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Journal articles on the topic 'Chinese – Mental health services – Australia'

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Published: 4 June 2021

Last updated: 10 February 2022

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1

Fan, Cynthia, and Wally Karnilowicz. "Attitudes Towards Mental Illness and Knowledge of Mental Health Services Among the Australian and Chinese Community." Australian Journal of Primary Health 6, no. 2 (2000): 38. http://dx.doi.org/10.1071/py00017.

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The study aimed to examine the attitudes toward mental illness and knowledge of mental health services among Anglo-Australian and Chinese-Australian adults. Participants included 105 Anglo-Australians and 129 Chinese-Australians. Participants were requested to complete a questionnaire on attitudes toward mental illness and knowledge of mental health service available in the community. The results indicated that there was a significant ethnic difference in attitudes towards mental illness. Chinese-Australians endorsed authoritarian, restrictive attitudes towards people with mental illness and interpersonal etiology more than Anglo-Australians. There was also a significant difference in attitudes towards mental illness due to the amount of contact with people with mental illness. The more contact the participants had with people with mental illness, the less they endorsed authoritarian, and restrictive attitudes toward people with mental illness. Though there was a non-significant difference in knowledge of mental health services due to ethnic origin or amount of contact with people with mental illness, there were ethnic differences in the type of mental health services preferred. Among Chinese-Australians, age was positively related to knowledge of services for acute and chronic cases of mental illness. Implications for community mental health education programs are discussed.

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2

Leung, Cynthia. "Factors Related to the Mental Health of Elderly Chinese Immigrants in Australia." Australian Journal of Primary Health 8, no. 2 (2002): 48. http://dx.doi.org/10.1071/py02026.

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The present study aimed to examine the factors related to the mental health of elderly Chinese-Australians. Using the framework of Berry (1997), the study examined how individual variables such as social support, length of time in Australia, English competency, self-efficacy and sense of personal control were related to the life satisfaction of elderly Chinese-Australians. The participants consisted of 157 elderly Chinese male and female immigrants (aged 50 or above) recruited through various community groups. Participants completed a questionnaire with several scales on the above issues, and a section on demographic information. The results indicated that life satisfaction was related to age, age at migration, English proficiency, locus of control, social support, and self-efficacy. Implications for service provision were also discussed.

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3

LIU, Tie-qiao, Chee Ng, Hong MA, Castle David, Wei HAO, and Ling-jiang LI. "Comparing models of mental health service systems between Australia and China: implications for the future development of Chinese mental health service." Chinese Medical Journal 121, no. 14 (July 2008): 1331–38. http://dx.doi.org/10.1097/00029330-200807020-00017.

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4

Dow, Briony, Xiaoping Lin, Nancy A. Pachana, Christina Bryant, Dina LoGiudice, Anita M.Y. Goh, and Betty Haralambous. "Reliability, concurrent validity, and cultural adaptation of the Geriatric Depression Scale and the Geriatric Anxiety Inventory for detecting depression and anxiety symptoms among older Chinese immigrants: an Australian study." International Psychogeriatrics 30, no. 5 (November 8, 2017): 735–48. http://dx.doi.org/10.1017/s1041610217002332.

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ABSTRACTBackground:Older Chinese people are one of the largest and fastest growing immigrant groups in Western countries. The Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI) are screening tools that have been specifically designed for older people. This study explored their validity, concurrent reliability, and cultural appropriateness for detecting depression and anxiety symptoms among older Chinese immigrants living in Melbourne, Australia.Methods:A total of 87 Chinese people were recruited from Chinese senior groups. Five screening tools were used, including the GDS, the GAI, the Hospital Anxiety and Depression Scale (HADS), the Kessler 10 (K10), and the Patient Health Questionnaire (PHQ-9). Data were collected through standardized interviews.Results:The GDS and the GAI were found to be reliable and valid tools for detecting depression and anxiety in this sample. Based on the results of the five screening tools, approximately 20% of participants exhibited clinically significant symptoms of depression and 8% of anxiety. Unexpectedly, there was a higher rate of depression and anxiety symptoms among Mandarin speaking people compared with Cantonese speaking people.Conclusion:This study adds to the evidence that older Chinese immigrants are at greater risk of depression than the general older population. It suggests that primary care and mental health services should be aware of and responsive to the increased risk of depression among this group and that further studies are needed to investigate what is contributing to this increased risk.

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5

Williams, Anthony T. "Mental Health Services in Australia." International Journal of Mental Health 22, no. 1 (March 1993): 69–85. http://dx.doi.org/10.1080/00207411.1993.11449248.

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6

Mullen, Paul E., Sue Briggs, Tom Dalton, and Michael Burt. "Forensic Mental Health Services in Australia." International Journal of Law and Psychiatry 23, no. 5-6 (September 2000): 433–52. http://dx.doi.org/10.1016/s0160-2527(00)00057-1.

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7

Whiteford, Harvey. "Mental health services research in Australia." Australian & New Zealand Journal of Psychiatry 51, no. 11 (October 31, 2017): 1075–76. http://dx.doi.org/10.1177/0004867417738413.

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8

Lessing, Kate, and Ilse Blignault. "Mental health telemedicine programmes in Australia." Journal of Telemedicine and Telecare 7, no. 6 (December 1, 2001): 317–23. http://dx.doi.org/10.1258/1357633011936949.

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A national survey of mental health telemedicine programmes was conducted and data collected on their catchment areas, organizational structure, equipment, clinical and non-clinical activity, and use by populations who traditionally have been poorly served by mental health services in Australia. Of 25 programmes surveyed, information was obtained for 23. Sixteen programmes had dealt with a total of 526 clients during the preceding three months. Of these, 397 (75%) were resident in rural or remote locations at the time of consultation. Thirty-seven (7%) were Aboriginals or Torres Strait Islanders. Only 19 (4%) were migrants from non-English-speaking backgrounds. The programmes provided both direct clinical and secondary support services. Overall, the number of videoconferencing sessions devoted to clinical activity was low, the average being 123 sessions of direct clinical care per programme per year. Videoconferencing was also used for professional education, peer support, professional supervision, administration and linking families. The results of the study suggest that telehealth can increase access to mental health services for people in rural and remote areas, particularly those who have hitherto been poorly served by mental health services in Australia.

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9

Whiteford, Harvey. "Future directions for mental health services in Australia." Australian Journal of Public Health 16, no. 4 (February 12, 2010): 350–53. http://dx.doi.org/10.1111/j.1753-6405.1992.tb00080.x.

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10

Gillman, P. K. "Psychiatric services in Australia." Psychiatric Bulletin 14, no. 6 (June 1990): 370. http://dx.doi.org/10.1192/pb.14.6.370.

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11

Davidson, Fiona, Bobbie Clugston, Michelle Perrin, Megan Williams, Edward Heffernan, and Stuart A. Kinner. "Mapping the prison mental health service workforce in Australia." Australasian Psychiatry 28, no. 4 (December 23, 2019): 442–47. http://dx.doi.org/10.1177/1039856219891525.

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Objective: The rapidly growing number of people in prison in Australia, combined with the high prevalence of mental disorder in this population, results in high demand for mental health services in prison settings. Despite their critical role as part of a national mental health response, prison mental health services (PMHS) in Australia have been poorly characterised. In this paper, we describe findings of the first national survey of PMHS in Australia. Methods: We distributed a survey to key representatives of PMHS in all Australian states and territories in 2016. Results: Our method constitutes a replicable process for quantifying and comparing PMHS in Australia. We describe the structure, governance and staffing models in seven jurisdictions. When compared against international recommendations, only one Australian jurisdiction (the ACT) is funded to provide services at a level equivalent to mental health services provided in the community. Conclusion: Prison mental health services in Australia are delivered by a complex mix of government, private sector and non-government services. Services appear to be severely under-resourced when compared with the available benchmarks.

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12

van Spijker, Bregje A., Jose A. Salinas-Perez, John Mendoza, Tanya Bell, Nasser Bagheri, Mary Anne Furst, Julia Reynolds, et al. "Service availability and capacity in rural mental health in Australia: Analysing gaps using an Integrated Mental Health Atlas." Australian & New Zealand Journal of Psychiatry 53, no. 10 (June 28, 2019): 1000–1012. http://dx.doi.org/10.1177/0004867419857809.

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Objective: Access to services and workforce shortages are major challenges in rural areas worldwide. In order to improve access to mental health care, it is imperative to understand what services are available, what their capacity is and where existing funds might be spent to increase availability and accessibility. The aim of this study is to investigate mental health service provision in a selection of rural and remote areas across Australia by analysing service availability, placement capacity and diversity. Method: This research studies the health regions of Western New South Wales and Country Western Australia and their nine health areas. Service provision was analysed using the DESDE-LTC system for long-term care service description and classification that allows international comparison. Rates per 100,000 inhabitants were calculated to compare the care availability and placement capacity for children and adolescents, adults and older adults. Results: The lowest diversity was found in northern Western Australia. Overall, Western New South Wales had a higher availability of non-acute outpatient services for adults, but hardly any acute outpatient services. In Country Western Australia, substantially fewer non-acute outpatient services were found, while acute services were much more common. Acute inpatient care services were more common in Western New South Wales, while sub-acute inpatient services and non-acute day care services were only found in Western New South Wales. Conclusion: The number and span of services in the two regions showed discrepancies both within and between regions, raising issues on the equity of access to mental health care in Australia. The standard description of the local pattern of rural mental health care and its comparison across jurisdictions is critical for evidence-informed policy planning and resource allocation.

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13

Whiteford, Harvey, and Janice Wilson. "Resourcing Mental Health Services in Australia and New Zealand." Australasian Psychiatry 4, no. 2 (April 1996): 71–73. http://dx.doi.org/10.3109/10398569609080466.

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14

WHITEFORD, HARVEY, and BILL BUCKINGHAM. "The Process of Transforming Mental Health Services in Australia." International Journal of Mental Health 34, no. 1 (April 2005): 55–71. http://dx.doi.org/10.1080/00207411.2005.11043390.

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15

Ellis, Andrew. "Forensic psychiatry and mental health in Australia: an overview." CNS Spectrums 25, no. 2 (October 7, 2019): 119–21. http://dx.doi.org/10.1017/s1092852919001299.

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This article reviews the development of forensic psychiatry and mental health services in Australia for the international reader. It covers the legacy of a series of colonial systems that have contributed to a modern health service that interacts with justice systems. The development of relevant legislation, hospitals, prison services, community, and courts services is reviewed. The training and academic development of professionals is covered. Gaps in service delivery and future directions are considered.

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16

Brodaty, Henry, and Anne Cumming. "Dementia services in Australia." International Journal of Geriatric Psychiatry 25, no. 9 (August 23, 2010): 887–995. http://dx.doi.org/10.1002/gps.2587.

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17

Vaitheswaran, Sridhar, Philip Crockett, Sam Wilson, and Harry Millar. "Telemental health: videoconferencing in mental health services." Advances in Psychiatric Treatment 18, no. 5 (September 2012): 392–98. http://dx.doi.org/10.1192/apt.bp.111.008904.

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SummaryVideo technology was first used in psychiatric services in the 1950s but came into general use in the 1990s, particularly in North America and Australia. Video has utility across all ages and in a wide range of clinical situations. These include case conferencing for patients with complex problems (e.g. when planning discharge from specialist inpatient units), psychological assessment and treatment, Mental Health Act assessments, suicide risk assessment and work in forensic settings. Potential for benefit may be most obvious in remote locations, but video use is also relevant in urban settings. Lack of training and experience, inadequate access to equipment and insufficient technical support have all limited the take-up of this technology in the UK. This article briefly reviews the literature and outlines technical and cost considerations when using video technology. Three services in Scotland are described to illustrate ways in which videoconferencing can enhance services.

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18

Zhu, Y., X. Li, and M. Zhao. "Promotion of Mental Health Rehabilitation in China: Community- Based Mental-Health Services." Consortium Psychiatricum 1, no. 2 (December 4, 2020): 21–27. http://dx.doi.org/10.17650/2712-7672-2020-1-1-21-27.

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Community-based mental health services are important for the treatment and recovery of patients with mental health disorders. The Chinese government has made the establishment of a highly eﬃcient community-based health service an enduring priority. Since the 1960s, community-based mental health services have been developed in many Chinese cities and provinces. National policies, including mental health regulations and ﬁve-year national mental health working plans, have been issued to support the development of quality of mental health services. The accessibility and eﬃciency of community-based mental health services are now highly promoted to community residents. According to the National Standards for Primary Public Health Services, community-based mental health services are one of the most important components of primary public health services. They are mainly provided via Community Health Service Centres (CHCs), by a combination of general practitioners, public health physicians, nurses and social workers. Patients receive individualized and continuous health services according to their rehabilitation status. These services include regular physical examination, health education, rehabilitation guidance, social function rehabilitation training, vocational training and referral services; family members also receive care and psychological support. Future work will focus on expanding mental health service coverage and usage, increasing awareness of mental health and decreasing stigma, and strengthening service capability to establish an integrated model to enhance the overall eﬃciency of mental health services.

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19

Fun Chan, Yuk, and Susan Quine. "Utilisation of Australian health care services by ethnic Chinese." Australian Health Review 20, no. 1 (1997): 64. http://dx.doi.org/10.1071/ah970064.

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Australia is a multicultural society in which migrants from non-English-speakingbackgrounds may be more vulnerable to illness after their new settlement, andlanguage difficulties and cultural differences may affect their use of health services.The present qualitative study used focus group interviews to explore the health servicesused by Chinese migrants from Hong Kong and China. The general findings includedstrong preference for Chinese-speaking general practitioners, insufficient interpreterservices, low use of preventive services, and lack of knowledge about the existence androle of ethnic health workers. The paper reports specific differences between migrantsfrom China and Hong Kong, and by age group. It discusses reasons for these findingsand notes the implications.

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20

McKinstry, Carol, and Anne Cusick. "Australia needs more occupational therapists in rural mental health services." Australian Occupational Therapy Journal 62, no. 5 (October 2015): 275–76. http://dx.doi.org/10.1111/1440-1630.12229.

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21

Khoo, Joanna, Helen Hasan, and Kathy Eagar. "Utilisation patterns of privately funded mental health services in Australia." Journal of Health Organization and Management 33, no. 1 (March 18, 2019): 5–17. http://dx.doi.org/10.1108/jhom-02-2018-0062.

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Purpose The purpose of this paper is twofold: first, to present patient-level utilisation patterns of hospital-based mental health services funded by private health insurers; and second, to examine the implications of the findings for planning and delivering private mental health services in Australia. Design/methodology/approach Analysing private health insurance claims data, this study compares differences in demographic and hospital utilisation characteristics of 3,209 patients from 13 private health insurance funds with claims for mental health-related hospitalisations and 233,701 patients with claims for other types of hospitalisations for the period May 2014 to April 2016. Average number of overnight admissions, length of stay and per patient insurer costs are presented for each group, along with overnight admissions vs same-day visits and repeat services within a 28-day period following hospitalisation. Challenges in analysing and interpreting insurance claims data to better understand private mental health service utilisation are discussed. Findings Patients with claims for mental health-related hospitalisations are more likely to be female (62.0 per cent compared to 55.8 per cent), and are significantly younger than patients with claims for other types of hospitalisations (32.6 per cent of patients aged 55 years and over compared to 57.1 per cent). Patients with claims for mental health-related hospitalisations have significantly higher levels of service utilisation than the group with claims for other types of hospitalisations with a mean length of stay per overnight admission of 15.0 days (SD=14.1), a mean of 1.3 overnight admissions annually (SD=1.2) and mean hospital costs paid by the insurer of $13,192 per patient (SD=13,457) compared to 4.6 days (SD=7.3), 0.8 admissions (SD=0.6) and $2,065 per patient (SD=4,346), respectively, for patients with claims for other types of hospitalisations. More than half of patients with claims for mental health-related hospitalisations only claim for overnight admissions. However, the findings are difficult to interpret due to the limited information collected in insurance claims data. Practical implications This study shows the challenges of understanding utilisation patterns with one data source. Analysing insurance claims reveals information on mental health-related hospitalisations but information on community-based care is lacking due to the regulated role of the private health insurance sector in Australia. For mental health conditions, and other chronic health conditions, multiple data sources need to be integrated to build a comprehensive picture of health service use as care tends to be provided in multiple settings by different medical and allied health professionals. Originality/value This study contributes in two areas: patient-level trends in hospital-based mental health service utilisation claimed on private health insurance in Australia have not been previously reported. Additionally, as the amount of data routinely collected in health care settings increases, the study findings demonstrate that it is important to assess the quality of these data sources for understanding service utilisation.

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22

Sandford, Donald, and Rob Elzinga. "The consumers of community mental health services within South Australia." Clinical Psychologist 3, no. 2 (January 1, 1998): 41–44. http://dx.doi.org/10.1080/13284209908521043.

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23

Byrne, Louise, Michael Wilson, Karena J. Burke, Cadeyrn J. Gaskin, and Brenda Happell. "Mental health service delivery: a profile of mental health non-government organisations in south-east Queensland, Australia." Australian Health Review 38, no. 2 (2014): 202. http://dx.doi.org/10.1071/ah13208.

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Objective Non-government organisations make a substantial contribution to the provision of mental health services; despite this, there has been little research and evaluation targeted at understanding the role played by these services within the community mental health sector. The aim of the present study was to examine the depth and breadth of services offered by these organisations in south-east Queensland, Australia, across five key aspects of reach and delivery. Methods Representatives from 52 purposively targeted non-government organisations providing mental health services to individuals with significant mental health challenges were interviewed regarding their approach to mental health service provision. Results The findings indicated a diverse pattern of service frameworks across the sector. The results also suggested a positive approach to the inclusion of consumer participation within the organisations, with most services reporting, at the very least, some form of consumer advocacy within their processes and as part of their services. Conclusions This paper offers an important first look at the nature of non-government service provision within the mental health sector and highlights the importance of these organisations within the community sector. What is known about the topic? Non-government organisations make a substantial contribution to the multisectorial provision of services to mental health consumers in community settings. Non-government organisations in Australia are well established, with 79.9% of them being in operation for over 10 years. There is an increasing expectation that consumers influence the development, delivery and evaluation of mental health services, especially in the community sector. What does this paper add? This paper provides a profile of non-government organisations in one state in Australia with respect to the services they provide, the consumers they target, the practice frameworks they use, the use of peer workers and consumer participation, the success they have had with obtaining funding and the extent to which they collaborate with other services. What are the implications for practitioners? This paper provides readers with an understanding of the non-government organisations and the services they provide to people with mental health conditions. In addition, the findings provide an opportunity to learn from the experience of non-government organisations in implementing consumer participation initiatives.

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24

Martyr, Philippa. "A brief history of forensic mental health services in Western Australia." Australasian Psychiatry 25, no. 3 (January 31, 2017): 297–99. http://dx.doi.org/10.1177/1039856217689914.

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Objective: To scope the history of forensic mental health services in Western Australia since colonisation. Method: A range of primary sources, including archives, reports, and oral histories was consulted. Results: Forensic mental health services were identified as historically poorly managed, under-resourced, and inconsistently delivered. Conclusions: Current problems with forensic mental health services may be linked to historical factors.

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25

Castle, David J. "Letter from Australia: mental healthcare in Victoria." Advances in Psychiatric Treatment 17, no. 1 (January 2011): 2–4. http://dx.doi.org/10.1192/apt.bp.110.008375.

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SummaryMental health services in the state of Victoria, Australia, have undergone enormous change over the past 15 years, with the closure of all stand-alone psychiatric hospitals and a shift of resources and services into the community. Although successful overall, various areas cause concern, including pressure on acute beds, a paucity of alternative residential options, and suboptimal integration of government and non-government agencies concerned with the care of people with mental illnesses. Certain groups, notably those with complex symptom sets such as substance use and mental illness, intellectual disability and forensic problems, remain poorly catered for by the system. Finally, community stigma and lack of work inclusion for mentally ill individuals are ongoing challenges.

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26

Chen, Huan, Usenime Akpanudo, and Erin Hasler. "How Do Chinese International Students View Seeking Mental Health Services?" Journal of International Students 10, no. 2 (May 15, 2020): 286–305. http://dx.doi.org/10.32674/jis.v10i2.765.

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This study explored how Chinese international students view seeking mental health services. One hundred and ten Chinese international students responded to the Attitude Toward Seeking Professional Psychological Help Scale–Short Form (ATSPPH-SF) and a demographic questionnaire. Results of our data analysis revealed no significant main effects of the demographic factors (gender, length of stay in the United States, and awareness of on-campus counseling services) on attitudes toward seeking mental health services. However, awareness of on-campus counseling services was found to be a mediating factor in the relationship between gender and students’ mental health help-seeking attitudes. Based on the findings, we make recommendations on how student affairs professionals can better serve the mental health needs of Chinese and other international students.

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27

Mullen, P., and J. Ogloff. "Providing mental health services to adult offenders in Victoria, Australia: Overcoming barriers." European Psychiatry 24, no. 6 (September 2009): 395–400. http://dx.doi.org/10.1016/j.eurpsy.2009.07.003.

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AbstractPurposeTo illustrate the development of the interface between general and forensic mental health services in Victoria, Australia.MethodDeveloping effective cooperation between the general and forensic mental health services requires overcoming a number of barriers. The attitude of general services that antisocial behaviour was none of their business was tackled through ongoing workshops and education days over several years. The resistance to providing care to those disabled by severe personality disorders or substance abuse was reduced by presenting and promoting models of care developed in forensic community and inpatient services which prioritised these areas. The reluctance of general services to accept offenders was reduced by involving general services in court liaison clinics and in prisoner release plans. Cooperation was enhanced by the provision of risk assessments, the sharing of responsibility for troublesome patients, and a problem behaviours clinic to support general services in coping with stalkers, sex offenders and threateners.ConclusionsActive engagement with general services was promoted at the level of providing education, specialised assessments and a referral source for difficult patients. This generated a positive interface between forensic and general mental health services, which improved the quality of care delivered to mentally abnormal offenders.

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Slade, Mike. "Mental health services on Lower North Shore, Sydney." Psychiatric Bulletin 19, no. 2 (February 1995): 108–10. http://dx.doi.org/10.1192/pb.19.2.108.

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This paper describes mental health services in the Lower North Shore (LNS) catchment area of Sydney, Australia, and is based on a visit made in early 1994. The local population of 170,000 is predominantly Caucasian, but there are also groups from other ethnic backgrounds. The mental health service has about 800 registered clients, with 60 new clients each month, the majority of whom have a serious mental illness. Since the service has won several awards, it may be instructive to review its structure and function.

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Kingi, Roman, Wani Erick, Vili Hapaki Nosa, Janine Paynter, and Debra de Silva. "Pasifika preferences for mental health support in Australia: focus group study." Pacific Health Dialog 21, no. 7 (June 22, 2021): 373–79. http://dx.doi.org/10.26635/phd.2021.110.

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Introduction: Mental wellbeing is a growing health issue for Pacific Islands communities (Pasifika), particularly amongst people who have resettled in a different country. We explored whether Pasifika people living in Australia think mental health services meet their needs. Methods: We ran eight two-hour focus groups with 183 adults living in Queensland, Australia. There were representatives from the following ethnic groups: Cook Islands, Fiji, Maori, Niue, Papua New Guinea, Samoa, Tokelau and Tonga. We also included mental health providers. We analysed the feedback using thematic analysis. Findings: Pasifika people welcomed having an opportunity to discuss mental wellbeing openly. They said that economic issues, social isolation, cultural differences, shame and substance use contributed to increasingly poor mental health amongst Pasifika communities in Australia. They wanted to work with mainstream services to develop culturally appropriate and engaging models to support mental wellbeing. They suggested opportunities to harness churches, community groups, schools, social media and radio to raise awareness about mental health. Conclusions: Working in partnership with Pasifika communities could strengthen mainstream mental health services and reduce the burden on acute services in Australia. This could include collecting better ethnicity data to help plan services, empowering community structures to promote mental wellbeing and training staff to support Pasifika communities. The key message was that services can work ‘with’ Pasifika communities, not ‘to’ them.

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Forbes, David, and Olivia Metcalf. "Veteran and military mental health: the Australian experience." International Psychiatry 11, no. 4 (November 2014): 83–85. http://dx.doi.org/10.1192/s1749367600004641.

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Australia has deployed over 25 000 personnel to recent conflicts in the Middle East and has been involved in peacekeeping missions. Australian veterans report elevated rates of mental health problems such as post-traumatic stress disorder, anxiety disorders, affective disorders and substance use disorders. Veteran healthcare is delivered through publicly funded services, as well as through private services, at primary, secondary and tertiary levels. Some of the challenges involve coordination of services for veterans transitioning from Defence to Veterans' Affairs, service delivery across a large continent and stigma inhibiting service-seeking. Initiatives have been introduced in screening and delivery of evidence-based treatments. While challenges remain, Australia has come a long way towards an integrated and comprehensive approach to veteran mental healthcare.

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Fletcher, Richard, Eileen Dowse, Jennifer St George, and Tara Payling. "Mental health screening of fathers attending early parenting services in Australia." Journal of Child Health Care 21, no. 4 (September 26, 2017): 498–508. http://dx.doi.org/10.1177/1367493517732166.

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Paternal perinatal depression and anxiety is a common, though under-recognized mental health condition experienced by men during their transition to fatherhood. An opportunity to screen for paternal mental health issues occurs when parents present for assistance with the care of their baby at early parenting services (EPSs). There are 10 EPSs located across Australia that provide specialist, multidisciplinary interventions to support parents experiencing complex parenting difficulties. Using structured telephone interviews, this qualitative study explored the views of 18 professional staff from nine EPSs regarding screening, referral processes and acceptability of screening fathers for mental health issues. A thematic analysis revealed that most EPSs screened fathers for depression. Participants agreed screening was important and that routine approaches to screening would help normalize the process for both men and services. Despite this, no uniform, comprehensive approach to identifying the mental health needs of fathers was found. EPSs provide a unique opportunity to address the mental health needs of fathers. Results from this study point to the need for a national approach to the development of father-specific screening guidelines for EPSs to improve family well-being, in parallel to those informing the Australian National Perinatal Mental Health Initiative for mothers.

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Ziguras, Stephen J., Malina Stankovska, and I. Harry Minas. "Initiatives for Improving Mental Health Services to Ethnic Minorities in Australia." Psychiatric Services 50, no. 9 (September 1999): 1229–31. http://dx.doi.org/10.1176/ps.50.9.1229.

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33

Loughhead, Mark, Sophie Guy, Gareth Furber, and Leonie Segal. "Consumer views on youth-friendly mental health services in South Australia." Advances in Mental Health 16, no. 1 (August 17, 2017): 33–47. http://dx.doi.org/10.1080/18387357.2017.1360748.

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34

Hyde, Judy. "Lessons from Australia in the public funding of mental health services." Canadian Psychology/Psychologie canadienne 55, no. 2 (2014): 139–43. http://dx.doi.org/10.1037/a0036237.

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35

Jorm, Anthony F., and Gin S. Malhi. "Evidence-based mental health services reform in Australia: Where to next?" Australian & New Zealand Journal of Psychiatry 47, no. 8 (July 30, 2013): 693–95. http://dx.doi.org/10.1177/0004867413497625.

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36

Rosen, Alan, Roger Gurr, and Paul Fanning. "The future of community-centred health services in Australia: lessons from the mental health sector." Australian Health Review 34, no. 1 (2010): 106. http://dx.doi.org/10.1071/ah09741.

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•It is apparent that hospital-dominated health care produces limited health outcomes and is an unsustainable health care system strategy. •Community-centred health care has been demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred care, particularly for prevention and care of persistent, long-term or recurrent conditions. Nevertheless, hospital-centred services continue to dominate health care services in Australia, and some state governments have presided over a retreat from, or even dismantling of, community health services. •The reasons for these trends are explored. •The future of community health services in Australia is uncertain, and in some states under serious threat. We consider lessons from the partial dismantling of Australian community mental health services, despite a growing body of Australian and international studies finding in their favour. •Community-centred health services should be reconceptualised and resourced as the centre of gravity of local, effective and affordable health care services for Australia. A growing international expert consensus suggests that such community-centred health services should be placed in the centre of their communities, closely linked or collocated where possible with primary health care, and functionally integrated with their respective hospital-based services. What is known about the topic?Community-centred health care has been widely demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred care, particularly for prevention and care of persistent, long-term or recurrent conditions, e.g. in mental health service systems. A growing international expert consensus suggests that such community-centred health services should be placed in the centre of their communities, closely linked or collocated where possible with primary health care, and functionally integrated with their respective hospital-based services. What does this paper add?Despite this global consensus, hospital-centred services continue to dominate health care services in Australia, and some state governments have presided over a retreat from, or even dismantling of, community health services. The reasons for these trends and possible solutions are explored. What are the implications for practitioners?Unless this trend is reversed, the loss of convenient public access to community health services at shopping and transport hubs and the consequent compromising of intensive home-based clinical care, will lead to a deterioration of preventative interventions and the health care of long-term conditions, contrary to international studies and reviews.

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Grigg, Margaret, Helen Herrman, Carol Harvey, and Ruth Endacott. "Factors influencing triage decisions in mental health services." Australian Health Review 31, no. 2 (2007): 239. http://dx.doi.org/10.1071/ah070239.

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The aim of the study was to identify the factors influencing the timing of an assessment after contact with a triage program in a communitybased area mental health service in Australia. Triage decisions apparently were influenced by several groups of factors: patient characteristics; the source and mode of the contact with triage; and to a large extent by mental health service factors including the training, supervision and support of triage workers and the perceived availability of an assessment. While demand factors such as patient characteristics influenced the triage decision, supply factors also played an important role.

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Looi, Jeffrey CL, Stephen Allison, and Tarun Bastiampillai. "Commonwealth of common mental health: the need for a comprehensive overhaul of corporate governance in mental healthcare in Australia." Australasian Psychiatry 28, no. 3 (December 23, 2019): 300–302. http://dx.doi.org/10.1177/1039856219891657.

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Objective: We aim to spark renewed discussion of the need for a more effective corporate governance structure for mental health services in Australia. While acknowledging clinical governance faces challenges, we focus here on corporate governance as the overarching level of administration, which profoundly influences delivery of mental healthcare in Australia. Conclusion: Australia’s mental health services are ineffectively governed. Improved corporate governance, including psychiatric expertise, is fundamental to create a comprehensive, effective mental healthcare system in Australia.

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Jager, Alan D. "Forensic psychiatry services in Australia." International Journal of Law and Psychiatry 24, no. 4-5 (July 2001): 387–98. http://dx.doi.org/10.1016/s0160-2527(01)00074-7.

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Parslow, Ruth A., and Anthony F. Jorm. "Who Uses Mental Health Services in Australia? An Analysis of Data from the National Survey of Mental Health and Wellbeing." Australian & New Zealand Journal of Psychiatry 34, no. 6 (December 2000): 997–1008. http://dx.doi.org/10.1080/000486700276.

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Objective: This study sought to identify sociodemographic and psychological measures associated with utilisation of mental health services in Australia, using information collected through the 1997 National Survey of Mental Health and Wellbeing. Method: Twenty-one potential predictor variables were selected from the National Survey. Predisposing and enabling factors included age, sex, marital status, labour force status, geographical location and level of education. Predictor variables measuring need for services included the General Health Questionnaire score, a neuroticism scale, diagnoses of affective, anxiety and substance-abuse disorders from the Composite International Diagnostic Interview, and self-identified depression, anxiety and substance abuse. Simple and multiple logistic regressions were undertaken to identify predictor variables associated with use of mental health services from general practitioners, psychiatrists, psychologists and other health professionals. Results: General practitioners were the most commonly reported providers of mental health services with 76% of those receiving any mental health care reporting using this type of service. Using multiple logistic regression, the predictor variables most associated with use of mental health services were measures of the need for such services, such as psychological distress and mental disorder. After controlling for need variables, the sociodemographic variables associated with using services provided by any health professional were being female, level of education and being separated. Living in a remote area was associated with lower use of specialist services, but not with general practitioner services. Older age was associated with less use of psychologists and other health professionals. Income and having a usual language other than English did not affect service use. Conclusions: The factors most strongly related to Australians' use of mental health services are their having a diagnosed affective, anxiety or substance-abuse disorder and their self-identifying as having depression or anxiety. Although there are regional inequalities in levels of utilisation of mental health services, these are seen more with specialist services than with those provided by general practitioners.

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Looi, Jeffrey CL, and Stephen R. Kisely. "Potemkin redux: the re-disorganisation of public mental health services in Australia." Australasian Psychiatry 27, no. 6 (May 20, 2019): 607–10. http://dx.doi.org/10.1177/1039856219848839.

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Objectives: This paper discusses the phenomenon of re-disorganisation as it applies to publicly-funded mental health services. The term refers to the constant reorganisation of services in the absence of evidence and of unclear benefit. We illustrate the problems of re-disorganisation with some hypothetical examples, as well as discussing the context of these problems. Conclusions: The re-disorganisation of public mental health services may be considered a politically expedient administrative response resulting in the illusion of activity and progress. It may be intentional or unintentional. Re-disorganisation can detract from effective policy, planning and implementation of improvements in provision of public mental health services.

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Whiteford, Harvey A., William J. Buckingham, Meredith G. Harris, Philip M. Burgess, Jane E. Pirkis, Jan J. Barendregt, and Wayne D. Hall. "Estimating treatment rates for mental disorders in Australia." Australian Health Review 38, no. 1 (2014): 80. http://dx.doi.org/10.1071/ah13142.

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Objective To estimate the percentage of Australians with a mental disorder who received treatment for that disorder each year between 2006–07 and 2009–10. Methods We used: (1) epidemiological survey data to estimate the number of Australians with a mental disorder in any year; (2) a combination of administrative data on people receiving mental health care from the Commonwealth and State and Territories and epidemiological data to estimate the number receiving treatment; and (3) uncertainty modelling to estimate the effects of sampling error and assumptions on these estimates. Results The estimated population treatment rate for mental disorders in Australia increased from 37% in 2006–07 to 46% in 2009–10. The model estimate for 2006–07 (37%) was very similar to the estimated treatment rate in the 2007 National Survey of Mental Health and Wellbeing (35%), the only data available for external comparison. The uncertainty modelling suggested that the increased treatment rates over subsequent years could not be explained by sampling error or uncertainty in assumptions. Conclusions The introduction of the Commonwealth’s Better Access initiative in November 2006 has been the driver for the increased the proportion of Australians with mental disorders who received treatment for those disorders over the period from 2006–07 to 2009–10. What is known about the topic? Untreated mental disorders incur major economic costs and personal suffering. Governments need timely estimates of treatment rates to assess the effects of policy changes aimed at improving access to mental health services. What does this paper add? Drawing upon a combination of epidemiological and administrative data sources, the present study estimated that the population treatment rate for mental disorders in Australia increased significantly from 37% in 2006–07 to 46% in 2009–10. What are the implications for practitioners? Increased access to services is not sufficient to ensure good outcomes for those with mental disorders. It is also important to ensure that evidence-based treatment is provided to those Australians accessing these services.

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Sawyer, Michael Gifford, and Robert John Kosky. "Approaches to Delivering Child and Adolescent Mental Health Services: The South Australian Experience." Australian & New Zealand Journal of Psychiatry 29, no. 2 (June 1995): 230–37. http://dx.doi.org/10.1080/00048679509075915.

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Approximately 10% of children and adolescents experience mental health problems, however only a small proportion receive specialised help. Identifying approaches which can provide a balanced and effective service for the large number of children and adolescents with problems is currently a major challenge for child and adolescent mental health services in Australia. In South Australia, following a review in 1983, child and adolescent services were reorganised into two separate but closely related services. This paper draws on experience in South Australia over the last decade to identify approaches which can be employed in six key areas that significantly influence the effectiveness of child and adolescent mental health services. The paper also describes the specific features which were included in the South Australian child and adolescent mental health service to address these issues.

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Hawkins, Zoe. "A decade of mental health services in Timor-Leste." International Psychiatry 7, no. 1 (January 2010): 11–13. http://dx.doi.org/10.1192/s174936760000093x.

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The Democratic Republic of Timor-Leste (East Timor) occupies the eastern half of the island of Timor, which lies north-west of Australia and within the eastern Indonesia archipelago. The population is approximately one million, of whom 45% are below the age of 15. Average life expectancy is 59.5 years and 50% of the population live below the national poverty line of US$0.88 per day. The official languages are Tetun and Portuguese, with Indonesian also used. The majority of the population are Catholic but also hold traditional animist beliefs.

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Pin Ng, Tze, Tze Pin Ng, Calvin Soon Leng Fones, and Ee Heok Kua. "Preference, Need and Utilization of Mental Health Services, Singapore National Mental Health Survey." Australian & New Zealand Journal of Psychiatry 37, no. 5 (October 2003): 613–19. http://dx.doi.org/10.1046/j.1440-1614.2003.01233.x.

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Objective: To ascertain the extent of the community's preference, needs for and utilization of mental health services, and their socio-demographic determinants in the multi-ethnic Asian community in Singapore. The extent to which need, enabling and predisposing factors determine the likelihood to seek professional help was also examined. Method: Data were analyzed from the Singapore National Mental Health Survey of 1996, based on a stratified random sample of 2947 Chinese, Malay and Indian subjects of the general population aged 13–64 years. Results: An estimated 37% of the general population indicated they would seek professional help if they experienced a serious emotional or mental problem. Although 16.9% were determined by their high general health questionnaire (GHQ) score to need mental health services, only 2.6% in the population used the services of any professional caregiver. Among persons with high GHQ scores, only 5.9% sought any professional help. Among those with a high GHQ score and who were receptive to professional help, only 10.4% actually sought professional help. General practitioners were the most commonly preferred caregiver (49.3%), and were used by 41.1% of those who sought help. Those who sought professional help were more likely to have a high GHQ score and to be inclined to seek professional help. Malays used mental health services more than Chinese, but they did not show a significantly greater prevalence of high GHQ scores, or a greater preference to seek professional help. Receptivity to professional help, high GHQ score, and Malay ethnicity were independent significant predictors of use of mental health service. Conclusion: Need and attitudinal factors predict mental health service utilization, but they still do not explain why a large majority of the population chose not to use mental health services.

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Hu, Jie, and Zhiqiang Wang. "Non-prescribed antibiotic use and general practitioner service utilisation among Chinese migrants in Australia." Australian Journal of Primary Health 22, no. 5 (2016): 434. http://dx.doi.org/10.1071/py15076.

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Non-prescribed antibiotic use occurs worldwide and is an important contributor to antibiotic resistance. Social and health system factors were related to the practice of self-medication with antibiotics. This study aims to investigate the practice of non-prescribed antibiotic use, and to assess the impact of primary health service access and use on this practice among Australian Chinese migrants. Four-hundred and twenty-six participants, who self-identified as Chinese and who had been residing in Australia for at least 12 months, were recruited through several Australian Chinese social websites to participate in an online health survey about antibiotic use and health services use from July to October 2013. Logistic regression analyses were conducted to assess the associations between health services utilisation factors and the use of non-prescribed antibiotics. In total, 20.2% (86/426) participants reported having used antibiotics without medical consultation in the last 12 months. Of 170 antibiotic users, 50.6% (86/170) used antibiotics without medical consultation. Chinese migrants who self-evaluated as ‘satisfied’ with the experiences of GP services were less likely to self-medicate with antibiotics. In addition, Chinese migrants without any perceived barriers to using primary health services in Australia were less likely to use non-prescribed antibiotics. Among Australian Chinese migrants, over half of antibiotic users admitted that they had used antibiotics without medical consultation. Participants with positive experience and perception of primary health services, primarily GP services, had a lower risk of using non-prescribed antibiotics.

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Tarnovetskaia, Anastasia, and Linda Hopper Cook. "The Impact of Cultural Values, Family Involvement and Health Services on Mental Health and Mental Illness." Canadian Journal of Family and Youth / Le Journal Canadien de Famille et de la Jeunesse 1, no. 2 (April 14, 2009): 113–26. http://dx.doi.org/10.29173/cjfy6154.

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This paper explores the impact of cultural values, the role of the family, access to and usage of culturally acceptable health services for three distinct Canadian cultural groups. Specifically the paper examines the mind/body/spirit connection, the cultural impact of formal or informal social support, as well as access and willingness to seek help in the context of mental health among Canadian Aboriginals, Chinese and Asian Indian cultures. Three diseases that have been documented only within Canadian Aboriginal, Chinese and Asian Indian cultures are also examined. Through using examples from three separate and very distinct cultures, this paper hopes to foster a greater cross-cultural understanding of mental health and mental illness.

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Redona, Peter, Debra Jackson, Cindy Woods, and Kim Usher. "Increasing use of stimulants in Australia: Cause for health services concern." International Journal of Mental Health Nursing 28, no. 4 (July 10, 2019): 795–97. http://dx.doi.org/10.1111/inm.12636.

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Creammer, Mark, and Bruce Singh. "An Integrated Approach to Veteran and Military Mental Health: An Overview of the Australian Centre for Posttraumatic Mental Health." Australasian Psychiatry 11, no. 2 (June 2003): 225–27. http://dx.doi.org/10.1046/j.1039-8562.2003.00514.x.

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Objective: To provide an overview of the development of mental health services for veterans and currently serving military personnel in Australia, with reference to the role of the Australian Centre for Posttraumatic Mental Health (ACPMH). Conclusions: Recent years have seen significant changes in attitudes to the mental health sequelae of military service. The ACPMH, working in collaboration with the Department of Veterans’ Affairs (DVA) and the Australian Defence Force (ADF), as well as with clinicians, researchers, and consumers around Australia, acts as a focus for an integrated approach to veteran and military mental health. The active involvement of both the ADF and DVA in the challenge of mental health provides new opportunities to address psychiatric morbidity at every stage, from recruitment, through deployments and discharge, to veteran status. The ACPMH is in a unique position to facilitate an integrated approach to prevention, intervention, policy development, training, research, and evaluation in order to ensure that Australia remains at the forefront of world's best practice in veteran and military psychiatry. The Centre is also uniquely placed to offer those same services in the field of traumatic stress to the broader community.

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Luntz, Jennifer J. "What is mental health consultation?" Children Australia 24, no. 3 (1999): 28–33. http://dx.doi.org/10.1017/s1035077200009238.

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This paper provides an overview of the state of the art in consultation at the close of the third decade of its existence as a major form of delivering mental health services in the United States of America, and its somewhat later introduction in Victoria, Australia. Gallessich’s framework for consultation (1983, 1985), amongst others, is compared with the Victorian model. Issues raised include the need for consultants to understand the boundaries of consultation, its limitations, the state of its knowledge base and the uniquely Victorian contribution of a framework of several levels which enables an integration of the knowledge borrowed from a range of sources to assist in the improvement of its practice. A later paper to be published in ‘Children Australia’ looks at the steps in the consultation process.

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