"‘It’s quite a complex trail for families now’ - Provider understanding of access to services for Aboriginal children with a disability"

Green, A; Abbott, P; Luckett, T; Davidson, P; Delaney, J; Delaney, P; Gunasekera, H; DiGiacomo, M

"‘It’s quite a complex trail for families now’ - Provider understanding of access to services for Aboriginal children with a disability"

Green, A

Abbott, P Luckett, T

Davidson, P

Delaney, J Delaney, P Gunasekera, H DiGiacomo, M

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Publisher:: SAGE Publications
Publication Type:: Journal Article
Citation:: Journal of Child Health Care, 2020, pp. 1367493520919305
Issue Date:: 2020

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Field	Value	Language
dc.contributor.author	Green, A https://orcid.org/0000-0002-7541-3665
dc.contributor.author	Abbott, P
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409
dc.contributor.author	Davidson, P https://orcid.org/0000-0003-2050-1534
dc.contributor.author	Delaney, J
dc.contributor.author	Delaney, P
dc.contributor.author	Gunasekera, H
dc.contributor.author	DiGiacomo, M https://orcid.org/0000-0001-5484-8224
dc.date.accessioned	2021-01-20T06:37:45Z
dc.date.available	2019-10-23
dc.date.available	2021-01-20T06:37:45Z
dc.date.issued	2020
dc.identifier.citation	Journal of Child Health Care, 2020, pp. 1367493520919305
dc.identifier.issn	1367-4935
dc.identifier.issn	1741-2889
dc.identifier.uri	http://hdl.handle.net/10453/145504
dc.description.abstract	Aboriginal and Torres Strait Islander children experience a higher prevalence of disability and socio-economic disadvantage than other Australian children. Early intervention from across the health, education and social service sectors is vital for improving outcomes, but families face a number of barriers to service access which impede intervention. This study aimed to inform ways to improve access to services for families of urban-dwelling Aboriginal children with a range of disabilities. A qualitative approach was taken to explore providers' perceptions of factors that either impeded or enabled families' access to services. In this research, the term 'provider' refers to individuals who are employed in a range of sectors to deliver a service involving assessment or management of an individual with a disability. Semi-structured in-depth interviews with 24 providers were conducted. Data analysis was informed by the general inductive approach and then applied deductively to the candidacy framework to generate additional insights. Candidacy focuses on how potential users access the services they need and acknowledges the joint negotiation between families and providers regarding such access. Our research identified that candidacy was influenced by the historical legacy of colonisation and its ongoing socio-cultural impact on Aboriginal people, as well as funding and current policy directives. Enacting culturally sensitive and meaningful engagement to better understand families' needs and preferences for support, as well as support for providers to develop their understanding of family contexts, will contribute to facilitating service access for Aboriginal children with a disability.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE Publications
dc.relation	http://purl.org/au-research/grants/arc/LP120200484
dc.relation.ispartof	Journal of Child Health Care
dc.relation.isbasedon	10.1177/1367493520919305
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	Journal of Child Health Care, 2020, pp. 1367493520919305. Copyright © 2020 SAGE Publications. DOI: https://dx.doi.org/10.1177/1367493520919305	en_US
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.title	"‘It’s quite a complex trail for families now’ - Provider understanding of access to services for Aboriginal children with a disability"
dc.type	Journal Article
utslib.location.activity	Australia
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Research Centres
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2021-01-20T06:37:17Z
pubs.publication-status	Accepted

Abstract:

Aboriginal and Torres Strait Islander children experience a higher prevalence of disability and socio-economic disadvantage than other Australian children. Early intervention from across the health, education and social service sectors is vital for improving outcomes, but families face a number of barriers to service access which impede intervention. This study aimed to inform ways to improve access to services for families of urban-dwelling Aboriginal children with a range of disabilities. A qualitative approach was taken to explore providers' perceptions of factors that either impeded or enabled families' access to services. In this research, the term 'provider' refers to individuals who are employed in a range of sectors to deliver a service involving assessment or management of an individual with a disability. Semi-structured in-depth interviews with 24 providers were conducted. Data analysis was informed by the general inductive approach and then applied deductively to the candidacy framework to generate additional insights. Candidacy focuses on how potential users access the services they need and acknowledges the joint negotiation between families and providers regarding such access. Our research identified that candidacy was influenced by the historical legacy of colonisation and its ongoing socio-cultural impact on Aboriginal people, as well as funding and current policy directives. Enacting culturally sensitive and meaningful engagement to better understand families' needs and preferences for support, as well as support for providers to develop their understanding of family contexts, will contribute to facilitating service access for Aboriginal children with a disability.

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http://hdl.handle.net/10453/145504