Aboriginal and Torres Strait Islander Mental Health Practitioners Propose Alternative Clinical Supervision Models

Nelson, Jeffrey R.; Bennett–Levy, James; Wilson, Shawn; Ryan, Kelleigh; Rotumah, Darlene; Budden, Wayne; Beale, Dean; Stirling, Janelle

doi:10.1080/00207411.2015.1009748

Cited by 6 publications

(14 citation statements)

References 20 publications

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“…Leadership and effective practice by Indigenous nurses were enabled by the brokerage of relationships with local tribal governing bodies in communities and Indigenous health service systems [49, 50]. Clanship or kinship ties and obligations in their home community enhanced trust in the IHW-client encounter [40, 57], although shared histories (with clients) of stressors and social determinants increased Indigenous workers’ levels of stress [57]. Changing local circumstances [55] and changing community priorities necessitated responsiveness in the types of services provided or ways in which workers’ provided them [38, 48, 55].…”

Section: Resultsmentioning

confidence: 99%

“…CHRs were also required to cope with grief related to the death of clients on their own and with limited support [40]. Furthermore, the geographical location of the community, particularly remoteness, was an important condition affecting models of workforce management, including distance management, and workforce supply and retention [45, 47, 57].…”

Section: Resultsmentioning

confidence: 99%

“…Conditions that enhanced workforce development and/or implementation were: long-term commitment from managers to Indigenous health improvement [42, 43, 53], strong clinical leadership [43], and sound relationships between managers with workers [43]. A lack of management support had detrimental effects including: a lack of enthusiasm for work [45]; ineffective team work [44]; poorly designed electronic patient records or failure to share them [38, 44]; not knowing role expectations [44, 54]; having to prioritise acute care demands over preventive or chronic disease management [42–44, 59]; loss of continuity of care and patient trust [38]; disquiet over the standard of care provided [39, 54]; and staff frustration, stress and turnover [38, 41, 42, 44, 45, 48, 49, 51, 54, 57].…”

Section: Resultsmentioning

confidence: 99%

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Working well: a systematic scoping review of the Indigenous primary healthcare workforce development literature

McCalman

Campbell

Jongen

et al. 2019

BMC Health Serv Res

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BackgroundStrong and effective workforce models are essential for improving comprehensive Indigenous primary healthcare service (PHC) provision to Indigenous peoples in Canada, Australia, New Zealand and the USA (CANZUS nations). This review systematically scoped the literature for studies that described or evaluated models and systems that support the sustainability, capacity or growth of the Indigenous PHC workforce to provide effective PHC provision.MethodsEleven databases, 10 websites and clearinghouses, and the reference lists of 5 review articles were searched for relevant studies from CANZUS nations published in English from 2000 to 2017. A process of thematic analysis was utilised to identify key conditions, strategies and outcomes of Indigenous PHC workforce development reported in the literature.ResultsOverall, 28 studies were found. Studies reported enabling conditions for workforce development as government funding and appropriate regulation, support and advocacy by professional organisations; community engagement; PHC leadership, supervision and support; and practitioner Indigeneity, motivation, power equality and wellbeing. Strategies focused on enhancing recruitment and retention; strengthening roles, capacity and teamwork; and improving supervision, mentoring and support. Only 12/28 studies were evaluations, and these studies were generally of weak quality. These studies reported impacts of improved workforce sustainability, workforce capacity, resourcing/growth and healthcare performance improvements.ConclusionsPHCs can strengthen their workforce models by bringing together healthcare providers to consider how these strategies and enabling conditions can be improved to meet the healthcare and health needs of the local community. Improvement is also needed in the quality of evidence relating to particular strategies to guide practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Working well: a systematic scoping review of the Indigenous primary healthcare workforce development literature

McCalman

Campbell

Jongen

et al. 2019

BMC Health Serv Res

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“…For our study, we designed a training plus consultation program to teach e-MH skills to Aboriginal and Torres Strait Islander health and community professionals, drawing on best practice implementation science [ 25 , 34 ]. A previous study had identified the potential value of culturally appropriate consultation or supervision sessions to follow up training for Aboriginal health providers [ 27 ]. However, our study is the first to follow up Aboriginal and Torres Strait Islander health providers over 6 months, and examine the enablers and barriers to e-MH implementation.…”

Section: Discussionmentioning

confidence: 99%

“…A dual consultation model with one Aboriginal and one non-Aboriginal consultant-trainer was developed for our project to provide both e-MH expertise and cultural safety. This was based on a proposal from a recent study of issues affecting supervision and support for the Aboriginal and Torres Strait Islander mental health workforce [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Translating E-Mental Health Into Practice: What Are the Barriers and Enablers to E-Mental Health Implementation by Aboriginal and Torres Strait Islander Health Professionals?

Bennett–Levy¹,

Singer²,

DuBois³

et al. 2017

J Med Internet Res

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BackgroundWith increasing evidence for the effectiveness of e-mental health interventions for enhancing mental health and well-being, a growing challenge is how to translate promising research findings into service delivery contexts. A 2012 e-mental health initiative by the Australian Federal Government (eMHPrac) has sought to address the issue through several strategies, one of which has been to train different health professional workforces in e-mental health (e-MH).ObjectiveThe aim of the study was to report on the barriers and enablers of e-MH uptake in a cohort of predominantly Aboriginal and Torres Strait Islander health professionals (21 Indigenous, 5 non-Indigenous) who occupied mainly support or case management roles within their organizations.MethodsA 3- or 2-day e-MH training program was followed by up to 5 consultation sessions (mean 2.4 sessions) provided by the 2 trainers. The trainer-consultants provided written reports on each of the 30 consultation sessions for 7 consultation groups. They were also interviewed as part of the study. The written reports and interview data were thematically analyzed by 2 members of the research team.ResultsUptake of e-MH among the consultation group was moderate (22%-30% of participants). There were significant organizational barriers to uptake resulting from procedural and administrative problems, demanding workloads, prohibitive policies, and a lack of fit between the organizational culture and the introduction of new technologies. Personal barriers included participant beliefs about the applicability of e-MH to certain populations, and workers’ lack of confidence and skills. However, enthusiastic managers and tech-savvy champions could provide a counter-balance as organizational enablers of e-MH; and the consultation sessions themselves appear to have enhanced skills and confidence, shifted attitudes to new technologies, and seeded a perception that e-MH could be a valuable health education resource.ConclusionsA conclusion from the program was that it was important to match e-MH training and resources to work roles. In the latter stages of the consultation sessions, the Aboriginal and Torres Strait Islander health professionals responded very positively to YouTube video clips and apps with a health education dimension. Therapy-oriented apps and programs may fit less well within the scope of practice of some workforces, including this one. We suggest that researchers broaden their focus and definitions of e-MH and give rather more weight to e-MH’s health education possibilities. Developing criteria for evaluating apps and YouTube videos may empower a rather greater section of health workforce to use e-MH with their clients.

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Supervisor style as a predictor of counseling supervision relationship quality and supervisee satisfaction: perceptions of U.S. and South Korean supervisees

Goodyear

Seo

et al. 2020

Asia Pacific Educ. Rev.

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Aboriginal and Torres Strait Islander Mental Health Practitioners Propose Alternative Clinical Supervision Models

Cited by 6 publications

References 20 publications

Working well: a systematic scoping review of the Indigenous primary healthcare workforce development literature

Working well: a systematic scoping review of the Indigenous primary healthcare workforce development literature

Translating E-Mental Health Into Practice: What Are the Barriers and Enablers to E-Mental Health Implementation by Aboriginal and Torres Strait Islander Health Professionals?

Supervisor style as a predictor of counseling supervision relationship quality and supervisee satisfaction: perceptions of U.S. and South Korean supervisees

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