Providing culturally informed mental health services to Aboriginal youth: The YouthLink model in Western Australia

Daniela Sabbioni · Steven Feehan · Craig Nicholls · Wei Soong · Daniela Rigoli · Denise Follett +5 more

29 citations0/0 files storedEarly Intervention in Psychiatry

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Indigenous Health, Education, and Rights Mental Health Treatment and Access Cultural Competency in Health Care

Abstract

AIM: Aboriginal young people are more likely to experience mental health issues and to access mental health services than other young Australians, yet there are few culturally informed mental health programs and services available. This study describes and documents the effectiveness of the culturally sensitive model within YouthLink, a state-wide mental health service program in Western Australia for young people aged 13 to 24 years of age. METHODS: A mixed-method design including a descriptive approach reporting on the YouthLink framework and an empirical research design where 40 Aboriginal clients completed client feedback monitoring measures between 2014 and 2016. RESULTS: The YouthLink culturally informed conceptual framework adheres to best practice principles relevant to work with Indigenous people, family and communities. Aboriginal young people indicated improvement across the treatment period as shown by within-group differences between the first and last session scores on feedback measures. Therapeutic alliance (together with lower baseline acuity and female gender) also contributed significantly to positive treatment outcomes. CONCLUSIONS: Through a strong role of Aboriginal practitioners, relationships with Aboriginal communities, and greater service flexibility that embraces cultural meaning and knowledge, YouthLink has sought to enhance its response to the needs of Aboriginal youth.

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References

2009Indigenous health part 2: the underlying causes of the health gap 1998Health of the Nation Outcome Scales (HoNOS)2014Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice 2008Child and adolescent mental disorders: the magnitude of the problem across the globe 2010Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system.2008Burden of disease and injury in Aboriginal and Torres Strait Islander Peoples: the Indigenous health gap 1996Evaluation of psychotherapy: Efficacy, effectiveness, and patient progress.2011Effects of Routine Feedback to Clinicians on Mental Health Outcomes of Youths: Results of a Randomized Trial

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