Background: Governments in multiple countries have established redress schemes to acknowledge institutional responsibility for child maltreatment; to provide survivors with access to compensation, counselling and apologies; and to prompt better practice to prevent child maltreatment. Establishing a National Redress Scheme was recommended by Australia's Royal Commission into Institutional Responses to Child Sexual Abuse. The Scheme commenced in 2018 and will run for a decade.
Objective: This study sought to understand the ways survivors have experienced applying for redress under the National Redress Scheme, and how Scheme processes could be improved for survivors.
Participants And Setting: Participants were 322 survivors of child sexual abuse who had applied for redress or considered doing so during the first two years of the Scheme's operation. Two thirds (68%) were aged 55 or over and over half (55%) were men.
Methods: To provide feedback about their experiences and perceptions of the National Redress Scheme, participants completed closed and open-ended survey questions.
Results: Only a minority rated the Scheme as either good (16%) or very good (11%). Survey comments provide insight into the ways waiting has contributed to survivors' negative experiences of the Scheme. Survivors waited for the Scheme to be established, for institutions to opt-in, for decisions, and for direct personal responses. Waiting compounded uncertainty and was retraumatising for survivors. Some avoided seeking redress due to likely delays and risks of retraumatisation.
Conclusions: Australia's National Redress Scheme is an ambivalent policy innovation which can both facilitate support and exacerbate harm. The design of redress schemes should pre-emptively address their potential to generate harm, including by recognising that rapid responses are essential to procedural justice, and particularly important for older survivors of child sexual abuse.
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http://dx.doi.org/10.1016/j.chiabu.2022.105657 | DOI Listing |
AIMS Public Health
December 2024
Departments of Urban Public Health, Internal Medicine, and Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.
Background: The Family Income-to-Poverty-Ratio (FIPR) is a recognized indicator of socioeconomic status, and influences a wide range of health and behavioral outcomes. Yet, marginalized and racialized groups, particularly Black individuals, may not reap comparable health benefits from their socioeconomic advancements as their non-Hispanic, White counterparts. This discrepancy is indicative of a phenomenon known as the minorities' diminished returns.
View Article and Find Full Text PDFThe COVID-19 pandemic changed public awareness of the importance of high-quality race and ethnicity data for identifying and redressing widely documented racial and ethnic health inequity. This article emphasizes the importance of high-quality race and ethnicity data in health equity research, as highlighted by the COVID-19 pandemic. The article defines what constitutes high-quality race and ethnicity data, discusses challenges in using these data, and provides 2 cases that illustrate the role of these data in identifying and redressing health inequity.
View Article and Find Full Text PDFInt J Cardiol Congenit Heart Dis
September 2024
University of Sydney, Camperdown, NSW, 2050, Australia.
Background: Although several National Data Registries for Congenital Heart Disease (CHD) exist, few are comprehensive and contemporary. A National Australian CHD Registry has been developed that aims to redress this by creating the first comprehensive data collection for CHD children and adults, initially across Australia.
Methods: We defined and collected a minimum dataset of demographics, diagnoses, and procedures from people with CHD presenting at participating quaternary CHD services Australia-wide.
J Occup Rehabil
December 2024
Department of Physical Therapy, University of Alberta, 2-50 Corbett Hall, Edmonton, AB, T6A 1Z3, Canada.
Purpose: Despite evidence of efficacy, the effectiveness of telerehabilitation in real-world clinical settings is still largely unknown. Telerehabilitation requires a substantial transformation of the organization and delivery of traditional services. Considering that a virtual setting can create unique challenges for providing physiotherapy services and given the physical and potential hands-on nature of evidence-based assessments and interventions, it is important to investigate what injured workers think of receiving physiotherapy care via telerehabilitation and to examine if rehabilitation needs are adequately met.
View Article and Find Full Text PDFBMJ Glob Health
December 2024
Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Background: There has been much critical reflection among global health researchers about how power imbalances between high-income countries and low- and middle-income country collaborators are perpetuated through research programmes. Research capacity strengthening (RCS) is considered both a mechanism through which to redress structural power imbalances in global health research and a vehicle for their perpetuation. This paper examines the RCS programme of a multi-county study on violence against women, focussing on how it addressed power imbalances between countries and the challenges involved in doing so.
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