By Siaw-Teng Liaw, Sue Kilpatrick, Australian Rural Health Education Network
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Extra info for A Textbook of Australian Rural Health
Mary talked to Shaun; she asked him not to say anything about the incident with the gun and explained that Johno needed support from friends. The social worker kept an eye on Johno’s attendance and participation in school, sport and social activities. Johno’s mother became more willing to drive him into town for sporting and social activities, and used her church friends for her own support. In this way the community supported Johno and his family, developed a team approach to his care, kept the incident confidential and crossed cultural divides.
Recommended readings and resources • Bourke L, Sheridan C, Russell U, Jones G, DeWitt D and Liaw S-T (2004). Developing a conceptual understanding of rural health practice. Australian Journal of Rural Health 1:181–186. This paper outlines five concepts that are key to understanding rural health and engaging in rural practice: health differentials, access, confidentiality, cultural safety and team practice. It lays the foundation for this chapter and the teaching of rural health at The University of Melbourne Department of Rural Health.
Such geographical definitions of ‘rural’ are common, but definitions have also been based on cultural distinctions and the level of dependence on primary industry. Rural communities differ in many ways. 1 Johno’s story Shaun had showered and changed after footy practice. The shower had felt good after a long training session where he played on Smitty, known to be one of the best in town and four inches taller than him. His body was tired so he thought he would cut through the hole in the back fence, a short-cut home.