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Ngalaiya Boorai Gabara Budbut: A Qualitative Study With Primary Care Providers to Understand Perceived Needs, Enablers, Barriers and Opportunities to Strengthen Care

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dc.contributor.authorDigenis, C.
dc.contributor.authorReilly, R.
dc.contributor.authorAzzopardi, P.
dc.contributor.authorWinkenweder, H.
dc.contributor.authorPearson, O.
dc.contributor.authorEllis, K.
dc.contributor.authorFisher, J.
dc.contributor.authorRickwood, D.J.
dc.contributor.authorYong, C.-S.
dc.contributor.authorBrown, N.
dc.date.issued2026
dc.description.abstractObjective: To explore primary care providers' perspectives on (i) healthcare needs and barriers to care for Aboriginal and Torres Strait Islander children and adolescents; and (ii) enablers and opportunities to strengthen care. Study Design: A qualitative study; interviews and open- ended survey responses. Setting: Primary care providers who work with Aboriginal and Torres Strait Islander children and young people in health and education settings in New South Wales and the Australian Capital Territory. Data were collected between 23 March 2022 and 13 October 2023. Main Outcome Measures: Sixteen interviews and 33 open- ended survey responses were analysed using reflexive thematic analysis with a hybrid inductive/deductive approach. Results: Participants reported that some of the most important health needs for children and young people related to mental health. They recognised that the presenting complaint was not always the underlying or only concern, demonstrated an under - standing of trauma- informed care and acknowledged the importance of collaborative services that engaged support networks. Barriers to care included a lack of cultural safety in mainstream services, challenging social circumstances, financial concerns, being unaware of available services and privacy and confidentiality concerns. To improve care, staff identified several areas needing change including having a package of services tailored for young people; additional training for providers in child and adolescent health, particularly for mental healthcare, trauma- informed care and communication with young people; providing a safe and engaging environment; support for staff self- care; and additional resources. Conclusions: Supporting mental health needs is a key aspect of caring for children and adolescents. To provide optimal primary healthcare, service providers require specialist skills. To support adolescents and children, participants identified a need for ongoing training, professional development and organisational support to ensure best practice care is sustained. This work has informed the development of training and other resources for partner health services.
dc.description.statementofresponsibilityChristianna Digenis, Rachel Reilly, Peter Azzopardi, Hilina Winkenweder, Odette Pearson, Kane Ellis, Jane Fisher, Debra J. Rickwood, Choong-Siew Yong, Ngiare Brown
dc.identifier.citationMedical Journal of Australia, 2026; 224(3):e70150-1-e70150-9
dc.identifier.doi10.5694/mja2.70150
dc.identifier.issn0025-729X
dc.identifier.issn1326-5377
dc.identifier.orcidDigenis, C. [0000-0001-9135-6376]
dc.identifier.orcidReilly, R. [0000-0003-2107-9187]
dc.identifier.urihttps://hdl.handle.net/2440/150119
dc.language.isoen
dc.publisherWiley
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1201471
dc.rights© 2026 The Author(s). Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd. This is an open access article under the terms of the Creative Commons Attribution License
dc.source.urihttps://doi.org/10.5694/mja2.70150
dc.subjectadolescence
dc.subjectprimary health care
dc.subjectsocial determinants of health
dc.subject.meshHumans
dc.subject.meshAttitude of Health Personnel
dc.subject.meshQualitative Research
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshChild
dc.subject.meshHealth Personnel
dc.subject.meshHealth Services, Indigenous
dc.subject.meshHealth Services Needs and Demand
dc.subject.meshPrimary Health Care
dc.subject.meshHealth Services Accessibility
dc.subject.meshAustralian Capital Territory
dc.subject.meshNew South Wales
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshAustralian Aboriginal and Torres Strait Islander Peoples
dc.titleNgalaiya Boorai Gabara Budbut: A Qualitative Study With Primary Care Providers to Understand Perceived Needs, Enablers, Barriers and Opportunities to Strengthen Care
dc.typeJournal article
pubs.publication-statusPublished

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