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1
Lien, On. "Attitudes of the Vietnamese Community towards Mental Illness." Australasian Psychiatry 1, no. 3 (August 1993): 110–12. http://dx.doi.org/10.3109/10398569309081340.
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There are approximately 155,000 Vietnamese born people in Australia, with 46,000 in Victoria. The majority came to Australia as refugees. Many were subjected to the reality or threat of war, persecution, imprisonment, discrimination, economic deprivation, violence, the loss of family or other major stressors. These stressors have included the hazards of the escape, lengthy stays in refugee camps and, on arrival in Australia, lack of familiarity with English and with the culture. The Vietnamese Community in Australia was expected to have a high prevalence of mental illness, especially when newly arrived from refugee camps. In a study published in 1986 as “The Price of Freedom” [1] 32% of the young Vietnamese adult group was found to suffer from psychiatric disorder. At follow-up two years later, the prevalence of psychiatric disorder, without any major intervention, had dropped to 5–6%, a prevalence lower than that in the Australian-born community. In addition, the Vietnamese community's use of mental health services (inpatient and community-based) is lower than that of any other ethnic group.
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McAllister, Ashley. "Five Challenges of Designing Disability Income Support for People with Mental Illnesses: A Qualitative Case Study of Australia and Ontario." Canadian Journal of Community Mental Health 36, no. 4 (December 1, 2017): 109–26. http://dx.doi.org/10.7870/cjcmh-2017-035.
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In most disability income support (DIS) programs, mental illnesses is the fastest growing category of illness, but it is unknown how policy designers consider this vulnerable group. Forty-five DIS policy designers in Australia and Ontario explained how they consider mental illnesses when designing policy. Using a grounded theory approach, five challenges emerged: validating duration, proving an illness, (un)differentiating mental illnesses, managing mental illnesses, and separating the person from the illness. Each challenge is described and compared across Australia and Ontario. These challenges provide a framework for other settings to determine how well their DIS policies have considered mental illnesses in policy design.
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King, Shannon C., Amanda L. Rebar, Paul Oliveri, and Robert Stanton. "Australian paramedic students’ mental health literacy and attitudes towards mental health." Journal of Mental Health Training, Education and Practice 17, no. 1 (October 11, 2021): 61–72. http://dx.doi.org/10.1108/jmhtep-03-2021-0027.
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Purpose Australian paramedics regularly encounter patients experiencing mental illness. However, some paramedics hold negative attitudes towards the use of emergency services in providing care for these patients. Thus, the purpose of the present study was to examine the mental health literacy (MHL) of Australian paramedic students, and the training and experiential factors associated with MHL. Design/methodology/approach A cross-sectional online survey was delivered to paramedic students across Australia. A total of 94 paramedic students completed the survey examining MHL, mental health first aid (MHFA) intentions, confidence in providing help, personal and perceived stigma and willingness to interact with a person experiencing mental illness. Findings Participants generally had poor MHFA intentions in spite of good recognition of mental health disorders and good knowledge about mental health. Participants also demonstrated low stigmatising attitudes towards mental illness; however, they expressed a lack of willingness to interact with a person experiencing mental illness. Originality/value Our findings propose a combination of work-based experience and specific MHFA training may be beneficial to paramedic students to improve care for patients experiencing mental illness.
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Sved Williams, Anne E. "Perinatal and infant mental health in Australia: moving forward towards REAL prevention and early intervention – can we do it?" Australasian Psychiatry 25, no. 3 (April 27, 2017): 274–76. http://dx.doi.org/10.1177/1039856217700761.
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Objectives: Australia has been at the forefront of appropriate early intervention. Prevention of mental illness in infants by early identification and intervention in the mental health of their mothers has stalled since the cessation of funding through the National Perinatal Depression Initiative (NPDI, 2009–2015). Whilst screening for maternal mental illness has been widely implemented throughout Australia during the last two decades, services are now diminishing and great opportunities to ride the crest of a wave for appropriate mental illness intervention are receding. Reviews of history and interventions internationally may help guide future directions. Conclusions: Advocacy through across-agency and across-political-party support has been markedly successful for perinatal and infant mental health in the United Kingdom. A solid foundation exists in Australia. Australian psychiatrists have the ability to continue to change the face of prevention and early intervention.
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Maybery, Darryl John, Andrea E. Reupert, Kent Patrick, Melinda Goodyear, and Lin Crase. "Prevalence of parental mental illness in Australian families." Psychiatric Bulletin 33, no. 1 (January 2009): 22–26. http://dx.doi.org/10.1192/pb.bp.107.018861.
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Aims and MethodTo provide multiple estimates of the numbers of Australian and Victorian families and children living in families where a parent has had a mental illness. We used the Australian Bureau of Statistics Victorian Mental Health Branch service usage and data collected from 701 community participants to triangulate prevalence information.ResultsAccording to population estimates, 23.3% of all children in Australia have a parent with a non-substance mental illness, 20.4% of mental health service users have dependent children and 14.4% of the community study participants report having at least one parent with a mental illness.Clinical ImplicationsThe multiple prevalence estimates of the numbers of children in families with parental mental illness provide fundamental information for psychiatric policy, planning and programming.
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Drew, Leslie R. H. "Mortality and Mental Illness." Australian & New Zealand Journal of Psychiatry 39, no. 3 (March 2005): 194–97. http://dx.doi.org/10.1080/j.1440-1614.2005.01543.x.
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Background: The finding by Lawrence, Holman and Jablensky (Duty to Care) that mortality among the mentally ill in Western Australia was 2.5 times that of the general population, seemingly, has great significance for public policy concerning the mentally ill. ‘Mortality’ could be a useful outcome measure for mental health services. Objectives: To replicate that study in the Australian Capital territory (ACT), comparing mortality rates in the mentally ill with those of the total population. Method: A list of all people who contacted the ACT mental health services between 1985 and 2000 was compiled. Using the national register of deaths (Australian Institute of Health and Welfare), persons known to the mental health services who died between 1990 and 2000 were identified and sex, date of birth, date of death, cause of death and place of death were noted. Using Australian Bureau of Statistics data for all deaths in the ACT, deaths in the total population and in the mentally ill population were tabulated for the period 1996–2000. With 1996 data as the base, using total population data from the ABS and mental health population data derived by amending ‘the list’ to remove duplications, pre1996 deaths and post1996 additions, mortality rates for the period 1996–2000 were compared. Results: The gender and age distribution of the mentally ill population and the total population, and of deaths in those populations, were very different. One third of all deaths in the mentally ill occurred outside of the ACT. Compared with the general population, mortality in the mentally ill (including deaths outside of the ACT) was only slightly excessive for ‘all causes’ and ischaemic heart disease but grossly excessive for ‘suicide’. Conclusions: This study did not confirm the excessive mortality rate in the mentally ill reported by Lawrence et al. except for suicide. Many methodological issues in using population studies to attempt to measure the size of the increase were identified. Differences in method between the ACT and WA studies probably explain the differences in results. Caution is urged in using the results of mortality studies as determinants of public policy or to evaluate services.
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Dwyer, Judith, and Sandra Leggat. "Australian Health Review call for papers." Australian Health Review 29, no. 4 (2005): 377. http://dx.doi.org/10.1071/ah050377.
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The editors of Australian Health Review are seeking articles for an upcoming issue on mental health services in Australia and New Zealand. It is estimated that mental health problems and mental illness will affect more than 20% of the adult population in their lifetime and between 10%?15% of young people in any one year. In Australia, through the National Mental Health Strategy, all levels of Australian government have recognised the need to work together to reform services and policy to ensure that, wherever possible, people with a mental illness are able to enjoy the same opportunities as other Australians. In New Zealand, the Mental Health Commission envisions a place where people with mental illness have personal power, full participation in their communities and access to a fully developed range of recovery-oriented services. To help inform policy and practice, Australian Health Review is looking to publish research papers, case studies and commentaries related to mental health. Some potential topic areas include: � Governance and management � Consumer and community perspectives � Program evaluation and economic analysis � Impact of policy. Submissions related to international programs with lessons for Australia and New Zealand will also be welcomed. Submissions can be short commentaries of 1000 to 2000 words, or a more comprehensive review of the topic of 2000 to 3000 words. The deadline for submission is 15 February 2006.
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Siegloff, Shari, and Rosalie Aroni. "Mental illness and "self"-management in rural Australia: caregivers' perspectives." Australian Journal of Primary Health 9, no. 3 (2003): 90. http://dx.doi.org/10.1071/py03029.
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Current models of chronic disease self-management incorporate an understanding that people with chronic illnesses, their carers and clinicians need to work together in addressing illness management issues (Von Korff, Gruman, Schaefer, Curry, & Wagner, 1997) and that this process enhances personal control of health (Lorig, Ritter et al., 2000). The question we ask is whether the understandings in these models, both implicit and explicit, apply to those people living with mental illness in rural areas in Australia. In-depth interviews were used to explore and examine the way in which carers of people living with mental illness in rural Victoria experienced and perceived the nature of chronic disease self-management. Our findings indicate that illness management in rural areas occurs predominantly as a partnership between the person with mental illness and the family members who act as caregivers, rather than a partnership with health professionals. This confirms that the lack of resources in the rural mental health care system results in a crisis-oriented service rather than a service that is able to respond to preventative and ongoing mental health care. This is recognised as a considerable burden for many families and requires further examination. In addition, a finding of considerable clinical and policy importance in this arena is the experience of family caregivers as partners in not only the support of the ?management? aspects of self-management of mental illness, but also in supporting the person living with mental illness in the maintenance of the ?self? aspect of self-management.
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Bates, Ann, Vivien Kemp, and Mohan Isaac. "Peer Support Shows Promise in Helping Persons Living with Mental Illness Address Their Physical Health Needs." Canadian Journal of Community Mental Health 27, no. 2 (September 1, 2008): 21–36. http://dx.doi.org/10.7870/cjcmh-2008-0015.
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The physical health of individuals with long-term mental illnesses has long been of concern. In Western Australia, the overall mortality rate from preventable causes of people living with mental illness was reported to be 2.5 times greater than that of the general population. A trial peer support service was initiated to assist people with mental illness to attend to their physical health needs. This paper presents the planning, implementation, and results of this collaborative initiative involving nongovernment agencies, the public mental health service, consumers of mental health services, and the University of Western Australia.
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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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Laugharne, Jonathan. "Poverty and mental health in Aboriginal Australia." Psychiatric Bulletin 23, no. 6 (June 1999): 364–66. http://dx.doi.org/10.1192/pb.23.6.364.
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When the Australian Governor General, Sir William Deane, referred in a speech in 1996 to the “appalling problems relating to Aboriginal health” he was not exaggerating. The Australia Bureau of Statistics report on The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples (McLennan & Madden, 1997) outlines the following statistics. The life expectancy for Aboriginal Australians is 15 to 20 years lower than for non-Aboriginal Australians, and is lower than for most countries of the world with the exception of central Africa and India. Aboriginal babies are two to three times more likely to be of lower birth weight and two to four times more likely to die at birth than non-Aboriginal babies. Hospitalisation rates are two to three times higher for Aboriginal than non-Aboriginal Australians. Death rates from infectious diseases are 15 times higher among Aboriginal Australians than non-Aboriginal Australians. Rates for heart disease, diabetes, injury and respiratory diseases are also all higher among Aboriginals – and so the list goes on. It is fair to say that Aboriginal people have higher rates for almost every type of illness for which statistics are currently recorded.
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Peters, A. "Owning the brand of psychiatry." European Psychiatry 41, S1 (April 2017): S740. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1362.
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In Australia and New Zealand, conversations around mental health are playing out in the public space with increasing frequency. Mental health promotion campaigns and organizations are embraced by mainstream and other forms of media, and supported by government. Whilst public knowledge of mental illness is increasing, the profile of psychiatrists as leaders and medical experts in mental illness is a more difficult brand to sell. With a somewhat tarnished history behind us, the modern evidence-based practice of psychiatry is not always at the forefront of public impression. Furthermore, in Australia, more than half of the population (56%) is unaware that psychiatrists have undertaken medical training as a doctor. This presentation will outline Royal Australian and New Zealand college of psychiatrists (RANZCP) action to improve community information about psychiatry, psychiatrists and treatment experiences.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Jorm, Anthony, Michael Sawyer, and Joy Gillett. "Australian Rotary Health: a major contributor to mental illness research and mental health awareness in Australia." Australasian Psychiatry 20, no. 4 (July 5, 2012): 318–21. http://dx.doi.org/10.1177/1039856212447968.
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Murphy, Andrea L., Claire L. O’Reilly, Randa Ataya, Steve P. Doucette, Ruth Martin-Misener, Alan Rosen, and David M. Gardner. "A survey of Canadian and Australian pharmacists’ stigma of suicide." SAGE Open Medicine 7 (January 2019): 205031211882034. http://dx.doi.org/10.1177/2050312118820344.
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Background: There is limited information available regarding community pharmacists’ stigma of suicide. Pharmacists regularly interact with people at risk of suicide and stigmatizing attitudes may impact care. Objective: To measure community pharmacists’ stigma of suicide. Method: Pharmacists in Canada and Australia completed an online survey with the Stigma of Suicide Scale–Short Form. Data were analysed descriptively and with univariate and multivariate analyses. Results: Three hundred and ninety-six pharmacists returned completed surveys (Canada n = 235; Australia n = 161; female 70%; mean age = 38.6 ± 12.7 years). The rate of endorsement of stigmatizing terms was low overall. Canadian and Australian pharmacists differed (p < 0.05) for several variables (e.g. age, friend or relative with a mental illness, training in mental health crisis). Pharmacists without someone close to them living with a mental illness were more likely to strongly agree/agree with words describing those who die by suicide as pathetic, stupid, irresponsible, and cowardly. Those without a personal diagnosis of mental illness strongly agreed/agreed with the terms immoral, irresponsible, vengeful, and cowardly. More Australian pharmacists strongly agreed/agreed that people who die by suicide are irresponsible, cowardly, and disconnected. Independent variables associated with a higher stigma were male sex, Australian, and negative perceptions about suicide preventability. Conclusion: Community pharmacists frequently interact with people at risk of suicide and generally have low agreement of stigmatizing terms for people who die by suicide. Research should focus on whether approaches such as contact-based education can minimize existing stigma.
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Fitzpatrick, Scott J., Tonelle Handley, Nic Powell, Donna Read, Kerry J. Inder, David Perkins, and Bronwyn K. Brew. "Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation." PLOS ONE 16, no. 7 (July 21, 2021): e0245271. http://dx.doi.org/10.1371/journal.pone.0245271.
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Background Suicide rates are higher in rural Australia than in major cities, although the factors contributing to this are not well understood. This study highlights trends in suicide and examines the prevalence of mental health problems and service utilisation of non-Indigenous Australians by geographic remoteness in rural Australia. Methods A retrospective study of National Coronial Information System data of intentional self-harm deaths in rural New South Wales, Queensland, South Australia and Tasmania for 2010–2015 from the National Coronial Information System. Results There were 3163 closed cases of intentional self-harm deaths by non-Indigenous Australians for the period 2010–2015. The suicide rate of 12.7 deaths per 100,000 persons was 11% higher than the national Australian rate and increased with remoteness. Among people who died by suicide, up to 56% had a diagnosed mental illness, and a further 24% had undiagnosed symptoms. Reported diagnoses of mental illness decreased with remoteness, as did treatment for mental illness, particularly in men. The most reported diagnoses were mood disorders (70%), psychotic disorders (9%) and anxiety disorders (8%). In the six weeks before suicide, 22% of cases had visited any type of health service at least once, and 6% had visited two or more services. Medication alone accounted for 76% of all cases treated. Conclusions Higher suicide rates in rural areas, which increase with remoteness, may be attributable to decreasing diagnosis and treatment of mental disorders, particularly in men. Less availability of mental health specialists coupled with socio-demographic factors within more remote areas may contribute to lower mental health diagnoses and treatment. Despite an emphasis on improving health-seeking and service accessibility in rural Australia, research is needed to determine factors related to the under-utilisation of services and treatment by specific groups vulnerable to death by suicide.
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Holmes, Katie. "Talking about Mental Illness: Life Histories and Mental Health in Modern Australia." Australian Historical Studies 47, no. 1 (January 2, 2016): 25–40. http://dx.doi.org/10.1080/1031461x.2015.1120336.
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Pearson, Mark. "Mental illness, journalism investigation and the law in Australia and New Zealand." Pacific Journalism Review : Te Koakoa 17, no. 1 (May 31, 2011): 90–101. http://dx.doi.org/10.24135/pjr.v17i1.373.
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Mental illness, its terminologies, definitions, voluntary and compulsory treatment regimes, and its interface with the criminal justice system are defined and regulated remarkably differently across the 10 Australian and New Zealand jurisdictions. This presents a legislative and policy nightmare for the investigative journalist attempting to explain the workings of the mental health system or follow a case, particularly if the individual’s life has taken them across state or national borders. This article considers the extent to which legal restrictions on identification and reportage of mental health cases in Australia and New Zealand inhibit the pursuit of ‘bloodhound journalism’—the persistent pursuit of a societal problem and those responsible for it. It recommends the development of resources assisting journalists to navigate the various mental health regulatory regimes. It also calls for the opening of courts and tribunals to greater scrutiny so that the public can be better educated about the people affected by mental illness and the processes involved in dealing with them, and better informed about the decisions that deprive their fellow citizens of their liberty.
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McPhedran, Samara. "Australian Mass Shootings: An Analysis of Incidents and Offenders." Journal of Interpersonal Violence 35, no. 19-20 (June 12, 2017): 3939–62. http://dx.doi.org/10.1177/0886260517713226.
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Mass shooting events are relatively underresearched, and most study comes from the United States. Despite significant international interest, little is known about other countries’ experiences of these events. The current study examines Australian mass shooting incidents and offenders, with emphasis on mental illness, life strains, and offenders’ life histories. Australia had 14 mass shootings between 1964 and 2014. Most offenders experienced acute life stressors and/or chronic strains leading up to the event; however, diagnosed mental illness was less commonly documented. These observations provide new information about mass shooting incidents and offenders, and can help to inform international policy development.
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Kampmark, Binoy. "The Black Dog of Swimming: Mental Illness and Australia’s Sporting Industrial Complex." Physical Culture and Sport. Studies and Research 81, no. 1 (March 1, 2019): 23–35. http://dx.doi.org/10.2478/pcssr-2019-0003.
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AbstractThis article considers the cultural and social crisis facing the sporting celebrity, with specific reference to the Australian athlete in the field of swimming. In that sense, this paper argues that parallels in other political systems for ruthless, sustained success, and the loss occasioned by it to individual sports figures, should be considered. Liberal democracies can still be perpetrating systems of sporting depression and mental illness, undermining their representatives in a relentless drive for performance and medals. The problem lies in what might be best described as a sporting industrial complex, one that emerged in Australia with the professionalization of sports.
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Donath, Susan. "The Validity of the 12-Item General Health Questionnaire in Australia: A Comparison Between Three Scoring Methods." Australian & New Zealand Journal of Psychiatry 35, no. 2 (April 2001): 231–35. http://dx.doi.org/10.1046/j.1440-1614.2001.00869.x.
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Objective: To investigate the specificity and sensitivity of three different scoring methods of the 12-item General Health Questionnaire (GHQ-12) and hence to determine the best GHQ-12 threshold score for the detection of mental illness in community settings in Australia. Method: Secondary data analysis of the 1997 Australian National Survey of Health and Wellbeing (n = 10 641), using the Composite International Diagnostic Interview as the gold standard for diagnosis of mental illness. Results: The area under the Receiver Operating Characteristic (ROC) curve for the C-GHQ scoring method was 0.84 (95% CI = 0.83–0.86) compared with the area for the standard scoring method of 0.78 (95% CI = 0.76–0.80). The best threshold with C-GHQ was 3/4, with sensitivity 82.9% (95% CI = 80.2–85.5%) and specificity 69.0% (95% CI = 68.6–69.4%). The best threshold score with the standard scoring method was 0/1, with sensitivity 75.4% (95% CI = 72.5–78.4%) and specificity 69.9% (95% CI = 69.5–70.3%). These were also the best thresholds for a subsample of the population who had consulted a health practitioner in the previous 4 weeks. Conclusion: In the Australian setting, the C-GHQ scoring method is preferable to the standard method of scoring the GHQ-12. In Australia the GHQ-12 appears to be a less useful instrument for detecting mental illness than in many other countries.
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Khairi, Khairil Faizal, Mohamad Subini Abdul Samat, Nur Hidayah Laili, Hisham Sabri, Mohd Yazis Ali Basah, Asmaddy Haris, and Azrul Azlan Iskandar Mirza. "Takaful Protection for Mental Health Illness From the Perspective of Maqasid Shariah." International Journal of Financial Research 11, no. 3 (June 30, 2020): 168. http://dx.doi.org/10.5430/ijfr.v11n3p168.
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Mental health illness becomes one of the major illnesses in Malaysia aside from heart disease. It was recently reported that 29.2% of Malaysians are suffering from mental health illness which increases threefold from the previous year. Majority of the Malaysians suffering from mental health illness comes from the lowest income group. This shows that the lowest income group has less opportunity to seek treatment due to the cost. Even though other countries have started to offer mental health insurance such as the United States of America, United Kingdom, Australia and recently Singapore, Malaysia is still way behind in offering coverage for mental health illness. Therefore, the objective of this paper is to study the mental health takaful from the perspective of Maqasid shariah. The results from this study show that mental health takaful is able to meet the requirement of Maqasid shariah and preserve the benefits of, and prevent harm to human wellbeing. Furthermore, this study will provide an insight to the takaful industry for developing new products that could help mental health disorder patients.
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Happell, Brenda, Chris Platania-Phung, Stephanie Webster, Brian McKenna, Freyja Millar, Robert Stanton, Cherrie Galletly, et al. "Applying the World Health Organization Mental Health Action Plan to evaluate policy on addressing co-occurrence of physical and mental illnesses in Australia." Australian Health Review 39, no. 4 (2015): 370. http://dx.doi.org/10.1071/ah14098.
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Objectives The aim of the present study was to document Australian policies on the physical health of people with mental illness and evaluate the capacity of policy to support health needs. Methods A search of state and federal policies on mental and physical illness was conducted, as well as detailed analysis of policy content and the relationships between policies, by applying the World Health Organization Mental Health Action Plan 2013–2020 as an evaluative framework. Results National policy attention to the physical health of people with mental illness has grown, but there is little interconnection at the national and state levels. State policies across the country are inconsistent, and there is little evidence of consistent policy implementation. Conclusions A coherent national health policy framework on addressing co-occurring physical and mental illnesses that includes healthcare system reforms and ensuring the interconnectedness of other relevant services should be prioritised. What is known about the topic? People with mental illness have a lower life expectancy and poorer physical health than people who do not have a mental illness. Government policy is critical to reducing inequalities in physical health and increasing longevity. What does this paper add? Evaluating policy developments against the World Health Organization’s Mental Health Action Plan 2013–2020, this review identified a lack of cohesive national-level policy on how to improve the physical health of people with mental illness. Although there are some state-based policies regarding strategies for better prevention and management of the physical health of people with mental illness, evidence of policy implementation is either scarce or inconsistent. The capacity of current policy to translate into reforms that increase the physical and overall health of people suffering mental health difficulties seems very limited. What are the implications for practitioners? This paper outlines major policy gaps and an overall need for a national-level policy. National-level leadership on integrated health care is required, with monitoring to ensure health care reforms are genuinely informed by consumer and clinician views and are effective.
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Suparare, Liana, Stuart J. Watson, Ray Binns, Jacqueline Frayne, and Megan Galbally. "Is intimate partner violence more common in pregnant women with severe mental illness? A retrospective study." International Journal of Social Psychiatry 66, no. 3 (January 6, 2020): 225–31. http://dx.doi.org/10.1177/0020764019897286.
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Objective: To examine the risk of past and current experiences of intimate partner violence (IPV) in women with severe mental illness (SMI) in pregnancy. Methods: We examined past and current experiences of IPV in women with SMI in pregnancy. The data of 304 women with SMI including schizophrenia and related psychotic disorders and Bipolar Disorder meeting International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) criteria were extracted from hospital records at King Edward Memorial Hospital, Western Australia. Comparisons were made between our study data and the Australian population data reported by the Australian Bureau of Statistics, which included data on pregnant women in Western Australia. Additional measures included reported demographics, substance use and pregnancy variables. Results: Around 48% of pregnant women with SMI had experienced IPV and were three times the risk when compared with the general pregnant population in Australia. There was no difference in rates of IPV in those women with psychotic disorders when compared with bipolar disorder. Furthermore, the rates of smoking and illicit substance use were significantly higher in pregnant women with SMI who experienced IPV compared with those who have not experienced IPV. Conclusion: These findings suggest women with SMI in pregnancy are at significantly higher risk of having experienced or experiencing IPV. In addition, IPV in pregnant women with SMI may increase the risk of smoking and illicit substance use. Together this suggests that maternity and mental health services should ensure there are both screening and support pathways for IPV that are developed and evaluated specifically for pregnant women with SMI.
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Bowden, Jacqueline A., Caroline L. Miller, and Janet E. Hiller. "Smoking and Mental Illness: A Population Study in South Australia." Australian & New Zealand Journal of Psychiatry 45, no. 4 (April 2011): 325–31. http://dx.doi.org/10.3109/00048674.2010.536904.
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Happell, Brenda, and Chris Platania-Phung. "Cardiovascular Health Promotion and Consumers with Mental Illness in Australia." Issues in Mental Health Nursing 36, no. 4 (April 3, 2015): 286–93. http://dx.doi.org/10.3109/01612840.2014.981770.
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Dwyer, Judith, and Sandra G. Leggat. "Mental health care: commitment to action?" Australian Health Review 30, no. 2 (2006): 133. http://dx.doi.org/10.1071/ah060133.
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THE COUNCIL OF AUSTRALIAN GOVERNMENTS (the peak intergovernmental forum in Australia, comprising the Prime Minister, State Premiers, Territory Chief Ministers and the President of the Australian Local Government Association) focused on mental health care at its meeting in February. They agreed that more money is needed, and asked their public servants to prepare an action plan urgently.1 The action plan is expected to contain a stronger focus on mental health promotion and early intervention, and perhaps a more flexible approach to the housing and care needs of people who can?t ?manage on their own?. A stronger role for the non-government sector is anticipated, as well as increased access to psychologists and other health professionals in primary care, and efforts to improve access for people with mental illness to employment, community activities, rehabilitation and respite care.
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Guy, Sophie, Gareth Furber, Matthew Leach, and Leonie Segal. "How many children in Australia are at risk of adult mental illness?" Australian & New Zealand Journal of Psychiatry 50, no. 12 (July 11, 2016): 1146–60. http://dx.doi.org/10.1177/0004867416640098.
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Objective: To estimate the prevalence of children in the Australian population with risk factors for adult mental illness. Method: Key risk factors and risk domains were identified from a 2013 review of longitudinal studies on child and adolescent determinants of adult mental illness. Data items were identified from the Longitudinal Study of Australian Children that map onto the risk domains and were used to estimate the prevalence of these key individual risk factors and the magnitude of multiple risk in children aged 3 months to 13 years. Results: Even by infancy, risk factors for adult mental illness are highly prevalent, with 51.7% of infants having multiple risks. In 10 infants, 1 was born to mothers who consumed daily alcohol and 1 in 8 to mothers who smoked cigarettes daily during pregnancy. Also, 10.5% of infants were in families where the parents had separated, which increased to 18% in 10–11 year-olds. Psychological problems in the clinical range (based on the Strengths and Difficulties Questionnaire total problems score) ranged from 7.8% to 9.7% across the 4–13 years age range. Risks from negative parenting behaviours were highly prevalent across age groups. Two-thirds of children aged 12–13 years had parents who displayed low warmth or exhibited high hostility/anger. Across childhood, one in seven children are in families exposed to 3+ major life stressors. By age 8–9 years, more than 18% of children are exposed to ⩾5 risk factors. Conclusions: We find that modifiable risk factors for adult mental illness occur at the earliest stage in the life course and at greater prevalence than is commonly recognised. Considerable capacity will be required in child and adolescent mental health services and complementary family support programmes if risk factors for adult mental illness that are already apparent in infancy and childhood are to be addressed.
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Doran, Christopher M., and Irina Kinchin. "A review of the economic impact of mental illness." Australian Health Review 43, no. 1 (2019): 43. http://dx.doi.org/10.1071/ah16115.
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Objective To examine the impact and cost associated with mental illness. Methods A rapid review of the literature from Australia, New Zealand, UK and Canada was undertaken. The review included literature pertaining to the cost-of-illness and impact of mental illness as well as any modelling studies. Included studies were categorised according to impact on education, labour force engagement, earlier retirement or welfare dependency. The well-accepted Drummond 10-point economic appraisal checklist was used to assess the quality of the studies. Results A total of 45 methodologically diverse studies were included. The studies highlight the significant burden mental illness places on all facets of society, including individuals, families, workplaces and the wider economy. Mental illness results in a greater chance of leaving school early, a lower probability of gaining full-time employment and a reduced quality of life. Research from Canada suggests that the total economic costs associated with mental illness will increase six-fold over the next 30 years with costs likely to exceed A$2.8 trillion (based on 2015 Australian dollars). Conclusions Mental illness is associated with a high economic burden. Further research is required to develop a better understanding of the trajectory and burden of mental illness so that resources can be directed towards cost-effective interventions. What is known about the topic? Although mental illness continues to be one of the leading contributors to the burden of disease, there is limited information on the economic impact that mental illness imposes on individuals, families, workplaces and the wider economy. What does this paper add? This review provides a summary of the economic impact and cost of mental illness. The included literature highlights the significant burden mental illness places on individuals, families, workplaces, society and the economy in general. The review identified several areas for improvement. For example, only limited information is available on the impact of attention deficit hyperactivity disorder, anxiety, cognitive function, conduct disorder, eating disorder and psychological distress. There was also a dearth of evidence on the intangible elements of pain and suffering of people and their families with depressive disorders. More research is required to better understand the full extent of the impact of mental illness and strategies that may be implemented to minimise this harm. What are the implications for practitioners? Knowing the current and future impact of mental illness highlights the imperative to develop an effective policy response.
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Clapperton, Angela, Stuart Newstead, Lyndal Bugeja, and Jane Pirkis. "Differences in Characteristics and Exposure to Stressors Between Persons With and Without Diagnosed Mental Illness Who Died by Suicide in Victoria, Australia." Crisis 40, no. 4 (July 2019): 231–39. http://dx.doi.org/10.1027/0227-5910/a000553.
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Abstract. Background: Mental illness is an established risk factor for suicide. To develop effective prevention interventions and strategies, the demographic characteristics and stressors (other than, or in addition to, mental illness) that can influence a person's decision to die by suicide need to be identified. Aim: To examine cases of suicide by the presence or absence of a diagnosed mental illness (mental illness status) to identify differences in factors associated with suicide in the groups. Method: Logistic regression analyses were used to investigate mental illness status and exposure to stressors among 2,839 persons who died by suicide in Victoria, Australia (2009–2013), using the Victorian Suicide Register. Results: Females, metropolitan residents, persons treated for physical illness/injury, those exposed to stressors related to isolation, family, work, education, and substance use and those who had made a previous suicide attempt had increased odds of having a diagnosed mental illness. Employed persons had decreased odds of having a diagnosed mental illness. Limitations: The retrospectivity of data collection as well as the validity and reliability of some of the data may be questionable owing to the potential for recall bias. Conclusion: The point of intervention for suicide prevention cannot always be a mental health professional; some people who die by suicide either do not have a mental illness or have not sought help.
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Rose, Grenville, Courtney von Hippel, Loren Brener, and Bill von Hippel. "Attitudes of people working in mental health non-governmental organisations in Australia: A comparison with other mental health professionals." Health Psychology Open 5, no. 1 (January 2018): 205510291876541. http://dx.doi.org/10.1177/2055102918765413.
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Research suggests that stigma impacts help-seeking behaviour and health outcomes for people affected by mental illness. This study compared the attitudes of Australian non-governmental organisation support workers towards people with mental illness with those of other health professionals. Three hundred and seventy four support workers were randomly allocated to answer questions about one of the six vignettes. Results indicated that non-governmental organisation support workers held more positive attitudes towards people with mental illness than those of general practitioners, psychiatrists and psychologists measured in prior research. These results suggest that non-governmental organisations may be a more positive and comfortable entry and referral point for mental health clients.
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Mueller-Stierlin, Annabel S., Sebastian Cornet, Anna Peisser, Selina Jaeckle, Jutta Lehle, Sabrina Moerkl, and Scott B. Teasdale. "Implications of Dietary Intake and Eating Behaviors for People with Serious Mental Illness: A Qualitative Study." Nutrients 14, no. 13 (June 24, 2022): 2616. http://dx.doi.org/10.3390/nu14132616.
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The impact of poor diet quality and nutritional inadequacies on mental health and mental illness has recently gained considerable attention in science. As the opinions and experiences of people living with serious mental illness on dietary issues are unknown, we aimed to understand the role of nutrition in a biopsychosocial approach. In total, 28 semi-structured interviews were conducted with people living with serious mental illness (SMI) in Australia, Germany and Austria, and a generic thematic analysis approach was applied. Four positive (positive effects on the body and mind, therapeutic effects in treating somatic illnesses, pleasure and opportunity for self-efficacy) and three negative (impairment related to mental illness and its treatment, perceived stigma and negative effects on the body and mind) implications of diet were identified. A key issue for most of the participants was the mental burden arising from their body weight. This might indicate that negative implications, such as guilt and stigma, were of primary importance for people with SMI when talking about their dietary behavior. In conclusion, diet-related support is urgently needed for people with SMI. However, especially participants from Germany and Austria reported that this is not yet widely available in mental health settings, leading to hopelessness and resignation.
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Lyons, Zaza, Jonathan Laugharne, Richard Laugharne, and John Appiah-Poku. "Stigma Towards Mental Illness Among Medical Students in Australia and Ghana." Academic Psychiatry 39, no. 3 (May 21, 2014): 305–8. http://dx.doi.org/10.1007/s40596-014-0147-2.
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Butler, Tony, Stephen Allnutt, David Cain, Dale Owens, and Christine Muller. "Mental Disorder in the New South Wales Prisoner Population." Australian & New Zealand Journal of Psychiatry 39, no. 5 (May 2005): 407–13. http://dx.doi.org/10.1080/j.1440-1614.2005.01589.x.
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Objectives: To determine the prevalence of mental illness among prisoners in New South Wales (NSW), Australia. Method: Mental illness was examined in two NSW prisoner populations: (i) new receptions to the correctional system; and (ii) sentenced prisoners. Reception prisoners were screened at four male centres and one female centre in NSW. The sentenced population was randomly selected from 28 correctional centres across the state. Reception prisoners were screened consecutively whenever possible while the sentenced group was randomly selected as part of the 2001 Inmate Health Survey. We adopted the same instrument, Composite International Diagnostic Interview – Auto (CIDI-A), for diagnosing mental illness as used in the Australian National Survey of Mental Health and Wellbeing. Results: Overall, 43% of those screened had at least one of the following diagnoses: psychosis, anxiety disorder, or affective disorder. Reception prisoners suffered from mental illness to a greater extent than sentenced prisoners (46% vs. 38%). Women had higher levels of psychiatric morbidity than men (61% vs. 39%). Nine percent (9%) of all prisoners had experienced psychotic symptoms (due to any cause) in the prior 12 months. Twenty percent (20%) of all prisoners had suffered from at least one type of mood disorder and 36% had experienced an anxiety disorder. Posttraumatic stress disorder was the most common disorder, diagnosed in 26% of receptions and 21% of sentenced prisoners. Conclusions: These findings confirm that prisoners are a highly mentally disordered group compared with the general community. Given the high prevalence of mental illness identified by this study, it is essential that prison mental health services be adequately resourced to address the demand and, at minimum, ensure that mental health does not deteriorate during incarceration.
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Domino, George, Sushila Niles, and Sunita Devi Raj. "Attitudes toward Suicide: A Cross-Cultural Comparison of Singaporean and Australian University Students." OMEGA - Journal of Death and Dying 28, no. 2 (March 1994): 125–37. http://dx.doi.org/10.2190/menk-8y8p-9tuj-44cy.
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The Suicide Opinion Questionnaire (SOQ), a measure of attitudes toward suicide, was administered to two samples of university students, one from Singapore ( n = 100) and one from Australia ( n = 82). Of the fifteen SOQ factors, ten showed statistically significant mean differences, with Singaporean students endorsing greater disagreement on the factors of Acceptability and Demographic aspects, and Australian students endorsing greater disagreement on the factors of Suicide as semiserious, Religion, Lethality, Normality, Irreversibility, Aging, Individual Aspects, and Sensation seeking. A regression analysis of the SOQ factors as related to self-reported religiosity indicated that for the Singaporean students religious attendance was related to the SOQ factors of Acceptability, Mental and Moral Illness, and Lethality, while self-reported degree of religiosity was related to the SOQ factor of Religion. For the Australian students degree of religiosity was related to the SOQ factors of Acceptability, Mental and Moral Illness, and Religion.
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Scott, James G., Sarah Jhetam, Renee Chen, and Mark Daglish. "Should psychiatrists support the availability of nicotine e-cigarettes in Australia?" Australasian Psychiatry 27, no. 4 (June 27, 2019): 392–95. http://dx.doi.org/10.1177/1039856219859271.
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Objective: To examine the position statement of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) regarding the availability of electronic cigarettes in Australia. Conclusion: There is limited evidence supporting the efficacy of nicotine e-cigarettes as an effective tobacco harm-reduction or cessation strategy for people with mental illness. The recommendations to increase their availability under regulation must be balanced with the physical and mental health risks of vapour inhalation and nicotine use, particularly for youth. Future recommendations by the RANZCP in relation to e-cigarettes must consider both the available evidence for harm reduction and the potential risks associated with youth e-cigarette use.
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Myles, Nicholas, Matthew Large, Hannah Myles, Robert Adams, Dennis Liu, and Cherrie Galletly. "Australia’s economic transition, unemployment, suicide and mental health needs." Australian & New Zealand Journal of Psychiatry 51, no. 2 (October 31, 2016): 119–23. http://dx.doi.org/10.1177/0004867416675035.
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Objective: There have been substantial changes in workforce and employment patterns in Australia over the past 50 years as a result of economic globalisation. This has resulted in substantial reduction in employment in the manufacturing industry often with large-scale job losses in concentrated sectors and communities. Large-scale job loss events receive significant community attention. To what extent these mass unemployment events contribute to increased psychological distress, mental illness and suicide in affected individuals warrants further consideration. Methods: Here we undertake a narrative review of published job loss literature. We discuss the impact that large-scale job loss events in the manufacturing sector may have on population mental health, with particular reference to contemporary trends in the Australian economy. We also provide a commentary on the expected outcomes of future job loss events in this context and the implications for Australian public mental health care services. Results and conclusion: Job loss due to plant closure results in a doubling of psychological distress that peaks 9 months following the unemployment event. The link between job loss and increased rates of mental illness and suicide is less clear. The threat of impending job loss and the social context in which job loss occurs has a significant bearing on psychological outcomes. The implications for Australian public mental health services are discussed.
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Pirkis, Jane, Andrew Dare, R. Warwick Blood, Bree Rankin, Michelle Williamson, Philip Burgess, and Damien Jolley. "Changes in Media Reporting of Suicide in Australia Between 2000/01 and 2006/07." Crisis 30, no. 1 (January 2009): 25–33. http://dx.doi.org/10.1027/0227-5910.30.1.25.
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Aims. To evaluate changes in Australian news media reporting of suicide between 2000/01 and 2006/07 against recommendations in the resource Reporting Suicide and Mental Illness. Methods. Newspaper, television, and radio items on suicide were retrieved over two 12-month periods pre- and postintroduction of Reporting Suicide and Mental Illness. Identifying and descriptive information were extracted for each item. Quality ratings were made for a stratified random sample of items, using criteria from the precursor to Reporting Suicide and Mental Illness. Results and Conclusions. There was almost a two-fold increase in reporting of suicide during the study period, with 4,813 and 8,363 items retrieved in 2000/01 and 2006/07, respectively. The nature of media reporting showed some variability, with an increased emphasis on items about individuals experiences and a reduced emphasis on policy and program initiatives. Most strikingly, there was significant improvement on almost all individual dimensions of quality and overall quality. These findings are positive, although there are still clearly some opportunities for improving the way in which the media report and portray suicide. In order to improve standards, continued support should be provided for the dissemination and evaluation of Reporting Suicide and Mental Illness.
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Fibbins, Hamish, Oscar Lederman, Rachel Morell, Bonnie Furzer, Kemi Wright, and Robert Stanton. "Incorporating Exercise Professionals in Mental Health Settings: An Australian Perspective." Journal of Clinical Exercise Physiology 8, no. 1 (March 1, 2019): 21–25. http://dx.doi.org/10.31189/2165-6193-8.1.21.
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ABSTRACT Low rates of physical activity, in addition to other poor physical health behaviors, contribute to lower quality of life and increased rates of premature mortality for people living with mental illness. Physical activity reduces this mortality gap while simultaneously improving mood, cognitive function, and symptomology for a variety of psychiatric disorders. While physical activity programs are feasible and acceptable in this population, significant barriers exist that limit long-term adherence. Accredited exercise physiologists (AEPs) are best-placed in Australia to lead physical activity interventions for people living with mental illness. Additionally, AEPs provide an important role in improving culture change within mental health settings by influencing clinicians' attitudes to physical activity interventions. Leading international mental health organizations should collaborate and promote the role of physical activity to increase the provision of such services to people living with mental illness.
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O'Donnell, Renee, Melissa Savaglio, Dave Vicary, and Helen Skouteris. "Effect of community mental health care programs in Australia: a systematic review." Australian Journal of Primary Health 26, no. 6 (2020): 443. http://dx.doi.org/10.1071/py20147.
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Although numerous studies have examined the effects of community-based mental health care programs in Australia, no synthesis of this literature exists. This systematic review of peer-reviewed and grey literature described the types of community-based mental health care programs delivered and evaluated in Australia in the past 20 years, and evaluated their impact in improving outcomes for those with a serious mental illness (SMI). Articles were included if they evaluated the extent to which the programs delivered in Australia improved individual outcomes, including hospitalisations, psychiatric symptoms, substance misuse or psychosocial outcomes, for individuals with an SMI. Forty studies were included. Community-based mental health care programs were categorised into three types: case management (n=23), therapeutic (n=11) and lifestyle (n=6). Therapeutic programs were most effective in reducing psychiatric symptoms. Case management approaches yielded significant improvements in psychosocial outcomes. Lifestyle programs were inconclusive in improving individual outcomes. This review provides support for the implementation of community-based mental health care programs that are informed by both therapeutic and case management principles. A multidisciplinary team that can facilitate the provision of therapeutic and psychosocial support may be most beneficial for those with an SMI within the Australian community.
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Davidson, Sandra, Fiona Judd, Damien Jolley, Barbara Hocking, Sandra Thompson, and Brendan Hyland. "Cardiovascular Risk Factors for People with Mental Illness." Australian & New Zealand Journal of Psychiatry 35, no. 2 (April 2001): 196–202. http://dx.doi.org/10.1046/j.1440-1614.2001.00877.x.
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Objective: The objective of this study was to document the prevalence of risk factors for cardiovascular disease among people with chronic mental illness. Method: A cross-sectional survey was conducted of 234 outpatients attending a community mental health clinic in the North-western Health Care Network in Melbourne, Australia. Prevalence of smoking, alcohol consumption, body mass index, hypertension, salt intake, exercise and history of hypercholesterolemia was assessed. Results: Compared with a community sample, the mentally ill had a higher prevalence of smoking, overweight and obesity, lack of moderate exercise, harmful levels of alcohol consumption and salt intake. No differences were found on hypertension. Men, but not women, with mental illness were less likely to undertake cholesterol screening. Conclusions: Psychiatric outpatients have a high prevalence of cardiovascular risk factors which may account for the higher rate of cardiovascular mortality among the mentally ill. Further research is needed to trial and evaluate interventions to effectively modify risk factors in this vulnerable population.
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Thienel, Renate, Marc Bryant, Gavin Hazel, Jaelea Skehan, and Ross Tynan. "Do Australian media apply recommendations when covering a suicide prevention campaign?" Journal of Public Mental Health 18, no. 2 (June 17, 2019): 135–47. http://dx.doi.org/10.1108/jpmh-10-2018-0071.
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Purpose Media reporting and portrayals of mental illness and suicide can play an important role in shaping and reinforcing community attitudes and perceptions. Depending on the content, a report about suicide can have either a negative (Werther-) or a positive (Papageno-) effect. Evidence-informed recommendations for the reporting of suicide in Australia are provided under the Mindframe initiative. The purpose of this paper is to assess the application of these recommendations in broadcasts associated with one of the largest national campaigns to promote suicide prevention, the R U OK? Day, a yearly campaign of the Australian suicide prevention charity R U OK? Design/methodology/approach The sample consisted of 112 (32 TV, 80 radio) Australian broadcasts discussing the R U OK? Day suicide prevention campaign during the month preceding the 2015 campaign and on the national R U OK? Day itself. Broadcasts were coded for medium (TV or radio), content (suicide focus, mental illness focus or both) and consistency with Mindframe recommendations. Findings Over 97 per cent of broadcasts used language consistent with Mindframe recommendations. None of the broadcasts used images that negatively portrayed mental illness or suicide; there were no instances of using mental illness to describe a person’s behaviour; and no sensationalizing or glamorising terminology was used in the broadcasts. However, less than 40 per cent of the broadcasts included help-seeking information (e.g. helplines) and some of the broadcasts used negative or outdated terminology (e.g. “commit” suicide; “suffering” from mental illness). Originality/value The present study is the first to examine consistency with reporting recommendations around a national suicide prevention campaign (R U OK? Day). The results can steer improvements in current reporting and inform strategies to optimise future reporting.
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Khairi, Khairil Faizal, Nur Hidayah Laili, and Aimi Fadzirul Kamarubahrin. "An Addressing on Risk of Mental Health Disorders Through Hybrid Takaful (Islamic Insurance): A Case of Malaysia." Jurnal Intelek 16, no. 1 (January 26, 2021): 74–82. http://dx.doi.org/10.24191/ji.v16i1.366.
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In addition to heart disease, other Malaysian extensive illnesses are mental health disorders. 29.2 per cent of Malaysians have recently suffered from mental illness, which has increased threefold compared to the previous year. The lowest income group accounts for the bulk of Malaysians suffering from mental illness. Currently, Singapore list among the countries has operative providing mental health insurance together with Australia, the United Kingdom and the United States of America. Malaysia is still far behind on offering mental health coverage with such a scheme only provided by AIA Malaysia. Therefore, through the takaful product, the purpose of this study is to address the risk of mental health disorders by hybrid takaful. The paper concluded that in order to maintain the promoting coverage and minimizing damage to mental health patients to human well-being, takaful mental health is needed in Malaysia market. In addition, this research would provide insight into the takaful industry for the development of a new and competitive product that could assist patients with a mental health disorder.
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Mcgorry, Patrick. "‘Every Me and Every You’: Responding to the Hidden Challenge of Mental Illness in Australia." Australasian Psychiatry 13, no. 1 (March 2005): 3–15. http://dx.doi.org/10.1080/j.1440-1665.2004.02143.x.
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Objective: To show that mental illness affects everyone in society, describe some of the main obstacles to better outcomes, and build confidence that they can be overcome. Methods: A review and analysis of relevant evidence and experience combined with personal advocacy. Results: Mental illnesses are common and seriously under-treated, reform of the system of care has completely stalled, and insidious reinstitutionalization of the modernized system is occurring. A number of contributing factors and possible solutions are identified, including mental health literacy and advocacy campaigns, a focus on young people and early intervention, and functional reintegration of the treatment of mental and substance use disorders. Conclusions: A new wave of reform and major financial investment in the treatment of mental and substance use disorders is overdue. This can be best achieved by combining the evidence-based health care (EBHC) paradigm with a direct appeal to the self-interest of members of the general community. A National Institute of Mental Health and Addiction should be a key element of such reform, which must be a continuing process with substantially increased federal and State funding.
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Happell, Brenda, Chris Platania-Phung, David Scott, and Christine Hanley. "Access to dental care and dental ill-health of people with serious mental illness: views of nurses working in mental health settings in Australia." Australian Journal of Primary Health 21, no. 1 (2015): 32. http://dx.doi.org/10.1071/py13044.
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People with serious mental illness experience higher rates of oral and dental health problems than the wider population. Little is known about how dental health is viewed or addressed by nurses working with mental health consumers. This paper presents the views of nurses regarding the nature and severity of dental health problems of consumers with serious mental illness, and how often they provide advice on dental health. Mental health sector nurses (n = 643) completed an online survey, including questions on dental and oral health issues of people with serious mental illness. The majority of nurses considered the oral and dental conditions of people with serious mental illness to be worse than the wider community. When compared with a range of significant physical health issues (e.g. cardiovascular disease), many nurses emphasised that dental and oral problems are one of the most salient health issues facing people with serious mental illness, their level of access to dental care services is severely inadequate and they suffer significantly worse dental health outcomes as a result. This study highlights the need for reforms to increase access to dental and oral health care for mental health consumers.
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Lederman, Oscar, Bonnie Furzer, Kemi Wright, Grace McKeon, Simon Rosenbaum, and Rob Stanton. "Mental Health Considerations for Exercise Practitioners Delivering Telehealth Services." Journal of Clinical Exercise Physiology 10, no. 1 (March 1, 2021): 20–28. http://dx.doi.org/10.31189/2165-7629-10.1.20.
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ABSTRACT In Australia, exercise practitioners (i.e., clinical professionals specializing in exercise assessment and delivery) are increasingly recognized as core mental health team members. In response to the COVID-19 pandemic, exercise practitioners, like other mental health professions, have had to adapt methods of clinical service delivery to ensure social distancing and reduce risk of community transmission. As such, telehealth interventions have rapidly replaced most face-to-face services. To date, evidence surrounding the application of telehealth exercise interventions for people living with mental illness is scarce, and currently there is no consensus or recommendations on how exercise practitioners can provide telehealth services for this population. As such, the aim of this article is to draw on existing research and expert opinion to provide practical and service-based guidance for exercise practitioners delivering telehealth services to people with mental illnesses. Specifically, we explore the potential benefits of telehealth exercise interventions, the various challenges and considerations of telehealth exercise among those with mental illness, and some practical solutions to guide exercise practitioners in delivering telehealth services.
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Walter, Garry, and Alan Rosen. "Psychiatric Stigma and the Role of the Psychiatrist." Australasian Psychiatry 5, no. 2 (April 1997): 72–74. http://dx.doi.org/10.3109/10398569709082096.
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In 1996 the World Psychiatric I-Association (WPA) in conjunction with Lilly Pharmaceuticals announced the launch of a co-ordinated, multidisciplinary approach to counter the stigma of mental illness. In Australia a similar initiative – albeit on a much smaller scale – began six years ago with the establishment of ‘STIGMA’ (‘Stereotypes and Tags Interest Group in the Mental Health Arena’). The STIGMA Group was consulted to determine Australian consumer participation in the WPA initiative. The following paper describes how the STIGMA group emerged out of a preoccupation with public portrayals of psychiatric patients, their families and psychiatric professionals to become a broad group of stakeholders studying psychiatric stigma and possible ways of combating it. To our knowledge, an ongoing group devoted to the study of stigma had no precedent locally or overseas. It is beyond the scope of this paper to describe the origins, phenomenon and painful consequences of stigmatising individuals with mental illness and their families which has been considered in detail elsewhere [1–3].
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Diminic, S., E. Hielscher, M. G. Harris, Y. Y. Lee, J. Kealton, and H. A. Whiteford. "A profile of Australian mental health carers, their caring role and service needs: results from the 2012 Survey of Disability, Ageing and Carers." Epidemiology and Psychiatric Sciences 28, no. 6 (August 31, 2018): 670–81. http://dx.doi.org/10.1017/s2045796018000446.
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AbstractAimsPlanning mental health carer services requires information about the number of carers, their characteristics, service use and unmet support needs. Available Australian estimates vary widely due to different definitions of mental illness and the types of carers included. This study aimed to provide a detailed profile of Australian mental health carers using a nationally representative household survey.MethodsThe number of mental health carers, characteristics of carers and their care recipients, caring hours and tasks provided, service use and unmet service needs were derived from the national 2012 Survey of Disability, Ageing and Carers. Co-resident carers of adults with a mental illness were compared with those caring for people with physical health and other cognitive/behavioural conditions (e.g., autism, intellectual disability, dementia) on measures of service use, service needs and aspects of their caring role.ResultsIn 2012, there were 225 421 co-resident carers of adults with mental illness in Australia, representing 1.0% of the population, and an estimated further 103 813 mental health carers not living with their care recipient. The majority of co-resident carers supported one person with mental illness, usually their partner or adult child. Mental health carers were more likely than physical health carers to provide emotional support (68.1%v.19.7% of carers) and less likely to assist with practical tasks (64.1%v.86.6%) and activities of daily living (31.9%v.48.9%). Of co-resident mental health carers, 22.5% or 50 828 people were confirmed primary carers – the person providing the most support to their care recipient. Many primary mental health carers (37.8%) provided more than 40 h of care per week. Only 23.8% of primary mental health carers received government income support for carers and only 34.4% received formal service assistance in their caring role, while 49.0% wanted more support. Significantly more primary mental health than primary physical health carers were dissatisfied with received services (20.0%v.3.2%), and 35.0% did not know what services were available to them.ConclusionsResults reveal a sizable number of mental health carers with unmet needs in the Australian community, particularly with respect to financial assistance and respite care, and that these carers are poorly informed about available supports. The prominence of emotional support and their greater dissatisfaction with services indicate a need to better tailor carer services. If implemented carefully, recent Australian reforms including the Carer Gateway and National Disability Insurance Scheme hold promise for improving mental health carer supports.
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Browne, Graeme, and Martin Hemsley. "Consumer Participation in Mental Health in Australia: What Progress is Being Made?" Australasian Psychiatry 16, no. 6 (January 1, 2008): 446–49. http://dx.doi.org/10.1080/10398560802357063.
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Objective: Historically, people living with mental illness have had limited chance to participate in mental health services other than as patients. This has led to serious negative consequences for their health and wellbeing. Recent public policy has aimed at redressing this situation. This paper sets out to investigate the ‘state of play’ regarding consumer participation in mental health services. Conclusions: Consumer participation is not a common topic in the recent literature, despite the significant public policy push to promote it. Although the vision of public policy is for consumers to be at the centre of decision making, the changes are understandably slow in coming. The implications for the practice of psychiatry, and therefore mental health services, of the demands for meaningful participation are profound. They challenge some of the social covenants under which mental health services have historically been delivered. Traditionally, people living with a mental illness have not had their rights respected. In recent times, the College has developed policies that aim to ensure that the rights of people living with a mental disorder are respected. These policies also acknowledge that effective health care requires collaboration with consumers.
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Ku, Tan Kan, and Michael Ha. "Stigma of Mental Illness: Social Distancing Attitudes among Registered Nurses in Australia." Journal of Biosciences and Medicines 03, no. 12 (2015): 40–47. http://dx.doi.org/10.4236/jbm.2015.312007.
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Mcallister, Ashley. "Mental illnesses are not an ‘ideal type’ of disability for disability income support: Perceptions of policymakers in Australia and Canada." Scandinavian Journal of Public Health 48, no. 4 (January 11, 2019): 452–59. http://dx.doi.org/10.1177/1403494818816903.
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Aim: This article aims to explore how policymakers conceptualise a person suitable for disability income support (DIS) and how this compares across two settings – Australia and Canada. Methods: A constructivist grounded theory approach was used; 45 policymakers in Australia and Canada were interviewed between March 2012 and September 2013. All policymakers are or were influential in the design or assessment of DIS. Results: Results found that the policymakers in both jurisdictions define a suitable person as having as an ‘ideal type’ of disability with five features – visibility, diagnostic proof, permanency, recognition as a medical illness and perceived as externally caused. Many of the policymakers described how mental illnesses are not an ‘ideal type’ of disability for DIS by juxtaposing the features of mental illnesses against physical illnesses. As such, mental illnesses were labelled imperfect disabilities and physical illnesses as ‘ideal type’ for DIS. Conclusions: The rise of DIS recipients has divided the once protected ‘deserving’ category of the disabled into more (‘ideal type’ of disability) and less deserving (imperfect disability). Such conceptualisations are important because these categories can influence the allocation of welfare resources.