ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 96
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Asylum Seeker Clinical Advocacy Team evaluation
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Dr Miriam Brooks, Baneen Alrubayi
Western Sydney University
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The Asylum Seeker Advocacy Clinical Team (ASACT) at NSW Refugee Health Service (RHS) has over
12 years of experience providing healthcare to people who have encountered significant adversity and
trauma, often with complex health needs.
The primary aim of this research is to evaluate ASACT within NSW RHS, and assess what is
working well from the perspectives of clients, staff and community partner organisations, and where
improvements can be made. The secondary aim is knowledge translation through identifying broader
principles of high-quality care that can be implemented to meet asylum seeker health needs in other
services.
Methods
An evaluation framework, based on literature on people-centred approaches to healthcare, culturally
responsive healthcare and trauma-informed care, informed the development of an interview question
schedule specific to the ASACT context. In-depth semistructured interviews via videoconference
were conducted with nine ASACT clinicians, and seven interviews were carried out with community
partners. Client interviews are currently underway, with a target of completing 15 in total.
Data analysis followed Braun and Clarke’s reflexive thematic analysis approach, involving the elicitation
of themes using code tables. A deductive analysis assessed the extent of implementation of aims and
indicators, alongside an open inductive approach to identify unanticipated program consequences.
Results
Findings demonstrates that ASACT provides people-centred, culturally responsive and traumainformed care. Staff members practice cultural humility and collaborate closely with interpreters
and multicultural community groups, as well as being trauma aware. Holistic healthcare via a
multidisciplinary team addressing broader social determinants of health is also provided.
Conclusion
This study highlights the positive impact of people-centred, culturally sensitive and trauma-informed
healthcare services. The collaboration between ASACT and community partners, as well as nonhealth sectors, empowers and engages refugees and asylum seekers, enabling them to actively
participate in their own healthcare and ensuring genuine health equity for these clients.
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