{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T05:43:00Z","timestamp":1769578980779,"version":"3.49.0"},"reference-count":81,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T00:00:00Z","timestamp":1738195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The study assessed the impact on clinicians' \u2018perception of skills\u2019 in postdisaster evidence\u2010informed care (EIC) following participation in an online training programme implemented following the Queensland floods and cyclones of 2010\u201311, clinician confidence to provide EIC, the frequency clinicians used EIC and barriers to providing postdisaster specialist mental health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Clinician perception of pre and posttraining skills, confidence in providing therapies such as trauma\u2010focused cognitive behaviour therapy (TF\u2010CBT), frequency of therapies provided and clinician perception of barriers to the programme were assessed quantitatively and qualitatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants and Setting<\/jats:title><jats:p>Clinical staff (<jats:italic>n<\/jats:italic>\u2009=\u200960) employed by the 2010\u201311 postdisaster mental health programme participated in an online survey conducted over the last 12\u2009weeks of 2012. After the programme concluded an independent audit of the clinical record of mental health clients treated by clinicians employed in the specialist mental health programme was undertaken.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s)<\/jats:title><jats:p>Perception of clinical skills in various EIC modalities was completed pre and posttraining. Confidence to provide a treatment was rated on a five\u2010point scale. The clinical record audit identified the treatments provided to clients. Barriers to programme delivery were rated on a five\u2010point scale, with qualitative feedback highlighting programme concerns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Posttraining clinicians perceived skills in TF\u2010CBT (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), cognitive behaviour therapy (CBT) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and exposure therapy (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) had improved. Following training, clinicians described themselves as moderately to extremely confident in implementing TF\u2010CBT (87%), exposure therapy (80%) and skills for psychological recovery (SPR) (88%). Clinical records analysis indicates that 25% of cases received no TF\u2010CBT, while 43% received one to five sessions. Barriers to care included a lack of cross\u2010service relationships. Recommendations focused on training and early commencement of intervention programmes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study echoes the findings of the 2020 Australian Bushfire Royal Commission recommendations that highlighted a need for clinician training in postdisaster EIC and the availability of clinicians with specialised postdisaster mental health skills.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.70002","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T06:30:13Z","timestamp":1738218613000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Provision of Evidence\u2010Informed Psychological Interventions Following the Queensland (Australia) 2010\u201311 Floods and Cyclones; the Barriers and Successes"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3381-6826","authenticated-orcid":false,"given":"David","family":"Crompton","sequence":"first","affiliation":[{"name":"Queensland University of Technology  Brisbane Queensland Australia"},{"name":"Griffith University  Gold Coast and Nathan Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Kohleis","sequence":"additional","affiliation":[{"name":"Metro South Hospital and Health Service  Woolloongabba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4237-1320","authenticated-orcid":false,"given":"Jane","family":"Shakespeare\u2010Finch","sequence":"additional","affiliation":[{"name":"Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5586-0097","authenticated-orcid":false,"given":"Gerard","family":"FitzGerald","sequence":"additional","affiliation":[{"name":"Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6806-6503","authenticated-orcid":false,"given":"Ross","family":"Young","sequence":"additional","affiliation":[{"name":"Queensland University of Technology  Brisbane Queensland Australia"},{"name":"Griffith University  Gold Coast and Nathan Queensland Australia"},{"name":"University of the Sunshine Coast  Maroochydore Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,30]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Number of Reported Natural Disasters","author":"Our World Data","year":"2020"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/wrcr.20123"},{"key":"e_1_2_11_4_1","first-page":"47","volume-title":"The 2019\/20 Black Summer Bushfires","author":"Davey S. 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