flu campaign, Flu is Bad, Get the Jab, to coincide with World Vaccination Week from 24-30 April.
The Flu is Bad, Get the Jab campaign encourages Aboriginal and Torres Strait Islander communities to make an informed choice about getting their free flu vaccine.
The aim of the campaign was to increase the uptake of flu vaccine amongst ACCHOs in the leadup to winter, when flu transmission is most prevalent. It highlighted the importance of community protection, individual health, and looking after those most at risk.
As part of the campaign, QAIHC provided Member ACCHOs with free printed Flu is Bad, Get the Jab posters (designed in 2024 with collaboration from TAIHS) to promote flu vaccinations to their clients, as well as social media tools.
Sector-led research takes centre stage at QAIHC Members Research Workshop
QAIHC’s one-day Members Research Workshop held in Meanjin (Brisbane) brought together sector leaders and experts for a day of inspiration, knowledge-sharing, and future planning.
The event began with a shared breakfast, offering an opportunity for participants to connect before launching into a packed agenda. Sessions throughout the day focused on research, ethics, and governance, with expert insights from Professor Yvonne Cadet-James, Dr Michael Doyle, and Professor Ray Mahoney.
Participants engaged through two yarning circles, reflecting on the experiences, priorities, and preferences of the sector. These conversations will ensure future research efforts are shaped by those at the heart of community health.
A major outcome of the day was the development of recommendations to QAIHC abouh the role of research in our sector.
QAIHC extended its thanks to Greg Pratt and Tegwen Howell from the QAIHC Research team for their coordination of the event, and to all Members who contributed to making the day a success.
QAIHC secures RACP funding for Sector Orientation Package project
QAIHC is excited to announce it has secured over $300,000 in funding from the Royal Australasian College of Physicians (RACP) to develop a groundbreaking Sector Orientation Package for health professionals.
QAIHC helps Brisbane secure International Indigenous Wellbeing Conference
This funding will support the creation of a comprehensive online resource to better equip health professionals beginning their careers in the ACCHO sector.
The Sector Orientation Package will address a critical gap in the training of medical professionals, who often have limited knowledge of the history, structure, and model of care of ACCHOs before commencing rotations.
It will provide an overview of the history of ACCHOs, their role as an expression of Aboriginal and Torres Strait Islander selfdetermination, and the holistic approach required for quality primary healthcare delivery. The package will also cover key aspects of the Australian healthcare system, Aboriginal health policies, and the unique governance structures of ACCHOs.
QAIHC Public Health Medical Director Associate Professor Sophia Couzos said the project would be particularly useful for trainees in rural placements.
The Sector Orientation Package will supplement the local orientation supplied by the local health service and will provide trainees with a better understanding prior to commencing a rotation in an Aboriginal community-controlled health service,” she said.
The QAIHC Public Health team is currently working on the project with the Communication and Design teams. The project team has already interviewed key figures from the ACCHO sector’s history (past and present) this year.
QAIHC has proudly assisted the Brisbane Economic Development Agency in its successful bid to bring the prestigious International Indigenous Wellbeing Conference to Meanjin (Brisbane). The event is scheduled for 20-21 October and will be hosted in Brisbane city.
Previously held in Auckland, the conference focuses on empowering First Nations peoples in Australia and Aotearoa to uplift their communities’ health and wellbeing. It acknowledges the strength and resilience of Indigenous cultures and celebrates their diversity.
This milestone was achieved through a collaborative effort by QAIHC’s Manager, Social Health Programs, Tiana Lea, and the Communications team.
Ms Lea has since joined the conference’s organising committee, further underlining QAIHC’s commitment to this significant event.
The conference is coordinated by the Australian and New Zealand Mental Health Association, an organisation dedicated to standing alongside First Nations peoples in their pursuit of improved mental health and wellbeing outcomes.
Register your interest via the QR code.
Anna celebrates 10 years
Long-term staff member Anna Sheahan celebrated her 10th anniversary at QAIHC in January. Starting out as a Data Reports officer in 2015, Anna is now the QAIHC Data Analyst Lead. Her role includes managing data governance policies and procedures, responding to Member requests, helping with reporting and managing projects.
How did you start at QAIHC and what has kept you here for 10 years?
When I was studying Indigenous primary health care at uni, I remember thinking I would like to end up in data or research work in Indigenous health. I liked the idea of working in the background to support frontline workers and having landed this job 10 years ago — it was like a dream come true. I think what has kept me at QAIHC for 10 years is the overall supportive workplace — the QAIHC family and mainly the QAIHC vision aligns with my own purpose and passion.
What do you enjoy most about your role?
I love supporting Member services and doing the data crunching and making reports that show the evidence of the good work our Member services do. I also enjoy training Member services on the PenCS Clinical Audit Tool and Topbar and learning about how data is used in the services.
How has QAIHC changed and evolved over the past 10 years?
QAIHC has changed a lot over the 10 years in lots of ways, I’ve seen changes in executive management, staff changes, building location, and strategic direction. But I think the core purpose and values have remained the same in terms of serving our Members and providing support and leadership.
What is one of your best memories of working at QAIHC?
One of my favourite memories is the 25-year gala dinner and seeing Archie Roach play. I’ve had a lot of fan-girl moments like meeting Cathy Freeman, Steve Renouf, Patrick Johnson and now working alongside Associate Professor Sophie Couzos — who wrote the textbook I studied from at uni — is a spin out.
What inspires you most about the ACCHO sector?
I think it’s the strength of the ACCHO Member services staff, that work so hard and are expanding to meet community needs and continually adapting to challenges. ACCHOs are such an important part of the health system because they are so responsive to community needs and deliver services that are culturally safe. I really believe the ACCHO sector is integral to keeping Aboriginal and Torres Strait Islander culture strong and providing Community appropriate primary health care services.
New Queensland web resource supports First Nations health
Queensland Health and the Australian Indigenous HealthInfoNet have launched a new Queensland Portal, which provides Queensland-specific health information and resources to support anyone working or studying in First Nations health in Queensland, including students, academics and policy makers.
Funded by the Queensland Government Department of Health, the new portal includes a map that allows users to filter content by Queensland’s Hospital and Health Services for a faster, more efficient search for relevant publications, resources, programs, organisations, courses and jobs.
The Portal also supports the workforce with information on Queensland-specific events and funding opportunities.
information about First Nations peoples. I’m excited by the possibilities this offers in supporting improved health outcomes for our people”.
HealthInfoNet Director, Professor Bep Uink said: “This freely accessible portal will help support and inform the health workforce in Queensland by providing them with up-to-date, relevant and evidence-based resources for First Nations peoples. I am delighted that Queensland Health has chosen the HealthInfoNet to provide and keep updated this curated culturally safe collection to support their ongoing initiatives in improving health outcomes for their First Nations population groups”.
Queensland Health’s, Chief First Nations Health Officer Haylene Grogan, who heads up the First Nations Health Office said: “The Queensland portal will facilitate access to evidence-based health
The Queensland Portal is located on the HealthInfoNet website. Users can freely access up-todate information and culturally appropriate resources on First Nations health in Queensland. Scan the QR code to visit HealthInfoNet.
Indigenous Australians bear disproportionate burden of allergy-related illness
Researchers at the University of Queensland have found First Nations people are twice as likely to present at hospital with asthma and other allergy related illnesses, compared to other Australians.
Dr Desalegn Markos Shifti, from UQ’s Child Health Research Centre led a study analysing 813,112 Emergency Department (ED) presentations at 12 public hospitals in Central Queensland, between 2018 and 2023.
We found First Nations Australians were significantly more likely to present to an ED for asthma or other allergic diseases compared to other Australians,” Dr Shifti said.
“Other allergic illnesses included anaphylaxis, atopic dermatitis and other unspecified allergies.
“Our study captured the burden of severe and potentially life-threatening cases that necessitate immediate medical attention, highlighting the acute impact of asthma and allergic diseases.
“And worryingly, we found that ED presentations for asthma and allergies increased over time.”
Australia is known as the allergy capital of the world with allergic diseases affecting around one in five people and is anticipated to increase by 70 per cent by 2050.
However, studies in rural, regional and remote areas are limited, impacting the understanding of the scale and unique factors that influence allergic diseases in these settings.
Senior-author Associate Professor Jennifer Koplin said the higher rate of ED presentations related to allergic diseases was surprising given allergic and atopic diseases have not been traditionally recognised as an important concern among Indigenous Australians.
“It’s important for further research to understand the impact of allergic disease among Indigenous Australians and to explore the causes of these differences and strategies to address them,” Dr Koplin said.
Central Queensland Hospital and Health Service’s Acting Executive Director of Medical Services Dr Gulam Khandaker welcomed the collaboration between Central Queensland Public Health Unit and UQ’s Child Health Research Centre, saying research studies such as these were vital to improve health outcomes for locals.
“Medical research improves outcomes for patients and enables our clinicians to have access to evidence-based, bestpractice treatments,” Dr Khandaker said.
“We are delighted to work in partnership with researchers from UQ’s Child Health Research Centre to ensure Central Queensland is well represented in this regard.”
The study was also supported by the Murdoch Children’s Research Institute.
The research has been published in BMJ Open, scan the QR code to view it.
Albanese Government cabinet unveiled
The Labor Government, led by Anthony Albanese, had a decisive victory in the Federal Election in May. The Prime Minister has since revealed a new Ministerial Cabinet (some of these are listed below).
The Hon Anthony Albanese MP Prime Minister
Senator the Hon Katy Gallagher Minister for Women
The Hon Dr Anne Aly MP Minister for Multicultural Affairs
The Hon Jason Clare MP Minister for Education
The Hon Clare O’Neil MP Minister for Housing Minister for Homelessness
The Hon Amanda Rishworth MP Minister for Employment and Workplace Relations
Senator the Hon Malarndirri McCarthy Minister for Indigenous Australians
The Hon Mark Butler MP Minister for Health and Ageing
The Hon Tanya Plibersek MP Minister for Social Services
Community-led vision drives new food security strategy for remote First Nations communities
Despite living in one of the most food-secure nations in the world, many Aboriginal and Torres Strait Islander communities in remote Australia continue to face daily struggles to access healthy, affordable food. A new 10-year national strategy is hoping to change that.
Launched after extensive community consultation, the National Strategy for Food Security in Remote Aboriginal and Torres Strait Islander Communities (2025–2035) brings together the voices of First Nations people, government partners, and the ACCHO sector to address the urgent issue of food insecurity — a key contributor to chronic disease, poor mental health, and shortened life expectancy.
“Food insecurity is a deeply concerning issue, which contributes to poorer health outcomes for First Nations people in remote communities,” said Minister for Indigenous Australians Senator the Hon Malarndirri McCarthy.
“People who face food insecurity are often more reliant on cheaper convenience foods, which can be nutrient poor and calorie dense.
“This is because there is limited storage and cooking facilities, as well as less income to support long term meal planning and purchases. Too much of these foods contributes to increased risk of obesity and malnutrition, low birth weight, ill health in infancy and childhood, chronic disease and poor mental health.”
The Strategy responds with a holistic, systems-based approach grounded in cultural knowledge and aligned with the National Agreement on Closing the Gap.
The Strategy features seven pillars:
Country and Culture
Supporting traditional food practices and land access.
Health and Nutrition —
Building local nutrition workforces and health literacy.
Housing, Infrastructure and Environmental Health
Ensuring homes support safe food preparation and storage.
Families and Community
Supporting local food production, services, and emergency relief.
Strengthening transport networks to guarantee year-round food access.
Healthy Economies
Enhancing local employment and food enterprise opportunities.
Whether it’s investing in on-Country food projects, strengthening remote stores, or supporting local food enterprises, the strategy champions self-determination. Communities will not only shape local solutions but lead them.
A governing body will be established to oversee implementation, monitoring and evaluation of the Strategy. This body will comprise Commonwealth and jurisdictional government representatives, as well as representatives from relevant Aboriginal and Torres Strait Islander community controlled organisations (ACCO). The governing body’s first task will be to develop an action plan to support the seven pillars of the Strategy.
To read the strategy, visit the National Indigenous Australians Agency website via the QR code.
Mind the gap: Growing links to culture and identity key to wellness
Despite national commitments to Closing the Gap as well as national mental health strategies and agreements, mental health outcomes for Queensland’s Aboriginal and Torres Strait Islander peoples remain deeply unequal to non-Indigenous Queenslanders. In some areas, the gap is growing.
Recent findings from the Productivity Commission’s Mental Health and Suicide Prevention Agreement Review interim report found the Agreement was “not working as intended” and that current arrangements were too focused on jurisdictions and funding flows rather than on delivering better outcomes for people.
The Productivity Commission has called for urgent reform, stronger First Nations leadership, and a shift toward more coordinated, person-centred care.1 Central to this is a call for a separate schedule to the Agreement to strengthen and support Aboriginal and Torres Strait Islander social and emotional wellbeing (SEWB). The interim report also identifies the contributions of ACCHOs and the SEWB workforce.
Social and emotional wellbeing is not just an add on, it’s central to how ACCHOs care for our people,” said QAIHC Acting CEO Paula Arnol.
“It’s not just about treating mental illness, it’s about supporting the whole person — spiritually, emotionally, culturally, and socially.
“That means staying strong in our identity, connected to family, culture and Country. This is the heart of the ACCHO model of care. We can no longer have different agencies which oversee our investment under SEWB and comprehensive primary health care.
“With a new term for the Albanese Government, now is the time to stop this disjointed approach, and in line with the report, focus on SEWB and the SEWB workforce as critical priorities.
But we can’t close the gap without genuine government commitment to supporting the ACCHO Model of Care and growing the resilience and strength of our Mob.
“I support the Productivity Commission’s interim report to draw links to SEWB and a true co-design process. I am also hoping that the revision of the National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing brings forward a true funding model to allow the ACCHO sector to get the support to develop their community appropriate service models.”2
But despite these challenges, Indigenous organisations are taking action. Across Queensland, ACCHOs are expanding their Social and Emotional Wellbeing (SEWB) programs, embedding mental health support in culturally safe and community-led ways. These programs often include traditional healing practices, yarning circles, Elders’ involvement, and peer workers.
The demand for these services is high and services are growing in the way they support their community. In 2024, Charleville and Western Areas Aboriginal and Torres Strait
1. Productivity Commission. (2025). National Mental Health and Suicide Prevention Agreement Review – Interim Report [Media release]. https://www.pc.gov.au/inquiries/current/mental-health-review/interim
2. Commonwealth of Australia (2017). National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing, Department of the Prime Minister and Cabinet.
Islander Community Health (CWAATSICH) opened a new Healing Centre in Charleville with a fully equipped kitchen for cooking demonstrations, rooms for visiting psychologists, treatment rooms for visiting allied health services, and a bush tucker garden. In 2023, Bidgerdii Community Health Service opened a Wellness Centre in Rockhampton that offers exercise physiology classes, trips to Country and weekly Elder Support groups. In that same year, Goondir Health Services opened a wellbeing centre in St George with a yarning circle, separate men’s and women’s hairdressers and cultural art spaces, as well as trips on Country to strengthen the cultural identity of youth. The new centre also led to improved training and employment opportunities for St George.
Our sector is committed to coming together, sharing knowledge, and building momentum,” said Tiana Lea, QAIHC Manager, Social Health Programs.
“QAIHC recently hosted a State-Wide Social and Emotional Wellbeing Gathering Yarning to Heal and it was an incredible opportunity for people working in SEWB to share, connect, and strengthen our response to mental health in our communities,” she said.
“The forum provided a space to share what’s working, support each other, and plan for the future together.
“We were honoured to open our event with Professor Pat Dudgeon, who reminded us that our mob have drawn on social and emotional wellbeing for over 60,000 years — a source of strength, resilience and healing that continues to ground us today.”
She said many SEWB workers were managing heavy workloads with limited resources and often don’t have access to the tools, time, or support they need.
If we want to improve outcomes, we need to properly support the people doing this important work every day,” she said.
“This means a clear commitment for the refreshed National Mental Health and Suicide Prevention Agreement Review to include a significant uplift in investment in SEWB which is directed by the community-controlled sector.
If we’re serious about Closing the Gap, both levels of government need to work in genuine partnership with ACCHOs and critically support the SEWB Framework to change our trajectory of the burden of mental health and the growing incidences of suicides in our community.”
Young People
Indigenous people (aged 15-24) experienced high to very high levels of psychological distress in the previous month.¹
Indigenous adults (15.1%) may experience psychological distress due to everyday discrimination 2
Psychological distress
Proportion of people aged 18 and over assessed as high/very high distress level on the K5 scale of psychological distress.3,4,5
Proportion of Indigenous people reporting a diagnosed mental health condition. 6
Rate of hospitalisations among people for mental health, 2017-2017 to 2021-22 (Age standardised).7
1. Australian Institute of Health and Welfare 2018. Aboriginal and Torres Strait Islander adolescent and youth health and wellbeing 2018 https://www.aihw.gov.au/reports/indigenous-australians/atsi-adolescent-youth-health-wellbeing-2018/contents/summary
2. Thurber, K. A., Brinckley, M.-M., Jones, R., Evans, O., Nichols, K., Priest, N., Guo, S., Williams, D. R., Gee, G. C., Joshy, G., Banks, E., Thandrayen, J., Baffour, B., Mohamed, J., Calma, T., & Lovett, R. (2022). Population-level contribution of interpersonal discrimination to psychological distress among Australian Aboriginal and Torres Strait Islander adults, and to Indigenous–non-Indigenous inequities: Cross-sectional analysis of a community-controlled First Nations cohort study. The Lancet Regional Health — Western Pacific, 27, 100579. https://www.sciencedirect.com/science/article/pii/S0140673622016397
3. Australian Bureau of Statistics. (2024). Tables 40–46 Queensland [Data set]. National Aboriginal and Torres Strait Islander Health Survey, 2022–23 financial year. Retrieved June 3, 2025, from https://www.abs.gov.au/statistics/people/aboriginal-and-torres-strait-islander-peoples/national-aboriginal-and-torres-strait-islander-healthsurvey/2022-23/NATSIHSDC40-46.xlsx
4. Australian Bureau of Statistics. (2023). National Study of Mental Health and Wellbeing: Queensland results, 2020–2022 [Data set]. National Study of Mental Health and Wellbeing, 2020–2022. Retrieved July 2, 2025, from https://www.abs.gov.au/statistics/health/mental-health/national-study-mental-health-and-wellbeing/2020-2022/ Queensland%20-%20Lifetime%20and%2012-month%20disorders.xlsx
5. Based on scores from the modified Kessler Psychological Distress Scale (K5). The K5 measure of psychological distress is a subset of five questions from the Kessler Psychological Distress Scale-10 (K10). K10 is a non-specific psychological distress scale consisting of 10 questions designed to measure levels of negative emotional states experienced by people in the four weeks prior to interview.
Mental health
Suicide
Five-year aggregate suicide rate (Rate per 100,000 people) at state and national level.8
Burden of disease
Mental and substance use disorders is the leading cause of burden of disease from 17 cause groups for Indigenous Queenslanders.9 Indigenous Queenslanders Non-Indigenous Queenslanders
Mental and substance use disorders Injuries
Cancer and other neoplasms
Cardiovascular diseases
Musculoskeletal conditions
Respiratory diseases
Infant and congenital conditions
Endocrine disorders
Neurological conditions
Gastrointestinal disorders
Kidney and urinary diseases
Oral disorders
Hearing and vision disorders
Infectious diseases
Blood and metabolic disorders Skin disorders
6. Australian Institute of Health and Welfare. (n.d.). Regional overview. Regional Insights for Indigenous Communities (RIFIC). Retrieved June 5, 2025, from https://www.rific.gov. au/regional-overview?app=rific&code=overview&release=r2&latitude=-22.221089023712928&longitude=143.4001921917799®ion=HC_STE
7. Australian Institute of Health and Welfare. (2024). Regional overview. Regional Insights for Indigenous Communities. Retrieved July 9, 2025, from https://www.rific.gov.au/ regional-overview?app=rific&code=overview&release=r2®ion=HC_AUS&latitude=-24&longitude=134
8. Australian Institute of Health and Welfare. (2024). Deaths due to suicide 2023 — National Mortality Database [Data set]. Australian Institute of Health and Welfare. Retrieved July 10, 2025, from https://www.aihw.gov.au/getmedia/e265c57c-5c3c-4d79-9963-cf03040b1ed9/2023-aihw-suicide-and-self-harm-monitoring-nmd-suicide-icd-10-x60x84-y87-0.xlsx
9. Queensland Health. (2024). Queensland First Nations Peoples Burden of Disease Report 2018 (Figure 5, Burden of disease by cause group: DALY | Queensland | 2018). Queensland Health. Retrieved July 7, 2025, from https://espace.library.uq.edu.au/view/UQ:e70fe32/UQe70fe32_OA.pdf
Healing journey: Gindaja’s mission to upgrade critical infrastructure
Gindaja Treatment and Healing Indigenous Corporation in Yarrabah is celebrating after breaking ground on the final stages of its capital works Master Plan to upgrade its 15-bed alcohol and drug treatment Residential Recovery Centre.
It’s the culmination of a decades-long journey to grow the organisation and increase its capacity to support more First Nations people who are impacted by alcohol and drug dependency.
Gindaja, which celebrates its 45th anniversary this year, is a community-controlled organisation that provides AOD education, treatment, recovery and healing services for Aboriginal and Torres Strait Islander adults over 18 years of age.
The recent funding boost of $7.5 million from the Queensland Government, to complete construction of the final stages of the master plan, will provide culturally safe and ‘fit-forpurpose’ client accommodation as well as renewed staff office space.
Gindaja’s Chief Executive Officer Ailsa Lively, a proud descendant of the Gunggandji people, said the grant was amazing news for the organisation and the community of Yarrabah.
We’re very happy and grateful. It’s been a long time in the making,” she said.
Overall, Gindaja has received $12m funding to redevelop their ageing infrastructure on the one-acre site. Already completed is the construction of a purpose-built training center that houses an industrial-sized kitchen, expansive client dining area, laundry and a large training room where staff deliver Gindaja’s client group programs.
The new client accommodation will improve cultural safety with a total of six, four-bedroom units, increasing Gindaja’s client bed capacity from 15 to 24. The new units will have designated women’s and men’s accommodation along with an ‘all-access’ unit for gender-diverse clients or those with a disability.
In addition, the new funding will also renovate Gindaja’s ageing administration building, providing new office and staff meeting spaces along with private areas for one-on-one work with clients.
Ms Lively said securing this funding was the result of nearly two decades of hard work and vision by the organisation’s Board and staff.
From the time I started here at Gindaja 18 years ago, it was always the vision of the Board of that day, and every other Board since I’ve been here, to grow the service,” she said.
The existing client accommodation, located in the main staff administration building, is outdated, its institutionaldormitory-style rooms offer no gender separation or privacy for clients, there are critical overcrowding issues with 14 staff crammed into six offices and 12 clients in shared room arrangements. The building itself is also inadequately designed for today’s standards with almost no disability access and poorly placed kitchen and bathrooms. The 30-year-old structure has aged and degraded over the years, increasing the building maintenance budget significantly.
A 20-year journey
When Ms Lively became CEO in 2008, she set about improving Gindaja’s governance, financial systems, and client programs. By 2017, with support from North Queensland PHN, Gindaja began developing its own Model of Care — a culturally grounded framework guiding service delivery across the continuum of care. Within five months, the Model was drafted, adopted by the Board, and later validated through an independent evaluation and a cost-benefit analysis.
Gindaja’s Model of Care has since been recognised across Australia as a best practice model within the Indigenous AOD sector and was proudly presented by the CEO, Board members and staff at the 2023 International First Nations conference ‘Healing our Spirit Worldwide’ in Vancouver Canada.
Ms Lively said the strengthened governance and Model of Care were key in attracting infrastructure funding. In 2020, Gindaja secured $4.5 million from the Queensland Government to redevelop the residential rehabilitation site. However, the global COVID pandemic delayed progress and construction costs soared, causing a significant funding shortfall.
Following further lobbying, Gindaja secured an additional $7.5 million with support and advocacy from former QAIHC CEO Cleveland Fagan.
“This will bring much-needed infrastructure to the Yarrabah community. For Gindaja clients, it provides a culturally appropriate healing space to come for treatment and recovery. For our members, we now also have a place where we can hold our AGMs and have proper community meetings and consultations.”
2008 — the early years.
2025 – The Gindaja Board and CEO.
The Gindaja Residential Recovery Centre
Under construction — The Gindaja Residential Recovery Centre
Five minutes with Gindaja CEO Ailsa Lively
Ailsa Lively’s journey into leadership is grounded in community and service. After early jobs in retail and hospitality, she began her career in administration with the Aboriginal Coordinating Council, where she was inspired by strong Aboriginal leaders advocating for better outcomes.
That passion led to 17 years with Yarrabah Aboriginal Shire Council, progressing to Deputy CEO before taking on the top job at Gindaja Treatment and Healing Indigenous Corporation in 2008. Today, Ailsa continues to serve Yarrabah through her leadership at Gindaja and as a Board member of several local and national organisations.
Can you tell us about how you started working at Gindaja?
“Seeing the social challenges facing our community motivated me to step into this role. Initially, I envisaged a short-term, six-month position to help establish strong governance and operational guidelines for Gindaja. However, I took a leap of faith and committed to the organisation for the long term. As you can see, I’m still here today.”
What is your greatest achievement at Gindaja?
“Throughout my time at Gindaja, we have achieved many milestones. As an organisation committed to continuous improvement, we strive daily to enhance the quality of care we provide our clients.
“One of my greatest achievements — made possible with the support of my team and the Board — has been finalising our Model of Care, completing its evaluation, and conducting a cost-benefit analysis. This critical work helped us secure muchneeded funding of approximately $15 million which has built our new Learning and Wellbeing Centre in the heart of
Yarrabah as well as realise our vision for redeveloping our ageing residential infrastructure.”
What inspires you most about your job?
“At Gindaja our brand is “Gindaja Family — Home of Healing”. Coming to work each day I am surrounded by a dedicated team of like-minded individuals who are committed to providing high-quality support to our people as they heal from trauma. The people I work with, no matter what position they hold, are all equally important and they inspire me to keep turning up. The most rewarding part of my role is seeing the positive changes — no matter how small — that individuals make in their lives. Every step forward contributes to their overall well-being and extends their life expectancy.”
Team Gindaja
What are your top priorities for Gindaja?
“My top priorities for Gindaja include completing our Capital Works Infrastructure Program and advancing the Board’s vision of positioning Gindaja as a leader of excellence within the alcohol and drug sector at all levels.”
What inspires you most about the Yarrabah community?
“Yarrabah is my traditional homeland, and I am a proud descendant of the Gunggandji People, who have lived and thrived here for countless generations. What inspires me most are the people of Yarrabah — the individuals who strive for positive change and contribute to the community in meaningful ways, whether through their employment, voluntary work on community boards, or involvement in local sports. Our community is rich with talent across various fields, including the arts, education, health, and justice.
“One of the best examples of our community’s strength is the Yarrabah Leaders Forum, which brings together leaders from every organisation in the community.
“This collective effort ensures we focus on the needs of our people and work towards addressing the long-standing injustices we have faced.”
How important is it for local mob to see local leaders making positive changes for the community?
“It is crucial for local people to see their leaders driving positive change. However, what’s even more important is ensuring that the broader community is included in that journey.
How have you seen Yarrabah change over the years?
“I have witnessed many changes in Yarrabah throughout my lifetime — some positive, some challenging. We have progressed from dirt roads to bitumen and from relying solely on the Council as our primary service provider to now having our own dedicated health, alcohol and drug, justice, and women’s organisations.”
What is your greatest hope for the Yarrabah community?
“My greatest hope for Yarrabah is that our people will have the same opportunities as every other person in this country — to live free from poverty and to overcome the social challenges that continue to impact our community.”
“Bringing the community along isn’t always easy, especially given the challenges we face, such as a lack of services and funding, overcrowding and housing instability which contribute to significant social challenges. That’s why strong, committed leadership is essential — our leaders must be role models and play an active role in shaping a better future.”
Ailsa and colleagues on Wednesday Walks.
MEMBER NEWS
Educating Community about rheumatic heart disease
The team at Bidgerdii Community Health Service dedicated the final months of 2024 to raising awareness and action around preventing, detecting, and managing rheumatic heart disease (RHD).
In collaboration with Queensland Health’s First Nations Team, community events were held across Central Queensland including Woorabinda, Biloela, and Bidgerdii’s new centre in Blackwater, to educate and engage the local community about RHD and Acute Rheumatic Fever (ARF).
CEO Marissa Smith said Bidgerdii was committed to reducing the impact of RHD and ensuring communities had the knowledge and resources to stay strong and healthy.
“Rheumatic heart disease is preventable, yet it continues to have a devastating impact on our communities. By strengthening awareness and improving access to early detection and care, we are empowering our people with the tools they need to protect their health and break the cycle of RHD for future generations,” she said.
Bidgerdii’s new Blackwater clinic partnered with Queensland Health, the CQHHS Aboriginal and Torres Strait Islander Health and Wellbeing team, and Smoke Creative to host an RHD Community Art Day, where community members came together to create a mural for the new clinic.
The event began with a Welcome to Ghungalu Country by Aunty Pat Leisha, followed by a smoking ceremony and traditional dancing. Throughout the day, attendees participated in Healthy Skin, Strong Heart activities, face painting, and demonstrations on handwashing, along with skin checks. Information was also provided on strep A and ARF, key contributors to RHD. A BBQ lunch was enjoyed by all, along with fresh fruit and vegetables available for the community to take home.
RHD education, screening, and treatment remained a top priority for Bidgerdii’s team, with ongoing weekly activities in Blackwater to keep the community engaged.
Meanwhile, the Rockhampton team continued the Healthy Skin, Strong Heart campaign through December and January, screening clients, providing education, and distributing support packs to assist in management.
Photos courtesy: Queensland Health photographer Mary-Ann Shapcott
Bidgerdii celebrates 30 years of community-led health and wellbeing
Bidgerdii Community Health Service has marked 30 years of service to Aboriginal and Torres Strait Islander communities across its Central Queensland footprint by hosting a gala dinner at the Rockhampton Leagues Club.
The 3 May celebration brought together over 200 Elders, founding members, community leaders, stakeholders, local government, national representatives, and sister Aboriginal medical services for an evening of reflection, celebration, and connection.
The evening opened with a Welcome to Country by Uncle Wade Mann and young Darumbal dancers.
Highlights from the evening included recognition of both Team Indigenous Corporation and Wakai Waian, Bidgerdii’s partner organisations (both celebrating their 10-year anniversaries) and the unveiling of Bidgerdii’s new branding by Brandon Butler from Gaba Art. Guests were entertained by music from The Fringe Dwellers.
Bidgerdii CEO Marissa Smith said the evening was a beautiful reminder of the strength, spirit, and unity that has guided Bidgerdii since its inception.
“What began as a small community health initiative is now a symbol of what we, as Aboriginal people, can achieve when we lead ourselves, by ourselves, for ourselves,” Ms Smith said on the night.
Today we gather to celebrate 30 years of community control, 30 years of selfdetermination, and 30 years of walking together to look after our own.”
The night provided an opportunity to honour the visionaries and early supporters whose wisdom, leadership and commitment brought the Bidgerdii vision to life.
For more than three decades, Bidgerdii has walked alongside Community by supporting, healing, and advocating for better health outcomes. The evening was not only a celebration of past achievements, but also a reaffirmation of Bidgerdii’s enduring commitment to community wellbeing, cultural strength, and self-determination.
National Aboriginal Community-Controlled Health Organisation (NACCHO) Chair Donnella Mills thanked Bidgerdii for being invited to attend such an important milestone celebration.
It was a truly inspiring evening and a powerful reminder of the strength, resilience and leadership of the Rockhampton community,” Ms Mills said.
“Please pass on my congratulations to your entire team for delivering such a meaningful and well-organised event.
“It was a fitting tribute to the legacy and ongoing impact of the organisation.”
Bidgerdii provides culturally safe comprehensive primary healthcare and wellbeing services to Aboriginal and Torres Strait Islander children, families and communities across Rockhampton, Mount Morgan and the Central Highlands.
Yarrabah cultural pioneer Dr Darryl Murgha’s inspiring 40-year career
When Gurriny Yealamucka Cultural Heritage specialist, Dr Darryl Murgha, was awarded an Honorary Doctorate by James Cook University in 2021, it marked a significant milestone in a career defined by leadership, knowledge-sharing and community service.
As his legacy continues to influence life in Yarrabah and beyond, Dr Murgha is widely recognised as a cultural champion whose life’s work continues to guide, inspire, and uplift the communities he has served for decades.
Born and raised in Yarrabah, Dr Murgha’s early love for history and heritage led him to pursue a Bachelor of Arts in Archaeology and Anthropology at the University of Queensland, graduating in 1985.
Since then, he has spent more than four decades walking between two worlds — blending deep cultural knowledge with academic and professional expertise.
A respected archaeologist, educator and cultural leader, Dr Murgha has held a variety of roles, including Native Title Field Officer, Museum Researcher, Artefacts Manager, and Cultural Mentor. He’s perhaps best known for his leadership in cultural heritage assessments along the Peninsula Development Road, where he directed archaeological fieldwork and trained others, ensuring Traditional Owners’ voices remained central to major development decisions.
His work extends far beyond the dig site. A founding member of several Indigenous-led organisations including: the Gunggandji Aboriginal Corporation, Djunbunji Ltd. Land and Sea Program,
and Jabalbina Yalanji Aboriginal Corporation, Dr Murgha has worked tirelessly to strengthen community control over cultural and environmental stewardship.
He has also represented Aboriginal Australia on global stages. In 1988, he helped host the Australia Pavilion at World Expo in Brisbane, offering Acknowledgements of Country and cultural insights long before these practices became commonplace.
Two decades later, in 2008, he represented Australia at the Pacific Islands World Heritage Workshop.
A more unexpected moment came when he starred in the cult Japanese reality TV show Ainori, travelling across Australia in a pink love bus with a group of young people searching for love.
Dr Murgha’s role? Driver, guide cultural ambassador and unofficial love coach.
“It was such a fun, joyful experience and a real once-in-a-lifetime journey,” he said.
Yet it was the 2021 conferral of the Honorary Doctorate of Humane Letters that brought everything full circle.
Awarded by James Cook University at the Townsville campus, the honour recognised Dr Murgha’s extraordinary contribution to cultural heritage, Indigenous enterprise, and intergenerational knowledge-sharing.
I can honestly say being awarded the honorary Doctorate still remains one of the highlights of my career,” he reflected. “It was such an honour to be acknowledged for the different ways I’ve contributed to the community in the Far North and to this day I remain proud and humbled by this recognition.”
Today, through his consultancy Deadly Cultural Heritage Services, Dr Murgha continues to embed cultural knowledge into the day-to-day operations of health and wellbeing; welcoming babies with ceremony, mentoring Gurriny Yealamucka staff, and reminding everyone that true health is about identity, belonging, and connection to Country.
“He’s an Elder in every sense of the word,” a Gurriny colleague said.
“He brings people together, shares knowledge freely and leads with quiet strength.”
“Look ear!” Gurriny launches vital new ear health clinic for kids.
Gurriny Yealamucka Health Services has launched a new child ear health clinic at its Bukki Road facility, continuing its commitment to culturally safe, community-led care.
The Binna clinic has been established for children aged 5–15 years and focuses on early detection and treatment of ear health issues — helping kids stay healthy, hear clearly, and succeed at school and in life.
The best part? No appointment is needed. Families can simply walk in for a check-up.
With a fun, welcoming atmosphere and a dedicated health team, the clinic invites families to “look ear” and check if any “bitie” (ear problems) are hiding inside.
“Local children deserve healthy ears,” GYHSAC Child Health Team Leader Miriam Math said.
This service ensures Yarrabah kids grow up able to hear, learn, and communicate with confidence.”
Future health leaders rise at Gurriny
Three full-time trainees at Gurriny Yealamucka Health Services, Ava Connolly, Amazon Harris and Shannille Ambrym continue their path toward becoming qualified Indigenous Health Workers.
The trio just started a Certificate III in Aboriginal and Torres Strait Islander Primary Health Care through TAFE Queensland, which includes gaining hands-on experience across different teams at GYHSAC.
The 12-month program includes on-the-job training, block study in Cairns, and real-world skill-building. Supported by MAS Nation and the
School to Job program, this initiative helps young people — like Djarragun College graduates Ava and Shannille — step straight from school into meaningful health careers.
The training program aims to empower Community, build local skills and shape the next generation of healthcare leaders in Yarrabah.
L-R: Shannille Ambrym, Ava Connolly, and Amazon Harris.
ACCHO sector mourns passing of former NACCHO Chair Henry Councillor
The ACCHO sector is mourning the loss of respected leader and former NACCHO Chair Henry Councillor, who passed away on 19 March 2025, aged 62.
Born at Broome Regional Hospital in Western Australia, Henry was a proud Jaru man with deep ties to the Mt Dockerell area southwest of Halls Creek. He belonged to both the Djaru and Gooniyandi peoples and spent his early years in Beagle Bay before moving with his family to Broome. It was there, along the beaches of Roebuck Bay, that his lifelong love of community, culture and Country took root.
Henry dedicated more than three decades of his life to Aboriginal health, starting at just 18 years old when he was elected treasurer of Broome Regional Aboriginal Medical Service (BRAMS). From there, he went on to hold leadership roles across the Kimberley and beyond — including at Yura Yungi Medical Service in Halls Creek, Kimberley Aboriginal Medical Services Council Inc. (KAMSC), and as Chair of both WACCHO and NACCHO.
Henry’s impact was national, but his leadership was grounded in community. Despite having no formal degree, he was recognised as an intelligent and insightful leader, driven by lived experience and deep cultural knowledge.
In Queensland, Henry played a foundational role in establishing Gurriny Yealamucka Health Service in Yarrabah. CEO Suzanne Andrews said, “He helped lay the foundations for a service that is now nationally recognised — and it all started with his deep belief in community control, cultural strength, and self-determination. Gurriny exists today because of people like him who refused to give up.”
QAIHC’s Public Health Medical Director, Associate Professor Sophia Couzos, who worked alongside Henry at NACCHO and in the Kimberley, said he was “deeply committed” to enhancing culturally appropriate comprehensive primary healthcare for Aboriginal and Torres Strait Islander communities across Australia.
His legacy followed closely from Dr Puggy Hunter’s occupying the position of Chair of NACCHO as a powerful force for the community-controlled health sector,” she said.
“Those days required strong and courageous leadership that set the foundation for NACCHOs growth when the Commonwealth had yet to forge effective partnerships with elected Aboriginal leaders.
Henry was a true and trusted leader who helped to build the sector we have today.”
L-R: A/Prof Sophia Couzos, Henry Councillor, Kathy Hamaguchi and Chris Binkali .
L-R: Henry and Dr Arnold (Puggy) Hunter
Sheryl Lawton to lead key regional health committee
CWAATSICH Chief Executive Officer Sheryl Lawton has been appointed Chairperson of the South West region’s peak First Nations health Committee.
Ms Lawton will be the second Chairperson of the South West First Nations Equity Committee, following its establishment in December 2023. She will take over from outgoing Chairperson Shelley Lawton.
As the new incoming chair, I hope to strengthen our partnership and working together to achieve our key performance areas for the next phase of the health equity implementation plan,” she told the Western Downs Today.
South West Hospital and Health Board Chair Karen Tully welcomed the appointment, stating to the Western Downs Today: “Ms Lawton’s extensive experience and dedication to improved health outcomes is inspiring and I look forward to working with her and the whole team to guide the committee through its next phase of operations.”
“I am confident her leadership will continue to strengthen our collective efforts and address the factors that lead to poorer health outcomes, especially the barriers to accessing care and creating local solutions with First Nations people.”
The South West First Nations Equity Committee is a sub-committee of the South West HHS Board and includes representatives from the South West HHS, CWAATSICH, Cunnamulla Aboriginal Corporation for Health, Goondir Health Services and Western Queensland Primary Health Network. The committee works to progress initiatives concerning health and wellbeing outcomes for First Nations people.
Mob Pod: Connecting communities through innovation on wheels
Manngoor Dja Aboriginal health services began the rollout of its innovative Mob Pod with an opening at its Family Hub Clinic in Gympie.
Held on Close the Gap Day, 20 March 2025, the community-led mobile health innovation addressed longstanding issues of health system access for outlying towns in the Sunshine Coast and Gympie regions.
Mob Pod is a mobile primary health service providing both in-person and telehealth facilities to communities of the Gympie-Cooloola and Noosa hinterlands, including Tin Can Bay, Cooloola Cove, Glenwood and Pomona.
It’s a multi-disciplinary facility including nurse-led clinics, mental health support, specialist outreach, and the aforementioned telehealth.
Manngoor Dja Director Karen Kennedy stated in a speech:
“The Mob Pod is more than just a mobile health service — it’s a game changer for our regional and rural communities.”
“For too long, access to healthcare has been a major challenge, especially for those living outside major towns.”
Paul Penumala, Manngoor Dja’s General Manager of Strategy and Service Development predicts the program will succeed due to its community-led design.
We really wanted to understand the lived experience and local bottlenecks and enablers of good health of people in further flung communities,” Mr Penumala said.
“The co-design of Mob Pod was really important. We held workshops, pop-up events and yarning circles to truly understand local needs.
“More than 80 per cent of the people in the Gympie region are in the bottom 40 per cent of the population when it
comes to disadvantage; and there are a number of inequities which fuel the health gap in the region: high rates of chronic disease, physical inactivity, disability, socio-economic disadvantage and travel.”
Mob Pod was partially funded through a $1.6million grant, over four years, from the Australian Government’s Innovative Models of Care program. The fit out was funded by the Country to Coast PHN. Mr Penumala hoped the mobile services model would be replicated in other regions.
“Other ACCHOs exploring flexible outreach services would do well to ask their communities what they think about setting up something like their own local Mob Pod.”
Manngoor Dja unites community for Close the Gap Day celebrations
Manngoor Dja proudly hosted two community-focused Close the Gap Day celebrations on the Sunshine Coast and in Gympie, bringing communities together to raise awareness for health equality.
The Sunshine Coast event, held at the Nambour Crushers Club, was a fun filled gathering with activities, stalls, food, and entertainment. Community members came together in strong numbers to support the cause and enjoy the day.
A few hours later, Manngoor Dja continued the momentum in Gympie at the Gympie and District Indoor Bowls Centre, where it hosted a Close the Gap Day celebration, as well as officially launching the Mob Pod mobile health van.
Held annually on the third Thursday in March, the National Close the Gap Day is an opportunity for schools, businesses, and communities across Australia to show their support for health equality for Aboriginal and Torres Strait Islander people.
Both events opened with moving Welcome to Country ceremonies.
At the Sunshine Coast event, Aunty Judith Shea, a proud Pijakali, Nyangumarta, and Kartujarra woman, invited local Elders to introduce themselves, highlighting their vital role as leaders and resources within the community.
The Gympie event showcased Manngoor Dja’s Deadly Choices, Strong Born, and Tackling Indigenous Smoking programs, alongside displays from the Queensland Ambulance Service encouraging
Indigenous school leavers to explore healthcare careers.
Aunty Debra Bennet, a proud Goorie woman and direct descendant of the Kullali, Wakka Wakka, and Gubbi Gubbi Peoples, spoke about the role of education and youth empowerment in Closing the Gap.
Both events featured healthy, homemade burgers and a dynamic musical performance by young artist King Fisher – Kingston.
Paul Penumala, Manngoor Dja’s General Manager of Strategy and Service Development, highlighted that both events were valuable opportunities for the community to come together, support Close the Gap, and learn about the services available to them.
“At the end of the day, Close the Gap Day is all about supporting our communities,” Mr. Penumala said.
“North Coast is here to support the community, and Close the Gap Day is a reminder of how important it is to show up for each other.”
Goondir Health Services to co-lead national digital health model for chronic disease care
Goondir Health Services is set to play a central role in delivering a new national digital health model that will improve access to healthcare for Aboriginal and Torres Strait Islander people living with chronic disease in rural areas.
Goondir will co-design a strategic framework for a national Indigenousled digital health service model, in collaboration with The University of Queensland’s Rural Clinical School and the University of Southern Queensland (UniSQ). The project is supported by a $500,000 Medical Research Future Fund (MRFF) grant.
Dr Bushra Nasir from UQ’s Rural Clinical School said a strategic framework would be developed to deliver a national Indigenous-led digital health service model.
“This funding from the National Health and Medical Research Council will help us bridge medical service gaps and improve health outcomes for Indigenous chronic disease patients across Australia,” Dr Nasir said.
During the project’s initial phase, the team developed the Innovative Digital Indigenous Primary Health Care Delivery Model, which integrates virtual health services, point-of-care testing, and digital technologies to strengthen rural healthcare delivery.
“We have undertaken extensive consultation [pictured] and published a study detailing chronic disease challenges and how virtual models of healthcare empower Indigenous communities,” Dr Nasir said.
“Based on our ongoing research, we’re committed to developing a culturally responsive, sustainable and costeffective model that
betterhealth, better living,longerlife
enables Indigenous Australians with chronic diseases to utilise digital health advances.”
Goondir CEO and co-lead investigator Mr Floyd Leedie said the model provided a holistic approach to tackling chronic disease in a culturally appropriate way that works.
“Patients can use remote monitoring devices in the comfort of their homes, ensuring consistent access to healthcare staff, without the burden of travel or other costs,” Mr Leedie said.
The national roll-out will be able to provide holistic healthcare to more Indigenous people across Australia.”
Professor Khorshed Alam, a UniSQ health economist and co-lead investigator, will assess the sustainability and cost-effectiveness of the model.
“To ensure long-term success and affordability, it’s important to develop a national framework through consumer and stakeholder collaboration,”
Professor Alam said.
“Through rigorous analysis and stakeholder engagement, we will ensure that this digital health model is both scalable and sustainable, fostering community ownership and driving positive health outcomes.”
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Maximising Medicare: Helping ACCHOs get the most from 715 health checks
Ensuring that clients access their full entitlement of follow-up care after a 715-health check is a significant opportunity for ACCHOs to enhance patient health outcomes and secure Medicare funding. Sector Leader investigates.
The ACCHO sector plays a vital role in delivering culturally safe, comprehensive healthcare to Aboriginal and Torres Strait Islander communities in Queensland.
One key opportunity to further strengthen services, boost revenue streams and provide crucial free health care for Aboriginal and Torres Strait Islander patients lies in maximising follow-up care after 715 health checks.
The 715-health assessment plays an important role in the early identification of risk factors and early diagnosis of illness and chronic disease. It acts as a direct pathway to referral for essential preventive health and education.
On completion of the 715-health assessment, eligible Aboriginal and/or Torres Strait Islander clients can access a total of 10 follow-ups and/or allied health services per calendar year. This can be a combination of follow-ups and allied health services (as detailed below) or all 10 for a single service (e.g. physiotherapy).
For 715 follow-ups provided by an Aboriginal and/or Torres Strait Islander
Health Practitioner (but not an Aboriginal Health Worker) or Practice Nurse on behalf of a General Practitioner, a formal referral letter is not required. However, follow-ups must be “consistent with the needs identified through the health assessment” — so it is important to document potential follow up actions during the health check.
You can use follow-up services after a health check for the following:
Examinations and interventions as indicated by the health check
Education regarding medication adherence and associated monitoring
Checks on clinical progress and service access
Education, monitoring and counselling activities and lifestyle advice
Taking a medical history
Preventative advice for chronic conditions and related follow-up.
As so many patients are on medications, using this follow-up service to check on the taking of medications can be a real help.
The doctor does not need to be present while the follow-up is being done. This means that distance supervision of the practice nurse/Aboriginal and Torres Strait Islander health practitioner by the GP is acceptable, so long as the GP can be contacted if required.
Upon completion of each episode of follow-up care provided by AHPs or nurses, any GP can claim MBS item 10987 on their behalf. Each 10987 item incurs a benefit of $27.30.
The telehealth items for these services can be claimed under 93200 (video) or 93202 (phone).
A formal referral is required to allied health services who will be providing a service of at least 20 minutes duration to claim their eligible MBS item benefit. These allied health professionals include:
Aboriginal and Torres Strait Islander Health Practitioners (81300)
Aboriginal Health Workers (81300)
Audiologists (81310)
Chiropractors (81345)
Diabetes educators (81305)
Dietitians (81320)
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Exercise physiologists (81315)
Mental health workers (81325) may include:
Aboriginal and Torres Strait
Islander mental health
practitioners and/or mental health workers,
Mental health nurses
Psychologists
Occupational therapists
Social workers
Occupational therapists (81330)
Osteopaths (81350)
Physiotherapists (81335)
Podiatrists (81340)
Psychologists (81355)
Speech pathologists (81360).
The allied health professional should claim the relevant MBS item for their service type (equal to a reimbursement of $70.90). Telehealth items for the above services can be claimed under 93048 (video) or 93061 (phone).
This Medicare-funded follow-up care and referral for allied health services not only promotes preventive health care and health education for the client, but also supports ACCHOs with steady incoming revenue from MBS item claims.
Between July 2023 and June 2024, Aboriginal Medical Services and bulk-billing clinics across Queensland conducted 90,213 health assessments.
If all clients were eligible and accessed their full entitlement to follow-up appointments and allied health care, this would have translated to
902,130 sessions, based on follow-up appointments alone, this would have generated more than $24 million in Medicare revenue.
However, only 13% of follow-ups (118,213 sessions) were completed during this period, meaning that while ACCHOs successfully referred thousands of eligible clients for follow-up care, there is still significant opportunity for ensuring clients are accessing the full amount of care they are entitled to, and ACCHOs are maximising their opportunity for claiming Medicare revenue. How can ACCHOs maximise this opportunity?
QAIHC Public Health Medical Director, Associate Professor Sophia Couzos, said taking advantage of 10987 follow-up sessions was what a health check was all about. The health check aims to identify early health risks so that disease can be prevented. This means a follow-up is essential to get things right.
The patient benefits, first and foremost, and ACCHOs can grow their services, expand workforce capacity, and build financial sustainability,” she said.
Here are some tips for ACCHOs to enhance their approach:
Monitor and discuss regularly. Use your clinical meetings to review data and discuss processes relevant to 10987 follow-up services. Continue to monitor the number of 10987s claimed on a monthly basis.
Give incentives to staff who reach agreed targets, share monitoring data with all staff (e.g. the number of 10987s each month and change over time) and celebrate achievements, no matter how small.
Strengthen follow-up systems — introduce automated reminders, dedicated care coordinators or outreach teams to encourage patients to attend follow-up services.
Integrate follow-ups into routine care — when patients complete their 715-health check, schedule their first follow-up appointment(s) on the spot to increase uptake.
Educate patients on their entitlements — many patients may not be aware they are eligible for free follow-ups. Clear communication at the point of care can increase patient participation. Consider other ways to promote community engagement, such as posters.
Streamline Medicare billing processes — ensure follow-ups are properly recorded and billed to help maximise revenue while reducing administrative responsibility.
Case study: Increasing follow-ups
Sam, the Quality Manager at health service X registered for and completed a module on the Medicare Benefits Schedule (MBS) Optimisation eLearning Course supported by NACCHO.
This inspired her to investigate how well the service was supporting Aboriginal and Torres Strait Islander clients to access MBS-funded follow-up services after a 715-health assessment.
In the course, Sam learned that Aboriginal and Torres Strait Islander clients are eligible to access up to 10 allied health services per calendar year, for preventive health care and education as follow-up care after a 715-health assessment. She reviewed the data from her health service to find out both how many clients were eligible to access and accessed the MBS follow-up items for eligible allied health services in the previous calendar year.
Sam found that 49% of regular clients (128 clients) had received a 715 health check and sixty-eight clients (53%) were eligible for follow-up appointments; however, only 2% (5 clients) had accessed eligible follow-up allied health services — far below the potential 680 services that could have been provided.
As Quality Manager, Sam understood the importance of a ‘whole of team approach’ to practice improvement and formed a multidisciplinary working group, including GPs, health workers, nurses, allied health, and admin staff, to review current referral processes and knowledge gaps.
The working group set a goal: to ensure all eligible clients were offered appropriate follow-up care. They worked together to develop a strategy which included introducing a streamlined referral process, displaying visual resources of eligible allied health services and associated MBS item numbers, and training staff through the free online course. Sam used the Plan-Do-Study-Act (PDSA) tool to guide the planning, implementation, monitoring and evaluation of the strategy.
Sam reviewed the data again three months later and found the number of eligible clients accessing MBS item 10987 for follow-up services had jumped from 2% to 62% (37 clients).
Sam documented the entire CQI process, which is now part of Health Service X’s policy and accreditation evidence. This quality improvement initiative is one example of how data, teamwork, and practical tools can support Medicare optimisation within services. There are lots of other ways too, and QAIHC welcomes Members sharing their stories.
For information on maximising followups for 715 health assessments please reach out to: PublicHealthRegistrar@qaihc.com.au
Scan the QR code to visit the Medicare Benefits Schedule (MBS) Optimisation eLearning Course online.
Safe sex resources still available for ACCHOs
QAIHC’s Getting Frisky? Don’t Be Risky campaign, developed with condom brand LifeStyles, continues to promote safe sex practices across Aboriginal and Torres Strait Islander communities. The campaign encourages the use of condoms to prevent sexually transmitted infections and unplanned pregnancies.
All QAIHC Member ACCHOs received free condoms, lubricant, and a suite of promotional materials — including an A2 poster and DL leaflet — to support local distribution and education in February.
Led by QAIHC’s Public Health team, with creative input from the Communications and Design teams, the campaign resources are still available for services to use in clinics, outreach, and health promotion activities.
If you would like more Getting Frisky? Don’t be Risky promotional resources for your service, please contact the Communications team at communications@qaihc.com.au MEMBER SUPPORT
Divisional Update
Business Services
QAIHC’s Human Resources team has had a busy quarter, recruiting new teammates to improve the organisation’s service offering to its Member services. The team recruited for QAIHC’s social and emotional wellbeing, policy and workforce support functions, broadly increasing the capacity to support Members. The HR team has also supported individual Member services through recruitment campaigns, assisting with workforce strategy, providing remuneration reviews as well as policy and procedure reviews.
The IT team has been focussing on cyber security this quarter, with the team undertaking penetration testing and remediation activities for a number of Member services. The team has also completed a NACCHO-comissioned cyber security audit, resulting in a clean report and one of the top results among all the state affiliates. It also logged a record 750+ Member support tickets from March to May 2025. Finally, the IT team assisted North Coast Aboriginal Corporation for Community Health, now trading as Manngoor Dja, with its move to new facilities at Maroochydore.
The BQC team would like to welcome Cathy Archer to the fold as a Senior Management Accountant. Cathy has a background in Financial and Management Accounting in both private and government organisations, including organisations in the social community home care and disability sectors.
The team would also like to welcome back Mita Sutoyo as an Assistant Accountant. Mita has previously worked for QAIHC in a contractor role. She has over 12 years experience in accounting and finance.
The team has also spent the last quarter of FY24/25 working with various Member clients to draft their FY25/26 budgets.
Finally, Accreditation has been undertaking two large pieces of work for Mookai Rosie Bi-Bayan and CRAICCHS, in supporting them through the complicated and involved process of accreditation, which both ACCHOs successfully completed.
Policy Advocacy Legislation and Strategy
QAIHC’s Health Information team (HIT) is working hard on delivering the next half-yearly QAIHC Clinical Indicator Report as well as the monthly Activity Report. The team is also working to make the reports more useful, timely, and meaningful for Members. The team in partnership with Mulungu has also been supporting Member capacity on the ground through a series of webinars on PenCS’s Topbar program.
The Finance team has spent the last few months finalising QAIHC’s financial statements and an analysis of financial performance for Financial Year 2024-2025, which was presented to and endorsed by Member representatives at the AGM.
The HIT have also welcomed Scott Brown the new Senior Manager — Health Data and Analytics. Scott has an educational background from QUT in public health, specialising in biostatistics and epidemiology. Most recently, Scott served as Executive Director of Research and Policy at Queensland Council of Social Services.
QAIHC’s Research team has continued its Lowitja Institutefunded work on research ethics governance. The team has been engaging with human research ethics committees and ACCHO sector members, and held further engagement in July after data analysis. The team has also been supporting Members through reviewing processes for receiving, reviewing and responding to requests to be involved with research projects. During QAIHC’s Member Conference, the Research team engaged with Members around existing ethics review processes in Queensland, gaps in those processes, and preferences that support Aboriginal and Torres Strait Islander-led research and that align with the priorities of the ACCHO sector.
The Policy team welcomed Katie Franich as Senior Policy Officer. She has more than 20 years of experience working in both the public and private sector, most recently working at the Gold Coast PHN in mental health, AOD and Special Projects.
The Communications team has been working on the QAIHC Statewide Members Conference, developing content for conference documents and social media. The team has also been working on this issue of Sector Leader and several public health campaigns.
QAIHC’s Design team have assisted behind-the-scenes in various Member engagement activities over the past quarter, including designing collateral for the Workforce Symposium, Members Conference and Awards for Excellence, Joint Chronic Disease Organisation Workshop and the SEWB Statewide Gathering. The team have also been involved in designing public health campaigns like Flu is bad, get the jab, Getting frisky? Don’t be risky, tuberculosis factsheets and the National Lung Cancer Screening Program.
The Design and Communications teams have also been working with the Public Health team to develop a sector orientation course for clinicians new to the sector, which will give them an understanding of the history and cultural bedrock of the ACCHO movement.
Public Health
QAIHC’s Public Health team has been representing the interests of QAIHC’s Members through membership of more than a dozen public health forums and networks, assisting QAIHC Members to be aware of developments from all over the public and First Nations health spheres.
The Public Health team has been building clinical capability and encouraging peer support among Member organisations by supporting clinical leaders on a daily basis, developing the next Clinical Leaders Forum (scheduled for September 2025) and hosting QAIHC’s Sexual Health Network meetings.
The team held a Clinical Leaders Forum in early March at the Pullman Hotel King George Square, the day before TC Alfred
shut down Brisbane. Topics included the National Health Reform Agreement changes and the RACP Sector Orientation Package project; Queensland Health updates on tuberculosis, Japanese encephalitis and syphilis; the UQ Poche Centre’s ATLAS program; as well as Kirby Institute updates on Molecular Point of Care testing and the Group A Streptococcus Point of Care Testing program.
Sexual health officer Emily Pegler supported QAIHCs Sexual Health Network via MS Teams, with discussion points including at-home testing kits for chlamydia and gonorrhoea; discussion of QAIHC’s Getting frisky? Don’t be risky National Condom Day campaign and programs for free condoms for Community.
The Public Health team has also assisted Members in adjusting to changes in policies and programs, including for the new Lung Cancer Screening Program as well as MyMedicare reforms, especially regarding changes to Chronic Disease Management Plan MBS items.
The team has worked with the Communications and Design teams to create and deliver public health campaigns like Flu is bad, Get the jab influenza prevention campaign and the sexual health campaign Getting frisky? Don’t be risky (see story page 55).
The Public Health team is pleased to announce the appointment of Dr Janika Dobbie as Public Health Registrar. Janika has helped the design team update and develop childhood growth and immunisation resources.
Sector Development
QAIHC’s Social Health Programs team had a very busy quarter, conducting nearly a dozen activities all over the state. The team facilitated Marumali training (healing/support for survivors of forced removal policies), Eyez on Ice training (addressing methamphetamine use) and Breakthrough Our Way training (support for families dealing with AOD issues). Additionally, the team supported gatherings like regional forums, state-wide meetings, networking catch ups and
MEMBER SUPPORT
cultural days on Country. A highlight for the team has been visiting QAIHC Member services; allowing the team to witness firsthand the work being done in Community to support wellbeing, and providing a more grounded understanding of the unique strengths and needs of each community.
Senior Program Officer — Elder Care, Marion Dwyer assisted QAIHC Members CRAICCHS and Girudala with face-to-face training sessions and new Elder care team member support. She also provided face-to-face training and general support for Elder care functions to Galangoor, Bidgerdii and ATSICHS Mackay. Finally, Marion, Sector Development GM Gregory Richards, preventative health officer Mandy Draper and Member Engagement Manager Yasmin Muller held a meet-and-greet with a new Elder Care team member and CEO Sharelle Eggmolesse at Manngoor Dja Aboriginal Health Services (formerly t/a North Coast Aboriginal Corporation for Community Health).
The Sector Development division also welcomed Bo de la Cruz in the position of Strategic Advisor, Wellbeing and Engagement. Bo is a proud descendant of the Gudjula and Meuram Tribe of Erub/ Darnley Island in the Torres Strait, who was born on the lands of the Larrakia Nation.
Bo is an accomplished athlete, having played — and won world titles — in two football codes (Touch and Rugby 7’s). Bo is also a television presenter on NITV’s Over the Black Dot and an ambassador for the Aruthur Beetson Foundation!
Sector Development would like to welcome Mandy Draper to QAIHC, in the role of Preventive Health Officer (Cancer Care).
QAIHC’s Workforce Development team have had a busy quarter; conducting a Workforce Symposium; holding a meeting with Aboriginal and Islander community-controlled registered training organisations (ACCRTOs) Gallang Place, IUIH’s EMPOWA and the Queensland Aboriginal and Torres Strait Islander Child Protection Peak (QATSICPP); as well as beginning formal engagement with the Queensland Government Department of Trade, Employment and Training.
The ACCRTO meeting was to coordinate and strengthen a collective position on workforce investments that are aligned to the National Skills Agreement and Closing the Gap.
The group advocate for a portion of NSA funding under the Closing the Gap schedule be allocated directly to QAIHC and QATSICPP as sector peaks.
The team welcomed Taliah Doyle in the position of Workforce Support Coordinator (SEWB). Taliah is a proud Kalkadoon/ Mununjali woman, with a background in customer service, administration, and community-focused roles. She prides herself on delivering high-quality service and positive outcomes for all stakeholders. Tahlia is also passionate about making a positive impact, especially in areas of community support and cultural safety.
Mandy is a proud Dharug woman and worked as an Aboriginal Health Practitioner for nine years, supporting Elders with chronic disease management across ACCHOs and Queensland Health. Mandy is also a skilled artist and prior to her employment at QAIHC, designed elements of QAIHC branding.
A warm welcome to Paula May, who joins us in her role of Events Manager.
Paula has a background in hospitality, event management and community radio and was most recently the Communications and Events Coordinator at QATSCIPP. She is currently working on QAIHC’s next Members Conference.
Finally, Sector Development welcomes back Sandy Roberton to the QAIHC team, in the position of Senior Coordinator, MBS.
Sandy has more than three decades’ experience in the sector and is excited to be back assisting the ACCHO sector to maximise their understanding of the MBS and other programs.
Associate Professor Sophia Couzos: sophia.couzos@qaihc.com.au
PALS
(Policy, Advocacy, Leadership and Strategy)
General Manager — PALS David Harmer: david.harmer@qaihc.com.au
Policy: policy@qaihc.com.au
Design: design@qaihc.com.au
Communications: communications@qaihc.com.au
Health Information Team: HIT@qaihc.com.au
Research: research@qaihc.com.au
Getting Dusty
Author: Jared Thomas (Magabala Books, 2024)
WINNER OF THE DAISY UTEMORRAH AWARD!
Getting Dusty is the much-anticipated sequel to Jared Thomas’ CBCA longlisted junior fiction, Uncle Xbox (2023).
When Dusty bloodies his bully’s nose in a soccer tournament, he finds himself grounded for a week.
Feeling this is unfair, Dusty gets upset and it’s up to Uncle Xbox to help him understand why his actions have consequences and that he can learn from his mistakes. If this lesson includes spending time on Country, catching some nice waves and making new friends, well, who is he to argue.
Find out more here: magabala.com.au/products/getting-dusty
This book thinks ya deadly: A celebration of Blak excellence
Author: Corey Tutt; Illustrator Molly Hunt. (Hardie Grant Explore, 2023)
This Book Thinks Ya Deadly! is an inspirational, illustrated compendium that celebrates the diversity and success of First Nations People.
Written by Corey Tutt, author of The First Scientists, this book features the profiles of 80 Blakfellas who are doing deadly things across sport, art, activism and science, through to politics, education and literature. It showcases the careers and Corey’s personal stories of First Nations People who have done great things in their respective fields, including Professor Marcia Langton, Miranda Tapsell, Tony Armstrong, Dr Anita Heiss, Danzal Baker (Baker Boy), Adam Goodes and Blak Douglas.
Find out more here: publishing.hardiegrant.com/en-au
Long Yarn Short
Author: Vanessa Turnbul-Roberts (University of Queensland Press, 2023)
At just ten years old, Vanessa TurnbullRoberts was forcibly removed — stolen — from her family, community and kinship systems. After eight years in various out-of-home care placements, Vanessa fled the system, reconnected with kin and returned to country for the very first time. Only then did she begin to heal.
In this book, Vanessa embarks on an extraordinary work of truth-telling, exposing the ongoing violence visited on Black children, their families and their communities by the systems that claim to protect them. As a survivor of out-of-home care, a practising lawyer fighting for the freedom of others and now also a mother herself, she takes an unflinching look at the heartache and trauma caused by racist family policing, the shameful rates of child removals and the steady pipeline of First Nations children into the criminal justice system.
Find out more here: uqp.com.au/books/long-yarn-short
Ceremony: Welcome to Our Country
Author: Adam Goodes & Ellie Laing
Illustrator: David Hardy (Allen & Unwin Books, 2022)
A joyful celebration of family and culture, the Welcome to Our Country series introduces First Nations history to children. From Australian of the Year Adam Goodes, co-writer Ellie Laing, and Barkindji illustrator David Hardy.
Welcome, children! Nangga! Nangga! Yakarti! Tonight will be our Ceremony. Our family gathers as the fire burns. The smoke rises up as we take it in turns . . . Then clapsticks tap — one, two, three — but a stick is missing! Where could it be?
Find out more here: allenandunwin.com
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