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. 2026 May 3;11(5):e018903. doi: 10.1136/bmjgh-2025-018903

Table 1. Historical and present-day policies and their impacts on Indigenous communities and Stolen Generations survivors.

Domain Historical policy impact Current policy developments Relevance Holistic policy implications
Healthcare Denial of culturally appropriate care and forced removals and trauma21 Closing the Gap,97 Link-Up46 and
Healing Foundation42
High rates of chronic disease, post-traumatic stress disorder, limited access and mistrust of health services7 Co-designed, trauma-informed, expanding digital and culturally safe mental health services outreach in rural areas62 78
Social support Loss of family/community connection and institutional abuse17 Healing Foundation42 and compensation payments36 Social exclusion, identity loss and poor emotional well-being17 Culturally grounded healing services and permanent support for survivors43
Economic Denied employment and land rights and forced dependency85 The National Redress Scheme,63
NSW Stolen Generations Reparations Scheme,64
The Healing Foundation employment support,42
Indigenous Skills and Employment Programme65
Intergenerational poverty and high unemployment27 Economic empowerment via community-led programmes, job creation and reparations44 62
Education Denied access to quality education; unnecessary suspensions and exclusions30 Indigenous Education Strategies,70
Indigenous Education71 and
Education of First Nations people72
Ngarrngga Project. A transdisciplinary education programme embedding Indigenous knowledge systems into school curricula73 and
curriculum changes74
Low literacy, poor school retention and mistrust in institutions28 29 Incorporate Indigenous history in education, community-led learning68 and empowerment via truth-telling and storytelling98
Safety Institutional abuse and systemic racism61 Child safety programmes,38
Family Participation Programme39 and inquiries into police violence40
Over-representation in child protection and policing8 Adopt systemic racism in policing and trauma-informed training81
Child Protection Stolen Generations removals and foster/institutional abuse9 High rates of current removals,13
socioeconomic outcome area16 and Culture and Empowering Communities82
Ongoing removals and ‘another Stolen Generation’ concerns14 Advocates culturally appropriate kinship care and community-led family supports
Justice Criminalisation of Indigenous people and systemic bias55 Justice reinvestment pilots,89 Maranguka,90 National Justice Reinvestment Programme,89
Royal Commission,99
Australian Human Rights Commission91 and
Parliamentary Business92
Overincarceration and intergenerational trauma17 Implement restorative justice, dismantle power structures to reflect decolonising processes within the justice/legal system and restoring relationships25 31
Housing Displacement from land and community86 Housing circumstances of First Nations people,49 First Nations Housing Crisis,50 Australian Bureau of Statistics,51 Aboriginal housing,52 support for Aboriginal and Torres Strait Islander communities53 and Ngwala Willumbong Aboriginal Corporation54 Overcrowding, homelessness and housing insecurity47 Safe, affordable and culturally connected housing programmes48