Figure 1
Core Components of a Hub Figure [34].
Table 1
Site B Fidelity Log.
| HUB PARTNERED HEALTH AND NGO SERVICES | INTEGRATION OF SERVICES | CULTURAL SENSITIVITY | NAVIGATION MODEL |
|---|---|---|---|
| Child and family health nurse Nutrition Clinic Community Paediatrics NGO Child health early intervention and prevention service NGO Parent support service NGO Music therapy Speech Pathology NGO Child psychological therapies NGO Family mental health service | Referral Pathways between services within hub | Training | None specified |
| Referral pathways documented (supplementary file) | None identified | ||
| Communication pathways between services within hub | Indicate use of interpreters | ||
| Monthly site meeting set up as part of the trial No joint case review meeting No joint client intake meeting | Free access to interpreters | ||
| Appropriate resources | |||
| No in-language resource identified | |||
| Shared Training between services within hub | Consumer Engagement/codesign with local communities | ||
| Common agenda training | None identified | ||
| Shared Resource between services within hub | |||
| Shared building Shared security | |||
| Shared Strategy between services within hub | |||
| No documented joint strategy |
Table 2
Site C Fidelity Log.
| HUB PARTNERED HEALTH AND NGO SERVICES | INTEGRATION OF SERVICES | CULTURAL SENSITIVITY | NAVIGATION MODEL |
|---|---|---|---|
| Child and family health nurse (Health) Childcare Centre Community Paeditrican Public School School Nurse Two supported Play groups NGO parenting and family service NGO disability service for children and young people NGO Navigator Speech therapist Occupational therapist | Referral Pathways between services within hub | Training | Partner NGO provide service navigation support for the hub as part of their funding |
| Referral pathways documented (Bespoke processes to support integration e.g. “warm” referrals and refer feedback) | Trauma informed care Working in Culturally Diverse Contexts Course (Health staff only) Culturally responsive practice workshop | ||
| Communication pathways between services within hub | |||
| Governance structure: working group and leadership group made up of health and NGO partners Referral feedback provided No joint case review meeting No joint client intake meeting | Indicate use of interpreters | ||
| Free access to interpreters | |||
| Appropriate resources | |||
| Multi-language welcome signs Hub brochure in 5 community languages Links to translated resources in confirmation emails; explained at first appointment with interpreter if required. | |||
| Shared Training between services within hub | |||
| Developmental surveillance Trauma informed care Common agenda | |||
| Shared Resource between services within hub | Consumer Engagement/codesign with local communities | ||
| Shared building Shared digital resources | QI survey of Child, Youth and Family Services | ||
| Shared Strategy between services within hub | |||
| Strategic Planning Workshops Shared vision documented in hub brochure and referral guidelines |