Addressing the barriers to accessing therapy services in rural and remote areas

Angela Dew, Kim Bulkeley, Craig Veitch, Anita Bundy, Gisselle Gallego, Michelle Lincoln, Jennie Brentnall, Scott Griffiths

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Purpose: Throughout the world, people with a disability who live in rural and remote areas experience difficulty accessing a range of community-based services including speech-, physio- and occupational therapy. This paper draws on information gathered from carers and adults with a disability living in a rural area in New South Wales (NSW), Australia to determine the extent to which people living in rural areas may receive a person-centred therapy service. Methods: As part of a larger study in rural NSW into the delivery of therapy services, focus groups and individual interviews were conducted with 78 carers and 10 adults with a disability. Data were analysed using constant comparison and thematic analysis. Results: Three related themes emerged: (i) travelling to access therapy; (ii) waiting a long time to get therapy; and (iii) limited access to therapy past early childhood. The themes overlaid the problems of recruiting and retaining sufficient therapists to work in rural areas. Conclusions: Community-based rehabilitation principles offer possibilities for increasing person-centred therapy services. We propose a person-centred and place-based approach that builds on existing service delivery models in the region and involves four inter-related strategies aimed at reducing travel and waiting times and with applicability across the life course.Implications for RehabilitationTherapy service delivery in rural and remote areas requires:Place-based and person centred strategies to build local capacity in communities.Responsive outreach programs working with individuals and local communities.Recognition of the need to support families who must travel to access remotely located specialist services.Innovative use of technology to supplement and enhance service delivery.

Original languageEnglish
Pages (from-to)1564-1570
Number of pages7
JournalDisability and Rehabilitation
Volume35
Issue number18
DOIs
Publication statusPublished - 1 Aug 2013
Externally publishedYes

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New South Wales
Caregivers
Speech Therapy
South Australia
Social Welfare
Occupational Therapy
Therapeutics
Disabled Persons
Focus Groups
Rehabilitation
Interviews
Technology
Person-Centered Therapy

Cite this

Dew, Angela ; Bulkeley, Kim ; Veitch, Craig ; Bundy, Anita ; Gallego, Gisselle ; Lincoln, Michelle ; Brentnall, Jennie ; Griffiths, Scott. / Addressing the barriers to accessing therapy services in rural and remote areas. In: Disability and Rehabilitation. 2013 ; Vol. 35, No. 18. pp. 1564-1570.
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Dew, A, Bulkeley, K, Veitch, C, Bundy, A, Gallego, G, Lincoln, M, Brentnall, J & Griffiths, S 2013, 'Addressing the barriers to accessing therapy services in rural and remote areas', Disability and Rehabilitation, vol. 35, no. 18, pp. 1564-1570. https://doi.org/10.3109/09638288.2012.720346

Addressing the barriers to accessing therapy services in rural and remote areas. / Dew, Angela; Bulkeley, Kim; Veitch, Craig; Bundy, Anita; Gallego, Gisselle; Lincoln, Michelle; Brentnall, Jennie; Griffiths, Scott.

In: Disability and Rehabilitation, Vol. 35, No. 18, 01.08.2013, p. 1564-1570.

Research output: Contribution to journalArticle

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AU - Bulkeley, Kim

AU - Veitch, Craig

AU - Bundy, Anita

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AU - Lincoln, Michelle

AU - Brentnall, Jennie

AU - Griffiths, Scott

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