Quality of social and emotional wellbeing services for families of young Indigenous children attending primary care centers; A cross sectional analysis

Karen M. Edmond, Kimberley McAuley, Daniel McAullay, Veronica Matthews, Natalie Strobel, Rhonda Marriott, Ross Bailie

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3 Citations (Scopus)

Abstract

Background: The quality of social and emotional wellbeing services for Indigenous families of young children is not known, in many settings especially services provided by primary care centers. Methods: Our primary objective was to assess delivery of social and emotional wellbeing services to the families of young (3-11 months) and older (12-59 months) Indigenous children attending primary care centers. Our secondary objective was to assess if delivery differed by geographic location. Two thousand four hundred sixty-six client files from 109 primary care centers across Australia from 2012 to 2014 were analysed using logistic regression and generalised estimating equations. Results: The proportion of families receiving social and emotional wellbeing services ranged from 10.6% (102) (food security) to 74.7% (1216) (assessment of parent child interaction). Seventy one percent (71%, 126) of families received follow up care. Families of children aged 3-11 months (39.5%, 225) were more likely to receive social and emotional wellbeing services (advice about domestic environment, social support, housing condition, child stimulation) than families of children aged 12-59 months (30.0%, 487) (adjusted odds ratio [aOR] 1.68 95% CI 1.33 to 2.13). Remote area families (32.6%, 622) received similar services to rural (29.4%, 68) and urban families (44.0%, 22) (aOR 0.64 95% CI 0.29, 1.44). Conclusions: The families of young Indigenous children appear to receive priority for social and emotional wellbeing care in Australian primary care centers, however many Indigenous families are not receiving services. Improvement in resourcing and support of social and emotional wellbeing services in primary care centers is needed.

Original languageEnglish
Article number100
JournalBMC Health Services Research
Volume18
Issue number1
DOIs
Publication statusPublished - 9 Feb 2018

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Primary Health Care
Cross-Sectional Studies
Odds Ratio
Geographic Locations
Aftercare
Food Supply
Social Support
Logistic Models

Cite this

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title = "Quality of social and emotional wellbeing services for families of young Indigenous children attending primary care centers; A cross sectional analysis",
abstract = "Background: The quality of social and emotional wellbeing services for Indigenous families of young children is not known, in many settings especially services provided by primary care centers. Methods: Our primary objective was to assess delivery of social and emotional wellbeing services to the families of young (3-11 months) and older (12-59 months) Indigenous children attending primary care centers. Our secondary objective was to assess if delivery differed by geographic location. Two thousand four hundred sixty-six client files from 109 primary care centers across Australia from 2012 to 2014 were analysed using logistic regression and generalised estimating equations. Results: The proportion of families receiving social and emotional wellbeing services ranged from 10.6{\%} (102) (food security) to 74.7{\%} (1216) (assessment of parent child interaction). Seventy one percent (71{\%}, 126) of families received follow up care. Families of children aged 3-11 months (39.5{\%}, 225) were more likely to receive social and emotional wellbeing services (advice about domestic environment, social support, housing condition, child stimulation) than families of children aged 12-59 months (30.0{\%}, 487) (adjusted odds ratio [aOR] 1.68 95{\%} CI 1.33 to 2.13). Remote area families (32.6{\%}, 622) received similar services to rural (29.4{\%}, 68) and urban families (44.0{\%}, 22) (aOR 0.64 95{\%} CI 0.29, 1.44). Conclusions: The families of young Indigenous children appear to receive priority for social and emotional wellbeing care in Australian primary care centers, however many Indigenous families are not receiving services. Improvement in resourcing and support of social and emotional wellbeing services in primary care centers is needed.",
keywords = "Child health services, Child welfare, Health services, Indigenous, Quality improvement",
author = "Edmond, {Karen M.} and Kimberley McAuley and Daniel McAullay and Veronica Matthews and Natalie Strobel and Rhonda Marriott and Ross Bailie",
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T1 - Quality of social and emotional wellbeing services for families of young Indigenous children attending primary care centers; A cross sectional analysis

AU - Edmond, Karen M.

AU - McAuley, Kimberley

AU - McAullay, Daniel

AU - Matthews, Veronica

AU - Strobel, Natalie

AU - Marriott, Rhonda

AU - Bailie, Ross

PY - 2018/2/9

Y1 - 2018/2/9

N2 - Background: The quality of social and emotional wellbeing services for Indigenous families of young children is not known, in many settings especially services provided by primary care centers. Methods: Our primary objective was to assess delivery of social and emotional wellbeing services to the families of young (3-11 months) and older (12-59 months) Indigenous children attending primary care centers. Our secondary objective was to assess if delivery differed by geographic location. Two thousand four hundred sixty-six client files from 109 primary care centers across Australia from 2012 to 2014 were analysed using logistic regression and generalised estimating equations. Results: The proportion of families receiving social and emotional wellbeing services ranged from 10.6% (102) (food security) to 74.7% (1216) (assessment of parent child interaction). Seventy one percent (71%, 126) of families received follow up care. Families of children aged 3-11 months (39.5%, 225) were more likely to receive social and emotional wellbeing services (advice about domestic environment, social support, housing condition, child stimulation) than families of children aged 12-59 months (30.0%, 487) (adjusted odds ratio [aOR] 1.68 95% CI 1.33 to 2.13). Remote area families (32.6%, 622) received similar services to rural (29.4%, 68) and urban families (44.0%, 22) (aOR 0.64 95% CI 0.29, 1.44). Conclusions: The families of young Indigenous children appear to receive priority for social and emotional wellbeing care in Australian primary care centers, however many Indigenous families are not receiving services. Improvement in resourcing and support of social and emotional wellbeing services in primary care centers is needed.

AB - Background: The quality of social and emotional wellbeing services for Indigenous families of young children is not known, in many settings especially services provided by primary care centers. Methods: Our primary objective was to assess delivery of social and emotional wellbeing services to the families of young (3-11 months) and older (12-59 months) Indigenous children attending primary care centers. Our secondary objective was to assess if delivery differed by geographic location. Two thousand four hundred sixty-six client files from 109 primary care centers across Australia from 2012 to 2014 were analysed using logistic regression and generalised estimating equations. Results: The proportion of families receiving social and emotional wellbeing services ranged from 10.6% (102) (food security) to 74.7% (1216) (assessment of parent child interaction). Seventy one percent (71%, 126) of families received follow up care. Families of children aged 3-11 months (39.5%, 225) were more likely to receive social and emotional wellbeing services (advice about domestic environment, social support, housing condition, child stimulation) than families of children aged 12-59 months (30.0%, 487) (adjusted odds ratio [aOR] 1.68 95% CI 1.33 to 2.13). Remote area families (32.6%, 622) received similar services to rural (29.4%, 68) and urban families (44.0%, 22) (aOR 0.64 95% CI 0.29, 1.44). Conclusions: The families of young Indigenous children appear to receive priority for social and emotional wellbeing care in Australian primary care centers, however many Indigenous families are not receiving services. Improvement in resourcing and support of social and emotional wellbeing services in primary care centers is needed.

KW - Child health services

KW - Child welfare

KW - Health services

KW - Indigenous

KW - Quality improvement

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U2 - 10.1186/s12913-018-2883-6

DO - 10.1186/s12913-018-2883-6

M3 - Article

VL - 18

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

M1 - 100

ER -