title: Mental health in Indigenous settings. Challenges for clinicians.
abstract: BACKGROUND
  Mental health problems in Aboriginal and Torres Strait Islander peoples are common, changing and challenging. Particularly in remote settings, doctors will need to untangle the complex interplay of culture, context and clinical significance.
  
  
  OBJECTIVE
  This paper emphasises the importance of local knowledge and cultural respect in complementing clinical competence in the management of Aboriginal and Torres Strait Islander peoples with mental health problems.
  
  
  CONCLUSIONS
  Anxiety, depression, psychosis, self-harm and problems of childhood and old age are used to exemplify differences by comparison with practice in non-Indigenous populations.
authors.affiliation: MBBS, MPH, MA, MD, FRANZCP, FAFPHM, Diploma of the American Board of Psychiatry and Neurology, Regional Psychiatrist, Cairns and Hinterland Hospital and Health Service and Adjunct Professor, James Cook University, Cairns, QLD.
authors.forename: Ernest
authors.initials: E
authors.lastname: Hunter
mesh_terms: D000368:Aged / Q000523:psychology; D001007:Anxiety / Q000208:ethnology / Q000628:therapy; D002648:Child; D002653:Child Behavior Disorders / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D002983:Clinical Competence; D054521:Cultural Competency; D003863:Depression / Q000208:ethnology / Q000628:therapy; D006303:Health Services, Indigenous; D006801:Humans; D001523:Mental Disorders / Q000208:ethnology* / Q000628:therapy*; D011618:Psychotic Disorders / Q000208:ethnology / Q000628:therapy; D016728:Self-Injurious Behavior / Q000208:ethnology / Q000628:therapy