Research projects

Improving the delivery of health and wellbeing services to Indigenous youth in primary healthcare using a quality improvement approach

Principal researcher

Associate Professor Tricia Nagel


Mental Health, Wellbeing and Chronic Diseases Division
Menzies School of Health Research



Award type

beyondblue National Priority Driven Research Program

Project completion year


Project brief

The One21seventy youth health clinical audit tool is designed to improve the quality of care provided to Aboriginal and Torres Strait Islander youth aged 12-25 years. The youth health clinical audit tool was developed by Menzies School of Health Research with the support of beyondblue and the Lowitja Institute. The tool is based on national and state/territory guidelines for Aboriginal and Torres Strait Islander health care and has been tested in health services across Australia.
One21seventy delivers an evidence-based Continuous Quality Improvement (CQI) system that can assist service providers to support high quality comprehensive primary health care for Aboriginal and Torres Strait Islander people by:

  • Measuring the quality of care they provide through data collection, analysis and reporting
  • Improving their overall systems for high quality care by setting goals and measuring progress
  • Understanding how they are performing in providing youth health care
  • Improving staff morale and motivation 

Youth health clinical audit tool

The tool supports youth health care provider’s to measure and improve the quality of care by auditing indicators related to:

  • Client information recorded in attendance records
  • Scheduled immunisations
  • Protective factors, risk factors and brief interventions
  • Shared care and referrals
  • Scheduled services including preventive health care
  • Follow up attempts, referrals and reviews

Emotional well-being for youth health

The youth health audit tool ‘social and emotional wellbeing’ section is based on the HEADSS framework and includes assessing documentation of the following:

  • Home
  • Education and employment
  • Physical activity and diet
  • Tobacco
  • Alcohol
  • Drugs and substances
  • Sexual health
  • Emotional wellbeing and suicide risk

Youth health audit report

One21seventy provides a secure web-based reporting system. Audit and systems data are entered into the secure website and collated reports including graphs, tables and descriptive text are generated automatically. Ownership of the data remains with the service or provider.  The report provides health services with information that can assist in identifying priority areas for improvement. With each completed CQI cycle, the report shows changes in the quality of youth health care and system development over time.

Download the full report.

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