title: Psychological distress in carers of Aboriginal children in urban New South Wales: findings from SEARCH (phase one).
abstract: OBJECTIVE
  To examine the factors associated with psychological distress in parents and carers of Aboriginal children living in urban communities in New South Wales.
  
  
  METHODS
  Cross-sectional survey (phase one of the Study of Environment on Aboriginal Resilience and Child Health [SEARCH], November 2007 - December 2011).
  
  
  METHODS
  Primary care; 589 parents and carers of Aboriginal children were recruited when attending one of the four Aboriginal Community Controlled Health Services (ACCHSs) in urban NSW that participated in SEARCH.
  
  
  METHODS
  Kessler Psychological Distress Scale (K10) scores; a score of 22 or higher was deemed to indicate high levels of psychological distress.
  
  
  RESULTS
  High levels of psychological distress were identified in 18% of our sample. The factors most strongly associated with this distress were functional limitations (v those with K10 scores under 22: adjusted odds ratio [aOR], 4.2; 95% CI, 1.3-13.5), previous hospitalisation (aOR, 5.5; 95% CI, 1.5-19.4) or other treatment for social and emotional wellbeing (aOR, 3.3; 95% CI, 1.3-8.4), low satisfaction with feeling part of the community (aOR, 0.83; 95% CI, 0.70-0.98) and low involvement in clubs and groups (aOR, 2.9; 95% CI, 1.2-7.3).
  
  
  CONCLUSIONS
  Clinicians should note that those with functional limitations or a history of treatment for mental health problems are at higher risk of psychological distress and may require additional support. Increased funding that allows ACCHSs to provide mental health services, and funding and promoting programs and activities that increase social connectedness should remain focuses for ACCHSs and policy makers.
authors.affiliation: Sax Institute, Sydney, NSW anna.williamson@saxinstitute.org.au.
authors.forename: Anna B
authors.initials: AB
authors.lastname: Williamson
authors.affiliation: National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: D'Este
authors.affiliation: Australian Health Services Research Institute, University of Wollongong, Wollongong, NSW.
authors.forename: Kathleen F
authors.initials: KF
authors.lastname: Clapham
authors.affiliation: Sax Institute, Sydney, NSW.
authors.forename: Sandra J
authors.initials: SJ
authors.lastname: Eades
authors.affiliation: Sax Institute, Sydney, NSW.
authors.forename: Sally
authors.initials: S
authors.lastname: Redman
authors.affiliation: Australian National University, Canberra, ACT.
authors.forename: Beverley
authors.initials: B
authors.lastname: Raphael
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data*; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services; D010290:Parents; D013315:Stress, Psychological / Q000453:epidemiology*; D055815:Young Adult; D000095283:Australian Aboriginal and Torres Strait Islander Peoples