ArticleBMJ open2015
Developing a best practice pathway to support improvements in Indigenous Australians' mental health and well-being: a qualitative study.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.
- Measuring Mental Health Service Accessibility for Indigenous Populations: a Systematic Review.Journal of racial and ethnic health disparities · 2025Pooled it
- Tools, frameworks and resources to guide global action on strengthening rural health systems: a mapping review.Health research policy and systems · 2023Pooled it
- The stay strong app as a self-management tool for first nations people with chronic kidney disease: a qualitative study.BMC nephrology · 2022Trial
- Bridging the Gap: A Systematic Review of Primary Health Care Access in Remote Indigenous Communities of Australia.Journal of racial and ethnic health disparities · 2026Review
- Healing and trauma services for Aboriginal and Torres Strait Islander people: a scoping review.Australian journal of psychology · 2026Review
- Socio-spatial inequalities in accessibility of Indigenous community-controlled mental health services in South East Queensland, Australia.International journal of health geographics · 2025Article
- Navigating the cultural adaptation of a US-based online mental health and social support program for use with young Aboriginal and Torres Strait Islander males in the Northern Territory, Australia: Processes, outcomes, and lessons.International journal for equity in health · 2024Article
- A scoping review of the barriers and facilitators to accessing and utilising mental health services across regional, rural, and remote Australia.BMC health services research · 2023Article
- Mental illness stigma among indigenous communities in Bangladesh: a cross-sectional study.BMC psychology · 2023Article
- Aboriginal Young People's Experiences of Accessibility in Mental Health Services in Two Regions of New South Wales, Australia.International journal of environmental research and public health · 2023Article
- The Availability, Appropriateness, and Integration of Services to Promote Indigenous Australian Youth Wellbeing and Mental Health: Indigenous Youth and Service Provider Perspectives.International journal of environmental research and public health · 2022Article
- Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort.International journal of environmental research and public health · 2022Article
- Exploring Mental Health Presentations in Remote Aboriginal Community Controlled Health Services in the Kimberley Region of Western Australia Using an Audit and File Reviews.International journal of environmental research and public health · 2022Article
- Involvement of Indigenous young people in the design and evaluation of digital mental health interventions: a scoping review protocol.Systematic reviews · 2021Article
- Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis.Journal of medical Internet research · 2021Article
- Systems integration to promote the mental health of Aboriginal and Torres Strait Islander children: protocol for a community-driven continuous quality improvement approach.BMC public health · 2020Article
- A scoping review about social and emotional wellbeing programs and services targeting Aboriginal and Torres Strait Islander young people in Australia: understanding the principles guiding promising practice.BMC public health · 2020Article
- Developing best practice guidelines for the psychosocial assessment of Aboriginal and Torres Strait Islander people presenting to hospital with self-harm and suicidal thoughts.The Australian and New Zealand journal of psychiatry · 2020Article
- Well-being and mental health interventions for Indigenous people in prison: systematic review.BJPsych open · 2019Article
- Prevalence of psychological distress, depression and suicidal ideation in an indigenous population in Panamá.Social psychiatry and psychiatric epidemiology · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThere 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.
designA participatory action research framework was used to inform the development of an agreed early intervention pathway; thematic analysis
setting2 remote communities in the Northern Territory.
participantsUsing 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.
resultsThe 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 reported. Significant barriers to the detection and treatment of those at risk of depression were identified, including insufficient resources, negative attitudes and stigma, and limited awareness of support options.
conclusionsSuccessful early intervention for well-being concerns requires improved understanding of Indigenous well-being perspectives and a systematic change in service delivery that promotes integration, flexibility and collaboration between services and the community, and recognises the importance of social determinants in health promotion and the healing process. Such changes require policy support, targeted training and education, and ongoing promotion.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.