Rungan Santuri, Liu Huei Ming, Smith-Merry Jennifer, Eastwood John
Croydon Health Centre, 24 Liverpool Road, Croydon, NSW, 2132, Australia.
Menzies Centre for Health Policy, University of Sydney, Australia.
Int J Integr Care. 2024 May 2;24(2):14. doi: 10.5334/ijic.7745. eCollection 2024 Apr-Jun.
Kalgal Burnbona is a framework developed for applying school-based integrated care (SBIC) across Sydney Local Health District (SLHD).
Kalgal Burnbona is an innovative and integrative framework developed to provide holistic, integrated, multidisciplinary child and family centred care to school-aged children from priority populations within SLHD, such as those belonging to the Aboriginal community. The expected outcomes include improved health, behavioural, education and social outcomes. This article contextualises the development of the Kalgal Burnbona framework from its beginnings as a pilot site called Ngaramadhi Space (NS) within the Healthy Homes and Neighbourhoods (HHAN) initiative, through to its evolution to an integrated partnership between the New South Wales (NSW) health and education sector. An example of how the framework can be implemented in other settings within SLHD is described.
A tiered approach to integrated care across SLHD is postulated based on evidence from a mixed methods evaluation of NS and in line with the Rainbow Model of Integrated Care (RMIC). Kalgal Burnbona is an example of a community-driven response through collaborative partnerships to improve health, education and social outcomes. The framework described provides structure for multisector teams to work within, recognising that each community and school has its own history and needs.
The Kalgal Burnbona model can be scaled up to serve a wider network of students across SLHD. The initial successes of the model, which include improving access and engagement for children with unmet physical health, mental health and social needs while being accepted by communities provide evidence for policy changes and advocacy that centre on collaborative cross-sector partnerships.
卡尔加尔·伯恩博纳(Kalgal Burnbona)是一个为在悉尼地方卫生区(SLHD)应用基于学校的综合护理(SBIC)而开发的框架。
卡尔加尔·伯恩博纳是一个创新的综合框架,旨在为SLHD内优先人群中的学龄儿童,如原住民社区的儿童,提供全面、综合、多学科的以儿童和家庭为中心的护理。预期成果包括改善健康、行为、教育和社会成果。本文介绍了卡尔加尔·伯恩博纳框架的发展背景,从其作为健康家园与社区(HHAN)倡议中的一个名为恩加拉马迪空间(NS)的试点项目起步,到其演变为新南威尔士州(NSW)卫生与教育部门之间的综合合作伙伴关系。文中还描述了该框架如何在SLHD的其他环境中实施的一个示例。
基于对NS的混合方法评估的证据,并符合综合护理彩虹模型(RMIC),提出了一种针对SLHD综合护理的分层方法。卡尔加尔·伯恩博纳是通过合作伙伴关系改善健康、教育和社会成果的社区驱动应对措施的一个示例。所描述的框架为多部门团队提供了工作架构,同时认识到每个社区和学校都有其自身的历史和需求。
卡尔加尔·伯恩博纳模式可以扩大规模,为SLHD更广泛的学生网络提供服务。该模式的初步成功,包括改善了对有未满足的身体健康、心理健康和社会需求的儿童的服务获取和参与度,同时被社区所接受,为以跨部门合作伙伴关系为中心的政策变革和宣传提供了证据。