This chapter considers the concept of social and emotional wellbeing in mainstream mental health services by deliberately approaching mental health from within an Aboriginal and Torres Strait Islander context, rather than the standard biomedical perspective. It discusses the political, social and cultural determinants of First Nations social and emotional wellbeing and how, throughout history, these have contributed to a stigma surrounding Aboriginal and Torres Strait Islanders. The chapter emphasises the importance of cultural connection in improving social and emotional wellbeing, and suggests prioritising cultural connection to people and place, culture and the natural environment when treating First Nations patients. Social and emotional wellbeing is discussed within the context of mainstream mental healthcare, calling for trauma-informed care and a strengths-based approach. The chapter explores various threats to social and emotional wellbeing, including Sorry Business and Sad News, and imprisonment, before suggesting ways for healthcare professionals to promote social and emotional wellbeing in their care of Aboriginal and Torres Strait Islander people.
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