Developing a best practice pathway to support improvements in Indigenous Australians' mental health and well-being: a qualitative study

BMJ Open
Rachael HintonTricia Nagel

Abstract

There is a need to adapt pathways to care to promote access to mental health services for Indigenous people in Australia. This study explored Indigenous community and service provider perspectives of well-being and ways to promote access to care for Indigenous people at risk of depressive illness. A participatory action research framework was used to inform the development of an agreed early intervention pathway; thematic analysis 2 remote communities in the Northern Territory. Using snowball and purposive sampling, 27 service providers and community members with knowledge of the local context and the diverse needs of those at risk of depression were interviewed. 30% of participants were Indigenous. The proposed pathway to care was adapted in response to participant feedback. The study found that Indigenous mental health and well-being is perceived as multifaceted and strongly linked to cultural identity. It also confirms that there is broad support for promotion of a clear pathway to early intervention. Key identified components of this pathway were the health centre, visiting and community-based services, and local community resources including elders, cultural activities and families. Enablers to early intervention were repo...Continue Reading

References

Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Dec 22, 2004·Current Problems in Pediatric and Adolescent Health Care·Laura P Richardson, Rachel Katzenellenbogen
Apr 6, 2006·International Journal of Epidemiology·Yin Paradies
Jan 4, 2007·Pediatrics·Rachel A ZuckerbrotDavid Shaffer
May 23, 2007·The Medical Journal of Australia·Ross S BailieMichelle Dowden
Aug 10, 2007·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·F J Basterra-Gortari, M Segui-Gomez
Sep 19, 2008·BMC Health Services Research·Ross BailieAlex Brown

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Citations

Mar 8, 2018·International Journal of Environmental Research and Public Health·Yu-Tang ShenBrian Draper
Jul 20, 2018·International Journal of Environmental Research and Public Health·Shannen VallesiMichelle Zada
Jan 29, 2018·International Journal for Equity in Health·Alexandra Kilian, Anna Williamson
May 6, 2019·Social Psychiatry and Psychiatric Epidemiology·Rebekah J WalkerLeonard E Egede
Jul 14, 2019·BMC Health Services Research·Nina SivertsenMohammad Hamiduzzaman

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