Artículos de revistas: "Mental health services(Queensland)"

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Lloyd, Chris, Helen Kanowski y Pam Samra. "Developing Occupational Therapy Services within an Integrated Mental Health Service". British Journal of Occupational Therapy 61, n.º 5 (mayo de 1998): 214–18. http://dx.doi.org/10.1177/030802269806100509.

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Health care reform has been taking place in a number of countries around the world. Changes have been occurring in Australian government mental health policies regarding service delivery for people with a mental illness. The National Mental Health Policy and Plan 1992 and the Queensland Mental Health Plan 1994 have set the directions for the reform of mental health services. As a result, occupational therapists have been required to examine and develop their role in service delivery within integrated mental health services. Occupational therapists within one integrated mental health service have responded by developing their practice across service components with a focus on the consumer and with service development links.

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Scott, Russ y Tom Meehan. "Inter-agency collaboration between mental health services and police in Queensland". Australasian Psychiatry 25, n.º 4 (2 de mayo de 2017): 399–402. http://dx.doi.org/10.1177/1039856217706823.

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Objective: The objective of this study was to consider the collaboration between mental health services and police in Queensland. Conclusion: Queensland has developed a number of initiatives for intervention and response to incidents involving police and persons with mental illness. Future research should focus on identifying interventions that promote effective resolution of incidents involving police.

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Plever, Sally, Irene McCarthy, Melissa Anzolin, Brett Emmerson, John Allan y Karen Hay. "Queensland smoking care in adult acute mental health inpatient units: Supporting practice change". Australian & New Zealand Journal of Psychiatry 54, n.º 9 (6 de mayo de 2020): 919–27. http://dx.doi.org/10.1177/0004867420917443.

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Objective: To review a clinical practice improvement approach to statewide implementation of smoking care in adult acute mental health inpatient units across public mental health services in Queensland. Method: Queensland public mental health services, with adult acute inpatient units, joined a statewide collaborative to work together to increase the routine screening of smoking and delivery of a Smoking Cessation Clinical Pathway brief intervention to identified smokers. Results: Over a 2-year period, statewide improvements were demonstrated in the recording of smoking status (88–97%) and in the provision of a brief smoking cessation intervention to smokers (38–73%). In addition, all individual mental health services increased the delivery of a brief intervention to identified smokers and the recording of smoking status either improved or remained at high levels. Conclusion: Smoking remains an ongoing challenge for mental health services and one of the most important physical health issues for people living with a mental illness. The ability to implement statewide smoking care in public mental health services is an important step in shifting poor health outcomes. The clinical practice change approach adopted in Queensland has demonstrated encouraging outcomes in improving the delivery of smoking care that has been sustained over a 2-year period.

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Emmerson, Brett, Peter Yellowlees, Peggy Brown y John Davies. "Mental Health Service Models Queensland Style". Australasian Psychiatry 7, n.º 4 (agosto de 1999): 203–6. http://dx.doi.org/10.1046/j.1440-1665.1999.00201.x.

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Byrne, Louise, Michael Wilson, Karena J. Burke, Cadeyrn J. Gaskin y Brenda Happell. "Mental health service delivery: a profile of mental health non-government organisations in south-east Queensland, Australia". Australian Health Review 38, n.º 2 (2014): 202. http://dx.doi.org/10.1071/ah13208.

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

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Bambling, Matthew, David Kavanagh, Gisela Lewis, Robert King, David King, Heidi Sturk, Merrill Turpin, Cindy Gallois y Helen Bartlett. "Challenges faced by general practitioners and allied mental health services in providing mental health services in rural Queensland". Australian Journal of Rural Health 15, n.º 2 (abril de 2007): 126–30. http://dx.doi.org/10.1111/j.1440-1584.2007.00866.x.

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Alsop, Maureen y Kristine Battye. "Integration of General Practitioners and Mental Health Services: The Northern Queensland Integrated Mental Health Program". Australian Journal of Primary Health 5, n.º 2 (1999): 20. http://dx.doi.org/10.1071/py99016.

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The Integrated Mental Health Program is a joint initiative of the Northern Queensland Rural Division of General Practice, Townsville Division of General Practice, and the Townsville District Integrated Mental Health Service (IMHS).The program seeks to empower general practitioners (GPs) to meet current gaps in mental health service delivery in North Queensland, and establish better liaison and integration of services provided by GPs and by hospital and community based mental health professionals. Sixty-three GPs and twenty-four mental health professionals were interviewed across the two divisions to identify barriers encountered in the management of people with mental health problems. The barriers identified fell into three broad categories: those related to referral, to discharge, and to communication. A two-week audit of the IMHS intake and discharge processes provided further data to clarify the difficulties involved in the integrated management of patients with mental health problems. Two-week audits are to be conducted at six monthly intervals throughout the course of the program as a tool for evaluation of the program's effectiveness. General findings from the audit indicate that, although the levelof GP referrals judged by mental health professionals to be inappropriate is low, the lack of information GPs provide when referring may create ambiguity regarding the appropriateness of their referrals, thus creating the perception that they make inappropriate referrals at a higher rate than is in fact the case. Strategies for improving communication between GPs and existing mental health services are being explored, with early initiatives towards a system of shared care being developed.

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Lloyd, Chris y Pam Samra. "Healthy Lifestyles: A Community Programme for Chronically Mentally Ill People". British Journal of Occupational Therapy 59, n.º 1 (enero de 1996): 27–32. http://dx.doi.org/10.1177/030802269605900110.

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This article outlines a Healthy Lifestyles Programme (HLP) for chronically mentally ill people in the South Coast Regional Health Authority in Australia, in the area of integrated mental health services. This programme has provided practical community-based experiences for chronically mentally ill people, focusing on functional deficits in daily living skills. Major reforms in service delivery in mental health have resulted in a move to community-based care. The 1994 Queensland Mental Health Plan set out specific objectives and strategies for the implementation of mental health service reform. One of the immediate priorities for Queensland is the establishing of mainstream integrated services to promote continuity of care across service components. The HLP reflects this priority in providing a community-based service in an integrated mental health setting, using the principles of community-based integration, family support, collaboration, rehabilitation and case management, as outlined in the community care model.

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Gill, Neeraj S., John A. Allan, Belinda Clark y Alan Rosen. "Human rights implications of introducing a new mental health act – principles, challenges and opportunities". Australasian Psychiatry 28, n.º 2 (24 de febrero de 2020): 167–70. http://dx.doi.org/10.1177/1039856220901483.

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Objective: The United Nations Convention on the Rights of Persons with Disabilities (CRPD), 2006 has influenced the evolution of mental health legislation to protect and promote human rights of individuals with mental illness. This review introduces how the human rights agenda can be systematised into mental health services. Exploration is made of how some principles of CRPD have been incorporated into Queensland’s Mental Health Act 2016. Conclusion: Although progress has been made in some areas, e.g. heavier reliance on capacity assessment and new supported decision-making mechanisms, MHA 2016 has continued to focus on involuntary treatment. A Human Rights Act 2019 has been passed by the Queensland parliament, which may fill in the gap by strengthening positive rights.

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Meehan, Tom, Suzanne Drake, Helen Bergen, Penny Gillespie y Suzanne Sondergeld. "Towards a Better Public Housing Service for People with Mental Illness: The Importance of Intersectoral Linkage". Australasian Psychiatry 10, n.º 2 (junio de 2002): 130–33. http://dx.doi.org/10.1046/j.1440-1665.2002.00445.x.

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Objective: To discuss issues relevant to the equitable delivery of public housing services to people with mental illness. Strategies adopted by Queensland Department of Housing to address these issues and to improve services are described, and matters of particular relevance to mental health professionals are highlighted. Conclusions: Formal interagency service agreements between the Departments of Health, Housing and Disability Services, appropriate training programs, and case conferencing strategies can enhance the delivery of appropriate housing services to people with mental illness. Promotion of active interagency collaboration by mental health professionals will facilitate these strategies.

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Wright, Eryn, Elizabeth Leitch, Kevin Fjeldsoe, Sandra Diminic, Kate Gossip, Patricia Hudson y Harvey Whiteford. "Using the National Mental Health Service Planning Framework to support an integrated approach to regional mental health planning in Queensland, Australia". Australian Journal of Primary Health 27, n.º 2 (2021): 109. http://dx.doi.org/10.1071/py20150.

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Regional integrated service planning has been identified as a key priority for improving the mental health system in Australia. The National Mental Health Service Planning Framework (NMHSPF) is an integrated planning tool that estimates the resources required to deliver the optimal mix of mental health services to a population. In 2016, Queensland Health commissioned a trial application of the NMHSPF for joint mental health planning between a Primary Health Network (PHN) and the corresponding state Hospital and Health Services (HHSs) in a regional area. The aim of this work was to collaborate with stakeholders from each organisation to collect available data on the delivery and resources of existing mental health services in the region and compare these to NMHSPF estimates to identify potential priority areas for planning. This paper provides mental health planners with an exemplar model for using the NMHSPF to support integrated planning at the regional level and describes the barriers, facilitators and key outcomes of this work.

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Bartlett, Helen, Catherine Travers, Colleen Cartwright, Norman Smith, Helen Bartlett, Catherine Travers, Colleen Cartwright y Norman Smith. "Mental Health Literacy in Rural Queensland: Results of a Community Survey". Australian & New Zealand Journal of Psychiatry 40, n.º 9 (septiembre de 2006): 783–89. http://dx.doi.org/10.1080/j.1440-1614.2006.01884.x.

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Objectives: The aim of this study was to assess the awareness of, and attitudes to, mental health issues in rural dwelling Queensland residents. A secondary objective was to provide baseline data of mental health literacy prior to the implementation of Australian Integrated Mental Health Initiative - a health promotion strategy aimed at improving the health outcomes of people with chronic or recurring mental disorders. Method: In 2004 a random sample of 2% (2132) of the estimated adult population in each of eight towns in rural Queensland was sent a postal survey and invited to participate in the project. A series of questions were asked based on a vignette describing a person suffering major depression. In addition, questions assessed respondents' awareness and perceptions of community mental health agencies. Results: Approximately one-third (36%) of those surveyed completed and returned the questionnaire. While a higher proportion of respondents (81%) correctly identified and labelled the problem in the vignette as depression than previously reported in Australian community surveys, the majority of respondents (66%) underestimated the prevalence of mental health problems in the community. Furthermore, a substantial number of respondents (37%) were unaware of agencies in their community to assist people with mental health issues while a majority of respondents (57.6%) considered that the services offered by those agencies were poor. Conclusion: While mental health literacy in rural Queensland appears to be comparable to other Australian regions, several gaps in knowledge were identified. This is in spite of recent widespread coverage of depression in the media and thus, there is a continuing need for mental health education in rural Queensland.

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Greaves, Amanda Jane, Robert King, Peter Yellowlees, Susan Spence y Chris Lloyd. "The Competence of Mental Health Occupational Therapists". British Journal of Occupational Therapy 65, n.º 8 (agosto de 2002): 381–86. http://dx.doi.org/10.1177/030802260206500806.

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This research sought to investigate the self-perceived competence of mental health occupational therapists in Queensland. The research is a post-hoc analysis of survey results that formed part of the 1995 Professional Development Strategy for Adult Mental Health Services for the Queensland Health Mental Health Unit. A sample of 55 occupational therapists was compared with other professionals in relation to both general self-efficacy and efficacy in specific competencies. The devised scale for measuring self-efficacy was found to have a high level of internal reliability. The results indicated that the general self-perceived competence of occupational therapists for the whole sample was comparable to that of other professional groups, but that in the community-based sample it was significantly higher than that of social workers or nurses. In addition, occupational therapists in community settings had significantly higher general self-perceived competence than occupational therapists in hospital locations. Greater length of experience in mental health was strongly predictive of higher levels of competence for occupational therapists than for other professionals. The results suggest that occupational therapists have adapted well to the demands of multidisciplinary community practice. The possible reasons for these results, and the implications for competency-based recruitment and training, are presented.

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Shepherd, Nicole, Thomas J. Meehan, Fiona Davidson y Terry Stedman. "An evaluation of a benchmarking initiative in extended treatment mental health services". Australian Health Review 34, n.º 3 (2010): 328. http://dx.doi.org/10.1071/ah09698.

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Aim.To evaluate the effectiveness of a benchmarking initiative in facilitating quality improvement and reform in extended care mental health services. Method.Individual interviews and focus group discussions were conducted with 84 staff in 22 extended care mental health services that had previously participated in a State-wide benchmarking exercise in Queensland, Australia. Results.Staff reported positive outcomes from participation in the benchmarking exercise. Information derived from benchmarking provided a different perspective on the strengths and weaknesses of individual services and an opportunity to learn from peer services. Staff in 86% of the services identified issues that needed to be addressed and 64% of services had implemented one or more service improvement projects in response to shortcomings identified through the benchmarking exercise. Conclusions.The collection and reporting of performance data through a process of benchmarking was successful in facilitating service improvement in most of the participating facilities. Engaging services in all stages of the process was considered useful in converting benchmarking data into knowledge that was able to be applied at the local service level. What is known about the topic?Implementing and maintaining service improvement initiatives in mental health services can be difficult, due to ongoing resource limitations in the sector. Although there is currently a drive to promote benchmarking for mental health services, to date, there has been limited evidence that it leads to sustained service improvements. What does this paper add?This paper reports on an evaluation of a benchmarking initiative in extended treatment mental health services in Queensland, Australia. Six months after implementation, staff reported positive outcomes from participation in the project, and 64% of services had implemented one or more service improvement projects. Engagement of service staff in the process of benchmarking is important to ensure success. What are the implications for practitioners?Benchmarking initiatives can lead to service improvement. It is important to involve staff in the process of benchmarking, from choosing performance indicators and collection of data, to interpretation of the results. Organising events where staff can present findings from the project to their peers provides the opportunity to reflect on the direction of their service and learn from others. In this way, information provided through benchmarking can be converted into knowledge that is applied at the service level.

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Kavalidou, Katerina, Samara McPhedran y Diego De Leo. "Farmers’ contact with health care services prior to suicide: evidence for the role of general practitioners as an intervention point". Australian Journal of Primary Health 21, n.º 1 (2015): 102. http://dx.doi.org/10.1071/py13077.

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Suicide in Australian rural communities has received significant attention from researchers, health practitioners and policymakers. Farmers and agricultural workers have been a focus of particular interest, especially in relation to levels of help seeking for mental health concerns. A less explored area, however, is the level of contact that Australian farming and agriculture workers who die by suicide have had with health providers for physical, rather than mental, health conditions. It is often assumed that farmers and agricultural workers have lower levels of contact with health care services than other rural residents, although this assumption has not been well tested. Using data from the Queensland Suicide Register, this paper describes levels of contact with health care providers in the 3 months before death by suicide among men in farming and agriculture occupations and other occupations in rural Queensland. No significant differences were found in farming and agricultural workers’ levels of contact with a general practitioner when compared with other rural men in Queensland. The current findings lend weight to the view that rural general practitioners represent an important intervention point for farming and agriculture workers at risk of suicide (whether or not those individuals exhibit accompanying psychiatric illness).

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Trott, Paul y Ilse Blignault. "Cost evaluation of a telepsychiatry service in northern Queensland". Journal of Telemedicine and Telecare 4, n.º 1_suppl (marzo de 1998): 66–68. http://dx.doi.org/10.1258/1357633981931515.

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We conducted a simple comparison of the costs associated with delivering a mental health service by telepsychiatry and by conventional methods. The telepsychiatry rural outreach service was delivered to a mining town 900km from the regional hospital in Townsville. When the telemedicine service was well established, 40 cases a month were seen for general adult psychiatry, four for child and adolescent mental health, four for psychology and two for forensic services. Costs and quality-of-life issues were considered. The savings to the health authority were estimated to be $85,380 in the first year and $112,790 in subsequent years, not allowing for maintenance and equipment upgrading. We also estimated a 40%reduction in patient transfers due to the introduction of telemedicine. Based on the previous year's figures of 27 transfers at $8920 each, this would produce an annual saving of $96,336 for the Royal Flying Doctor Service. The results of the study showed considerable savings from reduced travel by patients and health-care workers.

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Kingi, Roman, Wani Erick, Vili Hapaki Nosa, Janine Paynter y Debra de Silva. "Pasifika preferences for mental health support in Australia: focus group study". Pacific Health Dialog 21, n.º 7 (22 de junio de 2021): 373–79. http://dx.doi.org/10.26635/phd.2021.110.

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

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Kennedy, Craig, Ilse Blignault, Danielle Hornsby y Peter Yellowlees. "Videoconferencing in the Queensland health service". Journal of Telemedicine and Telecare 7, n.º 5 (1 de octubre de 2001): 266–71. http://dx.doi.org/10.1258/1357633011936516.

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Videoconferencing was introduced in the Queensland health service in 1995. By the end of 1999, there were more than 150 videoconferencing units in health facilities around the state. Six audits of videoconferencing usage were conducted using similar methodology at six-month intervals from November 1997 to May 2000. Between November 1997 and November 1999, the number of calls more than doubled, from 566 to 1378. Hours of usage almost trebled, from 671 to 1724. The average duration of calls remained similar, at about 1 h 12 min. The proportion of calls involving more than two sites (multipoint videoconferences) increased from 44% to 65%. The majority of the activity was for education (including training). Videoconferencing was also used for administration and clinical care. Mental health staff were the heaviest users, but use by health professionals from other specialty areas increased during the study period. The Queensland health service has realized a number of important benefits from telehealth.

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Alsop, Maureen, Mark F. Harris, Gawaine Powell-Davies, Kristine Battye y Karin Gerhardt. "Piloting Case Conferencing Between GPs and Mental Health Services: Phase II of the Northern Queensland Rural Division of General Practice Mental Health Program". Australian Journal of Primary Health 6, n.º 2 (2000): 78. http://dx.doi.org/10.1071/py00021.

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Phase two of the Northern Queensland Rural Division of General Practice Mental Health program involved the piloting of case conferencing between General Practitioners (GPs) and mental health professionals in three rural communities. The initial findings suggest that this model supports GPs by increasing their confidence in the management of patients with whom they find it most challenging to work. Mental health professionals indicate that the opportunity to consult with GPs on a regular basis is important to their clinical work, and see the primary focus of these consultations as a means for communicating with GPs. The case conferencing also led to modest improvements in relationships between GPs and mental health service providers.

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Lawrence, Joan. "A Century of Psychiatry in Queensland". Australasian Psychiatry 10, n.º 2 (junio de 2002): 155–62. http://dx.doi.org/10.1046/j.1440-1665.2002.00424.x.

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Objective: To briefly review the development of psychiatry in Queensland since its inception. Conclusions: From a colourful and tumultuous start at the time of State-hood, Queensland has provided care for the mentally ill in keeping with the sociopolitical conditions of the era influenced by the prevailing thera-peutic approach of moral treatment and custodial care tempered with humanity. Chronic underfunding and a diverse and scattered geography have influenced service provision throughout the century. Innovation and adaptation to changing scientific knowledge, destigmatisation, integration of services, and concern about human rights, however, ensure that Queensland can face the new millennium with confidence and optimism.

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Santhanam, Radhika, Ernest Hunter, Yvonne Wilkinson, Harvey Whiteford y Alexandra McEwan. "Care, Community Capacity: Rethinking Mental Health Services in Remote Indigenous Settings". Australian Journal of Primary Health 12, n.º 2 (2006): 51. http://dx.doi.org/10.1071/py06022.

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In 2002 a project was initiated to evaluate and restructure the Child and Youth Mental Health (CYMH) services in three health Service Districts: Cape York, the Torres Strait and Northern Peninsula Area and remote Cairns. The objective was to develop, establish and evaluate models of best practice for remote area CYMH services for Indigenous families living in far north Queensland. For the purposes of the project, an action research framework was adopted to guide the project design, methodology, implementation and evaluation. The first phase involved mapping of needs, the second phase focused on service restructure and outcomes were measured in the third phase. The planning/implementation/planning cycle was an ongoing part of the project and raised five significant themes: service equity, service quality, service sufficiency, Indigenous workforce, and service structure/ infrastructure. The principal project outcome was the establishment of a defined model of service delivery that incorporates the identified themes and sits within a community development framework. Other significant outcomes include the implementation of regular supervision and professional development activities and improvements in service data collection. This paper is a descriptive account of the process of service restructure and discusses the key project outcomes.

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Meehan, Tom, Terry Stedman, Stephen Parker, Bretine Curtis y Donna Jones. "Comparing clinical and demographic characteristics of people with mental illness in hospital- and community-based residential rehabilitation units in Queensland". Australian Health Review 41, n.º 2 (2017): 139. http://dx.doi.org/10.1071/ah15207.

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Objective The aim of the present study was to examine care pathways and characteristics of mental health consumers participating in both hospital- and community-based residential rehabilitation programs. Methods An audit of consumers (n = 240) in all publicly funded residential rehabilitation units in Queensland was performed on the same day in 2013. Data collection focused on demographic characteristics, clinical information and measures of consumer functioning. Results Significant differences emerged for consumers in community- and hospital-based services with regard to age, length of stay, functioning, Mental Health Act status, guardianship status, family contact and risk of violence. Consumers in hospital-based programs have more severe and complex problems. Conclusions Consumers in residential rehabilitation units have high levels of disability, poor physical health and high levels of vulnerability. Nonetheless, it is likely that a sizeable proportion of consumers occupying rehabilitation beds in Queensland could be discharged if more ‘step-down’ options to move patients on were available. What is known about the topic? A small subgroup of people with severe and complex mental health problems is likely to require time in a residential rehabilitation program. This group is characterised by failure to respond to treatment, severe negative symptoms and some degree of cognitive impairment. What does this paper add? Patients currently occupying residential rehabilitation beds in Queensland have high levels of disability, poor physical health and high levels of vulnerability. Patients in hospital-based programs are more severely disabled than those in community-based programs. What are the implications for practitioners? It is likely that a sizeable proportion of patients occupying rehabilitation beds in Queensland could be discharged if more ‘step-down’ options were available. Future planning initiatives need to focus on developing a greater array of community support options to facilitate the discharge of people from residential services.

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Haswell-Elkins, Melissa, Ernest Hunter, Tricia Nagel, Carolyn Thompson, Brenda Hall, Robert Mills, Rachael Wargent, Komla Tsey, Leanne Knowles y Yvonne Wilkinson. "Reflections on integrating mental health into primary health care services in remote Indigenous communities in Far North Queensland and the Northern Territory". Australian Journal of Primary Health 11, n.º 2 (2005): 62. http://dx.doi.org/10.1071/py05023.

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At present, there is a perceived and functional separation of mental health services from the general delivery of primary health care services in remote Indigenous communities in most places in the country. There are a range of issues underlying this separation; many are historical but continue to influence patterns of thinking about mental and physical health. With the increasing shift of focus of care at primary level from being largely reactive to presentations of acute illnesses towards proactive and strategically guided approaches to the management of chronic diseases, coupled with similar national strategic documents guiding mental health care into a primary health care format, the opportunity to integrate the provision of mental and physical health care has never been better. Accompanying this integration should be a reflection and improvement on models of care that address needs of Indigenous people in a more culturally and contextually appropriate manner, as is clearly defined in an increasing range of Indigenous health policy documents. This paper will begin with a summary of the link between mental and physical health supported by key references. It will then briefly reflect on the current organisation of mental and physical health services in remote Indigenous settings of Far North Queensland and the Northern Territory, identifying some of the major disadvantages being experienced. The paper will close with a description of the approach and some early outcomes to address these issues by the Indigenous Stream of the AIMhi project (Australian Integrated Mental Health Initiative), which is a major National Health & Medical Research Council (NH&MRC) Strategic Partnership initiative that began implementing a framework of research activities in mid-2003.

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Udah, Hyacinth y Abraham Francis. "Vulnerability and Well-Being: International Students’ Experience in North Queensland, Australia". Journal of Comparative & International Higher Education 14, n.º 5 (9 de diciembre de 2022): 171–96. http://dx.doi.org/10.32674/jcihe.v14i5.3942.

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In this article, we examined the impact of COVID-19 on international students’ experience and highlighted the importance of supporting this student group. We drew on findings from a mixed methods study in North Queensland, Australia. First, we discussed mental well-being and analysed how the COVID-19 pandemic has impacted individuals’ mental health and well-being. We linked our analysis to international students’ vulnerability and well-being, looking specifically at the impact of financial and emotional distress. The findings of our study provided knowledge regarding the challenges international students face in North Queensland. In order to better meet the needs of international students, we argue that higher education institutions must provide tailored programs and services, including nurturing, supportive, responsive, and needs-orientated environments, to address the challenges international students face, and the mental health needs posed by the pandemic and beyond.

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Piccone, Judith, Katherine Moodie, Leonie Sanderson, Michelle Bond y Gunther DeGraeve. "Sharing wisdom II: Integrated care in partnership – Designing youth mental health services in Queensland, Australia". International Journal of Integrated Care 18, s2 (23 de octubre de 2018): 103. http://dx.doi.org/10.5334/ijic.s2103.

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Hewland, R. "Towards shared care of mental health services — On the sunshine coast in South-East Queensland". Australian and New Zealand Journal of Psychiatry 34, s1 (enero de 2000): A31. http://dx.doi.org/10.1080/000486700641.

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Harris, Meredith G., William J. Buckingham, Jane Pirkis, Aaron Groves y Harvey Whiteford. "Planning estimates for the provision of core mental health services in Queensland 2007 to 2017". Australian & New Zealand Journal of Psychiatry 46, n.º 10 (16 de julio de 2012): 982–94. http://dx.doi.org/10.1177/0004867412452942.

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Taylor, Monica, Naomi Kikkawa, Elisabeth Hoehn, Helen Haydon, Maike Neuhaus, Anthony C. Smith y Liam J. Caffery. "The importance of external clinical facilitation for a perinatal and infant telemental health service". Journal of Telemedicine and Telecare 25, n.º 9 (octubre de 2019): 566–71. http://dx.doi.org/10.1177/1357633x19870916.

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Introduction Clinical facilitation is an established strategy for introducing innovation into clinical practice. The Queensland Centre for Perinatal and Infant Mental Health has used clinical facilitation to establish a telehealth service to support perinatal and infant mental health in regional, rural and remote areas of the Australian state of Queensland. The aim of this study is to explore the role of clinical facilitation in implementing and sustaining the telehealth service. Methods Semi-structured interviews were conducted with 14 remote-site users of the telehealth service. Interviews were analysed using thematic analysis. Results Two dominant themes emerged: unmet need and service visibility. The study confirms the usefulness of telehealth as a way to address unmet need for specialist mental health services in regional, rural and remote areas. The study also provides evidence that a telehealth service with intermittent demand requires a consistent clinical facilitator, to keep the service visible to remote-site clinicians and maintain awareness of the service as a referral option. Conclusion Previous research has identified the importance of clinical facilitation in initial service implementation. This study demonstrates the necessity of clinical facilitation for ongoing service provision. Facilitation is likely to be more important where the telehealth service responds to intermittent or infrequent clinical need, compared with high-volume services where clinics are conducted routinely.

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Kennedy, Craig y Peter Yellowlees. "A community-based approach to evaluation of health outcomes and costs for telepsychiatry in a rural population: Preliminary results". Journal of Telemedicine and Telecare 6, n.º 1_suppl (febrero de 2000): 155–57. http://dx.doi.org/10.1258/1357633001934492.

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A pilot trial was established to support visiting psychiatric services and local public and private practitioners through the use of videoconferencing. The purpose of the trial was to determine whether people in the community received better health-care with telemedicine. A community-based approach was used to evaluate health outcomes, costs, utilization, accessibility, quality and needs for such services in a rural community in Queensland. Over a two-year period data were collected from 124 subjects who met the criteria of having a mental health problem or mental disorder. Nine further subjects refused to participate in the study. Only 32 subjects used videoconferencing to receive mental health services. Preliminary results did not show any significant improvements in wellbeing or quality of life, although the time span was relatively short. However, the results confirmed that the people were no worse off from a consumer or a practitioner perspective from using videoconferencing. Most consumers found that videoconferencing with a psychiatrist moderately or greatly helped them in managing their treatment, with 98% of them preferring to be offered videoconferencing in combination with local services. Overall, videoconferencing is a crucial part of enhancing psychiatry services in rural areas. However, it is not necessarily cost-effective for all consumers, general practitioners, psychiatrists, or the public mental health service.

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Thomas, Emma G., Matthew J. Spittal, Faye S. Taxman, Cheneal Puljević, Edward B. Heffernan y Stuart A. Kinner. "Association between contact with mental health and substance use services and reincarceration after release from prison". PLOS ONE 17, n.º 9 (7 de septiembre de 2022): e0272870. http://dx.doi.org/10.1371/journal.pone.0272870.

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Objective People released from prison who experience mental health and substance use problems are at high risk of reincarceration. This study aimed to examine the association between contact with mental health and substance use treatment services, and reincarceration, among adults released from prison. Methods Pre-release survey data from 1,115 adults released from prisons in Queensland, Australia were linked with administrative health and correctional records covering a median of 787 days post-release. We constructed marginal structural Cox proportional hazards models, adjusting for pre-release variables and time-varying indicators of emergent mental health and substance use problems, to examine the association between contact with mental health and substance use treatment services, and reincarceration. Results The adjusted hazard ratio (AHR) for reincarceration associated with mental health service contact was 1.76 (95%CI 1.23,2.51). Among those not on parole following release, the AHR for reincarceration associated with substance use treatment service contact was 3.16 (95%CI 2.09,4.77); we found no evidence for an association among those who were released on parole (AHR = 1.07; 95%CI 0.80,1.43). Conclusions Although we cannot eliminate the possibility of residual confounding, our findings suggest that infrequent or unsustained contact with community-based mental health and substance use treatment services is not protective against reincarceration, and may even be iatrogenic. Increased investment in high-quality and timely behavioural health services for people released from prison may simultaneously improve health outcomes, and reduce reincarceration.

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Benson, Catherine, Steve Kisely, Nicole Korman y Katherine Moss. "Compliance of metabolic monitoring at rehabilitation facilities". Australasian Psychiatry 26, n.º 1 (31 de octubre de 2017): 41–46. http://dx.doi.org/10.1177/1039856217737899.

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Objectives: To examine compliance with routine metabolic monitoring at four rehabilitation facilities within the Metro South Addiction and Mental Health Services in Queensland. Methods: A retrospective chart audit was undertaken on 63 residents of rehabilitation facilities with electronic health records from 1 October 2014 to 30 March 2015. Results: Evidence of any metabolic monitoring was recorded for 87% of residents. Compliance rates differed for monitoring waist circumference (97%), blood pressure (97%), high-density lipoprotein (79%), triglycerides (81%) and plasma glucose (83%). Evidence of communication with residents and primary healthcare providers were each found in 41% of the sample. Conclusions: In current clinical practice, metabolic monitoring is high for residents of rehabilitation facilities in Queensland with serious mental illness. However, many residents do not receive adequate communication regarding their results and, disturbingly, results are not forwarded to their primary healthcare providers. This can result in people not receiving treatment for modifiable factors of metabolic syndrome.

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Kavanagh, David J., Lea Greenaway, Linda Jenner, John B. Saunders, Angela White, Josie Sorban y Gail Hamilton. "Contrasting Views and Experiences of Health Professionals on the Management of Comorbid Substance Misuse and Mental Disorders". Australian & New Zealand Journal of Psychiatry 34, n.º 2 (abril de 2000): 279–89. http://dx.doi.org/10.1080/j.1440-1614.2000.00711.x.

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Objectives: To determine opinions and experiences of health professionals concerning the management of people with comorbid substance misuse and mental health disorders. Method: We conducted a survey of staff from mental health services and alcohol and drug services across Queensland. Survey items on problems and potential solutions had been generated by focus groups. Results: We analysed responses from 112 staff of alcohol and drug services and 380 mental health staff, representing a return of 79%% and 42%% respectively of the distributed surveys. One or more issues presented a substantial clinical management problem for 98%% of respondents. Needs for increased facilities or services for dual disorder clients figured prominently. These included accommodation or respite care, work and rehabilitation programs, and support groups and resource materials for families. Needs for adolescent dual diagnosis services and after-hours alcohol and drug consultations were also reported. Each of these issues raised substantial problems for over 70%% of staff. Another set of problems involved coordination of client care across mental health and alcohol and drug services, including disputes over duty of care. Difficulties with intersectoral liaison were more pronounced for alcohol and drug staff than for mental health. A majority of survey respondents identified 13 solutions as practical. These included routine screening for dual diagnosis at intake, and a range of proposals for closer intersectoral communication such as exchanging client information, developing shared treatment plans, conducting joint case conferences and offering consultation facilities. Conclusions: A wide range of problems for the management of comorbid disorders were identified. While solution of some problems will require resource allocation, many may be addressed by closer liaison between existing services.

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Sullivan, Daniel P., Leanne Payne, Kelsie A. Boulton, Natalie Silove, Mark A. Bellgrove, Emma Sciberras, David R. Coghill, Adam J. Guastella y Christel M. Middeldorp. "Examining the pharmacological and psychological treatment of child and adolescent ADHD in Australia: Protocol for a retrospective cohort study using linked national registry data". BMJ Open 12, n.º 11 (noviembre de 2022): e064920. http://dx.doi.org/10.1136/bmjopen-2022-064920.

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IntroductionAttention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder which affects 5% of children globally. In Australia, it is estimated that 4.1% of children and adolescents have ADHD. While research has examined the treatment and outcomes of children with ADHD attending public mental health services during their time in the public system in Australia, it is not known what treatment they received before and after these treatment episodes, which will provide a more complete understanding of these children’s treatment journey.Methods and analysisWe will link clinical data from cohorts of children and adolescents treated in the public child and youth mental health and/or child development services in Brisbane, Melbourne and Sydney to the Medicare Benefits Schedule (MBS), Pharmaceutical Benefits Scheme (PBS) and National Death Index. MBS data will demonstrate the treatment journey with respect to clinicians seen, and treatment episodes from the public health service data sets will be examined to assess if the type and intensity of treatment are related to treatment outcomes. PBS data will reveal all psychotropic medications prescribed, allowing an examination of not just ADHD medications, but also other psychotropics which may indicate co-occurring conditions (eg, anxiety and mood disorders). Statistical analyses will include descriptive statistics to describe the rates of specific medications and clinician specialties seen. Linear and logistic regression will be used to model how treatment and sociodemographic variables relate to routinely collected outcome measures in the public health system while controlling for covarying factors.Ethics and disseminationThis study has been approved by the following institutional ethics committees: (1) Children’s Health Queensland Hospital and Health Service (HREC/21/QCHQ/76260), (2) The University of Queensland (2021/HE002143) and (3) The Australian Institute of Health and Welfare (EO2021/4/1300). Findings will be disseminated through peer-reviewed journals, conferences, professional associations and to public mental health services that treat ADHD.

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McCalman, Janya Robyn, Ruth Fagan, Tina McDonald, Semara Jose, Paul Neal, Ilse Blignault, Deborah Askew y Yvonne Cadet-James. "The Availability, Appropriateness, and Integration of Services to Promote Indigenous Australian Youth Wellbeing and Mental Health: Indigenous Youth and Service Provider Perspectives". International Journal of Environmental Research and Public Health 20, n.º 1 (26 de diciembre de 2022): 375. http://dx.doi.org/10.3390/ijerph20010375.

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Concerns about the complexity, fragmentation and inefficiency of Australia’s current youth mental health service systems have led policy makers to seek improvements through a shift to community-based solutions. However, there is little evidence of how communities can make this shift. This paper examines the efforts of one Aboriginal and Torres Strait Islander (hereafter, respectfully, Indigenous) community—Yarrabah in north Queensland—to develop strategies for mental health and wellbeing service system improvements for school-aged youth (5–18 years). The research was co-designed with Yarrabah’s community-controlled health service and explores the perceptions of Yarrabah youth and service providers. Iterative grounded theory methods were used to collect and analyse data from 32 youth aged 11–24 years and 24 service providers. Youth were reluctant to seek help, and did so only if they felt a sense of safety, trust, relationality and consistency with providers. Young people’s four suggestions for improvement were access to (1) information and awareness about mental health; (2) youth facilities, spaces and activities; (3) safe and available points of contact; and (4) support for recovery from mental illness. Service providers highlighted an appetite for youth-guided community change and recommended five improvement strategies: (1) listening to youth, (2) linking with community members, (3) providing wellbeing promotion programs, (4) intervening early, and (5) advocating to address the determinants of youth mental health. Overall, both groups realised a disjunct between youth need and service provision, but a willingness to work together for systems change. This study demonstrates the importance of community-driven efforts that harness both youth and service providers’ perspectives, and suggests a need for ongoing dialogue as the basis for co-designing and implementing improvements to wellbeing supports and mental health services for Indigenous youth.

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Happell, Brenda. "A better way to do this? Views of mental health nursing directors about preparation for mental health nursing practice". Australian Health Review 39, n.º 2 (2015): 211. http://dx.doi.org/10.1071/ah14099.

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Objective Nursing directors in mental health services hold important leadership positions that include responsibility for the nursing workforce. The comprehensive or generalist approach to undergraduate nursing education consistently poses significant recruitment problems. Specialisation in mental health within Bachelor of Nursing programs has been suggested as a potential solution. This paper presents the views and opinions of mental health nursing directors regarding undergraduate specialisation. Methods A qualitative exploratory study was undertaken. Thirteen nursing directors from Queensland Mental Health Services participated in an in-depth telephone interview. The data were analysed thematically. Results Nursing directors were very supportive of specialisation in mental health at the undergraduate level. Thematic analysis revealed four main themes: perceived advantages of the specialist stream; knowledge and experience; increased recruitment; and commitment. Conclusions Nursing directors are important stakeholders in educational preparation for practice in mental health settings. The research participants described many potential benefits to undergraduate specialisation. Their voice provides an important contribution to this issue. What is known about the topic? The current model of nurse education in Australia aims to prepare graduates for practice in a broad range of healthcare settings with specialisation occurring at the postgraduate level. Mental health nursing is identified as one of the least popular career options for nursing graduates, and mental health services struggle to recruit sufficient graduates for their nursing workforce; this is attributed, at least in part, to the current model of education. What does this paper add? This paper gives voice to the perspectives of nursing directors from the mental health service delivery sector about the educational preparation for nursing practice in mental health. Nursing directors support the introduction of specialist preparation in mental health nursing at the undergraduate level. A more skilled and committed workforce is seen as contributing to addressing current recruitment problems. What are the implications for practitioners? The educational preparation for nursing graduates for mental health practice impacts significantly on nursing leaders, and their perspective is essential in addressing the debate. Mental health nursing directors need to be formally recognised as key stakeholders in the preparation of nursing graduates.

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Kinchin, Irina, Komla Tsey, Marion Heyeres y Yvonne Cadet-James. "Systematic review of youth mental health service integration research". Australian Journal of Primary Health 22, n.º 4 (2016): 304. http://dx.doi.org/10.1071/py15114.

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Quality mental health care is based on the integration of care across organisations and disciplines. The aims of this study were, first, to assess the extent, characteristics and reported outcomes of publications concerned with youth mental health service integration in Australia and internationally; and second, to investigate the study design quality of evaluative interventions and determine whether the studies report on the cost-effectiveness of the integration in order to inform the reform of youth mental health services by Queensland Health. A systematic search of the peer-reviewed literature and a narrative synthesis were undertaken of English language publications from 21 electronic databases. Inclusion criteria were: published 1998–2014 (inclusive); peer-reviewed research; focused on mental health services integration; reported data for youth aged 12–25 years. The methodological quality of evaluative interventions was assessed using the Quality Assessment Tool for Quantitative Studies developed by the Effective Public Health Practice Project (EPHPP). Twenty-five studies met the inclusion criteria: one (4%) was classified as a measurement research, 13 (52%) as descriptive, and 11 (44%) as interventions including five (45%) evaluative interventions. Four out of the five evaluative interventions reported positive effects of youth mental health service integration. Particular problems included ambiguity of definitions, absence of economic or cost analyses and insufficient consumer involvement. The methodological quality of the interventions was variable with, on average, a moderate level of selection bias and study design. Despite a slight increase in the number of studies in the last couple of years, there are important gaps in the evidence base for youth mental health service integration processes. The relatively small number of evaluative studies and lack of economic evaluations point to the need for additional research in this important area.

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Thomas, E. G., M. J. Spittal, E. B. Heffernan, F. S. Taxman, R. Alati y S. A. Kinner. "Trajectories of psychological distress after prison release: implications for mental health service need in ex-prisoners". Psychological Medicine 46, n.º 3 (9 de noviembre de 2015): 611–21. http://dx.doi.org/10.1017/s0033291715002123.

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BackgroundUnderstanding individual-level changes in mental health status after prison release is crucial to providing targeted and effective mental health care to ex-prisoners. We aimed to describe trajectories of psychological distress following prison discharge and compare these trajectories with mental health service use in the community.MethodThe Kessler Psychological Distress Scale (K10) was administered to 1216 sentenced adult prisoners in Queensland, Australia, before prison release and approximately 1, 3 and 6 months after release. We used group-based trajectory modeling to identify K10 trajectories after release. Contact with community mental health services in the year following release was assessed via data linkage.ResultsWe identified five trajectory groups, representing consistently low (51.1% of the cohort), consistently moderate (29.8%), high increasing (11.6%), high declining (5.5%) and consistently very high (1.9%) psychological distress. Mood disorder, anxiety disorder, history of self-harm and risky drug use were risk factors for the high increasing, very high and high declining trajectory groups. Women were over-represented in the high increasing and high declining groups, but men were at higher risk of very high psychological distress. Within the high increasing and very high groups, 25% of participants accessed community mental health services in the first year post-release, for a median of 4.4 contact hours.ConclusionsFor the majority of prisoners with high to very high psychological distress, distress persists after release. However, contact with mental health services in the community appears low. Further research is required to understand barriers to mental health service access among ex-prisoners.

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Fitzpatrick, Scott J., Tonelle Handley, Nic Powell, Donna Read, Kerry J. Inder, David Perkins y Bronwyn K. Brew. "Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation". PLOS ONE 16, n.º 7 (21 de julio de 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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Plever, Sally, Irene McCarthy, Melissa Anzolin, Brett Emmerson y Mohsina Khatun. "A collaborative approach to improve the assessment of physical health in adult consumers with schizophrenia in Queensland mental health services". Australasian Psychiatry 24, n.º 1 (2 de octubre de 2015): 55–61. http://dx.doi.org/10.1177/1039856215608285.

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Mundy, Linda y Kaye Hewson. "Thinking outside the system: the integrated care experience in Queensland, Australia". Australian Journal of Primary Health 25, n.º 4 (2019): 303. http://dx.doi.org/10.1071/py18161.

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Health policy-makers are faced with a demand for health care that exceeds supply, driven in part by an ageing population and an increased prevalence of chronic disease. An integrated ‘people-centred’ model of care across primary, secondary and tertiary health care can strengthen the health system by streamlining services to improve the patient journey and outcomes. Integrated care offers an opportunity to reduce admissions and re-admissions to hospitals, reduce presentations to emergency departments and improve the capacity of outpatient clinics while delivering better outcomes to patients. Queensland’s $35 million Integrated Care Innovation Fund (ICIF) has provided seed funding to 24 projects covering a wide spectrum of chronic disease management and complex disease. Programs such as the ICIF offer an opportunity to provide a new approach to caring for vulnerable populations such as the frail and elderly; children with behavioural and developmental issues; children in out-of-home care; rural and remote populations; and people with mental health issues, whose care runs the risk of ‘falling through the cracks’ with conventional healthcare approaches.

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Brown, Christopher y Charles Ringma. "Consumer perspectives on disability services in Queensland: The long road to new directions". Australia and New Zealand Journal of Developmental Disabilities 15, n.º 1 (enero de 1989): 41–48. http://dx.doi.org/10.1080/07263868900033501.

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Adamson, Sarah, Michelle Smit y Craig Costello. "A survey of patient perceptions of tele-epilepsy services in north queensland". Journal of Neurology, Neurosurgery & Psychiatry 88, n.º 5 (mayo de 2017): e1.82-e1. http://dx.doi.org/10.1136/jnnp-2017-316074.80.

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Hu, Jie, Tabinda Basit, Alison Nelson, Emma Crawford y Lyle Turner. "Does attending Work It Out – a chronic disease self-management program – affect the use of other health services by urban Aboriginal and Torres Strait Islander people with or at risk of chronic disease? A comparison between program participants and non-participants". Australian Journal of Primary Health 25, n.º 5 (2019): 464. http://dx.doi.org/10.1071/py18089.

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Work It Out is a holistic chronic disease self-management program for urban Aboriginal and Torres Strait Islander people in Queensland, which is part of an integrated and comprehensive system of care for chronic disease management. This study examines differences in primary healthcare services use between Work It Out participants and non-participants. This retrospective observational study of services use, analysed data extracted from the clinical medical records system and Work It Out program assessments. General practitioner and allied health services use were compared among the participants and non-participants using logistic regression models and zero-truncated Poisson and negative binomial regression models. Compared with non-participants, Work It Out participants were more likely to use GP management plans, GP team care arrangements, GP mental health consultation and subsequent allied health services. Among those who used the services more than once, Work It Out participants had higher service use rates than non-participants for Aboriginal and Torres Strait Islander health assessments, GP management plans, team care arrangements and podiatry, physiotherapy and dietetic services. Engagement in Work It Out can facilitate the use of primary healthcare services, which are important for chronic disease management for urban Aboriginal and Torres Strait Islander people.

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Breen, Helen. "Risk and Protective Factors Associated with Gambling Products and Services: Indigenous Gamblers in North Queensland". International Journal of Mental Health and Addiction 10, n.º 1 (18 de noviembre de 2010): 24–38. http://dx.doi.org/10.1007/s11469-010-9296-z.

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Callander, Emily, Sarah Larkins y Lisa Corscadden. "Variations in out-of-pocket costs for primary care services across Australia: a regional analysis". Australian Journal of Primary Health 23, n.º 4 (2017): 379. http://dx.doi.org/10.1071/py16127.

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The aim of this study is to describe average out-of-pocket costs across different regions of Australia, as defined by Primary Health Network (PHN) boundaries, and assess the association between population characteristics and out-of-pocket costs for selected primary care services. A combination of descriptive and regression analysis was undertaken using administrative data from the Australian Department of Human Services reporting on the health services used across PHNs in Australia. Those in regional areas paid significantly more for Allied Health services than those in capital cities (A$5.68, P=0.006). The proportion of an area’s population aged 65 years and over was inversely related to out-of-pocket charges for Allied Mental Health (–A$79.12, P=0.029). Some areas had both high charges and disadvantaged populations: Country South Australia, Northern Queensland, Country Western Australia, Tasmania and Northern Territory, or populations with poor health: Northern Territory and Tasmania. Although there was a large amount of variation in out-of-pocket charges for primary care services between PHNs in Australia, there was little evidence of inequality based on health, age and socioeconomic characteristics of a population or the proportion of Aboriginal and Torres Strait Islander people.

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Walter, Zoe, Catherine A. Quinn, Genevieve Dingle, Nina Pocuca, Amanda L. Baker, Alison Beck, Dominique De Andrade, Maree Toombs y Leanne Hides. "FullFix: a randomised controlled trial of a telephone delivered transdiagnostic intervention for comorbid substance and mental health problems in young people". BMJ Open 11, n.º 10 (octubre de 2021): e045607. http://dx.doi.org/10.1136/bmjopen-2020-045607.

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IntroductionTransdiagnostic cognitive–behavioural therapy (CBT) targets common psychological factors that underlie multiple disorders. While transdiagnostic interventions are a promising new approach, limited research has evaluated these treatments within the alcohol and other drug (AOD) sector for young people with comorbid mental health symptoms. This project will examine the feasibility and preliminary efficacy of FullFix—a new risk-targeted transdiagnostic CBT telehealth programme for comorbid AOD and depression/anxiety disorders in young people. Secondary aims are to identify moderators and mediators of treatment outcomes, to determine how and why treatment is effective and who is most likely to benefit.Methods/designParticipants will be 130 young people (aged 16–35) accessing AOD services in Queensland, Australia, with comorbid mental health symptoms. They will be randomised to receive either the FullFix intervention plus standard AOD care or standard AOD care alone. Primary outcomes on AOD use and mental health symptoms will be reassessed at 6 weeks, 3 months, 6 months and 12 months, along with secondary outcomes of emotion regulation, social connectedness, perceived self-efficacy, coping skills and quality of life. The trial commenced on October 2018 and expected completion date is September 2021.Ethics and disseminationEthical approval for this trial was provided by the University of Queensland (#2018001185). The results of the trial will be disseminated through publication in a peer-reviewed scientific journal, scientific presentations at conferences and distributed via a report and presentations to the partner organisation.Trial registration numberACTRN12618001563257.

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Salvador-Carulla, Luis, Ana Fernandez, Haribondhu Sarma, John Mendoza, Marion Wands, Coralie Gandre, Karine Chevreul y Sue Lukersmith. "Impact of Ed-LinQ: A Public Policy Strategy to Facilitate Engagement between Schools and the Mental Health Care System in Queensland, Australia". International Journal of Environmental Research and Public Health 18, n.º 15 (27 de julio de 2021): 7924. http://dx.doi.org/10.3390/ijerph18157924.

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Ed-LinQ is a mental health policy initiative to enhance the early detection and treatment of children with mental illness by improving the liaison between schools and health services in Queensland, Australia. We measured its impact from policy to practice to inform further program developments and public strategies. We followed a mixed quantitative/qualitative approach. The Adoption Impact Ladder (AIL) was used to analyse the adoption of this initiative by end-users (decision makers both in the health and education sectors) and the penetration of the initiative in the school sector. Survey respondents included representatives of schools (n = 186) and mental health providers (n = 78). In total, 63% of the school representative respondents were at least aware of the existence of the Ed-LinQ initiative, 74% were satisfied with the initiative and 28% of the respondent schools adopted the initiative to a significant extent. Adoption was higher in urban districts and in the health sector. The overall level of penetration in the school sector of Queensland was low (3%). The qualitative analysis indicated an improvement in the referral and communication processes between schools and the health sectors and the importance of funding in the implementation of the initiative. Mapping of existing programs is needed to assess the implementation of a new one as well as the design of different implementation strategies for urban and rural areas. Assessing the adoption of health policy strategies and their penetration in a target audience is critical to understand their proportional impacts across a defined ecosystem and constitutes a necessary preliminary step for the evaluation of their quality and efficiency.

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Theodoratos, Oreste, Lyn McPherson, Catherine Franklin, Bruce Tonge, Stewart Einfeld, Nicholas Lennox y Robert S. Ware. "Psychopathology of adolescents with an intellectual disability who present to general hospital services". Australasian Psychiatry 25, n.º 5 (2 de mayo de 2017): 481–85. http://dx.doi.org/10.1177/1039856217706820.

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Objective: Adolescents with intellectual disability have increased rates of psychopathology compared with their typically developing peers and present to hospital more frequently for ambulant conditions. The aim of this study is to describe the psychopathology and related characteristics of a sample of adolescents with intellectual disability who presented to general hospital services. Method: We investigated a cohort of adolescents with intellectual disability in South East Queensland, Australia between January 2006 and June 2010. Demographic and clinical data were obtained via mailed questionnaires and from general practice notes. Psychopathology was measured with the Short Form of the Developmental Behaviour Checklist. Results: Of 98 individuals presenting to hospital, 71 (72.5%) had significant levels of psychopathology. Unknown aetiology for the intellectual disability was associated with presence of problem behaviours. Adolescents with more severe intellectual disability were more likely to have major problem behaviours. Co-morbid physical health issues were not associated with psychopathology. Only 12 (12.1%) adolescents had undergone specialized mental health intervention. Conclusions: The general hospital environment may offer opportunities for liaison psychiatry services to screen and provide management expertise for adolescent individuals with intellectual disability presenting for physical health issues.

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Correa-Velez, Ignacio, Adrian G. Barnett, Sandra M. Gifford y Donata Sackey. "Health status and use of health services among recently arrived men with refugee backgrounds: a comparative analysis of urban and regional settlement in South-east Queensland". Australian Journal of Primary Health 17, n.º 1 (2011): 66. http://dx.doi.org/10.1071/py10051.

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Approximately one-third of refugee and humanitarian entrants to Australia are adult men. Many of these men and their families settle in regional areas. Little is known about the health status of refugee men and the use of health services, and whether or not there are differences between those living in urban and regional areas. This paper reports on the cross-sectional differences in health status and use of health services among a group of 233 recently arrived refugee men living in urban and regional areas of South-east Queensland. Overall, participants reported good levels of subjective health status, moderate to good levels of well-being, and low prevalence of mental illness. Men living in urban areas were more likely to have a long-standing illness and report poorer health status than those settled in regional areas. In contrast, men living in regional areas reported poorer levels of well-being in the environment domain and were more likely to visit hospital emergency departments. Targeted health promotion programs will ensure that refugee men remain healthy and develop their full potential as members of the Australian community. Programs that facilitate refugees’ access to primary health care in regional areas may promote more appropriate use of hospital emergency departments by these communities.

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Gardiner, Fergus, Jocelyn Middleton, Shamela Perera, Mikayla Gunner, Leonid Churilov, Mathew Coleman y Lee Poole. "Cohort study comparison of Mental Health and Wellbeing Services delivered by The Royal Flying Doctor Service, across Far North and Central West Queensland". Lancet Regional Health - Western Pacific 21 (abril de 2022): 100385. http://dx.doi.org/10.1016/j.lanwpc.2022.100385.

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