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Impacts of community resilience on the implementation of a mental health promotion program in rural Australia


de Deuge, J and Hoang, Ha and Kent, K and Mond, J and Bridgman, H and Skromanis, S and Smith, LA and Auckland, S, Impacts of community resilience on the implementation of a mental health promotion program in rural Australia, International Journal of Environmental Research and Public Health, 17, (6) Article 2031. ISSN 1661-7827 (2020) [Refereed Article]

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© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (

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DOI: doi:10.3390/ijerph17062031


Mental health promotion programs are important in rural communities but the factors which influence program effectiveness remain unclear. The aim of this mixed-methods study was to assess how community resilience affected the implementation of a mental health promotion program in rural Tasmania, Australia. Four study communities were selected based on population size, rurality, access to local support services, history of suicide within the community, and maturity of the mental health promotion program. Data from self-report questionnaires (n = 245), including items of Communities Advancing Resilience Toolkit (CART) assessment, and qualitative (focus group and interview) data from key local stakeholders (n = 24), were pooled to explore the factors perceived to be influencing program implementation. Survey results indicate the primary community resilience strengths across the four sites were related to the ‘Connection and Caring’ domain. The primary community resilience challenges related to resources. Qualitative findings suggested lack of communication and leadership are key barriers to effective program delivery and identified a need to provide ongoing support for program staff. Assessment of perceived community resilience may be helpful in informing the implementation of mental health promotion programs in rural areas and, in turn, improve the likelihood of their success and sustainability.

Item Details

Item Type:Refereed Article
Keywords:community, evaluation, implementation, mental health, promotion, program, resilience, rural
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:de Deuge, J (Mrs Josephine de deuge)
UTAS Author:Hoang, Ha (Dr Ha Hoang)
UTAS Author:Kent, K (Dr Katherine Kent)
UTAS Author:Mond, J (Dr Jon Mond)
UTAS Author:Bridgman, H (Dr Heather Bridgman)
UTAS Author:Skromanis, S (Ms Sarah Skromanis)
UTAS Author:Smith, LA (Mrs Laura Grattidge)
UTAS Author:Auckland, S (Mr Stuart Auckland)
ID Code:138028
Year Published:2020
Web of Science® Times Cited:8
Deposited By:UTAS Centre for Rural Health
Deposited On:2020-03-20
Last Modified:2021-03-31
Downloads:16 View Download Statistics

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