Evidence map›Paper›PMID 31371286›Full record

ArticleBMJ open2019

Exploring pathways to mental healthcare for urban Aboriginal young people: a qualitative interview study.

Deanna Kalucy, Janice Nixon, Michael Parvizian, Peter Fernando, Simone Sherriff, Jennifer McMellon, Catherine D'Este, Sandra J Eades, Anna Williamson

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Deanna KalucyThe Sax Institute, Sydney, New South Wales, Australia.
Janice NixonThe Sax Institute, Sydney, New South Wales, Australia.
Michael ParvizianDepartment of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-4167-7467
Peter FernandoThe Sax Institute, Sydney, New South Wales, Australia.
Simone SherriffThe Sax Institute, Sydney, New South Wales, Australia.
Jennifer McMellonRiverina Medical and Dental Aboriginal Corporation, Wagga Wagga, New South Wales, Australia.
Catherine D'EsteCollege of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
Sandra J EadesFaculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.
Anna WilliamsonThe Sax Institute, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the perceptions of Aboriginal Community Controlled Health Service (ACCHS) staff involved in providing mental healthcare to Aboriginal young people of the current and ideal pathways to mental healthcare for urban Aboriginal young people attending ACCHSs, and to identify what additional supports staff may need to provide optimal mental healthcare to Aboriginal young people.

designQualitative interview study conducted during May 2016-2017.

settingPrimary care, at two ACCHSs participating in the Study of Environment on Aboriginal Resilience and Child Health in New South Wales.

participantsPurposive sampling of staff involved in mental healthcare pathways of Aboriginal young people, including general practitioners (GPs), nurses and Aboriginal Health Workers (AHWs).

resultsAll individuals approached for interview (n=21) participated in the study. Four overarching themes and seven sub-themes were identified: availability and use of tools in practice (valuing training and desire for tools and established pathways), targeting the ideal care pathway (initiating care and guiding young people through care), influencing the care pathway (adversities affecting access to care and adapting the care pathway) and assessing future need (appraising service availability).

conclusionsParticipants desired screening tools, flexible guidelines and training for healthcare providers to support pathways to mental healthcare for Aboriginal young people. Both GPs and AHWs were considered key in identifying children at risk and putting young people onto a pathway to receive appropriate mental healthcare. AHWs were deemed important in keeping young people on the care pathway, and participants felt care pathways could be improved with the addition of dedicated child and adolescent AHWs. The ACCHSs were highlighted as essential to providing culturally appropriate care for Aboriginal young people experiencing mental health problems, and funding for mental health specialists to be based at the ACCHSs was considered a priority.

Indexed as

Attitude of Health PersonnelHealth Services Needs and DemandAdolescentAdultChildFemaleHealth Services, IndigenousHumansInterviews as TopicMaleMental Health ServicesNew South WalesQualitative ResearchUrban Populationaboriginalprimary care

Identifiers

PMID31371286
PMCPMC6677949

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LicenceCC BY-NC
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Registered trials

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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.