{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:44:07Z","timestamp":1792075447598,"version":"4.4.0"},"reference-count":10,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aims<\/jats:title>\n To document the health status and clinical complexity of Aboriginal children attending the Wadja Health Clinic at The Royal Children's Hospital (RCH), Melbourne and to assess the delivery of culturally competent care. To use the findings to inform service delivery.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective review of 208 patient records (March 2018\u2013March 2020) was conducted. Diagnoses and social\u2013emotional difficulties were categorised into four domains: medical, developmental\/behavioural, mental health and adverse childhood experiences (ACEs). Children with issues in \u2265\u20093 domains were classified as having complexity. Culturally competent care was assessed based on documentation or inference of cultural safety, relationship\u2010based care, family\u2010centred and strength\u2010based care and a focus on social and emotional wellbeing.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Sixty\u2010eight percent of children met criteria for complexity. Thirty\u2010six percent had experience with Out of Home Care (OOHC), and 80% had at least one ACE. Aboriginal Case Managers provided a median of 7 contacts per child over 2\u2009years, while paediatricians saw children a median of 4 times. Referrals supported relationship\u2010based care: 35% to Victorian Aboriginal Child Care Agency (VACCA) and 17.8% to an Aboriginal Community Controlled Health Organisation (ACCHO). Self\u2010reported connection to culture and connection to cultural practices were poorly recorded.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This Australian study documents high levels of clinical complexity in Aboriginal children attending an urban hospital clinic and demonstrates the value of embedding culturally competent care. The service response has been to strengthen an Aboriginal\u2010led integrated multidisciplinary model of care at the hospital and could serve as a model for other hospital settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jpc.70540","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T10:03:25Z","timestamp":1786701805000},"page":"1942-1947","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complexity and Culturally Competent Care for Aboriginal Children Seen in a Hospital Paediatric Outpatient Clinic\u2014A Retrospective File Review"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9807-3673","authenticated-orcid":false,"given":"Renata","family":"Kukuruzovic","sequence":"first","affiliation":[{"name":"Wadja Aboriginal Family Place Royal Children's Hospital Melbourne Australia"},{"name":"Murdoch Children's Research Institute Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4664-3550","authenticated-orcid":false,"given":"Selena","family":"White","sequence":"additional","affiliation":[{"name":"Wadja Aboriginal Family Place Royal Children's Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4226-9627","authenticated-orcid":false,"given":"Sharon","family":"Mongta","sequence":"additional","affiliation":[{"name":"Wadja Aboriginal Family Place Royal Children's Hospital Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3017-2770","authenticated-orcid":false,"given":"Harriet","family":"Hiscock","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010019\u20104605\u20100"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15403"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14624"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010\u20100910"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-064556"},{"key":"e_1_2_10_7_1","first-page":"55","volume-title":"Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice","author":"Gee G.","year":"2014"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010021\u201001514\u20102"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220221211046310"},{"key":"e_1_2_10_10_1","unstructured":"\u201cNational Framework for Health Services for Aboriginal and Torres Strait Islander Children and Families 2016 (The Framework) \u201dhttp:\/\/www.coaghealthcouncil.gov.au\/Portals\/0\/National%20Framework%20for%20Child%20and%20Family%20Health%20Services%20\u2010%20updated.pdf."},{"key":"e_1_2_10_11_1","unstructured":"\u201cThe National Framework for Child and Family Health Services\u2014Secondary and Tertiary Services \u201d 2015 http:\/\/www.coaghealthcouncil.gov.au\/Portals\/0\/National%20Framework%20for%20Child%20and%20Family%20Health%20Services%20\u2010%20updated.pdf."}],"container-title":["Journal of Paediatrics and Child 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