A community-led design for an Indigenous Model of Mental Health Care for Indigenous people with depressive disorders

Nasir, Bushra Farah and Brennan-Olsen, Sharon and Gill, Neeraj S. and Beccaria, Gavin ORCID: https://orcid.org/0000-0002-4341-804X and Kisley, Steve and Hides, Leanne and Kondalsamy-Chennakesavan, Srinivas and Nicholson, Geoffrey and Toombs, Maree (2021) A community-led design for an Indigenous Model of Mental Health Care for Indigenous people with depressive disorders. Australian and New Zealand Journal of Public Health, 45 (4). pp. 330-337. ISSN 1326-0200

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Abstract

Objective: To generate outcomes for the development of a culturally appropriate mental health treatment model for Indigenous Australians with depression. Methods: Three focus group sessions and two semi-structured interviews were undertaken over six months across regional and rural locations in South West Queensland. Data were transcribed verbatim and coded using manual thematic analyses. Transcripts were thematically analysed and substantiated. Findings were presented back to participants for authenticity and verification. Results: Three focus group discussions (n=24), and two interviews with Elders (n=2) were conducted, from which six themes were generated. The most common themes from the focus groups included Indigenous autonomy, wellbeing and identity. The three most common themes from the Elder interviews included culture retention and connection to Country, cultural spiritual beliefs embedded in the mental health system, and autonomy over funding decisions. Conclusions: A treatment model for depression must include concepts of Indigenous autonomy, identity and wellbeing. Further, treatment approaches need to incorporate Indigenous social and emotional wellbeing concepts alongside clinical treatment approaches. Implications for public health: Any systematic approach to address the social and cultural wellbeing of Indigenous peoples must have a community-led design and delivery.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 - 31 Dec 2021)
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 - 31 Dec 2021)
Date Deposited: 12 Jan 2022 03:48
Last Modified: 14 Jan 2022 01:14
Uncontrolled Keywords: depressive disorders; Indigenous mental health; mental health; social and emotional wellbeing; social determinants
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111714 Mental Health
Fields of Research (2020): 42 HEALTH SCIENCES > 4203 Health services and systems > 420313 Mental health services
Socio-Economic Objectives (2008): C Society > 92 Health > 9203 Indigenous Health > 920399 Indigenous Health not elsewhere classified
Socio-Economic Objectives (2020): 21 INDIGENOUS > 2199 Other Indigenous > 219999 Other Indigenous not elsewhere classified
Funding Details:
Identification Number or DOI: https://doi.org/10.1111/1753-6405.13115
URI: http://eprints.usq.edu.au/id/eprint/45388

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