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The Marurra-U Partnership: providing a hybrid, multidisciplinary, wraparound model of care for Aboriginal children living with complex needs in the remote Fitzroy Valley, Australia.

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Název: The Marurra-U Partnership: providing a hybrid, multidisciplinary, wraparound model of care for Aboriginal children living with complex needs in the remote Fitzroy Valley, Australia.
Autoři: Stubbs, Thomas, Pickard, Anita, Carter, Emily, Thomas, Sue, Davies, Jadnah, Evans, Rosemary, Hopp, Dagney, Casburn, Kim, Esgin, Tuguy, Angell, Blake, Elliott, Elizabeth J., Martiniuk, Alexandra
Zdroj: BMC Health Services Research; 10/6/2025, Vol. 25 Issue 1, p1-11, 11p
Témata: INDIGENOUS children, NEURODEVELOPMENTAL treatment, TELEMEDICINE, COMMUNITY coordination, INDIVIDUAL needs, INTEGRATED health care delivery
Geografický termín: AUSTRALIA, WESTERN Australia, KIMBERLEY (W.A.)
Abstrakt: Introduction: Aboriginal and Torres Strait Islander peoples have knowledge and strengths to promote health and wellbeing in their communities. There is a need to understand how multidisciplinary models of care and partnerships between Aboriginal Community-Controlled Organisations and health service providers can improve outcomes for children with complex needs. The aim of this study is to describe the development, characteristics, and implementation of the Marurra-U Partnership, which is a hybrid (telecare and in-person), multidisciplinary, wraparound model of care for children with complex neurodevelopmental needs and their families in the Fitzroy Valley, Kimberley Region, Western Australia. Methods: This study is part of a broader research program that used an Aboriginal Participatory Action Research approach. In-depth interviews were conducted with eleven staff involved in designing and implementing the Marurra-U Partnership. Data were analysed using reflexive thematic analysis. Results: Five themes were constructed relevant to the aim of the study: 1) responding to the need for multidisciplinary, wraparound services for Aboriginal children with complex needs in the Kimberley; 2) strengths, resilience, and future directions of the partnership; 3) principles and characteristics of the model of care; 4) climate change, environmental factors and geographic remoteness as consistent challenges to implementation of the model of care; and 5) shared recognition of the importance of genuine community partnership and leadership to implement models of care like Marurra-U. Discussion: The Marurra-U Partnership, between an Aboriginal Community-Controlled Organisation and a non-government organisation that provide neurodevelopmental services, has developed a model of care for delivering wraparound, trauma-informed, multi-disciplinary developmental health and capacity-building services. It offers insights for supporting Aboriginal children with complex neurodevelopmental needs and their families in remote Australia. [ABSTRACT FROM AUTHOR]
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Databáze: Complementary Index
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Abstrakt:Introduction: Aboriginal and Torres Strait Islander peoples have knowledge and strengths to promote health and wellbeing in their communities. There is a need to understand how multidisciplinary models of care and partnerships between Aboriginal Community-Controlled Organisations and health service providers can improve outcomes for children with complex needs. The aim of this study is to describe the development, characteristics, and implementation of the Marurra-U Partnership, which is a hybrid (telecare and in-person), multidisciplinary, wraparound model of care for children with complex neurodevelopmental needs and their families in the Fitzroy Valley, Kimberley Region, Western Australia. Methods: This study is part of a broader research program that used an Aboriginal Participatory Action Research approach. In-depth interviews were conducted with eleven staff involved in designing and implementing the Marurra-U Partnership. Data were analysed using reflexive thematic analysis. Results: Five themes were constructed relevant to the aim of the study: 1) responding to the need for multidisciplinary, wraparound services for Aboriginal children with complex needs in the Kimberley; 2) strengths, resilience, and future directions of the partnership; 3) principles and characteristics of the model of care; 4) climate change, environmental factors and geographic remoteness as consistent challenges to implementation of the model of care; and 5) shared recognition of the importance of genuine community partnership and leadership to implement models of care like Marurra-U. Discussion: The Marurra-U Partnership, between an Aboriginal Community-Controlled Organisation and a non-government organisation that provide neurodevelopmental services, has developed a model of care for delivering wraparound, trauma-informed, multi-disciplinary developmental health and capacity-building services. It offers insights for supporting Aboriginal children with complex neurodevelopmental needs and their families in remote Australia. [ABSTRACT FROM AUTHOR]
ISSN:14726963
DOI:10.1186/s12913-025-13258-8