9 December 2025

'It's still happening a lot': Canberra's newest Aboriginal health worker says stereotypes are still hurting patients

| By James Coleman
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Indigenous hospital worker at a desk

Krystle Johnson is one of 11 Aboriginal Liaison Officers in Canberra to undergo a new training course to become a qualified health worker. Photo: James Coleman.

According to Krystle Johnson, there’s still racial stereotyping taking place in Canberra’s health centres.

The graduate of a new Certificate III in Aboriginal and Torres Strait Islander Health is also one of three Aboriginal Liaison Officers (ALOs) at North Canberra Hospital, assigned to patients as soon as they tick the box on the intake form for Aboriginal or Torres Strait Islander heritage.

“Like in the Emergency Department, for instance, an Aboriginal person will come in with pain in the stomach, and I get it a lot from the staff here that ‘they’re here drug seeking’,” Johnson says.

“But how do you know? We also have mums who have reports made on them for being young Aboriginal mums. Okay, they’re young, like 19, but that doesn’t mean they’re not going to be a good mum.

“It’s still happening a lot. And we’ll pull the nurse aside and have that conversation, and ask how we can get supports in place for when she gets home, or how we can connect Mum with places, rather than putting a report in.

“This is where we come in.”

North Canberra Hospital main entry

Johnson is one of three ALOs stationed at North Canberra Hospital. Photo: James Coleman.

Starting with the new Certificate III, Canberra Health Services (CHS) now aims to scale up the skills of ALOs across the city’s health and medical facilities, and build a team of local Indigenous health workers and doctors.

The first 11 students, including Johnson, graduated in September last year and now have the same qualifications as health workers. Meanwhile, a Certificate IV – still in development and about a year away – will take their qualification up to the level of an enrolled nurse.

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Johnson hails from Wiradjuri country in central NSW, including Dubbo, Bathurst, Wagga Wagga and Albury. She moved to Canberra with her husband 12 years ago and has worked on and off, first at the Canberra Hospital in Woden and then at the North Canberra Hospital in Bruce, while raising their six kids.

She’s worked as an ALO since their youngest child started preschool three years ago.

“So we provide cultural, social, and emotional support to Aboriginal and Torres Strait Islander people and their families in the hospital, and after they are discharged,” she says.

Hospital office door sign

Aboriginal Liaison Officers can be requested by anyone of Aboriginal or Torres Strait Islander heritage. Photo: James Coleman.

Examples of her work include attending midwife calls with Indigenous people in the community and, before surgery, ensuring patients understand the doctor’s explanations.

“Like a young girl who came in last week. She was very concerned about an operation and she asked us to be there for the appointment with the surgeon, so we went and sat down with her and helped her understand,” Johnson says.

“And if the doctor’s talking big doctor talk, we’ll ask the doctor to put that a bit clearer or talk down a bit. We also understand different things around aunties and uncles, and women’s and men’s business. They just feel more comfortable just having another ear there to help them.”

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But up until now, that’s where the Indigenous-specific training has stopped.

“We can’t just go into a ward and do someone’s blood pressure or anything,” Johnson says.

“ALOs aren’t nurses … so they can’t help medically at all. But now, the new certificate means they can jump in for procedures like blood pressure, diabetes, and urine tests.

“It’s not that we’re always going to do that, but if it comes up – like there’s an elderly female patient and there’s a male nurse, and a lot of the women only want women to touch them, because of men’s business and women’s business, we can do that.

“I wouldn’t have been able to do that before – I’d just have to go and get a female, or wait hours for one to come out from the hospital.”

Indigenous hospital worker

Johnson says the new training is an important step in rearing more Indigenous health workers. Photo: James Coleman.

For now, Johnson is “happy as an ALO” and doesn’t have plans to undergo any further medical training.

“This is my core. I like being in here, helping our mob understand the doctors so everything’s culturally safe.”

But she adds that it will be an important step as more Aboriginal and Torres Strait Islander people become nurses and doctors in Canberra.

“There aren’t many Aboriginal doctors or nurses or dentists or dentists – there’d be a handful of them,” she says.

“This is the start; this is going to progress your career past where you wouldn’t think you’d go … Hopefully, it’s going to grow into something big.”

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The problem I have with this is it feels racist. It sends a strong message to everyone else that “they’re different/ there’s us and them.” It doesn’t feel like equality. HOWEVER I can see the clash in cultures and understand this a bit more. But a question keeps coming to mind…are we really so different?

Capital Retro7:23 pm 06 Dec 25

About 20 years ago I was going to the coast from Canberra to do some renovation work and I was dressed accordingly.

Passing through Queanbeyan I had a kidney stone blocking my drainpipe so I went straight to ED at Queanbeyan hospital asking for help because it was a chronic problem.

I was refused a pain killing needle and instead got told to drink lots of water and strain it after it passed. I would have done that anyway.

Half and hour later the pain passed and I recovered the stone. I asked why they didn’t provide relief for the pain and they said “it’s the way you look, just like the drug addicts who come in here every day and feign a kidney stone problem to get a hit”.

Nothing to do with race.

Agree with you. People get judged more on how they are dressed and how they talk.

Providing particular services based on race is really a form of apartheid. Do we have special counsellors for Asians, Africans or a Polynesians ??

That’s harsh, sorry you had to experience that. The problem is when services like Police and medical get exposed to a particular identity attached to something negative, it creates a biasness in mind.

I just commented on that and yes I agree, it does look racist. I understand there are cultural differences but I wonder how vast those differences are. It also feels contradictory to closing the gap.

this article contains incorrect information regarding comparisons between the newly graduated ALOs (Cert III) and a Registered Nurse (RN). The next closest nurse category to an ALO is an Cert III educated Assistant in Nursing (AIN) followed by an Enrolled Nurse (EN), with the minimum requirement for an EN being a Diploma in Nursing. The baseline qualification for RNs is a degree, as it is for almost all health care professionals working with CHS. Regulated Healthcare workers have a legal obligation to report child at risk presentations- this is not a discretionary function that an ALO can talk a nurse or health care professional out off.

Not a very convincing story.
I’d have thought any person presenting at Emergency would be screened for drugs.
The Health System is struggling as it is.
Maybe use the money to employ more nurses & doctors.

We aren’t here to convince of already stated facts from historical data. Mate. When was the last you went to ED? No they don’t “screen” for drugs lol it’s an emergency ward…

We are here to convinced. That’s the whole point. If you read an article reporting a fact but you’re not convinced then the article hasn’t done its job. BUT you’re right, the last time I was at the emergency ward I don’t remember any screening for drugs.

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