Artykuły w czasopismach na temat „Australian Mental Health Care”
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Dwyer, Judith, i Sandra G. Leggat. "Mental health care: commitment to action?" Australian Health Review 30, nr 2 (2006): 133. http://dx.doi.org/10.1071/ah060133.
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THE COUNCIL OF AUSTRALIAN GOVERNMENTS (the peak intergovernmental forum in Australia, comprising the Prime Minister, State Premiers, Territory Chief Ministers and the President of the Australian Local Government Association) focused on mental health care at its meeting in February. They agreed that more money is needed, and asked their public servants to prepare an action plan urgently.1 The action plan is expected to contain a stronger focus on mental health promotion and early intervention, and perhaps a more flexible approach to the housing and care needs of people who can?t ?manage on their own?. A stronger role for the non-government sector is anticipated, as well as increased access to psychologists and other health professionals in primary care, and efforts to improve access for people with mental illness to employment, community activities, rehabilitation and respite care.
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Anderson, Josephine, Kathleen O'Moore, Mariam Faraj i Judith Proudfoot. "Stepped care mental health service in Australian primary care: codesign and feasibility study". Australian Health Review 44, nr 6 (2020): 873. http://dx.doi.org/10.1071/ah19078.
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Objective In 2015, the Australian Government introduced several mental health reforms, including the requirement that Primary Health Networks (PHNs) provide stepped care services for Australians with mental health needs such as anxiety and depression. This paper reports on the development and feasibility study of StepCare, an online stepped mental healthcare service in general practice that screens patients, provides immediate feedback to patients and general practitioners (GPs), transmits stepped treatment recommendations to GPs and monitors patients’ progress, including notification of deterioration. Methods The present codesign and feasibility study in one PHN examined: (1) the acceptability and feasibility of StepCare to GPs, practice staff and patients; (2) the impact of StepCare on clinical practice; and (3) the barriers to and facilitators of implementation. Results Thirty-two GPs, 22 practice staff and 418 patients participated in the study. Overall, patients, practice staff and GPs found StepCare acceptable and feasible, commending its privacy, the mental health screening, monitoring and feedback. They also made suggestions for service improvements. GPs reported that StepCare helped with their identification and management of patients with common mental health issues. Conclusions Preliminary data suggest that StepCare may be acceptable and feasible in Australian general practice, helping GPs identify and manage common mental health problems in their patients. The study provides implications for policy and practice, and points the way to future translational research into stepped mental health care. What is known about the topic? Depression and anxiety are common illnesses in primary care and GPs are ideally placed to implement stepped care approaches enabling early detection and accessible, effective care. What does this paper add? Developed in and for general practice, StepCare is the first fully integrated stepped approach to primary mental health care in Australia. As a first step in a translational research program evaluating the effectiveness of StepCare, this paper reports data regarding the feasibility and acceptability of the service. What are the implications for practitioners? Integrated into the workflow of general practice, StepCare is an online service that helps GPs detect new cases of depression and anxiety, provide evidence-based stepped care treatments and monitor patients’ progress.
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Austin, Marie‐Paule V., Philippa F. Middleton i Nicole J. Highet. "Australian mental health reform for perinatal care". Medical Journal of Australia 195, nr 3 (sierpień 2011): 112–13. http://dx.doi.org/10.5694/j.1326-5377.2011.tb03236.x.
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Banfield, Michelle A., Karen L. Gardner, Laurann E. Yen, Ian S. McRae, James A. Gillespie i Robert W. Wells. "Coordination of care in Australian mental health policy". Australian Health Review 36, nr 2 (2012): 153. http://dx.doi.org/10.1071/ah11049.
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Objective. To review Australian mental health initiatives involving coordination of care. Methods. Commonwealth government websites were systematically searched for mental health policy documents. Database searches were also conducted using the terms ‘coordination’ or ‘integration’ and ‘mental health’ or ‘mental illness’ and ‘Australia’. We assessed the extent to which informational, relational and management continuity have been addressed in three example programs. Results. The lack of definition of coordination at the policy level reduces opportunities for developing actionable and measurable programs. Of the 51 mental health initiatives identified, the three examples studied all demonstrated some use of the dimensions of continuity to facilitate coordination. However, problems with funding, implementation, evaluation and competing agendas between key stakeholders were barriers to improving coordination. Conclusions. Coordination is possible and can improve both relationships between providers and care provided. However, clear leadership, governance and funding structures are needed to manage the challenges encountered, and evaluation using appropriate outcome measures, structured to assess the elements of continuity, is necessary to detect improvements in coordination. What is known about the topic? The issues of integration of services and coordination of care have been a part of the National Mental Health Strategy documents for almost 20 years, but reports and evaluations continually note a lack of solid progress on these reforms. What does this paper add? This paper examines how the key elements of continuity that underpin coordination have been addressed in three examples of Australian mental health initiatives aimed at improving integration and coordination. What are the implications for practitioners? Coordination of care for mental health is possible and can improve both relationships between providers and care provided, but attention should be paid to the role of informational, relationship and management continuity in program design and implementation.
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Keleher, Helen, i Virginia Hagger. "Health Literacy in Primary Health Care". Australian Journal of Primary Health 13, nr 2 (2007): 24. http://dx.doi.org/10.1071/py07020.
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Health literacy is fundamental if people are to successfully manage their own health. This requires a range of skills and knowledge about health and health care, including finding, understanding, interpreting and communicating health information, seeking of appropriate care and making critical health decisions. A primary health system that is appropriate and universally accessible requires an active agenda based on research of approaches to address low health literacy, while health care providers should be alert to the widespread problems of health literacy which span all age levels. This article reviews the progress made in Australia on health literacy in primary health care since health literacy was included in Australia's health goals and targets in the mid-1990s. A database search of published literature was conducted to identify existing examples of health literacy programs in Australia. Considerable work has been done on mental health literacy, and research into chronic disease self-management with CALD communities, which includes health literacy, is under way. However, the lack of breadth in research has led to a knowledge base that is patchy. The few Australian studies located on health literacy research together with the data about general literacy in Australia suggests the need for much more work to be done to increase our knowledge base about health literacy, in order to develop appropriate resources and tools to manage low health literacy in primary health settings.
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Heslop, Brett, Dianne Wynaden, Jenny Tohotoa i Karen Heslop. "Mental health nurses’ contributions to community mental health care: An Australian study". International Journal of Mental Health Nursing 25, nr 5 (16.04.2016): 426–33. http://dx.doi.org/10.1111/inm.12225.
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MEADOWS, G., P. BURGESS, E. FOSSEY i C. HARVEY. "Perceived need for mental health care, findings from the Australian National Survey of Mental Health and Well-being". Psychological Medicine 30, nr 3 (maj 2000): 645–56. http://dx.doi.org/10.1017/s003329179900207x.
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Background. The Australian National Survey of Mental Health and Well-being was designed to detect and describe psychiatric morbidity, associated disability, service use and perceived need for care. The survey employed a single-phase interview methodology, delivering a field questionnaire to a clustered probability sample of 10641 Australians. Perceived need was sampled with an instrument designed for this survey, the Perceived Need for Care Questionnaire (PNCQ). This questionnaire gathers information about five categories of perceived need, assigning each to one of four levels of perceived need. Reliability and validity studies showed satisfactory performance of the instrument.Methods. Perceived need for mental health care in the Australian population has been analysed using PNCQ data, relating this to diagnostic and service utilization data from the above survey.Results. The survey findings indicate that an estimated 13·8% of the Australian population have perceived need for mental health care. Those who met interview criteria for a psychiatric diagnosis and also expressed perceived need make up 9·9% of the population. An estimated 11·0% of the population are cases of untreated prevalence, a minority (3·6% of the population) of whom expressed perceived need for mental health care. Among persons using services, those without a psychiatric diagnosis based on interview criteria (4·4% of the population), showed high levels of perceived met need.Conclusions. The overall rate of perceived need found by this methodology lies between those found in the USA and Canada. The findings suggest that service use in the absence of diagnosis elicited by survey questionnaires may often represent successful intervention. In the survey, untreated prevalence was commonly not accompanied by perceived need for mental health care.
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Holmes, Colin A. "Postdisciplinarity in mental health-care: an Australian viewpoint". Nursing Inquiry 8, nr 4 (grudzień 2001): 230–39. http://dx.doi.org/10.1046/j.1440-1800.2001.00117.x.
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Hassett, Anne, Tracy Fortune i Brad Smith. "Mental Health Care for our Ageing Australian Population". Australasian Psychiatry 15, nr 6 (grudzień 2007): 480–83. http://dx.doi.org/10.1080/10398560701436653.
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Chater, Alan B. "Looking after health care in the bush". Australian Health Review 32, nr 2 (2008): 313. http://dx.doi.org/10.1071/ah080313.
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LOOKING AFTER health care in rural Australia involves providing adequate services to meet the urgent and non-urgent needs of rural patients in a timely, cost-effective and safe manner. The very provision of these services requires an appropriate workforce and facilities in rural areas. This provides challenges for clinicians, administrators and medical educators. While preventive medicine has made some significant gains globally in reducing the need for acute care and hospitalisation in some areas of medicine such as infectious disease and asthma, these demands have been replaced by an increase in trauma, chronic disease and mental illness1 which, with an ageing population, eventually means presentations at an older age which can require hospitalisation. Rural patients have always had to deal with a relative undersupply of health practitioners. Rural people have coped valiantly with this. The legendary stoicism of rural people has been shown by Schrapnel2 and Davies to be a prominent feature of the rural personality. This both allowed them to cope with lack of services and to suffer in silence while their health status fell below the Australian average.3 Rural Australians use fewer Medicare services and see the doctor less per annum than the Australian average.
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Burns, Jane M., Emma Birrell, Marie Bismark, Jane Pirkis, Tracey A. Davenport, Ian B. Hickie, Melissa K. Weinberg i Louise A. Ellis. "The role of technology in Australian youth mental health reform". Australian Health Review 40, nr 5 (2016): 584. http://dx.doi.org/10.1071/ah15115.
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This paper describes the extent and nature of Internet use by young people, with specific reference to psychological distress and help-seeking behaviour. It draws on data from an Australian cross-sectional study of 1400 young people aged 16 to 25 years. Nearly all of these young people used the Internet, both as a source of trusted information and as a means of connecting with their peers and discussing problems. A new model of e-mental health care is introduced that is directly informed by these findings. The model creates a system of mental health service delivery spanning the spectrum from general health and wellbeing (including mental health) promotion and prevention to recovery. It is designed to promote health and wellbeing and to complement face-to-face services to enhance clinical care. The model has the potential to improve reach and access to quality mental health care for young people, so that they can receive the right care, at the right time, in the right way. What is known about the topic? One in four young Australians experience mental health disorders, and these often emerge in adolescence and young adulthood. Young people are also prominent users of technology and the Internet. Effective mental health reform must recognise the opportunities that technology affords and leverage this medium to provide services to improve outcomes for young people. What does this paper add? Information regarding the nature of young people’s Internet use is deficient. This paper presents the findings of a national survey of 1400 young Australians to support the case for the role of technology in Australian mental health reform. What are the implications for practitioners? The Internet provides a way to engage young people and provide access to mental health services and resources to reduce traditional barriers to help-seeking and care. eMental health reform can be improved by greater attention toward the role of technology and its benefits for mental health outcomes.
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Kariotis, Timothy C., i Keith M. Harris. "Clinician perceptions of My Health Record in mental health care: medication management and sharing mental health information". Australian Journal of Primary Health 25, nr 1 (2019): 66. http://dx.doi.org/10.1071/py17181.
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My Health Record (MHR) is a national personally controlled electronic health record, which is projected to be used by all Australian health professionals by 2022. It has also been proposed for use in mental health care, but there is limited information on how clinicians will successfully implement it. This study interviewed seven general practitioners and four psychologists in Tasmania, Australia. Participants were asked about information continuity and barriers and benefits to using My Health Record in mental health care. Thematic analysis identified two pertinent themes: Medication Management and Mental Health Information. Participants reported MHR could improve the quality and frequency of medication information shared between clinicians, but wanted additional medication-related alert features. Mental health information issues were broad in scope and included concerns over sensitive data that might be accessed through MHR and completeness of information. Participants also reported barriers to MHR use, including time burdens and privacy and confidentiality concerns. My Health Record used in mental health care may improve the timely sharing of medication-related information, but clinicians’ concerns regarding the sharing of patients’ highly sensitive mental health information need to be addressed.
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Reilly, Stephen P. "Australian Sojourn". Bulletin of the Royal College of Psychiatrists 9, nr 8 (sierpień 1985): 155–56. http://dx.doi.org/10.1192/pb.9.8.155.
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Community psychiatry means different things to different people. Since the 1970s the American model of community psychiatry based on mental health clinics has attracted heavy criticism, whilst the UK concept of rooting community psychiatric services firmly within primary health care has gained increasing support. The need for community-orientated psychiatric services is generally agreed upon but definition of community and the mode of delivery are not. In Australia both free and private health care are available; community health centres and community mental health clinics exist (sometimes literally) side by side.
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Baidawi, Susan, Philip Mendes i Pamela C. Snow. "Young People in, and Transitioning from, Out-of-home Care and their Mental Health Issues: A Call for Evidence". Children Australia 39, nr 4 (grudzień 2014): 200–205. http://dx.doi.org/10.1017/cha.2014.27.
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Young people leaving state out-of-home care are among the most disadvantaged and vulnerable young Australians, and a substantial proportion experience mental health issues. This article reviews the literature relating to the mental health of care leavers, highlighting the gaps in the current Australian research base. Available studies indicate that mental health issues may worsen during the transition from care, yet mental and emotional health may also be neglected during this stressful period. Furthermore, care leavers with mental health issues are highly vulnerable to poor post-care outcomes, particularly homelessness. Implications for policy and research are discussed.
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Fletcher, Justine R., Jane E. Pirkis, Bridget Bassilios, Fay Kohn, Grant A. Blashki i Philip M. Burgess. "Australian primary mental health care: improving access and outcomes". Australian Journal of Primary Health 15, nr 3 (2009): 244. http://dx.doi.org/10.1071/py08072.
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The progressive achievements over time of the Access to Allied Psychological Services (ATAPS) component of the Better Outcomes in Mental Health Care program are examined using a web-based, purpose-designed minimum dataset that collects provider-, consumer- and session-level data on the projects. Findings indicate that the ATAPS projects have established themselves over time as a cornerstone of mental health service provision in Australia. Despite the more recent introduction of the complementary Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule program, the ATAPS projects have continued, since 2001, to attract substantial numbers of general practitioners and allied health professionals and deliver services to significant numbers of consumers. The profile of consumers being referred to the projects is now very consistent, with the majority being women with high prevalence disorders who may have had difficulty accessing mental health care in the past. The nature of sessions being delivered through the projects has also reached a point of consistency, with the majority being individual-level, cognitive behavioural therapy-based sessions of around 1 h in length. The only variation in session delivery is related to the charging of a co-payment. There is good evidence that the projects are achieving positive outcomes for consumers.
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Henderson, Julie. "Neo-liberalism, community care and Australian mental health policy". Health Sociology Review 14, nr 3 (grudzień 2005): 242–54. http://dx.doi.org/10.5172/hesr.14.3.242.
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Meadows, Graham, Philip Burgess i Irene Bobevski. "Distributing Mental Health Care Resources: Strategic Implications from The National Survey of Mental Health and Wellbeing". Australian & New Zealand Journal of Psychiatry 36, nr 2 (kwiecień 2002): 217–23. http://dx.doi.org/10.1046/j.1440-1614.2002.01011.x.
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Objective: This paper considers mental health services resource distribution under the Australian second national mental health plan, with its direction to mental health services to be more inclusive of people with higher prevalence psychiatric disorders. We consider inequalities in mental health in Australia, and describe the performance of the composite census variable employed in the Victorian mental health funding distribution formula, the index of relative socioeconomic disadvantage (IRSED), in predicting disorder rates and perceived needs for care. Method: We review data sets generated through the National Survey of Mental Health and Wellbeing (NSMHWB) for their utility in development of resource distribution formulae. We present analyses from the 10 641 cases examined in the household survey to explore the role of the IRSED in predicting prevalence rates of anxiety, affective, substance misuse and other disorders, as well as perceived need for care. Results: Recent epidemiological studies provide some additional sources of data to guide resource distribution, although the available data sets are found not to be optimized for examination of this issue. Greater levels of socioeconomic disadvantage of areas are associated with increased rates of morbidity in metropolitan areas, with different patterns for different disorder groups. The influence of the IRSED is more complex outside the major cities. Conclusions: The descriptive epidemiological data now available, despite significant investment, are relatively crude instruments for this current purpose. The findings support the case for using the IRSED as a proxy indicator for morbidity for the high prevalence disorders, but only within metropolitan areas. This examination confirms the existence of significant inequalities in mental health between Australian urban areas with different socioeconomic characteristics.
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Rosen, Alan, Roger Gurr i Paul Fanning. "The future of community-centred health services in Australia: lessons from the mental health sector". Australian Health Review 34, nr 1 (2010): 106. http://dx.doi.org/10.1071/ah09741.
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•It is apparent that hospital-dominated health care produces limited health outcomes and is an unsustainable health care system strategy. •Community-centred health care has been demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred care, particularly for prevention and care of persistent, long-term or recurrent conditions. Nevertheless, hospital-centred services continue to dominate health care services in Australia, and some state governments have presided over a retreat from, or even dismantling of, community health services. •The reasons for these trends are explored. •The future of community health services in Australia is uncertain, and in some states under serious threat. We consider lessons from the partial dismantling of Australian community mental health services, despite a growing body of Australian and international studies finding in their favour. •Community-centred health services should be reconceptualised and resourced as the centre of gravity of local, effective and affordable health care services for Australia. A growing international expert consensus suggests that such community-centred health services should be placed in the centre of their communities, closely linked or collocated where possible with primary health care, and functionally integrated with their respective hospital-based services. What is known about the topic?Community-centred health care has been widely demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred care, particularly for prevention and care of persistent, long-term or recurrent conditions, e.g. in mental health service systems. A growing international expert consensus suggests that such community-centred health services should be placed in the centre of their communities, closely linked or collocated where possible with primary health care, and functionally integrated with their respective hospital-based services. What does this paper add?Despite this global consensus, hospital-centred services continue to dominate health care services in Australia, and some state governments have presided over a retreat from, or even dismantling of, community health services. The reasons for these trends and possible solutions are explored. What are the implications for practitioners?Unless this trend is reversed, the loss of convenient public access to community health services at shopping and transport hubs and the consequent compromising of intensive home-based clinical care, will lead to a deterioration of preventative interventions and the health care of long-term conditions, contrary to international studies and reviews.
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Mawren, D., W. Silvester, R. Newton, R. Fullam i R. Mountjoy. "ADVANCE CARE PLANNING FOR MENTAL HEALTH TREATMENT: THE PERSPECTIVES OF AUSTRALIAN MENTAL HEALTH CLINICIANS". BMJ Supportive & Palliative Care 3, nr 2 (czerwiec 2013): 272.3–273. http://dx.doi.org/10.1136/bmjspcare-2013-000491.122.
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Townsend, Clare E., Jane E. Pirkis, An T. N. Pham, Meredith G. Harris i Harvey A. Whiteford. "Stakeholder concerns about Australia's mental health care system". Australian Health Review 30, nr 2 (2006): 158. http://dx.doi.org/10.1071/ah060158.
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There is growing community and professional concern that the Australian mental health care system requires substantial reform. In response to these concerns, a Senate Select Committee on Mental Health has been commissioned to conduct an inquiry into the provision of mental health services. The current study involved a content analysis of 725 submissions received by the Committee, and highlighted significant areas for reform. People with mental illness face difficulties in accessing mental health care, the care they do receive is of varying quality and poorly coordinated, and necessary services from other sectors, such as housing, are lacking. These problems may be exacerbated for particular groups with complex needs or heightened levels of vulnerability. The system requires reorienting towards the consumers and carers it is designed to serve, and needs stronger governance, higher levels of accountability and improved monitoring of quality. These findings are discussed in the context of the recent acknowledgement of mental health as an issue by the Council of Australian Governments (COAG), which has called for an action plan to be prepared for its consideration by June 2006.
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Meadows, Graham, Bruce Singh, Philip Burgess i Irene Bobevski. "Psychiatry and the Need for Mental Health Care in Australia: Findings from the National Survey of Mental Health and Wellbeing". Australian & New Zealand Journal of Psychiatry 36, nr 2 (kwiecień 2002): 210–16. http://dx.doi.org/10.1046/j.1440-1614.2002.00990.x.
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Objective: This paper describes the pattern of consultations reported with psychiatrists and primary mental health care providers in the Australian adult population. It explores whether inequalities found in utilization of psychiatric services according to area are different in degree from inequalities in utilization of medical and surgical specialists, and describes the meeting of perceived needs for mental health care within those seen by psychiatrists. Method: The National Survey of Mental Health and Wellbeing (NSMHW) was a community survey employing clustered probability sampling, with a computerized field questionnaire which included sections of the composite international diagnostic interview (CIDI), as well as self-reported service utilization and perceived needs for care. Results: By survey estimates, 1.8% of the Australian population consulted a psychiatrist in the last year. Among people with an ICD 10-diagnosed mental disorder, 7.3% consulted a psychiatrist. Only about one in five people seen by a psychiatrist report the psychiatrist as the only mental health care provider. Disadvantaged areas of the cities and remote areas, when compared with the least deprived areas of the cities, showed lower rates of utilization. This effect is stronger in psychiatry than in other specialities. Patients seeing psychiatrists seem to be a more satisfied group than those seeing only other providers; nonetheless, some needs are not well met, and the role of the psychiatrist cannot be isolated as the cause of this satisfaction. Conclusions: Most care delivered by psychiatrists is de facto shared care. Psychiatrists as clinical professionals need to be continually mindful of the need to communicate with others providing care. Psychiatric services in Australia are not delivered in an equitable manner, and the inequalities are greater for psychiatric services than for other medical specialities.
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Bobevski, I., A. Rosen i G. Meadows. "Mental health service use and need for care of Australians without diagnoses of mental disorders: findings from a large epidemiological survey". Epidemiology and Psychiatric Sciences 26, nr 6 (19.06.2017): 596–606. http://dx.doi.org/10.1017/s2045796017000300.
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Aims.While epidemiological surveys worldwide have found a considerable proportion of people using mental health services not to have a diagnosis of a mental disorder, with possible implications of service overuse, other work has suggested that most people without a current diagnosis who used services exhibited other indicators of need. The aims of the present study were, using somewhat different categorisations than previous work, to investigate whether: (1) Australians without a diagnosis of a mental disorder who used mental health services had other indicators of need; and (2) how rate and frequency of service use in Australia related to level of need, then to discuss the findings in light of recent developments in Australian Mental Health Policy and other epidemiological and services research findings.Methods.Data from the Australian National Survey of Mental Health and Wellbeing (NSMHWB) 2007 was analysed.Results.Most people using mental health services had evident indicators of need for mental health care (MHC), and most of those with lower evident levels of need did not make heavy use of services. Only a small proportion of individuals without any disorders or need indicators received MHC (4%). Although this latter group comprises a fair proportion of service users when extrapolating to the Australian population (16%), the vast majority of these individuals only sought brief primary-care or counselling treatment rather than consultations with psychiatrists. Access and frequency of MHC consultations were highest for people with diagnosed lifetime disorders, followed by people with no diagnosed disorders but other need indicators, and least for people with no identified need indicators. Limitations include some disorders not assessed in interview and constraints based on survey size to investigate subgroups defined, for instance, by socioeconomic advantage and disadvantage individually or by characteristics of area.Conclusions.MHC for individuals with no recognised disorders or other reasonable need for such care may be occurring but if so is likely to be an area-specific phenomenon. Rather than revealing a large national pool of treatment resources being expended on the so-called ‘worried well’, the findings suggested a generally appropriate dose–response relationship between need indicators and service use. Definitive ascertainment of area-specific disparities in this national pattern would require a different survey approach. Government proposals for widespread introduction of stepped-care models that may seek to divert patients from existing treatment pathways need to be implemented with care and well informed by local data.
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Bassilios, Bridget, Angela Nicholas, Lennart Reifels, Kylie King, Matthew J. Spittal, Justine Fletcher i Jane Pirkis. "Improving access to primary mental health care for Australian children". Australian & New Zealand Journal of Psychiatry 50, nr 11 (30.09.2016): 1074–84. http://dx.doi.org/10.1177/0004867416671412.
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O'Donnell, Renee, Melissa Savaglio, Dave Vicary i Helen Skouteris. "Effect of community mental health care programs in Australia: a systematic review". Australian Journal of Primary Health 26, nr 6 (2020): 443. http://dx.doi.org/10.1071/py20147.
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Although numerous studies have examined the effects of community-based mental health care programs in Australia, no synthesis of this literature exists. This systematic review of peer-reviewed and grey literature described the types of community-based mental health care programs delivered and evaluated in Australia in the past 20 years, and evaluated their impact in improving outcomes for those with a serious mental illness (SMI). Articles were included if they evaluated the extent to which the programs delivered in Australia improved individual outcomes, including hospitalisations, psychiatric symptoms, substance misuse or psychosocial outcomes, for individuals with an SMI. Forty studies were included. Community-based mental health care programs were categorised into three types: case management (n=23), therapeutic (n=11) and lifestyle (n=6). Therapeutic programs were most effective in reducing psychiatric symptoms. Case management approaches yielded significant improvements in psychosocial outcomes. Lifestyle programs were inconclusive in improving individual outcomes. This review provides support for the implementation of community-based mental health care programs that are informed by both therapeutic and case management principles. A multidisciplinary team that can facilitate the provision of therapeutic and psychosocial support may be most beneficial for those with an SMI within the Australian community.
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King, Shannon C., Amanda L. Rebar, Paul Oliveri i Robert Stanton. "Mental health training for Australian undergraduate paramedic science students: a review". Journal of Mental Health Training, Education and Practice 16, nr 5 (4.08.2021): 373–82. http://dx.doi.org/10.1108/jmhtep-06-2020-0034.
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Purpose This paper aims to present the current state of evidence regarding the mental health literacy of paramedics and student paramedics and whether mental health literacy affects the care that paramedics provide to their patients with mental illness. Design/methodology/approach Embase, PubMed, Medline and Google Scholar were searched for recent (2010–2020) English language published articles using the key phrases paramedic AND/OR ambulance AND mental health AND mental health literacy. Additional searches of the reference lists of included articles were undertaken. A descriptive thematic analysis was used to arrive at a narrative synthesis of the study findings. Findings The emergency medical services system has taken a primary role in the care of patients with mental illness but has limited capacity for non-emergency psychosocial situations. Negative and judgemental attitudes amongst paramedics towards patients with mental illness is a significant issue and remains a barrier to patients seeking medical care for mental illness. Improved care provision and patient engagement might result from specific education aimed to better enhance paramedics’ mental health literacy. Originality/value This literature review provides insights into the current practice of mental health training for Australian undergraduate paramedic science students and the implications for patient care. Recommendations for educational strategies are provided.
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Huang, Beatrice, i Stefan Priebe. "Media coverage of mental health care in the UK, USA and Australia". Psychiatric Bulletin 27, nr 09 (wrzesień 2003): 331–33. http://dx.doi.org/10.1017/s0955603600002968.
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Aims and Method We aimed to assess the contents and tone of articles on mental health care in the UK print media by comparing them with reporting in the USA and Australia. Two broadsheets from each country were analysed using the Internet for a random 4 months over a 1-year period. The number of articles, their content and the views expressed in them were identified and compared. Results A total of 118 articles on mental health care issues were found. The predominant tone of the articles in all three countries was negative, though there were slightly more positive articles in the USA and Australian media. Positive articles highlighted in the UK media covered mostly medical conferences and research findings. Clinical Implications Efforts to achieve a more positive attitude towards people with mental illnesses in the public, such as anti-stigma campaigns, operate against a background of predominantly negative coverage of mental health care issues in broadsheets. The coverage in the UK may tend to be even less positive than in the USA and Australia. Medical conferences and research findings can, however, be used to promote positive views of mental health care in the media.
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Huang, Beatrice, i Stefan Priebe. "Media coverage of mental health care in the UK, USA and Australia". Psychiatric Bulletin 27, nr 9 (wrzesień 2003): 331–33. http://dx.doi.org/10.1192/pb.27.9.331.
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Aims and MethodWe aimed to assess the contents and tone of articles on mental health care in the UK print media by comparing them with reporting in the USA and Australia. Two broadsheets from each country were analysed using the Internet for a random 4 months over a 1-year period. The number of articles, their content and the views expressed in them were identified and compared.ResultsA total of 118 articles on mental health care issues were found. The predominant tone of the articles in all three countries was negative, though there were slightly more positive articles in the USA and Australian media. Positive articles highlighted in the UK media covered mostly medical conferences and research findings.Clinical ImplicationsEfforts to achieve a more positive attitude towards people with mental illnesses in the public, such as anti-stigma campaigns, operate against a background of predominantly negative coverage of mental health care issues in broadsheets. The coverage in the UK may tend to be even less positive than in the USA and Australia. Medical conferences and research findings can, however, be used to promote positive views of mental health care in the media.
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Diminic, S., E. Hielscher, M. G. Harris, Y. Y. Lee, J. Kealton i H. A. Whiteford. "A profile of Australian mental health carers, their caring role and service needs: results from the 2012 Survey of Disability, Ageing and Carers". Epidemiology and Psychiatric Sciences 28, nr 6 (31.08.2018): 670–81. http://dx.doi.org/10.1017/s2045796018000446.
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AbstractAimsPlanning mental health carer services requires information about the number of carers, their characteristics, service use and unmet support needs. Available Australian estimates vary widely due to different definitions of mental illness and the types of carers included. This study aimed to provide a detailed profile of Australian mental health carers using a nationally representative household survey.MethodsThe number of mental health carers, characteristics of carers and their care recipients, caring hours and tasks provided, service use and unmet service needs were derived from the national 2012 Survey of Disability, Ageing and Carers. Co-resident carers of adults with a mental illness were compared with those caring for people with physical health and other cognitive/behavioural conditions (e.g., autism, intellectual disability, dementia) on measures of service use, service needs and aspects of their caring role.ResultsIn 2012, there were 225 421 co-resident carers of adults with mental illness in Australia, representing 1.0% of the population, and an estimated further 103 813 mental health carers not living with their care recipient. The majority of co-resident carers supported one person with mental illness, usually their partner or adult child. Mental health carers were more likely than physical health carers to provide emotional support (68.1%v.19.7% of carers) and less likely to assist with practical tasks (64.1%v.86.6%) and activities of daily living (31.9%v.48.9%). Of co-resident mental health carers, 22.5% or 50 828 people were confirmed primary carers – the person providing the most support to their care recipient. Many primary mental health carers (37.8%) provided more than 40 h of care per week. Only 23.8% of primary mental health carers received government income support for carers and only 34.4% received formal service assistance in their caring role, while 49.0% wanted more support. Significantly more primary mental health than primary physical health carers were dissatisfied with received services (20.0%v.3.2%), and 35.0% did not know what services were available to them.ConclusionsResults reveal a sizable number of mental health carers with unmet needs in the Australian community, particularly with respect to financial assistance and respite care, and that these carers are poorly informed about available supports. The prominence of emotional support and their greater dissatisfaction with services indicate a need to better tailor carer services. If implemented carefully, recent Australian reforms including the Carer Gateway and National Disability Insurance Scheme hold promise for improving mental health carer supports.
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Bourke, Sharon L., Claire Harper, Elianna Johnson, Janet Green, Ligi Anish, Miriam Muduwa i Linda Jones. "Health Care Experiences in Rural, Remote, and Metropolitan Areas of Australia". Online Journal of Rural Nursing and Health Care 21, nr 1 (4.05.2021): 67–84. http://dx.doi.org/10.14574/ojrnhc.v21i1.652.
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Background: Australia is a vast land with extremes in weather and terrain. Disparities exist between the health of those who reside in the metropolitan areas versus those who reside in the rural and remote areas of the country. Australia has a public health system called Medicare; a basic level of health cover for all Australians that is funded by taxpayers. Most of the hospital and health services are located in metropolitan areas, however for those who live in rural or remote areas the level of health service provision can be lower; with patients required to travel long distances for health care.
Purpose: This paper will explore the disparities experienced by Australians who reside in regional and remote areas of Australia.
Method: A search of the literature was performed from healthcare databases using the search terms: healthcare, rural and remote Australia, and social determinants of health in Australia.
Findings: Life in the rural and remote areas of Australia is identified as challenging compared to the metropolitan areas. Those with chronic illnesses such as diabetes are particularly vulnerable to morbidities associated with poor access to health resources and the lack of service provision.
Conclusion: Australia has a world class health system. It has been estimated that 70% of the Australian population resides in large metropolitan areas and remaining 30% distributed across rural and remote communities. This means that 30% of the population are not experiencing their health care as ‘world-class’, but rather are experiencing huge disparities in their health outcomes.
Keywords: rural and remote, health access, mental health issues, social determinants
DOI: https://doi.org/10.14574/ojrnhc.v21i1.652
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Harris, Paul, Asiyeh Salehi, Elizabeth Kendall, Jennifer Whitty, Andrew Wilson i Paul Scuffham. "“She’ll be right, mate!”: do Australians take their health for granted?" Journal of Primary Health Care 12, nr 3 (2020): 277. http://dx.doi.org/10.1071/hc20025.
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ABSTRACT INTRODUCTIONHealth consciousness highlights the readiness of individuals to undertake health actions and take responsibility for their health and the health of others. AIMTo examine the health consciousness of Australians and its association with health status, health-care utilisation and sociodemographic factors. METHODSThis quantitative cross-sectional study was a part of a larger project aiming to engage the general public in health-care decision-making. Adults from Queensland and South Australia (n=1529) were recruited to participate by a panel company. The questionnaire included the Health Consciousness Scale (HCS), health status, health-care utilisation, sociodemographic and socioeconomic variables. RESULTSThe health consciousness of Australians was relatively low (mean score=21), compared to other international administrations of the HCS, and further investigations revealed that more health-conscious people tended to live in South Australia, be female and single, experience poorer physical and mental health and were more frequent users of health-care services. DISCUSSIONThe general approach to health in this sample of the Australian public may reflect ‘here and now’ concerns. It appears that an attitude of ‘she’ll be right, mate’ prevails until a change in an individual’s health status or their exposure to the health system demands otherwise. These findings need to be investigated further to see if they are confirmed by others and to clarify the implications for primary health programmes in Australia in redressing the public’s apparent apathy.
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Sved Williams, Anne, i Jill Poulton. "Supporting Mental Health in the Community: New Systems for General Practice". Australian Journal of Primary Health 12, nr 2 (2006): 105. http://dx.doi.org/10.1071/py06029.
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General practitioners (GPs) manage nearly one-third of Australians seeking help for mental health problems, and frequently express their need for consultant psychiatric support in this work. The introduction of new Medical Benefits Schedule Item Numbers 291 and 293 to provide "one-off" psychiatric assessments on referral from GPs offered the potential for providing this support, and a single point-of-entry scheme was organised to provide ease of access to appointments. The aims were to establish a single point of entry for psychiatrist assessment using Item 291, to evaluate the take-up rates of Item 291 in South Australia (SA) through this service and to evaluate the acceptability to GPs and psychiatrists of a psychiatric primary care consultation-liaison (c-l) model. Results were: 26 psychiatrists joined the project; 64 GPs referred 78 patients for assessment, providing 24% of the Australian take-up rate for Item 291, for 8% of the population; evaluation showed high approval ratings from GPs who particularly appreciated the single contact point; and positive evaluation by psychiatrists of the primary care c-l model. The conclusions were that a single contact point provided ease of access to psychiatrists for GPs; GP and psychiatrist groups evaluated Item 291 very positively; and consumer and carer evaluation are essential for further primary care c-l development.
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Myles, Nicholas, Matthew Large, Hannah Myles, Robert Adams, Dennis Liu i Cherrie Galletly. "Australia’s economic transition, unemployment, suicide and mental health needs". Australian & New Zealand Journal of Psychiatry 51, nr 2 (31.10.2016): 119–23. http://dx.doi.org/10.1177/0004867416675035.
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Objective: There have been substantial changes in workforce and employment patterns in Australia over the past 50 years as a result of economic globalisation. This has resulted in substantial reduction in employment in the manufacturing industry often with large-scale job losses in concentrated sectors and communities. Large-scale job loss events receive significant community attention. To what extent these mass unemployment events contribute to increased psychological distress, mental illness and suicide in affected individuals warrants further consideration. Methods: Here we undertake a narrative review of published job loss literature. We discuss the impact that large-scale job loss events in the manufacturing sector may have on population mental health, with particular reference to contemporary trends in the Australian economy. We also provide a commentary on the expected outcomes of future job loss events in this context and the implications for Australian public mental health care services. Results and conclusion: Job loss due to plant closure results in a doubling of psychological distress that peaks 9 months following the unemployment event. The link between job loss and increased rates of mental illness and suicide is less clear. The threat of impending job loss and the social context in which job loss occurs has a significant bearing on psychological outcomes. The implications for Australian public mental health services are discussed.
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Morrison, Paul, i Norman Jay Stomski. "Australian mental health caregiver burden: a smallest space analysis". BMJ Open 9, nr 6 (czerwiec 2019): e022419. http://dx.doi.org/10.1136/bmjopen-2018-022419.
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ObjectivesTo explore Australian mental health carers’ prioritisation of key elements of caregiving and establish the extent to which particular issues contribute to carer burden.DesignCross-sectional survey.SettingAll Australian States and Territories.ParticipantsResponses were received from 231 Australian mental health caregivers.Main outcome measuresThe Involvement Evaluation Questionnaire was used to assess caregiver burden.ResultsSmallest space analysis identified three distinct regions, which we conceptualise as: 1) promoting the safety and health of mental health consumers; 2) impact of caring on caregivers’ personal lives and 3) enabling daily living functional recovery of mental health consumers. The analysis demonstrates that carers are most concerned with enabling daily living functional recovery, for which the mean value was considerably higher than the personal impact and promoting safety and health regions. In terms of the individual questionnaire items, the issues of most importance are assisting with self-care, worrying about consumers’ future, finances and general health, encouraging consumer involvement in activities and concerns over the treatment consumers are receiving.ConclusionCaregiving often came at significant personal cost. The burden that results from caring for mental health consumers could perhaps be alleviated through the expansion of psychiatric disability services, increasing government financial support and providing tailored psychosocial interventions that meet the needs of families.
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Reynolds, Julia, Kathleen M. Griffiths, John A. Cunningham, Kylie Bennett i Anthony Bennett. "Clinical Practice Models for the Use of E-Mental Health Resources in Primary Health Care by Health Professionals and Peer Workers: A Conceptual Framework". JMIR Mental Health 2, nr 1 (23.03.2015): e6. http://dx.doi.org/10.2196/mental.4200.
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Background Research into e-mental health technologies has developed rapidly in the last 15 years. Applications such as Internet-delivered cognitive behavioral therapy interventions have accumulated considerable evidence of efficacy and some evidence of effectiveness. These programs have achieved similar outcomes to face-to-face therapy, while requiring much less clinician time. There is now burgeoning interest in integrating e-mental health resources with the broader mental health delivery system, particularly in primary care. The Australian government has supported the development and deployment of e-mental health resources, including websites that provide information, peer-to-peer support, automated self-help, and guided interventions. An ambitious national project has been commissioned to promote key resources to clinicians, to provide training in their use, and to evaluate the impact of promotion and training upon clinical practice. Previous initiatives have trained clinicians to use a single e-mental health program or a suite of related programs. In contrast, the current initiative will support community-based service providers to access a diverse array of resources developed and provided by many different groups. Objective The objective of this paper was to develop a conceptual framework to support the use of e-mental health resources in routine primary health care. In particular, models of clinical practice are required to guide the use of the resources by diverse service providers and to inform professional training, promotional, and evaluation activities. Methods Information about service providers’ use of e-mental health resources was synthesized from a nonsystematic overview of published literature and the authors’ experience of training primary care service providers. Results Five emerging clinical practice models are proposed: (1) promotion; (2) case management; (3) coaching; (4) symptom-focused treatment; and (5) comprehensive therapy. We also consider the service provider skills required for each model and the ways that e-mental health resources might be used by general practice doctors and nurses, pharmacists, psychologists, social workers, occupational therapists, counselors, and peer workers Conclusions The models proposed in the current paper provide a conceptual framework for policy-makers, researchers and clinicians interested in integrating e-mental health resources into primary care. Research is needed to establish the safety and effectiveness of the models in routine care and the best ways to support their implementation.
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Banfield, Michelle, Louise M. Farrer i Christopher Harrison. "Management or missed opportunity? Mental health care planning in Australian general practice". Australian Journal of Primary Health 25, nr 4 (2019): 332. http://dx.doi.org/10.1071/py18150.
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General practice care plans are designed to improve the management of chronic illness, facilitating multidisciplinary care and enabling GPs and consumers to work collaboratively. Evidence suggests that they work well for chronic physical illnesses, but it is unclear if they operate as intended for people with mental disorders. The aims of this study were to: (1) compare rates of creation and review of GP care plans for mental disorders and type II diabetes; and (2) examine consumer experiences. Secondary analysis of 109589 recorded encounters from a national cross-sectional study in Australian general practice (2006–16) demonstrated that encounters involving creation of a care plan for depression or anxiety were significantly higher than those for diabetes, bipolar disorder and schizophrenia. Rates of review were commensurate with creation of plans for diabetes, but not for mental disorders. Eighteen people with a GP care plan completed an online survey about their experiences, reporting that care plans facilitated access to allied health professionals, but did not improve the quality of care they received. Findings suggest that care plans are underutilised for people with low prevalence mental disorders, and while they offer financial benefits to consumers, they may not result in ongoing, collaborative care.
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Cleary, Michelle, Suzanne Dean, Sue Webster, Garry Walter, Phil Escott i Violeta Lopez. "Primary Health Care in the Mental Health Workplace: Insights from the Australian Experience". Issues in Mental Health Nursing 35, nr 6 (23.05.2014): 437–43. http://dx.doi.org/10.3109/01612840.2013.855853.
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Purushothaman, Subramanian. "The need for a Quality in Australian Mental Health Care study". Australasian Psychiatry 24, nr 2 (18.03.2016): 205. http://dx.doi.org/10.1177/1039856215618530.
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Sweet, Melissa. "Australian state and federal governments are attacked on mental health care". BMJ 331, nr 7523 (27.10.2005): 984.5. http://dx.doi.org/10.1136/bmj.331.7523.984-d.
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King, Kylie, Bridget Bassilios, Angela Nicholas, Justine Fletcher, Lennart Reifels i Jane Pirkis. "Assessing patient satisfaction in an Australian primary mental health care context". Advances in Mental Health 12, nr 3 (grudzień 2014): 161–66. http://dx.doi.org/10.1080/18374905.2014.11081894.
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Procter, Nicholas. "A brief survey of emerging issues in Australian mental health care". Collegian 15, nr 3 (sierpień 2008): 83–84. http://dx.doi.org/10.1016/j.colegn.2008.06.001.
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Corscadden, L., E. J. Callander i S. M. Topp. "Disparities in access to health care in Australia for people with mental health conditions". Australian Health Review 43, nr 6 (2019): 619. http://dx.doi.org/10.1071/ah17259.
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Objective One aim of Australia’s Equally Well National Consensus Statement is to improve monitoring of the physical health of people with mental health conditions, which includes measures of accessibility and people’s experiences of physical health care services. The present analysis contributes to this aim by using population survey data to evaluate whether, and in what domains, Australians with a mental health condition experience barriers in accessing care when compared with Australians without a mental health condition. Methods The 2016 Commonwealth Fund International Health Policy Survey includes a sample of 5248 Australian adults. Access to care was measured using 39 survey questions from before to after reaching services. Multivariable logistic regression models were used to identify disparities in barriers to access, comparing experiences of people with and without a self-reported mental health condition, adjusting for age, sex, immigrant status, income and self-rated health. Results Australians with mental health conditions were more likely to experience barriers for 29 of 39 access measures (odds ratio (OR) >1.55; P<0.05). On average, the prevalence of barriers was 10 percentage points higher for those with a condition. When measured as ratios, the largest barriers for people with mental health conditions were for affordability. When measured as percentage point differences, the largest disparities were observed for experiences of not being treated with respect in hospital. Disparities remained after adjusting for income, rurality, education, immigrant status and self-rated health for 25 of 39 measures. Conclusion Compared with the rest of the community, Australians with mental health conditions have additional challenges negotiating the health system, and are more likely to experience barriers to access to care across a wide range of measures. Understanding the extent to which people with mental health conditions experience barriers throughout the pathway to accessing care is crucial to inform care planning and delivery for this vulnerable group. Results may inform improvements in regular performance monitoring of disparities in access for people with mental health conditions. What is known about this topic? A stated national aim of the Equally Well National Consensus Statement is to improve monitoring of the physical health and well-being of people with mental health conditions through measures of service accessibility and people’s experiences of physical healthcare services. What does this paper add? This paper highlights areas in which health services are not providing equal access to overall care for people with mental health conditions. The analysis offers quantitative evidence of ‘red flag areas’ where people with mental health conditions are significantly more likely to experience barriers to access to care. What are the implications for practitioners? Systematic attention across the health system to making care more approachable and accessible for people with mental health conditions is needed. Practitioners may be engaged to discuss possible interventions to improve access disparities for people with mental health conditions.
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Ryan, Brigid, Manrenga Viane, Fran Timmins, Alex Smith i Claire Anstey. "Bridging the ocean: Kiribati Australia alliance in mental health". Australasian Psychiatry 25, nr 5 (29.06.2017): 474–77. http://dx.doi.org/10.1177/1039856217706822.
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Objective: The objective of this study was to demonstrate the benefits of collaboration between Australia and Kiribati, a Pacific island nation, to enhance Kiribati’s mental health system. Method: The collaboration involved a training program for a Kiribati senior mental health leader in Melbourne, Australia, and service planning including prioritisation of key areas for development. Results: As well as receiving general training in community-based mental health, the Kiribati mental health leader gained skills in modification of the inpatient environment, with plans for implementation in Kiribati within the current limited resources. Future planning will focus on shifting from an emphasis on acute psychiatric treatment and custodial care to a recovery-oriented approach. Conclusion: The international exchange was a positive experience for both the Kiribati participants and their Australian colleagues. Knowledge transfer was achieved in a short time, and service development appropriate and realistic for the Kiribati environment was planned.
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Boyce, Philip, i Nicola Crossland. "The Royal Australian and New Zealand College of Psychiatrists". International Psychiatry 2, nr 10 (październik 2005): 19–21. http://dx.doi.org/10.1192/s1749367600007529.
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The vision of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) is of ‘a fellowship of psychiatrists working with and for the general community to achieve the best attainable quality of psychiatric care and mental health’. It is the principal organisation representing the specialty of psychiatry in Australia and New Zealand; it currently has around 2600 Fellows, who account for approximately 85% of psychiatrists in Australia and 50% of psychiatrists in New Zealand. The RANZCP sets the curriculum, accredits training and training programmes, and assesses trainee psychiatrists. In addition, it administers a continuing professional development programme for practising psychiatrists, has a role in policy development, publishes two scientific journals – the Australian and New Zealand Journal of Psychiatry and Australasian Psychiatry – and holds an annual scientific congress.
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Boyce, Philip, Peter Ellis i Jonine Penrose-Wall. "Australian and New Zealand Clinical Practice Guidelines for Specialist Adult Mental Health Care: An Introduction". Australasian Psychiatry 11, nr 1 (marzec 2003): 21–25. http://dx.doi.org/10.1046/j.1440-1665.2003.00521.x.
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Objective: To introduce, for College Fellows, Associates and Trainees and other readers of Australasian Psychiatry, the Australian and New Zealand Clinical Practice Guidelines for Specialist Adult Mental Health Care. Conclusions: For clinical practice guidelines to be applied appropriately and with confidence in practice, their development process, quality characteristics and limitations must be transparent to health systems, guideline users and consumers. Moreover, their status as evidence-based guidelines or consensus guidelines, or mixed-status guidelines, must be made explicit. This introduction to the Australian and New Zealand Clinical Practice Guidelines for Specialist Adult Mental Health Care is designed to assist you in implementing the guidelines in your practice. These are guidelines to assist practice. They are not a set of prescriptions about what to do. The process for developing the six guidelines is summarized. It involved over 70 individuals directly, who worked over a 2-year period in six independent guideline development teams to synthesize the research findings and to consult on draft recommendations. The teams included consumer and carer writing panels for most of the consumer guidelines. The series includes titles on schizophrenia; bipolar disorder; depression; panic and agoraphobia; anorexia nervosa; and deliberate self-harm. Full versions of the guidelines are to be published in the Australian and New Zealand Journal of Psychiatry. Consumer versions are published elsewhere. Extended versions and background material is available on the RANZCP website.
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Eisen, Peter. "Potential for Psychiatric Leadership in Health Care". Australian & New Zealand Journal of Psychiatry 20, nr 2 (czerwiec 1986): 107–11. http://dx.doi.org/10.3109/00048678609161323.
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Some individual Australian psychiatrists have held influential positions in the administration of health care, academic institutions and medical research. It is timely to assess whether individual or group action best meets psychiatry's professional and service needs. Through an exploration of aspects of professionalism, power, leadership, change in the nature and control of health care, and psychiatry's political roles, a case is made for corporate action aimed at psychiatry establishing leadership roles in Australian health care.
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Meadows, G., Burgess P, C. Harvey i E. Fossey. "Perceived need for mental health care, findings from the Australian survey of mental health and well-being". Australian and New Zealand Journal of Psychiatry 34, s1 (styczeń 2000): A45. http://dx.doi.org/10.1080/000486700698.
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Meadows, Graham N., i Philip M. Burgess. "Perceived Need for Mental Health Care: Findings from the 2007 Australian Survey of Mental Health and Wellbeing". Australian & New Zealand Journal of Psychiatry 43, nr 7 (styczeń 2009): 624–34. http://dx.doi.org/10.1080/00048670902970866.
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Forbes, David, Mark Creamer i Darryl Wade. "Psychological support and recovery in the aftermath of natural disaster". International Psychiatry 9, nr 1 (luty 2012): 15–17. http://dx.doi.org/10.1192/s1749367600002939.
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Natural disasters can result in a range of mental health outcomes among the affected population. Appropriate mental health interventions are required to promote recovery. In the aftermath of the 2009 bushfires in Victoria, Australia, a collaboration of trauma experts, the Australian and Victorian state governments and health professional associations developed an evidence-informed three-level framework outlining recommended levels of care. The framework was underpinned by an education and training agenda for mental health professionals. This framework has been successfully applied after further natural disasters in Australia. This paper outlines the steps included in each of the levels.
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Brophy, Lisa, Craig Hodges, Kieran Halloran, Margaret Grigg i Mary Swift. "Impact of care coordination on Australia's mental health service delivery system". Australian Health Review 38, nr 4 (2014): 396. http://dx.doi.org/10.1071/ah13181.
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Care coordination models have developed in response to the recognition that Australia’s health and welfare service system can be difficult to access, navigate and is often inefficient in caring for people with severe and persistent mental illness (SPMI) and complex care and support needs. This paper explores how the Australian Government’s establishment of the Partners in Recovery (PIR) initiative provides an opportunity for the development of more effective and efficient models of coordinated care for the identified people with SPMI and their families and carers. In conceptualising how the impact of the PIR initiative could be maximised, the paper explores care coordination and what is known about current best practice. The key findings are the importance of having care coordinators who are well prepared for the role, can demonstrate competent practice and achieve better systemic responses focused on the needs of the client, thus addressing the barriers to effective care and treatment across complex service delivery systems. What is known about the topic? Care coordination, as an area of mental health practice in Australia, has not been well defined and the evidence available about its effectiveness is uneven. Even so, care coordination is increasingly identified as having the potential to deliver a more person-centred response to the health and social needs of people with severe and persistent mental illness (SPMI), as well as enhance the responsiveness of Australia’s mental health service delivery system. The introduction of Partners in Recovery (PIR), a new Australian Government initiative based on coordinated care approaches, provides the impetus to investigate the hoped for mental health system enhancements and related improved client outcomes. What does this paper add? This paper offers a rationale for care coordination, referred to in the PIR model as support facilitation, as a primary enabler for enhanced person-centred, cost-effective and sustainable mental health service delivery. The paper discusses support facilitation as an integral practice platform for supporting the successful implementation and sustainability of the PIR initiative. It also addresses issues that may be encountered in establishing the roles and functions of various components of the initiative’s care coordination model. What are the implications for practitioners? The key implications for PIR support facilitation practitioners are to reconsider their function and roles within a mental health service delivery system that places care coordination at its centre. This paper establishes that any model of care coordination requires well-trained and enthusiastic practitioners with a sophisticated appreciation of current barriers to care. Practitioners will be required to value partnerships as a means of addressing barriers that impact on the establishment and maintenance of robust, system-wide responses that are genuinely consumer focused.
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Mihalopoulos, Cathrine, Mary Lou Chatterton, Lidia Engel, Long Khanh-Dao Le i Yong Yi Lee. "Whither economic evaluation in the case of COVID-19: What can the field of mental health economics contribute within the Australian context?" Australian & New Zealand Journal of Psychiatry 54, nr 12 (2.10.2020): 1157–61. http://dx.doi.org/10.1177/0004867420963724.
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COVID-19 has resulted in broad impacts on the economy and aspects of daily life including our collective mental health and well-being. The Australian health care system already faces limitations in its ability to treat people with mental health diagnoses. Australia has responded to the COVID-19 outbreak by, among other initiatives, providing reimbursement for telehealth services. However, it is unclear if these measures will be enough to manage the psychological distress, depression, anxiety and post-traumatic distress shown to accompany infectious disease outbreaks and economic shocks. Decision making has focused on the physical health ramifications of COVID-19, the avoidance of over-burdening the health care system and saving lives. We propose an alternative framework for decision making that combines life years saved with impacts on quality of life. A framework that simultaneously includes mental health and broader economic impacts into a single decision-making process would facilitate transparent and accountable decision making that can improve the overall welfare of Australian society as we continue to address the considerable challenges that the COVID-19 pandemic is creating.