Cairns and Hinterland Health Service District

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Mental Health Protocols Survey, Cairns and Hinterland Health Service District

Thank you for your enquiry on the the protocols for the delivery of social and emotional wellbeing and mental health services in indigenous communities!

To receive a copy of this document, we request that you fill in this simple questionnaire to assist us in understanding how it will be used. Kindly do not circulate copies of the document any further than your own needs in implementation but feel free to encourage interested people to contact us.

If you have any questions or comments, please contact:

Associate Professor Melissa Haswell,
Muru Marri Unit,
School of Public Health and Community Medicine,
University of New South Wales
(m.haswell@unsw.edu.au; phone 0415-568-536)
or
Dr. Arlene Laliberté,
North Queensland Health Equalities Promotion Unit,
101 Sheridan Street,
Cairns, Qld 4870
(arlene_laliberte@health.qld.gov.au; 07-4080-3115).

We aim for this to be a mutually beneficial exercise--the higher the demand for culturally appropriate delivery of social and emotional and mental health services in Indigenous communities is, the stronger the argument to support changes in this direction.

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1. Please fill in your contact details, including the full mailing address to which we can send the document.
Name:
Organisation:
Address:
City/Town:
State:
Postal Code:
Country:
Email Address:
Phone Number:
Date Requested:
2. What type of organisation do you work for?
Government
Health service
Research organisation
NGO
Other (please specify)
3. What are the main activities of your organisation?
4. Please describe your role in your organisation?
5. How did you hear about the "Protocols document"?
Conference presentation
Written document
Colleague
Other (please specify)
6. What is your intended use of the "Protocols document"? (you may select more than one answer)
Workforce training
Teaching
Professional development
Community skill/capacity building
Other (please specify)
7. What do you anticipate the "Protocols document" will help you to achieve?
Interagency coordination
Mental health Promotion
Broader well being support
Guiding clinical decision support
Guiding culturally appropriate service delivery
Supporting implementation of care pathways
Supporting integrated mental health care
Other (please specify)
8. Please describe the setting you intend to use the "Protocols document" in.
9. Would you agree to be contacted by a member of our team to give feedback on the document at a later date?
Yes No
If yes, please indicate your email address

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