Reorientation of the Rural Adversity Mental Health Program: the value of a program logic model
The Rural Adversity Mental Health Program (RAMHP) was founded in 2007 with the specific focus of responding to drought-related mental health needs among farmers in rural and remote New South Wales (NSW), Australia. Successive re-funding enabled the program to evolve strategically and increase its re...
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Veröffentlicht in: | Rural and remote health 2019-09, Vol.19 (3), p.5217-5217 |
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description | The Rural Adversity Mental Health Program (RAMHP) was founded in 2007 with the specific focus of responding to drought-related mental health needs among farmers in rural and remote New South Wales (NSW), Australia. Successive re-funding enabled the program to evolve strategically and increase its reach. Over a decade, the program's focus has expanded to include all people in rural and remote NSW in need of mental health assistance, and not just in times of adversity such as drought.
The program's longest re-funding period, 2016-2020, provided the opportunity for a comprehensive review and longer term planning. Several priorities influencing program renewal were evident at this time: the need to improve data collection and evaluation methods, a reassessment of the program's primary focus and the need to align with significant government mental health reforms. A program logic model (PLM) was developed, in collaboration with frontline RAMHP coordinators, to steer reorientation, clarify objectives, activities and outcomes, and improve data collection. A PLM is a graphic depiction of a program, showing the rationale of how inputs and activities lead to outcomes.
Four key lessons were identified. (1) The development of the PLM in collaboration with the RAMHP coordinators (frontline staff) was found to be an important vehicle for ensuring their acceptance and adoption of strategic changes. (2) The collaborative development process also provided the opportunity to decide upon consistent terminology to describe the program, facilitating communication of the value of RAMHP to external stakeholders. (3) The PLM enabled a clear but flexible program structure that aligned with changes in the mental health system to be described. (4) The PLM provided the foundation for the development of an evaluation framework, including a mobile app, to aid data collection to underpin accountability. Investing in the development of a PLM early in program reorientation provided many benefits for RAMHP, including improved role clarity and communication, staff commitment to program changes and a foundation for comprehensive program evaluation that integrates with program planning. The PLM proved a key foundational tool to reorient RAMHP by producing a clear program structure that was agreed upon by all staff. |
doi_str_mv | 10.22605/RRH5217 |
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The program's longest re-funding period, 2016-2020, provided the opportunity for a comprehensive review and longer term planning. Several priorities influencing program renewal were evident at this time: the need to improve data collection and evaluation methods, a reassessment of the program's primary focus and the need to align with significant government mental health reforms. A program logic model (PLM) was developed, in collaboration with frontline RAMHP coordinators, to steer reorientation, clarify objectives, activities and outcomes, and improve data collection. A PLM is a graphic depiction of a program, showing the rationale of how inputs and activities lead to outcomes.
Four key lessons were identified. (1) The development of the PLM in collaboration with the RAMHP coordinators (frontline staff) was found to be an important vehicle for ensuring their acceptance and adoption of strategic changes. (2) The collaborative development process also provided the opportunity to decide upon consistent terminology to describe the program, facilitating communication of the value of RAMHP to external stakeholders. (3) The PLM enabled a clear but flexible program structure that aligned with changes in the mental health system to be described. (4) The PLM provided the foundation for the development of an evaluation framework, including a mobile app, to aid data collection to underpin accountability. Investing in the development of a PLM early in program reorientation provided many benefits for RAMHP, including improved role clarity and communication, staff commitment to program changes and a foundation for comprehensive program evaluation that integrates with program planning. The PLM proved a key foundational tool to reorient RAMHP by producing a clear program structure that was agreed upon by all staff.</description><identifier>ISSN: 1445-6354</identifier><identifier>EISSN: 1445-6354</identifier><identifier>DOI: 10.22605/RRH5217</identifier><identifier>PMID: 31480849</identifier><language>eng</language><publisher>Australia: James Cook University</publisher><subject><![CDATA[Communication ; Community ; Community Health Planning - organization & administration ; Community Mental Health Services - organization & administration ; Data collection ; Drought ; Early intervention ; Funding ; Health promotion ; Health services ; Health Services Accessibility - organization & administration ; Humans ; Logic ; Mental disorders ; Mental health care ; New South Wales ; Program Development ; Rural areas ; Rural Health ; Rural Health Services - organization & administration ; Rural Population - statistics & numerical data ; Suicides & suicide attempts ; Terminology]]></subject><ispartof>Rural and remote health, 2019-09, Vol.19 (3), p.5217-5217</ispartof><rights>2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1907-4de4bd0216ba7d15aa9d81a980855b0c402d5d6648734de8c288824118c173373</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31480849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maddox, Sarah</creatorcontrib><creatorcontrib>Read, Donna M Y</creatorcontrib><creatorcontrib>Powell, Nicholas N</creatorcontrib><creatorcontrib>Caton, Tessa J</creatorcontrib><creatorcontrib>Dalton, Hazel E</creatorcontrib><creatorcontrib>Perkins, David A</creatorcontrib><title>Reorientation of the Rural Adversity Mental Health Program: the value of a program logic model</title><title>Rural and remote health</title><addtitle>Rural Remote Health</addtitle><description>The Rural Adversity Mental Health Program (RAMHP) was founded in 2007 with the specific focus of responding to drought-related mental health needs among farmers in rural and remote New South Wales (NSW), Australia. Successive re-funding enabled the program to evolve strategically and increase its reach. Over a decade, the program's focus has expanded to include all people in rural and remote NSW in need of mental health assistance, and not just in times of adversity such as drought.
The program's longest re-funding period, 2016-2020, provided the opportunity for a comprehensive review and longer term planning. Several priorities influencing program renewal were evident at this time: the need to improve data collection and evaluation methods, a reassessment of the program's primary focus and the need to align with significant government mental health reforms. A program logic model (PLM) was developed, in collaboration with frontline RAMHP coordinators, to steer reorientation, clarify objectives, activities and outcomes, and improve data collection. A PLM is a graphic depiction of a program, showing the rationale of how inputs and activities lead to outcomes.
Four key lessons were identified. (1) The development of the PLM in collaboration with the RAMHP coordinators (frontline staff) was found to be an important vehicle for ensuring their acceptance and adoption of strategic changes. (2) The collaborative development process also provided the opportunity to decide upon consistent terminology to describe the program, facilitating communication of the value of RAMHP to external stakeholders. (3) The PLM enabled a clear but flexible program structure that aligned with changes in the mental health system to be described. (4) The PLM provided the foundation for the development of an evaluation framework, including a mobile app, to aid data collection to underpin accountability. Investing in the development of a PLM early in program reorientation provided many benefits for RAMHP, including improved role clarity and communication, staff commitment to program changes and a foundation for comprehensive program evaluation that integrates with program planning. The PLM proved a key foundational tool to reorient RAMHP by producing a clear program structure that was agreed upon by all staff.</description><subject>Communication</subject><subject>Community</subject><subject>Community Health Planning - organization & administration</subject><subject>Community Mental Health Services - organization & administration</subject><subject>Data collection</subject><subject>Drought</subject><subject>Early intervention</subject><subject>Funding</subject><subject>Health promotion</subject><subject>Health services</subject><subject>Health Services Accessibility - organization & administration</subject><subject>Humans</subject><subject>Logic</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>New South Wales</subject><subject>Program Development</subject><subject>Rural areas</subject><subject>Rural Health</subject><subject>Rural Health Services - organization & administration</subject><subject>Rural Population - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>Terminology</subject><issn>1445-6354</issn><issn>1445-6354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkF1LwzAUhoMobk7BXyABb7yp5jupd2OoExSl6K0lbbKtI11m0g727-0-lOHVORye8_LyAHCJ0S0hAvG7LBtzguUR6GPGeCIoZ8cHew-cxThHiEikyCnoUcwUUiztg6_M-lDZRaObyi-gn8BmZmHWBu3g0KxsiFWzhq8bwMGx1a6Zwffgp0HX91t0pV1rN38aLnd36Py0KmHtjXXn4GSiXbQX-zkAn48PH6Nx8vL29DwaviQlTpFMmLGsMIhgUWhpMNc6NQrrtCvJeYFKhojhRgimJO1YVRKlFGEYqxJLSiUdgJtdbtfhu7WxyesqltY5vbC-jTkhinEuUpp26PU_dO7bsOja5URILrji6UFgGXyMwU7yZahqHdY5RvnWeb533qFX-8C2qK35A38l0x_r2Hlp</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Maddox, Sarah</creator><creator>Read, Donna M Y</creator><creator>Powell, Nicholas N</creator><creator>Caton, Tessa J</creator><creator>Dalton, Hazel E</creator><creator>Perkins, David A</creator><general>James Cook University</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>Reorientation of the Rural Adversity Mental Health Program: the value of a program logic model</title><author>Maddox, Sarah ; Read, Donna M Y ; Powell, Nicholas N ; Caton, Tessa J ; Dalton, Hazel E ; Perkins, David A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1907-4de4bd0216ba7d15aa9d81a980855b0c402d5d6648734de8c288824118c173373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Communication</topic><topic>Community</topic><topic>Community Health Planning - organization & administration</topic><topic>Community Mental Health Services - organization & administration</topic><topic>Data collection</topic><topic>Drought</topic><topic>Early intervention</topic><topic>Funding</topic><topic>Health promotion</topic><topic>Health services</topic><topic>Health Services Accessibility - organization & administration</topic><topic>Humans</topic><topic>Logic</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>New South Wales</topic><topic>Program Development</topic><topic>Rural areas</topic><topic>Rural Health</topic><topic>Rural Health Services - organization & administration</topic><topic>Rural Population - statistics & numerical data</topic><topic>Suicides & suicide attempts</topic><topic>Terminology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maddox, Sarah</creatorcontrib><creatorcontrib>Read, Donna M Y</creatorcontrib><creatorcontrib>Powell, Nicholas N</creatorcontrib><creatorcontrib>Caton, Tessa J</creatorcontrib><creatorcontrib>Dalton, Hazel E</creatorcontrib><creatorcontrib>Perkins, David A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Rural and remote health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maddox, Sarah</au><au>Read, Donna M Y</au><au>Powell, Nicholas N</au><au>Caton, Tessa J</au><au>Dalton, Hazel E</au><au>Perkins, David A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reorientation of the Rural Adversity Mental Health Program: the value of a program logic model</atitle><jtitle>Rural and remote health</jtitle><addtitle>Rural Remote Health</addtitle><date>2019-09</date><risdate>2019</risdate><volume>19</volume><issue>3</issue><spage>5217</spage><epage>5217</epage><pages>5217-5217</pages><issn>1445-6354</issn><eissn>1445-6354</eissn><abstract>The Rural Adversity Mental Health Program (RAMHP) was founded in 2007 with the specific focus of responding to drought-related mental health needs among farmers in rural and remote New South Wales (NSW), Australia. Successive re-funding enabled the program to evolve strategically and increase its reach. Over a decade, the program's focus has expanded to include all people in rural and remote NSW in need of mental health assistance, and not just in times of adversity such as drought.
The program's longest re-funding period, 2016-2020, provided the opportunity for a comprehensive review and longer term planning. Several priorities influencing program renewal were evident at this time: the need to improve data collection and evaluation methods, a reassessment of the program's primary focus and the need to align with significant government mental health reforms. A program logic model (PLM) was developed, in collaboration with frontline RAMHP coordinators, to steer reorientation, clarify objectives, activities and outcomes, and improve data collection. A PLM is a graphic depiction of a program, showing the rationale of how inputs and activities lead to outcomes.
Four key lessons were identified. (1) The development of the PLM in collaboration with the RAMHP coordinators (frontline staff) was found to be an important vehicle for ensuring their acceptance and adoption of strategic changes. (2) The collaborative development process also provided the opportunity to decide upon consistent terminology to describe the program, facilitating communication of the value of RAMHP to external stakeholders. (3) The PLM enabled a clear but flexible program structure that aligned with changes in the mental health system to be described. (4) The PLM provided the foundation for the development of an evaluation framework, including a mobile app, to aid data collection to underpin accountability. Investing in the development of a PLM early in program reorientation provided many benefits for RAMHP, including improved role clarity and communication, staff commitment to program changes and a foundation for comprehensive program evaluation that integrates with program planning. The PLM proved a key foundational tool to reorient RAMHP by producing a clear program structure that was agreed upon by all staff.</abstract><cop>Australia</cop><pub>James Cook University</pub><pmid>31480849</pmid><doi>10.22605/RRH5217</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Communication Community Community Health Planning - organization & administration Community Mental Health Services - organization & administration Data collection Drought Early intervention Funding Health promotion Health services Health Services Accessibility - organization & administration Humans Logic Mental disorders Mental health care New South Wales Program Development Rural areas Rural Health Rural Health Services - organization & administration Rural Population - statistics & numerical data Suicides & suicide attempts Terminology |
title | Reorientation of the Rural Adversity Mental Health Program: the value of a program logic model |
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