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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Needs-gap analysis on culturally and linguistically diverse grandparent carers’ ‘hidden issues’: a quality improvement project

Mercedes Sepulveda A , Saras Henderson B D , Dana Farrell A C and Gaby Heuft A
+ Author Affiliations
- Author Affiliations

A Blue Care Multicultural Services, 129 Dennis Road, Springwood, Qld 4127, Australia.

B Population and Social Health Research Program, Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Gold Coast Campus, Parkland Drive, Southport, Qld 4222, Australia.

C Commonwealth Respite and Carelink Centre West Moreton/South Coast, West Moreton Office, 15 Robertson Road, Eastern Heights, Qld 4305, Australia.

D Corresponding author. Email s.henderson@griffith.edu.au

Australian Journal of Primary Health 22(6) 477-482 https://doi.org/10.1071/PY15051
Submitted: 16 March 2015  Accepted: 28 September 2015   Published: 11 January 2016

Abstract

In Australia, a significant number of culturally and linguistically diverse (CALD) grandparents are sole carers for their grandchildren. Available information on the impact of caring on CALD grandparents and the ability of service providers to respond to their needs is limited. Our needs-gap analysis quality improvement project aimed to uncover ‘hidden issues’ for CALD grandparent carers so that services can be improved. One hundred service providers, such as community and aged-care services, child and/or grandparent support services and CALD-specific services, were approached using six structured questions. Six consultative forums on the caring role, issues encountered, and what needed to be done, were conducted with African, Asian, Spanish, Middle Eastern, European, Pacific Island and Maori grandparent carers in Queensland. The data were qualitatively analysed. Six themes emerged: 1) service provider and grandparent carer perception that there was limited research on CALD grandparents; 2) inadequate legal and financial support; 3) barriers to accessing information; 4) lack of childcare options; 5) transport difficulties; and 6) inadequate technological skills. Our findings provide insight to health service providers on the ‘hidden issues’ so that they can better assist CALD grandparent carers by improving access to relevant information, referrals and resources.

Additional keywords: CALD grandparents, carer needs, community health services, grandparent carer issues, health service gaps.


References

Allen R (2002) ‘Grandparents as carers: a look at the situation faced by grandparents who are raising their grandchildren.’ (Kidlink: Perth, WA)

Australian Bureau of Statistics (2011). ‘Who are Australia’s older people? Cultural diversity.’ Available at http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/2071.0main+features752012-2013 [Verified 9 October 2014]

Australian Institute of Health and Welfare (AIHW) (2011). Australia’s welfare 2011 in brief. Australian Welfare No. 10. Cat No. AUS 145. Available at http://www.aihw.gov.au/publication-detail/?id=10737420536 [Verified 19 June 2012]

Backhouse J (2009) Grandparents raising their grandchildren: impact of the transition from a traditional grandparent role to a grandparent-as-parent role. PhD thesis, Southern Cross University, Lismore, NSW. Available at http://epubs.suc.edu/cgi/viewcontent.cgi?article=1081&context=theses [Verified 21 June 2012]

Backhouse J, Granham A (2012) ‘Grandparents raising their grandchildren: an uneasy position.’ (Southern Cross University: Lismore, NSW) Available at http://www.usw.edu.au/_data/assets/pdf_file/0018/156330/Backhouse-Graham.pdf [Verified 24 July 2012]

Baldock E (2007) ‘Grandparents raising grandchildren because of alcohol and other drug issues.’ Family Matters No. 76, Canberra, ACT. Available at http://192.135.208.240/institute/pubs/fm2007/fm76/eb.pdf [Verified 21 June 2012]

Beotto H (2010) Kinship care: a review of issues. Family Matters No. 85, Canberra, ACT. Available at https://aifs.gov.au/publications/family-matters/issue-85/kinship-care [Verified 15 October 2015]

Borg T, Paul A (2004) Indigenous parenting project: main report. Secretariat of National Aboriginal and Islander Child Care, Department of Child and Family Studies, Swinburne University, Melbourne, Vic. Available at http://www.snaicc.org.au/_uploads/rsfil/01815.pdf [Verified 15 October 2015]

Cekada T (2011) Need training: conducting an effective needs assessment. Professional Safety 56, 28–34.

Centrelink (2012) Grandparents Service Information. Available at http://www.humanservices.gov.au/customer/services/centrelink/grandparent-advisers [Verified 19 November 2015]

Collett H (2011) The hidden battle of grandparent carers. Available at http://www.guardian.co.uk/commentsfree/2011/jan/18/grandparents-carers-children-support [Verified 20 July 2012]

Council Of The Ageing (COTA) (2003) Grandparents raising grandchildren. A report of the project commissioned by the Hon. Larry Anthony, Minister for Children and Youth Affairs, and carried out by COTA national seniors. Available at https://www.dss.gov.au/sites/default/files/documents/grandparentsraisinggrandchildrenreport.pdf [Verified 15 October 2015]

Council of The Ageing (COTA) (2011) Making parents pay child support: a new stress for grandparents raising grandchildren. Available at http://cotansw.com.au/wp-content/uploads/2012/03/New-Stress-on-Grandparents-Raising-Grandchildren.pdf [Verified 20 July 2012]

Davidhizar R, Bechtel GA, Woodring BC (2000) The changing role of grandparenthood. Journal of Gerontological Nursing 26, 24–29.
The changing role of grandparenthood.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3c3jvVCltA%3D%3D&md5=ff4e9c0f7d2b6685ec4cb91bc48bd750CAS | 10776166PubMed |

Department of Social Services (2011) My Time for Grandparents. Available at: https://www.dss.gov.au/families-and-children/news/2011/mytime-for-grandparents-peer-support-groups [Verified 19 November 2015]

Families Australia (2007) Grandparenting: present and future. Family Issues Series No. 2 Report. Available at http://www.familiesaustralia.org.au/publications/pubs/conferences/grandparent/Grandparentingpresentandfuture.pdf [Verified 19 June 2012]

Grandparents Information Qld (2012) Time for Grandparents. Available at: http://www.grandparentsqld.com.au/program [Verified 19 November 2015]

Horner B, Downie J, Hay D, Wichmann H (2007a) Grandparent-headed families in Australia. Family Matters No. 76. Available at http://www.aifs.gov.au/institute/pubs/fm2007/fm76/bh.pdf [Verified 19 June 2012]

Horner B, Downie JM, Hay DA, Wichmann HM (2007b) Grandparent kinship care in Australia. Geriaction 25, 5–14.

Human Rights and Equal Opportunity Commission (2007) It’s about time: women, men, work and family. Human Rights and Equal Opportunity Commission Fact Sheet 6. Available at http://www.hreoc.gov.au/sex_discsrimination/its_about_time/docs/facts/factsheet6_carefor_adults_and_support_for_carers.pdf [Verified 22 June 2012]

Laws T (1997) Child care arrangements in Australia: an argument for involving grandparents in a funded care role. Australasian Leisure for Pleasure Journal 2, 9–16.

National Health and Medical Research Council (2007) National Statement on Ethical Conduct in Human Research. Available at https://www.nhmrc.gov.au/guidelines-publications/e72 [Verified 15 October 2015]

Orb A, Davey M (2005) Grandparents parenting their grandchildren. Australasian Journal on Ageing 24, 162–168.
Grandparents parenting their grandchildren.Crossref | GoogleScholarGoogle Scholar |

Squire S, Tilly J (2007) It’s about time: women, men, work and family final report 2007. Available at https://www.humanrights.gov.au/our-work/sex-discrimination/publications/its-about-time-women-men-work-and-family-final-paper-2007 [Verified 22 June 2012]