Show simple item record

dc.contributor.authorSivertsen, Nina
dc.contributor.authorParry, Yvonne
dc.contributor.authorWillis, Eileen
dc.contributor.authorKendall, Sally
dc.contributor.authorMarriott, Rhonda
dc.contributor.authorBell, Alicia
dc.date.accessioned2024-04-05T11:29:04Z
dc.date.available2024-04-05T11:29:04Z
dc.date.issued2022-03-21
dc.description.abstractAim: This article documents the impact of a Nurse Practitioner-led primary health service for disadvantaged children living in housing instability or homelessness. It identifies that First Nations children miss out on essential primary care, particularly immunisation, but have less severe health conditions than non-First Nations children living in housing insecurity. Background: Health services for homeless populations focus on the 11% of rough sleepers, little is done for the 22% of children in Australia living in housing instability; many of whom are from First Nations families. Little is known of the health status of these children or their connections to appropriate primary health care. Methods: This research implemented an innovative model of extended health care delivery, embedding a Nurse Practitioner in a homeless service to work with families providing health assessments and referrals, using clinically validated assessment tools. This article reports on proof of concept findings on the service that measured immuni sation rates, developmental, medical, dental and mental health needs of children, particularly First Nations children, using a three-point severity level scale with Level 3 being the most severe and in need of immediate referral to a specialist medical service. Findings: Forty-three children were referred by the service to the Nurse Practitioner over a 6-month period, with nine iden tifying as First Nations children. Differences in severity levels between First Nations/non-First Nations children were Level 1, First Nations/non-First Nations 0/15%; Level 2, 10/17%; and Level 3, 45/29%. Forty-five percent of First Nations children had no health problems, as com pared to 29% on non-First Nations children. Immunisation rates were low for both cohorts. No First Nations child was immunised and only 9% of the non-First Nations children. While num bers for both cohorts are too low for valid statistical analysis, the lower levels of severity for First Nations children suggest stronger extended family support and the positive impact of cultural norms of reciprocity.en_US
dc.identifier.citationSivertsen N, Parry, Willis, Kendall, Marriott R, Bell. Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service. Primary Health Care Research and Development. 2022en_US
dc.identifier.cristinIDFRIDAID 2254929
dc.identifier.doihttps://doi.org/10.1017/S1463423621000384
dc.identifier.issn1463-4236
dc.identifier.issn1477-1128
dc.identifier.urihttps://hdl.handle.net/10037/33330
dc.language.isoengen_US
dc.publisherCambridge University Pressen_US
dc.relation.journalPrimary Health Care Research and Development
dc.relation.urihttps://www.cambridge.org/core/journals/primary-health-care-research-and-development/article/aboriginal-children-and-family-connections-to-primary-health-care-whilst-homeless-and-in-high-housing-mobil
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleAboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led serviceen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record

Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)