Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service
Aim: 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 con...
Published in: | Primary Health Care Research & Development |
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Cambridge University Press
2022
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Online Access: | https://kar.kent.ac.uk/98268/ https://kar.kent.ac.uk/98268/1/Aboriginal%20children%20and%20family%20connections%20to%20primary%20health%20care%20whilst%20homeless%20and%20in%20high%20housing%20mobility-%20observations%20from%20a%20Nurse%20Practitioner-led%20service.pdf https://doi.org/10.1017/S1463423621000384 |
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ftkentuniv:oai:kar.kent.ac.uk:98268 2023-05-15T16:13:53+02:00 Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service Siversten, Nina Parry, Yvonne Willis, Eileen Kendall, Sally Marriott, Rhonda Bell, Alicia 2022-03-21 application/pdf https://kar.kent.ac.uk/98268/ https://kar.kent.ac.uk/98268/1/Aboriginal%20children%20and%20family%20connections%20to%20primary%20health%20care%20whilst%20homeless%20and%20in%20high%20housing%20mobility-%20observations%20from%20a%20Nurse%20Practitioner-led%20service.pdf https://doi.org/10.1017/S1463423621000384 en eng Cambridge University Press https://kar.kent.ac.uk/98268/1/Aboriginal%20children%20and%20family%20connections%20to%20primary%20health%20care%20whilst%20homeless%20and%20in%20high%20housing%20mobility-%20observations%20from%20a%20Nurse%20Practitioner-led%20service.pdf Siversten, Nina, Parry, Yvonne, Willis, Eileen, Kendall, Sally, Marriott, Rhonda, Bell, Alicia (2022) 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 & Development, 23 . Article Number E16. ISSN 1463-4236. (doi:10.1017/S1463423621000384 <https://doi.org/10.1017/S1463423621000384>) (KAR id:98268 </98268>) cc_by H Social Sciences Article PeerReviewed 2022 ftkentuniv https://doi.org/10.1017/S1463423621000384 2023-03-12T19:21:46Z Aim: 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 immunisation 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 identifying 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 compared 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 numbers for both cohorts are too low for valid statistical analysis, the lower levels of severity for First Nations children suggest stronger extended family ... Article in Journal/Newspaper First Nations University of Kent: KAR - Kent Academic Repository Primary Health Care Research & Development 23 |
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University of Kent: KAR - Kent Academic Repository |
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language |
English |
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H Social Sciences |
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H Social Sciences Siversten, Nina Parry, Yvonne Willis, Eileen Kendall, Sally Marriott, Rhonda Bell, Alicia Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
topic_facet |
H Social Sciences |
description |
Aim: 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 immunisation 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 identifying 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 compared 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 numbers for both cohorts are too low for valid statistical analysis, the lower levels of severity for First Nations children suggest stronger extended family ... |
format |
Article in Journal/Newspaper |
author |
Siversten, Nina Parry, Yvonne Willis, Eileen Kendall, Sally Marriott, Rhonda Bell, Alicia |
author_facet |
Siversten, Nina Parry, Yvonne Willis, Eileen Kendall, Sally Marriott, Rhonda Bell, Alicia |
author_sort |
Siversten, Nina |
title |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_short |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_full |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_fullStr |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_full_unstemmed |
Aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a Nurse Practitioner-led service |
title_sort |
aboriginal children and family connections to primary health care whilst homeless and in high housing mobility: observations from a nurse practitioner-led service |
publisher |
Cambridge University Press |
publishDate |
2022 |
url |
https://kar.kent.ac.uk/98268/ https://kar.kent.ac.uk/98268/1/Aboriginal%20children%20and%20family%20connections%20to%20primary%20health%20care%20whilst%20homeless%20and%20in%20high%20housing%20mobility-%20observations%20from%20a%20Nurse%20Practitioner-led%20service.pdf https://doi.org/10.1017/S1463423621000384 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
https://kar.kent.ac.uk/98268/1/Aboriginal%20children%20and%20family%20connections%20to%20primary%20health%20care%20whilst%20homeless%20and%20in%20high%20housing%20mobility-%20observations%20from%20a%20Nurse%20Practitioner-led%20service.pdf Siversten, Nina, Parry, Yvonne, Willis, Eileen, Kendall, Sally, Marriott, Rhonda, Bell, Alicia (2022) 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 & Development, 23 . Article Number E16. ISSN 1463-4236. (doi:10.1017/S1463423621000384 <https://doi.org/10.1017/S1463423621000384>) (KAR id:98268 </98268>) |
op_rights |
cc_by |
op_doi |
https://doi.org/10.1017/S1463423621000384 |
container_title |
Primary Health Care Research & Development |
container_volume |
23 |
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1765999745347616768 |