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Background: Climate anxiety, and the mental health and wellbeing impacts of extreme weather-related events, are of growing concern globally. In Australia, where the current authors are based, rural communities in particular are dealing with unprecedented drought, fires and/or floods every few weeks. The mental health and wellbeing impacts of such climate change induced events are numerous and varied and operate within complex systems. However, little is known about what promotes the resilience of rural communities to these impacts. Methods: This study engaged participants from three highly impacted communities in rural New South Wales in workshops designed to explore the mental health and wellbeing impacts of climate change and ways to address it. Findings: This study shows that, from the perspective of community members, community-led collective action and planning which strengthens social and relational capital engenders feelings of belonging and increases informal social connectedness, while simultaneously supporting communities to prepare for the impacts of climate change. Conclusions: The design of strategies to mitigate the mental health and wellbeing risks from climate change may benefit from a move beyond an individual health focus to community-led and implemented collective actions that build community networks.

Abstract Objective: To quantify barriers to healthcare for young people (12–24 years) and identify socio‐demographic correlates and predictors. Methods: This cross‐sectional survey targeted young people living in New South Wales, Australia, with oversampling of marginalised groups. Principles Component Analysis (PCA) identified clusters of barriers. Ordinal regression identified predictors of each barrier cluster. Results: A total of 1,416 young people completed surveys. Participants with chronic conditions and increasing psychological distress reported a greater number of barriers. Of 11 potential barriers to visiting a health service, cost was most common (45.8%). The PCA identified three clusters: structural barriers (61.3%), attitudinal barriers (44.1%) and barriers relating to emerging autonomy (33.8%). Conclusions: Barriers to healthcare reported by young people are multi‐dimensional and have changed over time. Structural barriers, especially cost, are the most prominent among young people. Approaches to overcome structural barriers need to be addressed to better support marginalised young people's healthcare access. Implications for public health: Understanding predictors of different barrier types can inform more targeted approaches to improving access. Equitable access to healthcare is a priority for early diagnosis and treatment in young people, especially reducing out of pocket costs.