Rural Clinical School, Faculty of Medicine, The University of Queensland.
School of Health and Social Development, Deakin University, Victoria.
Aust N Z J Public Health. 2021 Aug;45(4):330-337. doi: 10.1111/1753-6405.13115. Epub 2021 Jun 7.
To generate outcomes for the development of a culturally appropriate mental health treatment model for Indigenous Australians with depression.
Three focus group sessions and two semi-structured interviews were undertaken over six months across regional and rural locations in South West Queensland. Data were transcribed verbatim and coded using manual thematic analyses. Transcripts were thematically analysed and substantiated. Findings were presented back to participants for authenticity and verification.
Three focus group discussions (n=24), and two interviews with Elders (n=2) were conducted, from which six themes were generated. The most common themes from the focus groups included Indigenous autonomy, wellbeing and identity. The three most common themes from the Elder interviews included culture retention and connection to Country, cultural spiritual beliefs embedded in the mental health system, and autonomy over funding decisions.
A treatment model for depression must include concepts of Indigenous autonomy, identity and wellbeing. Further, treatment approaches need to incorporate Indigenous social and emotional wellbeing concepts alongside clinical treatment approaches. Implications for public health: Any systematic approach to address the social and cultural wellbeing of Indigenous peoples must have a community-led design and delivery.
为澳大利亚原住民的抑郁症开发一种文化适宜的心理健康治疗模式。
在昆士兰州西南部的地区和农村地区进行了为期六个月的三次焦点小组会议和两次半结构化访谈。数据逐字转录并使用手动主题分析进行编码。使用主题分析和实质证据来分析转录本。将研究结果呈现给参与者以确保真实性和验证。
进行了三次焦点小组讨论（n=24）和两次与长者的访谈（n=2），从中得出了六个主题。焦点小组最常见的主题包括土著自治、福祉和身份。从长者访谈中最常见的三个主题包括文化保留和与国家的联系、嵌入心理健康系统的文化精神信仰，以及对资金决策的自主权。
抑郁症的治疗模式必须包含土著自治、身份和福祉的概念。此外，治疗方法需要将土著社会和情感福祉的概念与临床治疗方法结合起来。对公共卫生的影响：任何解决土著人民社会和文化福祉的系统方法都必须具有社区主导的设计和实施。
