In the name of the children
Author: David J Scrimgeour
Published online: 3 December 2007

In June 2007, in response to a Northern Territory report on Aboriginal child sexual abuse, the Australian Government declared a national emergency, with interventions aimed at protecting Aboriginal children. While few deny the need for action to address the problems in Aboriginal communities, the sheer scale of the intervention has left many confused. We now have, in one volume, a series of 30 (mainly critical) essays about various aspects of the intervention, written by knowledgeable commentators, many of whom are Aboriginal.
One overriding theme that emerges from the essays is that a lack of community engagement means that the intervention is destined to fail, with potentially disastrous results for Aboriginal people. Tom Calma states that the “. . . fundamental elements of good Indigenous policy . . . engagement, participation and accountability” are missing. Raimond Gaita argues that “No plausible description of the plight of the Aboriginal communities can justify . . . the lack of consultation and the reckless disregard for the consequences of the intervention”. He asks: “Could such disrespect be shown to any other community in this country?” He believes not, suggesting that “. . . Aborigines and their culture are still seen from a racist, denigrating perspective”. John Sanderson (former Australian Army Chief and Western Australian Governor) suggests that the intervention ignores the known effects of cultural and social disempowerment on physical and mental health.
Some suggest that the child health checks, at least, may be worthwhile. However, as Ian Anderson points out, the health checks were initially going to be mandatory and forensic, but were appropriately changed to be wellness-focused and voluntary. As the Government had already started to roll out Medicare-funded Indigenous child health checks, this aspect of the intervention is just window-dressing — other components of the intervention will have bigger and more worrying effects.
After reading the essays, the reader must be concerned about the potentially devastating impact on Aboriginal health and wellbeing of this perhaps well intentioned, but ultimately ideologically driven, intervention. The medical profession has a responsibility to be informed about what is happening. This book will help — it should be widely read.
Watchful Waiting Compared With Immediate Antibiotics for Urban Aboriginal and Torres Strait Islander Children With Uncomplicated Acute Otitis Media (WATCH): A Non-Inferiority Randomised Controlled Trial
Jennifer S. Reath, Hasantha Gunasekera, Sanja Lujic, Amanda J. Leach, Letitia Campbell, Robyn Walsh, Tim Usherwood, Geoffrey K. Spurling, Claudette A. Tyson, Deborah A. Askew, Kelvin Kong, Chelsea J. Watego, Peter Morris, Wendy Hu, Penelope A. Abbott
Beds Still Burning: Suicide Should Not Be in the Vocabulary of Children
Rudi Louis Taylor-Bragge
Weight Loss Medication Marketing and First Nations People: Disease Awareness or Corporate Profit?
Troy Walker, Simone Sherriff, Jennifer Browne
Beyond Mammography: Sovereignty and Relational Breast Care With Aboriginal and Torres Strait Islander Women
Devaleena Das, Jessica Gildersleeve, Amy Thomson, Aunty Gracelyn Smallwood, Lorelle Holland
Responding to the Revised First Nations Health and Cultural Safety Accreditation Standards in Australian Primary Medical Education: Institutional Principles and Qualities for Meaningful Progress
Sophie Pitt, Ashlee Williams-Barnes, Ryan Dashwood, Keira Edwards, Paul Saunders
Drivers of Vaccine Uptake for Aboriginal and Torres Strait Islander Children to Inform Tailored Strategies: A Qualitative Study Exploring Health Service Provider Perspective
Bianca F. Middleton, Kristy Crooks, Kylie Taylor, Elizabeth Harwood, Katrina K. Clark, Caitlin Kent, Kelly McCrory, Marita Hefler, Jessica Kaufman, David N. Durrheim, Margie H. Danchin