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Hub and Spokes in Intellectual Disability Mental Health Support

Bibliographic Data

ID6416148
AuthorsChristiane Purcal (0000-0003-4212-6106, Social Policy Research Centre UNSW Sydney Sydney New South Wales Australia), Karen R Fisher (0000-0002-0828-6395, Social Policy Research Centre UNSW Sydney Sydney New South Wales Australia), Janelle Weise (0000-0003-0783-5898, National Centre of Excellence in Intellectual Disability Health UNSW Sydney Sydney New South Wales Australia), Peri O’shea (0009-0008-1393-2516, UNSW Sydney), Peri O'Shea (0000-0003-1203-9132, Social Policy Research Centre UNSW Sydney Sydney New South Wales Australia), Julian N Trollor (0000-0002-7685-2977, National Centre of Excellence in Intellectual Disability Health UNSW Sydney Sydney New South Wales Australia)
Year2025
Volume60
Issue4
Pages1084-1095
Publication date2025-04-14
Open AccessYes
TypeARTICLE
VenueAustralian Journal of Social Issues (JOURNAL)
Journal identifiersISSN: 0157-6321 • E-ISSN: 1839-4655
PublisherWiley (PUBLISHER • GB)
DOI10.1002/ajs4.70019
OpenAlexW4409439875
LanguageEN
Citations received1
References cited20

The distribution of specialist health services is usually uneven by location due to limited resources, which is a problem for people with complex needs. In this context, how can a hub and spoke model offer appropriate services for people with intellectual disability and mental health needs? The data were individual and group interviews with people using and delivering the services in Australia. Data were analysed against a hub‐and‐spoke analytical framework. The findings were that health services benefited from funded, local positions. These local professionals liaised between local mental health, health and disability providers. They also liaised with other local areas and centralised, specialist intellectual disability mental health services. The implication is that specific local positions can be a bridge between generic and specialist services to improve services for people with specific support needs. This program worked well in a geographically large area with a scattered population and decentralised health system

Criminology · Intellectual disability · Mental health · Political science · Project commissioning · Psychiatry · Publishing · Sociology · Chronic Disease Management Strategies · Down syndrome and intellectual disability research · Family and Disability Support Research · Law · Psychology

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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