Experiences and needs of carers of Aboriginal children with a disability: a qualitative study

Abstract Background Australian parents/carers of a person with a disability experience higher rates of depression, more financial stress, and are twice as likely to be in poor physical health than the general population. Aboriginal and Torres Strait Islander peoples experience worse health, social a...

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Main Authors: Michelle DiGiacomo, Anna Green, Patricia Delaney, John Delaney, Patrick Patradoon-Ho, Patricia Mary Davidson, Penelope Abbott
Format: Article
Language:English
Published: BMC 2017-11-01
Series:BMC Family Practice
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12875-017-0668-3
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author Michelle DiGiacomo
Anna Green
Patricia Delaney
John Delaney
Patrick Patradoon-Ho
Patricia Mary Davidson
Penelope Abbott
author_facet Michelle DiGiacomo
Anna Green
Patricia Delaney
John Delaney
Patrick Patradoon-Ho
Patricia Mary Davidson
Penelope Abbott
author_sort Michelle DiGiacomo
collection DOAJ
description Abstract Background Australian parents/carers of a person with a disability experience higher rates of depression, more financial stress, and are twice as likely to be in poor physical health than the general population. Aboriginal and Torres Strait Islander peoples experience worse health, social and economic outcomes than other Australians, and those with a disability face ‘double disadvantage’. This study aimed to better understand the experiences and needs of parents/carers/families of Aboriginal children with a disability. Methods Semi-structured in-depth interviews were conducted with parents or primary carers of Aboriginal children aged zero-eight with disability. Interviews were analysed using thematic analysis. Results Nineteen women (sixteen mothers and three grandmothers) were interviewed. More than half were lone carers (without a partner or spouse). Participants described their experiences, including challenges and facilitators, to providing and accessing care, impacts on their health and wellbeing, and associated economic and non-economic costs of caregiving. Financial strain and social isolation was particularly prominent for lone carers. Conclusions Tailoring services to the needs of carers of Aboriginal children with a disability means supporting kinship caregiving, facilitating engagement with other Aboriginal families, and streamlining services and systems to mitigate costs. The experiences described by our participants depict an intersection of race, socio-economic status, gender, disability, and caregiving. Services and funding initiatives should incorporate such intersecting determinants in planning and delivery of holistic care.
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spelling doaj.art-1a10e1d3f40e4849b5590a0da0fe818a2022-12-22T02:47:39ZengBMCBMC Family Practice1471-22962017-11-0118111110.1186/s12875-017-0668-3Experiences and needs of carers of Aboriginal children with a disability: a qualitative studyMichelle DiGiacomo0Anna Green1Patricia Delaney2John Delaney3Patrick Patradoon-Ho4Patricia Mary Davidson5Penelope Abbott6University of Technology Sydney, Faculty of HealthUniversity of Technology Sydney, Faculty of HealthUniversity of Technology Sydney, Faculty of HealthUniversity of Technology Sydney, Faculty of HealthBlacktown and Mt Druitt Hospitals, Western Sydney Local Health DistrictUniversity of Technology Sydney, Faculty of HealthWestern Sydney UniversityAbstract Background Australian parents/carers of a person with a disability experience higher rates of depression, more financial stress, and are twice as likely to be in poor physical health than the general population. Aboriginal and Torres Strait Islander peoples experience worse health, social and economic outcomes than other Australians, and those with a disability face ‘double disadvantage’. This study aimed to better understand the experiences and needs of parents/carers/families of Aboriginal children with a disability. Methods Semi-structured in-depth interviews were conducted with parents or primary carers of Aboriginal children aged zero-eight with disability. Interviews were analysed using thematic analysis. Results Nineteen women (sixteen mothers and three grandmothers) were interviewed. More than half were lone carers (without a partner or spouse). Participants described their experiences, including challenges and facilitators, to providing and accessing care, impacts on their health and wellbeing, and associated economic and non-economic costs of caregiving. Financial strain and social isolation was particularly prominent for lone carers. Conclusions Tailoring services to the needs of carers of Aboriginal children with a disability means supporting kinship caregiving, facilitating engagement with other Aboriginal families, and streamlining services and systems to mitigate costs. The experiences described by our participants depict an intersection of race, socio-economic status, gender, disability, and caregiving. Services and funding initiatives should incorporate such intersecting determinants in planning and delivery of holistic care.http://link.springer.com/article/10.1186/s12875-017-0668-3CaregiversChildhood disabilityAboriginal and Torres Strait islanderIndigenousQualitative
spellingShingle Michelle DiGiacomo
Anna Green
Patricia Delaney
John Delaney
Patrick Patradoon-Ho
Patricia Mary Davidson
Penelope Abbott
Experiences and needs of carers of Aboriginal children with a disability: a qualitative study
BMC Family Practice
Caregivers
Childhood disability
Aboriginal and Torres Strait islander
Indigenous
Qualitative
title Experiences and needs of carers of Aboriginal children with a disability: a qualitative study
title_full Experiences and needs of carers of Aboriginal children with a disability: a qualitative study
title_fullStr Experiences and needs of carers of Aboriginal children with a disability: a qualitative study
title_full_unstemmed Experiences and needs of carers of Aboriginal children with a disability: a qualitative study
title_short Experiences and needs of carers of Aboriginal children with a disability: a qualitative study
title_sort experiences and needs of carers of aboriginal children with a disability a qualitative study
topic Caregivers
Childhood disability
Aboriginal and Torres Strait islander
Indigenous
Qualitative
url http://link.springer.com/article/10.1186/s12875-017-0668-3
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