Journal articles on the topic 'Counseling Australia'
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Schoen, Linda G. "In Search of a Professional Identity." Counseling Psychologist 17, no. 2 (April 1989): 332–43. http://dx.doi.org/10.1177/0011000089172011.
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This study examined the professional identity of counseling psychologists in Australia. Subjects were 114 members of the Board of Counselling Psychologists within the Australian Psychological Society who responded to a survey questionnaire that tapped demographic and professional activity information. Respondents rated the importance of activities to their present and ideal positions as counseling psychologists. Factor analysis of ratings showed a structure of activities of which consultation and education, goal-directed counseling, depth psychotherapy, and program development and evaluation were most important. Research and assessment activities were seen as least important. Differences in importance ratings were found as a function of respondent employment setting. Results show similarities to earlier studies and suggest that the professional identity of counseling psychologists based on activities extends across national boundaries.
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McLennan, Vanette, Nicholas Buys, Lynda R. Matthews, Christine Randall, Michael Millington, and Ruth Crocker. "Advancing Rehabilitation Counseling Professional Identity in Australia." Rehabilitation Research, Policy, and Education 35, no. 2 (June 1, 2021): 106–16. http://dx.doi.org/10.1891/re-20-29.
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PurposeThe past few decades have witnessed significant growth in the disability sector and the rehabilitation counseling profession has responded by broadening its scope of practice to serve a range of people who experience illness, injury, and social disadvantage. Despite the sector's growth and the profession's flexible response to it, the rehabilitation counseling profession in Australia continues to face challenges in relation to its professional identity. The purpose of this article is to identify these challenges and present solutions by reviewing literature and professionalization responses in Australia and the United States.MethodIn this article, we examine ways of transcending the professional identity challenges faced by the Australian rehabilitation counseling community. This is achieved firstly by defining the characteristics of professions and their application to rehabilitation counseling and second, by suggesting possible actions to advance the profession.ResultsThe necessary responses identified include the need for stronger professional governance, further development of the evidence base, and strict professional membership regulations. These goals will require the input of professional bodies and members, universities, rehabilitation regulators, employers, people with disabilities, and their families.ConclusionsRehabilitation counseling is a valued allied health and human service profession in the Australian work injury and disability sectors. By drawing on the experience of the profession in the United States, the authors have identified issues and solutions to facilitate the sustainability and advancement of rehabilitation counseling in Australia.
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Schofield, Margot J. "Counseling in Australia: Past, Present, and Future." Journal of Counseling & Development 91, no. 2 (March 5, 2013): 234–39. http://dx.doi.org/10.1002/j.1556-6676.2013.00090.x.
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PRYOR, ROBERT G. L., BARBARA HAMMOND, and TREVOR K. HAWKINS. "New Tasks, New Visions: Employment Counseling in Australia." Journal of Employment Counseling 27, no. 4 (December 1990): 160–70. http://dx.doi.org/10.1002/j.2161-1920.1990.tb00376.x.
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Stearnes, Grace, Cassandra B. Nichols, Lyn Schofield, Sarah O'Sullivan, Nicholas Pachter, and Paul A. Cohen. "Uptake of testing for germline BRCA mutations in patients with non-mucinous epithelial ovarian cancers in Western Australia: a comparison of different genetic counseling methods." International Journal of Gynecologic Cancer 29, no. 6 (May 17, 2019): 1038–42. http://dx.doi.org/10.1136/ijgc-2019-000389.
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IntroductionPatients with non-mucinous epithelial tubo-ovarian cancers should be referred for genetic testing because approximately 15% will carry an inherited mutation in the BRCA1 or BRCA2 cancer susceptibility genes. However, referral rates for genetic testing remain low. For patients who carry a BRCA mutation, failure to refer for genetic testing results in missed opportunities for therapy and prevention of future cancers in the patient and at-risk relatives. In Western Australia between July 2013 and June 2015, 40.6% of patients with non-mucinous epithelial tubo-ovarian cancers discussed at a statewide gynecologic oncology tumor board were referred for genetic testing. Our objective was to investigate the proportion of patients with non-mucinous epithelial tubo-ovarian cancers in Western Australia referred for BRCA1/2 testing from July 2015 to December 2017, following the introduction of mainstreaming and tele-counseling. A secondary aim was to compare the uptake of genetic testing between different genetic counseling modalities.MethodsRetrospective case series. All patients with high-grade non-mucinous epithelial tubo-ovarian cancers discussed at the weekly Western Australian gynecologic oncology tumor board meeting, between July 1, 2015 and December 31, 2017, and those referred for BRCA mutation testing, were ascertained.ResultsA total of 343 women were eligible for referral; 63 patients were excluded, leaving 280 patients for analysis. 220/280 patients were referred for genetic testing (78.6%). There were no differences in uptake of genetic testing by mode of genetic counseling.DiscussionA significant increase in referrals of eligible patients for genetic testing was observed in 2015–2017 compared with 2013–2014. Although there were no differences in uptake of genetic testing by mode of counseling, mainstreaming and tele-counseling provide alternative options for patients that may lead to higher uptake of genetic testing.
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Campbell, Marilyn, and Susan Colmar. "Current Status and Future Trends of School Counseling in Australia." Journal of Asia Pacific Counseling 4, no. 2 (December 31, 2014): 181–97. http://dx.doi.org/10.18401/2014.4.2.9.
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Breen, Lauren J. "Professionals' Experiences of Grief Counseling: Implications for Bridging the Gap between Research and Practice." OMEGA - Journal of Death and Dying 62, no. 3 (May 2011): 285–303. http://dx.doi.org/10.2190/om.62.3.e.
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Despite the escalating interest in grief interventions, there is a clear misalignment between contemporary grief research and grief counseling practices, and this disparity may limit intervention effectiveness. Semi-structured interviews with 19 grief counselors revealed their current practices of grief counseling. The counselors' descriptions of grief and their grief counseling practices were diverse and many were influenced by classic grief theories and the grief work hypothesis. The grief counselors described negotiating several issues and dilemmas in their work and provided recommendations for achieving greater exchange between research and practice. The findings have the potential to inform the delivery, efficacy, and relevance of grief counseling in Western Australia.
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Choi, Seung Mi, and Young Sun Lee. "The Focus Group Interview on Infertility Experts for the Development of Infertility Counseling System." Journal of The Korean Society of Maternal and Child Health 24, no. 1 (January 31, 2020): 26–39. http://dx.doi.org/10.21896/jksmch.2020.24.1.26.
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Purpose: This study aimed to propose an effective model for the development of an infertility counseling system.Methods: We reviewed the infertility counseling system in Japan, Germany, the United States, the United Kingdom, and Australia. Additionally, we conducted a Focus Group Interview (FGI) with infertility experts and gathered their opinions about a potential counseling system tailored to the needs of infertile women and suitable for Korean context.Results: Based on the literature review and FGI, the proposed infertility counseling system aimed to promote the infertility treatment process; to build a user-friendly system, including financial support for infertility counseling; to incorporate the integrated model of providing medical information and psychological support for infertile women; and to develop a stepped care system. Additionally, the present findings revealed that, to promote infertility counseling, it is necessary to establish a central infertility counseling center that would be responsible for comprehensive planning, implementation, evaluation, research, and supervision of each counseling organization.Conclusion: The results of this study can be used as a basis for proposing a preliminary model for the development of an infertility counseling system in Korea.
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Port, Katrina E., Helen Mountain, John Nelson, and Alan H. Bittles. "Changing profile of couples seeking genetic counseling for consanguinity in Australia." American Journal of Medical Genetics Part A 132A, no. 2 (January 15, 2005): 159–63. http://dx.doi.org/10.1002/ajmg.a.30432.
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Dilkes-Frayne, Ella, Michael Savic, Adrian Carter, Renata Kokanović, and Dan I. Lubman. "Going Online: The Affordances of Online Counseling for Families Affected by Alcohol and Other Drug Issues." Qualitative Health Research 29, no. 14 (March 31, 2019): 2010–22. http://dx.doi.org/10.1177/1049732319838231.
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Online counseling can overcome barriers families face when accessing support services for issues such as a relative’s alcohol or other drug use. However, little research has explored how online counseling platforms assist family members to improve their well-being and support their relative. We thematically analyzed 90 transcripts of online counseling sessions with family and friends of people who use alcohol, opioids, and amphetamines in Australia between 2015 and 2016. In our analysis, we drew on the concept of affordances to articulate how online platforms afford or constrain potentially therapeutic encounters with families. We found online counseling enabled families to make first contact, relieve distress, plan appropriate action, improve communication, regain direction, and connect with local services. Sessions were constrained by Internet access, web-chat communication, counselors’ focus on referral, and limitations in addressing the wider concerns of families. The findings present opportunities for improving online services for families.
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Augar, Naomi, and John Zeleznikow. "Developing Online Support and Counseling to Enhance Family Dispute Resolution in Australia." Group Decision and Negotiation 23, no. 3 (May 14, 2013): 515–32. http://dx.doi.org/10.1007/s10726-013-9352-8.
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Zilliacus, Elvira, Bettina Meiser, Elizabeth Lobb, Tracey E. Dudding, Kristine Barlow-Stewart, and Katherine Tucker. "The Virtual Consultation: Practitioners' Experiences of Genetic Counseling by Videoconferencing in Australia." Telemedicine and e-Health 16, no. 3 (April 2010): 350–57. http://dx.doi.org/10.1089/tmj.2009.0108.
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Silva, Juliana Amaral Medeiros da, Gerson Siegmund, and Juliana Bredemeier. "Crisis interventions in online psychological counseling." Trends in Psychiatry and Psychotherapy 37, no. 4 (December 2015): 171–82. http://dx.doi.org/10.1590/2237-6089-2014-0026.
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Introduction: The world's population is often assailed by crises of various orders. Disasters caused by nature and by humans themselves also impact on people's mental health. Psychological crises, such as suicide attempts, represent a growing problem in mental health. When faced with such scenarios, specific strategies of crisis intervention are both appropriate and necessary. Objective: To conduct a systematic review of the literature dealing with online psychological crisis intervention, describing and discussing their operational design, specific characteristics and applications. Method: A systematic review of literature indexed on the PubMed, PsycINFO, and SciELO databases identified by searches conducted from January to June of 2014. Results: The searches identified 17 empirical studies about online crisis interventions which were reviewed. Three crisis contexts emerged: 1) disasters, 2) risk/prevention of suicide, and 3) trauma. Eleven different intervention programs were described and the predominant treatment approach was cognitive behavioral therapy. The results showed that research into online psychological crisis intervention has been conducted in several different countries, especially the Netherlands and Australia, and that the users of these tools benefit from them. Conclusion: Online crisis interventions have been developed and researched in many countries around the world. In Brazil, there is still a lack of investment and research in this area.
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Yufiarti, Lara Fridani, Gusti Devi Artanti, Cucu Cahyana, Irma Rosalinda, and Fildzah Rudyah Putri. "Empowermen for Women Who Stay in Australia In Parenting at Multicultural Contex." Sarwahita 19, no. 01 (January 6, 2022): 35–41. http://dx.doi.org/10.21009/sarwahita.191.4.
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ABSTRACT
The aim of current community service is to empower Indonesian women living in Australia in knowledge of multicultural education and care in a multicultural context. The problems faced by Indonesian women living in Australia are very complex, starting with the goal of going to Australia, mobility, educating their children in different cultures to dealing with children's problems and themselves. This service was carried out for two years. The approach taken is to provide parenting training in a multicultural context. The duration to conduct this research will be two years by stages. In the first year of study, the followings processes will take place namely identification, training, counseling and evaluation. final stages of publication (journals and proceedings). In the second years: (1) recommendation, (2) Focus Group Discussion, and publication. The resulting output is: 1) The implementation of women's empowerment activities in parenting in multicultural context. 2) Multicultural education guidelines for mothers. 3) Certificates for participants who take part in the activity. This study will resulting; a) Published paper in national journal, b) Online media publication, c) Video uploaded on Youtube, and d) Webinar event held in Australia using an online platform. The community service implemented on Junne 2021 followed by 31 members. The activities doing well such Focus Discussion, counseling and evaluation. Based on the result of instrumen the mothers interest on the subject matter. They are sutiesfied of this activities. They need this activities again for other subject such as cooking theme.
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Hronis, Anastasia, Lynette Roberts, and Ian Kneebone. "Assessing the Confidence of Australian Mental Health Practitioners in Delivering Therapy to People With Intellectual Disability." Intellectual and Developmental Disabilities 56, no. 3 (June 1, 2018): 202–11. http://dx.doi.org/10.1352/1934-9556-56.3.202.
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Abstract Research supports the use of psychological therapies among people with mild to moderate intellectual disability (ID). One barrier to people with ID accessing psychological treatments is the confidence of mental health practitioners. This article explores the confidence of Australian clinicians in providing therapy to people with ID. One hundred and fifty-two psychologists and counselors in Australia completed a survey exploring self-reported confidence when working with clients who have ID and mental health difficulties. Clinicians were most confident with generic counseling skills, but less confident with elements of assessments and interventions. The use of treatment protocols was endorsed as helpful particularly among those with low confidence. This highlights the need for dissemination of treatment guides and training to help increase clinician confidence.
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Pachana, Nancy A., Erin Emery, Candace A. Konnert, Erin Woodhead, and Barry A. Edelstein. "Geropsychology content in clinical training programs: a comparison of Australian, Canadian and U.S. data." International Psychogeriatrics 22, no. 6 (June 4, 2010): 909–18. http://dx.doi.org/10.1017/s1041610210000803.
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ABSTRACTBackground: There is a worldwide shortage of mental health professionals trained in the provision of mental health services to older adults. This shortage in many countries is most acutely felt in the discipline of psychology. Examining training programs in clinical psychology with respect to training content may shed light on ways to increase interest among students and improve practical experiences in working with older adults.Methods: A large multinational survey of geropsychology content in university-based clinical and counselling psychology training programs was conducted in 2007 in the U.S.A., Australia, and Canada. Both clinical/counseling programs and internship/practicum placements were surveyed as to staffing, didactic content and training opportunities with respect to geropsychology.Results: Survey response rates varied from 15% in the U.S.A. (n = 46), 70% in Australia (n = 25) to 91.5% in Canada (n = 22). The U.S.A. and Australia reported specialist concentrations in geropsychology within graduate clinical psychology training programs. More assessment and psychopathology courses in the three countries were cited as having ageing content than psychotherapy courses. Many non-specialist programs in all three countries offered course work in geropsychology, and many had staff who specialized in working clinically with an older population. Interest in expanding aging courses and placements was cited by several training sites. Recruiting staff and finding appropriate placement opportunities with older adult populations were cited as barriers to expanding geropsychology offerings.Conclusions: In light of our results, we conclude with a discussion of innovative means of engaging students with ageing content/populations, and suggestions for overcoming staffing and placement shortcomings.
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Daniels, Carmen, Janya McCalman, and Roxanne Bainbridge. "Meeting People Where They're at: A Systematic Review of Financial Counseling for Indigenous Peoples." Journal of Financial Counseling and Planning 32, no. 3 (May 4, 2021): 417–31. http://dx.doi.org/10.1891/jfcp-19-00065.
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Since 1990, financial counseling, literacy, and capability services have emerged in Canada, Australia, New Zealand and the United States (CANZUS nations) as practice-based approaches to support the economic participation and financial resilience of Indigenous peoples. This systematic scoping review of the published and grey literature explored how these programs have evolved and whether such approaches are effective. The review found an emerging movement toward Indigenous-specific practice, reflecting the growth of Indigenous voices in financial counseling practice and highlighting the critical case for embedding Indigenous knowledge and practices into program design and delivery. However, there was little evidence in this emerging field regarding the quality or impact of program delivery. A theoretical framework is needed to guide further research.
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Watson, Ray. "THE STRUCTURE OF THE FAMILY COURT OF AUSTRALIA AND COURT COUNSELING-THE PARRAMATTA EXPERIENCE." Family Court Review 18, no. 1 (March 15, 2005): 53–56. http://dx.doi.org/10.1111/j.174-1617.1980.tb00041.x.
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Delatycki, Martin B. "Population Screening for Reproductive Risk for Single Gene Disorders in Australia: Now and the Future." Twin Research and Human Genetics 11, no. 4 (August 1, 2008): 422–30. http://dx.doi.org/10.1375/twin.11.4.422.
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AbstractAs the results of the Human Genome Project are realized, it has become technically possible to identify carriers of numerous autosomal and X-linked recessive disorders. Couples at risk of having a child with one of these conditions have a number of reproductive options to avoid having a child with the condition should they wish. In Australia the haemoglobinopathies are the only group of conditions for which population screening is widely offered and which is government funded. In some Australian states there are also population screening programs for cystic fibrosis and autosomal recessive conditions more common in Ashkenazi Jewish individuals which are generally offered on a user pays basis. It is predicted that as consumer demand increases and testing becomes cheaper, that many people planning or in the early stages of pregnancy will have carrier screening for multiple genetic conditions. This will have significant implications for genetic counseling, laboratory and prenatal testing resources. In addition such screening raises a number of ethical issues including the value of lives of those born with genetic conditions for which screening is available.
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Campbell, Andrew, Brad Ridout, Krestina Amon, Pablo Navarro, Brian Collyer, and John Dalgleish. "A Customized Social Network Platform (Kids Helpline Circles) for Delivering Group Counseling to Young People Experiencing Family Discord That Impacts Their Well-Being: Exploratory Study." Journal of Medical Internet Research 21, no. 12 (December 20, 2019): e16176. http://dx.doi.org/10.2196/16176.
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Background It has often been reported that young people are at high risk of mental health concerns, more so than at any other time in development over their life span. The situational factors that young people report as impacting their well-being are not addressed as often: specifically, family discord. Kids Helpline, a national service in Australia that provides free counseling online and by telephone to young people in distress, report that family discord and well-being issues are one of the major concerns reported by clients. In order to meet the preferences that young people seek when accessing counseling support, Kids Helpline has designed and trialed a custom-built social network platform for group counseling of young people experiencing family discord that impacts their well-being. Objective In this exploratory study, we communicate the findings of Phase 1 of an innovative study in user and online counselor experience. This will lead to an iterative design for a world-first, purpose-built social network that will do the following: (1) increase reach and quality of service by utilizing a digital tool of preference for youth to receive peer-to-peer and counselor-to-peer support in a safe online environment and (2) provide the evidence base to document the best practice for online group counseling in a social network environment. Methods The study utilized a participatory action research design. Young people aged 13-25 years (N=105) with mild-to-moderate depression or anxiety (not high risk) who contacted Kids Helpline were asked if they would like to trial the social networking site (SNS) for peer-to-peer and counselor-to-peer group support. Subjects were grouped into age cohorts of no more than one year above or below their reported age and assigned to groups of no more than 36 participants, in order to create a community of familiarity around age and problems experienced. Each group entered into an 8-week group counseling support program guided by counselors making regular posts and providing topic-specific content for psychoeducation and discussion. Counselors provided a weekly log of events to researchers; at 2-week intervals, subjects provided qualitative and quantitative feedback through open-ended questions and specific psychometric measures. Results Qualitative results provided evidence of user support and benefits of the online group counseling environment. Counselors also reported benefits of the modality of therapy delivery. Psychometric scales did not report significance in changes of mood or affect. Counselors and users suggested improvements to the platform to increase user engagement. Conclusions Phase 1 provided proof of concept for this mode of online counseling delivery. Users and counselors saw value in the model and innovation of the service. Phase 2 will address platform issues with changes to a new social network platform. Phase 2 will focus more broadly on mental health concerns raised by users and permit inclusion of a clinical population of young people experiencing depression and anxiety. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12616000518460; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370381
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LaMonica, Haley M., Tracey A. Davenport, Jane Burns, Shane Cross, Stephanie Hodson, Jennifer Veitch, and Ian B. Hickie. "Technology-Enabled Mental Health Service Reform for Open Arms – Veterans and Families Counselling: Participatory Design Study." JMIR Formative Research 3, no. 3 (September 19, 2019): e13662. http://dx.doi.org/10.2196/13662.
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Background The impact of mental ill-health on every aspect of the lives of a large number of Australian Defence Force (ADF) personnel, their partners, and their families is widely recognized. Recent Senate inquiries have highlighted gaps in service delivery as well as the need for service reform to ensure appropriate care options for individuals who are currently engaged with mental health and support services as well as for those who, for a variety of reasons, have not sought help. To that end, successive Australian governments generally and the Department of Veterans’ Affairs specifically have prioritized veteran-centric reform. Open Arms is an Australia-wide service that provides counseling and support to current and former ADF personnel, and their family members, for mental health conditions. Objective The aim of this study was to develop and configure a prototypic Web-based platform for Open Arms – Veterans & Families Counselling (formerly Veterans and Veterans Families Counselling Service) with the Open Arms community to enhance the quality of mental health services provided by Open Arms. Methods The study aimed to recruit up to 100 people from the Open Arms community (current and former ADF personnel and their families, health professionals, service managers, and administrators) in regions of New South Wales, including Sydney, Canberra, Maitland, Singleton, and Port Stephens. Participants were invited to participate in 4-hour participatory design workshops. A variety of methods were used within the workshops, including prompted discussion, review of working prototypes, creation of descriptive artifacts, and group-based development of user journeys. Results Seven participatory design workshops were held, including a total of 49 participants. Participants highlighted that the prototype has the potential to (1) provide the opportunity for greater and better-informed personal choice in relation to options for care based on the level of need and personal preferences; (2) ensure transparency in care by providing the individual with access to all of their personal health information; and (3) improve collaborative care and care continuity by allowing information to be shared securely with current and future providers. Conclusions Our findings highlight the value of actively engaging stakeholders in participatory design processes for the development and configuration of new technologies.
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Daly, Corinne, Carolyn Rotenberg, Marcia Facey, Natalie A. Baker, and Nancy N. Baxter. "Reflex Lynch syndrome screening by example: A review of existing programs." Journal of Clinical Oncology 33, no. 3_suppl (January 20, 2015): 543. http://dx.doi.org/10.1200/jco.2015.33.3_suppl.543.
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543 Background: Reflex screening for Lynch Syndrome (LS) has been recommended, however occurs in few jurisdictions worldwide. We aimed to explore program structure, pathology testing, implementation challenges and future directions of existing reflex LS screening programs in various jurisdictions to develop best practices for future programs. Methods: We identified existing reflex LS screening programs through a literature search and expert opinion. Information on program implementation, patient population, family care involvement, monitoring and improvements was collected through semi-structured interviews with program leaders, pathologists, technical staff, and family physicians. Pattern, thematic and content analysis were used to analyze and extract program features, sequence of pathological testing and best practices. Results: 26 participants across 7 programs completed interviews. There were 3 government-funded, population-based programs (Manitoba, Western Australia, and New South Wales), 2 private health management organization programs implemented across affiliated healthcare centers (Pennsylvania and Southern California); and 2 hospital-based programs (Ohio and Utah). Five programs screened all patients with CRC for LS while 2 programs designated an upper age limit for screening. The majority of programs tested tumor samples for LS using a combination of immunohistochemistry and BRAF mutation analysis. In jurisdictions relying on surgeons' referral to genetic counseling without navigation, uptake of genetic testing was lower than expected. Programs implementing early education of surgeons and pathologists in reflex screening procedures reported confidence in skills, collaboration and communication. Communication materials for family members of affected individuals were recommended to increase family engagement in genetic counselling. Conclusions: There are a variety of reflex LS screening programs with varying standards and protocols. Program design influences uptake of genetic testing; programs with an imbedded navigation plan for those who need genetic counseling enhance rates of adherence. This should be an important consideration when planning future reflex screening programs.
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Mukhtar, S. Aqif, Debbie A. Smith, Maureen A. Phillips, Maire C. Kelly, Renate R. Zilkens, and James B. Semmens. "Capturing sexual assault data: An information system designed by forensic clinicians and healthcare researchers." Health Information Management Journal 47, no. 1 (January 12, 2017): 46–55. http://dx.doi.org/10.1177/1833358316687575.
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Background: The Sexual Assault Resource Center (SARC) in Perth, Western Australia provides free 24-hour medical, forensic, and counseling services to persons aged over 13 years following sexual assault. Objective: The aim of this research was to design a data management system that maintains accurate quality information on all sexual assault cases referred to SARC, facilitating audit and peer-reviewed research. Methods: The work to develop SARC Medical Services Clinical Information System (SARC-MSCIS) took place during 2007–2009 as a collaboration between SARC and Curtin University, Perth, Western Australia. Patient demographics, assault details, including injury documentation, and counseling sessions were identified as core data sections. A user authentication system was set up for data security. Data quality checks were incorporated to ensure high-quality data. Results: An SARC-MSCIS was developed containing three core data sections having 427 data elements to capture patient’s data. Development of the SARC-MSCIS has resulted in comprehensive capacity to support sexual assault research. Four additional projects are underway to explore both the public health and criminal justice considerations in responding to sexual violence. The data showed that 1,933 sexual assault episodes had occurred among 1881 patients between January 1, 2009 and December 31, 2015. Sexual assault patients knew the assailant as a friend, carer, acquaintance, relative, partner, or ex-partner in 70% of cases, with 16% assailants being a stranger to the patient. Conclusion: This project has resulted in the development of a high-quality data management system to maintain information for medical and forensic services offered by SARC. This system has also proven to be a reliable resource enabling research in the area of sexual violence.
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Lau, Esther TL, Shirin H. Tan, Yasmin J. Antwertinger, Tony Hall, and Lisa M. Nissen. "Counseling interactions between patients living with persistent pain and pharmacists in Australia: are we on the same page?" Journal of Pain Research Volume 12 (August 2019): 2441–55. http://dx.doi.org/10.2147/jpr.s199017.
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Leung, Paul. "Changes in Society and Changes in Approaches to Disability: The Need for a New Paradigm." Australian Journal of Rehabilitation Counselling 5, no. 2 (1999): 55–61. http://dx.doi.org/10.1017/s1323892200001058.
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Congratulations to all of you and ASORC on your 25th Anniversary. It is great to be able to be here with you at this historic time. I want to express my appreciation to organizers of this conference, ASORC and each of you here. I want to thank Trevor Hawkins for inviting me, and also to acknowledge Bert Biggs who gave me the opportunity to be involved with the Journal during the past few years.I also want to thank you for the honor of being able to share a few thoughts with you about rehabilitation counseling. It is particularly pleasing to me to be here, in that this presentation is on the eve, as some of you may know, of my leaving Australia, having been here for three years. It has been a wonderful time both personally and professionally — an opportunity not many have to practice their profession in a different country and culture — albeit not one that was totally foreign in that you all use English.I want to share a few thoughts today related to the rehabilitation and rehabilitation counseling profession and think a bit about what I see as happening as we stand on the brink of a new millennium. It is not new thinking nor particularly original, borrowing as I have from many sources, though I must take full responsibility for what I say. Also, I should emphasize that it is not offered as advice but rather a reinforcement of what many of you already know. As an educator and university professor, I do get stuck in one mode sometimes overemphasizing what I consider important. My remarks are based on my obviously American background but hopefully tempered with some of my experiences and observations here in Australia.
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Schneider, Carl R., Alan W. Everett, Elizabeth Geelhoed, Peter A. Kendall, and Rhonda M. Clifford. "Measuring the Assessment and Counseling Provided with the Supply of Nonprescription Asthma Reliever Medication: A Simulated Patient Study." Annals of Pharmacotherapy 43, no. 9 (August 18, 2009): 1512–18. http://dx.doi.org/10.1345/aph.1m086.
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Background: Over one quarter of asthma reliever medications are provided without prescription by community pharmacies in Australia. Evidence that community pharmacies provide these medications with sufficient patient assessment and medication counseling to ensure compliance with the government's Quality Use of Medicines principles is currently tacking. Objective: To assess current practice when asthma reliever medication is provided in the community pharmacy setting and to identify factors that correlate with assessment of asthma control. Methods: Researchers posing as patients visited a sample of Perth metropolitan community pharmacies in May 2007. During the visit, the simulated patient enacted a standardized scenario of someone with moderately controlled asthma who wished to purchase a salbutamol (albuterol) inhaler without prescription. Results of the encounter were recorded immediately after the visit. Regression analysis was performed, with medication use frequency (a marker of asthma control) as the dependent variable. Results: One hundred sixty community pharmacies in the Perth metropolitan area were visited in May 2007. Pharmacists and/or pharmacy assistants provided some form of assessment in 84% of the visits. Counseling was provided to the simulated patients in 24% of the visits. Only 4 pharmacy staff members asked whether the simulated patient knew how to use the inhaler. Significant correlation was found between assessment and/or counseling of reliever use frequency and 3 independent variables: visit length (p < 0.001), number of assessment questions asked (p < 0.001), and the simulated patient who conducted the visit (p < 0.02). Conclusions: Both patient assessment and medication counseling were suboptimal compared with recommended practice when nonprescription asthma reliever medication was supplied in the community pharmacy setting. Pharmacy and pharmacist demographic variables do not appear to affect assessment of asthma control. This research indicates the need for substantial improvements in practice in order to provide reliever medication in line with Quality Use of Medication principles of ensuring safe and effective use of medication.
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Shirley, Debra, Hidde P. van der Ploeg, and Adrian E. Bauman. "Physical Activity Promotion in the Physical Therapy Setting: Perspectives From Practitioners and Students." Physical Therapy 90, no. 9 (September 1, 2010): 1311–22. http://dx.doi.org/10.2522/ptj.20090383.
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Background Physical inactivity is a major risk factor for chronic disease. Primary health care practitioners are well placed to promote a physically active lifestyle. The perceptions and practice of physical therapists on their role in physical activity promotion are not well known. Objective The objective of this study was to determine the knowledge, confidence, role perception, barriers, feasibility, and counseling practice of physical therapists and physical therapist students regarding the promotion of nontreatment physical activity for better health. Design A cross-sectional survey was conducted. Methods In 2008, 321 (54%) of a random sample of all physical therapists registered in New South Wales, Australia, responded to a survey on their knowledge, confidence, role perception, barriers, feasibility, and counseling practice with regard to promoting a physically active lifestyles to their patients. Physical therapist students (n=279) completed the same survey but without the questions on barriers and counseling practice. Results Physical therapists and physical therapist students consider that it is part of their role to give their patients nontreatment physical activity advice. Overall, they reported having adequate knowledge and skills to undertake this role. Incorporating advice into normal consultations is deemed the most feasible form of lifestyle physical activity promotion in physical therapist practice. Limitations The cross-sectional nature of this study makes it difficult to determine cause and effect relationships. Some selection bias may have occurred, as the physical therapists who completed the questionnaires may have been those most interested in physical activity promotion. Conclusions Physical therapist practice appears to be an excellent avenue for promoting a physically active lifestyle and could potentially play an important public health role.
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Partridge, Stephanie R., Rebecca Raeside, Anna C. Singleton, Karice Hyun, Zoe Latham, Alicia Grunseit, Katharine Steinbeck, Clara Chow, and Julie Redfern. "Text Message Behavioral Intervention for Teens on Eating, Physical Activity and Social Wellbeing (TEXTBITES): Protocol for a Randomized Controlled Trial." JMIR Research Protocols 9, no. 2 (February 18, 2020): e16481. http://dx.doi.org/10.2196/16481.
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Background Obesity is among the most significant health challenges facing today’s adolescents. Weight gain during adolescence is related to cardiovascular disease, type 2 diabetes, and some cancers in later life. Presently, adolescents living in Australia have limited access to age-appropriate obesity prevention services. Objective This study aims to investigate whether a two-way text message program, with optional telephone health counseling, improves body mass index (BMI) z score and lifestyle outcomes in adolescents who are overweight. Methods This study will be a single-blind randomized controlled trial (N=150) comparing a two-way text message intervention, with optional telephone health counseling, to usual care in adolescents (13-18 years old, inclusive) who are overweight (recruited from a pediatric weight management clinic and the broader community in Sydney, Australia). The intervention group will receive a six-month text message program, which consists of two-way, semipersonalized, lifestyle-focused text messages (four messages/week) in addition to usual care. The control group will be assigned to receive usual care. The study also includes a follow-up at 12-months. The primary outcome is a change in BMI z score at six months. Secondary outcomes are changes in waist-to-height ratio, diet, physical and sedentary activity levels, sleep quality, quality of life, self-esteem, self-efficacy, social support, and eating disorder and depression symptoms. Also, we will examine acceptability, utility, and engagement with the program through a study-specific process evaluation questionnaire, semi-structured telephone interviews, and an analysis of health counselor communication logs. The analyses will be performed by the intention-to-treat principle to assess differences between intervention and control groups. Results The study opened for recruitment in December 2019. Data collection is expected to be completed by December 2021, and the results for the primary outcome are expected to be published in early 2022. Conclusions This study will test the effectiveness of an interactive two-way text message program compared to usual care in improving BMI z score and lifestyle outcomes in adolescents with overweight. This interactive, innovative, and scalable project also aims to inform future practice and community initiatives to promote obesity prevention behaviors for adolescents. Trial Registration Australia New Zealand Clinical Trials Registry (ANZCTR) ACTRN12619000389101; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377158&isReview=true International Registered Report Identifier (IRRID) DERR1-10.2196/16481
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Brickwood, Katie-Jane, Kiran D. K. Ahuja, Greig Watson, Jane A. O'Brien, and Andrew D. Williams. "Effects of Activity Tracker Use With Health Professional Support or Telephone Counseling on Maintenance of Physical Activity and Health Outcomes in Older Adults: Randomized Controlled Trial." JMIR mHealth and uHealth 9, no. 1 (January 5, 2021): e18686. http://dx.doi.org/10.2196/18686.
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Background Despite a range of efforts to increase physical activity participation in Australia, inactivity levels in older adults have remained high over recent decades, contributing to increased rates of chronic health conditions. Lifestyle interventions, including telephone counseling (TC), improve physical activity participation and associated health outcomes over the short term; however, ongoing feedback and support is required to maintain these changes. Newer technologies such as wearable activity trackers (ATs) may offer an alternative method for providing ongoing support. Objective This study aims to investigate whether newer technologies such as wearable ATs assist in providing ongoing support to maintain physical activity levels and health outcomes. Methods Older adults aged >60 years who had just completed a 12-week face-to-face individualized community exercise program in Tasmania, Australia, participated in the study. They were randomized to receive AT, TC, or usual care (UC). All groups received a home exercise program and an optional referral to a community-based exercise program. The AT group also received an AT and text message feedback from an accredited exercise physiologist (AEP). The TC group received phone calls from an AEP throughout the 12-month intervention. The primary outcome was daily steps measured by an ActivPAL (TM) accelerometer at baseline and at 3, 6, and 12 months. Secondary outcome measures included body composition, blood pressure, 10-time sit-to-stand (TTSTS) test, timed up and go test, and cardiorespiratory fitness. This trial was approved by the Tasmanian Health and Medical Human Research Ethics Committee (H0014713). Results A total of 117 participants were randomized to the study (AT, n=37; TC, n=38; UC, n=42). At baseline, the participants (75/117, 64.1% female; mean age 72.4 years, SD 6.4) completed an average of 6136 steps (SD 2985) per day. Although there were no significant differences between groups, the TC and AT groups maintained daily step counts (mean difference [MD] −79 steps, 95% CI −823 to 663 steps; P=.81; and MD −588 steps, 95% CI −1359 to 182 steps; P=.09), and UC showed a reduction in daily steps (MD 981 steps, 95% CI −1668 to −294 steps; P=.003) during the 12-month period. Diastolic blood pressure was significantly higher after AT than after UC (MD 5.62 mm Hg, 95% CI 1.30 to 9.94 mm Hg; P=.01), and TTSTS was significantly slower on TC compared with UC (MD 2.36 seconds, 95% CI −0.14 to 4.87 seconds; P=.03). Conclusions The use of an AT with AEP support or TC is effective at maintaining daily step count in older adults over a 12-month period, suggesting that wearable ATs are as effective as TC. Further research to investigate which option is more cost-effective would be beneficial. Trial Registration Australian New Zealand Clinical Trial Registry ACTRN12615001104549; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369118
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Bull, Michael A., Sheila Clark, and Katherine Duszynski. "Lessons from a Community's Response to the Death of Diana, Princess of Wales." OMEGA - Journal of Death and Dying 46, no. 1 (February 2003): 35–49. http://dx.doi.org/10.2190/u1ba-gy78-9q06-ntq0.
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The death of Diana, Princess of Wales, resulted in an international phenomenon of grief rarely seen. In South Australia, research was undertaken on one aspect of public grief that has received little study—the impact of such an event on the utilization of grief support and counseling services. A survey of 65 community service organizations revealed a pattern of increased service requests in the three weeks following Diana's death, particularly among grief-related organizations. The study identified persons who appeared more vulnerable to this public loss event, how community members tried to cope with their grief, strategies used by community organizations to assist, the impact on helpers, and suggestions for improved responses to future public loss events. The findings of this study are seen as important in helping service providers and community leaders to prepare for reactions to other public loss events.
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Matthews, Lynda R., Nicholas Buys, Christine Randall, Britta Marfels, Mathilde Niehaus, and Jana F. Bauer. "A Comparative Study of the Job Tasks, Functions, and Knowledge Domains of Rehabilitation Professionals Providing Vocational Rehabilitation Services in Australia and Germany." Rehabilitation Counseling Bulletin 58, no. 2 (October 1, 2013): 80–90. http://dx.doi.org/10.1177/0034355213504304.
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Vocational rehabilitation services have been implemented in a number of countries to facilitate the return to work of sick and injured workers, yet little research has been undertaken to document competencies required to provide services globally. This study compared the job tasks, functions, and knowledge domains deemed important by Australian and German rehabilitation professionals working in vocational rehabilitation settings to identify common practice domains. An online survey comprising items from the Rehabilitation Skills Inventory–Amended and the International Survey of Disability Management was completed by 149 Australian and 217 German rehabilitation professionals. Items from each measure were submitted to factor analysis, using principal axis factoring as the extraction technique. Three common domains were identified: (a) vocational counseling, (b) workplace disability case management, and (c) workplace intervention and program management. Differences in skill and knowledge domains centered on the levels of specialization in vocational rehabilitation practices in each country. Ongoing transnational research is required to ensure that a “global curriculum” covers core competencies, while at the same time allowing for specialization at a local level.
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Van Der Veen, Roger. "Rehabilitation Counselling with Clients from Non-English Speaking Countries." Australian Journal of Rehabilitation Counselling 5, no. 2 (1999): 86–97. http://dx.doi.org/10.1017/s1323892200001095.
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People born in non-English Speaking Countries (NESCs) and resident in Australia make up 14.2% of the Australian population and a sizeable proportion of the current immigration program — the humanitarian and non-humanitarian components. This article presents some background about the numbers of overseas born people resident in Australia especially those from NESCs, a brief history of the Australian immigration program, and the present policy of multiculturalism in the context of settlement. Some of these overseas born people have already, or are likely to, participate in rehabilitation counselling, and it is argued that rehabilitation counselling processes will be enhanced with a knowledge of such clients' culture as well as the practical application of general cross-cultural casework skills.
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Crisp, Beth R., Shane A. Thomas, Alun C. Jackson, Neil Thomason, Serena Smith, Jennifer Borrell, Wei-Ying Ho, and Tangerine A. Holt. "Sex Differences in the Treatment Needs and Outcomes of Problem Gamblers." Research on Social Work Practice 10, no. 2 (March 2000): 229–42. http://dx.doi.org/10.1177/104973150001000205.
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Previous studies have found significant differences between men and women who have sought help for problems associated with their gambling. While this raises the possibility of differing treatment needs, much of the research into treating problem gamblers is based on all-male samples. This article seeks to remedy this situation by reporting on sex differences in the treatment of 1,520 problem gamblers, almost half of whom are female, who sought help in the state of Victoria, Australia, between July 1996 and June 1997. In contrast to the primarily external concerns such as employment and legal matters reported by males, females attending for problem gambling counseling were more likely to report problems with their physical and intrapersonal functioning and were more likely to report resolution of their problems. Male clients were more likely to have their cases closed and be referred to other agencies for assistance.
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Ravitsky, Vardit, Marie-Christine Roy, Hazar Haidar, Lidewij Henneman, John Marshall, Ainsley J. Newson, Olivia M. Y. Ngan, and Tamar Nov-Klaiman. "The Emergence and Global Spread of Noninvasive Prenatal Testing." Annual Review of Genomics and Human Genetics 22, no. 1 (August 31, 2021): 309–38. http://dx.doi.org/10.1146/annurev-genom-083118-015053.
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Since its introduction in 2011, noninvasive prenatal testing (NIPT) has spread rapidly around the world. It carries numerous benefits but also raises challenges, often related to sociocultural, legal, and economic contexts. This article describes the implementation of NIPT in nine countries, each with its own unique characteristics: Australia, Canada, China and Hong Kong, India, Israel, Lebanon, the Netherlands, the United Kingdom, and the United States. Themes covered for each country include the structure of the healthcare system, how NIPT is offered, counseling needs and resources, and cultural and legal context regarding disability and pregnancytermination. Some common issues emerge, including cost as a barrier to equitable access, the complexity of decision-making about public funding, and a shortage of appropriate resources that promote informed choice. Conversely, sociocultural values that underlie the use of NIPT vary greatly among countries. The issues described will become even more challenging as NIPT evolves from a second-tier to a first-tier screening test with expanded use.
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Gallagher, John R., Elizabeth A. Wahler, Raychel M. Minasian, and Abigail Edwards. "Treating Opioid Use Disorders in Drug Court: Participants’ Views on Using Medication-Assisted Treatments (MATs) to Support Recovery." International Criminal Justice Review 29, no. 3 (May 2019): 249–61. http://dx.doi.org/10.1177/1057567719846227.
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Drug courts began in 1989 in Miami-Dade County, FL. Due to their success in treating substance use disorders and reducing criminal recidivism, they have expanded globally and are currently operating in countries such as Australia, Canada, and Scotland, to name a few. Drug courts can be a key intervention in addressing the opioid epidemic. This is the first known qualitative study to ask drug court participants ( n = 38) who have opioid use disorders questions related to their lived experiences in drug court, as well as direct questions related to the use of medication-assisted treatments (MATs) in drug court. Overall, drug court participants felt that MATs were helpful for treating their opioid use disorders; however, some participants reported using other drugs while on MATs and they viewed their recovery through a harm reduction lens. Additionally, participants emphasized the importance of using MATs in combination with counseling that used cognitive and behavioral therapies. Implications for drug court practice and future research are discussed.
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Kimsma, Gerrit K., and B. J. van Duin. "Teaching Euthanasia: The Integration of the Practice of Euthanasia Into the Grief, Death, and Dying Curricula of Postgraduate Family Medicine Training." Cambridge Quarterly of Healthcare Ethics 5, no. 1 (1996): 107–12. http://dx.doi.org/10.1017/s0963180100006770.
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The open practice of euthanasia in The Netherlands stood alone in the world until the government of the Northern Territories in Australia accepted the possibility of physician-assisted suicide. Even though the active ending of lives in The Netherlands is still a crime by law, the current practice allows it and acquits physicians if certain conditions have been met. Of the many facets of euthanasia, the teaching of this practice represents a further logical step. In this contribution, we intend to describe the comprehensive teaching program of euthanasia of the Free University of Amsterdam's Postgraduate Family Medicine Program. Here students receive university-based training for 1 day a week in a cohort of 12 and on the job training for 4 days with individual family physicians for 2 consecutive years. We especially intend to portray the integration of euthanasia into the wider teaching of the process of counseling and aid of the dying.
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Nicholls, W., R. Jennings, Y. Yeung, M. Walters, and B. Hewitt. "Antenatal Ultrasound Detection of Cleft in Western Australia from 2003 to 2012: A Follow-Up Study." Cleft Palate-Craniofacial Journal 54, no. 3 (May 2017): 321–26. http://dx.doi.org/10.1597/15-127.
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Aim To investigate trends in the rate of antenatal detection of cleft lip and palate (CLP) patients referred to the CLP Unit at Princess Margaret Hospital for Children in Perth, Western Australia during the period 2003-2012 and compare data with a previously published report covering the years 1996-2003. Methods This is a single-center, retrospective survey of antenatal transabdominal ultrasound screenings of mothers of infants born between July 1, 2003 and June 30, 2012 that were referred to the CLP Unit at Princess Margaret Hospital. Results Detection rates of oral clefts increased significantly when compared with outcomes reported in the same population between 1996 and 2003 ( P < .05). An overall detection rate of 71.7% (165/230) was achieved for clefts involving lip and palate. Detection of isolated cleft palate (1/99) and microform (0/8) remained elusive. Most detections (76.5%) were achieved at 15 to 20 weeks of gestational age, corresponding with routine anatomical screening. A further 16.8% were detected post-20 weeks of gestation. Scans were performed by specialist obstetricians, and sonography clinics reported a detection rate of 84.6% (55/65), whereas nonspecialist clinics reported a detection rate of only 67.1% (110/164). Conclusion The antenatal detection rates of oral clefts involving the lip have improved to the extent that the majority of mothers are now being referred to a cleft unit in Western Australia prior to the births of their children. As a result of this improvement, antenatal counseling is now a common facet of cleft management.
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McKean, Mark R., Gary Slater, Florin Oprescu, and Brendan J. Burkett. "Do the Nutrition Qualifications and Professional Practices of Registered Exercise Professionals Align?" International Journal of Sport Nutrition and Exercise Metabolism 25, no. 2 (April 2015): 154–62. http://dx.doi.org/10.1123/ijsnem.2014-0051.
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Australia has approximately 26,000 registered exercise professionals (REP), in comparison with 3,379 accredited practicing dietitians (APD). The REP workforce has the potential to reach more than 10% of the Australian population but there is limited data on their educational background and professional behaviors with regards to nutritional counseling of clients. The purpose of this research was to determine if REPs are working within their scope of practice and if their qualifications align with their practice, specifically as it relates to nutrition advice. Using a cross sectional descriptive study design, a self-administered online survey of REPs was conducted over 5 months. REPs were recruited through electronic and social media using a snowballing technique. The study focused on education, nutrition advice, and sources of information. A total of 286 respondents completed the survey, including 13 with tertiary dietetic qualifications i.e., APDs. The nationally recognized industry Certificate III/IV in Fitness was the most common qualification. The majority of REPs responding (88%) were working outside of their professional scope of practice, offering individual nutrition advice to clients across fitness and medical issues. This was despite 40% of REPs undertaking no further training in nutrition since graduating, and primarily basing advice on use of readily accessible sources of nutrition information. It is recommended the nutrition advice provided to REPs during training be limited to general nonmedical nutrition information in accordance with nationally endorsed evidence based guidelines and that issues pertaining to scope of practice be addressed with onward referral to other health professionals be advocated.
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Dowson, Cassandra B., Colin Stewart, Sarah O'Sullivan, Nicholas Pachter, Lyn Schofield, and Paul A. Cohen. "Incidence of germline BRCA1/2 mutations in women with tubo-ovarian high-grade serous carcinomas with and without serous tubal intra-epithelial carcinomas." International Journal of Gynecologic Cancer 30, no. 1 (November 7, 2019): 94–99. http://dx.doi.org/10.1136/ijgc-2019-000540.
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ObjectiveTo compare the germline BRCA1 and BRCA2 mutation (gBRCA) status in women with high-grade serous tubo-ovarian and primary peritoneal carcinoma with and without serous tubal intra-epithelial carcinomas (serous tubal intra-epithelial carcinoma-positive vs serous tubal intra-epithelial carcinoma-negative).Materials and methodsA retrospective study was performed of patients in Western Australia diagnosed with high-grade serous tubo-ovarian and primary peritoneal carcinoma and referred for genetic counseling and gBRCA testing from July 1, 2014 to June 30, 2017. Histopathology reports were reviewed to ascertain whether serous tubal intra-epithelial carcinoma was present. Personal or family gBRCA status, family history, age at diagnosis, mode of treatment (neoadjuvant chemotherapy vs primary surgery), and stage were also recorded.ResultsA total of 269 women with high-grade serous tubo-ovarian and primary peritoneal carcinoma were referred for genetic counseling and testing. 114 patients were excluded because the serous tubal intra-epithelial carcinoma status was not assessable or because patients did not attend for genetic assessment. 155 patients (55 serous tubal intra-epithelial carcinoma-positive and 100 serous tubal intra-epithelial carcinoma-negative) underwent genetic testing. gBRCA mutations were found in 27.8% of serous tubal intra-epithelial carcinoma-positive patients compared with 14.0% of serous tubal intra-epithelial carcinoma-negative patients (p=0.094). Of those found to have a gBRCA mutation, 89.7% reported a positive personal or family history of BRCA-related cancers.ConclusionsThe gBRCA mutation detection rate in serous tubal intra-epithelial carcinoma-positive patients was nearly double that of serous tubal intra-epithelial carcinoma-negative patients. Factors such as a positive family history of BRCA-related cancers were seen at a higher proportion in the mutation positive women.
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Glasheen, Kevin, and Marilyn Campbell. "The use of online counselling within an Australian secondary school setting: A practitioner’s viewpoint." Counselling Psychology Review 24, no. 2 (March 2009): 42–51. http://dx.doi.org/10.53841/bpscpr.2009.24.2.42.
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This paper proposes that the provision of online counselling services for young people accessed through their local school website has the potential to assist students with mental health issues as well as increasing their help seeking behaviours. It stems from the work of the authors who trialled an online counselling service within one Australian secondary school. In Australia, online counselling with the adult population is now an accepted part of the provision of mental health services. Online provision of mental health information for young people is also well accepted. However, online counselling for young people is provided by only a few community organisations such as Kids Help Line within Australia. School-based counselling services which are integral to most secondary schools in Australia, seem slow to provide this service in spite of initial interest and enthusiasm by individual school counsellors. This discussion is the product of reflection on the potential benefits of this trial with a consideration of relevant research of the issues raised. It highlights the need for further research into the use of computer-mediated communication in the provision of counselling within a school setting.
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Athanasou, James, Robert Pithers, and Ian Cornford. "Using Occupational Descriptors in Career Counselling." Australian Journal of Career Development 3, no. 3 (December 1994): 9–11. http://dx.doi.org/10.1177/103841629400300304.
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This paper deals with the development of a system of key occupational descriptors for the Australian Standard Classification of Occupations (ASCO) and their potential value in careers counselling. A system of 43 descriptors covering: aptitudes, physical activities, environmental conditions, educational and vocational development, labour market factors, key competency strands, specific vocational preparation and occupational interests has been proposed for the 1079 occupations classified in Australia. The value and limitations of occupational descriptors as a basis for career exploration are highlighted.
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Li, Jie, Hong Lu, and Rui Hou. "A review of the definition and scope of practice of midwives in five representative countries." Frontiers of Nursing 5, no. 3 (October 25, 2018): 165–73. http://dx.doi.org/10.1515/fon-2018-0022.
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Abstract Objective To review the definition and scope of the practice of midwives in Sweden, Finland, the United Kingdom, the United States, and Australia to find models and make suggestions for reforms in the midwifery policies of China. Methods This article reviewed the midwifery policies published by authorities, organizations, and governments of these countries and relevant literature in the databases of PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), China National Knowledge Infrastructure (CNKI), and Wanfang database. Results The definition and scope of practice of midwives in five representative countries and China were reviewed. The similarities and differences in midwifery policies among them show that most countries set standards based on the definition and scope of practice of midwives recommended by International Confederation of Midwives. Conclusions The definition of midwives should include registration, midwifery education, and acceptance standards. The scope of practice of midwives should specify an autonomous environment, the objective of care, the period of care involved, prescribing rights, emergency treatment, and health counseling.
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Braakhuis, Andrea J., Kelly Meredith, Gregory R. Cox, William G. Hopkins, and Louise M. Burke. "Variability in Estimation of Self-reported Dietary Intake Data from Elite Athletes Resulting from Coding by Different Sports Dietitians." International Journal of Sport Nutrition and Exercise Metabolism 13, no. 2 (June 2003): 152–65. http://dx.doi.org/10.1123/ijsnem.13.2.152.
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A routine activity for a sports dietitian is to estimate energy and nutrient intake from an athlete’s self-reported food intake. Decisions made by the dietitian when coding a food record are a source of variability in the data. The aim of the present study was to determine the variability in estimation of the daily energy and key nutrient intakes of elite athletes, when experienced coders analyzed the same food record using the same database and software package. Seven-day food records from a dietary survey of athletes in the 1996 Australian Olympic team were randomly selected to provide 13 sets of records, each set representing the self-reported food intake of an endurance, team, weight restricted, and sprint/power athlete. Each set was coded by 3–5 members of Sports Dietitians Australia, making a total of 52 athletes, 53 dietitians, and 1456 athlete-days of data. We estimated within- and between- athlete and dietitian variances for each dietary nutrient using mixed modeling, and we combined the variances to express variability as a coefficient of variation (typical variation as a percent of the mean). Variability in the mean of 7-day estimates of a nutrient was 2- to 3-fold less than that of a single day. The variability contributed by the coder was less than the true athlete variability for a 1-day record but was of similar magnitude for a 7-day record. The most variable nutrients (e.g., vitamin C, vitamin A, cholesterol) had ~3-fold more variability than least variable nutrients (e.g., energy, carbohydrate, magnesium). These athlete and coder variabilities need to be taken into account in dietary assessment of athletes for counseling and research.
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Athanasou, James A. "Interview with Paul Stevens." Australian Journal of Career Development 10, no. 2 (July 2001): 3–5. http://dx.doi.org/10.1177/103841620101000202.
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In this section the Australian Journal of Career Development will present a series of interviews with key career professionals in Australia. Paul Stevens is Director of The Centre for Worklife Counselling and recognised both nationally and internationally for his continuing contributions to the careers field. He wrote his first published contribution to adult career development in 1981, Win That Jobl He is Fellow and Life Member of the Australian Association of Career Counsellors, and a recipient of its Career Counselling Excellence Award. Paul has links with the International Board for Career Management Certification and the International Career Planning and Adult Development Network.
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Lau, Vincent K. T. "Innovative Evaluation of the Outsourced Counselling Services in a Business School." Nang Yan Business Journal 2, no. 1 (November 20, 2014): 76–80. http://dx.doi.org/10.2478/nybj-2014-0027.
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Abstract Through appreciating the expectations and needs of the students and staff and the changing needs of such group of stakeholders in view of educational reforms and organizational changes, we shall examine the expected changes in structure and organizational framework for the implementation of counseling services under the widely adapted Australian approach of Comprehensive Counselling Programme (Aluede, 2006). The key questions to be raised are as follows: 1. What will be the expectations of students and teaching staff in such programmes? How will expectations be satisfied in the programme objectives? 2. What should be the innovative structure for the delivery of Counselling services and related services? 3. Will the services provided by the new counseling centre be adequate, appropriate and suitable for the development of healthy lifestyle, and provide a balanced education for life?
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Hicks, Richard E., Victoria Alexander, and Clive M. Jones. "Counselling and Psychotherapy Orientations in Australia: Responses from 24 Australian Psychotherapists." Psychology 07, no. 08 (2016): 1146–53. http://dx.doi.org/10.4236/psych.2016.78115.
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LANTSBERG, Daniel, Yossi MIZRACHI, and Darren KATZ. "Micro-TESE Outcomes for Non-Obstructive Azoospermia — The First Australian Series." Fertility & Reproduction 04, no. 03n04 (September 2022): 140. http://dx.doi.org/10.1142/s2661318222740528.
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Background: Micro-dissection testicular sperm extraction (micro-TESE) for non-obstructive azoospermia (NOA) was shown to achieve the best sperm retrieval rate (SRR) compared to other techniques. However, to date there is no large series of published Australian data. Aim: To study the incidence and predicting factors of successful sperm extraction in men with NOA undergoing micro-TESE in Victoria. Method: We retrospectively analyzed the clinical data of all consecutive patients with confirmed NOA who were treated between August 2014 and April 2020 in a single medical centre in Melbourne, Victoria. None were excluded. Patients underwent micro-TESE and upon a successful sperm retrieval, sperm was either frozen for fertility preservation or used fresh for ICSI. Results: During the study period, 85 men with NOA underwent micro-TESE in our centre. The overall sperm retrieval rate (SRR) was 61.2% (52/85). All patients with a history of surgically treated cryptorchidism or childhood diseases had a successful sperm retrieval. Patients with Kleinfelter syndrome had a 75% SRR. Patients with Idiopathic NOA and patients with a history of chemotherapy had a 50% and 40% SRR, respectively. Among the different types of testicular pathology, the highest SRR was found in men with complete hyalinization (100%). Hypospermatogenesis was associated with a high SRR of 93.3%, while Sertoli-cell-only histology was associated with only 46.3% SRR. The SRR has significantly increased from 33.3% in 2015-2016 to 73.6% in 2019-2020 (p=0.003). On Multivariate logistic regression analysis, baseline FSH levels <20 IU and history of childhood disease or Klinefelter syndrome were significantly associated with successful sperm retrieval. The cumulative pregnancy rate was 23.7%. Conclusion: This first report from Australia indicates that micro-TESE is an effective method for the treatment of NOA with high SRR and pregnancy rate. Our results can help patient management and counseling.
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Wollin, Judy, Helen Dale, Nancy Spenser, and Anne Walsh. "What People with Newly Diagnosed MS (and their Families and Friends) Need to Know." International Journal of MS Care 2, no. 3 (October 1, 2000): 29–39. http://dx.doi.org/10.7224/1537-2073-2.3.29.
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Abstract The aim of this retrospective study was to determine from people with multiple sclerosis (MS) and their families what information would assist a person with newly diagnosed MS — in which format, when, and from whom it should be delivered. Thirty-four Queensland, Australia, residents with MS and 18 family members and friends participated in the main study. Participants were self-selected for this purposive, statewide, cross-sectional study. Nine of the respondents answered open-ended questions in addition to the standard questionnaires, and seven respondents gave in-depth interviews. The respondents recommended that people with a recent MS diagnosis and their families be given a wide range of information reflective of their personal needs. The information should be provided in person (in both group and individual sessions). They preferred to receive the information from their physicians and the staff of the Multiple Sclerosis Society. Research aimed at cures and therapies, as well as counseling and support services, should be discussed early in the course of the disease. Because of the small sample size and retrospective design, additional studies with larger populations are suggested to confirm these results and their cross-cultural applicability.
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Speller, Brittany, Selena Micic, Corinne Daly, Lebei Pi, Tari Little, and Nancy N. Baxter. "Oncofertility Decision Support Resources for Women of Reproductive Age: Systematic Review." JMIR Cancer 5, no. 1 (June 6, 2019): e12593. http://dx.doi.org/10.2196/12593.
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Background Cancer treatments have the potential to cause infertility among women of reproductive age. Many cancer patients do not receive sufficient oncofertility information or referrals to reproductive specialists prior to starting cancer treatment. While health care providers cite lack of awareness on the available oncofertility resources, the majority of cancer patients use the internet as a resource to find additional information to supplement discussions with their providers. Objective Our aim was to identify and characterize Web-based oncofertility decision aids and health education materials accessible for women of reproductive age with a diagnosis of any cancer. Methods We searched five databases and the gray literature for the years 1994-2018. The developer and content information for identified resources was extracted. Each resource underwent a quality assessment. Results We identified 31 open access resources including 4 decision aids and 27 health educational materials. The most common fertility preservation options listed in the resources included embryo (31/31, 100%), egg (31, 100%), and ovarian tissue freezing (30, 97%). Notably, approximately one-third (11, 35%) contained references and 5 (16%) had a reading level of grade 8 or below. Resources were of varying quality; two decision aids from Australia and the Netherlands, two booklets from Australia and the United Kingdom, and three websites from Canada and the United States rated as the highest quality. Conclusions This comprehensive review characterizes numerous resources available to support patients and providers with oncofertility information, counseling, and decision making. More focus is required to improve the awareness and the access of existing resources among patients and providers. Providers can address patient information needs by leveraging or adapting existing resources to support clinical discussions and their specific patient population.
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Heath, J. A., and C. J. Stern. "Fertility preservation in children newly diagnosed with cancer: Existing standards of practice in Australia and New Zealand." Journal of Clinical Oncology 24, no. 18_suppl (June 20, 2006): 9047. http://dx.doi.org/10.1200/jco.2006.24.18_suppl.9047.
Full textAbstract:
9047 Background: Over the past two decades, rapid advances have occurred in both the successful treatment of childhood cancers and reproductive medicine. We sought to establish the current level of clinical practice for sperm, oocyte and gonadal tissue collection and storage in children newly diagnosed with cancer in Australia and New Zealand (ANZ). Methods: A cross-sectional survey of all pediatric oncology services in ANZ was performed. Comparisons to recently published North American practices and to current recommendations for best practice were also made. Results: Of the 13 centers invited to participate, 12 (92%) completed the survey. All centers had offered sperm conservation, but only ten (83%) had offered oocyte/ovarian tissue conservation. Available methods of gamete collection and storage were not consistent. Two centers were using GnRH agonists as fertility protection in post-pubertal females. Forty-two per cent had offered fertility conservation to males and females prior to completion of sexual development. All centers were more likely to offer sperm conservation than oocyte conservation for any given disease. The most common diseases for which conservation was offered were lymphomas and sarcomas. The anticipated cumulative dose at which centers elected to offer fertility preservation varied widely, both for the alkylator cyclophosphamide (1g/m2 to 10g/m2) and for abdominal/pelvic irradiation (any to 12 Gy) and spinal irradiation (any to 18Gy). Fertility counseling was offered in a variety of settings by 82% of centers. Despite 92% of centers agreeing that fertility preservation guidelines would be helpful, only two (17%) had any in place. Overall, there was greater uptake and consistency of utilization of fertility services in ANZ when compared with published North American data. Conclusions: There are inconsistencies regarding the indications for and methods of gamete conservation in pediatric oncology centers throughout ANZ. Unresolved medical, legal and ethical issues suggest the development of guidelines and a voluntary code of practice would be helpful. No significant financial relationships to disclose.