Pilot of Te Tomo mai, a child and adolescent mental health service evaluation tool for an indigenous<i>rangatahi</i>(youth) population

McClintock, Kahu; Tauroa, Roimata; Mellsop, Graham; Frampton, Chris

doi:10.1080/02673843.2013.813861

Cited by 3 publications

(11 citation statements)

References 6 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Table 2 summarizes the characteristics of included studies. The majority of studies were from Australia [ 52 , 53 , 55 , 56 , 59 , 61 – 63 , 69 , 74 , 76 , 78 – 82 , 85 , 87 , 88 ], followed by Canada [ 54 , 57 , 58 , 64 , 66 , 68 , 86 , 89 ], New Zealand [ 60 , 70 – 73 , 75 , 90 , 91 ], and USA [ 24 , 65 , 67 , 77 , 83 , 84 ]. Of the 41 studies, 20 were conducted in or focused on primary health care services [ 52 , 55 , 56 , 59 , 61 , 65 , 66 , 68 – 70 , 72 , 79 – 81 , 83 , 85 , 87 – 90 ], 15 were conducted on mental health [ 53 , 54 , 57 – 60 , 63 , 67 , 73 , 74 , 77 , 80 , 82 , 84 , 85 ], ten on sexual and reproductive health including maternal health [ 55 , 61 , 62 , 66 , …”

Section: Resultsmentioning

confidence: 99%

“…Of the 41 studies, 20 were conducted in or focused on primary health care services [ 52 , 55 , 56 , 59 , 61 , 65 , 66 , 68 – 70 , 72 , 79 – 81 , 83 , 85 , 87 – 90 ], 15 were conducted on mental health [ 53 , 54 , 57 – 60 , 63 , 67 , 73 , 74 , 77 , 80 , 82 , 84 , 85 ], ten on sexual and reproductive health including maternal health [ 55 , 61 , 62 , 66 , 70 , 71 , 79 , 83 , 87 , 91 ], and the remaining studies were on health care access [ 56 , 68 , 72 , 81 ], health and wellbeing [ 24 , 86 ], alcohol and other drugs [ 75 , 76 ], transgender and two-spirit health [ 65 ], asthma [ 64 ], skin infections [ 69 ], physical disability [ 78 ], and health knowledge mobilization [ 89 ]. Most studies reported results from the perspective of adolescents [ 24 , 52 – 56 , 60 – 64 , 66 , 67 , 70 , 71 , 73 , 75 – 79 , 81 – 84 , ...…”

Section: Resultsmentioning

confidence: 99%

“…Of the fifteen studies conducted in or focused on mental health services, adolescents and health care providers and parents/guardians/community members reported more enablers than barriers (Table 4 ). Adolescents reported self-determination and empowerment (Adolescents’ Participation), and their involvement in care and decision making to be important enablers related to adolescents’ participation [ 60 , 67 , 73 , 82 ]. This was also recognized by health care providers and parents/guardians/community members as an enabler [ 67 ].…”

Section: Resultsmentioning

confidence: 99%

“…This was also recognized by health care providers and parents/guardians/community members as an enabler [ 67 ]. Additionally, adolescent, reported several factors associated with Appropriate Package of Services, such as availability of providers and services, and flexible approach to care and pathways [ 60 , 73 , 82 ]; Providers’ Competencies [ 53 , 60 , 82 ]; and Cultural Safety, for example, the provision of traditional healing practices, and the Indigenous workforce and their role in the provision of cultural safe care [ 53 , 60 , 67 , 82 ], as significant enablers to their access and utilization of mental health services. Adolescents reported barriers across seven of the nine standards, except for Data and Quality Improvement, and Adolescents’ Participation.…”

Section: Resultsmentioning

confidence: 99%

“…• Availability of providers and services [ 60 ], including outreach services [ 53 , 67 ], and transport [ 73 ] facilitated access…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Enablers and barriers to primary health care access for Indigenous adolescents: a systematic review and meta-aggregation of studies across Australia, Canada, New Zealand, and USA

Harfield,

Purcell,

Schioldann

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background Indigenous adolescents access primary health care services at lower rates, despite their greater health needs and experience of disadvantage. This systematic review identifies the enablers and barriers to primary health care access for Indigenous adolescents to inform service and policy improvements. Methods We systematically searched databases for publications reporting enablers or barriers to primary health care access for Indigenous adolescents from the perspective of adolescents, their parents and health care providers, and included studies focused on Indigenous adolescents aged 10–24 years from Australia, Canada, New Zealand, and United States of America. Results were analyzed against the WHO Global standards for quality health-care services for adolescents. An additional ninth standard was added which focused on cultural safety. Results A total of 41 studies were included. More barriers were identified than enablers, and against the WHO Global standards most enablers and barriers related to supply factors – providers’ competencies, appropriate package of services, and cultural safety. Providers who built trust, respect, and relationships; appropriate package of service; and culturally safe environments and care were enablers to care reported by adolescents, and health care providers and parents. Embarrassment, shame, or fear; a lack of culturally appropriate services; and privacy and confidentiality were common barriers identified by both adolescent and health care providers and parents. Cultural safety was identified as a key issue among Indigenous adolescents. Enablers and barriers related to cultural safety included culturally appropriate services, culturally safe environment and care, traditional and cultural practices, cultural protocols, Indigenous health care providers, cultural training for health care providers, and colonization, intergenerational trauma, and racism. Nine recommendations were identified which aim to address the enablers and barriers associated with primary health care access for Indigenous adolescents. Conclusion This review provides important evidence to inform how services, organizations and governments can create accessible primary health care services that specifically meet the needs of Indigenous adolescents. We identify nine recommendations for improving the accessibility of primary health care services for Indigenous adolescents.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…• Availability of providers and services [ 60 ], including outreach services [ 53 , 67 ], and transport [ 73 ] facilitated access…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Enablers and barriers to primary health care access for Indigenous adolescents: a systematic review and meta-aggregation of studies across Australia, Canada, New Zealand, and USA

Harfield,

Purcell,

Schioldann

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

‘Why would you give your children to something you don’t trust?’: Rangatahi health and social services and the pursuit of tino rangatiratanga

Latimer

Grice

Hamley

et al. 2021

Kōtuitui: New Zealand Journal of Social Sciences Online

View full text Add to dashboard Cite

The ethics of care and transformational research practices in Aotearoa New Zealand

Brannelly

Boulton

2017

Qualitative Research

View full text Add to dashboard Cite

Democratising methodologies often require research partnerships in practice. Research partnerships between indigenous and non-indigenous partners are commonplace, but there is unsatisfactory guidance available to non-indigene researchers about how to approach the relationship in a way that builds solidarity with the aims of the indigenous community. Worse still, non-indigenous researchers may circumvent indigenous communities to avoid causing offense, in effect silencing those voices. In this article, we argue that the ethics of care provides a framework that can guide ethical research practice, because it attends to the political positioning of the people involved, acknowledges inequalities and aims to address these in solidarity with the community. Drawing on our research partnership in Aotearoa New Zealand, we explain how the ethics of care intertwines with Māori values, creating a synergistic and dialogic approach.

show abstract

Pilot of Te Tomo mai, a child and adolescent mental health service evaluation tool for an indigenousrangatahi(youth) population

Cited by 3 publications

References 6 publications

Enablers and barriers to primary health care access for Indigenous adolescents: a systematic review and meta-aggregation of studies across Australia, Canada, New Zealand, and USA

Enablers and barriers to primary health care access for Indigenous adolescents: a systematic review and meta-aggregation of studies across Australia, Canada, New Zealand, and USA

‘Why would you give your children to something you don’t trust?’: Rangatahi health and social services and the pursuit of tino rangatiratanga

The ethics of care and transformational research practices in Aotearoa New Zealand

Contact Info

Product

Resources

About