Best practice in early psychosis intervention for Australian indigenous communities: Indigenous worker consultation and service model description

Catts, Stanley, O'Toole, Brian, Neil, Amanda, Harris, Meredith, Frost, Aaron, Eadie, Kathy, Evans, Russell, Crissman, Belinda, McClay, Jennifer and Shorey, Travis (2013) Best practice in early psychosis intervention for Australian indigenous communities: Indigenous worker consultation and service model description. Australasian Psychiatry, 21 3: 249-253. doi:10.1177/1039856213480532


Author Catts, Stanley
O'Toole, Brian
Neil, Amanda
Harris, Meredith
Frost, Aaron
Eadie, Kathy
Evans, Russell
Crissman, Belinda
McClay, Jennifer
Shorey, Travis
Title Best practice in early psychosis intervention for Australian indigenous communities: Indigenous worker consultation and service model description
Journal name Australasian Psychiatry   Check publisher's open access policy
ISSN 1039-8562
1440-1665
Publication date 2013-06
Year available 2013
Sub-type Article (original research)
DOI 10.1177/1039856213480532
Volume 21
Issue 3
Start page 249
End page 253
Total pages 5
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2014
Language eng
Formatted abstract
Objective: The aim of this study was to identify promising elements of best practice relevant to mainstream mental health service (MHS) delivery of early psychosis intervention (EPI) to Indigenous communities. In a companion paper, a comprehensive literature review identified a promising service model with potential for delivering EPI: an Indigenous sub-team embedded within a mainstream health service.

Method: This paper describes a consultation process with Indigenous Mental Health Workers (IMHWs) in south eastern Queensland. A case study of the Sunshine Coast Cultural Healing Program (CHP-SC) was carried out during the consultation process.

Results: IMHWs agreed that the Australian clinical guidelines for early psychosis were relevant to improving outcomes for Indigenous patients. IMHWs unanimously identified the CHP-SC as a best practice mainstream MHS for delivering EPI. The CHP-SC, which represented an Indigenous sub-team model, was found to be associated with substantially improved engagement of Indigenous young people.

Conclusions: We provisionally conclude that specialist EPI could be delivered by specialist Indigenous sub-teams (rather than specialist EPI teams) embedded in mainstream MHSs that incorporate culturally safe practice and are fully integrated with Indigenous primary care services, and recommend that the model be formally evaluated.

Keyword Aboriginal
Health services research
Mental health
Schizophrenia
Service model evaluation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 2 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 04 Jun 2013, 15:21:27 EST by Sheila Cleary on behalf of Psychiatry - Royal Brisbane and Women's Hospital