Psychological services in five South-West Queensland communities: supply and demand

Article


Buikstra, E., Fallon, A. B. and Eley, R.. 2007. "Psychological services in five South-West Queensland communities: supply and demand." Rural and Remote Health. 7 (1), pp. 1-11.
Article Title

Psychological services in five South-West Queensland communities: supply and demand

ERA Journal ID13681
Article CategoryArticle
AuthorsBuikstra, E. (Author), Fallon, A. B. (Author) and Eley, R. (Author)
Journal TitleRural and Remote Health
Journal Citation7 (1), pp. 1-11
Number of Pages11
Year2007
PublisherJames Cook University
Place of PublicationCanberra, Australia
ISSN1445-6354
Web Address (URL)http://www.rrh.org.au/home/defaultnew.asp
Abstract

Introduction:
This research gathered information in 2004 about psychological services provided to five rural communities located in South-West Queensland, Australia. Specifically, the aims of the project were to:
• Undertake an audit of existing psychological services;
• Determine the need for psychological services as perceived by providers of current services.

Methodology:
Potential providers of psychological services were contacted to confirm the nature and extent of their provision of psychological support to target communities. Thirty organisations met the definition of service providers offering assessment or intervention by qualified and/or experienced persons. Data were collected by semi-structured telephone interviews with 44 employees of the service providers.

Results:
The one main publicly-funded provider of services to the region offered limited services to the communities. Although some counselling was provided by social workers attached to the allied health programme, for patients to be supported by the mental health sector of this service, they must have had moderate to severe mental illness. Regular, reliable and accessible psychological support for other conditions was limited largely to services provided by non-government organisations (NGO) who are often constrained by continuity of funds.
Counselling for alcohol and drug misuse, women’s issues, sexual abuse, and crisis support were the most commonly identified unmet needs across target communities.
Difficulties in attracting experienced personnel to work in rural communities were reported. This was exacerbated by lack of job security brought about by short term funding to the NGOs. In general unqualified counsellors were recognised as providing valuable services.

Conclusions:
There are limited psychological support services provided to these South-West Queensland communities. For available services, there are strict criteria for entry, limited accessibility and availability or lack of continuity owing to short term funding. There are a number of unmet psychological needs, with abuse being the most widely identified. Any withdrawal of existing psychological services is perceived by current providers of service as being potentially devastating.

Keywordspsychological services; counselling; mental health; rural communities
ANZSRC Field of Research 2020441003. Rural sociology
420305. Health and community services
420313. Mental health services
Byline AffiliationsCentre for Rural and Remote Area Health
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Hegney, D. G., Buikstra, E., Baker, P., Rogers-Clark, C., Pearce, S., Ross, H., King, C. and Watson-Luke, A.. 2007. "Individual resilience in rural people: a Queensland study, Australia." Rural and Remote Health. 7 (4), pp. 1-13.
Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city
Fallon, Tony, Buikstra, Elizabeth, Cameron, Michelle, Hegney, Desley, Mackenzie, Debra, March, Judith, Moloney, Clint and Pitt, Jacinta. 2006. "Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city." International Journal of Evidence-Based Healthcare. 4 (3), pp. 162-179. https://doi.org/10.1111/j.1479-6988.2006.00040.x
A study of council community directories and their use for information about local health services
Eley, Robert, Hossain, Delwar and Khatri, Yunus. 2007. A study of council community directories and their use for information about local health services. Toowoomba, Australia. University of Southern Queensland.
Evaluation of the role of the breast care nurse at Toowoomba Base Hospital
Eley, Robert, Rogers-Clark, Cath and Knight, Christine. 2007. Evaluation of the role of the breast care nurse at Toowoomba Base Hospital . Toowoomba, Australia. University of Southern Queensland.
Didgeridoo playing and singing to support asthma management in aboriginal Australians
Eley, Robert and Gorman, Don. 2010. "Didgeridoo playing and singing to support asthma management in aboriginal Australians." Journal of Rural Health. 26 (1), pp. 100-104. https://doi.org/10.1111/j.1748-0361.2009.00257.x
Nurses worth listening to
Hegney, Desley, Plank, Ashley, Buikstra, Elizabeth, Parker, Victoria and Eley, Robert. 2005. Nurses worth listening to. Tooowoomba, Australia. University of Southern Queensland.
Nurses and information technology
Hegney, Desley, Buikstra, Elizabeth, Eley, Robert, Fallon, Anthony Bruce, Gilmore, Victoria and Soar, Jeffrey. 2007. Nurses and information technology. Canberra, Australia. Commonwealth of Australia.
Music therapy to manage asthma
Eley, Robert and Gorman, Don. 2008. "Music therapy to manage asthma." Aboriginal and Islander Health Worker Journal. 32 (1), pp. 9-10.
Council community directories as a source of information about local health services in rural Australia
Eley, Rob and Hossain, Delwar. 2010. "Council community directories as a source of information about local health services in rural Australia." Journal of Community Informatics. 6 (2), pp. 1-11.
Barriers to use of information and computer technology by Australia's nurses: a national survey
Eley, Robert, Fallon, Anthony Bruce, Soar, Jeffrey, Buikstra, Elizabeth and Hegney, Desley. 2009. "Barriers to use of information and computer technology by Australia's nurses: a national survey." Journal of Clinical Nursing. 18 (8), pp. 1151-1158. https://doi.org/10.1111/j.1365-2702.2008.02336.x
The status of training and education in information and computer technology of Australia's nurses: a national survey
Eley, Robert, Fallon, Tony, Soar, Jeffrey, Buikstra, Elizabeth and Hegney, Desley. 2008. "The status of training and education in information and computer technology of Australia's nurses: a national survey." Journal of Clinical Nursing. 17 (20), pp. 2758-2767. https://doi.org/10.1111/j.1365-2702.2008.02285.x
Findings from the HEI 'flip' project: application issues
Simpson, Will, Evans, Deborah, Eley, Robert and Stiles, Mark. 2003. "Findings from the HEI 'flip' project: application issues." International Journal of Continuing Engineering Education. 13 (5/6), pp. 471-482. https://doi.org/10.1504/IJCEELL.2003.004005
Informing rural and remote students about careers in health: factors influencing career decisions
Buikstra, Elizabeth, Eley, Robert M. and Hindmarsh, Natalie. 2007. "Informing rural and remote students about careers in health: factors influencing career decisions." Australian Journal of Rural Health. 15 (5), pp. 289-295. https://doi.org/10.1111/j.1440-1584.2007.00899.x
The ILRI Graduate Fellows Programme: a case study of impact (1978-1997)
Eley, Robert, Ibrahim, Habid, Hambly, Helen, Demeke, Mulat and Smalley, Michael. 2003. "The ILRI Graduate Fellows Programme: a case study of impact (1978-1997)." Education + Training. 45 (3), pp. 162-174. https://doi.org/10.1108/00400910310471028
Analysis of breast feeding data using data mining methods
He, Hongxing, Jin, Huidong, Chen, Jie, McAullay, Damien, Li, Jiuyong and Fallon, Tony. 2006. "Analysis of breast feeding data using data mining methods." Christen, Peter, Kennedy, Paul J., Li, Jiuyong, Simoff, Simeon J. and Williams, Graham J. (ed.) 5th Australasian Conference on Data Mining and Analystics (AusDM 2006). Sydney, Australia 29 - 30 Nov 2006 Sydney, Australia.
Rural and remote health research: key issues for health providers in Southern Queensland
Eley, Robert and Baker, Peter. 2007. "Rural and remote health research: key issues for health providers in Southern Queensland." Australian Journal of Rural Health. 15 (6), pp. 368-372.
Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care
Fallon, Anthony Bruce, Price, Kay, Hegney, Desley, Abbey, Jennifer, Neville, Christine C., Oxlade, Deborah and Soar, Jeffrey. 2004. "Aged care in the future and baby boomers: shall the twain ever meet? - baby boomers and aged care." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
Desire of industry, products from academia - ships that pass in the night?
Eley, Robert, Williamson, Sarah and Lamb, Fiona. 2002. "Desire of industry, products from academia - ships that pass in the night? " 2002 Americal Society for Engineering Education Annual Conference & Exposition (ASEE 2002). Montreal, Canada 16 - 19 Jun 2002 Washington, DC.
What problems? No problems! Disabled people studying or working within an engineering-based environment
Hopkins, Christopher and Eley, Robert. 2001. "What problems? No problems! Disabled people studying or working within an engineering-based environment." Cutler, Gavin and Pulko, Susan (ed.) Progress 1. Student Progression and Retention in Engineering (2001). Hull, United Kingdom 18 - 20 Oct 2001 Hull, UK.
Supporting semi-remote web-based learners using a peer-to-peer collaborative tool
Evans, Debbie, Simpson, Will, Low, Ian and Eley, Robert. 2002. "Supporting semi-remote web-based learners using a peer-to-peer collaborative tool." New Pattern of Learning in Higher Education (2002). London 20 - 21 Jun 2002 London, United Kingdom.
An evaluation of bereavement support in Toowoomba
Eley, Robert. 2005. An evaluation of bereavement support in Toowoomba. Toowoomba, Australia. University of Southern Queensland.
Evaluation of the health careers in the Bush Health Careers Workshops 1994 - 2002
Hegney, Desley, Eley, Robert and Buikstra, Elizabeth. 2005. Evaluation of the health careers in the Bush Health Careers Workshops 1994 - 2002. Toowoomba, Australia. University of Southern Queensland.
Against all odds: a retrospective study of women who succeeded at breastfeeding despite extraordinary difficulties
Hegney, Desley, Fallon, Tony, Crepinsek, Maree, O'Brien, Maxine and Doolan, Jackie. 2005. Against all odds: a retrospective study of women who succeeded at breastfeeding despite extraordinary difficulties. Toowoomba, Australia. University of Southern Queensland.
The Toowoomba infant feeding support service project: Report on phase 1 - a longitudinal needs analysis of breastfeeding behaviours and supports in the Toowoomba region
Fallon, Anthony Bruce, O'Brien, Maxine, Plank, Ashley, Doolan, Jackie, Brodribb, Wendy, Hennessy, Jane, Laurent, Kathy and Baker, Sandra F.. 2003. The Toowoomba infant feeding support service project: Report on phase 1 - a longitudinal needs analysis of breastfeeding behaviours and supports in the Toowoomba region. Toowoomba, Australia. University of Southern Queensland.
Aged care nursing in Queensland - the nurses' view
Eley, Robert, Hegney, Desley, Buikstra, Elizabeth, Fallon, Anthony Bruce, Plank, Ashley and Parker, Victoria. 2007. "Aged care nursing in Queensland - the nurses' view ." Journal of Clinical Nursing. 16 (5), pp. 860-872. https://doi.org/10.1111/j.1365-2702.2006.01696.x
Key issues in rural health: perspectives of health service providers in Queensland
Eley, Robert, Fallon, Anthony Bruce, Gorman, Don, Fahey, Paul P., Rogers-Clark, Cath and Hegney, Desley. 2006. Key issues in rural health: perspectives of health service providers in Queensland. Toowoomba, Australia. University of Southern Queensland.
Workplace violence in Queensland, Australia: the results of a comparative study
Hegney, Desley, Eley, Robert, Plank, Ashley, Buikstra, Elizabeth and Parker, Victoria. 2006. "Workplace violence in Queensland, Australia: the results of a comparative study." International Journal of Nursing Practice. 12 (4), pp. 220-231. https://doi.org/10.1111/j.1440-172X.2006.00571.x
Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004
Eley, Robert, Hegney, Desley, Buikstra, Elizabeth, Plank, Ashley and Parker, Victoria. 2007. "Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004 ." Journal of Nursing Management. 15 (3), pp. 285-293.
Informing rural and remote high school students about careers in health: the effect of Health Careers Workshops on course selection
Eley, Robert, Hindmarsh, Natalie and Buikstra, Elizabeth. 2007. "Informing rural and remote high school students about careers in health: the effect of Health Careers Workshops on course selection ." Australian Journal of Rural Health. 15 (1), pp. 59-64.
A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia
Neville, Christine C., Yuginovich, Trudy, Fallon, Anthony Bruce, Soar, Jeffrey, Boyes, Joanne and Grasby, David. 2006. A stock-take of existing aged care clinical placements for undergraduate nursing students in Australia. Toowoomba, Australia. University of Southern Queensland.
SEAM: improving the quality of palliative care in regional Toowoomba, Australia - lessons learned
Buikstra, Elizabeth, Pearce, Susanne, Hegney, Desley and Fallon, Tony. 2006. "SEAM: improving the quality of palliative care in regional Toowoomba, Australia - lessons learned ." Rural and Remote Health. 6 (1), pp. 1-10.
Lexicality and phonological similarity: a challenge for the retrieval-based account of serial recall?
Fallon, Anthony B., Mak, Eva, Tehan, Gerald and Daly, Charmaine. 2005. "Lexicality and phonological similarity: a challenge for the retrieval-based account of serial recall?" Memory. 13 (3/4), pp. 349-356. https://doi.org/10.1080/09658210344000215
The baby-friendly hospital initiative and breastfeeding duration: relating the evidence to the Australian context
Fallon, Anthony Bruce, Crepinsek, Maree, Hegney, Desley and O'Brien, Maxine. 2005. "The baby-friendly hospital initiative and breastfeeding duration: relating the evidence to the Australian context." Birth Issues. 14 (3), pp. 90-95.
Attitudes of Australian nurses to information technology in the workplace: A national survey
Eley, Robert, Soar, Jeffrey, Buikstra, Elizabeth, Fallon, Tony and Hegney, Desley. 2009. "Attitudes of Australian nurses to information technology in the workplace: A national survey." CIN: Computers, Informatics, Nursing. 27 (2), pp. 114-121. https://doi.org/10.1097/NCN.0b013e318197557e