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This chapter describes integrated care in the context of mental health service provision in rural and remote Australia. Australia is a large continent with a small population; there are both geographical and systemic barriers to delivering person-centered integrated care. This chapter highlights the context and how the nine pillars of integrated care align to the Orange Declaration on rural and remote mental health. Aligning to the nine pillars, challenges are highlighted, along with integrated care case examples that better meet the needs of rural and remote Australians, from place-based solutions to centrally enabled digitally supported cases. While there are great case examples, much remains to overcome structural, financial, workforce, and geographical challenges to deliver equitable and integrated mental healthcare to rural and remote Australians.

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From Challenges to Change: Reflections on Integrated Care and Australian Rural Mental Health

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  • 发表日期：

    2025年

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  • Hazel Dalton,
  • David Perkins

摘要

This chapter describes integrated care in the context of mental health service provision in rural and remote Australia. Australia is a large continent with a small population; there are both geographical and systemic barriers to delivering person-centered integrated care. This chapter highlights the context and how the nine pillars of integrated care align to the Orange Declaration on rural and remote mental health. Aligning to the nine pillars, challenges are highlighted, along with integrated care case examples that better meet the needs of rural and remote Australians, from place-based solutions to centrally enabled digitally supported cases. While there are great case examples, much remains to overcome structural, financial, workforce, and geographical challenges to deliver equitable and integrated mental healthcare to rural and remote Australians.