Academic literature on the topic 'Minorities Services for Western Australia Perth'

A satellite endoscopy service was formally established in late January 1997 in oneperipheral hospital, a second service commencing in April 1997, and a third inDecember 1997. More than 500 patients underwent gastrointestinal endoscopicprocedures at these satellite services during 1997. The feedback received to dateindicates that the establishment of this service is supported by patients and theperipheral hospitals. It is expected that this project will achieve all its stated objectives.In addition, the implementation of this service will assist in improved waiting listmanagement at Royal Perth Hospital. The satellite endoscopy service is a uniquedevelopment in Western Australia and has demonstrated definite benefits to patientsin less than six months of operation.

AbstractThere is a paucity of published information about conceptions of Aboriginal child rearing and development among urban dwelling Nyoongar/Aboriginal people in Australia. We detail the unique findings from an Aboriginal early child development research project with a specific focus on the Nyoongar/Aboriginal community of Perth, Western Australia. This research significantly expands the understanding of a shared system of beliefs and values among Nyoongar people that differ in important ways from those of the broader Australian (Western) society. Consistent with the findings of research with other Aboriginal groups in Australia, and internationally, our work challenges assumptions underpinning a range of early childhood development policies and highlights the implications of cultural biases and misunderstandings among non-Aboriginal professionals in child and family services, education and other settings.

Geographically, Western Australia (WA) is one of the largest and most sparsely populated single jurisdictions in the world. Although much of the work of Community Corrections Officers (CCO) in metropolitan Perth is easily recognizable to offender managers in England and Wales, the state’s Indigenous citizens, many living in remote communities, are hugely over-represented in its prisons and pose particular challenges in respect of community supervision. The de-professionalization of CCO training and their supposed inter-changeability with prison officers led to a service that was in danger of ‘losing its way’ and whose performance was comparing unfavourably with that of other Australian states. This article traces the recent history of the post-Mahoney Report Department of Corrective Services, culminating in a return to the title of ‘Probation and Parole’, and asks whether the lessons learned in WA following this re-professionalizing process might be relevant to other jurisdictions.

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.

Research on food insecurity in Australia has typically relied on a single-item measure and finds that approximately 5% of the population experiences food insecurity. This research also finds that demographic characteristics such as household composition and marital status affect levels of food insecurity, independent of income level. The present study examines the prevalence and correlates of food insecurity in a cohort (n = 400) of people experiencing entrenched disadvantage in Perth, Western Australia. Using the US Department of Agriculture Household Food Security Survey Module, we find that food insecurity at the household, adult, and child level is at sharply elevated levels, with 82.8% of the sample reporting household food insecurity, 80.8% and 58.3% experiencing food insecurity among adults and children, respectively. Demographic characteristics do not significantly affect levels of food insecurity, and food insecurity is associated with negative physical and mental health outcomes. Food insecurity is positively correlated with access to food emergency relief services, indicating that these services are being used by those most in need, but do not address the root causes of food insecurity. Policy and practice should focus on increasing stable access to adequate quantities and quality of food and addressing the structural causes of food insecurity.

The widely applied Importance-Performance Analysis (IPA) provides relatively simple and straightforward techniques to assess how well the attributes of a good or service perform in meeting the expectations of consumers, clients, users, and visitors. Surprisingly, IPA has rarely been applied to inform the management of urban public green infrastructure (PGI) or urban nature (UN) spaces. This case study explores the visitor satisfaction levels of people using a PGI space that incorporates UN, close to the central business district of Perth, Western Australia. With diminishing opportunities to acquire new PGI spaces within ever more densely populated urban centers, understanding, efficiently managing, and continuously improving existing spaces is crucial to accessing the benefits and services that PGI and UN provide for humankind. An intercept survey conducted within the Lake Claremont PGI space utilized a self-report questionnaire to gather qualitative and quantitative data (n = 393). This case study demonstrates how the IPA tool can assist urban planners and land managers to collect information about the attributes of quality PGI and UN spaces to monitor levels of service, to increase overall efficiency of site management, to inform future management decisions, and to optimize the allocation of scarce resources. The satisfaction of PGI users was analyzed using the IPA tool to determine where performance and/or resourcing of PGI attributes were not congruent with the expectations of PGI users (generally in the form of over-servicing or under-servicing). The IPA demonstrated that a majority of PGI users perceived the study site to be high performing and were satisfied with many of the assessed attributes. The survey identified the potential for some improvement of the amenity and/or infrastructure installations at the site, as well as directing attention towards a more effective utilization of scarce resources. Optimizing the management of PGI spaces will enhance opportunities for individuals to obtain the physiological, psychological, and emotional benefits that arise from experiencing quality urban PGI spaces. This case study promotes the important contribution that high-quality PGI spaces, which include remnant and restored UN spaces, make to the development of resilient and sustainable urban centers.

Abstract Background There has been concern that patients with malignant disease from remote and regional country areas may have adverse outcomes compared with those from cities. Western Australia (WA) with an area of 2,526,786 square kilometers, is one third the size of Australia. It has a population of 2.6 million of which 92% live in the capital city Perth and the southwest corner. In WA, multiple myeloma is managed in tertiary public hospitals and private physician practice located in Perth. While oral based immunomodulators and alkylators are readily delivered in the regional areas, patients travel to Perth for parenteral chemotherapy and stem cell transplantation. The WA state government subsidizes transport and accommodation for patients from regional areas to travel to Perth for treatment and clinical review via the Patient Assisted Travel Scheme (PATS). Telehealth through video conferencing is also used for review of patients on oral-based anti-myeloma treatment or during surveillance periods to avoid expensive and time-consuming travel to Perth. The Royal Flying Doctor Service (RFDS), a non-profit medical organization, provides prompt transfer of unwell patients from regional and remote areas of WA to Perth. Pathology services in remote regions are provided by the publicly funded PathWest organization. Method We retrospectively reviewed the survival outcomes of patients with multiple myeloma in the WA public healthcare system. Patients diagnosed between 2008 to 2017 were included (n=569). Staging information was extracted from the laboratory information system and the cytogenetic database in PathWest. Patient demographics, complications requiring admission, mortality and follow-up data were extracted from the public hospital patient management systems. Patients were segregated into regional or metropolitan by their residential address postcodes. Patients diagnosed and/or followed-up in the private sector were excluded. Survival was analyzed by Kaplan-Meier curves, Log-rank test and Cox proportional hazards model. Result Median age at diagnosis was 67 years old (range 29 to 98), with 56% above 65 years. 56% were males, 44% were females. Overall median survival was 46 months (95%CI:41,52). 1-year, 3-years and 5-years survival rates were 80%, 56% and 30% respectively. 25% (n=143) of patients resided in regional areas. No statistically significant difference in overall survival time between patients from metropolitan and regional areas was identified (p=0.2): 47 months (95% CI:43,54) and 42 months (95% CI: 33,54) respectively. Subgroup analysis also did not find any significant difference in overall survival of each R-ISS staging between metropolitan and regional areas. Discussion This retrospective study provides real-life survival data of of an Australian-based population in a state with a large land mass and low population density outside the capital city. The overall survival of patients living in regional areas was not significantly different from those living in the capital city. This gives credence to the benefit of the WA government supported regional network of travel, accommodation and Telehealth conferencing overcoming the distance barrier in the provision of comprehensive medical care in the management of a hematological malignancy. Figure. Figure. Disclosures No relevant conflicts of interest to declare.

[Truncated abstract] This thesis describes the epidemiology and outcome of acute asthma managed by ambulance paramedics, in the metropolitan area of Perth, Western Australia, for the period of 1990 to 2001. The primary aim of this thesis was to determine demographic, socio-economic and clinical trends for ambulance transported patients with asthma, their outcomes and how they have changed over time. The Perth metropolitan area, located in the south-western corner of Western Australia (WA), accounts for 72% of the state’s population, which was approximately 1.3 million people at Census 2001. This thesis was structured around the analysis of twelve years of St John Ambulance (WA) data. Ambulance data was linked using probabilistic matching techniques to the Western Australian Data Linkage System, custodian of links to thirty five years of morbidity and mortality data of the state’s population . . . Unique geography, a monopolistic ambulance service and access to extensive linked data provided ideal conditions for this population-based epidemiological study of patients with asthma who were transported by ambulance. Observed trends in age and gender characteristics of patients, ambulance codes and temporal variables appear to be consistent over time. Monitoring trends in the use of ventilation procedures recorded in hospital data provided useful indicators for describing the epidemiology of severe, lifethreatening asthma in the prehospital setting. Findings from this study were found to be consistent with published literature.

[Truncated abstract] Background : Triage systems have evolved from battlefield casualty prioritisation tools to integral components of civilian emergency care systems over the last 50 years. There is significant variation in prehospital triage practices in Australia and little research has been undertaken to validate the triage systems used. There is considerable evidence to support the use of the Australasian Triage Scale (ATS) for triage in the emergency department setting and the ATS is used ubiquitously for emergency department triage in Australasia ... Conclusions : The findings of this thesis support integrating prehospital ATS allocations with emergency department triage processes. It is concluded that Paramedics apply the ATS similarly to nurses ... Allocations to ATS 1, 2 and 3 and most ATS 4 allocations by paramedics are valid when compared to nurse ATS allocations. Australasian Triage Scale category 5 is used inappropriately by paramedics and should be used rarely, if at all, by paramedics. The reliability of paramedic and nurse ATS allocations is sufficient to warrant a trial of the omission of retriage of ambulance presentations at Perth metropolitan emergency departments. However, early nursing assessment of a small proportion of ATS 3 patients may be required to ensure timely assessment for some mistriaged bone fide ATS 2 patients. Paramedic ATS allocations appear sufficiently reliable and valid to warrant a trial of their use as part of a two-tier trauma team activation system ... The implementation of standardised training between paramedics and nurses based on current Australasian College for Emergency Medicine guidelines is recommended. The implementation of paramedic triage audit, including comparison of paramedic ATS allocations with nurse ATS allocations may improve reliability between paramedics and nurses, and particularly the reliability of ATS 4 and ATS 5 allocations. Prehospital ATS allocations may prove useful in prehospital casemix analysis, the evaluation of prehospital service delivery and for prehospital research. Research opportunities include actual trials of the integration of prehospital use of ATS with emergency department triage and trauma system activation, and the evaluation of the ATS as a prehospital casemix and performance evaluation tool. Research into alternative triage tools to the ATS for use in the prehospital environment and into the impact of standardised triage training is also suggested.

Type 2 diabetes mellitus is a growing health problem both nationally and internationally. In Australia and Western Australia, prevalence rates have been increasing steadily over the past 20 years which has prompted the Commonwealth Government to implement strategies and recommendations encouraging increased attention relating to the various lifestyle aspects of type 2 diabetes. The strategies include aims to lessen the burden of type 2 diabetes on the health system and mortality and morbidity at the social level, and enhance the management, life expectancy, and quality of life for the individual. Drawing on this increased attention to lifestyle factors, this study focuses on lifestyle and ethnicity. This study identifies and describes the diabetes management strategies of Southern European-born Slav and Italian cultural groups, as well as an Australian-born Anglo-Celtic cultural group. Southern Europeans are a group at high risk for type 2 diabetes development, and form the second largest immigrant group in Australia after those born in the United Kingdom, and are one of the oldest migrant groups, having reached a peak in migration during the post-World War II immigration boom.

Womens Health Services (WHS) in Perth provides medical services, counselling, information, community talks and workshops, referral, and outreach to women in Western Australia. WHS works with women from over sixty different nationalities, including many newly arrived migrants and refugees. New arrivals access a wide range of WHS programs, but at the time the current study was developed few ethnic women attend the alcohol and other drug (AOD) services offered by the organisation. To address this a needs assessment was conducted with newly arrived women (0 to 5 years in Australia). The needs assessment examined the use of alcohol and other drugs by newly arrived women, the barriers that prevent women from accessing alcohol and other drug (AOD) services and explored the types of services and programs newly arrived women wanted.Method. The needs assessment used both qualitative and quantitative methods. Twenty two service providers working with newly arrived migrant and humanitarian entrant women were either interviewed individually or attended a focus group. The views and experiences of 26 newly arrived women from a variety of culturally and linguistic backgrounds were also collected through one-on-one interviews (n=6) and through focus groups (n=5). The information gathered from these interviews and discussions informed the design of a questionnaire that was administered to 268 newly arrived women. All women participating in the project were 18 years of age or more, Australian citizens, permanent Australian residents or in the process of being granted permanent residency and had lived in Australia 5 years or less.Findings Regarding Tobacco and Alcohol Use. Australian cultural attitudes had had an impact on newly arrived women's alcohol and other drug use. Some impacts were positive, for example, increasing restrictions and the decrease in acceptability of smoking in public places along with strong educational messages about the risk of smoking had influenced some women to quit since coming to Australia. Unfortunately, not all Australian cultural attitudes had a positive impact on newly arrived women. Just under one third of the women (31.7%) who drank alcohol were drinking more alcohol since coming to Australia. Reasons for drinking more alcohol were varied and included alcohol being cheaper in Perth than in their own countries, socialising with Australians who drank alcohol, and using alcohol as a way of coping with stress. However, it is important to note that only a very small percentage of the newly arrived women participating in the needs assessment drank at levels considered risky or high risk for either short term or longer term harm. The vast majority of respondents surveyed did not smoke (n=207; 77.2%) and did not use alcohol (n=201; 76.1%), often due to cultural or religious reasons.Other Results. Other findings of the needs assessment included: • Over 21% of newly arrived women responding to the survey had been put in fear by some one under the influence of alcohol and/ or drugs. Nearly 17% of women responding to the survey had been verbally abused by some one under the influence of alcohol and/ or drugs. • More than one third of the women responding to the survey indicated that they wanted information and support on family violence. • Over 40% of the women responding to the survey wanted information and support for depression. • Forty women (14.9%) responding to the survey wanted support for husbands or children that were drinking too much alcohol.A surprising finding was the high level of interest in women's only exercise classes and opportunities to participate in other types of physical activity Two thirds of questionnaire respondents said that exercise was a priority for them. Subsequent feedback sessions with newly arrived women about the results of the needs assessment confirmed the need for opportunities to participate in a variety of physical activities in a safe, affordable, women only environment where childcare was available.Understandings of Alcohol and Other Drug Services. Participants in the study appeared to have a poor understanding of what AOD services were, different types of treatments and models that could be used, who was entitled to access them (not just the alcohol or other drug user), the associated costs and fees, and whether or not the police would become involved. There was a significant lack of understanding by service providers working with newly arrived women about eligibility to access alcohol and drug services and what assistance and support these agencies could provide either to women using alcohol and other drugs or to family and friends impacted by another's drug use. Few service providers asked their clients any questions about alcohol or other drug use on a regular basis.The findings from the needs assessment have been used to improve programs and services with newly arrived women at WHS. These have included the addition of a specific alcohol and other drugs program for women from culturally and linguistically diverse backgrounds with a focus on prevention activities as well as opportunities for newly arrived women to participate in a variety of physical activity classes.

The Irish Buddhist tells the story of a poor Irishman who worked his way across America as a migrant worker, became one of the very first Western Buddhist monks, and traveled the length and breadth of Asia, from Burma and present-day Thailand to China and Japan, and from India and Sri Lanka to Singapore and Australia. Defying racial boundaries, he scandalized the colonial establishment of the 1900s. As a Buddhist monk, he energetically challenged the values and power of the British empire. U Dhammaloka was a radical celebrity who rallied Buddhists across Asia, set up schools, and argued down Christian missionaries—often using Western atheist arguments. He was tried for sedition, tracked by police and intelligence services, and “died” at least twice. His early years and final days are shrouded in mystery, despite his adept use of mass media. His story illuminates the forgotten margins and interstices of imperial power, the complexities of class, ethnicity, and religious belonging in colonial Asia, and the fluidity of identity in the high Victorian period. Too often, the story of the pan-Asian Buddhist revival movement and Buddhism’s remaking as a world religion has been told “from above,” highlighting scholarly writers, middle-class reformers, and ecclesiastical hierarchies. By contrast, Dhammaloka’s adventures “from below” highlight the changing and contested meanings of Buddhism in colonial Asia. They offer a window into the worlds of ethnic minorities and diasporas, transnational networks, poor whites, and social movements, all developing different visions of Buddhist and post-imperial modernities.