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Supporting the needs of pre- and primary school children in rural Victoria: Multidisciplinary views and experiences
Carol Reid1,2, Jenny Burrows3, Robyn Sprunt3
1Rural Health Academic Network, University Department of Rural Health, University of Melbourne, Shepparton, Victoria, Australia.
Insights
Rural children face increased risks from the COVID-19 pandemic, impacting their mental health and development. Collaborative strategies, like allied health student placements, are key to improving support and outcomes for these vulnerable children.
Area of Science:
- Child Health
- Rural Health
- Public Health
Background:
- COVID-19 pandemic exacerbates mental health and developmental issues in children.
- Rural children are disproportionately affected due to socioeconomic factors, isolation, and limited service access.
- Understanding the specific needs of rural children is crucial for effective health promotion and service planning.
Purpose of the Study:
- To conduct a child-focused needs assessment in a rural Victorian health service.
- To inform local health promotion planning, service delivery, and workforce capacity building.
- To identify strategies for improving support for children in rural areas.
Main Methods:
- Quantitative community profiling.
- Qualitative interviews with 17 multidisciplinary professionals.
- Analysis of themes related to rural access limitations, disadvantage cycles, and collaborative solutions.
Main Results:
- Professionals experience exhaustion due to persistent unmet needs and rural access barriers.
- Gaps in early intervention contribute to cycles of disadvantage and poorer child outcomes.
- Community-level strategies can enhance access to allied health professionals for rural children.
Conclusions:
- Collaborative approaches are essential for addressing the needs of rural children.
- Piloting allied health student placement models can facilitate group program delivery.
- Improving support systems is vital for better child health outcomes in rural settings.
Problem:
Predicted effects on children from the COVID-19 pandemic include poorer mental health and increased behavioural and developmental concerns. Rural children are at higher risk due to socio-economic factors, isolation and reduced access to services. Investigation by health services into the physical, social and emotional needs of children in rural areas is critical to inform local health promotion planning, service delivery priorities and workforce capacity building.
Setting:
Located in a Modified Monash Model category 5, our northern Victorian health service undertook a child-focused needs assessment in order to be strategically responsive to community issues.
Key Measures:
The project utilised a quantitative community profiling approach and qualitative interviews with a purposive sample (n = 17) of multidisciplinary professionals.
Strategies For Change:
Three main themes emerged: (1) Perpetual navigation of rural access limitations highlighted professionals' exhaustion in working in environments with ongoing unmet needs. (2) Cycles of disadvantage and early intervention gaps identified flow-on negative effects, with concerning trends in poorer child outcomes. (3) Solutions through collaboration grouped ideas to improve support for children.
Effects Of Change:
Community-level enablement strategies could increase contact with allied health professionals for rural children and reduce reliance on individualised treatment approaches.
Lessons Learnt:
One collaborative action is to pilot and evaluate allied health student placement models to deliver group programs for rural children.
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