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Understanding key worker experiences at an Australian Early Childhood Intervention Service

Bibliographic Data

ID12289474
AuthorsDana Young (0000-0002-1533-5132, Child and Community Wellbeing Unit Centre for Health Equity Melbourne School of Population and Global Health University of Melbourne Carlton VIC Australia, corresponding author), Lisa Gibbs (0000-0001-9702-6896, Child and Community Wellbeing Unit Centre for Health Equity Melbourne School of Population and Global Health University of Melbourne Carlton VIC Australia), Kim‐Michelle Gilson (0000-0002-8531-2841, Colorectal and Pelvic Reconstruction Service The Royal Children’s Hospital Parkville VIC Australia), Katrina Williams (0000-0002-1686-4458, Paediatrics Education & Research Monash University Clayton VIC Australia), Dinah Reddihough (0000-0003-3634-7906, Developmental Disability and Rehabilitation ResearchMurdoch Children’s Research Institute Parkville VIC Australia), Jane Tracy (0000-0002-4070-8615, Centre for Developmental Disability Health Monash Health Clayton VIC Australia), Utsana Tonmukayakul (0000-0002-6464-744X, Deakin Health Economics Institute of Health Transformation Faculty of Health Deakin University Geelong VIC Australia), Rob Carter (0000-0002-1586-5619, Deakin Health Economics Institute of Health Transformation Faculty of Health Deakin University Geelong VIC Australia)
Year2021
Volume29
Issue6
Pagese269-e278
Publication date2021-03-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13350
PMID33761179
OpenAlexW3137592349
LanguageEN
Citations received2
References cited29

The delivery of family-centred practice (FCP) within Early Childhood Intervention Services (ECISs) for young children with a disability or development delay conceptualises that children's learning environments, parenting, family and community supports intersect to have the greatest impact on the developing child. The transdisciplinary key worker model is considered a best-practice approach within ECISs whereby staff work collaboratively across disciplinary boundaries to plan and implement services for children and their families. Research suggests families who have a key worker have better relationships with services, fewer unmet needs, better morale, more information about services, higher parental satisfaction and more parental involvement than those not receiving this service. Using a phenomenological qualitative design this study sought to understand transdisciplinary key workers' perspectives regarding the strengths and challenges to undertaking their role in providing services to children and families accessing an ECIS at a major disability service organisation, in light of the changing policy reform during the roll out of the National Disability Insurance Scheme in Australia. Purposive sampling was used to recruit key workers (n = 13) to participate in semi-structured interviews during 2015. Data were analysed using an inductive, thematic approach. Results revealed four main themes that impact on the effectiveness of key workers' service provision. These are broadly categorised as (a) Engagement with the workplace, (b) Engagement with clients, (c) Professional capacity and (d) Staff Wellbeing. The findings aligned with previous studies identifying sources of support and stress for disability services staff. They also provided new insights into key workers' lack of confidence in addressing parental mental health issues, despite operating under a family-centred approach. These findings informed the development of an intervention trial and evaluation to improve support for parent and staff wellbeing within a Victorian Disability Service with the aim of building their capacity to support children with a disability

Best practice · Business · Child protection · Environmental health · Intervention (counseling · Medical education · Nonprobability sampling · Political science · Qualitative research · Service (business · Service delivery framework · Sociology · Thematic analysis · Family and Disability Support Research · Healthcare innovation and challenges · Interprofessional Education and Collaboration · Medicine · Nursing · Psychology

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Unique citing works2
Citations per year0.5
Citation span2022 - 2023 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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