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Australian Indigenous HealthBulletin Alcohol and other drugs knowledge centre Yarning Places

1 Deadly Step



The 1 Deadly Step pilot program was developed in partnership with NSW Health and the Australian Rugby League to address chronic diseases in Aboriginal communities of New South Wales (NSW).

The program aimed to:

Participants from Campbelltown, Kempsey, Griffith, Moree and Redfern took part in a 12-step screening process that provided health checks, health referrals and follow-ups. The program used the sporting platform of rugby league to engage local communities to participate.

An initial independent evaluation of the pilot program indicated a number of factors that supported the 1 Deadly Step model as a successful engagement strategy targeting Aboriginal people. The evaluation also provided an analysis of the data collected from the five sites to support components of the program that have potential in further development.

Based on the evaluation, two components of the trial were enhanced for the second phase of the pilot. These were:

The second phase of the pilot program was delivered in Coffs Harbour, Wagga Wagga, Casino, Moruya and Armidale. The George Institute was commissioned to build an electronic platform to improve the implementation of the program and to evaluate the implementation of the enhanced program. The evaluation report for this phase will be available in late 2016; this will inform the final model for 1 Deadly Step, which will be implemented state-wide in NSW. 

Abstract adapted from Excellence and Innovation in Healthcare


NSW Ministry of Health
73 Miller Street
North Sydney NSW 2060
Locked Mail Bag 961
North Sydney NSW 2059
Ph: (02) 9391 9000
Fax: (02) 9391 9101

Kiel Hennessey
Chronic Care for Aboriginal People
NSW Health
Ph: (02) 9464 4686

David Follent
Project Officer
Chronic Care for Aboriginal People
NSW Health

Lachlan Wright
Project Manager
Health Services Research Division
The George Institute for Global Health

Related publications

Wright L (2011)

One deadly step.

Paper presented at the Chronic Care for Aboriginal People State Forum. 3-4 November 2011, Eveleigh, NSW


Last updated: 23 March 2018
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