Готові списки джерел за темами / Aboriginal australians – mental health services

Добірка наукової літератури з теми "Aboriginal australians – mental health services"

Автор: Grafiati

Опубліковано: 27 липня 2024

Оновлено: 28 липня 2024

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Emden, Carolyn, Inge Kowanko, Charlotte de Crespigny, and Helen Murray. "Better medication management for Indigenous Australians: findings from the field." Australian Journal of Primary Health 11, no. 1 (2005): 80. http://dx.doi.org/10.1071/py05011.

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This paper reports findings from interviews and focus groups conducted within a multi-dimensional action research project concerning medication management among Indigenous Australians. Participants were Aboriginal people with mental health problems, carers and family members, and health and social service workers from different regions in South Australia. A meta-analysis of findings from each regional project component was conducted, and major themes conceptualised and developed into a coherent summary. The findings revealed problems of a magnitude not previously realised - mental health problems (including alcohol and drug problems) and medication management among Aboriginal people clearly are major issues requiring immediate and sustained attention if the health and welfare of the Australian Indigenous population are to be improved. Findings concerned eight major areas: social and emotional wellbeing issues; stressors on Aboriginal health services and providers; training for the Aboriginal health workforce; mainstream health services for Aboriginal people; trust and confidentiality within Aboriginal health services; English language literacy and numeracy skills of Aboriginal clients; remote living arrangements for many Aboriginal people; problems with alcohol use; and institutionalised and individual racism in the community at large.

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Puszka, Stefanie, Kylie M. Dingwall, Michelle Sweet, and Tricia Nagel. "E-Mental Health Innovations for Aboriginal and Torres Strait Islander Australians: A Qualitative Study of Implementation Needs in Health Services." JMIR Mental Health 3, no. 3 (September 19, 2016): e43. http://dx.doi.org/10.2196/mental.5837.

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Background Electronic mental health (e-mental health) interventions offer effective, easily accessible, and cost effective treatment and support for mental illness and well-being concerns. However, e-mental health approaches have not been well utilized by health services to date and little is known about their implementation in practice, particularly in diverse contexts and communities. Objective This study aims to understand stakeholder perspectives on the requirements for implementing e-mental health approaches in regional and remote health services for Indigenous Australians. Methods Qualitative interviews were conducted with 32 managers, directors, chief executive officers (CEOs), and senior practitioners of mental health, well-being, alcohol and other drug and chronic disease services. Results The implementation of e-mental health approaches in this context is likely to be influenced by characteristics related to the adopter (practitioner skill and knowledge, client characteristics, communication barriers), the innovation (engaging and supportive approach, culturally appropriate design, evidence base, data capture, professional development opportunities), and organizational systems (innovation-systems fit, implementation planning, investment). Conclusions There is potential for e-mental health approaches to address mental illness and poor social and emotional well-being amongst Indigenous people and to advance their quality of care. Health service stakeholders reported that e-mental health interventions are likely to be most effective when used to support or extend existing health services, including elements of client-driven and practitioner-supported use. Potential solutions to obstacles for integration of e-mental health approaches into practice were proposed including practitioner training, appropriate tool design using a consultative approach, internal organizational directives and support structures, adaptations to existing systems and policies, implementation planning and organizational and government investment.

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Wright, Michael, Alex Brown, Patricia Dudgeon, Rob McPhee, Juli Coffin, Glenn Pearson, Ashleigh Lin, et al. "Our journey, our story: a study protocol for the evaluation of a co-design framework to improve services for Aboriginal youth mental health and well-being." BMJ Open 11, no. 5 (May 2021): e042981. http://dx.doi.org/10.1136/bmjopen-2020-042981.

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IntroductionMainstream Australian mental health services are failing Aboriginal young people. Despite investing resources, improvements in well-being have not materialised. Culturally and age appropriate ways of working are needed to improve service access and responsiveness. This Aboriginal-led study brings Aboriginal Elders, young people and youth mental health service staff together to build relationships to co-design service models and evaluation tools. Currently, three Western Australian youth mental health services in the Perth metropolitan area and two regional services are working with local Elders and young people to improve their capacity for culturally and age appropriate services. Further Western Australian sites will be engaged as part of research translation.Methods and analysisRelationships ground the study, which utilises Indigenous methodologies and participatory action research. This involves Elders, young people and service staff as co-researchers and the application of a decolonising, strengths-based framework to create the conditions for engagement. It foregrounds experiential learning and Aboriginal ways of working to establish relationships and deepen non-Aboriginal co-researchers’ knowledge and understanding of local, place-based cultural practices. Once relationships are developed, co-design workshops occur at each site directed by local Elders and young people. Co-designed evaluation tools will assess any changes to community perceptions of youth mental health services and the enablers and barriers to service engagement.Ethics and disseminationThe study has approval from the Kimberley Aboriginal Health Planning Forum Kimberley Research Subcommittee, the Western Australian Aboriginal Health Ethics Committee, and the Curtin University Human Research Ethics Committee. Transferability of the outcomes across the youth mental health sector will be directed by the co-researchers and is supported through Aboriginal and non-Aboriginal organisations including youth mental health services, peak mental health bodies and consumer groups. Community reports and events, peer-reviewed journal articles, conference presentations and social and mainstream media will aid dissemination.

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Westerman, Tracy. "Engaging Australian Aboriginal youth in mental health services." Australian Psychologist 45, no. 3 (September 2010): 212–22. http://dx.doi.org/10.1080/00050060903451790.

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Butler, Tony, Stephen Allnutt, Azar Kariminia, and David Cain. "Mental Health Status of Aboriginal and Non-Aboriginal Australian Prisoners." Australian & New Zealand Journal of Psychiatry 41, no. 5 (May 2007): 429–35. http://dx.doi.org/10.1080/00048670701261210.

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Objective: To compare the mental health of Aboriginal and non-Aboriginal prisoners in New South Wales. Methods: The sample consisted of a cross-sectional random sample of sentenced prisoners, and a consecutive sample of reception prisoners. The sample was drawn from 29 correctional centres (27 male, two female) across New South Wales. Overall, 1208 men (226 Aboriginal), and 262 women (51 Aboriginal) participated in the study. Mental illness was detected using the Composite International Diagnostic Interview (CIDI-A) and a number of other screening measures incorporated into the programme. Results: No differences were detected in mental illness between Aboriginal and non-Aboriginal men, apart from depression, which was lower in the latter group. Aboriginal woman were more likely than non-Aboriginal women to screen positive for symptoms of psychosis in the prior 12 months and have a higher 1 month and 12 month prevalence of affective disorder; they also had higher psychological distress scores. Suicidal thoughts and attempts were the same in both groups. Conclusions: These findings confirm that the demand for mental health services in prisons is considerable, and that Aboriginal women are one of the most vulnerable groups. Services and programmes providing an alternative to incarceration are needed, as are culturally sensitive approaches to treatment.

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Titov, Nickolai, Carlie Schofield, Lauren Staples, Blake F. Dear, and Olav Nielssen. "A comparison of Indigenous and non-Indigenous users of MindSpot: an Australian digital mental health service." Australasian Psychiatry 27, no. 4 (July 30, 2018): 352–57. http://dx.doi.org/10.1177/1039856218789784.

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Objective: To report on Aboriginal and Torres Strait Islander (Indigenous) users of MindSpot, a national service for the remote assessment and treatment of anxiety and depression. Methods: The characteristics and treatment outcomes of Indigenous patients who registered with MindSpot between January 2015 and December 2016, were compared with non-Indigenous users. Changes in psychological distress, depression and anxiety were measured using the Kessler 10-Item (K-10), Patient Health Questionnaire 9-Item (PHQ-9), and Generalised Anxiety Disorder Scale 7-Item (GAD-7), respectively. Results: Of 23,235 people who completed a MindSpot assessment between 1 January 2015 and 31 December 2016, 780 (3.4%) identified as Indigenous Australian. They had higher symptom scores, were more likely to live in a remote location, and a third reported no previous contact with mental health services. Fewer Indigenous patients enrolled in a treatment course, but those who did had similar rates of completion and similar reductions in symptoms to non-Indigenous patients. Conclusions: MindSpot treatments were effective in treating anxiety and depression in Indigenous Australians, and outcomes were similar to those of non-Indigenous patients. Services like MindSpot are a treatment option that can help overcome barriers to mental health care for Indigenous Australians.

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Dudgeon, Pat, Maddie Boe, and Roz Walker. "Addressing Inequities in Indigenous Mental Health and Wellbeing through Transformative and Decolonising Research and Practice." Research in Health Science 5, no. 3 (August 10, 2020): p48. http://dx.doi.org/10.22158/rhs.v5n3p48.

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Aim: This paper discusses the current mental health and social and emotional wellbeing in Indigenous Australian mental health and wellbeing, the gaps in research, the need for transformative and decolonising research and practice, and the opportunities and recommendations to address existing mental health inequities. Method: This paper reviews key mental health and social and wellbeing policy documents and frameworks, and examines relevant literature documenting current decolonising strategies to improve programs, services and practice. It also draws on the key findings of the Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention (CBPATSISP) and Transforming Indigenous Mental Health and Wellbeing research projects. In addition this work builds on the substantial work of the national Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP) which outlines a range of solutions to reduce the causes, prevalence, and impact of Indigenous suicide by identifying, translating, and promoting the adoption of evidenced based best practice in Indigenous specific suicide prevention activities. Discussion and Conclusion: This paper details the challenges as well as the promise and potential of engaging in transformative and decolonising research and practice to address the existing health service inequities. Acknowledging and addressing these health inequities is an urgent and critical task given the current COVID-19 pandemic and potential for further increasing the adverse mental health and wellbeing gap for Indigenous Australians.

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de Crespigny, Charlotte, Inge Kowanko, Helen Murray, Carolyn Emden, and Scott Wilson. "Improving Indigenous health through better medication management: an overview." Australian Journal of Primary Health 11, no. 1 (2005): 17. http://dx.doi.org/10.1071/py05003.

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This paper provides an overview of a major South Australian research project with implications for the health of all Indigenous Australians. The researchers set out to explore the medication needs of Aboriginal people with mental health problems and found that most Aboriginal people have to deal with profound challenges to social and emotional wellbeing with significant medication implications. No previous research had investigated the problem of medication use by Aboriginal people in metropolitan, rural and remote locations to the depth and extent of this project. The research therefore is of widespread relevance and holds interest for many Indigenous and non-Indigenous individuals and groups, consumers, service providers and policy-makers. As a research team comprising Indigenous and non-Indigenous members, we were committed to implementing strategies in the course of the project with immediate benefit to project participants as well as longer-term impact on improved use of medications. The design of the project enabled these strategic interventions and we are pleased to promote this model to other researchers. Recommendations from the project concern services, coordination of care, carers and family members, workforce education, and community development. Readers are advised where the project report and other published papers can be accessed. The project was funded by the Commonwealth Department of Health and Ageing.

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Ames, David. "Australia (Melbourne)." Psychiatric Bulletin 16, no. 9 (September 1992): 552–54. http://dx.doi.org/10.1192/pb.16.9.552.

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Australia is a unique, geologically ancient island continent. Its flora and fauna are unlike those found anywhere else and the same may be said of its people, politics and health services. The population of 17.3 millions represents a multicultural mix, with an anglo-celtic core conflated by sustained post-war immigration from southern Europe, Turkey, southeast Asia and south America. One in five current Australians was born elsewhere, one in ten comes from a non-English speaking background, and a quarter of those born here have a parent who was born overseas. Aboriginals and Torres Strait Islanders form 1.4% of the total population. They have third world mortality figures but die of first world diseases, their life expectancy being 20 years less than that of other Australians. Two hundred and four years after what they see as the British invasion, their standard of living lags far behind all other socio-cultural groups in the country. Most members of the Aboriginal community do not live long enough to develop Alzheimer's disease, but it and other age-related diseases are emerging as the major determinants of health costs as Australia moves towards the 21st century.

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Liddelow-Hunt, Shakara, Ashleigh Lin, James Hector Laurent Hill, Kate Daglas, Braden Hill, Yael Perry, Mirella Wilson, and Bep Uink. "Conceptualising Wellbeing for Australian Aboriginal LGBTQA+ Young People." Youth 3, no. 1 (January 12, 2023): 70–92. http://dx.doi.org/10.3390/youth3010005.

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It is likely that young people who are both Aboriginal and Torres Strait Islander and LGBTQA+ would be at increased risk for poor mental health outcomes due to the layered impacts of discrimination they experience; however, there is very little empirical evidence focused on the mental health and wellbeing of Aboriginal and Torres Strait Islander LGBTQA+ young people. The current study represents a qualitative exploration of wellbeing among Aboriginal LGBTQA+ young people. This study consisted of semi-structured interviews and focus groups with Aboriginal LGBTQA+ young people aged 14–25 years old in the Perth metropolitan area of Western Australia. Thematic analysis identified seven major themes that were significant to participants’ wellbeing: identity, family, community, visibility, services, stigma and navigating.

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McGough, Shirley-Ann. "Facilitating equity in mental health outcomes for Aboriginal people within mainstream mental health services in Western Australia: A grounded theory study." Thesis, Curtin University, 2015. http://hdl.handle.net/20.500.11937/1275.

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This study developed a substantive theory that explores the provision of culturally safe care in a mental health setting and identified factors that inhibit or facilitate the experience. 28 mental health professionals working in mainstream mental health settings in Western Australian were interviewed for this study. The basic social psychological problem shared by participants was the experience of being unprepared. To address this, participants engage in a basic social psychological process of “seeking solutions by navigating the labyrinth”. The findings of this study have implications for service providers, clinical practice, policy and planning, research, education and Aboriginal patients and other key stakeholders.

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Jackson, Pulver Lisa Rae. "An argument on culture safety in health service delivery towards better health outcomes for Aboriginal peoples /." University of Sydney. Public Health and Community Medicine, 2003. http://hdl.handle.net/2123/609.

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The bureaucratic measure of health service, health performance indicators, suggest that we are not effective in our legislative responsibility to deliver suitable health care to some of the populations we are meant to serve. Debate has raged over the years as to the reasons for this, with no credible explanation accepted by those considered stakeholders. One thing is clear though, we have gone from being a culture believing that the needs of the many far outweigh those of the few, to one where we are barely serving the needs of the 'any'. This is most evident in the care delivered to the Aboriginal and Torres Strait Islander people of Australia.

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Jackson, Pulver Lisa Rae. "An argument on culture safety in health service delivery: towards better health outcomes for Aboriginal peoples." Thesis, The University of Sydney, 2003. http://hdl.handle.net/2123/609.

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Parsons, Meg. "Spaces of disease the creation and management of Aboriginal health and disease in Queensland 1900-1970 /." Connect to full text, 2008. http://hdl.handle.net/2123/5572.

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Thesis (Ph. D.)--University of Sydney, 2009.
Degree awarded 2009; thesis submitted 2008. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept.of History, Faculty of Arts. Title from title screen (viewed 3 December, 2009). Includes graphs and tables. List of tables: leaf 9. List of illustrations: leaves 10-12. Includes bibliographical references. Also available in print form.

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Bartlett, Ben. "Origins of persisting poor Aboriginal health an historical exploration of poor Aboriginal health and the continuities of the colonial relationship as an explanation of the persistence of poor Aboriginal health /." Connect to full text, 1998. http://setis.library.usyd.edu.au/~thesis/adt-NU/public/adt-NU1999.0016/index.html.

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Thesis (M.P.H.)--Dept. of Public Health & Community Medicine, Faculty of Medicine, University of Sydney, 1999.
"An historical exploration of poor aboriginal health and the continuities of the colonial relationship as an explanation of the persistence of poor aboriginal health " Includes bibliographical references (leaves 334-349).

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Peiris, Priyajit David. "Building better primary care systems for indigenous peoples : a multimethods analysis." Thesis, The University of Sydney, 2010. http://hdl.handle.net/2123/12717.

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Paradies, Yin Carl. "Race, racism, stress and indigenous health /." Connect to thesis, 2006. http://eprints.unimelb.edu.au/archive/00002514.

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Macdonald, Mary Ellen 1969. "Hearing (unheard) voices : aboriginal experiences of mental health policy in Montreal." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84525.

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The focus of this dissertation is the mental health experiences of Aboriginal people in Montreal as they interface with health policy, and lack thereof, for this population.
Drawing on anthropological fieldwork from Montreal, Eastern Quebec, and Ontario, this thesis endeavours to unravel the jurisdictional tapestry that Aboriginal clients must negotiate when seeking services in Montreal. Using an ethnographic methodology, this project provides an understanding of the ordering of health services for Aboriginal clients from street-level to policy offices.
This thesis draws on three theoretical areas (theories of illness, aboriginality, and public policy) to explicate four themes that emerge from the data. Analysis moves along a continuum between the illness experience and the macro-social determinants of politics and bureaucracy that impact the health of the individual as well as support and organize systems of care.
Discussion of Theme #1 (evolution of mental health and wellness categories in health theory, policy and practice) and Theme #2 ( the culture concept in health policy) demonstrates that despite the progressive evolution of concepts in health theory and policy, Aboriginal people generally do not find services in Montreal that provide culturally-sensitive, holistic care. Discussion of Theme #3 (barriers to wellness created by jurisdiction) argues that jurisdictional barriers prevent clients' access to even the most basic and rudimentary services and that such barriers can actually disable and increase distress. Discussion of Theme #4 ( Aboriginal-specific services) looks at the pros and cons of creating an Aboriginal-specific health centre in Montreal.
Together, these four themes show that understanding Aboriginal people in Montreal requires contextualizing their embodied experience within the colonial history and institutional racism which characterizes many healthcare interactions, and clarifying the bureaucracy that complicates the search for well-being. Montreal's Aboriginal problematic is located in a system characterized by entrenched bureaucracy, jurisdictional complexity and injustice, these elements mapping onto Aboriginal reality with serious repercussions for individual identity and well-being.
Hearing the voices of Aboriginal people in Montreal as they seek out care for mental health problems requires the resolution of jurisdictional and policy clashes that currently silence their suffering. This thesis endeavours to advance this crucial social agenda.

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Best, Odette Michel, and n/a. "Community Control Theory and Practice: a Case Study of the Brisbane Aboriginal and Islander Community Health Service." Griffith University. School of Arts, Media and Culture, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20060529.144246.

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It is accepted protocol among Indigenous communities to identify one's link to land. I was born and raised in Brisbane. My birth grandmother is a Goreng Goreng woman, my birth grandfather is a Punthamara man. However, I was adopted by a Koombumberri man and an anglo-celtic mother after being removed at birth under the Queensland government policy of the day. The action of my removal and placement has had profound effects upon my growing and my place within my community today. For the last 15 years I have worked in the health sector. My current position is as a Lecturer within the Department of Nursing, Faculty of Science, University of Southern Queensland, Toowoomba. My areas of expertise are Indigenous Health and Primary Health Care. I have been employed in this capacity since January 2000. Prior to my full time employment as a nursing academic I have primarily been located within three areas of health which have directly impacted upon my current research. I was first positioned within health by undertaking my General Nurse Certificate through hospital-based training commenced in the late 1980s. For me this training meant being immersed within whiteness and specifically the white medical model. This meant learning a set of skills in a large institutionalised health care service with the provision of doctors, nurses, and allied medical staff through a hospital. Within this training there was no Indigenous health curriculum. The lectures provided on 'differing cultures' and health were on Muslim and Hindu beliefs about death. At that point I was painfully aware of the glaring omission of any representation of Indigenous health and of acknowledgment of the current outstanding health differentials between Indigenous and non-Indigenous Australians. I knew that the colonisation process inflicted upon Indigenous Australians was one of devastation. The decline in our health status at the time of colonisation had been felt immediately. Since this time our health has been in decline. While in the 1980s it was now no longer acceptable to shoot us, poison our waterholes, and incarcerate us on missions, we were still experiencing the influence of the colonisation process, which had strong repercussions for our current health status. Our communities were and remain rife with substance abuse, violence, unemployment, and much more. For Indigenous Australians these factors cannot be separated from our initial experience of the colonisation process but are seen as the continuation of it. However, there was no representation of this and I received my first health qualification.

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Best, Odette Michel. "Community Control Theory and Practice: a Case Study of the Brisbane Aboriginal and Islander Community Health Service." Thesis, Griffith University, 2004. http://hdl.handle.net/10072/366110.

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Книги з теми "Aboriginal australians – mental health services"

New South Wales. Dept. of Health., ed. NSW Aboriginal mental health and well being policy, 2006-2010. North Sydney, N.S.W: Dept. of Health, 2007.

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Gray, M. C. Health expenditure, income and health status among indigenous and other Australians. Canberra: Centre for Aboriginal Economic Policy Research, Australian National University, 2002.

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Gray, M. C. Health Expenditure, Income and Health Status Among Indigenous and Other Australians. Canberra: ANU Press, 2004.

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Western Australia. Parliament. Legislative Council. Standing Committee on Estimates and Financial Operations. Report of the Standing Committee on Estimates and Financial Operations: The provision of health services in the Kimberley region of Western Australia : dental health. Perth, W.A: The Committee, 2000.

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Conference on Aboriginal Studies (1st 1986 Nepean College of Advanced Education). Contemporary issues in Aboriginal studies: Proceedings of the First Conference on Aboriginal Studies, Nepean College of Advanced Education, October, 1986. Sydney: Firebird Press, 1987.

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(Canada), Aboriginal Healing Foundation, ed. Addictive behaviours among aboriginal people in Canada. Ottawa: Aboriginal Healing Foundation, 2007.

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Australian Institute of Health and Welfare., ed. Expenditures on health services for Aboriginal and Torres Strait Islander people, 1998-99. Canberra, ACT: Australian Institute of Health and Welfare., 1998.

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Day, Peter. Indigenous mothers and their babies: Australia 1994-1996. Sydney, NSW: Australian Institute of Health and Welfare, National Perinatal Statistics Unit, 1999.

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Kate, Leeds, ed. Indigenous mothers and their babies: Australia 2001-2004. Canberra: Australian Institute of Health and Welfare, 2007.

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Kettle, Ellen. Health services in the Northern Territory: A history, 1824-1970. Darwin: Australian National University, North Australia Research Unit, 1991.

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Частини книг з теми "Aboriginal australians – mental health services"

d’Abbs, Peter, and Nicole Hewlett. "Meeting the Challenge of Fetal Alcohol Spectrum Disorders (FASD)." In Learning from 50 Years of Aboriginal Alcohol Programs, 231–70. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-99-0401-3_8.

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AbstractFetal Alcohol Spectrum Disorders(FASD) is a major source of neurodevelopmental impairment among both Aboriginal and non-Aboriginal Australians. Its effects are experienced not only by families directly affected, but also in health, education, child protection, youthyoung peopleand criminal justicesystems. Nationally, the prevalenceof FASD is poorly documented and services for prevention, diagnosis and treatment are inadequately resourced. In the case of remote Aboriginal communities, the challenges inherent in diagnosingFASD are compounded by the costs of delivering specialist services to remote settings. In recent decades, several Aboriginal communities have taken the initiative and developed community-led programs for assessing the prevalence ofFASD, creating culturally appropriateeducation and support services, and developing capacity to diagnose FASD in primary health care settings. This chapter describes these initiatives and considers the implications for other communities and policy-makers.

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Martin, Jennifer M., Jenni White, Susan Roberts, Zac Haussegger, Emily Greenwood, Kellie Grant, and Terry Haines. "Aboriginal Wellbeing." In Mental Health Policy, Practice, and Service Accessibility in Contemporary Society, 107–33. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7402-6.ch007.

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The aim of this chapter is to contribute to addressing the gap between policy and practice for the development and implementation of accessible health and wellbeing organizations and practices from a culturally safe, trauma-informed approach. The objective is to increase use of services early on by Aboriginal people and ultimately to improve health and wellbeing outcomes. A targeted literature search identifies the main features of cultural safety and trauma-informed approaches followed by the presentation of a culturally safe, trauma-informed framework, and implementation plan. The literature on organizations is predominantly from Australia with the work of Michael Yellow Bird in the United States relied upon for the discussion of decolonization. For improved health and wellbeing outcomes with Aboriginal people, historical and contemporary political, economic, and social contextual factors relating to colonization must be acknowledged, and in the Australian context, particular attention must be given to the stolen generations.

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Crooks, Claire V., and Caely Dunlop. "Mental Health Promotion With Aboriginal Youth." In School Mental Health Services for Adolescents, edited by Judith R. Harrison, Brandon K. Schultz, and Steven W. Evans, 306–28. Oxford University Press, 2017. http://dx.doi.org/10.1093/med-psych/9780199352517.003.0015.

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Aboriginal youth in Canada are at disproportionate risk for a range of mental health concerns compared to their non-Aboriginal counterparts. To address this disparity, communities, researchers and policymakers have called for culturally relevant prevention and intervention programming to mitigate risk and promote well-being. A number of promising initiatives have been developed that are grounded in culture. The goal of these programs is to maximize the protective influence of multiple facets of culture in youth’s lives, such as cultural identity, connectedness, and engagement in traditional practices. One such program is The Fourth R: Uniting Our Nations, a strengths-based, culturally relevant program delivered to Aboriginal youth in Canadian schools. This chapter outlines the rationale for promoting such programming with Aboriginal youth. We describe the development and evaluation of the Uniting Our Nations program. We also highlight the importance of authentic partnerships and committing to a time frame that is sufficient for this work.

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Hazell, Philip. "Child and adolescent mental health services in Australia and New Zealand: policy and development." In Child and adolescent mental health services: strategy, planning, delivery, and evaluation, 355–64. Oxford University PressOxford, 2005. http://dx.doi.org/10.1093/oso/9780198508441.003.0024.

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Abstract The populations of Australia (19 million) and New Zealand (3.8 million) are spread across a distance equivalent to a trip from London to Kazakhstan. While both modern societies were shaped by colonization from the United Kingdom and Ireland from the early nineteenth century onward, Australia is presently most influenced by migration from Central Europe, the Middle East, and South East Asia, while New Zealand is a major Polynesian centre. One in five Australians has a non-Anglo-Irish background, while one in five New Zealanders has Maori or Pacific Island heritage.

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Wieman, Cornelia. "Six Nations Mental Health Services: A Model of Care for Aboriginal Communities." In Healing Traditions, 401–18. University of British Columbia Press, 2009. http://dx.doi.org/10.59962/9780774815253-021.

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Saurman, E., D. Perkins, D. Lyle, M. Patfield, and R. Roberts. "Case Study." In Evidence-Based Practice in Nursing Informatics, 191–203. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-60960-034-1.ch015.

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The MHEC-RAP project involves the innovative application of video conferencing to mental health assessment in rural NSW. The preliminary evaluation findings of the project are presented. Mental health emergencies in rural and remote settings cause particular problems and are not amenable to conventional health service solutions. Patients and local health care staff may be isolated from specialist mental health staff and from acute inpatient services. Decisions to transport patients for specialist assessments or treatment may be required at night or at weekends and may involve families, police, ambulance services and local health staff. Such decisions need to be made promptly but carefully and the ability to obtain a specialist assessment may assist in making a decision about how best to care for the patient bearing in mind the need to provide a responsive, high quality and safe service to patients and local clinicians. In this chapter we examine a novel approach which uses audio-visual technology to conduct remote emergency mental health patient assessment interviews and provide consultations to local clinicians in rural communities in western NSW. The Mental Health Emergency Care – Rural Access Project or ‘MHEC-RAP’ was developed in 2007 following a series of consultations held in rural towns and implemented in 2008 within the Greater Western Area Health Service (GWAHS), New South Wales, Australia. GWAHS is a primary example of a rural and remote health service. It serves 287,481 people (8.3% of whom are Indigenous Australians) in an area that is 445,197sq km or 55% of the state of New South Wales (Australian Bureau of Statistics, 2001; Greater Western Area Health Service, 2007, 2009). The communities within GWAHS are mostly small, the towns are widely dispersed and local services are “limited by distance, expense, transport, and the difficulty of recruiting health professionals to these areas” (Dunbar, 2007 page 587). The chapter focuses on the design of the service, its implementation and its performance in the first year. We conclude with a discussion about the service, its broader relevance, transferability and its sustainability.

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Тези доповідей конференцій з теми "Aboriginal australians – mental health services"

Antoniades, Josefine, and Bianca Brijnath. "Depression and Help Seeking in the Sri Lankan-Australian and Anglo-Australian Community: A Qualitative Exploration-Preliminary Findings." In International Association of Cross Cultural Psychology Congress. International Association for Cross-Cultural Psychology, 2016. http://dx.doi.org/10.4087/hfip8572.

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This study compared cultural variances in the understanding of depression, help seeking and management strategies between Anglo-Australians and Sri Lankan immigrants with depression, one of the fastest growing immigrant communities in Australia. From 2012-2104 Sri Lankan (n=18) and Anglo-Australians (n=30) participants living with depression took part in semi-structured interviews. Participant eligibility was verified by significant levels of depression on the DSM IV and K10. Sri Lankans and Anglo-Australians expressed overlap in the experience in symptoms, yet differences in beliefs related to the etiology of depression; in general, Sri Lankan migrants attributed depressive symptoms to ongoing social problems whereas Anglos-Australians generally conceptualized depression as a biomedical disorder. These disparities in illness beliefs influenced help seeking trajectories; Sri Lankans favored self-directed behavioral interventions, and in many cases were hesitant take medication to address mental health issues as this was seen as an admission of “madness.” In contrast early intervention via primary care was common for Anglo-Australians. However, while a significant proportion of Anglo-Australians would use pharmaceutical interventions, many were also prepared to try complementary and alternative therapies. Across both groups stigma still presents a significant barrier to help-seeking, however stigma was particularly noted in the Sri Lankan community. Preliminary analyses suggest important differences in help-seeking strategies that may have implications for improving access to mental health services and the development of culturally salient interventions in the Australian context to cater for the growing Sri Lankan migrant community. The outcomes of this study will provide greater insight into cultural variances of depression and help seeking of Sri Lankan immigrants. These results may further provide valuable information that can be used more broadly in countries receiving Sri Lankan, and possibly other South Asian migrants.

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Cations, Monica, Bethany Wilton-Harding, Brian Draper, Kate Laver, Henry Brodaty, and Lee-Fay Low. Psychiatric service delivery for older people with mental disorders and dementia in hospitals and residential aged care. The Sax Institute, December 2021. http://dx.doi.org/10.57022/piul1022.

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This Evidence Check aimed to summarise the evidence on effective models of psychiatry service delivery for older people in four types of hospital and residential / long-stay care services. The review found that hospital mental health wards for older people were effective in improving neuropsychiatric symptoms, mood, anxiety and quality of life. Specialist consultations and liaison services enhanced the quality of hospital care and the adoption of best practice approaches by clinicians. They also reduced hospital stay and carer stress, and increased patient satisfaction with care. The authors compared outcomes for older people being treated in dedicated mental health services with mainstream (or ‘ageless’) mental health services and identified a gap in evidence. The review found the need for more research on psychiatric services in residential and long-stay care settings, and effective care models in particular populations, such as Aboriginal and Torres Strait Islander peoples.

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Haslam, Divna, Ben Mathews, Rosana Pacella, James Graham Scott, David Finkelhor, Daryl Higgins, Franziska Meinck, et al. The prevalence and impact of child maltreatment in Australia: Findings from the Australian Child Maltreatment Study: Brief Report. Queensland University of Technology, 2023. http://dx.doi.org/10.5204/rep.eprints.239397.

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The Australian Child Maltreatment Study (ACMS) is a landmark study for our nation. The ACMS research team has generated the first nationally representative data on the prevalence of each of the five types of child maltreatment in Australia, and their associated health impacts through life. We also identified information about the context of maltreatment experiences, including how old children are when it occurs, and who inflicts it. This knowledge about which children are most at risk of which types of abuse and neglect, at which ages, and by whom, is needed to develop evidencebased population approaches required to reduce child maltreatment in Australia. The concerning prevalence of maltreatment and its devastating associated outcomes present an urgent imperative for nation-building reform to better protect Australian children and reduce associated costs to individuals, families, communities and broader society. The ACMS collected data from 8500 randomly selected Australians aged 16-65 years and older. We included an oversample of 3500 young people 16-24 years of aged to generate particularly strong data about child maltreatment in contemporary Australian society, to assess its associated impacts in adolescence and early adulthood, and to allow future prevalence studies to detect reductions in prevalence rates over time. Our participants aged 25 and over enabled us to understand prevalence trends at different times in Australian history, and to measure associated health outcomes through life. Participants provided information on childhood experiences of each of the five types of child abuse and neglect, and other childhood adversities, mental health disorders, health risk behaviours, health services utilisation, and more. Our findings provide the first nationally representative data on the prevalence of child maltreatment in Australia. Moreover, the ACMS is the first national study globally to examine maltreatment experiences and associated health and social outcomes of all five forms of child maltreatment. Taken together, our findings provide a deep understanding of the prevalence, context and impact of child abuse and neglect in Australia and make an important contribution to the international field. This brief report presents the main findings from the ACMS for a general public audience. These main findings are further detailed in seven peer-reviewed scholarly articles, published in a special edition of the Medical Journal of Australia, Australia’s leading medical journal. Forthcoming work will examine other important questions about the impacts of specific maltreatment experiences to generate additional evidence to inform governments and stakeholders about optimal prevention policy and practice. There is cause for hope. In recent years, there have been reductions in physical abuse, and in some types of sexual abuse. These reductions are extremely important. They mean that fewer children are suffering, and they indicate that change is possible. Policies and programs to reduce these types of maltreatment are having an effect. Yet, there are other concerning trends, with some types of maltreatment becoming even more common, including emotional abuse, some types of sexual abuse, and exposure to domestic violence. And new types of sexual victimisation are also emerging. As a society, we have much work to do. We know that child maltreatment can be reduced if we work together as governments, service sectors, and communities. We need to invest more, and invest better. It is a moral, social and economic imperative for Australian governments to develop a coordinated long-term plan for generational reform. We have found that: 1. Child maltreatment is widespread. 2. Girls experience particularly high rates of sexual abuse and emotional abuse. 3. Child maltreatment is a major problem affecting today’s Australian children and youth – it is not just something that happened in the past. 4. Child maltreatment is associated with severe mental health problems and behavioural harms, both in childhood and adulthood. 5. Child maltreatment is associated with severe health risk behaviours, both in childhood and adulthood. 6. Emotional abuse is particularly harmful, and is much more damaging than society has understood.

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