TY - JOUR
T1 - A community-led design for an Indigenous Model of Mental Health Care for Indigenous people with depressive disorders
AU - Farah Nasir, Bushra
AU - Brennan-Olsen, Sharon
AU - Gill, Neeraj S.
AU - Beccaria, Gavin
AU - Kisely, Steve
AU - Hides, Leanne
AU - Kondalsamy-Chennakesavan, Srinivas
AU - Nicholson, Geoffrey
AU - Toombs, Maree
N1 - Funding Information:
This study was funded by the National Health and Medical Research Council (NHMRC) of Australia, Global Alliance for Chronic Disease Grant APP1144765. The funders had no role in the study design, data collection, data analysis and interpretation of the data, writing of the manuscript or the decision to submit this manuscript
Publisher Copyright:
© 2021 The Authors
PY - 2021/8
Y1 - 2021/8
N2 - Objective: To generate outcomes for the development of a culturally appropriate mental health treatment model for Indigenous Australians with depression. Methods: Three focus group sessions and two semi-structured interviews were undertaken over six months across regional and rural locations in South West Queensland. Data were transcribed verbatim and coded using manual thematic analyses. Transcripts were thematically analysed and substantiated. Findings were presented back to participants for authenticity and verification. Results: Three focus group discussions (n=24), and two interviews with Elders (n=2) were conducted, from which six themes were generated. The most common themes from the focus groups included Indigenous autonomy, wellbeing and identity. The three most common themes from the Elder interviews included culture retention and connection to Country, cultural spiritual beliefs embedded in the mental health system, and autonomy over funding decisions. Conclusions: A treatment model for depression must include concepts of Indigenous autonomy, identity and wellbeing. Further, treatment approaches need to incorporate Indigenous social and emotional wellbeing concepts alongside clinical treatment approaches. Implications for public health: Any systematic approach to address the social and cultural wellbeing of Indigenous peoples must have a community-led design and delivery.
AB - Objective: To generate outcomes for the development of a culturally appropriate mental health treatment model for Indigenous Australians with depression. Methods: Three focus group sessions and two semi-structured interviews were undertaken over six months across regional and rural locations in South West Queensland. Data were transcribed verbatim and coded using manual thematic analyses. Transcripts were thematically analysed and substantiated. Findings were presented back to participants for authenticity and verification. Results: Three focus group discussions (n=24), and two interviews with Elders (n=2) were conducted, from which six themes were generated. The most common themes from the focus groups included Indigenous autonomy, wellbeing and identity. The three most common themes from the Elder interviews included culture retention and connection to Country, cultural spiritual beliefs embedded in the mental health system, and autonomy over funding decisions. Conclusions: A treatment model for depression must include concepts of Indigenous autonomy, identity and wellbeing. Further, treatment approaches need to incorporate Indigenous social and emotional wellbeing concepts alongside clinical treatment approaches. Implications for public health: Any systematic approach to address the social and cultural wellbeing of Indigenous peoples must have a community-led design and delivery.
KW - depressive disorders
KW - Indigenous mental health
KW - mental health
KW - social and emotional wellbeing
KW - social determinants
UR - http://www.scopus.com/inward/record.url?scp=85107363706&partnerID=8YFLogxK
U2 - 10.1111/1753-6405.13115
DO - 10.1111/1753-6405.13115
M3 - Article
C2 - 34097328
AN - SCOPUS:85107363706
SN - 1326-0200
VL - 45
SP - 330
EP - 337
JO - Australian and New Zealand Journal of Public Health
JF - Australian and New Zealand Journal of Public Health
IS - 4
ER -