Evidence map›Paper›PMID 38641869›Full record

ArticleThe Australian and New Zealand journal of psychiatry2024

Walking together in friendship: Learning about cultural safety in mainstream mental health services through Aboriginal Participatory Action Research.

Helen Milroy, Shraddha Kashyap, Jemma Collova, Michael Mitchell, Angela Ryder, Zacharia Cox, Mat Coleman, Michael Taran, Beatriz Cuesta Briand, Graham Gee

Open access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Australian and New Zealand journal of psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Epigenetic Echoes: Bridging Nature, Nurture, and Healing Across Generations.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Article
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

10 authors at 4 institutions in 1 country.

Helen MilroyUWA Medical School, The University of Western Australia, Perth, WA, Australia.
Shraddha KashyapBilya Marlee, School of Indigenous Studies, The University of Western Australia, Perth, WA, Australia.ORCID 0000-0002-1351-8648
Jemma CollovaBilya Marlee, School of Indigenous Studies, The University of Western Australia, Perth, WA, Australia.
Michael MitchellBilya Marlee, School of Indigenous Studies, The University of Western Australia, Perth, WA, Australia.
Angela RyderBilya Marlee, School of Indigenous Studies, The University of Western Australia, Perth, WA, Australia.
Zacharia CoxKimberley Aboriginal Medical Services, Broome, WA, Australia.
Mat ColemanWA Country Health Service, Albany, WA, Australia.ORCID 0000-0001-9488-2777
Michael TaranWA Country Health Service, Albany, WA, Australia.
Beatriz Cuesta BriandWA Country Health Service, Albany, WA, Australia.
Graham GeeMurdoch Children's Research Institute, The Royal Children's Hospital, Parkville, VIC, Australia.
The University of Western Australia · AUWA Country Health Service · AUKimberley Aboriginal Medical Services · AURoyal Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCulturally safe service provision is essential to improving social and emotional wellbeing among Aboriginal and Torres Strait Islander communities, and to eliminating health inequities. Cultural safety is about ensuring that all people have a safe and healing journey through services, regardless of their cultural background. In this project, we aim to (1) understand how Aboriginal and Torres Strait Islander peoples conceptualise cultural safety, and (2) co-design a qualitative interview for the next phase of this project, where we plan to learn about experiences of cultural safety within mental health services.

methodsWe conducted six focus groups (in one metro and two regional areas, Western Australia). Following an Aboriginal Participatory Action Research methodology, we yarned with Aboriginal and Torres Strait Islander mental health service users, carers, community members, mental health professionals and Cultural Healers about cultural safety.

resultsParticipants described a culturally safe service as one where Aboriginal cultural knowledges, life experiences, issues and protocols are understood and acknowledged, and reported that mainstream mental health services are not currently culturally safe. Participants emphasised the importance of building trust, rapport, reciprocity and following appropriate relational processes when designing a qualitative interview for the next phase.

conclusionsA lack of cultural safety in mental health services is likely to contribute to the disparity in outcomes between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians. Embedding cultural safety into research design allows for authentic community engagement and facilitates knowledge sharing around ways to improve cultural safety in mental health services.

Indexed as

Health Services, IndigenousMental Health ServicesAdultAustralian Aboriginal and Torres Strait Islander PeoplesCommunity-Based Participatory ResearchCultural CompetencyCulturally Competent CareFemaleFocus GroupsHealth Services ResearchHumansMaleQualitative ResearchWestern AustraliaAboriginalAboriginal participatory action researchCultural safetyIndigenous knowledgesmental healthsocial and emotional wellbeingTorres Strait Islander

Identifiers

PMID38641869
PMCPMC11128141
OpenAlexW4394978101

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.