Evaluating Aboriginal and Torres Strait Islander Social and Emotional Wellbeing services: A collective case study in Far North Queensland.

Autor:	Furst MA; Mental Health Policy Unit, Health Research Institute, University of Canberra, Bruce, ACT, Australia., McDonald T; Jawun Research Centre, Office of Indigenous Engagement, CQUniversity, Cairns, QLD, Australia., McCalman J; Jawun Research Centre, Office of Indigenous Engagement, CQUniversity, Cairns, QLD, Australia., Salinas-Perez J; Mental Health Policy Unit, Health Research Institute, University of Canberra, Bruce, ACT, Australia.; Department of Quantitative Methods, Universidad Loyola Andalucía, Seville, Spain., Fagan R; Jawun Research Centre, Office of Indigenous Engagement, CQUniversity, Cairns, QLD, Australia., Lee Hong A; Gurriny Yealamucka Health Service Aboriginal Corporation, Yarrabah, QLD, Australia., Nona M; Deadly Inspiring Youth Doing Good (DIYDG) Aboriginal and Torres Strait Islander Corporation, Cairns, QLD, Australia., Saunders V; Jawun Research Centre, Office of Indigenous Engagement, CQUniversity, Cairns, QLD, Australia., Salvador-Carulla L; Mental Health Policy Unit, Health Research Institute, University of Canberra, Bruce, ACT, Australia.; Menzies Centre for Health Policy, School of Public Health, The University of Sydney, Sydney, NSW, Australia.; National Centre for Epidemiology and Population Health (NCEPH), College of Health & Medicine, Australian National University, Canberra, ACT, Australia.
Jazyk:	angličtina
Zdroj:	The Australian and New Zealand journal of psychiatry [Aust N Z J Psychiatry] 2024 Jun; Vol. 58 (6), pp. 506-514. Date of Electronic Publication: 2024 Apr 08.
DOI:	10.1177/00048674241242935
Abstrakt:	Background: Access to a coordinated range of strengths-based, culturally appropriate community-led primary mental health and Social and Emotional Wellbeing services is critical to the mental health and wellbeing of young Aboriginal and Torres Strait Islander people, and is a policy commitment of the Australian government. However, complex and fragmented service networks and a lack of standardised service data are barriers in identifying what services are available and what care they provide. Method: A standardised service classification tool was used to assess the availability and characteristics of Social and Emotional Wellbeing services for young Aboriginal and Torres Strait Islander people in two regions in Queensland, Australia. Results: We identified a complex pattern of service availability and gaps in service provision. Non-Indigenous non-governmental organisations provided a significant proportion of services, particularly 'upstream' support, while Aboriginal Community Controlled Organisations were more likely to provide 'downstream' crisis type care. Most services provided by the public sector were through Child Safety and Youth Justice departments. Conclusions: Our findings demonstrate the complexity of current networks, and show that non-Indigenous organisations are disproportionately influential in the care received by young Aboriginal and Torres Strait Islander people, despite community goals of self-determination, and government commitment to increasing capacity of Aboriginal Community Controlled Organisations to support their local communities. These findings can be used to support decision making and planning. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
Databáze:	MEDLINE
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