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Kalgal Burnbona: An Integrated Model of Care Between the Health and Education Sector
Santuri Rungan1, Huei Ming Liu2,3, Jennifer Smith-Merry4
1Croydon Health Centre, 24 Liverpool Road, Croydon, NSW, 2132, Australia.
Insights
The Kalgal Burnbona framework enhances school-based integrated care (SBIC) for Aboriginal children in Sydney Local Health District (SLHD). This community-driven model improves health, education, and social outcomes through cross-sector partnerships.
Area of Science:
- Public Health
- Child and Adolescent Health
- Health Services Research
Background:
- The Kalgal Burnbona framework was developed to address the need for integrated, multidisciplinary child and family-centered care within Sydney Local Health District (SLHD).
- It evolved from a pilot site, Ngaramadhi Space (NS), within the Healthy Homes and Neighbourhoods (HHAN) initiative.
- The framework aims to serve priority populations, including the Aboriginal community, within SLHD.
Purpose of the Study:
- To describe the development and contextualization of the Kalgal Burnbona framework for school-based integrated care (SBIC).
- To outline a tiered approach to integrated care based on evidence and the Rainbow Model of Integrated Care (RMIC).
- To provide a model for multisector collaboration to improve child and family outcomes.
Main Methods:
- Development of the Kalgal Burnbona framework based on a mixed-methods evaluation of the Ngaramadhi Space pilot.
- Application of the Rainbow Model of Integrated Care (RMIC) principles.
- Describing an implementation example for other settings within SLHD.
Main Results:
- The Kalgal Burnbona framework provides a structure for multisector teams, recognizing diverse community and school needs.
- The model has demonstrated success in improving access and engagement for children with unmet health and social needs.
- The framework has been accepted by the communities it serves.
Conclusions:
- The Kalgal Burnbona model is scalable across SLHD, offering a community-driven response to improve health, education, and social outcomes.
- Initial successes provide evidence for policy changes advocating for collaborative cross-sector partnerships in child and family services.
- The framework supports holistic, integrated, and multidisciplinary care for school-aged children in priority populations.
Introduction:
Kalgal Burnbona is a framework developed for applying school-based integrated care (SBIC) across Sydney Local Health District (SLHD).
Description:
Kalgal Burnbona is an innovative and integrative framework developed to provide holistic, integrated, multidisciplinary child and family centred care to school-aged children from priority populations within SLHD, such as those belonging to the Aboriginal community. The expected outcomes include improved health, behavioural, education and social outcomes. This article contextualises the development of the Kalgal Burnbona framework from its beginnings as a pilot site called Ngaramadhi Space (NS) within the Healthy Homes and Neighbourhoods (HHAN) initiative, through to its evolution to an integrated partnership between the New South Wales (NSW) health and education sector. An example of how the framework can be implemented in other settings within SLHD is described.
Discussion:
A tiered approach to integrated care across SLHD is postulated based on evidence from a mixed methods evaluation of NS and in line with the Rainbow Model of Integrated Care (RMIC). Kalgal Burnbona is an example of a community-driven response through collaborative partnerships to improve health, education and social outcomes. The framework described provides structure for multisector teams to work within, recognising that each community and school has its own history and needs.
Conclusion:
The Kalgal Burnbona model can be scaled up to serve a wider network of students across SLHD. The initial successes of the model, which include improving access and engagement for children with unmet physical health, mental health and social needs while being accepted by communities provide evidence for policy changes and advocacy that centre on collaborative cross-sector partnerships.
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