A systematic literature review of Aboriginal and Torres Strait Islander engagement with disability services

Trounson, Justin S.; Gibbs, Jordan; Kostrz, Krysia; McDonald, Rachael; Peters, Andrew

doi:10.1080/09687599.2020.1862640

Cited by 12 publications

(17 citation statements)

References 17 publications

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“…Although participants in this study included two managers representing Aboriginal and Torres Strait Islander peoples and people from culturally and linguistically diverse backgrounds, broader consideration by organisations of their attention and approach to support provision for marginalised populations was not explored. However, given the intersectionality of personal, social, and economic needs and historical experiences of barriers to appropriate support (Trounson et al., 2020) this requires dedicated attention in future research. Specifically, research needs to consider how organisations are managing their business objectives with provision of individualised support for marginalised population groups with disability.…”

Section: Discussionmentioning

confidence: 99%

Organisations adapting to dual aspirations of individualisation and collaboration in the National Disability Insurance Scheme (NDIS) market

et al. 2021

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Disability support is often provided at the interface with other human services such as health, education, and employment agencies. This can present many organisational problems for people receiving support and the organisations that provide it. Individualised funding is one attempt to ease problems of fragmentation and unmet needs, but perversely, it introduces further interface complexities as organisations consider how to manage their service provision and financial structures.Drawing on interviews with 28 managers, the focus in this paper is on organisational and interface changes and challenges following the introduction of the National Disability Insurance Scheme (NDIS) in Australia, and the adaptive strategies of organisations to provide individualised and coordinated supports. The three themes derived from the thematic analysis, adopting a commercial mindset, finding a business niche, and working across complex interfaces, epitomise the benefits, constraints, and consequences of new market mechanisms for the delivery of supports, and how organisations are adjusting to a more commercial-orientated sector while also creatively negotiating multiple funding and governance systems.

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Section: Discussionmentioning

confidence: 99%

Organisations adapting to dual aspirations of individualisation and collaboration in the National Disability Insurance Scheme (NDIS) market

et al. 2021

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“…Three reviews acknowledged the importance of considering multiple marginalisation due to the intersectionality between disability and other minority identities (Barr et al., 2018; Lawler et al., 2013; Trounson et al., 2020). Societal marginal groups, such as stemming from cultural or linguistic differences, can further have an impact on health outcomes for disabled people.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to disability‐related barriers, there are both language and cultural barriers to accessing healthcare for Indigenous people (Barr et al., 2018), people in minority ethnic groups (Robertson et al., 2019), and among lesbian, gay, bisexual, transgender, intersex or questioning people with a disability (Wilson et al., 2018). Greater involvement of consumers with a disability, including those in further marginalised groups, in service design and providing cultural competency awareness for healthcare providers (Olaussen & Renzaho, 2016; Trounson et al., 2020) are two potential strategies to reduce service and care inequalities (Beverley et al., 2004; Trounson et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Across the reviews, and regardless of impairment, transportation was commonly identified as a key factor influencing a disabled person's access to health services (Edwards et al., 2020; Gibson & O’Connor, 2010; Lawler et al., 2013; Marrocco & Krouse, 2017; Matin et al., 2021; Trounson et al., 2020) and other recreational facilities (Bodde & Seo, 2009; Martin Ginis et al., 2016; Mulligan et al., 2012; Newitt et al., 2016). Transport accessibility was not just a matter of physical accessibility, but also included the available routes, the reliability of the service and financial cost.…”

Section: Discussionmentioning

confidence: 99%

“…Greater involvement of consumers with a disability, including those in further marginalised groups, in service design and providing cultural competency awareness for healthcare providers (Olaussen & Renzaho, 2016;Trounson et al, 2020) are two potential strategies to reduce service and care inequalities (Beverley et al, 2004;Trounson et al, 2020).…”

Section: Knowledge Training and Attitudes Of Providers Family And Carersmentioning

confidence: 99%

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An overview of systematic reviews to determine the impact of socio‐environmental factors on health outcomes of people with disabilities

Mitchell

Ryder

Matar

et al. 2021

Health Social Care Comm

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People with disabilities are often subject to intersecting layers of social and economic disadvantage and other barriers that drive health inequity. As a result, they frequently experience worse health than people without disabilities, beyond the direct effects of their health condition or impairment. The aim of this overview of systematic reviews was to summarise the evidence on the impact of socio‐environmental factors (i.e. social, physical or attitudinal) on the health outcomes of disabled people. A systematic search of five databases (MEDLINE, PsycINFO, Embase, CINAHL and Scopus) for English‐language articles from January 2000 to April 2021 was conducted. Abstracts were screened by two reviewers and reviews were critically appraised. Key data were extracted by topic, population, disability type, critical appraisal method, socio‐environmental themes and health outcomes. There were 23 systematic reviews identified examining adult (60.9%) or child and young (8.7%) disabled people, with 30.4% not specifying an age range. Reviews examined people with neurological or physical (39.1%), intellectual (17.4%), sensory (8.7%) or a range of (34.8%) disabilities. Three key health outcomes (i.e. access to healthcare, health‐promoting behaviour and care quality) and several recurring socio‐environmental themes related to the health outcomes of disabled people were identified. Disabled people encounter common social, physical and attitudinal factors that hinder their health outcomes in terms of access to services and quality healthcare. Many preventive health services were identified as either inaccessible or not meeting the needs of disabled people. Greater involvement of disabled people in service design and awareness raising is essential.

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Indigenous experiences and underutilisation of disability support services in Australia: a qualitative meta-synthesis

James

Prokopiv

Barbagallo

et al. 2023

Disability and Rehabilitation

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A systematic literature review of Aboriginal and Torres Strait Islander engagement with disability services

Cited by 12 publications

References 17 publications

Organisations adapting to dual aspirations of individualisation and collaboration in the National Disability Insurance Scheme (NDIS) market

Organisations adapting to dual aspirations of individualisation and collaboration in the National Disability Insurance Scheme (NDIS) market

An overview of systematic reviews to determine the impact of socio‐environmental factors on health outcomes of people with disabilities

Indigenous experiences and underutilisation of disability support services in Australia: a qualitative meta-synthesis

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