Background: First Nations Australians have an internationally-recognised right to self-determination – a key social determinant of health. The recognition and application of this right varies within different regions and policy contexts, but is currently unknown for Australian First Nations’ engagement in alcohol policy development. This study seeks to: explore First Nations Australians’ experiences of leadership in alcohol policy in Mbantua/Alice Springs (Northern Territory); and identify how First Nations Australians’ right to self-determination can be recognised and applied in the development of alcohol policy in Mbantua/Alice Springs.
Methods: Using a blended yarning and appreciative inquiry approach, 24 interviews were conducted. Interviews were thematically coded in multiple stages, using diagrammatic methods.
Results: Four key themes emerged: (i) experiences of purchasing alcohol; (ii) understanding of alcohol policy; (iii) unintended effects of policy; and (iv) self-determination in alcohol policy.
Conclusions: Current pathways for contributing to alcohol policy have been ineffective in achieving meaningful engagement with Australia’s First Nations community members. This study provides some guidance as to how self-determination can more effectively be incorporated in the development of alcohol policy in the NT.