The Regional Aboriginal Integrated Social and Emotional (RAISE) Wellbeing program commenced in February 2003 as an Aboriginal mental health service partnership between one Aboriginal Health Service and three mainstream services: a community mental health team, a hospital mental health liaison, and an “outback” community counselling service.
A case study method was used to describe the drivers (incentives for program development), linkage processes (structures and activities through which the partnership operated), and sustainability of the program.
Program drivers were longstanding problems with Aboriginal peoples’ access to mental health care, policy direction favouring shared service responsibility, and a relatively small amount of new funding for mental health that allowed the program to commence.
Linkage processes were the important personal relationships between key individuals. Developing the program as a part of routine practice within and across the partner organisations is now needed through formal agreements, common care-management tools, and training.
The program’s sustainability will depend on this development occurring, as well as better collection and use of data to communicate the value of the program and support calls for adequate recurrent funds. The development of care-management tools, training and data systems will require a longer period of start-up funding as well as some external expertise.
- 1. Swan P, Raphael B. Ways forward. National consultancy report on Aboriginal and Torres Strait Islander mental health. Canberra: AGPS, 1995.
- 2. Office for Aboriginal and Torres Strait Islander Health. Social and emotional well being framework: a national strategic framework for Aboriginal and Torres Strait Islander mental health and social and emotional well being (2004-2009). Canberra: Australian Government Department of Health and Ageing, 2004 (draft).
- 3. Northern and Far Western Regional Health Service. Regional Mental Health Plan 2001-2004. Port Augusta, SA: Northern and Far Western Regional Health Service, 2001.
- 4. South Australian Aboriginal Health Partnership, Aboriginal health — everybody's business. Social and emotional wellbeing. A South Australian Strategy for Aboriginal and Torres Strait Islander People 2005-2010. Adelaide: Department of Health, 2005. Available at: https://www.library.health.sa.gov.au/Portals/0/social-and-emotional-wellbeing.pdf (accessed Oct 2005).
- 5. Pika Wiya Health Service. Social and emotional wellbeing. Seminar proceedings; 1999 August 9-10. Pt Augusta, SA: Pika Wiya Health Service, 1999.
- 6. Clark Y, Stewart T. A focussed step toward wellness and wellbeing in Aboriginal health. A state strategy and action plan for social and emotional wellbeing for Aboriginal people. Adelaide: South Australian Aboriginal Health Partnership, 2000.
- 7. Kowanko I, Crespigny C de, Murray H, Groenkjaer M. Better medication management for Aboriginal people with mental disorders and their carers. Bedford Park, SA: Flinders University School of Nursing and Midwifery and Aboriginal Drug and Alcohol Council (SA), 2003.
- 8. Salisbury C. A health service and Aboriginal and Torres Strait Islander partnership to develop and plan mental health services. Aust J Prim Health Interchange 1998; 4: 18-30.
- 9. Shediac-Rizkallah M, Bone L. Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy. Health Educ Res 1998; 13: 87-108.
- 10. Villeneau L, Hill R, Hancock M, Wolf J. Establishing process indicators for joint working in mental health: rationale and results from a national survey. J Interprof Care 2001; 15: 329-340.
- 11. Thompson B, Winner C. Durability of community intervention programs. In: Bracht N, editor. Health promotion at the community level. New advances. 2nd ed. Thousand Oaks, Calif: Sage Publications, 1999: 137-154.
- 12. Cockburn J. Adoption of evidence into practice: can change be sustainable? Med J Aust 2004; 180 (6 Suppl): S66-S67. <MJA full text>
- 13. Mak D, Straton J. Effects and sustainability of a cervical screening program in remote Aboriginal Australia. Aust N Z J Public Health 1997; 21: 67-70.
- 14. Swerissen H, Crisp B. The sustainability of health promotion interventions for different levels of social organization. Health Promot Int 2004; 19:123-130.
- 15. Johnson P, Wistow G, Schulz R, Hardy B. Interagency and interprofessional collaboration in community care: the interdependence of structures and values. J Interprof Care 2003; 17: 69-83.
- 16. Gibb CE, Morrow M, Clarke CL, et al. Transdisciplinary working: evaluating the development of health and social care provision in mental health. J Ment Health 2002; 11: 339-350.
- 17. Norman IJ, Peck E. Working together in adult community mental health services: an interprofessional dialogue. J Ment Health 1999; 8: 217-230.
- 18. Wilkinson D, Blue I, editors. The new rural health. Melbourne: Oxford University Press, 2002.
- 19. Dollard J, Stewart T, Fuller J, Blue I. Aboriginal Health Worker status in South Australia. Aboriginal and Islander Health Worker Journal 2001; 25: 28-30.
- 20. Fuller J. Community expectation of ethnic health workers: implications for best practice. Aust J Prim Health Interchange 1996; 2: 61-73.
- 21. Hoge M, Howenstine R. Organizational development strategies for integrating mental health services. Community Ment Health J 1997; 33: 175-188.
- 22. Mignore B, Boone M. Realizing potential: improving interdisciplinary professional/paraprofessional health care teams in Canada’s northern aboriginal communities through education. J Interprof Care 2002; 16: 139-147.
- 23. Fuller J. Challenging old notions of professionalism: how can nurses work with paraprofessional ethnic health workers? J Adv Nurs 1995; 22: 465-472.
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