Books by Kate Johnston-Ataata
This interdisciplinary book explores the affective dimensions of becoming a parent, traversing th... more This interdisciplinary book explores the affective dimensions of becoming a parent, traversing the life-cycle journey of pregnancy, childbirth, and early parenting. Bringing together researchers from sociology, history, feminist studies, cultural studies, general medicine, and psychiatry, Paths to Parenthood analyses rich narratives that represent a diverse cross-section of parents, including migrants, same-sex couples, and single parents.
Paths to Parenthood: Emotions on the Journey through Pregnancy, Childbirth, and Early Parenting, 2018
Childbearing has cross-culturally and historically been considered a time of vulnerability and tr... more Childbearing has cross-culturally and historically been considered a time of vulnerability and transition for new mothers and their babies, as reflected in the existence of ritual postpartum practices. The decline of ‘lying-in’ or confinement practices in Australia has, together with large-scale socio-cultural and demographic changes, led to many new parents, particularly mothers, finding themselves isolated and unsupported in the early postnatal period. This chapter explores how a diverse group of new parents in Australia felt and thought about social support in early parenthood, and the support they experienced. Based on an in-depth engagement with parents’ narratives, it argues that understanding emotional responses to experiences of support in early parenthood is impossible without an appreciation of both expectations of support, and the factors influencing such expectations.
Papers by Kate Johnston-Ataata
Emotion Space and Society, 2019
Drawing on a larger study of a diverse group of eight Tongan-European Australian intercultural co... more Drawing on a larger study of a diverse group of eight Tongan-European Australian intercultural couples' experiences of partnering and becoming parents, this article explores participants' accounts of relationships with parents and parents-in-law over the course of these key family life cycle transitions. In particular, the article seeks to understand the role of geographical space in couples' experiences of navigating intimacy in intercultural, intergenerational relationships, understood as sites for cosmopolitanization, and what this reveals about intercultural partnering and parenting in the context of wider social and economic changes impacting family life. The analysis shows that participants placed importance on both intimate relationships with their parents and parents-in-law, and on autonomy as a couple, but that balancing these objectives was challenging. The article also illustrates how the occupation and sharing of space can enhance or disrupt intimacy between adult children in intercultural relationships and their parents/-in-law. Alternatively, space can be used to remedy uncomfortable cosmopolitanized encounters and reinscribe preferred degrees of physical proximity and distance. These findings highlight the importance of attending to the 'doing' and undoing of intimacy, including non-verbal gestures and responses. The article contributes to our understanding of emotional experiences of cosmopolitanization, and of intimacy in intercultural, intergenerational relationships.
https://doi.org/10.1016/j.emospa.2019.02.002
Background. The World Health Organization and the World Organization of Family Doctors have calle... more Background. The World Health Organization and the World Organization of Family Doctors have called for ‘doable’ and ‘limited’ tasks to integrate mental health into primary care. Little information is provided about tasks GPs can undertake outside of guidelines that suggest to prescribe
medication and refer to specialists.
Objectives. The reorder study aimed to gather diverse patient and community perspectives to inform the development of an effective system of depression care.
Method. Five hundred ands eventy-six patients completed computer-assisted telephone interviews. Two hundred and seventy-six community stakeholders completed a modified two round Delphi. Responses were analysed to identify tasks and these were synthesised into a conceptual design.
Results. Fifteen core tasks were identified, 5 were agreed upon and a further 10 identified by each group but not agreed upon. Listen, understand and empathize, provide thorough and competent diagnosis and management, follow-up and monitor patients, be accessible and do not rush appointments and provide holistic approach and tailor care to individual needs were agreed on. Other tasks included: develop plans with patients, assess for severity and suicide risk, account
for social factors, be well trained in depression care and offer a range of treatment options, appropriate and timely referral, support and reassurance, educate patients about depression,
prescribe appropriately and manage medication and be positive and encouraging.
Conclusions. The tasks form the basis of a conceptual design for developing a primary care response to depression. They fit within three domains of care: the relational, competency and
systems domains. This illustrates tasks for GPs beyond prescription and referral.
Qualitative Health Research, 2018
Supported decision-making (SDM) is a principle guiding mental health service provision, which aim... more Supported decision-making (SDM) is a principle guiding mental health service provision, which aims to improve people’s ability to make informed decisions about their care. Understanding diverse individual needs is vital to its success. Based on 29 narrative interviews with people diagnosed with mental illness in Australia, we examine how
participants reflected on their own experiences of SDM. We find that participants’ conceptualization of mental health expertise, their own experiences and sense of agency, and their varying needs for dependence and independence influenced their relationships with mental health practitioners. These factors in turn shaped their expectations about SDM. Four narrative positions emerged: the “Inward Expert,” the “Outward Entrustor,” the “Self-Aware Observer,” and the “Social Integrator.” These positionings influenced the type or style of support that participants expected and considered most useful. Our findings are relevant to developing effective approaches to SDM that take into account service users’ needs and preferences.
Australian Family Physician., 2010
Practice based research networks comprise research academics and primary care practitioners who h... more Practice based research networks comprise research academics and primary care practitioners who have the mutual goal of supporting the development and implementation of research that is necessary to build the evidence base that informs both primary healthcare practitioners and policy makers. This article describes the establishment of the Victorian Primary Care Practice Based Research Network (VicReN), which was established in 2007 and has grown to over 100 members. Method: The aim of this article is to discuss the key factors in the development of the organisational structure of VicReN, and to describe the outcome measures used to evaluate the network. Results: VicReN has a diverse primary care membership. Members' different research needs have been addressed through numerous capacity building activities. The absence of core funding beyond the development phase has led to an innovative funding model. Discussion: This article outlines a viable and sustainable background practice based research network model in the Australian environment that may assist other academic departments of general practice and rural health interested in establishing a practice based research network.
Conference Presentations by Kate Johnston-Ataata
Images: Infinitewhite (ring), Mata'Aho Kindergarden (kava bowl)
Uploads
Books by Kate Johnston-Ataata
Papers by Kate Johnston-Ataata
https://doi.org/10.1016/j.emospa.2019.02.002
medication and refer to specialists.
Objectives. The reorder study aimed to gather diverse patient and community perspectives to inform the development of an effective system of depression care.
Method. Five hundred ands eventy-six patients completed computer-assisted telephone interviews. Two hundred and seventy-six community stakeholders completed a modified two round Delphi. Responses were analysed to identify tasks and these were synthesised into a conceptual design.
Results. Fifteen core tasks were identified, 5 were agreed upon and a further 10 identified by each group but not agreed upon. Listen, understand and empathize, provide thorough and competent diagnosis and management, follow-up and monitor patients, be accessible and do not rush appointments and provide holistic approach and tailor care to individual needs were agreed on. Other tasks included: develop plans with patients, assess for severity and suicide risk, account
for social factors, be well trained in depression care and offer a range of treatment options, appropriate and timely referral, support and reassurance, educate patients about depression,
prescribe appropriately and manage medication and be positive and encouraging.
Conclusions. The tasks form the basis of a conceptual design for developing a primary care response to depression. They fit within three domains of care: the relational, competency and
systems domains. This illustrates tasks for GPs beyond prescription and referral.
participants reflected on their own experiences of SDM. We find that participants’ conceptualization of mental health expertise, their own experiences and sense of agency, and their varying needs for dependence and independence influenced their relationships with mental health practitioners. These factors in turn shaped their expectations about SDM. Four narrative positions emerged: the “Inward Expert,” the “Outward Entrustor,” the “Self-Aware Observer,” and the “Social Integrator.” These positionings influenced the type or style of support that participants expected and considered most useful. Our findings are relevant to developing effective approaches to SDM that take into account service users’ needs and preferences.
Conference Presentations by Kate Johnston-Ataata
https://doi.org/10.1016/j.emospa.2019.02.002
medication and refer to specialists.
Objectives. The reorder study aimed to gather diverse patient and community perspectives to inform the development of an effective system of depression care.
Method. Five hundred ands eventy-six patients completed computer-assisted telephone interviews. Two hundred and seventy-six community stakeholders completed a modified two round Delphi. Responses were analysed to identify tasks and these were synthesised into a conceptual design.
Results. Fifteen core tasks were identified, 5 were agreed upon and a further 10 identified by each group but not agreed upon. Listen, understand and empathize, provide thorough and competent diagnosis and management, follow-up and monitor patients, be accessible and do not rush appointments and provide holistic approach and tailor care to individual needs were agreed on. Other tasks included: develop plans with patients, assess for severity and suicide risk, account
for social factors, be well trained in depression care and offer a range of treatment options, appropriate and timely referral, support and reassurance, educate patients about depression,
prescribe appropriately and manage medication and be positive and encouraging.
Conclusions. The tasks form the basis of a conceptual design for developing a primary care response to depression. They fit within three domains of care: the relational, competency and
systems domains. This illustrates tasks for GPs beyond prescription and referral.
participants reflected on their own experiences of SDM. We find that participants’ conceptualization of mental health expertise, their own experiences and sense of agency, and their varying needs for dependence and independence influenced their relationships with mental health practitioners. These factors in turn shaped their expectations about SDM. Four narrative positions emerged: the “Inward Expert,” the “Outward Entrustor,” the “Self-Aware Observer,” and the “Social Integrator.” These positionings influenced the type or style of support that participants expected and considered most useful. Our findings are relevant to developing effective approaches to SDM that take into account service users’ needs and preferences.