Centre for Rural and Remote Health, James Cook University, Weipa, Australia.
College of Healthcare Sciences, James Cook University, Townsville, Australia.
Disabil Rehabil. 2022 Aug;44(16):4266-4274. doi: 10.1080/09638288.2021.1900416. Epub 2021 Mar 23.
Community rehabilitation is an essential health service that is often not available to remote Australians. This paper describes the first cycle of a collaborative project, between local community members, allied health professionals and a university, to co-design a community rehabilitation and lifestyle service to support adults and older people to stay strong and age well in place.
An action research framework was used to develop the service for adults in two remote communities, one being a discrete Aboriginal community. The first cycle involved planning for, and trialling of a service, with observations, reflections and feedback from clients, community members, university students and health service providers, to inform the subsequent service.
Over two years, stakeholders worked collaboratively to plan, trial, reflect and replan an allied health student-assisted community rehabilitation service. The trial identified the need for dedicated clinical and cultural supervision. During replanning, three key elements for culturally responsive care were embedded into the service: reciprocity and yarning; holistic community-wide service; and Aboriginal and Torres Strait Islander mentorship.
An action-research approach to co-design has led to the establishment of a unique community rehabilitation service to address disability and rehabilitation needs in two remote Australian communities.Implications for rehabilitationCo-design of community rehabilitation services between Aboriginal and Torres Strait Islander community members and the local allied health professionals can lead to development of an innovative service model for remote Aboriginal communities.Culturally responsive community rehabilitation services in Aboriginal and Torres Strait Islander communities requires holistic and community-wide perspectives of wellbeing.Incorporating Aboriginal and Torres Strait Islander ways of engaging and communicating, and leadership and mentorship for non-Indigenous allied health professionals and students are essential components for students-assisted culturally responsive services.
社区康复是一项基本的卫生服务，但往往无法为偏远地区的澳大利亚人提供。本文描述了一个合作项目的第一周期，该项目由当地社区成员、联合健康专业人员和大学合作，共同设计一项社区康复和生活方式服务，以支持成年人和老年人在当地保持强壮和健康。
采用行动研究框架，为两个偏远社区的成年人开发服务，其中一个是离散的原住民社区。第一周期涉及规划和试行服务，同时从客户、社区成员、大学生和卫生服务提供者那里获得观察、反思和反馈，为后续服务提供信息。
在两年多的时间里，利益相关者合作规划、试行、反思和重新规划了一项由联合健康学生协助的社区康复服务。试验确定了需要专门的临床和文化监督。在重新规划过程中，将三个关键的文化响应护理要素嵌入到服务中：互惠和交谈；全面的社区服务；以及原住民和托雷斯海峡岛民的指导。
行动研究方法共同设计导致了一个独特的社区康复服务的建立，以满足两个澳大利亚偏远社区的残疾和康复需求。
原住民和托雷斯海峡岛民社区成员与当地联合健康专业人员之间的社区康复服务共同设计，可以为偏远的原住民社区开发创新的服务模式。在原住民和托雷斯海峡岛民社区中，响应文化的社区康复服务需要对健康的整体和社区视角。纳入原住民和托雷斯海峡岛民的参与和沟通方式，以及非土著联合健康专业人员和学生的领导和指导，是学生协助文化响应服务的必要组成部分。
