TY - JOUR PY - 2022// TI - Exploring Mental Health Presentations in Remote Aboriginal Community Controlled Health Services in the Kimberley Region of Western Australia Using an Audit and File Reviews JO - International journal of environmental research and public health A1 - Carlin, Emma A1 - Cox, Zaccariah A1 - Orazi, Kristen A1 - Derry, Kate L. A1 - Dudgeon, Pat SP - e1743 EP - e1743 VL - 19 IS - 3 N2 - The study aims to explore the role of mental health care in remote Aboriginal health services in the Kimberley region of Western Australia and provide a more nuanced understanding of the patients presenting for care, their needs, and the clinical response. Little is currently known about primary health care presentations for mental health, suicide, and self-harm for remote dwelling Aboriginal residents of the Kimberley region, despite high rates of psychological distress, self-harm, and suicide across the area. This study was progressed through a retrospective, cross-sectional audit of the electronic medical records system used by three remote clinics to explore the interactions recorded by the clinics about a patient's mental health. In addition, an in-depth file review was conducted on a stratified purposive sample of 30 patients identified through the audit. Mental ill-health and psychological distress were found to be prominent within clinical presentations. Psychosocial factors were frequently identified in relation to a patient's mental health presentation. Optimizing patients' recovery and wellness through service improvements, including an enhanced mental health model of care, is an important next step.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph19031743 ID - ref1 ER -