Intergenerational Health
Our vision
We’re working towards a more equitable, inclusive world where children, families and communities experience safety, belonging and opportunities for growth.
Our purpose
The Intergenerational Health group aims to improve the health and wellbeing of children, young people and families. We focus on generating and translating knowledge to promote resilience and break intergenerational cycles of trauma, family violence and social inequity.
Our key areas of focus
We have three main areas of focus:
- Lived experience: building a greater understanding of the causes and consequences of intergenerational trauma at a population level, and within Aboriginal and Torres Strait Islander, migrant and refugee background communities.
- Strengthening the capacity of policy, workforce and systems to provide culturally safe and trauma responsive care to families and communities.
- Knowledge into action: working in partnership with communities, workforce and policy makers to create and translate knowledge into action to promote resilience and address the causes and impacts of intergenerational trauma, family violence and social inequity.
We collaborate with a diverse range of health services and community-based agencies, including primary care services, public hospitals, early childhood services, Aboriginal community organisations and refugee advocacy and settlement services.
Currently, the Intergenerational Health group has four program areas:
- Resilience and mental health
- Aboriginal health
- Refugee and migrant health
- Family health and wellbeing
Intergenerational Health group initiatives
Stronger Futures Centre of Research Excellence
We lead the Stronger Futures Centre of Research Excellence, Australia’s first national collaborative centre working with Aboriginal and Torres Strait Islander communities and communities of refugee background to break intergenerational cycles of trauma and social inequity.
Visit the Stronger Futures website
Know Our Story: a toolkit for social equity and inclusion
The Know Our Story initiative aims to inspire, encourage and support clinical and public health researchers to work towards greater inclusion of culturally diverse populations in research. The toolkit includes five resources available online and an animation. The five resources cover topics such as best practice approaches to consultation, collaboration, and working with community advisors and community researchers to co-design approaches to research.
Animation directed and animated by Darcy Prendergast, audio by Ben Matthews. Production company Oh Yeah Wow. Characters developed and voiced by members of the Refugee and Migrant Health Research Program.
Group Leaders
Team Leaders
Group Members
Our projects
Aboriginal Families Study
Program area: Aboriginal Health.
The Aboriginal Families Study is a prospective mother and child cohort study investigating the health and wellbeing of 344 Aboriginal children and their mothers living in urban, regional and remote areas of South Australia. The study was developed in response to gaps in the evidence available to inform health policy and services and was preceded by extensive consultation with Aboriginal communities and services in South Australia. Major areas of focus include maternal health and wellbeing; children's health; wellbeing and development; engagement with health services; and connections to family, community, culture and language.
Read more...Bridging the Gap: Partnerships for change in refugee child and family health
Program area: Refugee & Migrant Health.
This study is complete. The Bridging the Gap partnership brought together health service clinicians and managers, policy makers and researchers to co-design, implement and evaluate sustainable improvements in the quality of maternity and early childhood health care for families of refugee background.
Read more...Childhood Resilience Study
Program area: Resilience & Mental Health.
Despite the growing interest in resilience, there are few resilience measures for children. We have developed the first multi-domain, socially inclusive measure of childhood resilience, co-designed with Aboriginal and refugee background communities. Extensive community consultation and engagement identified resilience factors that were not evident in existing published literature. We are using the Childhood Resilience Questionnaire to help us understand what is important for children to grow up strong in families experiencing multiple challenges such as poverty, racism, intergenerational trauma and family violence.
Read more...Family Foundations Evaluation Study
Program area: Family Health & Wellbeing.
Family Foundations is a family-based intervention that focuses on the critical early years of children’s lives and engages all parents/caregivers in the family. The study focuses on strengthening the skills needed to navigate stressful life circumstances and minimise the impact they can have on mental health and family relationships. In partnership with Professor Mark Feinberg (Penn State University) and community health partners, we are evaluating the implementation of Family Foundations in Australia. The knowledge generated by this project will contribute to improved opportunities for the effective provision of mental health care to families during crises and hardship.
Read more...Group Pregnancy Care Study
Program area: Refugee & Migrant Health.
Group Pregnancy Care is an innovative model of antenatal care co-designed with communities of refugee background, health services and community organisations. The Group Pregnancy Care program aims to create culturally safe places for women to connect and access information, care, and support in their own language. Formative evaluation has been conducted in collaboration with Foundation House and health services providing care to families of refugee background in Melbourne’s west and northern suburbs.
Read more...Listening to What Matters
Program area: Refugee & Migrant Health.
This study is complete. Listening to What Matters aimed to understand the experiences of families of refugee background and the health professionals caring for them during pregnancy and early parenthood during the COVID-19 pandemic.
Read more...Mothers' and Young People's Study
Program area: Resilience & Mental Health.
The Mothers' and Young People's Study is a multi-wave, prospective cohort study initially designed to investigate women's health after childbirth. Over time, the study has expanded to include an investigation of children's and young people's health and wellbeing and the extent to which mothers' and children's health are inextricably linked. Evidence from the study on the impact of the COVID-19 pandemic on young people’s mental health informed the Victorian Government’s response during and in the aftermath of the pandemic. Over 1,500 women were recruited to the study from six Melbourne metropolitan hospitals between 2003-2005. We are currently following up with mothers and young people as the young people in the study turn 18 years of age.
Read more...Working Out Dads Project
Program area: Family Health & Wellbeing.
Working Out Dads is an innovative six-week group-based peer support program for fathers of young children experiencing mental health difficulties and significant life stress. We are conducting a randomised trial to test the effectiveness and cost-effectiveness of the Working Out Dads intervention in reducing fathers’ mental health difficulties in early parenthood.
Read more...Ngagagee Ngulu Murrup Durra
Program area: Aboriginal Health.
‘Ngagagee Ngulu Murrup Durra’ means ‘Hear us: our voices, spirit and heart’ in Woiwurrung, the language of the Wurundjeri Peoples. This project has been developed in collaboration with six Victorian Aboriginal partner organisations and focuses on the experiences and healing needs of Aboriginal and Torres Strait Islander survivors of child sexual abuse. The aim of this study is to build a better understanding of the experiences and healing needs of survivors and to provide greater support for survivors through improved service and therapeutic pathways.
Our Stories
Program area: Stronger Futures Centre of Research Excellence.
The Our Stories study aims to hear the stories of young people who have experienced challenges during childhood or adolescence. The study explores how a variety of challenges such as the death or illness of a family member, experiences of family and community violence, and discrimination based on race, ethnicity or sexual identity affect health, wellbeing, and relationships in young adult life.
Strong Families Strong Babies Study
Program area: Refugee & Migrant Health.
This project aimed to co-design and evaluate innovative practice changes to reorient maternity and early childhood services to support women and families. The Strong Families Strong Babies partnership developed two practice change initiatives: the Strong Families Strong Babies Pregnancy and Postnatal Support Group for Punjabi-speaking women, and an initiative focused on removing system-level barriers to quality interpreter services generated in collaboration with the Matu-speaking Chin community advisory group.
Working Together to Make Pregnancy Safer
Program area: Stronger Futures Centre of Research Excellence.
Some women and families are more likely to experience stillbirth than others, including women of The Working Together to Make Pregnancy Safer project has developed culturally appropriate stillbirth prevention resources in women’s preferred languages for use in Australian maternity settings. We are also creating online professional development for health professionals and interpreters working with women and families of refugee and migrant backgrounds during pregnancy.
Completed projects
Making Sense of the Unseen: Understanding Women’s Experiences of Suicidality in the Perinatal Period
Program area: Stronger Futures Centre of Research Excellence.
This study is complete. Although women are usually in frequent contact with health services during pregnancy and the following year, suicide is a leading cause of maternal death in Australia and other high-income countries. Despite this, there has been very little research exploring women’s experiences of suicidality at this stage of their lives. Making Sense of the Unseen addresses this important gap in our knowledge.
Funding:
- National Health and Medical Research Council (NHMRC)
- Medical Research Future Fund (MRFF)
- North Western Melbourne Primary Health Network
- Commonwealth Department of Health
- Victorian Department of Health
- The Royal Children’s Hospital Foundation
- Eisen Foundation
- Oak Foundation
Collaborations:
- Aboriginal Communities and Families Health Research Alliance
- Aboriginal Health Council of South Australia Ltd
- Ballarat and District Aboriginal Health Co-operative
- Berry Street
- Clothing the Gaps Foundation
- Deakin University
- Drummond Street Family Services
- Foundation House (Victorian Foundation for Survivors of Torture and Trauma)
- Garra Kombrook (Victorian Aboriginal Health Service)
- Judith Lumley Centre, La Trobe University
- McMaster University, Canada
- Melton Maternal and Child Health Service
- Merri Health
- Orygen
- Queensland Program of Assistance to Survivors of Torture and Trauma (QPASTT)
- Safe Pathways to Healing Sexual Assault Prevention Working Group
- Safer Families Centre of Research Excellence
- South Australian Health and Medical Research Institute
- Stillbirth Centre of Research Excellence
- Stronger Futures Centre of Research Excellence
- Tweddle Child and Family Health Service
- Trinity College, Dublin, Ireland (MAMMI Study)
- University of Birmingham, UK
- The University of Melbourne
- University of Western Australia
- VICSEG New Futures
- Victorian Aboriginal Child Care Agency (VACCA)
- Victorian Aboriginal Community Controlled Health Organisation (VACCHO)
- Wadja Aboriginal Family Place, The Royal Children’s Hospital
- Western Health
- Yoowinna Wurnalung Aboriginal Healing Service
Featured publications
- The maternal health study: Study design update for a prospective cohort of first-time mothers and their firstborn children from birth to age ten. Brown et al., Paediatric Perinatal Epidemiology. 2021 Sep;35(5):612-625.
- Intimate partner violence and child outcomes at age 10: a pregnancy cohort. Gartland et al., Arch Dis Child. 2021 Nov;106(11):1066-1074.
- Cultural determinants and resilience and recovery factors associated with trauma among Aboriginal help-seeking clients from an Aboriginal community-controlled counselling service. Gee et al., BMC Psychiatry. 2023 Mar 10;23(1):155.
- Working out dads (WOD): a study protocol for a randomised controlled trial of a group-based peer support intervention for men experiencing mental health difficulties in early fatherhood. Giallo et al., BMC Psychiatry. 2022 Feb 12;22(1):111.
- Cultural safety and belonging for refugee background women attending group pregnancy care: An Australian qualitative study. Riggs E et al., Birth, 2017; 44(2): 145-152.