Adapting the Australian public mental health performance indicators to the contextual needs of a remote area child and youth mental health service

Santhanam, Radhika, McEwan, Alexandra, Bainbridge, Roxanne, Hunter, Ernest, Haswell-Elkins, Melissa, and Tsey, Komla (2009) Adapting the Australian public mental health performance indicators to the contextual needs of a remote area child and youth mental health service. Australian Indigenous Health Bulletin, 9 (1). pp. 1-12.

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Abstract

Objectives: To describe the adaptation of Key Performance Indicators outlined in the Australian Public Mental Health Service for a Remote Area Child and Youth Mental Health Service operating in Aboriginal and/or Torres Strait Islander settings.

Methods: The project’s third phase utilised an action research framework to adapt performance indicators and involved: identifying a theoretical framework for evaluation; direction from steering and evaluation committees; the conduct and analyses of questionnaire information fro stakeholders; narrative interviews with practitioners and finally a critical examination for the national document. These led to a proposal to modify the Key Performance Indicators for Australian Public Mental Health Services document to suit the contextual needs of a remote service.

Results: Analysis indicated that for the service to be culturally and contextually orientated the model needs to encompass activities beyond the range of clinical intervention - thus the introduction of two concurrent, intersecting dimensions of ‘Community Engagement’ and ‘Therapeutic Care’ under the key domains of service delivery as outlined in the Australian Public Mental Health Service document. These additional dimensions led to an increased match between practice standards (service expectations from people on the ground i.e. communities) and efficacy of the service (expectations from national standards).

Conclusions and Implications: Two additions were made to the Key Performance Indicators for Australian Public Mental Health Services framework to capture the essential elements of service delivery for remote Aboriginal and/or Torres Strait Islander populations.

Item ID: 10829
Item Type: Article (Refereed Research - C1)
Keywords: Australia; Aboriginal and Torres Strait Islander people; remote child and youth mental health service; performance indicators; service development
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ISSN: 1445-7253
Date Deposited: 04 May 2010 03:00
FoR Codes: 13 EDUCATION > 1303 Specialist Studies in Education > 130399 Specialist Studies in Education not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 60%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 20%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 20%
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