ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2020
Patterns of Mental Health Care in Remote Areas: Kimberley (Australia), Nunavik (Canada), and Lapland (Finland): Modèles de soins de santé mentale dans les régions éloignées: Kimberley (Australie), Nunavik (Canada) et Laponie (Finlande).
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 34 citations in OpenAlex.
- Socio-spatial inequalities in accessibility of Indigenous community-controlled mental health services in South East Queensland, Australia.International journal of health geographics · 2025Article
- Co-designing a place-based social and emotional wellbeing service model with young Aboriginal people in the remote Fitzroy Valley of Western Australia: the Bigiswun Kid project.Australian journal of psychology · 2025Article
- Evaluating Aboriginal and Torres Strait Islander Social and Emotional Wellbeing services: A collective case study in Far North Queensland.The Australian and New Zealand journal of psychiatry · 2024Article
- Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland.Social psychiatry and psychiatric epidemiology · 2024Article
- Patterns of mental health services and mood disorder disability pensions: a standard comparison of Finland's three largest hospital districts.BMC psychiatry · 2023Article
- A qualitative exploration of young people's mental health needs in rural and regional Australia: engagement, empowerment and integration.BMC psychiatry · 2023Article
- 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
- Patterns of mental health care provision in urban areas: A comparative analysis for local policy in the ACT.PloS one · 2023Article
- Patterns of mental healthcare provision in rural areas: A demonstration study in Australia and Europe.Frontiers in psychiatry · 2023Article
- Cohort study comparison of Mental Health and Wellbeing Services delivered by The Royal Flying Doctor Service, across Far North and Central West Queensland.The Lancet regional health. Western Pacific · 2022Article
- Flexible Assertive Community Treatment in Rural and Remote Areas: A Qualitative Study of the Challenges and Adaptations of the Model.Frontiers in public health · 2022Article
- Patterns of Service Provision in Older People's Mental Health Care in Australia.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
11 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMental health (MH) care in remote areas is frequently scarce and fragmented and difficult to compare objectively with other areas even in the same country. This study aimed to analyze the adult MH service provision in 3 remote areas of Organization for Economic Cooperation and Development countries in the world.
methodsWe used an internationally agreed set of systems indicators, terminology, and classification of services (Description and Evaluation of Services and DirectoriEs for Long Term Care). This instrument provided a standard description of MH care provision in the Kimberley region (Australia), Nunavik (Canada), and Lapland (Finland), areas characterized by an extremely low population density and high relative rates of Indigenous peoples.
resultsAll areas showed high rates of deprivation within their national contexts. MH services were mostly provided by the public sector supplemented by nonprofit organizations. This study found a higher provision per inhabitant of community residential care in Nunavik in relation to the other areas; higher provision of community outreach services in the Kimberley; and a lack of day services except in Lapland. Specific cultural-based services for the Indigenous population were identified only in the Kimberley. MH care in Lapland was self-sufficient, and its care pattern was similar to other Finnish areas, while the Kimberley and Nunavik differed from the standard pattern of care in their respective countries and relied partly on services located outside their boundaries for treating severe cases.
conclusionWe found common challenges in these remote areas but a huge diversity in the patterns of MH care. The implementation of care interventions should be locally tailored considering both the environmental characteristics and the existing pattern of service provision.
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