Connecting community: the role of Indigenous management in disability care

This paper presents findings from a 2023 Indigenist qualitative study exploring how disability service providers in Southeast Queensland support Indigenous peoples with disabilities. The purpose of the study was to examine culturally safe service delivery practices by comparing Indigenous-managed and non-Indigenous-managed organisations. 

Through yarning interviews with 14 organisations, the research identified two distinct approaches to cultural safety. Indigenous-managed organisations demonstrated an Embedded Cultural Base (CB) model, where cultural values were deeply woven into governance, service delivery, and community engagement. These organisations reported high Indigenous staff representation, strong relationships with community, and inclusive practices that extended to other diverse groups. 

In contrast, non-Indigenous-managed organisations employed Ad Hoc (AH) approaches, relying on external tools such as Reconciliation Action Plans (RAPs) and cultural competency training, without embedding cultural safety into core structures. 

The study recommends supporting Indigenous-led management and decision-making in the disability sector, as it enhances cultural safety, service accessibility and outcomes for Indigenous peoples with disabilities. 

These findings have important policy implications. They call for a shift beyond symbolic inclusion toward structural reform – embedding Indigenous governance models, investing in Indigenous workforce development, and moving from compliance-based cultural initiatives to community-led, culturally grounded care. This evidence supports policy directions that privilege Indigenous knowledges and leadership in disability service provision.