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    What Works.The Work Program: CORE ISSUES 8

    Education and student

    health: the big picture

    What Works. The Work Program is a set o resources designed to help schools and those who work

    in them improve outcomes or Indigenous students. The Core issues series is an attempt to distil

    some topic-based key directions or practical action.

    Many Indigenous students are in good health and succeeding at school. However,we also know there are large numbers o Indigenous students whose perormance at

    school is seriously impeded by poor health.

    This paper looks at some o the health issues aecting Indigenous students and the

    part schools and teachers can play in dealing with them. It is not intended to addressallhealth issues; rather, it provides background inormation and advice or teachersabout some issues o particular relevance to schooling.

    This core issues paper has been developed with assistance rom Associate Proessor

    Garth Alperstein and Associate Proessor Maria Egan, University o Notre DameAustralia, School o Medicine, Sydney.

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    What are the causes?It is important to acknowledge that most

    health issues among Indigenous people do

    not, in most cases, stem rom Indigeneity.

    Sometimes it is easy to identiy the person with

    the health issue, but there is a correlation not

    a causal relationship.

    As Chris Sarra remarked when discussing

    negative social issues in Indigenous

    communities, and their consequences:

    Our children need to understand that these

    things exist in our community because

    they are a legacy o other historical and

    sociological processes, and that they are not a

    legacy o being Aboriginal.2

    Not only Indigenous children, but teachers and

    the community as a whole need to understand

    this.

    According to the Overview of Australian

    Indigenous Health Status (2009)

    There is an irreutable relationship between

    the social inequalities experienced by

    What are the issues?

    According to Health and Welfare of

    Australias Aboriginal & Torres Strait Islander

    Peoples (2008):

    The burden o disease suered by Indigenous

    Australians is estimated to be two-and-a-hal

    times greater than the burden o disease in

    the total Australian population. Long-term

    health conditions responsible or much o

    the ill-health experienced by Indigenous

    people include circulatory diseases, diabetes,

    respiratory diseases, musculoskeletal

    A range o inormation about the health oAustralias Indigenous people can convenientlybe accessed through the Australian IndigenousHealthInoNet:www.healthinfonet.ecu.edu.au

    conditions, kidney disease, and eye and ear

    problems. For most o these conditions,

    Indigenous Australians experience an earlier

    onset o disease than other Australians.1

    Chris Sarra is a ormer principal o CherbourgState School in Queensland and currentlydirector o the Stronger Smarter Institutewww.strongersmarter.qut.edu.au

    Indigenous people and their current health

    status. This social disadvantage [is] directly

    related to dispossession and characterised by

    poverty and powerlessness3

    Healtheducation connection

    Every teacher knows that students who are

    consistently unwell may not achieve their

    potential. The exactmechanism at work is

    not clear, however according to Health andWelfare of Australias Aboriginal & Torres

    Strait Islander Peoples (2008):

    While the positive association between

    education and health has been well

    established, the explanations or the

    association have not. []

    the association between education and

    health may be partly explained by the act

    that healthy individuals are better able to

    undertake education in the frst place. Achilds health has a powerul impact on

    whether or not they attend school and on

    their ability to learn and participate in school

    activities. Thereore children with disability

    or chronic health conditions may be at risk o

    not completing their education []4

    These observations will be amiliar to those

    involved in the day to day lives o students at

    school.

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    A whole o lie approach

    The big picture involves looking at a childs

    lie rom conception through the early years

    and then the years o schooling. The bestoutcomes or children will occur when there is

    cooperation between the various agencies that

    impact on their lives.

    In the past, opportunities or school

    personnel to cooperate with other agencies

    have not always been common, but

    things are changing. There is a growing

    acknowledgement o the importance o

    agencies working together, and increased

    investment in the years o early childhood.

    The Council o Australian Governments(COAG) has agreed to substantial investment,

    particularly or Indigenous children,6 and in

    Victoria, or instance, an integrated health and

    wellbeing ramework is under development. It

    General advice

    While your contribution to dealing with students health issues is important, your

    expertise is in the area o pedagogy and your primary responsibility is to teach your

    students to the best o your ability. Do not be distracted rom that.

    Even though a whole o lie approach will produce best results, there are manyexamples o students educational outcomes being improved in less than optimal

    situations. Dont wait or conditions to be optimal. Everyone can take action to

    improve outcomes to some extent right now.

    I you know or suspect that a student has a health problem, consult parents or

    carers and ensure that the student is reerred to appropriate health proessionals.

    I appropriate services are not available, be persistent in requesting them rom the

    responsible authorities.

    It is never the job o a teacher to diagnose medical conditions. Do not make

    assumptions, but once a diagnosis is made by appropriate proessionals you are in a

    position to seek urther targetted assistance i necessary.

    Your frst port o call or advice and assistance should be the support services o the

    educational jurisdiction in which you are working.

    Hungry students cant concentrate. Providing ood has been criticised as outside the

    province o schools, a welare operation which builds dependency. On the other hand,

    i a Vegemite sandwich makes the dierence between a good session and a bad one,

    then in the short term that might be helpul.

    Physical activity has long been associated with good health. Research now suggests

    that physical activity is associated with brain unction and readiness to learn.5 All

    schools can contribute to students health andlearning by making sure that physical

    activity is a regular part o the school program.

    Read a principals account o a low-key approach at www.whatworks.edu.au > Case studies> Rural and regional > Cairns West State School

    places the child or young person at the centre

    surrounded by amily, community and services

    that impact their outcomes.7

    The impact o the early years

    Educators sometimes think o early

    intervention as the inclusion o three or

    our year-olds in a regular program that

    supports their cognitive, physical and

    social development. However, or health

    proessionals early invention begins beore

    birth. They are aware that both the health

    o a mother and her health practices will

    have a lasting impact on the health and wellbeing o her child and subsequent educational

    outcomes. It is well known, or instance,

    that smoking during pregnancy is a high risk

    activity, as is drinking alcohol excessively.

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    Early childhood is a time o rapid growth and

    development; in act, aster than any other

    time o lie. A childs early experiences set the

    stage or later success or ailure in school,

    adolescence and adulthood and that is why

    early intervention is so important.

    By age three, critical periods or the

    development o a childs primary sensory

    processing mechanisms o sight and hearing

    has been completed. A childs patterns o

    emotional control and habitual ways o

    responding has developed into the pattern

    which teachers are likely to see at school.

    A child has the basis o oral language,

    both expressive and receptive, and an

    understanding o symbols. The degree to

    which the child is immersed in language

    experience at this age the amount andcomplexity o oral language they are exposed

    to, the tasks set, the responses sought will

    continue to be evident through the childs

    school lie and beyond.

    For anyone trying to optimise the impact o

    ormal education these must be undamental

    considerations.

    The need or cooperation

    Most Indigenous parents and young children

    will receive services rom a variety o

    agencies. Figure 2 illustrates this by placing

    the child centrally.

    FIGURE 1: KEY INITIATIVES IN THE EARLY YEARS

    Given the importance o the early years, it

    seems sensible or the various agencies to

    work in cooperation. More specifcally, such a

    strategy is

    Pragmatic : It gives all agencies a clearer

    picture o all the actors that impact uponthe lie o the child.

    Time-efcient : All agencies state that they

    are oten time-poor and fnd it difcult

    to address the needs o all clients. This

    cooperative approach ensures there is

    no duplication o services and allows

    opportunities or gaps to be flled.

    Costeffective : Money saved through

    avoiding duplication or working with an

    entire amily across all agencies allows

    unds to be used more efciently.

    Proventobeeffective : Most importantly,

    collaboration has been proved to directly

    improve the health and wellbeing o

    Indigenous students and thereore their

    educational outcomes.8

    The challenge or uture practice, however,

    is to create sustainable systems that support

    collaboration over long periods o time. That

    will involve the eort and commitment o all

    concerned.

    UniversalAntenatal Care

    Immunisation

    Attachment, language/literacy (eg SHELLS), social/emotionallearning, Parenting Programs

    Parenting Programs

    Sustained Nurse Home Visiting

    Smoking Prevention/Cessation

    Breastfeeding

    Quality Early ChildhoodEducation and Care

    Community Development Programs

    TR

    AN

    SITION

    TO

    SCHOOL

    Paid Parental Leave

    Education (Preconceptual)

    CONCEPTION BIRTH 2 YEARS 5 YEARS

    Based on Nossar, V and Alperstein, G NSW Public Health Bullet in : 9(11):126127

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    MaariMa,farwesternNewSouthWales

    FIGURE 2: THE NEED FOR

    COOPERATION

    A whole o lie

    strategy has

    been adopted

    by Maari Ma

    Health Aboriginal

    Corporation in

    Broken Hill, which

    has ormed the Far

    West Aboriginal

    Child Developmentand Wellbeing

    Management Group. This group consists o a

    number o agencies servicing the community,

    including the NSW Department o Education and

    Training, and is assisted by the Dr Garth Alperstein

    rom the University o Note Dame School o

    Medicine, Sydney.

    The central thematic driver o the strategy is:

    Investment in promoting child development

    and well being in the early years is more cost

    eective than addressing ill-health, poor social

    outcomes and educational defcits later in lie.9

    Like all Indigenous population groups, Maari Ma

    has its own distinctive characteristics. Aboriginal

    children under 15 in the area make up 16% o the

    total child population, which is comparatively high

    or New South Wales. However, the sorts o health

    and well being issues that are present in the wider

    Indigenous community exist there as well. Rates o

    low birthweight babies are comparatively high and

    the prevailing socio-economic conditions are likely

    to generate chronic disadvantage.

    The goal o the strategy is

    Optimising the development o Aboriginal

    children and their amilies rom pregnancy to

    school entry in Broken Hill, Central Darling,

    Wentworth, and Balranald Shires and the

    Unincorporated Far West.10

    It maps out what all organisations need to do to

    improve child development and well being through

    eective prevention, promotion o health and well

    being, and early intervention. Principles endorsed or

    this work are:

    Promote a health and well-being perspective.1.

    Promote a ocus on enhancing protective2.

    actors and building resilience

    Promote a population health approach, which3.

    ocuses on outcomes and strategies that have

    wide population coverage.

    Promote a whole o government and4.

    community approaches where partnerships are

    ostered and responsibility is shared.

    Promote equity and social justice with5.

    commitment, eort and strategies (universal

    and targeted) weighted to address the needs o

    the most disadvantaged.

    Promote initiatives that are sustainable and6.

    have long-term commitment.

    Promote age appropriate evidence based7.

    strategies, based on the best available

    evidence, and where the strategies adopted are

    designed to address multiple health issues and

    determinants and result in multiple outcomes.11

    It is beyond the scope o this paper to reproducethe strategy in more detail, but it can be accessedat www.maarima.com.au > Publications> Child Development Framework.

    HEALTHPROVIDERS

    LOCALCOUNCIL

    NON-GOVERNMENT

    AGENCIES

    GOVERNMENTAGENCIES

    THEFAMILY

    THECOMMUNITY

    THESCHOOL

    THECHILD

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    Intervention in the early years

    MORE INFORMATION ABOUT SCHOOLS ASCOMMUNITY CENTRES

    www.families.nsw.gov.au > Support andservices > School and community (includes goodnews stories about the work)

    www.whatworks.edu.au > Case studies > Ruraland regional > Kempsey South PS

    www.dhcs.act.gov.au > Child and amily centres> Schools as communities (a program similar toSaCC running in the Australian Capital Territory)

    MORE INFORMATION

    In the Northern territory, there is the Families asfrst teachers program, which also has a useul

    booklet or download Learning with amily. Thiscan be ound at www.det.nt.gov.au > Parentsand community > Early Childhood Services> At home with your child > Families as FirstTeachers program

    An older example o schools providing earlyliteracy materials or parents can be ound atwww.whatworks.edu.au > Case studies > TheKimberley Literacy Project > Literacy backpacks

    We have outlined the importance o the years

    beore children begin school. As Proessor

    Frank Oberklaid put it

    Resources need to be ocused on providing

    parent inormation, amily support,

    and high quality early learning and care

    settings or allchildren.

    Targeted services or at risk children

    and amilies who have additional needs

    that go beyond the universal services [are

    needed].12

    Schools and teachers have the opportunity to

    be involved in these matters, not necessarily as

    lead agencies, but rather in cooperation with

    other agencies. As well as increasing numberso examples o cooperation, there are also

    increasing numbers o resources that can be

    used to work with parents.13

    Schools as community centres

    In New South Wales, Schools as Community

    Centres (SaCC) use a community development

    approach to link amilies with their local

    school.

    In a What Works case study compiled some

    years ago, one SaCC acilitator noted thatIts about knowing your community, and that

    local knowledge is just so important.

    Parents as frst teachers

    In Queensland, a number o schools are

    running Parents as First Teachers programs.

    The initiative has two points o delivery. Thefrst point o delivery is to train parents in

    supporting childrens literacy and numeracy

    skill acquisition. This support may take

    the orm o material and resource creation,

    activities that they can use with children and

    strategies or working with children. The

    second point o delivery is to work with the

    children directly. Sta and volunteers use

    many o the activities and strategies used

    to engage young children in kindergartens,

    playgroups and pre-school settings. This

    initiative moves school beyond the traditional

    confnes o the school ence and into the

    school community, operating in areas where

    the community eels comortable.14

    The program was developed at Western Cape

    College in ar North Queensland in 2007 and

    partners an Indigenous teacher with a non-

    Indigenous health worker. As well as other

    responsibilities, they are able to

    Work in the community to provide

    support to parents rom pregnancy rightthrough to pre-school;

    Act as a frst link between parents and

    the school and provide inormation and

    advice about the school; and

    Provide health and nutrition advice.

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    Resources or parents

    A range o resources is now available or parents o young Indigenous children, much o it

    localised to suit particular circumstances. Schools can also use this material in their work with

    parents.

    MORE INFORMATION

    The ollowing are some o the most accessible resources.

    Parent Easy Guidesare rom Parenting SA. A range o inormation sheets is available, including some specifcally orAboriginal parents. These can be ound at www.parenting.sa.gov.au > Parent Easy Guides > Aboriginal PEGs

    New South Wales Community Services has a set o booklets, each specifc to a regional language group. These can beound at www.community.nsw.gov.au > Parents, carers and amilies > Parenting > For Aboriginal parents and carers

    The Northern Territory Department o Education and Training also has a range o tip sheets. These can be ound atwww.det.nt.gov.au > Parents and community > Early Childhood Services > At home with your child >

    Indigenous kids read is a web-based resource that provides straightorward advice or parents. It can be ound at

    www.batchelor.edu.au/ikr > Helping little kids

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    Particular issues

    1. Hearing problems

    Its well known to teachers that classroom

    activities and student learning depend heavily

    on students ability to respond to instructions

    and comments rom the teacher and otherstudents. Its hardly surprising that any

    hearing impairment is likely to aect student

    perormance.

    Sometimes students have undiagnosed

    hearing loss. In many parts o Australia, large

    numbers o Indigenous children in particular

    are aected by the middle ear inection called

    Otitis Media, which can lead to temporary

    or even permanent hearing impairment

    (Conductive Hearing Loss or CHL). Those

    conditions can also lead to shyness orbehaviour problems.

    On average, non-Indigenous children have

    ear inections or two or three months during

    childhood, whereas Indigenous children have

    such inections or almost three years.

    What can teachers do?

    Awareness that some students have hearing impairment leads to common sense actions,

    such as trying to speak more clearly.

    Here are some other strategies teachers can use to assist students with hearing loss:

    Correct diagnosis is essential. CHL can sometimes be mis-diagnosed as Attention

    Defcit Hyperactivity Syndrome (ADHD).

    I a student is using hearing aids, check that they are working properly.

    Provide classroom sound feld amplifcation systems.

    Implement a BBC (Breathe, Blow, Cough) program.

    Face the students, speak clearly and loudly and stay still while talking.

    Foster predictability, so students can rely on routines and reduce the listening

    demands on them.

    Prepare students in advance or any change to routines.

    Consider teaching in ways that support the visual learning styles usually preerred by

    students with hearing loss.

    Provide regular listening breaks where children do not need to listen as attentively.

    Try to reduce background noise in the classroom.

    Involve more Indigenous adults to provide in-class support. 17

    At any time, about 50 per cent o Indigenous

    children have a hearing loss that can aect

    their schooling, compared with about fve per

    cent o non-Indigenous children.15

    According to the Western Australia Do you

    hear what I hear? resource kit:

    CHL is usually an intermittent loss it

    comes and goes according to the health o the

    childs ears. I Otitis Media is let untreated,

    or there are requent bouts o it, it can result

    in a permanent hearing loss.

    It appears that children with an intermittent

    hearing loss are actually worse o than

    children with a permanent loss. This may bebecause children with a permanent loss have

    ample opportunity to practise and perect a

    range o coping skills, whereas children with

    an intermittent loss do not.16

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    2. Fetal Alcohol Spectrum Disorder

    Fetal Alcohol Spectrum Disorder (FASD) is a

    term describing a range o clinical diagnoses

    including at least Fetal Alcohol Syndrome,

    Alcohol Related Birth Deects and Alcohol

    Related Neurodevelopmental Disorder.

    These occur as a result o a mother drinking

    alcohol during pregnancy. No level o alcohol

    consumption during pregnancy can be

    considered sae and or aected children there

    is no cure.

    Fetal Alcohol Syndrome (FAS) is the extreme

    end o the disorder spectrum. A child with

    FAS will have confrmed prenatal alcohol

    exposure, a set o characteristic acial eatures,

    central nervous system dysunction and growth

    restriction.18

    The frst Australian national data about

    FAS were published in 2007.19 Despite the

    act that ewer Indigenous people than

    non-Indigenous people drink alcohol,20 it is

    reported that the incidence o FAS among

    Indigenous children under 15 at the time o

    diagnosis was over 40 times that o their non-

    Indigenous counterparts.21

    SOURCES AND RESOURCES

    Australian Hearing, an Australian government agency, has basic inormation and act sheets atwww.hearing.com.au/fact-sheets> Indigenous publications

    The comprehensive resource kit Do you hear what I hear?, developed in Western Australia, is available ree to WA schoolsor can be purchased by others. Parts o the kit (including strategy sheets or working with students) are available online atwww.det.wa.edu.au/aboriginaleducation > Teaching and Learning > Health and Wellbeing > Conductive Hearing Loss

    > Do You Hear What I Hear. An approach to Breathe, Blow, Cough (BBC) can be ound in the same section o the websiteunder Strategy 2.

    Damien Howard o Phoenix Consulting has extensive experience in this area, especially in the Northern Territory. Hiswebsite www.eartroubles.com includes a range o advice and inormation or teachers and communities, as well as anactivity that can be used as a preliminary tool to detect hearing loss. Also included is a video o Damiens presentations.

    Hear this is a Northern Territory initiative based on the work o Damien Howard and others. It includes video and audioresources in which Aboriginal adults aected by hearing loss talk about their experiences, as well as a simple childrensbooklet about having hearing tests. Available at www.hstac.com.au/HearThis/

    In other words, Indigenous children were

    highly over-represented, constituting 65.2%

    o all cases reported (the proportion o

    Indigenous children in Australia in 2004 was

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    What can teachers do?

    The FASD spectrum is a good example o a health issue that is best tackled by a

    collaborative approach among agencies, rom conception through to the years o schooling.

    Clearly, i mothers-to-be do not use alcohol, children will not be aected by FASD.

    On the other hand, we have aected children in our schools.

    To date, there has been little available advice or teachers in Australia. More work has

    been done in Canada and other countries.

    Correct diagnosis is essential. FASD can be mis-diagnosed as Attention Defcit

    Hyperactivity Syndrome (ADHD).

    Children with FASD may best be considered as having a disability, but in some

    locations they may not be considered eligible or special education unless there is

    evidence o intellectual impairment.24

    Avoid being judgemental about parents or the child. Accept that the child has every

    right to reach his or her potential at school, just as does any child with or withouta disability. Understanding more about FASD will help you make sense o the

    challenges acing students.

    Students are likely to beneft rom established, predictable routines.

    High levels o sensory stimulation are likely to be counter-productive, so quiet,

    orderly, evenly lit spaces work best. Some students will beneft rom having a

    private ofce such as a study carrel.

    Like anyone else, students with FASD need to learn to work with others. Random

    groupings are unlikely to be successul, so observe the students behaviour with

    various others and structure groups accordingly.

    Specifc teaching o planning and time-management techniques is important,preerably through the use o concrete, visual representations. Checklists can work well.

    As ar as possible, break down students work into small, achievable steps.

    Some social behaviours will need to be specifcally taught.

    SOURCES AND RESOURCES

    The Provincial Outreach Program or Fetal Alcohol Spectrum Disorder, a Canadian initiative, has an excellent online range oe-learning materials or teachers, using slides and video. Accessible at www.fasdoutreach.ca > Modules Guide

    Several Canadian provinces have developed excellent, detailed advice or teachers. Among the best o these is thedownloadable publication rom Yukon Department o Education, Making a Difference: Working with Students Who HaveFetal Alcohol Spectrum Disorders, which is readable and practical. Accessible at www.education.gov.yk.ca > Publications > Reports and Handbooks > Making a Dierence: Working with students who have Fetal Alcohol SpectrumDisorders

    In 2009, the ABC program Lateline had two programs dealing with these issues, Suzanne Smith investigates FoetalAlcohol Syndrome. The frst program (on 23 March 2009) looks at the eects in some Indigenous communities while thesecond (on 24 March 2009) looks at non-Indigenous communities. Both are available as transcripts or video. Accessibleat www.abc.net.au/lateline> Archives > March 2009 > 23/03/2009, 24/03/2009

    The National Organisation or Fetal Alcohol Syndrome and Related Disorders is Australias peak body representing parents,carers and others interested in or aected by FASD. Their website www.nofasard.org.au has a range o inormation.

    National Indigenous Australian Foetal Alcohol Syndrome Education Network (NIAFASEN) provides workshops and

    assessments through epidemiologist and FAS educator Lorian Hayes, who is an Aboriginal woman rom Queensland.http://fas-lorian-hayes.tripod.com/index.html

    Craword, K (2008), Education o students with etal alcohol disorder, Churchill Fellowship Report, 2008. Kym Craword isPrincipal, Karratha Education Support Centre WA

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    Endnotes

    1 ABS and Australian Institute o Health and Welare (2008) Health and Welfare of Australias Aboriginal & TorresStrait Islander Peoples, ABS cat.no.4704.0, AIHW cat.no. IHW21, ABS and AIHW, Canberra, p 99.

    2 Chris Sarra speaking at the 2005 Communities in Control Conerence, Melbourne, convened by Our Community andCentacare Catholic Family Services. [citation as requested on website]

    3 Thomson, N, MacRae, A, Burns, J, Catto, M, Debuyst, O, Krom, I, Potter, C, Ride, K, Stumpers, S, Urquhart,B (2009) Overview of Australian Indigenous Health Status, December 2009. Retrieved 20 May 2010 romwww.healthinonet.ecu.edu.au/health-acts/overviews. [citation as requested on website]

    4 ABS and Australian Institute o Health and Welare, op.cit., p 23.

    5 See, or instance, Ratey, J (2008) Spark: The Revolutionary New Science of Exercise and the Brain, Little Brown andCompany, New York.

    6 Council o Australian Governments Communiqu, 2 October 2008. Accessed at www.coag.gov.au/coag_meeting_outcomes/2008-10-02/index.cm

    7 Student Wellbeing Division and the Child and Adolescent Health and Wellbeing Division, Department o Educationand Early Childhood Development Victoria, Towards a health and wellbeing service ramework: a discussionpaper or consultation, February 2010, p 5. Accessed at www.education.vic.gov.au/healthwellbeing/childyouth/hwsramework.htm

    8 Outlined in Alperstein, G, Burke, H and Kennedy, C on behal o the Far West Aboriginal Child Development AndWell Being Management Group (2009) Strategic Framework Document to Improve Child Development and Well-being for Aboriginal Children in the Far West, Maari Ma Health Aboriginal Corporation, Broken Hill. Accessed atwww.maarima.com.au > Publications > Child Development Framework

    9 ibid. p 3.

    10 ibid.

    11 ibid. p 4.

    12 Oberklaid, F (2008) Address to the 2008 Curriculum Association Conerence on 10 November 2008 in Melbourne.Proessor Oberklaid is the Director, Centre or Community Child Health, Royal Childrens Hospital Melbourne.

    13 Those interested in the types o intervention that are most eective could consult:Wise, S, da Silva, L, Webster, E and Sanson, A (2005) The efcacy o early childhood interventions, in AIFS ResearchReport, 14, July 2005, Australian Institute o Family Studies. Accessed at www.ais.gov.au

    14 Queensland Department o Education and Training (2009), Closing the Gap Education Strategy. Accessed athttp://education.qld.gov.au/schools/indigenous/strategies/closing-gap.html

    15 Fact sheets rom Australian Hearing. Accessed at www.hearing.com.au/act-sheets

    16 Do you hear what I hear?. Accessed at www.det.wa.edu.au/aboriginaleducation > Teaching and Learning > Healthand Wellbeing > Conductive Hearing Loss > Do You Hear What I Hear?

    17 Adapted rom:Hearing in the classroom. A act sheet rom Australian Hearing. Accessed at www.hearing.com.au/act-sheets> Indigenous publications > Hearing in the classroom.Howard, D Poor school attendance and conductive hearing loss. Accessed at www.eartroubles.com/index.php/Articles.

    18 Craword, K (2008), Education o students with etal alcohol disorder, Churchill Fellowship Report.

    19 Fetal alcohol syndrome: a prospective national surveillance study, E J Elliott, J Payne, A Morris, et al. Arch Dis Child2008 93: 732737 originally published online August 17, 2007, p. 736. [citation as requested on website]

    20 ABS and Australian Institute o Health and Welare, op.cit., p 141.

    21 E J Elliott et al, op. cit., p 735.Non-Indigenous population 0.18 per 100,000 births, Indigenous population 8.11 per 100,000.

    22 ibid, p 736.23 Alcohol and pregnancy and Fetal Alcohol Spectrum Disorder, act sheet published by Telethon Institute or Child

    Health Research, Subiaco. Accessed at www.ichr.uwa.edu.au/alcoholandpregnancy

    24 Inormation package published by the National Organisation or Fetal Alcohol Syndrome and Related Disorders Inc,p 15. Accessed at www.noasard.org.au

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    What Works. The Work Program

    The What Works materials are based on a three part analysis of the way teachers and schools generally

    work to improve outcomes for Indigenous students.

    Building awareness

    Forming partnerships

    Working systematically

    The website (www.whatworks.edu.au) provides resources to support all of these.

    The Workbookis the central support for targeted, systematic action.

    The School and Community: Working Together series supports the development of partnerships

    between schools and their Indigenous communities.

    The Core Issues series, includes

    Core Issues 1: Setting Up For Success suggests ways in which schools might best be set up to

    maximise success for Indigenous students.

    Core Issues 2: Reducing Suspensions explores positive alternatives to suspension and ways they can

    be implemented in schools.

    Core Issues 3: Literacy explores questions about what it means to develop genuinely effective

    literacy.

    Core Issues 4: Numeracy tackles important questions about the meaning and importance of

    numeracy.

    Core Issues 5: Engagement discusses attendance, participation and belonging.

    Core Issues 6: Boarding looks at current practice in this small but growing area of Indigenous

    education.

    Core Issues 7: International Perspectives is a report of the DEST/OECD seminar held in Cairns in

    May 2007.

    Core Issues 8: Education and student health: the big picture looks at some of the health issues

    affecting Indigenous students and the part schools and teachers can play in dealing with them.

    All these and other print materials are available for download through the Publications link on the website,

    where you can also sign up for What Works eNews, to keep in touch with the What Works project.

    Experienced What Works consultants are available free of charge to work with schools on the materials.

    What Works National Ofce, National Curriculum Services

    PO Box 361, Abbotsord VIC 3067

    p (03) 9415 1299f(03) 9419 1205 e [email protected]

    www.whatworks.edu.au

    The views expressed in this publication

    do not necessarily represent the

    views o the Australian Government

    Department o Education, Employment

    and Workplace Relations.