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Exploring Mental Health Presentations in Remote Aboriginal Community Controlled Health Services in the Kimberley Region of Western Australia Using an Audit and File Reviews

Author

Listed:
  • Emma Carlin

    (Kimberley Aboriginal Medical Services, Broome, WA 6725, Australia
    The Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA 6725, Australia)

  • Zaccariah Cox

    (Kimberley Aboriginal Medical Services, Broome, WA 6725, Australia)

  • Kristen Orazi

    (The Rural Clinical School of Western Australia, The University of Western Australia, Broome, WA 6725, Australia)

  • Kate L. Derry

    (School of Indigenous Studies, University of Western Australia, Perth, WA 6009, Australia)

  • Pat Dudgeon

    (School of Indigenous Studies, University of Western Australia, Perth, WA 6009, Australia)

Abstract

The study aims to explore the role of mental health care in remote Aboriginal health services in the Kimberley region of Western Australia and provide a more nuanced understanding of the patients presenting for care, their needs, and the clinical response. Little is currently known about primary health care presentations for mental health, suicide, and self-harm for remote dwelling Aboriginal residents of the Kimberley region, despite high rates of psychological distress, self-harm, and suicide across the area. This study was progressed through a retrospective, cross-sectional audit of the electronic medical records system used by three remote clinics to explore the interactions recorded by the clinics about a patient’s mental health. In addition, an in-depth file review was conducted on a stratified purposive sample of 30 patients identified through the audit. Mental ill-health and psychological distress were found to be prominent within clinical presentations. Psychosocial factors were frequently identified in relation to a patient’s mental health presentation. Optimizing patients’ recovery and wellness through service improvements, including an enhanced mental health model of care, is an important next step.

Suggested Citation

  • Emma Carlin & Zaccariah Cox & Kristen Orazi & Kate L. Derry & Pat Dudgeon, 2022. "Exploring Mental Health Presentations in Remote Aboriginal Community Controlled Health Services in the Kimberley Region of Western Australia Using an Audit and File Reviews," IJERPH, MDPI, vol. 19(3), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1743-:d:741436
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    References listed on IDEAS

    as
    1. Joanne M. Dickson & Kate Cruise & Clare A. McCall & Peter J. Taylor, 2019. "A Systematic Review of the Antecedents and Prevalence of Suicide, Self-Harm and Suicide Ideation in Australian Aboriginal and Torres Strait Islander Youth," IJERPH, MDPI, vol. 16(17), pages 1-26, August.
    2. Emma Carlin & David Atkinson & Julia V Marley, 2019. "‘Having a Quiet Word’: Yarning with Aboriginal Women in the Pilbara Region of Western Australia about Mental Health and Mental Health Screening during the Perinatal Period," IJERPH, MDPI, vol. 16(21), pages 1-11, November.
    Full references (including those not matched with items on IDEAS)

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