ࡱ> KMJ%` -bjbj"x"x 5?@@hhhh8$C2$u h"Fl""FFhhXZZZFh8ZFZZB nрpZNt0Cb,#J##BhZTHjCFFFF hhhhhh FREEDOM OF RELIGION AND BELIEF IN THE 21ST CENTURY Submission INTRODUCTION The Healthcare Chaplaincy Council of Victoria Inc (HCCVI) is an ecumenical body providing leadership and education in the strategic development and promotion of spirituality, chaplaincy and pastoral care in Victorian healthcare services. Those working as chaplains, pastoral and spiritual care givers in the health sector are directly involved in working with the sensitivities of multi-faith and multi-cultural care provision and ensuring that the religious and spiritual dimensions of the person are attended to as part of the provision of holistic health care. CHAPLAINCY, PASTORAL CARE AND SPIRITUAL SERVICES IN AUSTRALIA Chaplaincy and Pastoral Care Research Research conducted at the Prince of Wales Hospital in Sydney noted that there is increasing interest in the significant links between spirituality and health within contemporary western medicine. Correspondingly there has been increasing recognition and valuing of chaplains and pastoral care workers as professional members of the health care team and of the importance of religious and spiritual well-being in the provision of holistic health care within the Australian context. Within Australian healthcare institutions there is a growing volume of empirical and quality assurance research undertaken that demonstrates the value and benefits of providing religious, pastoral and spiritual care. Best practice models for the delivery of services have been explored through a number of state based government funded research projects. (Appendix 1 Bibliography). Health Care Chaplaincy Guidelines & W.H.O Pastoral Interventions The development and publication of the Australian Health Care Guidelines (AHWCA, 1998/2004: ref.: Appendix 2) and the World Health Organisation Pastoral Intervention Codings Australian Modification (WHO, 2002: ref.: Appendix 3) has been a professional response by the Australian Health and Welfare Chaplains Association (AHWCA) and the Australian College of Chaplains to improve the quality of chaplaincy services and to demonstrate greater accountability given the increasing demands for holistic health care within the public system. CHAPLAINCY, PASTORAL CARE AND SPIRITUAL SERVICES IN VICTORIA Chaplaincy and Pastoral Care Research Victorian Audit The HCCVI has recently conducted an audit of Victorian public and private hospitals to gather information about chaplaincy and pastoral care services. This data is currently being processed and will provide a clear picture of pastoral and spiritual care provision in these health facilities, including the faith background of service providers, service recipients and other health care providers, the level of care being provided through volunteers, the provision of appropriate facilities for religious and faith observance and models of service delivery (e.g. faith based, denominational, multi-faith based). Guidelines for Victorian Pastoral Care Department Facilities At the end of 2008 the HCCVI produced a publication entitled Guidelines for Victorian Pastoral Care Department Facilities. Based on literature review, results of the Victorian audit and extensive consultation this publication provides guidance on the provision of facilities to enable best practice pastoral and spiritual care through opening opportunities for dialogue and possibilities between pastoral care staff, hospital management, faith communities and patients. Multi-faith/multi-cultural Project (to be undertaken in 2009) In healthcare contexts in Victoria, the staffing levels allocated for pastoral care and chaplaincy are currently minimal. This is especially true in regard to those paid for by the healthcare facility itself, and who are therefore expected to be able to provide pastoral or spiritual care for all people in public health. Many other workers in this field are employed by a particular community of faith, and have as their primary focus the pastoral care of members of that faith community. The result of this is that, in most cases in public healthcare facilities, there is a very low level of pastoral care staff available to respond to the spiritual needs of patients and families beyond those provided for by their own faith communities through their chaplaincy programs. These staff members are limited not only in their numbers, but also in their capacity to know and understand the complexities of many of the cultural, religious and spiritual diversities that make up our society, especially in the metropolitan area. This becomes particularly problematic when, as is often the case, a person facing serious illness and even death, despite having learned English, reverts to their first language. This project seeks to address this situation by developing a collaborative approach between the Healthcare Chaplaincy Council of Victoria Inc (HCCVI), the Victorian Multicultural Commission (VMC), 3 Pastoral Care Departments in major health services (Western Health, The Northern Hospital, and Southern Health Dandenong Hospital), and local ethnic communities to explore new and more effective ways to provide for the spiritual care needs of CALD people in healthcare contexts. The objectives of the proposal are in 2 areas: The recruitment, training and deployment of appropriate people from CALD backgrounds for pastoral care roles (paid and/or volunteer) in healthcare contexts, to ensure that language and cultural factors do not preclude effective spiritual care for CALD people. The upgrading of awareness of cultural/spiritual diversity and associated issues among those currently working in pastoral care and other roles in healthcare contexts. Chaplaincy and Pastoral Care Service Delivery The provision of chaplaincy and pastoral care services in Victorian healthcare facilities incorporates a number of models of service delivery. In most metropolitan hospitals there has been a move towards the appointment of a hospital employed Pastoral Care Coordinator to ensure that the religious and spiritual care of staff, patients and their significant others are provided for in culturally appropriate ways and through appropriate channels. The presence of chaplaincy and pastoral care staff, with their particular focus on religious and spiritual needs, can make a significant contribution to the care provided by the whole health team for the benefit of the patient as the following story illustrates.  CONCLUSION Attention to the religious, pastoral and spiritual dimensions of health has implications for the delivery of health care within facilities and within the wider community. As expressed by the World Health Organisation (WHO, 1991 para. 5) a supportive environment is of paramount importance for health. The two are interdependent and inseparable. Supportive environments encompass both the physical and social aspects of our surroundings, and action to create supportive environments takes place in physical, social, spiritual, economic and political dimensions (WHO, 1991 para. 10). When faced with the realities of illness, suffering, loss and grief, life and death, the freedom to express and practice freedom of religion and belief can make a significant contribution to the health and well-being of those living in the Australian community.     HEALTHCARE CHAPLAINCY COUNCIL OF VICTORIA Inc. _______________________________________________________________________________ Responding to diversity in Pastoral Care In the Intensive Care Unit (ICU) in a major general hospital in Melbourne, the staff became increasingly concerned as a man of middle-eastern appearance sat beside his brother, an intubated patient, chanting endlessly. The ICU was an open-plan unit, and the sound of his chanting was becoming unsettling for other patients and families, as well as for the staff. The Director of the ICU recognised that this chanting may have something to do with the faith of the patient and his brother, and contacted the Coordinator of Pastoral Care and Chaplaincy in the hospital. When the Coordinator arrived and checked with the Director, he then went and listened for a while, noticing that the man was reading from a book with what appeared to be Arabic script, as he chanted. Knowing that some Muslim people value highly hearing the words of the Koran as they approach death, the Coordinator gently approached, and asked the man if he was concerned about his brother. In rather broken English, he confirmed this, and said that he was chanting from the Koran so that his brother might die hearing the words of the Prophet. The Coordinator asked him if he had spoken with his brothers doctor, but he said no, he hadnt, but his brother must be dying if he was having a machine breathe for him. The Coordinator informed the Director of the situation, and joined in a meeting of the staff with the patients brother. The medical staff explained that his brother was in an induced coma to help his body heal, and that he was expected to recover, not to die. The Director assured him that he would be informed if his brothers condition did deteriorate, and that in this case he would be placed in a private room, where he could chant for him as he needed to. The man was greatly relieved to hear his brother was not dying, and was also reassured that his brothers spiritual needs were being recognised. The ICU staff became more aware of the diversity of spiritual traditions in their community, and how simply listening attentively can clarify what is happening, and how they can address the spiritual needs of people from traditions other than their own. 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