scholarly journals Community-governed health services in Cape York: does the evidence point to a model of service delivery?

2008 ◽  
Vol 32 (4) ◽  
pp. 605 ◽  
Author(s):  
Leanne L Coombe ◽  
Melissa R Haswell-Elkins ◽  
Peter S Hill
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Indigenous Health ◽  
Health Service Delivery ◽  
Service Delivery Model ◽  
Health Service Provider ◽  
Community Governance ◽  
Delivery Model ◽  
Health Council ◽  
Cape York

Health service delivery model reforms are currently underway in Cape York in an effort to improve health outcomes for the Aboriginal and Torres Strait Islander communities. These reforms include the transition of the Apunipima Cape York Health Council from an advocacy agency to a community-controlled health service provider. This paper investigates the literature on existing community governance models and communitycontrolled health service delivery models, to guide the choice of the most appropriate model for the Cape York health reforms. The evidence collected suggests a new innovative health service delivery model is emerging that will not only improve Indigenous health status, but may also present a more appropriate model for the health care sector than the existing mainstream health service delivery model provided for other sections of the collective Australian population.

scholarly journals The Acceptability and Appropriateness of a Collaborative, Sport-Centered Mental Health Service Delivery Model for Competitive, and High-Performance Athletes

2021 ◽  
Vol 3 ◽  
Author(s):  
Krista J. Van Slingerland ◽  
Natalie Durand-Bush
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Health Service Delivery ◽  
Primary Data ◽  
Service Users ◽  
Service Delivery Model ◽  
Delivery Model ◽  
Mental Health Service Delivery

The purpose of this study was to evaluate the acceptability and appropriateness of a sport-centered, collaborative mental health service delivery model implemented within the Canadian Center for Mental Health and Sport (CCMHS) over a period of 16 months. The study is situated within a larger Participatory Action Research (PAR) project to design, implement and evaluate the CCMHS. Primary data were collected from CCMHS practitioners (n = 10) and service-users (n = 6) through semi-structured interviews, as well as from CCMHS stakeholders (n = 13) during a project meeting, captured via meeting minutes. Secondary data derived from documents (e.g., clinical, policy, procedural; n = 48) created by the CCMHS team (i.e., practitioners, stakeholders, board of directors) during the Implementation Phase of the project were reviewed and analyzed to triangulate the primary data. The Framework Method was used to organize, integrate and interpret the dataset. Overall, results indicate that both practitioners and service-users found the model to be both acceptable and appropriate. In particular, practitioners' knowledge and experience working in sport, a robust intake process carried out by a centralized Care Coordinator, and the ease and flexibility afforded by virtual care delivery significantly contributed to positive perceptions of the model. Some challenges associated with interprofessional collaboration and mental health care costs were highlighted and perceived as potentially hindering the model's acceptability and appropriateness.

Designing a forensic mental health service delivery model: a multi-professional approach

2020 ◽  
Vol 22 (3) ◽  
pp. 137-147
Author(s):  
Jean-Laurent Domingue ◽  
Steve F. Michel ◽  
Carole Cléroux ◽  
Tom Dobson ◽  
Jean-Michel Fréchette ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Management ◽  
Service Delivery ◽  
Care Delivery ◽  
Health Service Delivery ◽  
Service Delivery Model ◽  
Forensic Mental Health ◽  
Content Type ◽  
Delivery Model ◽  
Mental Health Service Delivery

Purpose Forensic mental health programs (FMHPs) in Ontario, Canada provide rehabilitation and supervision services. However, models available to guide their delivery are primarily adapted from fields outside of forensic mental health. To partially fill this gap, this paper aims to provide a general review of the process a multi-professional team took to develop the Integrated Forensic Program [IFP]-Ottawa Model of Risk Management & Recovery. Design/methodology/approach Working groups were initiated to identify the needs of patients in their local setting, conduct a literature review on care delivery models in forensic mental health and build a service delivery model specific to forensic mental health. Findings The resulting model places patient engagement at its centre and encompasses eight domains of need that contribute towards the patient’s recovery and the management of the safety risk they pose to the public, namely, the basic needs, diversity and spirituality, social, occupational, psychological, substance use, physical health and mental health domains. Practical implications The IFP-Ottawa Model of Risk Management & Recovery provides a framework to which therapeutic group services for persons in FMHPs can be aligned. Originality/value The leadership teams in FMHPs could use this framework and the method used for its development to ensure group services provided at their FMHPs are evidence-informed and coincide with their patients’ specific needs.

scholarly journals Editorial: Models of Care

2008 ◽  
Vol 32 (4) ◽  
pp. 593 ◽  
Author(s):  
Deborah Yarmo-Roberts
Keyword(s):  
Service Delivery ◽  
New South ◽  
Health Service Delivery ◽  
Models Of Care ◽  
Community Governance ◽  
Primary Health ◽  
South Wales ◽  
General Practices ◽  
Cape York ◽  
Delivery Models

TWO ARTICLES ARE FEATURED in this AHR issue?s Models of Care section. The first article by May and colleagues entitled ?Integrated models or mayhem? Lessons learnt from three integrated primary health care entities in regional New South Wales? reviews integrated general practices and conceptualises a model to explain how integrated service might best function. (page 595) The second article by Coombe and colleagues is ?Community-governed health services in Cape York: does the evidence point to a model of service delivery?? (page 605) The article reviews the literature on community governance models and community- controlled health service delivery models and their application to service delivery in Cape York.

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