‘I think we're getting a bit clinical here’: A qualitative study of professionals' experiences of providing mental healthcare to young people within an Australian rural service

Malatzky, Christina; Bourke, Lisa; Farmer, Jane

doi:10.1111/hsc.13152

Cited by 7 publications

(7 citation statements)

References 46 publications

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“…In addition, young people living in rural communities are afforded access to a mental health service they experience as acceptable – that is, which is available when needed, and addressing issues such as confidentiality and stigma. This acceptable online service is, unfortunately, often to be contrasted with hard to access ‘on-premises’ services that may be inappropriately designed for young people ( 59 ). Based on existing evidence of what contributes to prevention and early intervention, by helping to build resilience, and enable protection and service access, we can say that the ReachOut forum conforms to depictions of a prevention and early intervention service or intervention.…”

Section: Discussionmentioning

confidence: 99%

A qualitative exploration of online forums to support resilience of rural young people in Australia

Carlisle,

Kamstra,

Carlisle

et al. 2024

Front. Public Health

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IntroductionPrevention and early intervention are crucial strategies for improving young people’s mental health and well-being. Building resilience is a key component of these strategies, especially among young individuals in rural areas who face well-documented mental health disparities. This study aimed to investigate how online mental health forums can contribute to enhancing individual resilience in young rural users.MethodsA sample of forum posts (n = 1,000) made by Australian rural users (18–25 years) on an online peer support mental health forum were qualitatively analyzed. The analysis was guided by themes derived from the literature on indicators of rural resilience.ResultsAnalysis of forum posts showed evidence of rural resilience in forum users. Online peer support forums offered a virtual space for individuals to establish social connections, experience a sense of belonging, share information, acquire knowledge, and offer mutual support. There were indications of increased self-efficacy among forum users, as they demonstrated their ability to implement strategies for better managing their mental health.DiscussionThese findings significantly contribute to our understanding of how online forums can enhance resilience factors that are beneficial for young people living in rural communities. In the context of prevention and early intervention, this study illustrates the intricate connections between forum design and user activity with resilience outcomes, providing valuable insights into the underlying causal mechanisms. Consequently, it emphasizes the importance of incorporating such digital interventions as integral components of mental health service ecosystems.

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Section: Discussionmentioning

confidence: 99%

A qualitative exploration of online forums to support resilience of rural young people in Australia

Carlisle,

Kamstra,

Carlisle

et al. 2024

Front. Public Health

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“…The third and fourth authors similarly worked collaboratively to enrich the meanings interpreted from the data. Throughout this process, care was taken to understand and be conscious of the contexts and positionings of participants (see Malatzky et al , 2020a ) and, in the write-up, to be mindful of how participants are (re)presented ( Finlay, 2006 ). Ethics approval was gained from Queensland University of Technology (ethics ID number 3695).…”

Section: Methodsmentioning

confidence: 99%

Exploring the gap between refugee-background communities’ needs and existing community-based physical activity programs in Australia

Hawkins

Malatzky

Wilson

et al. 2023

Health Promotion International

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Summary Physical activity programs run by local government, public health and not-for-profit sectors are a key public health strategy for improving rates of physical activity within local communities. However, these programs are underutilized. This is especially the case among members of refugee-background communities whose participation could have far-ranging and multilevel benefits. To explore how greater engagement among refugee-background communities with these programs could be fostered in Brisbane, Queensland, Australia, a qualitative study was undertaken from the perspectives of both community-based physical activity program providers and agencies involved in delivering services to refugee-background communities. This study involved a series of semi-structured interviews with a purposive sample of personnel from agencies that work with individuals and families from refugee-background communities and organizations that provide low-cost or no-cost physical activity programs and initiatives. Reflexive thematic analysis was used to interpret meaning from these data. Three themes relating to how participation in community-based physical activity programs could be improved among refugee-background communities were identified: improving cultural safety through intersectoral collaboration; confronting constraints imposed by the broader public health policy environment; and building capacity and empowering the community to diversify the sector. The findings highlight the importance of localized, deep-level intersectoral collaborations in bridging the gap between the health and social care needs of refugee-background communities and existing physical activity programs. However, a range of systems-produced barriers to the creation of such collaborations must be addressed to enable local actors to help mitigate and address the systemic exclusion of marginalized populations from participation in broader society.

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“…The highest proportion of studies were conducted in New South Wales (NSW) (n = 13) [31][32][33][34][35][36][37][38][39][40][41][42][43], followed by Australia broadly (n = 12) [33,[44][45][46][47][48][49][50][51][52][53][54], South Australia (SA) (n = 10) [55][56][57][58][59][60][61][62][63][64], Victoria (VIC) (n = 6) [65][66][67][68][69][70], Queensland (QLD) (n = 5) [71][72][73][74][75], Western Australia (WA) (n = 3) [76][77][78], Tasmania (TAS) (n = 2)…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Of the studies that commented on, or specified that they targeted specific subpopulations, four studies discussed care pertinent to Indigenous or Aboriginal and/or Torres Strait Islander Peoples [66][67][68]81]. Four studies discussed mental health services for young people [55,63,73,82]. Three studies specifically included at least a proportion of service users who were under the age of 18 years old [55,61,79].…”

Section: Target Groupsmentioning

confidence: 99%

“…A limited capacity to meet the needs of culturally and linguistically diverse (CALD) and Aboriginal and Torres Strait Islander communities was reported, affecting aspatial access and utilisation of services. This tended to be a result of service users not feeling culturally safe within the service environment, perceptions that health professionals had cultural assumptions about the service user, and inappropriate assessment tools [48,49,58,73,78].…”

Section: Barriers Affecting Service Users Distance To Servicesmentioning

confidence: 99%

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A scoping review of the barriers and facilitators to accessing and utilising mental health services across regional, rural, and remote Australia

Kavanagh,

Corney,

Beks

et al. 2023

BMC Health Serv Res

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Background Inadequate healthcare access and utilisation are implicated in the mental health burden experienced by those living in regional, rural, and remote Australia. Facilitators that better enable access and utilisation are also reported in the literature. To date, a synthesis on both the barriers and facilitators to accessing and utilising mental health services within the rural Australian context has not been undertaken. This scoping review aims to (1) synthesise the barriers and facilitators to accessing and utilising mental health services in regional, rural, and remote Australia, as identified using the Modified Monash Model; and (2) better understand the relationship between barriers and facilitators and their geographical context. Methods A systematic search of Medline Complete, EMBASE, PsycINFO, Scopus, and CINAHL was undertaken to identify peer-reviewed literature. Grey literature was collated from relevant websites. Study characteristics, including barriers and facilitators, and location were extracted. A descriptive synthesis of results was conducted. Results Fifty-three articles were included in this scoping review. Prominent barriers to access and utilisation included: limited resources; system complexity and navigation; attitudinal and social matters; technological limitations; distance to services; insufficient culturally-sensitive practice; and lack of awareness. Facilitators included person-centred and collaborative care; technological facilitation; environment and ease of access; community supports; mental health literacy and culturally-sensitive practice. The variability of the included studies precluded the geographical analysis from being completed. Conclusion Both healthcare providers and service users considered a number of barriers and facilitators to mental health service access and utilisation in the regional, rural, and remote Australian context. Barriers and facilitators should be considered when re-designing services, particularly in light of the findings and recommendations from the Royal Commission into Victoria’s Mental Health System, which may be relevant to other areas of Australia. Additional research generated from rural Australia is needed to better understand the geographical context in which specific barriers and facilitators occur.

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‘I think we're getting a bit clinical here’: A qualitative study of professionals' experiences of providing mental healthcare to young people within an Australian rural service

Abstract: This is the author manuscript accepted for publication and has undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as

Cited by 7 publications

References 46 publications

A qualitative exploration of online forums to support resilience of rural young people in Australia

A qualitative exploration of online forums to support resilience of rural young people in Australia

Exploring the gap between refugee-background communities’ needs and existing community-based physical activity programs in Australia

A scoping review of the barriers and facilitators to accessing and utilising mental health services across regional, rural, and remote Australia

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