Challenges faced by general practitioners and allied mental health services in providing mental health services in rural Queensland
Abstract
OBJECTIVE: To examine the views of rural practitioners concerning issues and challenges in mental health service delivery and possible solutions. DESIGN: A qualitative study using individual semi-structured interviews. SETTING: Eight general practices from eight rural Queensland towns, three rural mental health services and two non-government organisations, with interviews being conducted before recent changes in government-subsidised access to allied health practitioners. PARTICIPANTS: A sample of 37 GPs, 19 Queensland Health mental health staff and 18 participants from community organisations. MAIN OUTCOME MEASURES: Analysis of qualitative themes from questions about the key mental health issues facing the town, how they might be addressed and what challenges would be faced in addressing them. RESULTS: There was substantial consensus that there are significant problems with inter-service communication and liaison, and that improved collaboration and shared care will form a critical part of any effective solution. Differences between groups reflected differing organisational contexts and priorities, and limitations to the understanding each had of the challenges that other groups were facing. CONCLUSIONS: Improvements to mental health staffing and to access to allied health might increase the ability of GPs to meet the needs of less complex patients, but specific strategies to promote better integrated services are required to address the needs of rural and regional patients with complex mental health problems. The current study provides a baseline against which effects of recent initiatives to improve mental health care can be assessed.
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We do not communicate well across settings, even where that would be to the patient's advantage.
“we do not communicate well across settings, even where that would be to the patient's advantage”
From Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track (2016) · cites this paper as Bambling et al., 2007
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- Authors
- Bambling, M., Kavanagh, D., Lewis, G., King, R., King, D., Sturk, H., Turpin, M., Gallois, C., & Bartlett, H.
- Affiliations
- Queensland University of Technology (AU)
- The University of Queensland (AU)
- Corresponding author
- Bambling, Matthew
- ORCID
- Venue
- Australian Journal of Rural Health
- Publisher
- Wiley
- Published
- 2007-04
- Volume
- 15
- Issue
- 2
- Pages
- 126-130
- ISSN
- 1038-5282 (ISSN-L)
- 1440-1584
- OpenAlex
- W128292824
- Cited by
- 52
- References
- 10
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 1 · 2015: 4 · 2014: 8 · 2013: 2 · 2012: 4
- FWCI
- 7.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Faculty of Health; Institute of Health and Biomedical Innovation
- Funders
- Queensland Health
- Australian Government
- University of Queensland
- National Health and Medical Research Council
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Keywords
- rural mental health services, general practitioners, allied health services, mental health service delivery, shared care, integrated care, mental health staffing, rural Queensland
- MeSH terms
- Attitude of Health Personnel, Communication, Community Mental Health Services, Continuity of Patient Care, Cooperative Behavior, Health Priorities, Health Services Accessibility, Health Services Research, Humans, Interinstitutional Relations, Organizations, Physicians, Family, Psychiatry, Queensland, Surveys and Questionnaires, Referral and Consultation, Total Quality Management, Rural Health Services, Case Management, Needs Assessment, Qualitative Research
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