Umoona Tjutagku Health Service acknowledges the Antikarinya People as the custodians of the lands of the Coober Pedy Area and pay respect to elders both past and present. Umoona Tjutagku Health Service also acknowledges and respect the Antikarinya people’s cultural, spiritual, physical and emotional connection with their land, and community.
Our Vision
Innovative, responsive, and culturally appropriate health services are accessible to Aboriginal people living in the Coober Pedy and surrounding region
Our
Values
Integrity, Commitment and Ethics
Our Mission
To provide a holistic health care service that achieves positive health outcomes through primary health care intervention as well as safer communities through prevention and education
Chairperson’s Report
Raelene Dodd Chairperson
It is my pleasure to present you the Directors Report and Audited Financial Statements of Umoona Tjutagku Health Service Aboriginal Corporation (UTHSAC) for 2024’/2025’.
The past year has been an exciting year for the organisation for many reasons. This includes the completion of the new staff housing, the moving forward of the new Clinic Building project, and the organisation’s success in attracting additional funding for services never provide before to the Community. This includes funding received for programs such as Aged Care/Elder Care, ARF.RHD & Cancer Support Programs. This has been extremely beneficial to our Community and the Region as a whole, and we wish to thank NACCHO for its understanding and cooperation in brining these programs to town.
There has been a delay in the New Clinic Building project due to unavoidable circumstances, and the funder has been kept informed about this and the organisation is working tirelessly to finish the project in a timely manner. The continues common issues plaguing the Construction Industry in Australia is the reason for the delay affecting this building project.
I am also pleased to inform you that the organisation has continued in its quest for Quality, Innovation and Performance by extending its AGPAL and QIC Accreditations. This has helped it to maintain high standards of patient care as well as transparency and independence in relation to its Finance and Governance processes.
The UTHSAC Board met on a regular basis to understand and guide the organisations strategic direction, and its short-term and long-term goals. All Board Members were provided with the organisation’s financials and other important information on a regular basis, which helped us to understand how the organisation was performing at any given time.
The External Accountants of the organisation also visited the organisation a few times during the past year to review the Finance and Governance processes of the organisation and also to conduct the Interim Audit and the main Financial Audit. Feed-back and suggestions received we implemented wherever possible, and the organisation is open to a continuous improvement process throughout its operations. They also provided the Board with financial updates on a regular basis which contributed towards the Board making informed decisions based on independent advice.
The Board, CEO and Secretary were provided Governance Training in the past year, while the
Sectary also participated in ORIC led on-line training relation to Board and Governance matters. As done each year, Board Members were offered the opportunity to upskill themselves in Board, Governance and Financial matters if required. The organisation strives to ensure that the Board, which gives Strategic Direction to the organisation, has the necessary skills and knowledge to do so.
A Big thank you ,to our patient and resilient Community and Members of the Corporation, most of you, who understand and support the organisation in every possible way, most of the time. While we strive to achieve the best for you, sometimes we may not be able to provide you certain services requested by you, and please note that this is due to no reason of ours, but due to the fact that we have to work within the funding received as well as due to the guidelines set by our funders.
I also wish to inform all our stake holders that the Board of Directors of UTHS have not received any monitory or non-monitory benefits in the capacity of being Board Members of the Corporation.
I take this opportunity to thank the Board, Secretary, CEO and all staff at UTHSAC for the great work they continue to do in order to improve the health and wellbeing of the Aboriginal People in Coober Pedy and surrounding Region
Board of Directors
Michael Liptsey Director
Josephine Warrior Director
Gary Crombie Director
Patrick Larkins Director
Raelene Dodd Chairperson
Priscilla Larkins Chief Executive Officer
Dilshan Perera Secretary
CEO Report
Priscilla Larkins Chief Executive Officer
With respect and strength
As CEO of Umoona Tjutagku Health Service (UTHS), it is my honour to present our Annual Report for the 2024/2025 financial year. This year has brought both growth and significant challenges, and it is a privilege to reflect on the resilience of our team and the unwavering strength of our community.
Workforce and Capacity Building
A key focus this year has been strengthening our workforce to meet growing community needs. While attracting skilled professionals to remote regions remains a nationwide challenge, we are proud to report successful recruitment into several vital roles.
That said, recruiting and retaining Aboriginal Health Workers continues to be an area of urgent need. We remain committed to creating clear and supported pathways for young Aboriginal people to join the health workforce—through traineeships, mentoring, and locally driven capacity-building strategies.
We are actively advocating for solutions to accelerate this process and ensure the sustainability of culturally safe, professional services in our community.
Addressing Core Health Inequities
Our commitment to the Closing the Gap framework remains steadfast. This year, we have focused our advocacy on three urgent and interconnected health equity issues:
1. Mental Health and Suicide Prevention
Mental health—especially among young people—remains a critical concern. Our community continues to feel the deep impact of suicide, a stark reminder of the need for culturally safe and accessible services in remote settings.
Despite national funding announcements, we are yet to see meaningful investment reach our region. We call for:
• Dedicated funding for community-led mental health initiatives
• Increased access to psychologists and psychiatrists in remote areas
• Integrated care models combining clinical and traditional healing
These are not just program gaps—they are life-saving necessities.
2. Housing Crisis
Safe and secure housing underpins all aspects of health and wellbeing. The ongoing shortage of appropriate housing continues to contribute to:
• Increased communicable disease
• Mental health distress
• Disrupted care and discharge planning
• Domestic and family stress
We strongly advocate for:
• Investment in remote housing infrastructure
• Priority housing for Elders, women escaping domestic violence, and young families
• Transitional housing for patients’ postrehabilitation or hospitalisation
Health outcomes cannot improve without addressing housing inequality.
Infrastructure and Housing Support
• New Health Facility: We continue to await the finalisation of the tender process and remain hopeful for minimal further delays.
• Nursing Accommodation: We successfully acquired land on Finders Street and installed two transportable housing units for staff. These are now operational and already improving staff retention and stability.
3. Food Security and Affordability
Access to fresh, affordable food remains a daily struggle for many in our community. High transport costs and limited supply chains contribute to poor nutrition and increased chronic disease rates.
We support:
• Community-led food security initiatives
• Subsidised deliveries of fresh produce
• Partnerships with local stores to improve quality and affordability
Food security is not only a dietary issue—it is a public health imperative.
Primary Health Care Services
Despite these challenges, our Primary Health Care team continues to deliver high-quality, culturally responsive services, including:
• GP and nursing consultations
• Chronic disease management
• Maternal and child health programs
• Preventative screening and immunisations
• Outreach clinics to surrounding communities
We have placed strong emphasis on educating new staff around Key Performance Indicators (KPIs) and community-focused best practices, ensuring compliance with national standards while continuing to deliver care that reflects our cultural values and community needs.
Strategic Developments
This year, we achieved notable progress across several strategic domains:
• Clinical Governance: Strengthened quality assurance and risk management frameworks.
• Digital Innovation: Expanded telehealth services and upgraded clinical software systems to improve client outcomes.
• Community Engagement: Deepened collaboration with Elders, youth leaders, and community representatives to guide our services.
• New Funding Streams Secured:
- Elder care support
- Rheumatic Heart Disease and environmental health
- Liver disease outreach
- Cancer care and patient navigation services
Reflections and Personal Acknowledgements
This year has held profound significance for me, marked by both personal loss and deep reflection. The passing of my mother, Sarah Lindsay, has left a lasting void. From 2015 to 2023, she was a dedicated member of the UTHS staff and a passionate educator who spent many years teaching in remote communities. Sarah brought not only her knowledge and experience but also an unwavering commitment to improving educational access and outcomes for students who often faced limited opportunities.
She was a strong advocate for our DAS clients, devoting countless hours to supporting individuals through grief and hardship. Her compassionate leadership created a nurturing environment where people felt seen, heard, and supported.
Sarah’s ability to build genuine connections fostered trust, collaboration, and a sense of belonging among students, families, and the wider community. Her absence is deeply felt by many.
Sarah’s legacy lives on in the lives she touched, through education and through empowerment. She inspired resilience and hope, leaving a great impact on the communities she served. I dedicate this year’s accomplishments to her enduring strength and spirit.
We also take this moment to honour and remember all those we have lost along the way.
I extend sincere thanks to Dilshan and our Board for their flexibility and support during this time. My experience during her care journey illuminated critical gaps in hospital-based Aboriginal liaison services, particularly in:
• Discharge planning
• Patient advocacy
• Nutrition and daily support
• Cultural safety
• Family engagement
In response, we submitted recommendations to the Royal Adelaide Hospital and remain committed to improving continuity of care for Aboriginal patients transitioning between hospital and home.
Looking Ahead: 2025 Priorities
As we move into 2025/2026, our strategic focus will centre on:
• Advancing housing partnerships and advocacy
• Developing tailored elder care and support services
• Expanding youth leadership and resilience programs
• Strengthening mental health and suicide prevention initiatives
• Scaling up food security and nutrition initiatives
• Improving hospital-to-home care coordination
Our Drug and Alcohol team continues to operate beyond capacity, reinforcing the urgent need for trauma-informed, integrated health and social services that meet the complex needs of our community.
Gratitude
To our Board, Staff, Elders, Clients, and Partners, RDWA for their continuous support over the years, AHCSA, SAPOL, AFFS, United care Wesley, DASSA, footsteps, Port Augusta hospital and many more — thank you. Your unwavering commitment, strength, and collaboration are what make our work possible.
Together, we continue to walk the path of self-determination, healing, and holistic wellbeing.
With gratitude and determination,
Umoona Tjutagku Health Service
Work Health and Safety at Umoona Tjutagku Health Service: A Commitment to Excellence
At Umoona Tjutagku Health Service (UTHS), ensuring the health and safety of both staff and clients is a core priority. As a leading healthcare provider serving the Coober Pedy community, UTHS is committed to maintaining a safe, culturally respectful working environment while delivering high quality care. This commitment is embedded into every aspect of operations through regular risk assessments, proactive hazard management, seasonal preparedness, and continuous staff education. By integrating safety into long term planning, UTHS ensures that its workplace health and safety (WHS) approach is not just a compliance requirement but a cornerstone of organisational culture.
The Importance of Work Health and Safety
Work health and safety is essential in healthcare, where staff may be exposed to a variety of risks and clients are often in vulnerable conditions. Effective WHS practices not only protect employees from occupational hazards but also ensure clients receive safe and reliable care. At UTHS, this means taking a comprehensive approach that combines education, risk management, and open communication. The organisation recognises that safety extends beyond compliance—it is about fostering an environment where people feel supported, hazards are addressed quickly, and safety improvements are part of everyday practice.
Health and Safety Culture
Promoting a Safety Culture
UTHS fosters a strong safety culture by integrating WHS principles into daily work practices. This includes clear expectations for safe behaviour, active participation in safety initiatives, and leadership that models best practice. Staff are encouraged to contribute to safety discussions, identify hazards, and suggest improvements. Safety responsibilities are embedded into job descriptions, and achievements in safety are recognised to reinforce a positive safety mindset across the organisation.
Client Safety
Client safety is equally important. UTHS ensures that service delivery environments meet high safety standards, with regular inspections to identify and address potential hazards. Staff follow established safety protocols when providing care, and any safety concerns are addressed promptly to protect the wellbeing of all clients.
Training and Education
Ongoing Training Programs
Training and education form the backbone of WHS at UTHS. Staff participate in ongoing training covering emergency response, manual handling, infection control, and safe equipment use. Refresher training is delivered quarterly or when significant regulatory changes occur, ensuring staff skills and knowledge remain current.
Updating Procedures
Safety procedures are regularly reviewed and updated to reflect best practice and legislative requirements. Updated guidelines are communicated promptly, and staff are briefed to ensure they are aware of changes and can adapt their work accordingly.
Regular Meetings and Communication
Scheduled WHS Meetings
UTHS holds regular WHS meetings—monthly or quarterly depending on operational needs— to review incidents, discuss improvements, and track corrective actions. These meetings bring together representatives from all areas, including WHS officers, health professionals, and administrative staff, ensuring that a wide range of perspectives inform safety planning.
Open Communication Channels
Open communication is central to UTHS’s WHS strategy. Staff are encouraged to raise concerns without fear of reprisal, either directly or via anonymous reporting systems. This open dialogue allows hazards to be addressed quickly and collaboratively, reinforcing a shared responsibility for workplace safety.
Comprehensive Audits and Risk Assessments
Routine Safety Audits
Routine safety audits are carried out to evaluate the effectiveness of WHS practices. These reviews examine workplace conditions, equipment maintenance, emergency preparedness, and compliance with safety regulations. Findings are documented; corrective actions are assigned and follow up ensures improvements are implemented.
Risk Assessments
Risk assessments are a key component of Umoona Tjutagku Health Service’s (UTHS) safety strategy. These assessments are conducted regularly to identify, evaluate, and mitigate potential hazards before they cause harm to staff, clients, or the wider community. By systematically reviewing work processes, equipment, and the environment, UTHS
ensures that risks are effectively managed, and safety standards are upheld.
In addition to formal hazard identification, UTHS conducts workplace inspections on a quarterly or, where necessary, monthly basis. These inspections involve reviewing physical workspaces, assessing equipment condition, and ensuring that safety signage, emergency exits, and protective measures are in place and functional. This proactive approach allows for the early detection of risks and the swift implementation of corrective actions.
Fire safety is also a key priority within the risk management framework. UTHS conducts fire drills either quarterly or monthly, depending
on operational requirements, to ensure that all staff and clients are familiar with evacuation procedures and can respond effectively in an emergency. These drills are complemented by checks on fire safety equipment, such as extinguishers, alarms, and sprinkler systems, to confirm that they are in proper working order.
Through these combined measures, UTHS not only prevents accidents and emergencies but also strengthens the culture of preparedness and safety across the organisation. This ensures that the workplace remains a secure environment for everyone, even during unexpected incidents.
Seasonal and Environmental Safety Preparedness
Preparing for Summer Heat Waves
As summer approaches, the likelihood of extreme heat events increases, bringing significant health and safety challenges for both staff and clients. Prolonged exposure to high temperatures can cause heat stress, dehydration, and in severe cases, heatstroke. Umoona Tjutagku Health Service (UTHS) takes a proactive approach to seasonal safety by implementing a comprehensive heat wave preparedness plan that focuses on prevention, protection, and education.
Umoona Tjutagku Health Service
1. Air Conditioning and Cooling System Readiness
Before the summer heat sets in, UTHS conducts thorough inspections of all air conditioning and cooling systems to ensure they are in optimal working condition. Technicians check for adequate refrigerant levels, clean filters, and service any worn parts to maintain efficient cooling. Portable cooling units are also tested, and contingency plans are in place for emergency replacements should a unit fail during extreme temperatures.
2. Hydration and Nutrition Strategies
Hydration is a critical factor in preventing heat related illnesses. Fresh, clean drinking water is readily available across all work areas, and hydration stations are set up in high traffic locations. Staff are encouraged to drink water frequently, even before feeling thirsty. Nutritional guidance is also provided, recommending lighter meals with high water content such as fruits and salads, which help maintain hydration and energy during hot conditions.
3. Work Schedule Adjustments
To reduce exposure to peak heat periods, UTHS adjusts work schedules during summer months. Outdoor activities are planned for early mornings or late afternoons when temperatures are lower. High risk tasks requiring physical exertion are rescheduled to cooler parts of the day, and shift rotations are implemented to prevent prolonged exposure.
4. Protective Clothing and Sun Safety
All staff working outdoors are provided with lightweight, breathable uniforms, wide brimmed hats, and UV protective sunglasses. Sunscreen is supplied and applied regularly throughout the day. Shade structures and portable shelters are installed in outdoor work areas to provide relief from direct sunlight.
5. Pet and Animal Care During Heat Waves
UTHS also recognises that clients’ pets can be vulnerable during extreme heat. Outreach teams provide community education on keeping pets cool and hydrated, ensuring shaded areas are available, and never leaving pets inside vehicles. This not only supports animal welfare but also reduces the emotional stress that pet related emergencies can cause for clients.
6. Client and Community Education
Education is central to UTHS’s heat wave strategy. Information sessions and easy to read guides are provided to staff, clients, and the broader community on recognising the signs of heat stress, emergency first aid for heat related conditions, and practical home cooling strategies. These include using fans effectively, keeping curtains closed during peak sunlight hours, and ensuring homes are well ventilated in the evenings.
7. Emergency Response Planning
Despite preventive measures, emergencies can still occur during severe heat waves. UTHS maintains an emergency response protocol that includes rapid escalation procedures, designated cooling areas for vulnerable clients, and coordination with local emergency services for high risk situations. Staff are trained in administering first aid for heatstroke and dehydration, ensuring immediate assistance is available when required.
UTHSC Key WHS Priorities for the Year Ahead
In the coming year, UTHS will continue to strengthen WHS by focusing on three key areas:
• Training – Expanding staff training pathways in both clinical and non clinical safety practices, ensuring consistency and national compliance.
• Funding – Securing sustainable funding sources to support WHS initiatives, training programs, and safety related infrastructure.
• Workforce – Investing in workforce wellbeing and resilience, particularly f or those working in challenging environmental conditions.
Administration Department Report
Dilshan Perera Director – Business Services
The past year has been a tremendously challenging as well as a successful year for Umoona Tjutagku Health Service Aboriginal Corporation (UTHSAC).
Human Resources Management
Overcoming the post-Covid difficulties of recruiting suitable candidates for specialist positions, the organization was successful in attracting candidates to fill in most vacant positions, barring a few Aboriginal Health Worker slots. This was achieved through target advertising, working with Recruitment Agencies as well by sponsoring certain staff for highly-skilled positions such as Registered Nurses.
The organization is also in the final stages of successfully implementing its new Enterprise Agreement with the Health Services Union, and negotiations are ongoing in order to finalise a new Enterprise Agreement with the Nurses Union. This has simplified the Enterprise Bargaining process of the organisation while offering over-Award benefits to UTHSAC staff.
Finance
UTHSAC managed to successfully complete all funded programs within the Budget, while achieving the required Clinical and Financial outcomes. As done each year, the organization conducted an Interim Audit in April 2025 and the final Financial Audit in July 2025. While the final Audit Report is yet to be received by the organization, the external Accountants informed the Board at an early August Board Meeting that the organisations’ finances were well managed and that the UTHSAC is in a very strong financial position. The past year saw the organization achieve its highest funding, ever.
Umoona Tjutagku Health Service
Major Capital Works
While the Flinders Street new staff housing project was successfully completed within the given time frame, the organization has faced significant delays in relation to its new Clinic building project. This was due to the short-listed organisations’ to do the build withdrawing their bids, just prior to evaluation of the tender documents. UTHSAC is working hard to finalise this project with minimum practical delays and are working with the project management organisation to find a suitable builder as soon as possible.
Accreditation
We are also pleased to inform our stakeholders that UTHSAC is currently holding QIC Health and Community Service Standards 7th Edition (v1.1) accreditation. Quality Improvement Council (QIC) accreditation is a program that evaluates Health and Community service organizations against National Quality and Safety Standards. This accreditation provided by Quality Innovation Performance (QIP), has helped UTHSAC to implement a cycle of Continuous Quality Improvement, to ensure client-focused and effective service delivery, and achieve positive client outcomes. It has helped UTHSAC to improve their systems in areas like Governance, Corporate Systems, and Service delivery, demonstrating a commitment to quality to funders, and the community.
Policy Review
The organisation has undertaken a project to review all of its Policies and Processes to make them more relevant to the current operational environment and also to ensure that all of these meet new Government Legislation as well as Fair Work Commission requirements. This process is due to be finalized and presented to the Board before end of October 2025.
I take this opportunity to thank our Board, CEO, Management, staff and our Funders for all of the contribution and assistance provided to UTHSAC over the past year, which helped it to achieve its goals.
Thanking you,
Dilshan Perera Director – Business Services
Admin Staff
Priscilla Larkins Chief Executive Officer
Dilshan Perera Director Business Services/ Accreditation Officer/Executive Assistant
Geethanjana Yatawara IT & Communicare Support Officer
Imedha Gaspe Facilities Officer
Clinic Manager Report
The 2024-2025 year has seen the recruitment of permanent staff, increase in clinic visits by Doctors and allied health staff and a focus on our National Key Performance Indicators. The permanent staff and doctor rotation has allowed us to ensure we have increased the number of client visits and consultation together with the increase in positive patient outcomes and chronic disease management.
All clinic staff have portfolio’s which reflect our clients most prioritised needs which they report on weekly to the CEO, these ensure direct oversite of clinical services by the CEO and also the Clinical Governance Committee. This process strengthens the care coordination within the clinic and ensures our community is being cared for.
Our clinic team is made up of nurses, Aboriginal Healthcare Workers, Aboriginal Health Practitioners, consistent doctors and visiting allied health professionals.
We also still have our Chronic Disease Nurse and just received funding for a dedicated Immunisations nurse. We are also planning to employ a Nurse Practitioner to increase our scope of practice when the Doctors are not onsite.
Our Medical Director Dr Michael Nugent works tirelessly to ensure all doctors who visit Umoona Health Service are qualified and culturally safe. They all work together with our nursing staff, Aboriginal Health staff and visiting allied health service to ensure consistent and ongoing care. They have ensured a flexible healthcare delivery both in clinic and out of the clinic, with visits planned in the next year within Coober Pedy community.
We have maintained a number of programs such as Chronic Disease, Rheumatoid Heart Disease, Child and Maternal Health, Sexual Health and screening, with new programs developing in the 2025-2026 year, such as Cancer Care, Liver Awareness and other social programs aimed at community. Through our health promotions team, Coober Pedy will see greater engagement and offerings from Umoona Health Service.
Our Allied Health staff and supporting health professionals also consist of optometrist, occupational therapist, psychologists, psychiatrist, endocrinologist, cardiologist, dietician, physiotherapist and midwife to name a few. We promote all services in numerous community billboards such as the IGA, DAS and community stakeholders. We continue to review our data to ensure we provide services for our clients needs.
It has been a pleasure to be part of the clinic and UTHS leadership team, seeing the evolution of services and staff over the year. I look forward to a even better year of data collection, healthcare and positive patient outcomes.
Stacy Kambouris Clinic Manager
Laura Larkins Clinic Manager / KPI & Client Navigation Manager
Pharmacy
Our Pharmacy has provided medications to over 2000 clients in the 2024-2025 year, with support from local pharmacy contracts to ensure all medication is maintained within regulation and all medication is current and rotated. Our staff are trained in the use of the Pharmacy system known as LOTS, however, are also required to maintain Continuous Professional Development (CPD) in medication safety and medication calculations.
Vaccination
Our Vaccine management policy supports staff to be trained in the storage and administration of vaccines, plus supports the community to ensure they know our staff are trained and vaccinations are essential to support herd immunity. Immunisations, are required for children and child care within Coober Pedy, however, we encourage and provide information on vaccines for all clients at any age.
We have had numerous programs surrounding young persons and childrens vaccine and also FluVax. With our health promotions staff leading the way to inform community of these programs.
ITC—Integrated Team Care
The Integrated Team Care program helps our chronically ill people get health care.
About half of Aboriginal and Torres Strait Islander persons have a chronic condition.
Heart disease and diabetes kill most Aboriginal and Torres Strait Islander individuals. Multiple health services are needed for chronic diseases. Patients receive support to understand and manage their diseases.
Goals
Our ITC program seeks to:
• Improve community chronic disease management
• Enhance client health
• Enhance access to culturally appropriate primary care services
• Encourage collaboration and assistance between our service and visiting RDWA allied health services to benefit our clients.
Reaching our Goals
The ITC program provides individual support to clients by:
• ensuring access to appropriate care, including specialist and allied services
• linking services for faster access
• establishing clear care pathways
• assisting mainstream health services in providing culturally appropriate care. The initiative employs teams of:
• Aboriginal and Torres Strait Islander health project officers
• Outreach workers
• Care coordinators
• Health project officers for Aboriginal and Torres Strait Islander people
Aboriginal and Torres
Strait Islander health project officers:
• Coordinate and support outreach workers and care coordinators in Coober Pedy
• Enhance health service capacity for culturally appropriate care
• Facilitate communication and collaboration among various health services in the region.
Indigenous outreach workers
Our Outreach workers assist clients with nonclinical tasks, including providing information on available services, encouraging access to health care and medication, and organising transportation to and from medical appointments. They have strong links to our MOB.
Coordinators of care
Registered nurses or Aboriginal and Torres Strait Islander health practitioners are care coordinators. They:
• Organise services in GP care plans
• Conduct regular reviews
• Provide clinical care
• Accelerate access to urgent or specialist services
• Facilitate access to GP-approved medical aids
• Promote better condition management and understanding.
RTO Training for AHW’s
To address the skills shortage in our remote community, the organisation has partnered with AHCSA RTO to provide Aboriginal Health Worker (AHW) training to three of its young staff members during the first half of this year. Jonte Larkins, Taihlor Yates, and Kym Lebois are currently undertaking the Certificate IV in Aboriginal and Torres Strait Islander Primary Health Care Practice, which they are expected to complete in the coming months. This investment in upskilling not only strengthens our workforce but also enhances our ability to deliver culturally safe and responsive healthcare services that address the health disparities within our community.
Taihlor Yates
Kym Lebois
Jonte Larkins
Nursing Students
Our organisation is committed and dedicated to upskilling our staff to achieve greater heights and are pleased to inform everyone that we have two of our staff, Laura Larkins and Aiden Ackland enrolled on a Nursing Degree with Deakin University. The organisation is committed to supporting these students as well as any future students who are happy to pursue a career in the health sector, and the achievements of these two students provides a tangible and inspiring example of this commitment. We also would like to encourage other staff members to consider their own upskilling and career development within the organisation.
Chronic Disease –
We have developed and refined our Chronic Condition Management (CCM) services in 2024-2025 for the management of our clients with chronic or terminal condition.
Certain health professionals can help eligible practitioners deliver some services for Indigenous patients, including both:
1. CCM plan development
Health professionals who can help include:
• practice nurses
• Aboriginal and Torres Strait Islander health practitioners
Laura Larkins
• Aboriginal health workers.
They can help to prepare, contribute and review CCM items, including all of the following:
• collecting information
• supporting collaboration with a multidisciplinary team
• providing relevant information to the patient.
Medicare item requirements must be met, including all of the following:
• reviewing and confirming assessments
• seeing the patient.
Aiden Acklan
2. Monitoring and support services.
Certain health professionals can deliver monitoring and support services Medicare Benefits Schedule (MBS).
Health professionals who can provide monitoring and support services include:
• practice nurses
• Aboriginal and Torres Strait Islander health practitioners.
They may provide up to 5 services per calendar year for a patient who has a current CCM plan. The service must be both:
• provided on behalf of and under the supervision of the eligible practitioner
• consistent with the patient’s CCM plan.
It is important for all patients to understand that your Chronic Disease Management Plan involves both the clinic and you to work in partnership with each other to obtain the best benefit of the Chronic Disease Management Plan to improve your health.
Rheumatic Heart Disease Program
Rheumatic Heart Disease (RHD) is a long-term and potentially fatal condition that results from damage to the heart valves following one or more episodes of Acute Rheumatic Fever (ARF).
It continues to be a major public health concern, particularly in low- and middle-income nations, where it impacts millions, especially children and young adults.
Tackling Rheumatic Heart Disease in Coober Pedy: Approaches to Prevention and Protecting Community Health
Rheumatic heart disease (RHD) remains a serious health issue in Indigenous communities throughout Australia, including Coober Pedy. This preventable illness develops from rheumatic fever, a complication of untreated streptococcal throat infections, and can cause severe heart damage if not properly managed. Effectively addressing RHD in Coober Pedy calls for a collaborative approach centred on prevention, education, and active community involvement to protect the health and well-being of residents.
Key contributors to Rheumatic Heart Disease (RHD) in Coober Pedy include:
Rheumatic Heart Disease (RHD) remains a significant health concern in Coober Pedy, largely due to several contributing social and environmental factors.
Overcrowded housing increases the risk of spreading group A streptococcal (GAS) infections, such as strep throat and skin sores, which can lead to acute rheumatic fever (ARF) and eventually RHD.
Limited access to healthcare - due to geographic isolation, workforce shortages, and irregular follow-ups, often results in delayed diagnosis and treatment of these infections.
Additionally, low health literacy Many individuals may be unaware of the link between sore throats, ARF and RHD. Limited understanding of the importance of early antibiotic treatment and ongoing secondary prevention.
These factors combined create a highrisk environment for the development and progression of RHD.
Strategies for Prevention and Eradication
To combat rheumatic heart disease in Coober Pedy, it is essential to implement effective strategies focused on prevention, early detection, and community education. As part of this effort, one of the Registered Nurses collaborate with the newly appointed Environmental Health Worker to develop programs, deliver education and promote awareness initiatives aimed at supporting and informing the community.
Together, the RHD team focus on primary prevention through regular follow ups in schools and homes, prompt referral for treatment of infections with antibiotics, and health promotion campaigns that encourage early medical attention. The Environmental Health Worker plays a key role in improving housing conditions and sanitation to reduce overcrowding and skin infections, while the RN provides frontline care, education, and clinical follow-ups.
For secondary prevention, the RN manages patient recall systems using phone call reminders and home visits and coordinates regular medical reviews for those listed on the RHD register. Both health workers contribute to community education and engagement by developing and delivering culturally appropriate materials, running
school-based education sessions, and using visual tools and storytelling to raise awareness about the connection between sore throats, skin sores, and heart disease. They also support workforce development by participating in the ongoing training of local Aboriginal Health Workers (AHWs) and clinical staff, strengthening the cultural safety and clinical capacity of the team. Additionally, they maintain strong partnerships with RHD Australia, SA Health, schools, and local organisations, ensuring up-to-date data collection, register management, and consistent tracking of outcomes. Through their advocacy efforts, the RN and Environmental Health Worker promote
better housing, sustainable funding, and the implementation of national and state-level strategies. Together, their combined efforts are essential in reducing the burden of RHD and improving long-term health outcomes in the Coober Pedy community.
Community involvement plays a vital role in combating rheumatic heart disease. Partner with local leaders, Indigenous health organizations, and community groups to effectively implement these strategies. Actively engaging community members in health initiatives and decision-making processes helps ensure that interventions are culturally sensitive and widely accepted.
Protecting FutureImmunisation at Umoona Tjutagku Health Service
Immunisation is one of the most powerful tools we have to protect children from serious illness. It’s safe, simple, and incredibly effective. At Umoona Tjutagku Health Service, we understand the vital role that vaccines play in safeguarding our community — especially our youngest and most vulnerable. Every year, immunisation prevents an estimated 2 to 3 million deaths globally, saving lives and preventing suffering. Vaccines work by preparing a child’s immune system to fight off harmful infections before they ever encounter them in real life. For our Aboriginal and Torres Strait Islander communities, where the risk of certain preventable diseases is higher, these protections are even more critical.
Our Commitment to Community Health
At Umoona Tjutagku Health Service, we are dedicated to ensuring that all Aboriginal and Torres Strait Islander children aged 0 to 5 years are fully immunised. Our team includes fully qualified nurses trained in both childhood and adult immunisations, and our services are available year-round to support the health and wellbeing of the entire community.
It is widely recognised that Aboriginal and Torres Strait Islander peoples face higher rates of chronic health conditions and often live in circumstances that increase the risk of infection. This makes timely immunisation not only important — but lifesaving.
A Proactive and Caring Approach
To support our families, the nursing team at Umoona Tjutagku Health Service actively maintains immunisation records for every child in our care. We regularly review these records to identify those who are due or overdue, and we plan and deliver catch-up immunisations to ensure no child is left behind.
We also go the extra mile to support parents and caregivers. Our nurses make phone
calls to families to remind them of upcoming immunisations, discuss any concerns, and encourage timely attendance. We understand that life can get busy, and a simple reminder can make all the difference.
Healthy for Life: Beyond the Clinic
Immunisation at Umoona Tjutagku is more than a medical service — it’s part of a broader commitment to community wellbeing. For families who may have missed scheduled vaccines, we run targeted immunisation programs either at the main clinic or through our Healthy for Life program.
These sessions are about more than just vaccines. They offer a welcoming and supportive space, where children can enjoy fun activities and caregivers can engage in educational discussions with our friendly staff. We believe that building understanding and trust around immunisation helps empower families to make informed decisions for their children’s health.
Keeping Our Kids Safe Together
At Umoona Tjutagku Health Service, immunisation is more than a procedure — it’s an act of care, protection, and love. Together, we’re building a healthier future for our children, one vaccine at a time.
Managing Chronic Health Diseases at Umoona Tjutagku Health Service: A Commitment to Long-Term Care and Community Wellbeing
Chronic health diseases—such as diabetes, hypertension, asthma, chronic obstructive pulmonary disease (COPD), and arthritis— continue to be among the leading health challenges affecting individuals across all age groups. At Umoona Clinic, we recognize the long-term nature of these conditions and are committed to providing continuous,
compassionate, and comprehensive care to support our clients in managing their health and improving their quality of life.
Our Approach to Chronic Disease Management at Umoona Tjutagku Health Service
At Umoona Tjutagku Health Service our multidisciplinary team—including nurses, general practitioners, allied health professionals, aboriginal health workers, transport officers and other support officers— works collaboratively to deliver client-centred care with a strong focus on:
1. Early Detection and Monitoring: We prioritize early identification of chronic conditions through routine health assessments, screenings, and diagnostic tests. Once a diagnosis is confirmed, we create an individualized care plan tailored to the client’s needs.
2. Personalized Care Plans: Each client receives a care plan designed in collaboration with the client, their family (if involved), and their healthcare team. These plans outline treatment goals, medications, lifestyle modifications, follow-up appointments, and education tailored to the condition.
3. Medication Management: We assist clients in understanding their medications, potential side effects, and the importance of adherence. Regular reviews are conducted to ensure medications remain effective and appropriate.
4. Health Education and Lifestyle Support: Education is a core part of our chronic disease management. We provide clients with information about their condition, diet, exercise, stress management, and smoking cessation support, helping them make informed decisions about their health.
5. Regular Follow-up and Home Visits: Our team schedules regular follow-ups and home visits when necessary to monitor health status, assess the effectiveness of interventions, and provide ongoing support. This ensures continuity of care and strengthens the therapeutic relationship between clients and caregivers.
6. Multidisciplinary Referrals and telehealth appointments: We liaise with dietitians, physiotherapists, occupational therapists, mental health professionals, and specialists to ensure that clients receive holistic care addressing both physical and psychological aspects of chronic illness. To enhance accessibility, especially for those in remote areas or with limited mobility, we offer telehealth consultations. This supports regular communication and helps clients stay engaged with their care plans.
Through this structured and compassionate approach, many of our clients have demonstrated improved health outcomes—better blood sugar control, stable blood pressure, fewer hospital admissions, and a greater sense of empowerment over their health. At Umoona Tjutagku Health Service, we believe managing chronic illness is not just about treating symptoms—it’s about walking alongside our clients in their health journey, supporting them through every challenge, and helping them lead fuller, healthier lives. Our commitment is to deliver care that is proactive, patient-centred, and rooted in trust and respect.
Umoona Tjutagku Health Service
Child and Women’s Health at Umoona Tjutagku Health Service Aboriginal Corporation
At Umoona Tjutagku Health Service Aboriginal Corporation, we are committed to supporting the health and wellbeing of women and children in our communities. We recognise that healthy women and children are the foundation of strong families and thriving communities, and we strive to provide culturally safe, accessible, and comprehensive care for all.
Our Approach
Our Child and Women’s Health Program is grounded in a holistic model of care that respect’s cultural identity, empowers families, and promotes early intervention and prevention. We work in partnership with Aboriginal families, Elders, and community groups to ensure our services reflect local needs and values.
Services We Offer
We provide a range of essential services for women and children, including:
Antenatal and Postnatal Care – Support and monitoring throughout pregnancy and after birth, in collaboration with midwives, nurses, and visiting GPs.
Child Health Checks – Regular developmental checks, immunisations, and growth monitoring for children from birth to school age.
CERVICAL SCREENING
How to do the HPV self-test
Women’s Health Clinics – Cervical screening, breast screening, contraception advice, menopause support, and chronic disease management.
Parenting Support – Education and resources to support positive parenting, infant nutrition, and child safety.
Community Outreach – Home visits, transport assistance, and follow-up care to ensure continuity and access for families living in remote areas.
Our Team
Our multidisciplinary team includes Aboriginal Health Workers, Registered Nurses, General Practitioners, Child and Family Health Nurses, Midwives, and community support workers. We work together to deliver compassionate, client-centred care and build trusting relationships with every family we serve.
Cultural Safety and Community Engagement
We are proud to provide services that are culturally responsive and built on community input. We regularly engage with community members and Elders to improve our programs and make sure families feel safe and respected when accessing care.
Looking Ahead
Umoona Tjutagku Health Service Aboriginal Corporation continues to expand its child and women’s health initiatives. With a focus on early intervention, health education, and community-led support, we aim to improve long-term health outcomes and close the gap in health disparities for Aboriginal and Torres Strait Islander families.
Sexual Health Programme
The Sexual Health and Blood-Borne Virus (BBV) Program, delivered with the help of the Aboriginal Health Council of South Australia (AHCSA), plays a critical role in the prevention, screening, and treatment of sexually transmitted infections (STIs) and blood-borne viruses such as Hepatitis B and C.
In Coober Pedy, this program is delivered by a dedicated team that includes Sumeda (Sexual Health Worker) and Aiden (Health
Practitioner). Together, they work closely with young Aboriginal people aged 16–35, promoting opportunistic and voluntary STI screening and encouraging safe sex practices within the community.
Current Situation and Community Impact
STIs are a significant public health concern globally and locally. Within Aboriginal communities in Coober Pedy, the prevalence of STIs highlights the urgent need for improved sexual health education, accessible healthcare services, and community-based support.
Several factors contribute to the spread of STIs in these communities:
1. Limited Access to Healthcare Services: Geographic isolation often results in reduced access to clinics and STI testing, making timely diagnosis and treatment difficult.
2. Social and Economic Factors: High unemployment, lower levels of education, and other socioeconomic challenges can negatively impact healthseeking behaviours and STI outcomes.
3. Cultural Sensitivities and Stigma: Talking about sexual health can be taboo in some communities, making open conversations and education efforts more challenging.
Program Focus Areas
To address these challenges, the Sexual Health and BBV Program prioritises:
1. Education and Awareness: Increasing community understanding of STIs, their symptoms, and long-term impacts if left untreated.
2. Promotion of Safe Sex: Advocating for condom use and healthy relationships as essential tools in STI prevention.
3. Encouraging Regular Testing: Normalising voluntary and opportunistic STI screening to detect and treat infections early, preventing complications and further transmission.
Conclusion
Enhancing STI awareness and access to sexual health services is essential to achieving better health outcomes for Aboriginal communities in Coober Pedy. Through respectful community engagement, culturally safe practices, and ongoing education, the Sexual Health and BBV Program is working to build a healthier, more informed future.
Sumeda Sampath
Tjutagku
Client Survey
long have you been a client with Umoona Tjutagku Health Service?
Building a Healthier Community Through Local Programs
At Umoona Tjutagku Health Service Aboriginal Corporation, we are proud to deliver a diverse range of programs aimed at improving health outcomes, promoting prevention, and breaking down stigma around important health issues.
Our initiatives include ATSI Health CheckUp Programs, the Rheumatic Heart Disease Program, Immunisation Day, Men’s Pitstop, STI Programs, Women’s Screening, and many more. Each program is designed to raise awareness about the importance of health, highlight the value of regular screening for prevention, and provide education in a culturally safe environment. From mid-last year to the present, we have successfully run over 30 programs—each achieving positive outcomes. Participants receive education from our experienced health professionals, covering a wide range of health topics and preventive measures. To encourage participation, we provide lunch, gift bags, and gift vouchers, making these events both informative and welcoming.
In addition to these programs, we create inhouse health resources tailored specifically for the Coober Pedy community. These resources address current health issues faced by our residents, targeting areas that need focused attention.
By ensuring that our materials are locally relevant and accessible, we help bridge gaps in knowledge and support healthier lifestyle choices.
Through ongoing education, accessible services, and community-driven initiatives, we are committed to building a healthier, better-informed future for Coober Pedy.
Number of services provided for clients
Umoona Tjutagku Health Service
Practice Managers Report
Chamodi Jayasinghe Practice Manager
Maduni Wickramasinghe Practice Manager
Financial Year: 2024–2025
As we reflect on the past year, 2024–2025 has been one of stability, healing, and steady growth for Umoona Tjutagku Health Service (UTHS). At the heart of everything we’ve done has been a commitment to delivering high-quality, culturally safe healthcare to our community and responding to the unique and evolving needs of Coober Pedy.
Strengthening Our Clinical Team
A true highlight this year was welcoming four permanent, full-time Registered Nurses to our team. Their impact has been felt deeply— improving continuity of care, increasing access to services, and making clients feel safe, supported, and heard.
Each nurse brought unique strengths to the clinic:
• Sharon worked alongside our midwife to lead immunisation and antenatal care.
• Jibi played a key role in chronic disease management, supporting clients with complex conditions through compassionate, coordinated care.
• Raji focused on women’s and children’s health programs.
• Randy championed prevention of acute rheumatic fever (ARF) and follow-up care for those living with rheumatic heart disease (RHD).
We’re so proud of the care and dedication our nursing team continues to show every day.
Reliable Medical Services
UTHS maintained its hybrid medical model, combining telehealth, locum GPs, and visiting doctors to ensure consistent care. Under the guidance of Medical Director Dr. Michael Nugent, clinical supervision and medical rotations remained steady.
We were fortunate to receive regular support from visiting general physicians, including:
• Dr. Katharine Drinkwater (women’s health)
• Dr. Nathan Taylor and Dr. Nick Williams (general and men’s health)
Their visits were greatly appreciated by clients and brought valuable expertise into our clinic.
Chronic Disease Support
Our partnership with the Rural Doctors Workforce Agency (RDWA) continues to be a pillar of our chronic disease care. We’d especially like to acknowledge Geraldine Hannan, whose coordination of care planning with GPs, nurses, and allied health teams has made a lasting difference to our clients.
Allied Health and Visiting Specialists
Our allied health services continued to grow with support from visiting professionals, including:
• Audiologist
• Dietitian
• Occupational Therapist
• Optometrist
• Physiotherapist
• Podiatrist
• Psychologist
• Respiratory Nurse
We also welcomed visiting specialists, such as a:
• Cardiologist
• Endocrinologist
• Hepatologist
• Psychiatrist
• Respiratory Physician
Allied Health/Visiting Specialists 2024-2025:
Allied Health visits 2023-2024
• Physiotherapist – 1 visit
• Podiatrist- 4 visits
• Dietitian- 4 visits
• Audiologist- 4 visits
• Optometrist – 4 visits
• Occupational Therapist – 4 visits
• Respiratory nurse – 6 visits
Visiting specialists 2023-2024
• Psychologist- 10 visits
• Psychiatrist- 12 visits
• Endocrinologist- 4 visits
• Cardiologist- 2 visits
• Respiratory Physician- 4 visits
• Hepatologist – 2 visits
• Dentist – 12 visits
Aliied Health 2024- 2025
• Physiotherapist – 1 visit
• Podiatrist – 1 visit
• Dietitian- 4 visits
• Audiologist - 4 visits
• Optometrist- 4 visits
• Occupational Therapist – 4 visits
• Respiratory nurse – 6 visits
Visiting specialists 2024- 2025
• Psychologist- 10 visits
• Psychiatrist- 12 visits
• Endocrinologist- 4 visits
• Cardiologist - 2 visits
• Respiratory Physician - 4 visits
• Hepatologist – 2 visits
• Dentist – 12 visits
Dental
Monthly SA Dental team visits ensured dental care remained accessible. Our transport team continued supporting clients to attend specialist appointments in Port Augusta and Adelaide, making a huge difference for those without easy access to travel.
Health Promotion & Education
Health promotion gained great momentum this year. Our Men’s and Women’s Health Checks were well attended, and the community responded positively to engaging programs like:
• “Pit Stops”
• Sexual health education sessions led by our Enhanced Syphilis Response Coordinators, Sumeda and Aiden
CST and Breast Screening programs were conducted throughout the year along with Gerry, Raji and Sharon. These programs went really well with high numbers of attendance.
We also ran school screening programs and education sessions, teaching children about healthy lifestyles and prevention of common health issues. These events reflect our strong belief that early education leads to lifelong health benefits.
Holistic Care & Social Support
At UTHS, health is more than medicine—it’s about looking after the whole person. That’s why we continued distributing food and hygiene hampers to clients in need, especially those facing social or financial hardship. It’s all part of our holistic approach to care.
Listening to Our Community
The results of our annual client survey reminded us why we do what we do. Clients described our staff as compassionate, professional, and respectful. They also told us they’d like to see more frequent podiatry and mental health services, and we’ve already begun working to address these needs. We have been servicing transient clients over the past year by accommodating their health needs, family emergencies and sorry businesses in the community and many more.
In Closing
This year has been one of steady progress, strong partnerships, and deep community connection. We want to extend our heartfelt thanks to our nurses, GPs, visiting specialists, support staff, and partner organisations for their tireless dedication to the health and wellbeing of our community.
Together, we are walking side-by-side with our people, making real and lasting change.
Practice Manager
Umoona Tjutagku Health Service Aboriginal Corporation
Healthy For Life Report
Josephine Warrior Healthy for Life Coordinator
The Healthy 4 Life program continues to play a vital role in improving the health and wellbeing of the Aboriginal and Torres Strait Islander community in Coober Pedy. Over the past year, the program has expanded its reach, enhanced its effectiveness, and delivered a broad range of health services through community engagement, multidisciplinary collaboration, and a holistic approach to care.
Program Highlights
The following programs were organized in collaboration with the clinic
1. Chronic Disease Management
Chronic disease prevention and management remain a key focus of the Healthy 4 Life team. By promoting regular health screenings and check-ups, the program enables early detection of health concerns and ensures timely intervention. This approach has contributed to improved long-term health outcomes for many community members.
2. Home Support & Aged Care Assistance
The team continues to support elderly clients and those living with chronic illnesses by:
- Providing essential home support services.
- Assisting eligible individuals with navigating and applying for Aged Care Packages.
This support allows clients to maintain independence and access the care they need within their own homes.
3. NDIS Support
Healthy 4 Life offers hands-on assistance for clients needing help with NDIS applications. The team helps individuals complete necessary forms and submit applications, ensuring that those with disabilities can access the services and funding they require.
4. Vaccination Services
The program promotes preventative health coordinated with the clinic:
• Delivering childhood immunisations.
• Providing adult flu vaccines and COVID-19 support.
Through accessible vaccination clinics and community outreach, the team continues to build a stronger, healthier, and more resilient population.
Community Engagement & Specialist Events
The Healthy 4 Life team has worked in collaboration with a wide range of healthcare professionals and services to deliver targeted health initiatives.
Together, all health providers we have hosted events for specific population groups, ensuring that culturally safe and appropriate care is provided across the community.
Child Health Program
At the end of last year, Healthy 4 Life hosted a Children’s Health Day, which focused on promoting the wellbeing of Aboriginal children. Staff from the clinic, including nurses and health workers, came together to:
• Encourage health check-ups for young children.
• Provide education on dental hygiene and prevention of skin infections, which can contribute to Rheumatic Heart Disease (RHD).
The event was well-attended by families and children. It provided a valuable opportunity to:
• Discuss health concerns.
• Offer health education to both children and their parents.
Children received gift bags containing educational materials, bubbles, toys, and hygiene items such as toothbrushes and toothpaste. Healthy meals and snacks were provided to families throughout the day, contributing to a supportive and engaging environment.
Maternal Health Clinics
With support from Midwife Heather Collins, the team has initiated dedicated Maternal Health Clinics. These clinics provide essential antenatal and postnatal care to Aboriginal mothers in the Coober Pedy community. All pregnant mothers were followed up both before and after birth to ensure the health and safety of both mother and baby.
Conclusion
The Healthy 4 Life program continues to be a cornerstone of health promotion in Coober Pedy. Through its broad range of services, early intervention strategies, and strong community partnerships, the program is making a meaningful and lasting impact on the lives of Aboriginal and Torres Strait Islander families.
We are proud of the work achieved so far and look forward to continuing our journey toward better health outcomes for all.
NDIS 2024–2025 Annual Community Engagement and RCC Program Update
Empowering Communities, Enhancing Lives
The National Disability Insurance Scheme (NDIS) continues to evolve and grow as a transformative force in the lives of Australians with disability. Over the past year, significant developments have been made to improve equity, access, cultural inclusion, and the everyday experiences of participants across the country—particularly in remote and First Nations communities.
This report provides an overview of major initiatives, policy advancements, and the on the groundwork conducted in collaboration with Umoona Tjutagku Health Service Aboriginal Corporation and NDIA representatives under the Remote Community Connector (RCC) Program.
NDIS Overview and Impact
The NDIS provides support for over 4.3 million Australians living with disability. Within the next five years, it is projected to fund services for 500,000 Australians with permanent and significant disabilities—many of whom are accessing formal supports for the first time.
The Scheme is fully publicly funded and operates independently of Medicare and the Disability Support Pension.
NDIS supports aim to increase:
• Independence
• Social and economic participation
• Community inclusion
• Quality of life for participants and their families
Funding must meet criteria such as relevance to disability, value for money, likelihood of benefit, and alignment with informal and community-based support networks.
New Strategic Tools and Planning Approaches
Supported Decision-Making Hub Launch
In a joint effort between Inclusion Australia, the NDIA, and the Department of Social Services (DSS), a new Supported Decision Making Hub was launched in 2025.
This central online resource provides tools and guidance to help participants make informed choices about:
• NDIS planning and goals
• Health and wellbeing
• Employment pathways
• Accommodation options
The Hub reinforces participant autonomy, providing support in 12 tailored categories, and is a major step toward participant-led planning and decision-making.
Planning Reform Based on NDIS Review Recommendations
A new, more equitable approach to NDIS planning has been introduced to:
• Eliminate the requirement for participants to provide their own costly reports
• Provide budgets tailored to individual support needs
• Offer greater flexibility in choosing service providers and support arrangements
• As part of this reform:
• A Request for Tender was issued to develop adult assessment tools (ages 16+)
• A Request for Information was launched to explore assessment strategies for children
The NDIA has committed to a gradual, five-year rollout, ensuring continuity and comprehensive community consultation at each stage.
Early Childhood Approach: A Strong Start for Our Youngest Participants
The NDIS Early Childhood Approach supports children under 9 years of age with disability or developmental delay. Grounded in evidence-based research and developed with the support of early intervention experts, this model ensures timely, family centred support.
Key objectives include:
• Helping families access best-practice early childhood intervention
• Strengthening parental confidence and capacity
• Enhancing children’s abilities in daily activities
• Encouraging inclusion in mainstream settings such as childcare and recreation
• Connecting families to community services and support groups
This early intervention model is especially important in ensuring that children receive the right supports during their most formative years.
Strengthening Inclusion: First Nations Strategy 2025–2030
Launched this year, the First Nations Strategy 2025–2030 represents a formal commitment to equity and cultural safety for Aboriginal and Torres Strait Islander participants.
This five-year strategy aims to:
• Improve health, social, and cultural outcomes for First Nations individuals and families
• Embed First Nations knowledge and lived experience into NDIS service delivery
• Promote a holistic understanding of disability and wellbeing
• Ensure culturally safe, community-led, and coordinated services
This strategy was developed in close partnership with community leaders and reflects the NDIA’s recognition of the unique challenges and strengths within First Nations communities.
Remote Community Connector (RCC) Program: A Culturally Grounded Model of Support
The Remote Community Connector (RCC) Program has continued to expand across Australia’s most remote communities, becoming a vital bridge between participants and the NDIS.
Growth and Reach
• Over 200 Remote Community Connectors are now active in approximately 480 remote communities.
• As a result of RCC outreach, 10% of new NDIS participants are First Nations people, raising the total First Nations participation to 7.8% nationwide.
Cultural Brokerage and Integration
RCCs act as trusted cultural brokers, facilitating access and planning that aligns with local customs, language, and values.
On-the-Ground Impact: RCC Program in Coober Pedy
In remote and very remote areas, particularly within First Nations communities, accessing the NDIS can be challenging. To address this, the NDIA, in partnership with Umoona Tjutagku Health Service Aboriginal Corporation, delivers the RCC Program—a culturally responsive initiative led by local community members and NDIA representatives.
Since 2024, the Coober Pedy RCC team has:
• Generated more than 10 new NDIS plan approvals for local participants.
• Provided ongoing supports and services for over 35 NDIS participants.
• Introduced telehealth appointments for participants, enabling improved access to allied health and other supports without the need to travel.
• Established connections with over 20 stakeholders within South Australia and across Australia, including organisations providing support coordination, allied health services, and plan management for Coober Pedy participants.
• Linked community members with health professionals, support coordinators, NDIS planners, and NDIS service delivery teams.
• Assisted participants through plan reviews, ongoing plan access, and assessments until they transition out of NDIS supports.
Role of Remote Community Connectors
Remote Community Connectors provide:
• Assistance with NDIS access and eligibility
• One-on-one support to develop and understand NDIS plans
• Identification of formal and informal supports
• Linkages to local and visiting NDIS providers
• Navigation for individual’s ineligible for the NDIS toward alternative supports
This has resulted in increased trust, engagement, and improved access to services in remote communities.
A Personal and Culturally Respectful Approach
Our RCC team members, including Diluja Wijayathilaka (RCC Coordinator) and Precella Sumner (RCC- Remote Community Connector), continue to provide warm, knowledgeable, and culturally safe support to participants and their families.
Community members are encouraged to “come in for a yarn”—to share their stories, ask questions, and receive the support they need in an open and respectful environment.
Elder Care Support Program
Introduction
Umoona Tjutagku Health Service (UTHS) remains deeply committed to delivering culturally safe, respectful, and high-quality care to all members of our community—particularly our Elders, who hold a vital role as the cultural backbone of our people.
Our Elder Care Support (ECS) Program continues to be a cornerstone of our service delivery, ensuring that Elders receive the care, respect, and cultural recognition they deserve. This year has been marked by increased engagement with Elders and their families, improved navigation of the aged care system, and strengthened relationships with service providers to deliver culturally responsive, tailored support.
Program Overview
The Elder Care Support Program assists Aboriginal and Torres Strait Islander Elders in navigating and accessing services through the My Aged Care system. The program is designed around holistic, personcentred care, ensuring every Elder receives individualised support that is aligned with their cultural identity and personal needs.
The program focuses on:
• Accessibility – simplifying and supporting access to aged care services.
• Cultural Safety – ensuring services respect and reflect Aboriginal cultural values.
• Advocacy – representing Elders’ voices in decision-making processes.
• Practical Support – guiding clients through applications, service coordination, and care planning.
From first contact through to ongoing care coordination, our team ensures that Elders are never left to face the complexities of the aged care system alone.
Role in the Community
Our dedicated ECS team works closely with Elders and their families to deliver a full spectrum of aged care support, including:
• Pre-Assessment Support – assisting with My Aged Care registration, eligibility confirmation, and preparation for assessments.
• Assessment Guidance – providing support during assessments and ensuring care plans are culturally appropriate.
• Service Navigation – identifying suitable aged care providers and arranging essential services such as:
- Meals on Wheels
- Occupational Therapy and Allied Health Services
- Nursing Support
- Personal Care Assistance
- Transport and Social Support
- Domestic Assistance
- Permanent and Respite Care
Through this approach, we have seen increased community confidence and greater trust in accessing aged care services.
Umoona Tjutagku Health Service
Program Activities and Engagement
In 2024–2025, the ECS Program expanded its community engagement initiatives to strengthen relationships with Elders and promote service awareness. Activities included:
• Distribution of information resources –posters, brochures, and service guides in partnership with stakeholders.
• Elders’ BBQ Programs – fostering social connection and wellbeing.
• Women’s Movie Nights – providing safe, social spaces for female Elders.
• Client Home Visits – ensuring personalised care and welfare support.
• Planning for future initiatives – including yoga, meditation, and Elders’ lunch programs to support physical and emotional wellbeing.
Oodnadatta Outreach
As part of our commitment to supporting remote communities, the Elder Care Support team conducted regular outreach visits to Oodnadatta, engaging directly with local Aboriginal Elders and families to assess their needs and deliver essential aged care services.
During our most recent visit, we held oneon-one conversations with clients regarding their Home Care Package (HCP) and Commonwealth Home Support Program (CHSP) services, ensuring their care plans were aligned with their current needs and preferences. We also distributed food packs to support nutritional wellbeing and address the limited availability of services in the region.
Oodnadatta is a small and remote community with minimal access to aged care resources. Umoona Tjutagku Health Service remains dedicated to bridging this gap by providing consistent, culturally appropriate, and
person-centred care—ensuring that every Elder receives the support they need to live with dignity and purpose.
• On our most recent visit, we consulted with Elders regarding their Home Care Package (HCP) and Commonwealth Home Support Program (CHSP) services.
• We delivered food packs to clients facing service limitations due to the community’s remote location and small population.
• We worked to ensure that each Elder received the best possible support to meet their personal goals despite the challenges of distance and access.
Services Delivered – 2024–2025
Service Area Key Achievements
Assessment Application Assistance
Service Provider Identification
Advocacy & Issue Resolution
Care Coordination
Community Impact
Supported over 25 clients with My Aged Care registrations, reassessments, and eligibility reviews.
Partnered with regional and national aged care providers to secure culturally suitable care options.
Resolved more than 20 complex care disputes, ensuring Elders’ voices were respected.
Provided ongoing case management for clients receiving HCP and CHSP services.
The ECS Program has made a tangible difference in the lives of Elders and their families throughout the year:
• Increased Access – 10 new Home Care Packages were initiated in 2025.
• Greater Cultural Safety – achieved through advocacy and cultural awareness training for service providers.
• Improved Wellbeing – with more Elders reporting enhanced physical and emotional health.
• Empowered Families – who are now more informed, confident, and better supported in navigating aged care systems.
Our work extends across Coober Pedy and Oodnadatta (Dunjiba) communities, ensuring Elders in both town and remote locations receive equitable access to services.
Future Priorities
Looking ahead to 2025–2026, the ECS Program will:
• Expand outreach to surrounding communities.
• Strengthen staff training in trauma-informed care.
• Continue advocacy for systemic aged care reform to ensure Aboriginal Elders receive the respect, dignity, and culturally aligned care they deserve.
• Collaborate with local health services, council community organization to coordinate care ensure seamless referrals.
• Develop a follow up system to track client progress ensure continuous support beyond initial engagement.
Our Dedicated Team
The continued success of the ECS Program is a direct result of the commitment and compassion of our staff:
Anjana Welisarage – Aged Care Support Coordinator
Priscilla Sumner – Aged Care Support Connector
Varuni Silva – Aged Care Support Connector
Their dedication ensures that every Elder is supported with dignity, cultural respect, and a deep commitment to improving quality of life.
Tjutagku
Key Personnel
• Varuni Silva (Aged Care Connector):
Role: To support and connect elders, their families, and carers with aged care services. Build trust and organise appropriate support.
• Anjana Welisarage (Aged Care Coordinator):
Role: To assist in accessing local aged care support services. Provide information on entitlements, registration, and costs, and liaise with assessors to ensure thorough support throughout the assessment process.
Varuni Silva
Anjana Welisarage
Clinic Staff
Damien Riessen Health Promotions Officer
Stacy Kambouris Clinic Manager
Laura Larkins Clinic Manager / KPI & Client Navigation Manager
Chamodi Jayasinghe Practice Manager
Maduni Wickramasinghe Practice Manager
Josie Warrior Aboriginal Health Practitioner
Raji Mathew Registered Nurse /Infection control and child and women’s health
Diluja Wijayathilaka NDIS Remote Community Coordinator
Jonte Larkins Health Promotions Officer
Angelika Papamanos Program Coordinator
Chathun Peiris Health Promotions Officer
Shanto Kuriakose Junior Cancer Support Officer
Kym Lebois Aboriginal Health Practitioner
Sumeda Sampath Program Coordinator/ Enhanced Syphilis
Cecil Smith Environmental Health Officer / Transport Officer
Jeewana Perera Transport Officer
Christos Georgianoudis Trainee Health Worker (Resigned)
Reggae Mundy Receptionist
Mirjana Dukarich Medical Receptionist
Kushendra De Silva Assistant Medical Receptionist
Registered Nurse/Immunisation and ageing and antenatal
Drug and Alcohol Services Report
Thilina Rathnamalala Drug and Alcohol Services Manager
I am pleased to present my comprehensive report concerning Drug and Alcohol Services as the Manager. The following pages detail the reports regarding the programs, partnerships, and impacts borne in the past year. Our services provide and continue to give culturally appropriate, holistic support for our Aboriginal community and its families.
DAS program included,
• AOD/NIAS program
• SEWB program
• Psychiatrist and Psychologist programs
• Substance misuse programs (Coober Pedy and Oodnadatta)
• Safety and Wellbeing program
• NDIS program
• Elder care program
Under each program, DAS team collaboratively delivered
• Arts and crafts programs
• Healthy cooking programs
• Yarning programs
• Men’s music and gym programs
• Gardening programs
• Men’s Pitstop programs
• Men/ Women health promotional programs
• Women’s movie night/ Kid’s movie night programs
• Educational programs and workshops
• School educational programs
• Community programs
Core service programs
Alcohol and Other Drugs (AOD) services
AOD is the core of our service delivery; it is a comprehensive culturally appropriate intervention within the context of Aboriginal health and wellbeing. Substance use is very often entangled with trauma rooted in the past, social disadvantage, and disconnection from culture. Thus, our approach provides evidence-based treatment as well as traditional healing practices and communitycantered support.
Core AOD treatment services
• Assessment and treatment planning
- Comprehensive biopsychosocial assessment includes the consideration of cultural factors, family history, and community connections
• Individual counselling - One-on-one therapeutic support using culturally adapted evidence-based approaches (e.g., motivational interviewing and cognitive behavioural therapy) Group Therapy Programs - culturally safe group therapy sessions bringing together Western therapeutic models combined with traditional sharing and healing practices
• Detox support coordination- Medical supervision and holistic support during withdrawal, including cultural and familial healing practices
• Relapse prevention - Comprehensive care and planning coupled with cultural strengths, community support networks, and traditional coping strategies
• Trauma-Informed AOD treatmentIndividual methodologies targeting the relationship between historical trauma, intergenerational trauma, and substance use
• Co-occurring disorders treatmentIntegrated approach addressing both substances use along with mental health conditions using psychiatric and psychological support
• Programs divided by gender - Men’s and women’s groups address occasioned substance use through culturally appropriate constructs for gender
Umoona Tjutagku Health Service
Community-based AOD Support
• Outreach services - Near to the community to hear people who do not come to those clumsy services in clinics
• Peer support programs - Trained community members giving continual support and mentoring for persons in their recovery journey
• Community education - Public awareness on how to prevent, harm reduce and have access to support services about alcohol and other drugs.
• Family support services - Education, counselling and practical support to families affected by substance use.
• Aftercare and continuing supportAfterwards, long-term follow-up care services provided contribute to sustaining recovery and social reintegration.
Programs of the National Indigenous Australians Agency (NIAA)
Using the NIAS funds, we have provided a comprehensive package of support, including:
• Individualized therapeutic support through one-on-one counselling sessions
• Short interventions for early identification and assistance
• Harm reduction strategies focused on limiting harms but respecting clients’ rights to autonomy
• Reflective and narrative therapies using cultural storytelling and healing methods
• Structured plans over twelve weeks to offer intensive goal-oriented pathways to support
This past year has been another meaningful chapter for all of us in the Drug and Services Department. As we continue to grow and evolve, our focus remains steady: making recovery more accessible, more compassionate, and more sustainable for anyone who needs support.
We’ve worked hard to strengthen our partnerships with rehab centres in Port Augusta and Adelaide, so that people transitioning into recovery — whether from detox into long-term care or seeking help for the first time — feel supported every step of the way. We want every person’s journey to be met with coordination, kindness, and a deep understanding of what they’re going through.
This year, we’ve also deepened our work with mental health professionals and local community organisations. Because we know substance use rarely exists in isolation, our support has to reach further — into mental health, housing, employment, and the social connections that help people rebuild their lives. Recovery is more than treatment; it’s about creating the conditions for people to thrive.
Some of the highlights from the year include:
• Expanding access to both residential and community-based rehab services in more locations.
• Strengthening our follow-up care, thanks to the dedication of peer networks, intake officers, and social workers who keep walking alongside people even after initial treatment.
• Continuing to train our staff to ensure our work remains trauma-informed, culturally responsive, and guided by the latest research and best practice.
Through all of this, our commitment is simple but strong: to stand beside people on their recovery journey — with empathy, respect, and belief in their strength to change and heal. We are constantly inspired by the courage and resilience of those we support, and we’re proud to keep walking this path with them.
Social and Emotional Wellbeing (SEWB) Initiatives
With the cultural identity, spiritual connection, and community relationships expand social and emotional wellbeing beyond the orbit of individual mental health for Aboriginals.
Cultural foundation of SEWB
Our SEWB is based in the Aboriginal understandings of health and healing and includes:
• Connection to County-spiritually and culturally connecting to the traditional lands where one belongs.
• Cultural Identity Strengthening- Activities reinforce cultural knowledge, language, and practices
Kinship and Community Support: which
SEWB Community Healing Programs
• Healthy cooking programs that provide nutrition education and food security, while developing community bonds and cultural food practices.
• Arts and crafts activities where creative expression, cultural connections, and therapeutic healing through old and new art forms are embraced.
• Yarning circle-shared healing in culturally safe environments and community connection with foundations in traditional practices of communication.
• Specialized therapeutic activities, including viewing programs, resin work, and tie-dye workshops combining creativity with emotional expression and healing.
SEWB Therapeutic Interventions
The SEWB therapeutic approach integrates evidence-based practice with Aboriginal healing interventions:
• Narrative therapy, including traditional storytelling and cultural narratives
• Family and kinship therapy, working with Aboriginal family systems and relationships
• Counselling supportive to grief and loss, including contemporary and historical losses
• Trauma-informed care-working with intergenerational and historic trauma
• Group healing programs to foster collective healing and peer support
• Men’s and women’s specific programs, in respect of traditional gender roles and healing practices
Umoona Tjutagku Health Service
Mental Health Program Overview
This year, our Mental Health Program has continued to play a crucial role in supporting individuals facing the complex challenges of both mental health issues and substance misuse. We understand that these two areas are deeply interconnected, and we’ve worked hard to provide integrated care that addresses both in a way that treats the person.
Program Highlights
A central part of our program has been the psychiatrists and psychologists who work alongside our clients. They provide personalized support to help individuals understand and manage the mental health conditions often intertwined with substance misuse. Through individual counseling and psychotherapy, our psychologists offer a safe, confidential space where clients can explore their feelings, confront past trauma, and develop the coping strategies they need to support their long-term recovery.
Our psychiatrists play an equally important role by offering medical support for clients who need medication management for mental health conditions. They work closely with our social workers and health workers and the registered nurse to ensure that
the treatment plan fits seamlessly into each client’s recovery journey, ensuring that both their mental and physical health needs are being addressed. This holistic approach— combining therapeutic interventions with medical care—helps clients heal from both the inside and out.
Collaboration and Support
The strength of our program lies in its ability to integrate psychiatric and psychological care in a way that is tailored to each person’s needs. This team-based approach ensures that we’re not only addressing addiction but also helping clients heal from the mental health challenges they face. By collaborating with other healthcare professionals, social workers, health workers and community services, we’ve been able to offer a level of support that is both comprehensive and sustainable—giving our clients the tools they need to move forward with confidence on their recovery journey.
Safety and Wellbeing Programs
In these different areas of community safety and wellbeing, the core concepts are shared by our all-encompassing programs:
Personal Safety ProgramsSafe environment for safeguarding the individual and family through:
• Assessment and planning for risk and safety of clients in vulnerable situations
• Support and referral pathways for victims of domestic and family violence
• Crisis intervention and emergency response protocols
• Safety education workshops around personal safety strategies
Community Wellbeing Initiatives - Aiming to keep communities safe and resilient together:
• Peer support networks foster mutual care and accountability
• Programs on cultural safety promote respectful service delivery
• Apply prevention and intervention techniques for suicide
• Community forums on safety problems and their solutions
Workplace and Program SafetySafeguarding environments for everyone:
• Methods to guarantee the client’s safety in all fields of service delivery
• Systems for reporting and responding to incidents
• Regular reviews and evaluations of safety
• Safe transport of clients to service access
Cultural Safety and Healing - Protecting and nurturing cultural wellbeing:
• Periodic assessments of cultural safety and opportunity for improvement
• Protection of cultural knowledge and practices
• Safe environments for cultural expressions and ceremonies
• Intergenerational trauma-informed approaches to safety
• Connection to country programmes that nurture spiritual wellbeing
• Hygiene support programs maintaining health and dignity.
Breakfast program
Providing comprehensive nutritional support and community connection through:
• Daily nutritious breakfast service for community members experiencing food insecurity
• Safe, welcoming space for social interaction and peer support
• Opportunity for informal counselling and check-ins with clients
• Family-friendly environment supporting parents and children
• Regular community gathering space fostering belonging and inclusion
Hygiene support programs
Offering full personal care and dignityretaining services through:
• Access to shower facilities and clean, private bathroom amenities
• Provision of personal hygiene products including soap, shampoo, toothbrushes, toothpaste, and sanitary items
• Clean clothing and laundry services for those experiencing homelessness or housing instability
• Personal grooming support with basic grooming assistance
• Health education about personal hygiene and its connection to overall wellbeing
• Culturally appropriate support that respects privacy and personal dignity
• Safe storage facilities for personal belongings during hygiene activities
• Regular health screening opportunities during hygiene support visits
• Referral pathways to health services when hygiene-related health issues are identified
• Community education about hygiene as part of holistic health and cultural pride
Building stronger futures: A community Gym and Wellness program for our mob
For many of our people, substance use during the day is more than just a bad habit — it’s a sign of deeper hurt. It often comes from trauma, disconnection, boredom, and not having the support or spaces we need to heal properly. Too many of our young ones — and even our Elders — are turning to substances because they feel like they’ve got nothing else to do, or nowhere safe to go.
A community gym and wellness program, created with and for our Aboriginal communities.
This isn’t just about lifting weights or running on treadmills. It’s about creating a safe place where our mob can feel strong — physically, emotionally, and culturally.
Tjutagku
Why a gym? Why now?
A gym is more than just a place to work out. It’s a space where people can show up, feel supported, and take care of themselves in a positive way. When you’re busy sweating it out, you’re not thinking about using. When you’re surrounded by people who uplift you, you start to believe you can do better.
This program would run especially during the daytime — those hours when boredom or loneliness can lead people toward substances. Instead, we give them somewhere else to go. Somewhere better.
What the program could look like
• Culturally safe space: Everything from the artwork on the walls to the people running the sessions will reflect our mob and our stories. This is a space for us.
• Community-led fitness sessions: Run by Aboriginal trainers and mentors who understand where people are coming from and how to walk beside them.
• More than just a gym: We’ll have yarning circles, nutrition talks, mental health support, and even cultural workshops to reconnect people to their roots.
• Mentoring and leadership: Giving young people a chance to step up, support each other, and grow into strong community leaders.
This Is About More Than Fitness
We’re not trying to “fix” anyone. We know that healing takes time, and everyone’s journey is different.
This is about creating opportunity, connection, and pride.
It’s about replacing shame with strength. It’s about giving people something better to do with their time — and helping them feel like they belong.
Because when our mob feels connected and strong, we thrive.
When our young ones have role models and places to go, they stay away from harm.
When we look after each other, real change happens.
What we’re asking for
We’re asking the wider community
— to stand with us in making this vision real.
With the right support, we can start small and grow big.
Let’s launch a pilot program in one community, learn from it, and build from there.
This isn’t just a gym. It’s a chance to change lives.
Let’s invest in strength. In culture. In community.
Let’s walk this road together.
Substance Misuse Program - Oodnadatta
Overview
In 2024, our Substance Misuse Program continued to play a vital role in the lives of individuals and families affected by addiction. We’ve always believed that recovery isn’t just about stopping substance use—it’s about healing in every way possible. This year, we’ve worked hard to offer more than just treatment. We’ve focused on a holistic approach that nurtures the mind, body, and spirit of those we serve.
Program Highlights
This year, we introduced several programs that have really resonated with our clients, helping them rebuild their lives through practical skills and emotional support. Such program were,
Healthy Cooking. In these sessions, clients learned how to make simple, nutritious meals that nourish the body and promote healing. But it wasn’t just about cooking—it was about sharing the experience, learning together, and gaining confidence in their ability to care for themselves.
Arts and Crafts Program also had a powerful impact. For many, it was an opportunity to express emotions and experiences that words couldn’t capture. Whether painting, knitting, or creating something new, these sessions became a safe space for people to explore their creativity and find a sense of accomplishment. It also helped them connect with others in a supportive, nonjudgmental environment.
Yarning Program gave clients the chance to sit down together, share their stories, and listen to each other. The simple act of talking—of being heard and understood— became a form of healing. For many, this space was an invaluable opportunity to open up, find support, and feel seen.
Gardening Program was another way we brought people together to experience healing through nature. Clients worked side by side to cultivate plants and tend to a shared space, discovering the therapeutic power of the earth while learning new, hands-on skills that they can take with them in their everyday lives.
We also introduced a number of womenfocused programs this year. We recognize that women face unique challenges in addiction recovery, and these programs were designed to provide a safe, nurturing environment where women could share their experiences, build self-esteem, and develop the skills they need to thrive long-term.
Looking Ahead
As we look to 2025, we’re excited to continue building on the success of these programs. Our focus will remain on offering clients opportunities to heal in a way that feels meaningful to them—whether through cooking, crafting, gardening, or simply connecting with others. We want to deepen the impact of these programs, expanding their reach and offering even more pathways for people to engage in their recovery journey.
AOD, NIAS and SEWB teams travelled to Oodnadatta from Coober Pedy over the year to succeed the Dunjiba program.
NDIS Program
Overview
This year, our NDIS program has been a vital part of the support we provide to individuals living with disability who are also facing the challenges of substance misuse. We recognize that these individuals often face additional barriers when trying to access both disability and addiction services. We’ve worked to create a compassionate, seamless environment that addresses both needs at once, supporting the whole person in their recovery journey.
Program Highlights
A core part of our success this year has been the close relationships we’ve built with our clients. We’ve worked hand in hand with each person to ensure they get the right kind of support—whether it’s help with daily tasks, access to mental health services, or connecting with vital community resources. Our approach is all about empowering clients, helping them navigate the complexities of the NDIS system, and ensuring recovery-focused practices are integrated into their daily lives.
In addition to the foundational NDIS services, we introduced tailored programs that focus on building practical life skills, improving health, and supporting social connections with collaborative follow ups with mental
health, AOD, NIAS, SEWB, social workers and Aboriginal health workers. Programs like life skills coaching, personal health management, and activities designed to promote social reintegration have made a significant difference in helping clients feel more confident, capable, and part of their community. These programs aren’t just about helping people live—they’re about helping them thrive.
Collaboration and Support
Our approach to success has been built on collaboration. We’ve worked closely with NDIS planners, local healthcare providers, and other community organizations to ensure that each client is receiving the full support they need—addressing not just addiction, but also mental health, physical health, and overall well-being. By bringing all of these services together, we’ve been able to provide the holistic care our clients deserve, helping them to not only survive their struggles but to truly heal and rebuild their lives.`
Elder Care Program Overview
Our Elder Care Program has continued to be a vital source of support for older individuals in our community, particularly those dealing with substance misuse.
Umoona Tjutagku Health Service
This year, we’ve remained committed to offering compassionate, personalized care that goes beyond addiction treatment to address the full range of physical, emotional, and social needs that seniors often face.
Program Highlights
At the heart of our program is a personcentered approach, where we recognize that each senior has their own unique journey. We’ve worked closely with them to provide services that not only support their recovery but also encourage healthy aging and overall well-being. Whether it’s helping with everyday tasks, connecting them with mental health support, or offering family counseling, our goal has always been to help seniors maintain as much independence as possible while supporting them through the challenges of substance use.
A major focus this year has been helping our clients build meaningful connections with others. We’ve organized support groups and community activities that aim to reduce feelings of isolation and improve social engagement. These efforts have been incredibly impactful, allowing clients to connect with others who truly understand their experiences and providing a space where they feel heard, valued, and supported.
Collaboration and Support
A big part of what makes our Elder Care Program work is the close collaboration we maintain with other healthcare professionals, local services, and families. By coming together as a team, we’ve been able to offer holistic care that addresses the full spectrum of our clients’ needs, ensuring that they receive the right support as they manage both their recovery and age-related health challenges. This collaborative approach allows us to provide the best possible care for each individual, helping them not only manage addiction but also thrive as they age.
Professional Development and Training Opportunities
The continuous practice of professional development is the foundation of delivering the highest quality of care respecting all intersections of culture to our clients. Our healthy country training is designed to provide our workers with both recognized formal qualifications and specialized, onthe-job training opportunities with leading Aboriginal health grounds.
AHCSA Training Partnership
AHCSA, as the peak body Aboriginal Community Controlled Health and substance Misuse services council of South Australia, offers necessary training to enhance capacity in cultural safety and clinical excellence:
Nunkuwarrin Yunti Training & Workforce Support
Nunkuwarrin Yunti’s Social and Emotional Well-Being (SEWB) Workforce Development and Support Unit offers specialized training and workforce support services that aim to support various levels of training in mental health/Social and Emotional Well-Being.
Strategic Partnerships
Our cooperative approach to service delivery has been strengthened through key joint partnerships:
Primary Health Partnership
Umoona Health Clinic - Close collaborative relationship establishing integrated care pathways for clients accessing AOD and primary health services while minimizing service gaps and improving health outcomes.
• Umoona Community Sobering Up Service - Immediate crisis support
• Return to Country Program - Cultural reconnection and healing opportunity
• Coober Pedy area school
• Aboriginal Family support services
• Centerlink and complete personnel
• Coober Pedy Council - Community-wide initiatives
• Housing SA - Offers solutions for accommodation and homelessness
Justice and Safety Collaborations
• Uniting Country SA - Growth of support networks
• Correctional Services - Focus on reintegration and recidivism
• SAPOL - Positive local police-community relationships
• Coober Pedy Hospital - Provides medical care for complex cases
Community Support Networks
Looking Ahead
The way services are offered will evolve with community needs. There will be a continuous commitment to:
• Offer more culturally sensitive therapeutic options
• Strengthen partnership networks
• Develop innovative harm reduction strategies
• Support professional development among staff
• Ensure high quality in services that are accessible to all
Acknowledgments
I acknowledge the efforts of our entire team; the trust placed in us by our community; and the continuing support of our partners. Together, we make the difference in the lives of our people.
Everyday inspiration to our work comes from the strength in the community and resilience from our emerging clients. We look forward to continuing this important journey together.
Respectfully submitted,
Thilina Rathnamalala Drug and Alcohol Services Manager
Program Posters (Folder – Regular Program Posters- DAS
Umoona Tjutagku Health Service
Drug and Alcohol Services Staff
Warunika Warusahannadige Social Worker - AOD Heshani Fernando Community Worker - AOD
/ RHD
Yates Trainee Aboriginal Health Worker / Substance Misuse Aboriginal Health Workers
Michael Liptsey Hygiene Worker & Aboriginal Health Worker / Substance Misuse Aboriginal Health Workers
Hygiene Worker
Samuel O’Reilly Trainee Aboriginal Health Worker / Substance Misuse Aboriginal Health Worker
Substance Misuse Officer
Gnanika Chandrasena Social Worker - NIAS
Thilina Rathnamala DAS Manager
Leel Hasitha Social Worker - SEWB
Precella Sumner Elder Care Remote Community Connector
Charmaine Dodd
Taihlor
Sofie Bailes Dunjiba
Randy Roy Registered Nurse
AOD Report
Umoona Tjutagku Health Services (UTHS) operates in Coober Pedy and Oodnadatta, where most of the population comprises Aboriginal people. Alcohol and Other Drugs (AOD) Social Workers at Drug and Alcohol Services (DAS) play a vital role in supporting the Aboriginal community by raising awareness about the harmful impacts of substance misuse. AOD team provide culturally appropriate counselling, offer strategies to manage and reduce AOD use, and support clients in maintaining abstinence. In communities such as Coober Pedy and Oodnadatta, many Aboriginal people experience challenges that contribute to AOD use. These include grief and loss, homelessness, unemployment, boredom, peer pressure, physical and mental health issues, and intergenerational trauma stemming from events such as the Stolen Generations.
Current Challenges in the Community
In Coober Pedy, harmful alcohol and drug use continues to be a growing concern due to its lasting impact on individuals, families, and
kinship networks. Despite local restrictions such as limited trading hours for bottle shops and bans on entering licensed premises, alcohol and drugs remain accessible through other means, highlighting the need for ongoing community support and culturally responsive interventions.
AOD team conduct programs and workshops in Coober Pedy and Oodnadatta to educate and raise awareness among the community about the impact of alcohol both physically and mentally, valuing the Aboriginal cultural aspects to reduce the AOD use, educate how AOD impacts the community.
Substance use includes both illegal drugs such as marijuana, heroin, cocaine, and methamphetamine and the misuse of legal substances like alcohol, nicotine, and prescription medications. Alcohol and Other Drugs (AOD) issues continue to significantly affect clients’ physical and mental health, as well as their social, emotional, and economic wellbeing. The AOD team provides support by helping clients reduce the harms associated with substance use, including injury, illness, behavioural challenges, violence, and involvement in criminal activity.
A significant challenge faced by the Aboriginal community is the limited availability of inpatient detox services. Rehabilitation programs require clients to complete a one-week detox before admission, yet the only inpatient options available are DASSA Inpatient Withdrawal Services at Glenside—which has a three-week waiting period—and Port Augusta Hospital. Many clients find home detox difficult due to community influences, making inpatient options crucial for their recovery. However, those seeking rehabilitation in outer Adelaide areas such as Riverland, Mt Gambier, and Whyalla face additional challenges, as they must first complete detox in one location before traveling elsewhere for rehab. The lack of accessible detox facilities near rehabilitation centres creates significant barriers to treatment and disrupts continuity of care.
In remote communities, it is especially important that Aboriginal people have access to culturally appropriate services that support them in managing the complex impacts of AOD use in their everyday lives.
Warunika Warusahannadige
Social Worker - AOD
Heshani Fernando Community Worker- AOD
Umoona Tjutagku Health
Role and Responsibilities of AOD Social Workers
AOD Social Workers at Umoona Tjutagku Health Service (UTHS) are committed to delivering holistic and culturally safe support to Aboriginal individuals, their families and the community.
The AOD Team actively engages clients in structured daytime activities such as a women’s arts and crafts program, a healthy cooking program, and a men’s music program. These activities are designed to provide meaningful and culturally
appropriate alternatives that promote connection, creativity, and skill-building. By involving clients in these positive and purposeful programs, the AOD Team aims to encourage healthier lifestyles and support clients in reducing or avoiding alcohol and other drug use. These sessions not only help fill the day with productive engagement but also foster a sense of community, belonging, and emotional wellbeing, which are essential components of long-term recovery and resilience.
AOD Case Management
AOD case management is delivered as a structured, client-focused process designed to support individuals in addressing their alcohol and other drug-related concerns. The AOD team conduct thorough assessments of the substance use and wellbeing of the client using the Alcohol AUDIT screening tool, K10 Psychological Distress Scale, Mental Status Examinations, and other short-form assessments. These tools assist in identifying the severity of substance use, mental health concerns, overall wellbeing, and areas where intervention is needed.
Additionally, communication skills including active listening, facial and body language, mirroring and empathy are also crucial when conducting assessments and engaging with clients.
The services offered are person-centred and culturally sensitive as the client base is Aboriginal community with specific cultural values and practices. A key focus of the AOD Social Work role is building strong and trusting relationships with clients. Through this process, social workers can develop a deep understanding of the individual’s strengths, abilities, challenges and unique circumstances. This insight allows them to tailor supports and explore appropriate pathways that align with the client’s environment, values, and goals. For example, homeless or couch surfing clients are not compliant with their daily medication, social workers follow up and provided daily medication which helps in clients mental health wellbeing.
Client Follow up
Client follow-ups are regarded as a critical component of effective Alcohol and Other Drugs (AOD) intervention programs. Through regular follow-ups, AOD Social workers ensure that clients continue to receive the support and encouragement they need as they work towards reducing or stopping their
substance use. Follow ups are done through various methods such as phone calls, home visits, outreach visits and meetings. During client follow ups, any changes to their lifestyle, additional stressors such as family issues or financial issues are identified and they are being supported to overcome or adapt to these challenges. Through consistent communication and ongoing care, clients are supported holistically, contributing to improved outcomes, long-term recovery, and enhanced overall wellbeing.
Brief Intervention
A brief intervention is a short, structured conversation aimed at raising awareness about risky or harmful behaviours, such as alcohol and other drug (AOD) use, and motivating individuals to make positive changes. Brief interventions are clientcentred, non-judgmental and tailored to the individual’s needs and readiness to change. These conversations can take place in a variety of settings including Drug and Alcohol Services (DAS), UTHS Clinics, home visits, and outreach services. These short interactions help to build rapport with the clients and identify any supports they need. Brief interventions are especially effective in the early stages of substance misuse and are an important tool in harm reduction and early intervention strategies.
Umoona Tjutagku Health Service
Advice and Education
These sessions are crucial opportunities to reinforce learning, promote healthy choices, and guide clients through the challenges of reducing or eliminating substance use.
Advice and Education sessions include information sessions, workshops, and community outreach initiatives that cover topics such as the risks and consequences of substance misuse, strategies for reducing harm, and the benefits of healthy lifestyle choices. AOD Social workers educate the clients on harmful impacts of AOD use and provide strategies to minimise or control AOD use to support clients in their journey toward healthier, substance-free lives. Education and awareness sessions, yarning circles and outreach activities are facilitated to increase community awareness, reduce stigma and support healthier lifestyles.
Empowerment is another core element of the AOD Social Work practice. Social workers help individuals feel confident in exploring options and making informed choices.
Counselling
AOD Social workers provide one-on-one and group counselling that is trauma-informed and culturally appropriate. This helps clients feel safe, respected and understood, encouraging open communication and healing. This sense of empowerment is
critical in managing life’s challenges and reducing risks associated with substance use. AOD Social workers have provided counselling services to clients who were on home detention to overcome stress and anxiety and have facilitated counselling for a client who was planning to attend rehab to keep the client engaged and empowered.
Self-care strategies, relaxing and breathing exercise and empowerment strategies were discussed with the clients during counselling sessions. Through this comprehensive and culturally appropriate approach, AOD Social Workers at UTHS play a vital role in supporting Aboriginal peoples across some of the most remote regions of South Australia.
Liaising with other Agencies
The AOD team liaises with and connects clients to additional services such as Complete Personnel for employment-related support, Housing SA and Uniting Country SA for housing support for homeless clients, the Social and Emotional Wellbeing team, psychologists and psychiatrists for mental health support, as well as withdrawal services and residential rehabilitation programs to help clients overcome alcohol and other drug use. Social workers from UTHS collaborated closely with other community agencies to develop solutions to client-related challenges.
The actions that are involved in such support are: daily home visits to provide support and check client’s progress, visits to other active agencies on a regular basis for care coordination and to promote AOD services, attend inter-agency meetings and community activities. In addition, we occasionally engage with SAPOL when conducting our case management processes. It ultimately comes down to working together with local law enforcement to help our clients who have been arrested for AOD or mental health issues.
Referrals for Rehabilitation Programs
Attending rehabilitation is a critical step toward breaking free from the cycle of Alcohol and Other Drugs (AOD) dependency. It provides individuals with the structure, tools, and support network necessary for lasting recovery. Rehabilitation programs not only address the physical aspects of substance use but also help individuals explore the underlying emotional and psychological factors contributing to their dependency.
There is a range of residential rehabilitation facilities in South Australia including Woolshed Therapeutic Community, Footsteps Road to Recovery by Aboriginal Drug and Alcohol Council (ADAC), Back on Track
Adelaide Residential AOD Recovery Centre by ADAC, New Roads by Uniting Communities, Alban Place Integrated Youth Substance Misuse Specialist Service and Tumbelin Farm by Baptist Care SA.
AOD Social Workers at DAS regularly refer clients to these programs. Some clients have successfully completed their rehab programs, while others are in the process of intake assessment and waiting for the admission. It’s important for clients to show initiative and a genuine willingness to reduce or manage their alcohol and drug use.
When a client expresses an interest in rehab, an AOD Social Worker will provide them with information about the different programs available. Clients can choose the rehabilitation program that best suits them based on factors like location and personal preference. AOD Social Worker contacts the rehabilitation service to confirm the current referral process and assists in completing the referral application. This includes gathering any required medical documentation and submitting the application to the selected service. Most residential rehabilitation programs require a minimum one-week detoxification period before admission. The length of stay varies, but most programs offer at least a 12-week duration to support longterm recovery.
After completion of rehabilitation services, AOD team closely work with clients and follow up regularly to avoid relapse and maintain absenteeism from AOD.
AOD Service Delivery
AOD Case Management
AOD Enrolment/Case Plan
Advice/Education
Brief Intervention
Client Followups
Home Visits
AOD Programs
The AOD Service Delivery chart illustrates the percentage distribution of different Alcohol and Other Drug (AOD) support activities during the last year.
AOD Service Delivery - July 2024 / June 2025
Oodnadatta Programs
Ice Workshops
Home Visits
Client Followups
Brief Intervention
Advice/Education
Aod Enrolment/Case Plan
Aod Case Management
The bar chart presents the number of males and females who accessed various AOD (Alcohol and Other Drugs) services during this period. The data indicates that females accessed most AOD services at a higher rate than males across nearly all categories.
Educational Workshop on Fetal Alcohol Spectrum Disorder (FASD)
AOD team conducted an Educational Workshop on 10th September 2024 to raise awareness about Fetal Alcohol Spectrum Disorder (FASD). The purpose of the workshop was to increase understanding of the significant impact that maternal substance use, including alcohol and other drugs can have on both mental health and fetal development and to provide information on available resources and support systems for individuals dealing with substance use issues, FASD and mental health challenges.
AOD Social Workers led the session, delivering presentations on key topics including Mental Health Wellbeing, the effects of drugs during pregnancy, and a detailed overview of FASD. To enhance learning and engagement, a range of visual aids such as anatomical models, presentation slides, and videos were used to clearly illustrate the information presented.
One of the highlights of the workshop was the use of the “What Mummy Does, Baby Does” interactive health education model. This powerful display featured a pregnant woman with a foetus in a clear plastic uterus.
During the demonstration, coloured liquids representing alcohol and drugs were poured into the mother’s mouth, visually showing how these substances quickly surround the foetus in a dark, swirling cloud of pollutants. This workshop reflects the AOD team’s ongoing commitment to community education, early intervention, and support for individuals and families affected by substance use.
Lung Cancer Awareness Session
Umoona Tjutagku Health Service
On 5 November 2024 the AOD team delivered a targeted awareness session to educate community members about lung cancer and its associated health and mental-health issues.
The session aimed to raise awareness about the serious health impacts of cigarette smoking, including its direct link to lung cancer and other chronic illnesses. It also focused on identifying the early signs and symptoms of lung cancer, encouraging early intervention and access to care.
In addition, the session provided valuable information on available support systems for individuals and families affected by lung cancer and included an important component on suicide ideation prevention, highlighting practical strategies to provide support and manage risk. AOD Social Workers delivered presentations on the risk factors, consequences of smoking, and the role tobacco plays in the development of lung cancer. To support learning and engagement, the team used visual aids, including anatomical models, slides, and educational videos, to clearly explain complex medical and psychological concepts.
Social workers used of a powerful smoking education model consisting of a jar filled with
tumours and emphysema blebs sitting in tar, representing once-healthy lung tissue. This realistic “post-mortem” lung display vividly illustrated the damaging effects of both direct and second-hand smoke, demonstrating that even nonsmokers can suffer severe consequences from exposure. The model was an effective and memorable tool to reinforce the message that being around smoke can be just as harmful as smoking itself, leaving a lasting impression on participants and encouraging healthier choices within the community.
Oodnadatta Visits
The town of Oodnadatta, with its small population and limited access to services, receives monthly visits from UTHS Social Workers who deliver both AOD (Alcohol and Other Drugs) and NIAS programs. These visits play a vital role in supporting the local Aboriginal community by providing client follow-ups, case management, and AOD counselling, ensuring ongoing care and support. During these visits, social workers actively engage with community members to assess their wellbeing and understand their current needs. As part of a culturally responsive approach, yarning circles are held—creating a safe and respectful space where clients can openly discuss topics such as cultural identity, personal wellbeing, AOD concerns, and community challenges. In the latest field visit, the focus was on an educational session highlighting the physical and mental impacts of AOD use. Participants gathered in a yarning circle to learn about how AOD use negatively affects their lifestyle, while also exploring the benefits of reducing or avoiding substances in order to live a healthier and more positive life. These sessions not only provide emotional and psychological support but also address practical needs; healthy lunches are provided, and food hampers are distributed to families, helping to improve overall wellbeing. Through these comprehensive and culturally grounded initiatives, the social work team continues to make a meaningful difference in the lives of the Oodnadatta community by promoting healing, resilience, and long-term wellbeing.
Warunika Warusahannadige
AOD Success Stories
1. Sally’s Journey to Wellness
Sally* is a 52-year-old Aboriginal woman who began her journey towards recovery and wellbeing in July 2024. On the 24th of July 2024, Sally reached out to the Drug and Alcohol Services (DAS), expressing her interest in receiving support and attending programs. Since starting her engagement with DAS on the 25th of July 2024, Sally has shown a positive, respectful, and cooperative attitude towards the social work staff.
Sally attended her first face-to-face counselling session on the 2nd of August 2024. During this session, she openly shared her goals of living a healthy and happy life with her partner, free from alcohol and other drugs. She sought support not only for relapse prevention but also for managing the trauma, stress, and social anxiety that she experienced as a result of home detention and past imprisonment.
Demonstrating her commitment, Sally regularly attended the women’s programs held at DAS every Tuesday and Thursday and actively participated in a workshop. Over time, she successfully completed eight counselling sessions, each focused on improving her mental health and emotional wellbeing.
*Client’s name changed to protect his privacy.
Through her sessions, Sally developed valuable skills and strategies, including:
• Practicing relaxation techniques, such as box breathing, to manage anxiety.
• Learning how to cope with trauma and its impacts.
• Identifying early warning signs of relapse or emotional distress.
• Improving her self-care routines and personal wellbeing.
• Gaining confidence in understanding and managing social anxiety.
In addition to her scheduled counselling sessions, Sally regularly contacted DAS social workers for both formal and informal support, including brief interventions, advocacy, education, and practical advice. This ongoing engagement has helped Sally build resilience and maintain her focus on recovery.
Sally has expressed her enthusiasm to continue receiving support from DAS social workers and to remain involved in the women’s programs. Her story highlights the importance of culturally respectful, personcentred support in empowering individuals to make positive life changes and achieve their goals for a healthier future.
2. Bob’s Journey to Recovery
Bob* is a 50-year-old Aboriginal man from Coober Pedy, known for his strong family ties and deep connection to community. Although living alone, Bob is a devoted father and grandfather who regularly visits his children and grandchildren, who live with his ex-partner.
Three years ago, Bob began using opioids, including Tramadol, Panadeine, and Verisol, eventually taking two tablets daily and Alcohol and Tobacco. His growing dependence began to impact his wellbeing, relationships, and financial stability, leading to arguments and conflict within his family, often related to money. Bob shared that he was sourcing these medications through the black market, which placed him at further risk.
In early 2025, Bob took a courageous step by visiting the Drug and Alcohol Services (DAS) at Umoona Tjutagku Aboriginal Health Service. During his initial conversation with AOD social workers, Bob expressed a strong desire to overcome his addiction, return to his work, and be a positive role model for his children and grandchildren.
Recognising Bob’s commitment to change, the AOD social workers developed a comprehensive support plan. Bob was offered regular counselling sessions focused on managing cravings, understanding withdrawal symptoms, and learning strategies to reduce his use safely.
He was also referred to a psychologist and psychiatrist for holistic mental health support.
The social worker discussed residential rehabilitation options with Bob, and he agreed to pursue this path. Bob was referred to DASSA Withdrawal Services in Adelaide, with an intake date booked for 31st July 2025. Until his admission, withdrawal services staff have been maintaining weekly phone checkins every Monday, ensuring Bob remains supported and connected. Following the completion of his withdrawal program, Bob is scheduled to continue his journey on 7th August to commence residential rehabilitation at Footsteps in Port Augusta.
In the meantime, Bob has been actively engaging in all his appointments with the social workers, psychologist and psychiatrist at Umoona DAS and participating enthusiastically in DAS programs. He has shared that, since connecting with the DAS team, he feels his quality of life has already improved significantly. He remains determined to complete rehabilitation and achieve his goals of returning to work and being a present, healthy father and grandfather.
Bob’s story is an inspiring example of how culturally safe, client-centered care can empower individuals to make meaningful changes in their lives. Umoona DAS is proud to support Bob on his journey to recovery and wellness.
Social and Emotional Wellbeing Report
Our Approach
In the 2024–2025 financial year, the Social and Emotional Wellbeing (SEWB) program continued to serve as a vital part of the services offered by Umoona Tjutagku Health Service. With a focus on providing holistic, culturally appropriate support, the SEWB team has worked closely with Aboriginal and Torres Strait Islander clients to address a range of mental health and social challenges. Our approach combines trauma-informed care with culturally safe practices that recognise the historical and intergenerational trauma experienced by our community. The SEWB program provides a safe space for clients to share their stories, engage in healing activities, and build stronger connections with the community and culture. Our dedicated team ensures that each individual receives support tailored to their specific needs.
Empowering Communities Through Culture, Connection, and Care
Leel Hasitha Social worker - SEWB
Culturally Safe Practice
At Umoona Tjutagku Health Service, the Social and Emotional Wellbeing (SEWB) program is grounded in the cultural strengths of Aboriginal and Torres Strait Islander peoples. Our approach recognises the importance of connection to culture, Country, family, and community in promoting emotional, spiritual, and psychological wellbeing. By embedding cultural protocols, community knowledge, and traditional healing into our everyday work, SEWB services create a space where clients feel safe, understood, and respected.
Cultural safety is not just about service delivery—it is about how we listen, how we engage, and how we walk alongside clients on their healing journey.
Connection is Healing
Strong relationships are central to healing. Through yarning circles, art programs, men’s and women’s groups, and one-on-one support, SEWB programs help people feel connected again— to themselves, their culture, and others around them. These social and cultural programs are not just activities—they are safe spaces where people feel seen, heard, and valued.
Participants often share that just having someone sit with them, talk gently, or involve them in group work helps reduce feelings of loneliness, shame, or fear.
Trauma-Informed and Strengths-Based Approach
Our team understands that many individuals in the community have experienced trauma, grief, and disconnection. That’s why all SEWB programs follow a trauma-informed approach, focusing on safety, trust, choice, and empowerment. Rather than focusing on problems, we work with people’s strengths, helping them identify what is working well in their lives and building on that foundation.
By supporting people to reconnect with culture and community, we help lay the groundwork for long-term recovery and resilience.
SEWB Case Managements
SEWB Counselling & Brief Intervention
SEWB Reassurance & Support
SEWB Home Visits
SEWB Follow-up: Clients
SEWB Counselling
SEWB Advocacy & Liaison
SEWB Advice & Education Sessions
SEWB Admin & Client Management
SEWB Case Enrolments
Early Engagement is Prevention
Early support makes a difference. The SEWB team works hard to reach out to clients before problems grow more serious. Whether it’s through check-ins at home, drop-in visits, or gentle encouragement to join a group, we make sure people know they are not alone.
Proactive engagement helps reduce crises, avoid hospitalisations, and strengthen community safety. The earlier we can support someone, the better the outcomes for their mental health and family life.
Respectful Partnerships
Our services are most effective when we work in partnership with families, Elders, the clinic, schools, and external organisations like Khalsa Aid. These partnerships allow us to address the broader social determinants of health—like housing, food, safety, and education—which are deeply connected to mental health outcomes.
We don’t work alone. Healing happens best when the whole community is part of the process.
Measuring Our Impact
Across 2024–2025, we’ve seen positive changes in the lives of many clients who engaged with SEWB services. Clients report:
• Reduced emotional distress and improved coping skills
• Increased participation in cultural and social programs
• Greater trust in health workers and support systems
• More confidence in managing day-to-day life
These outcomes tell us we are on the right path—and motivate us to keep growing, learning, and listening.
Addressing Community Needs
Mental health challenges continue to impact the daily lives of many community members in Coober Pedy. In response, our SEWB staff offered consistent and reliable counselling and support services. Clients accessed one-on-one sessions, home visits, and wellbeing check-ins that helped reduce stress, isolation, and anxiety. We made a strong effort to reach those at risk and provided ongoing encouragement to participate in available programs. Some community members were hesitant at first to engage due to stigma around mental health. To overcome this, the SEWB team remained patient and respectful, recognising the importance of relationship building. Over time, we saw increased attendance and deeper trust between staff and clients.
Women’s Wellbeing Programs: Healing Through Culture, Connection, and Creativity
Overview
The Women’s SEWB Programs, delivered through Umoona Tjutagku Health Service, provided a safe, supportive environment for Aboriginal women to come together, build social connections, and take part in creative activities that promote healing, self-expression, and cultural identity. These programs were held regularly throughout the year and were guided by the values of respect, inclusion, and community wellbeing.
Program Highlights
1. Creative Workshops
Throughout the year, women participated in baking and cooking sessions, resin art, tiedye workshops, and group painting activities. These hands-on sessions provided a calm and creative outlet for self-expression while encouraging social interaction and laughter. Many women commented that these activities helped them feel more grounded, present, and proud of what they could create.
One of the most valued parts of the program was the baking and cooking sessions. These hands-on activities allowed women to work together preparing nutritious meals while learning about healthy food choices. The sessions often included discussions around
traditional food knowledge, bush ingredients, and the importance of eating well for mental and physical health. These gatherings also gave women the chance to yarn, laugh, and share stories, creating a relaxed and welcoming atmosphere.
Creative Art Activities
Throughout the year, women participated in a variety of creative workshops, including resin art, tie-dye, and group painting sessions. These activities provided an outlet for emotional release and personal expression, especially for those who may find it difficult to talk about their feelings. Women were encouraged to explore their creativity at their own pace and support each other during the sessions. Many women expressed pride in what they were able to make, which helped boost self-esteem and confidence.
Umoona Tjutagku Health Service
Social and Emotional Wellbeing Benefits
The social aspect of the program was just as important as the activities themselves. For many women, attending the program became a weekly highlight—offering a break from daily stress, time to focus on themselves, and an opportunity to connect with others in a positive space. Some participants shared that the sessions helped them feel more grounded, present, and emotionally stronger. The group setting promoted a sense of belonging, cultural safety, and mutual support.
Community Impact
Feedback from participants has shown that these programs have made a meaningful impact in the community. Attendance remained consistent, and many women expressed interest in more creative and cultural activities in the future. The program has successfully supported SEWB goals by promoting mental health, reducing social isolation, and creating a culturally safe space for Aboriginal women to heal and grow together.
2. Yarning Circles
Regular women’s yarning circles were held as a key part of the wellbeing program. These circles created a culturally safe space where women could speak openly, support one another, and share lived experiences around grief, trauma, parenting, identity, and healing. Led by SEWB staff and cultural workers, yarning circles helped to build trust, strengthen relationships, and reconnect women with traditional ways of learning and healing.
3. Building Confidence and Social Connection
For many participants, attending these programs was a first step in re-engaging with the community. Women who had previously felt isolated or overwhelmed were able to connect with others in similar situations. Over time, these shared experiences helped reduce feelings of shame or loneliness and built stronger social networks of support.
Women’s Gardening Program
The Women’s Gardening Program was introduced as part of our ongoing SEWB initiatives to support Aboriginal women in reconnecting with land, culture, and community. This culturally safe program provided a space for women to come together, share stories, and build relationships while learning practical gardening skills. Activities included planting bush tucker, caring for seasonal vegetables, and discussing the links between land, wellbeing, and identity. The program also included light physical activity and promoted healthy living through handson experience with growing fresh produce. Throughout the year, participants showed
increased confidence, social connection, and pride in maintaining the shared garden space. The program helped reduce isolation and supported emotional healing through working on Country in a gentle, supportive environment. It was well-received by the community and continues to grow in both participation and outcomes.
Community Voices:
“Coming to painting each week gave me something to look forward to.
I hadn’t picked up a brush in years.
Now I paint at home too.”
– Program participant
“Yarning circles helped me say things I’d been holding onto for a long time.
I felt safe here.”
– Program participant
“It’s not just about the activity. It’s about being with other women who understand you.”
– Program participant
The Women’s Wellbeing Programs were not only therapeutic—they were transformative. They celebrated strength, encouraged healing through culture, and gave women the tools to build a better sense of self and community.
As we plan for the year ahead, we are committed to continuing and expanding these offerings, guided by the voices of women in the community and their evolving needs.
These programs show us that when women are supported, families and communities grow stronger too.
Women’s Movie Night: A Safe Space for Connection and Relaxation
The Women’s Movie Night was introduced by the SEWB team in 2024–2025 as a way to bring women together in a safe, welcoming, and relaxed environment. Recognising that many women in the community carry heavy responsibilities and face day-to-day challenges, the movie night offered a muchneeded opportunity for self-care, social connection, and relaxation.
Held monthly at the Umoona Tjutagku Health Service community hall, these nights featured popular films chosen by participants, along with light snacks and refreshments. The informal setting allowed women to unwind, share conversations, and build supportive relationships.
The movie nights also served as an entry point for women who were not yet involved in other SEWB programs. By attending, many women gained confidence to engage in yarning circles, creative workshops, and counselling sessions. Feedback from participants was overwhelmingly positive, with many stating that the event made them feel connected, valued, and supported.
“It’s
nice to have a night just for us. We feel safe and comfortable here.”
– Program participant
Moving forward, the SEWB team plans to continue these movie nights while integrating short wellbeing conversations or cultural storytelling sessions before the film, adding another layer of connection and meaning to the experience.
Kids’ Movie Night: Creating Fun and Positive Memories
The Kids’ Movie Night initiative was launched to create a safe, fun, and family-friendly space for children and young people in Coober Pedy. Many local families shared that they were looking for low-cost, positive activities for their children during evenings and weekends. In response, the SEWB team set up a monthly movie night dedicated to kids and teens.
The event included age-appropriate films, healthy snacks, and a space where children could socialise and enjoy a sense of community. Staff and volunteers ensured a culturally safe and supervised environment, giving parents peace of mind while their kids enjoyed the night.
Kids’ movie nights also served as a soft introduction to SEWB youth programs. For some children, attending these events led to increased participation in art workshops, cooking sessions, and youth mentoring activities. Parents expressed gratitude for the initiative, noting that it provided not only entertainment but also a chance for their children to build confidence, friendships, and positive community values.
“The kids loved the movie night! It’s great to have something safe and fun for them here in Coober Pedy.”
– Parent feedback
Looking ahead, the SEWB team plans to expand kids’ movie nights by including small activities before the screening—such as art or music— making the events even more interactive and meaningful for young participants.
Men’s Engagement and Support
The Men’s Pit Stop Program continued to be a cornerstone of the SEWB service at Umoona Tjutagku Health Service in 2024–2025. This initiative was designed specifically to support Aboriginal men in Coober Pedy by addressing their physical, emotional, and social wellbeing through culturally safe, strengths-based care.
We recognised that many men in our community face barriers to accessing health services—whether due to stigma, past trauma, or cultural obligations.
The Pit Stop Program created a welcoming and respectful space where men felt safe to share, learn, and take steps toward improving their overall wellbeing.
Key Focus Areas
1. Health Screenings and Education
Men were supported through regular health checks that focused on common concerns such as cardiovascular health, diabetes, liver function, and prostate health. These check-ups often led to early referrals and helped clients take proactive steps in managing their physical health. Education sessions were also held to raise awareness about nutrition, smoking, and the impact of alcohol and other drugs.
2. Mental Health and Emotional Support
Yarning circles, one-on-one counselling, and informal drop-ins gave men the opportunity to open up about stress, grief, loss, and mental health challenges. These culturally safe sessions were delivered in a relaxed environment where men felt heard and supported without judgment.
3. Skill Building and Empowerment
Participants took part in hands-on workshops including cooking, bush skills, and budgeting. These activities not only helped to develop practical life skills, but also built confidence and connection. Many men shared that they felt more capable of supporting their families and making healthier choices.
4. Connection to Culture and Community
Throughout the year, the program included cultural conversations and storytelling, helping men to reconnect with identity and kinship. Through shared activities and group support, many participants built stronger ties to each other and their community.
Umoona Tjutagku Health
Outcomes and Reflections
The Men’s Pit Stop Program has had a noticeable positive impact. Participants reported feeling more motivated, more connected, and more aware of their health needs. Several men who previously avoided health services are now engaging with both the clinic and the SEWB team regularly.
“It’s good to yarn with other blokes. We all go through things, but here no one judges you.”
– Program participant
“This program helped me think differently about my health. I’m cooking better and I’m trying to stay off the grog.”
– Program participant
We are proud of the progress made through the Men’s Pit Stop Program and look forward to building on its success in the coming year. Plans are in place to expand workshop topics, strengthen links with clinic staff, and invite more community Elders to support cultural mentoring.
Men’s Gardening Program
The Men’s Gardening Program was developed as part of our SEWB efforts to support Aboriginal men in building stronger connections to land, culture, and each other. The program offered a culturally safe space for men to gather, work together, and share knowledge while engaging in hands-on gardening activities. Participants planted bush tucker and seasonal vegetables, learned how to care for a garden, and talked about the importance of land, routine, and healthy living for emotional wellbeing. The program also encouraged teamwork and opened up space for informal yarning and peer support. Many men reported feeling a sense of achievement and purpose from working in the garden, and the activity helped improve social and emotional wellbeing in a quiet, meaningful way. The program has continued to gain interest and has become a positive outlet for local men to reconnect with culture and community.
Men’s Music Program – Healing Through Rhythm and Connection
Program Overview
The Men’s Music Program was created as part of our Social and Emotional Wellbeing (SEWB) services to support Aboriginal men in Coober Pedy by offering a culturally safe space for creative expression, healing, and connection. The weekly sessions were designed to bring men together to explore music as a tool for stress relief, cultural identity, and emotional support.
Activities and Engagement
Throughout the year, participants engaged in a range of music-based activities, including guitar playing, drumming, singing, and group jam sessions. The focus was not on talent or performance, but on giving men a chance to express themselves in a relaxed and supportive environment. Instruments were made available to all participants, and guidance was offered by SEWB staff and skilled community members.
Cultural and Emotional Benefits
Music proved to be a powerful tool for connection, helping men open up emotionally and build relationships through shared rhythms and stories. Yarning circles were often held before or after sessions, allowing the group to reflect on their moods, challenges, and personal journeys. The program helped reduce feelings of isolation and created opportunities for peer support and encouragement. It also helped strengthen a sense of identity, pride, and belonging through music tied to cultural roots.
Community Impact
The Men’s Music Program was consistently well-attended, with participants ranging from young adults to Elders. Feedback showed that many men looked forward to the sessions each week and found them to be uplifting and calming. Several participants shared that the program helped them cope with stress, stay away from negative behaviours, and feel more connected to their community and culture.
Khalsa Aid Partnership: Food & Essentials Delivery
In 2024–2025, Umoona Tjutagku Health Service continued its valued partnership with Khalsa Aid, delivering practical and timely support to households in Coober Pedy experiencing financial hardship. This collaborative initiative focused on providing essential goods—namely, food hampers and basic electrical items—to families in need, easing the growing pressures of living costs and food insecurity.
This program was not only about delivering material support—it also became a meaningful way to check in with families, build rapport, and ensure that no one in the community felt left behind. Many of the households visited were already linked to SEWB services, and the food deliveries offered another layer of trust-building and care.
Key Impacts
Addressing Food Insecurity: Regularly delivered food hampers ensured that families had access to nutritious pantry items and fresh staples during difficult times. These hampers provided much-needed relief for families struggling with cost-of-living pressures.
Providing Essential Household Items:
Along with food, selected households received small but essential electrical items to support safer and more comfortable living environments.
Strengthening Community Connections:
The program created opportunities for SEWB staff to engage with clients in a respectful and non-intrusive way. These visits often led to deeper conversations about overall wellbeing, mental health, and other social needs.
Empowering Families with Dignity: This partnership focused on support—not charity. Deliveries were made with care, cultural sensitivity, and a commitment to respecting each household’s dignity and autonomy.
Community Response
The response from the Coober Pedy community has been overwhelmingly positive. Families expressed gratitude for both the practical help and the genuine care shown by those delivering the items. Many shared how the support helped relieve day-to-day stress and made them feel seen and valued.
The Khalsa Aid partnership continues to demonstrate how organisations can come together to respond to community needs with compassion, cultural respect, and impact. UTHS is proud to walk alongside Khalsa Aid in this shared mission, and we look forward to strengthening this relationship into the future.
Umoona Tjutagku Health Service
Client Success Story: John’s Journey of Healing and Reconnection
When John* returned to Coober Pedy after a period of incarceration, he faced significant challenges with reintegration. Isolated and withdrawn, he was hesitant to reconnect with the community or access support services. Despite multiple follow-up attempts each week, it was difficult to engage John in SEWB programs, counselling sessions, or group activities.
Recognising the importance of a culturally safe, trauma-informed approach, the SEWB team persisted with patience and consistency. After building rapport over time, John agreed to see a visiting psychiatrist. A personalised treatment plan was developed, which initially involved daily medication support—administered morning and evening by our team. Eventually, John transitioned to long-acting injectable medication, allowing for more stability and independence.
As trust was built and John began to feel culturally supported and emotionally safe, a noticeable shift occurred. He gradually started participating in group programs, including men’s yarning circles, creative activities, and wellbeing sessions facilitated by SEWB staff and social workers. He now regularly attends his doctor appointments and communicates openly with support staff.
John has shown great strength and resilience in his journey. By reconnecting with others and engaging in culturally meaningful programs, he is rebuilding his confidence, identity, and sense of belonging.
Today, John is not only managing his mental health well, but he is thriving. He continues to grow in confidence, is more open to social connections, and often encourages others to get involved too. His progress is a testament to what is possible when healing is guided by culture, compassion, and community.
John’s journey reflects the power of connection, persistence, and culturally responsive care. His growth demonstrates how the SEWB framework, grounded in empowerment, healing, and belonging, can support individuals through some of life’s most difficult transitions.
John continues to make positive progress, reinforcing that when we walk alongside our clients with understanding and cultural strength, lasting change is possible.
Looking Ahead
The SEWB program remains committed to supporting the holistic wellbeing of our clients. In the coming year, we plan to expand both men’s and women’s programs based on community feedback. We will strengthen our partnerships and continue adapting our services to better support individuals on their healing journeys.
We look forward to another year of building resilience, cultural connection, and emotional wellbeing in the Coober Pedy community.
Leel
Hasitha Social Worker - SEWB
National Ice Action Strategy (NIAS) Report
Social workers are often the quiet strength behind transformative change, walking alongside those in crisis with empathy, resilience, and hope. They give voice to the unheard, restore dignity where it’s been lost, and open pathways to healing for individuals, families, and communities. They work from a person-centred, strengthsbased approach and are guided by ethical principles such as respect, social justice, and self-determination, and they work to empower clients, address systemic barriers, and improve wellbeing through culturally responsive and evidence-informed practice.
NIAS Programs and Services
The National Ice Action Strategy (NIAS) continues to play a pivotal role in addressing the complex impacts of ice (crystal methamphetamine) use within Aboriginal and Torres Strait Islander communities. A core component of this strategy is the deployment of social worker-led programs that deliver culturally responsive, holistic support tailored to the needs of First Nations peoples.
NIAS Social Worker is uniquely positioned to provide person-centred interventions that honour Indigenous cultural values and practices. NIAS social worker delivering tailored support includes counselling, treatment referrals, mental health support, and advocacy ensuring individuals and families affected by ice misuse receive the care and guidance they need. These professionals also contribute to broader systemic change by advocating for improved access to health, education, and social services across affected communities.
Through close collaboration with Elders, community organisations, the NDIS team, and aged care support services, NIAS social work programs foster resilience, healing, and community empowerment. These efforts not only aim to reduce the harm caused by ice but also strengthen long-term wellbeing and recovery outcomes for Aboriginal and Torres Strait Islander individuals and their communities.
Gnanika Chandrasena
Social Worker - NIAS
Umoona Tjutagku Health Service
Why Need NIAS social worker continues support to Coober Pedy?
Coober Pedy is remote, with limited access to health, mental health, and AOD (alcohol and other drug) services. The continued for NIAS social worker support for Aboriginal people in Coober Pedy stems from several ongoing and interconnected social, health, and cultural factors.
NIAS social worker bridge this gap by bringing culturally safe, trauma-informed support directly to the community. The longterm effects of ice use require sustained support, not just crisis intervention.
NIAS workers support healing by working in partnership with Elders, families, and cultural leaders, offering services that are respectful of culture and history.
There is an ongoing need for NIAS social worker support for Aboriginal people in Coober Pedy due to the continued impacts of ice use, limited access to local services, and the effects of intergenerational trauma.
NIAS social worker provide culturally responsive, holistic care that addresses not only substance use but also mental health, housing, and community wellbeing. Ongoing support helps prevent relapse and reduce the number of young people entering cycles of drug use and disengagement.
Social workers play a key role in building resilience, linking individuals to NDIS, aged care, education, and employment services.
Social workers are effective when working with Aboriginal clients in Coober Pedy, tailored to local cultural, social, and geographic contexts:
The distinctiveness of the NIAS social worker program in Coober Pedy is rooted in its culturally responsive, holistic, and community-centred approach to addressing methamphetamine use and promoting the
wellbeing of Aboriginal communities. This model ensures that interventions are not only culturally appropriate and traumainformed but also aligned with the lived experiences and priorities of the local population. These key elements enhance the program’s effectiveness, sustainability, and relevance in meeting the complex and specific needs of the Coober Pedy community.
NIAS services during the last financial year
Advice and Educational programs
Our Approach to Education
Through ICE workshops, educational programs and open discussions, we aim to:
1. Culturally Safe Education
Deliver information in ways that respect Aboriginal values, beliefs, and communication styles, often in partnership with Elders.
2. Community-Led Conversations
Involve local leaders, families, and organisations in designing and delivering education to ensure it is relevant and trusted.
3. Culturally Appropriate Resources
Use visual, plain language, and culturally adapted materials (e.g., yarning circles, story-based learning).
4. Harm Reduction Focus
Educate about the risks of methamphetamine use while promoting safer choices, not judgment or shame.
5. Supportive, Not Punitive Approach
Emphasise healing, understanding, and recovery rather than blame or punishment.
6. Youth Engagement
Deliver targeted prevention and awareness programs for young people, linking education with sport, art, and culture.
7. Link to Services
Connect individuals and families to local AOD support, counselling, health services, and community programs.
8. Empowerment Through Knowledge
Equip community members with knowledge to support loved ones affected by ice and reduce stigma.
9. Ongoing, Not One-Off
Provide continuous education efforts, not just one-time events, to build trust and reinforce messages over time
Community Programs
World Social Worker’s DAY
World Social Workday taken place on the 18 March 2025. The theme was “Strengthening Intergenerational Solidarity for Enduring Wellbeing’, which emphasizes the need for social workers to adopt innovative, community-led approaches that are grounded in indigenous wisdom and harmonious coexistence with nature. The event focused on raising awareness about methamphetamine (ice) use, promoting culturally safe harm reduction strategies, and strengthening connections between the community and support services.
To celebrate the world social workday, DAS social workers and the DAS team conducted a community event on 18 March 2025 in the community including health check-ups, Indigenous education campaign related to ICE workshop by NIAS and AOD social workers, Wellbeing check-ups by SEWB social worker. All the participants attended to community BBQ session, healthy food, and refreshments.
Oodnadatta Visit
NIAS and AOD social workers are engaging with Oodnadatta clients during the visits and community events in Oodnadatta to ensure accessible, culturally safe, and continuous support for Aboriginal people living in remote areas. Due to limited local services and ongoing challenges such as mental health, substance use, housing stress, and intergenerational trauma, face-to-face engagement is vital. Community visits allow social workers to build trust, strengthen relationships with Elders and families, and provide tailored support in culturally appropriate ways.
These events also promote community connection, education, early intervention, and empowerment, helping reduce stigma and improving long-term wellbeing outcomes.
As social workers dedicated to promoting social justice and uplifting marginalised communities, our engagement in Oodnadatta carries deep importance. The Aboriginal communities in this region experience distinct challenges linked to cultural factors and ongoing socioeconomic disadvantage. Our presence and support can play a vital role in creating positive change by providing culturally respectful services, addressing systemic barriers, and strengthening individual and community wellbeing.
Our Oodnadatta programs and activities are;
• Yarning Circles
• Outdoor BBQ sessions
• Art and Craft activities
• Educational Program
• Counselling sessions
• Ice Workshops
• Gardening Programs
• Bush Trips and Camping
At UTHS, a person-centred approach was adopted, focusing on balanced interventions, client protections, and interdisciplinary care tailored to each individual’s strengths, needs, and cultural context. The organization encouraged collaborative community efforts to address mental health concerns, recognizing the importance of cultural traditions and values within the local population.
Following the initial Drug and Alcohol Services (DAS) assessment, the client enrolment process commenced. This included an intake assessment, a methamphetamine (ICE) audit, and administration of the Kessler Psychological Distress Scale (K10), facilitated through the
Umoona Tjutagku Health Service
case management system ‘Communicare’. The results of the ICE audit played a critical role in shaping how services were delivered, ensuring interventions were responsive to the client’s current status and needs.
Client feedback and updated assessments were incorporated into ongoing planning. NIAS staff used this information to redesign programs and tailor support to meet evolving client goals. Key stakeholders involved in care—such as Aboriginal Health Workers, nurses, psychiatrists, psychologists, and other service providers— provided direct observations and feedback, which were essential in informing case review and exit planning.
Throughout the client journey, NIAS social workers actively participated in case planning, conducting regular reviews, facilitating client progress, and preparing for case exits. Once a client was successfully discharged, staff helped connect them with aftercare and support services, including Complete Personnel, Housing SA, Social and Emotional Wellbeing services, Department of Correctional Service and the Department of Child Protection (DCP).
As part of client-related challenges, UTHS workers engaged in a variety of community outreach activities, such as:
• Inter-agency meetings and collaboration with active service providers, and
• Participation in community events.
In some cases, NIAS also engaged with SAPOL and Correctional Services to support clients involved with the justice system, especially those affected by ICE (methamphetamine) use, AOD issues, or mental health conditions. While law enforcement handled legal matters,
NIAS provided counselling, education, and support services to assist clients in addressing underlying causes and reducing recidivism. Local Aboriginal professionals were integral to this support, offering culturally safe guidance and education sessions.
NIAS social workers offered structured, twelve-week counselling programs, designed according to the client’s background, psychological needs, and behaviours.
These services included:
• Harm reduction strategies for aftercare and relapse prevention,
• Motivational interviewing,
• Home visits,
• Brief interventions, and
• Ongoing follow-ups to ensure continuity of care.
Mental Health Support
Mental health is a critical aspect of overall well-being and is responsible for the health gap between Aboriginal and Torres Strait Islander people and non-Indigenous Australians as well. This reflects deeper, long-standing issues, particularly in remote and rural communities like Coober Pedy, where systemic disadvantage and historical trauma continue to impact mental and emotional health.
Accessible and culturally sensitive mental health support is essential to address the complex social, cultural and economic factors affecting well-being. Strengthening these services fosters resilience and promotes overall community health.
The mental health nurse at Drug and Alcohol Services (DAS) plays a key role in supporting individuals experiencing anxiety, depression and other mental health concerns.
Acting as a liaison between the Umoona Tjutagku Health Service (UTHS) clinic, GPs, psychiatrists, psychologists, social workers and other Aboriginal health services, the nurse ensures holistic, patient-centred care.
Overcoming Challenges in Aboriginal Mental Health Care
For Aboriginal people, mental health is deeply connected to cultural identity, land, family, and community. A long history of the stolen generations and loss of culture has resulted in intergenerational trauma, grief, and loss. This complex trauma often presents in conjunction with poverty, unemployment, housing instability, and substance misuse, making standard mental health interventions insufficient on their own.
In Coober Pedy, these factors are compounded by geographical isolation and limited access to culturally appropriate services. The community experiences high rates of social dislocation, homelessness, and alcohol and other drug (AOD) use, all of which contribute to a higher incidence of anxiety, depression, and psychological distress. Over the past year, Umoona Tjutagku Health Service (UTHS) Drug and Alcohol Services (DAS) has witnessed positive progress through the regular involvement of a psychiatrist and psychologist. Their ongoing visits have contributed to improved mental health outcomes and helped reduce the stigma often associated with seeking support.
Umoona Tjutagku Health Service
Registered Mental Health Nurse has adopted a community-focused and culturally safe approach to care. Guided by DAS social workers and working collaboratively with the Aboriginal Health workers and Registered nurses at UTHS clinic, the nurse provides outreach-based, holistic mental health support tailored to the unique needs of the community.
The social and emotional wellbeing of Aboriginal people is closely tied to culture, connection, and a strong sense of identity and purpose. UTHS remains committed to delivering inclusive, respectful, and culturally responsive mental health services that reflect the values and voices of the community.
The Role of Mental Health Nurse
The Mental Health (MH) Nurse at Drug and Alcohol Services (DAS) plays a vital role in delivering culturally informed mental health care to Aboriginal clients. Their work goes beyond clinical treatment, focusing on early intervention, advocacy, and community connection.
By delivering culturally appropriate, person-centred support, the nurse helps identify mental health concerns early, working closely with families, schools, and local services to create a network of care. Through community engagement and collaboration, the mental health nurse ensures services are coordinated, responsive, and effective, particularly in a culturally diverse and remote setting like Coober Pedy.
The Mental Health Nurse provides a broad range of services that are tailored to the needs of individuals, families, and the wider community.
Early Intervention
By identifying the early signs of mental distress, the nurse engages with clients before symptoms escalate, reducing the risk of crisis and promoting better longterm outcomes. This proactive approach is especially important in remote and Aboriginal communities, where stigma, lack of resources, and delayed access to services can often prevent people from seeking help early.
Counselling
A key part of the nurse’s role involves delivering one-on-one counselling, where clients can discuss their challenges in a safe, confidential, and culturally respectful environment. Through psychoeducation, clients are provided with practical knowledge about their mental health conditions, treatment options, and coping strategies, empowering them to better understand and manage their wellbeing.
Advocacy and Liaison
The mental health nurse also acts as a vital liaison between multiple services to ensure that care is well-coordinated and tailored to the individual’s needs. This includes working closely with the Umoona Tjutagku Health Service (UTHS) clinic, GPs, psychiatrists, psychologists, social workers and other health professionals. This collaboration supports a holistic model of care, addressing not just the psychological aspects, but also the physical, cultural and social components of health.
Referrals
When more specialised care is required, the nurse assists in referring clients to appropriate services, such as mental health specialists or Alcohol and Other Drug (AOD) social workers. These referrals ensure clients have access to the full range of services needed for recovery and wellbeing. By walking alongside clients through the referral process, the nurse helps to reduce barriers to care, such as confusion about services, transportation issues or fear of judgement.
Mental Health Care Plan
Central to the nurse’s approach is the promotion of self-determination and client participation in treatment planning. Rather than prescribing a one-size-fits-all solution, the nurse works collaboratively with clients to develop individualised care plans that reflect their goals, values, and cultural identity. This person-centred approach honours the client’s autonomy, builds trust, and fosters a stronger therapeutic relationship, ultimately leading to more sustainable outcomes and meaningful engagement in the healing process.
Culturally Safe and Holistic Support
Addressing mental health within Aboriginal communities requires far more than conventional clinical treatment. It calls for a culturally safe, trauma-informed, and holistic approach that acknowledges the unique historical, spiritual, and social factors affecting Aboriginal people. One of the core ways the MH nurse ensures cultural safety is by building trust and strong relationships with clients, families, and the broader community. This involves taking time to listen, understanding each person’s background and experiences, and respecting their cultural identity, traditions, and beliefs.
The MH nurse also acknowledges the importance of spirituality and connection to Country in Aboriginal wellbeing. For many Aboriginal people, health is not just about the body or mind—it includes a deep connection to land, community, ancestors, and cultural practices. The nurse supports this by encouraging clients to stay connected to their culture, participate in community activities, and draw strength from cultural identity, which is often a protective factor in mental health recovery.
Why Mental Health Nurses are Vital
Mental health nurses are essential in Coober Pedy due to its remote location, limited access to specialist services, and the high mental health needs of the community, particularly among Aboriginal people. They provide early intervention, culturally safe and holistic care, and help reduce stigma around mental health. By connecting clients with local and visiting services including GPs, psychologists, and social workers—they ensure coordinated and ongoing support. Ultimately, mental health nurses are not just service providers, they are advocates, educators and community connectors who play a foundational role in improving mental health outcomes and strengthening overall community wellbeing in Coober Pedy.
Rheumatic Heart Disease Program
Rheumatic Heart Disease (RHD) is a long-term and potentially fatal condition that results from damage to the heart valves following one or more episodes of Acute Rheumatic Fever (ARF). It continues to be a major public health concern, particularly in low- and middleincome nations, where it impacts millions, especially children and young adults.
Tackling Rheumatic Heart Disease in Coober Pedy: Approaches to Prevention and Protecting Community Health
Rheumatic heart disease (RHD) remains a serious health issue in Indigenous communities throughout Australia, including Coober Pedy. This preventable illness develops from rheumatic fever, a complication of untreated streptococcal throat infections, and can cause severe heart damage if not properly managed. Effectively addressing RHD in Coober Pedy calls for a collaborative approach centred on prevention, education, and active community involvement to protect the health and well-being of residents.
Key contributors to Rheumatic Heart Disease (RHD) in Coober Pedy include:
Rheumatic Heart Disease (RHD) remains a significant health concern in Coober Pedy, largely due to several contributing social and environmental factors.
Overcrowded housing increases the risk of spreading group A streptococcal (GAS) infections, such as strep throat and skin sores, which can lead to acute rheumatic fever (ARF) and eventually RHD.
Limited access to healthcare - due to geographic isolation, workforce shortages, and irregular follow-ups, often results in delayed diagnosis and treatment of these infections.
Additionally, low health literacy Many individuals may be unaware of the link between sore throats, ARF and RHD. Limited understanding of the importance of early antibiotic treatment and ongoing secondary prevention.
These factors combined create a highrisk environment for the development and progression of RHD.
Strategies for Prevention and Eradication
To combat rheumatic heart disease in Coober Pedy, it is essential to implement effective strategies focused on prevention, early detection, and community education. As part of this effort, one of the Registered Nurses collaborate with the newly appointed Environmental Health Worker to develop programs, deliver education and promote awareness initiatives aimed at supporting and informing the community.
Together, the RHD team focus on primary prevention through regular follow ups in schools and homes, prompt referral for treatment of infections with antibiotics, and health promotion campaigns that encourage early medical attention. The Environmental Health Worker plays a key role in improving housing conditions and sanitation to reduce overcrowding and skin infections, while the RN provides frontline care, education, and clinical follow-ups.
For secondary prevention, the RN manages patient recall systems using phone call reminders and home visits and coordinates regular medical reviews for those listed on the RHD register. Both health workers contribute to community education and engagement by developing and delivering culturally appropriate materials, running
school-based education sessions, and using visual tools and storytelling to raise awareness about the connection between sore throats, skin sores, and heart disease.
They also support workforce development by participating in the ongoing training of local Aboriginal Health Workers (AHWs) and clinical staff, strengthening the cultural safety and clinical capacity of the team. Additionally, they maintain strong partnerships with RHD Australia, SA Health, schools, and local organisations, ensuring up-to-date data collection, register management, and consistent tracking of outcomes. Through their advocacy efforts, the RN and Environmental Health Worker promote better housing, sustainable funding, and the implementation of national and state-level strategies. Together, their combined efforts are essential in reducing the burden of RHD and improving long-term health outcomes in the Coober Pedy community.
Community involvement plays a vital role in combating rheumatic heart disease.
Partner with local leaders, Indigenous health organizations, and community groups to effectively implement these strategies.
Actively engaging community members in health initiatives and decision-making processes helps ensure that interventions are culturally sensitive and widely accepted.
RHEUMATIC HEART DISEASE (RHD)
FROM SORE THROAT TO HEART FAILURE
WHO’S AT RISK?
ORGANISATIONAL CHART
ORGANISATIONAL CHART
DIRECTOR BUSINESS SERVICES
FINANCE MANAGER/ ACCREDITATION OFFICER
IT & COMMUNICARE SUPPORT OFFICER
SENIOR ACCOUNTANT ACCOUNTANT
CLEANER FACILITIES OFFICER
UTHSAC BOARD
UTHSAC BOARD
CEO
CEO
EXECUTIVE ASSISTANT/ COMPANY SECRETARY
TANT/
COMPANY SECRETARY
KPI & CLIENT NAVIGATION MANAGER
MANAGER
CLINIC MANAGER
PROMOTIONS
OFFICER MEDICAL RECEPTIONIST
NURSE
ABORIGINAL HEALTH PRACTITIONER PROGRAM COORDINATOR/ENH ANCED SYPHILIS
TRANSPORT OFFICER
RECEPTIONIST ASST MEDICAL RECEPTIONIST
PRACTICE MANAGER & CLIENT VIGATION ANAGER JUNIOR CANCER SUPPORT OFFICER
JUNIOR CANCER SUPPORT OFFICER
REGISTERED NURSE
MANAGER
Service Members
Tullawon Health Service
Tullawon
Acknowledgement of Funding Bodies
Acknowledgement of Funding Bodies
Acknowledgement of Funding Bodies
Acknowledgement of Funding Bodies
UTHSAC Staff Academic Qualifications
Administration Staff
Priscilla Larkins
Chief Executive Officer
Academic Qualifications
• Post Graduate Certificate in Remote Health Management
• Post Grad certificate in Health (Diabetes Management and education)
• Bachelor of Nursing
• Certificate in Finance for the non-financial manager
• Management Systems Auditing
• Demystifying ISO 9001:2008
• Introduction to Public Health Practice and Research
• Diploma in Leadership & Management
• Psychology (current) Adult and children
Dilshan Perera
Director-Business Services
Academic Qualifications
• Master of Business Administration
• Master of Arts / International Relations (Human Rights and International Law)
• Post Grad Cert. in Human Resources Management
• Post Grad Cert in Health Services Management (Current)
• Advanced Diploma: Management
• PRINCE 11 Practitioner (Diploma Equivalent): Project Management
• Diploma of Practice Management
• Diploma in Human Resources Management
• Diploma of Business (Governance)
• Lead Auditor: ISO 19011:2018 – Auditing Management Systems
• ISO 19011:2018 – Leading Audit Teams
• ISO 9001:2015 – Auditing Quality Management Systems
• ISO 14001:2015 – Auditing Environmental Management Systems
• ISO 45001:2018 – Auditing Occupational Health & Safety Management Systems
• Certificate in Executive presence and influence: Persuasive Leadership development
