Between 1982 and 2007, cancer incidence increased 27%, largely due to an aging population. However, cancer deaths during this time declined 16%. Mortality rates for Australian Indigenous peoples were considerably higher for all cancers.
Improving the culture of hospitals : improving outcomes for Aboriginal & Torres Strait Islander patients
Aboriginal and Torres Strait Islander Patient Quality Improvement Toolkit for Hospital Staff
The health status of Indigenous peoples is a global concern with mortality and hospitalisation data indicating that the health of indigenous groups falls below that of other ethnic groups within their countries. From an Australian perspective, Aboriginal people generally have higher rates of hypertension, heart disease, respiratory ailments, stroke, diabetes, cancer and renal failure.
This toolkit has been designed to give hospitals a systematic approach to improving Aboriginal health service delivery.
Courses available include principles of infection control; basic microbiology; cleaning, disinfection & sterilisation ; basic epidemiology; renovation & redevelopment risk management and several others. Registration is free.
iCanQuit motivates smokers to stop smoking by providing them with the information and tools they need so they can personalise their quit journey, and interact and connect with like-minded users. It allows smokers to share their stories about previous, current or planned quit attempts, provides helpful hints on how to quit as well as a goal-tracker and savings calculator so smokers can see the tangible results of quitting.
The website is free and the first of its kind in Australia. It is part of a two-pronged approach aimed at reducing the impact of tobacco related cancer in NSW with a state-wide advertising campaign to be launched on television and in cinemas later this year.
Also available from the same site is The GP Resource Kit, a tool for doctors, health professionals and staff working in Indigenous health services and general practices to understand how to access and make the most of the new initiatives in the Indigenous Chronic Disease Package.
Examining how Australians view their health care system, the report presents the results of a telephone survey of a representative sample of 1201 Australians. The Menzies-Nous Australian Health Survey 2010 provides valuable insight into the views held by Australians about their own health, the Australian health system and affordability of health and aged care services.
The survey was conducted in July 2010 and asked questions on the following subjects:
* satisfaction with the health system;
* support for health reform;
* access to health care services;
* confidence in services;
* affordability of health care.
This report is the latest in a number of reports on hospital performance and patient perceptions available from the NSW Bureau of Health Information.
Health expenditure Australia 2008-09 examines expenditure on different types of health goods and services in the decade to 2008-09. The report describes funding by the Australian Government and state governments, private health insurance and individuals, compares health expenditures in the different states and territories and compares Australia's spending with other countries.
Like the original Men's Sheds, The Shed Online is a place for men to socialise, network, make friends and share skills. It aims to recreate the atmosphere of "real life Men's Sheds" : a safe space where men can feel confident to discuss and exchange information. The Shed Online aims to foster a sense of community and build men's social networks. In addition to being a place for men to interact with other men The Shed Online also provides men with information on health and well-being.
Good health is based on many factors including feeling good about yourself, being productive and valuable to your community,connecting with friends and maintaining an active body and mind. Becoming a member of The Shed Online gives men a safe environment where they can find many of these things in the spirit of "old-fashioned mateship".
The RIG Network project is a cross-sectoral networking initiative that aims to help connect people who have an interest in the social and economic contributions that local food garden projects and small enterprises can make to remote Aboriginal and Torres Strait Islander communities, food security and wellbeing.The website features many resources, research articles, and a regular email newsletter is available. Of interest to anyone seeking to improve the quality of food supply in their local community.
Inquiry into Registration Processes and Support for Overseas Trained Doctors. [Submissions by 4 February 2011]
In particular, the Committee has been asked to explore the administrative processes currently in place and determine how OTDs and the wider community can better understand the requirements in relation to assessment processes and appeal mechanisms available to OTDs.
The Committee has also been asked to report on the support programs available through Commonwealth, State and Territory governments and other professional organisations to assist OTDs in meeting their registration requirements. Ways to improve these services will also be investigated.
Finally, the Committee has been asked to suggest how impediments could be removed, and pathways promoted, to assist OTDs in achieving full Australian qualifications, particularly in regional areas, without lowering the current standards as set by professional and regulatory bodies.
Submissions relating to the terms of reference are due by 4 February 2011.
* diabetes affects about 1 in 20 pregnancies
* mothers with pre-existing Type 1 or Type 2 diabetes, and their babies, are at highest risk of adverse effects
* mothers with gestational diabetes mellitus, and their babies, are also at increased risk
* Aboriginal and Torres Strait Islander mothers and their babies are more likely to experience adverse effects than non-Indigenous mothers and their babies.
This report is a useful resource for policymakers, researchers, clinicians and others interested in the effect of diabetes on the health of Australian mothers and their babies.
Residential aged care in Australia 2008-09 and Aged care packages in the community 2008-09: a statistical overview (AIHW aged care reports)
At 30 June 2009, over 44,000 people were receiving help from a community aged care package, including just over 23,300 new admissions during 2008-09. The findings suggest that proportionate to their populations, Aboriginal and Torres Strait Islanders and those from non-English-speaking countries used community aged care packages at a higher rate compared with other Australians.
A group of Australian forensic psychiatrists studied the effects of the drugs when given to violent offenders who were not suffering depression.
General practice activity in Australia 2009-10 and General practice activity in Australia 2000-01 to 2009-10: 10 year data tables (AIHW)
This report presents results from the twelfth year of BEACH program, a national study of general practice activity. From April 2009 to March 2010, 988 general practitioners recorded data about 98,800 GP-patient encounters involving the management of 155,373 problems. For an 'average' 100 encounters, GPs recorded 107 medications, 35 clinical treatments, 18 procedures, 9 referrals to specialists and 4 to allied health services, and ordered 45 pathology and 10 imaging tests.
This report presents results from the most recent 10 years (April 2000 to March 2010) of the BEACH program, a national cross-sectional study of general practice activity. During this time 9,842 GPs provided details of almost 1 million GP-patient encounters. Readers can review changes that have occurred over the decade in the characteristics of general practitioners and the patients they see; the problems managed; and the treatments provided. Changes in patients' body mass index, smoking status and alcohol use are described for a subsample of adult patients.
Suicide rates in rural Australia this year are 33 percent higher than in major cities and may be higher in extremely remote areas. The floods, which are currently affecting 50 percent of NSW and stretch from Victoria to Queensland, are predicted to have a detrimental effect on the rural psyche, Mr Gregory said.
Based on national and international movements towards patient-centred policies in health care, (and taking into account Australia's health care system, with its mix of public and private sectors), various recommendations are outlined:
* Patient-centred care should be considered a dimension of quality in its own right.
* Nationally standardised patient survey tools should be implemented.
* Patient surveys should include questions specifically addressing patient centred domains
* Performance-based payments should include "improving patient care experience" as an indicator
* Data regarding patient care experience in health services should be made publicly available on the Internet.
Casebook of Primary Healthcare Innovations: Picking up the pace: How to accelerate change in primary healthcare
The key finding of this report by the Australian Academy of Technological Sciences and Engineering is that a national thrust on the development and application of smart technology for healthy longevity is vital to ensure a healthy, safe, secure and fulfilling future for the increasing aged population in Australia and the maintenance of a healthy, harmonious and prosperous society.
Because the elderly are more frequent users of health services and because medical researchers are developing new drugs and procedures linked to age, the Australian Government's 2010 Intergenerational Report suggests that health spending on those aged over 65 is likely to increase sevenfold. There will be a need for new models of health care and training to deal with this situation. Technology can offer possible solutions to issues of safety and security, diagnosis and treatment, while assistive technologies offer the potential to reduce costs.
Submissions close on 27 January 2011
Commentary from " The Australia" on telehealth plan. Rural patients having remote video consultations with city-based medical specialists will not necessarily be in their GP's surgery. The first Medicare rebates for telehealth will become available from July next year
The AMA Public Hospital Report Card 2010 is an analysis of the most recent publicly available national data on public hospital performance plus more recent feedback from doctors working in public hospitals in all States and Territories. Dr Pesce said the most telling finding of the report card is that there were only 11 new hospital beds opened across Australia during the 2008-09 reporting period which falls well short of the AMA's estimate that 3,870 additional beds are needed for the public hospital system to operate at a safe 85 per cent average bed occupancy rate
Yael Perry is leading the study and says there is evidence that CBT can help patients with early psychosis. "There is good evidence across a number of studies to suggest that CBT is effective in reducing core symptoms of psychosis, especially symptoms such as hallucinations and delusions," she said. This article examines the positive benefits of using CBT.
Health assessment or health check items under which Medicare will reimburse for preventive health services to Indigenous patients, were introduced in 1999. In comparison to other MBS preventive services, these items were well reimbursed, generally offering a GP between $175 and $200. Nevertheless, the uptake of these items, has been very low.
Every year over 400,000 Indigenous Australians are entitled to receive a Medicare heath check. In 2009-10 less than 12% of the eligible population got such a check. Despite the emphasis placed on children's health and the ongoing Northern Territory Emergency Response(NTER), in the Northern Territory in 2009-10 only 12.7% of children aged under 15 received a health check.
An additional issue is that there is nothing in place to ensure that health problems uncovered in the course of health checks are addressed in a timely fashion. Published data suggests that about 80% of health checks show health problems that need follow-up treatment or referrals. Even in the NTER communities, with allocated funding for the purpose, the delivery of follow-up care has lagged.
To address these issues and ensure that Indigenous people get access to the health care services they need,Dr. Russell proposes that immediate action should be taken to:
1. Understand and address the barriers for GPs and their Indigenous patients to the effective and widespread utilisation of Medicare Benefits Schedule item 715.
2. Consult with Indigenous health providers and communities about the way they would prefer to see these services delivered, where and by whom.
3. Implement and fund an improved program for health assessments across all age groups.
4. Put in a place a system to ensure that all health problems found as a consequence of a health check are appropriately addressed and resolved.
5. Provide for independent and transparent monitoring and evaluation of this new program.
Euthanasia legislation is currently being pursued in many State jurisdictions and a Federal Parliamentary debate on restoring Territorial rights to legislate in this area is imminent. Its consequences will reflect on what kind of society we want to have. Whatever we decide won't be easy to unwind once we have made that choice. The Australian euthanasia debate is inviting us to conclude that lives lived with disability are often not worth living, while actual disability experience points to a contrary reality. Disability voices and perspective are seldom heard but are essential ingredients of a fully informed debate. Their experience shows that there is a social context within which requests for euthanasia arise, which calls for the best possible care and support. Set in that context, it is not possible to build any effective safeguards against euthanasia. Some information on the Dutch euthanasia experience is included in arguing against adopting euthanasia laws and for using disability experience of interdependence as an ethically responsible framework for dealing with suffering.
Australian hospital statistics 2009-10: emergency department care and elective surgery waiting times (AIHW)
A child born in NSW in 2007 would now expect to live 79.8 years if male and 84.4 years if female, an increase of 3.3 years for males and 2 years for females since 1998. Death rates from major causes of disease and injury have significantly fallen in the last 10 years and there have been improving trends for some risky behaviours such as smoking, sedentary behaviour and inadequate fruit and vegetable consumption, which lead to disease.
However, overweight and obesity rates have increased by more than 3% in women and by 2% in men in the last five years. The consumption of vegetables, while improving, has remained too low in both men and women, with fewer than 15% of men and women eating the recommended amount of vegetables in 2009.
The report also highlights the poor health outcomesof the Aboriginal population of NSW. Rates of avoidable deaths and hospitalisations, infant mortality and premature or low birth weight babies are unacceptably higher in Aboriginal compared with non-Aboriginal people in NSW. Reducing inequities in health outcomes remains a major challenge in NSW.
Education and Training.
"There is good evidence about what makes good clinical supervision, but the literature is diffuse and not readily accessible to busy supervisors. We wanted to publish a short guide based on the evidence that was practical and motivating." author Roslyn Crampton said. "Successful supervision uses the necessities of clinical oversight as the opportunity for training and education, so that safe supervision today becomes the foundation for safe independent practice by the trainee in the future."
The Superguide covers a wide range of topics in the areas of clinical oversight, clinical teaching (with many practical teaching tips), keeping trainees safe and well, and term supervision. A resources section includes references, forms and checklists.
In 2008, 292,156 women gave birth to 296,925 babies in Australia. The increase in births continued, with 2,720 more births (0.9%) than reported in 2007. This is the second year that the rate of caesarean section has not significantly increased with a 0.2% rise from 30.9% in 2007 to 31.1% in 2008.
Graham Martin, Professor and Director of Child and Adolescent Psychiatry at the University of Queensland, and co-authors conducted a cross-sectional study to gain an accurate understanding of self-injury and its correlates in the Australian population. A sample of 12,006 Australians, from randomly selected households, participated in the study.
In the four weeks before the survey, 1.1 per cent of the sample self-injured. Six-month prevalence was 1.8 per cent. Lifetime prevalence was 8.1 per cent. For females, self-injury peaked between 15 and 24 years of age. For males, it peaked between 10 and 19 years of age. The average age of onset was 17 years, but the oldest was 44 for males and 60 for females.
"There are some good suicide prevention programs in Central Australia, including some run with flexible funding by Aboriginal community controlled health services," said Dr Jenny May, Chair of the Alliance. "However recent evidence from other parts of remote Australia shows there are still very serious unmet needs. Someone has to be accountable for the duty of care in such matters, including in remote Indigenous communities.
Indigenous Australians are five times more likely to experience mental illness than the rest of the population - a problem often exacerbated by their reluctance to seek help. Now a new program's been developed to tackle mental health issues through song. Queensland's Aboriginal and Islander Health Council has set up five community choirs to attack the symptoms of mental illness and bring sufferers into contact with health professionals. The scheme has been given a helping hand by Indigenous country and western star Roger Knox, who himself overcame crippling depression and an addiction to painkillers.
Globally, approximately one half of the population lives in rural areas, but less than 38% of the nurses and less than 25% of the physicians work there. While getting and keeping health workers in rural and remote areas is a challenge for all countries, the situation is worse in the 57 countries that have an absolute shortage of health workers.
After a year-long consultative effort, this document proposes sixteen evidence-based recommendations on how to improve the recruitment and retention of health workers in underserved areas. It also offers a guide for policy makers to choose the most appropriate interventions, and to implement, monitor and evaluate their impact over time.
The report has important recommendations for all those involved in education & training of rural health staff, and all those struggling with the problem of persuading staff to remain and work in a rural community.
The Rx&D International Report on Access to Medicines 2009-10 ranks Australia 23rd out of 31 OECD countries in terms of expenditure on medicines as a proportion of GDP.
Medicines Australia chief executive Dr Brendan Shaw said: "In essence this report measures the willingness of governments to pay for new innovative pharmaceuticals and Australia doesn't stack up too well."
Key findings in the report include:
* Australia ranks 24th out of 30 countries for government's share of national healthcare expenditure.
* Australia ranks 19th out of 29 in terms of willingness to reimburse new medicines. Of the 150 medicines reviewed in he study, Australia reimburses 60 per cent, compared with the OECD average of 64 per cent.
* The proportion of first-in class medicines included in the study that were subsidised in Australia is 52 per cent compared with an OECD average of 65 per cent, ranking Australia 20th out of 29.
* In terms of oncology medicines, Australia ranks 20th out of 29 countries when looking at the number of medicines that are subsidised.
The Rx&D International Report on Access to Medicines 2009-10 was commissioned by Rx&D, the Canadian research-based medicines industry association.
A total of 295,700 births were registered in Australia in 2009. Of these, 15,800 births were registered where at least one parent was an Aboriginal and Torres Strait Islander Australian.
* What will Medicare Locals do?
* What will Medicare Locals look like?
* How will Medicare Locals interact with patients and providers?
The paper outlines five key objectives for Medicare Locals:
1. Identification of the health needs of local areas and development of locally focused and responsive services including a stronger focus on prevention and early intervention
2. Improving the patient journey through developing integrated and coordinated services
3. Providing support to clinicians and service providers to improve patient care, particularly the better prevention and management of chronic disease
4. Facilitating the implementation and successful performance of primary healthcare initiatives and programs
5. Being efficient and accountable with strong governance and effective management
The Government's discussion paper and information on how to respond to the discussion paper is available at the link above.Submissions must be received by 15 November 2010.
To address these issues, beyondblue has developed a national Doctors' Mental Health Program, in consultation with key stakeholders from the mental health and medical sectors.
The Advisory Committee's first activity was to oversee "The Mental Health of Doctors - A systematic literature review:" (Download from bottom of page) which investigated issues associated with the mental health of medical students and doctors. The review investigated the following 10 topic areas:
1) prevalence of anxiety and depression
2) prevalence of substance misuse and self-medication
3) suicide rates
4) risk factors for anxiety and depression
5) help-seeking rates for anxiety and depression
6) barriers to help-seeking for mental health care
7) interventions for anxiety and depression
8) attitudes of medical colleagues
9) impact on patient care
10) impact on work and family life.
NHMRC’s Australian Guidelines for the Prevention and Control of Infection in Healthcare (2010) are now available on the NHMRC website. The Guidelines support the Australian Commission on Safety and Quality in Healthcare’s work in preventing healthcare associated infections.
CRRMH was awarded $1.5 million over two years(2008-2009) for its Drought Mental Health Assistance Package (DMHAP). Due to the program’s success, NSW Department of Health has granted the Centre further funding to extend the program, now renamed the Rural Adversity Mental Health Program (RAMHP).
RAMHP will continue to address the short and long term mental health needs of the communities affected by drought, and will also provide assistance for other forms of rural crisis and climate-related adversity, including bushfires and floods.
While knowledge about family violence and its effects has grown considerably, services still grapple with the most effective ways of identifying family violence issues with which clients present and, just as importantly, of taking appropriate actions once family violence has been accurately identified. Family violence is not always recognised by practitioners working in this area and even when it is recognised, appropriate actions aimed at creating or preserving safety are not always taken.
This paper reviews the current research and literature specific to family violence screening and risk assessment. It is hoped that the paper will assist service providers and practitioners to develop and evaluate tools for use within family support services.
Many are in denial. One in eight (13%) overweight Australians believe they are healthy and do not need to change.
Lack of time is the most common barrier to changing behaviour, named by 27% of people, mostly women and people under 40. But there were a range of other reasons given as well.
Eight% admitted to being too lazy or not motivated to make the necessary changes.
One in eleven (9%) reported an existing condition or illness that prevents them from changing their behaviour.
Three% reported the weather as a barrier.
People with children, who were most likely to report lack of time as a barrier, were significantly less likely to adhere to recommended health guidelines. They are less active (61% do not meet recommended activity levels versus 51%), are more likely to smoke (19% versus 13%), and less likely to have their blood pressure (81% versus 91%) or cholesterol (52% versus 75%) checked as frequently as people without children.
Australians self-reported heart health risk behaviour continues to reflect denial about meeting health guidelines. Close to half (46%) of overweight Australians and 13% of obese people thought their health met guidelines. Close to three in four rate their health as either good or very good. Only 4% rated their health as poor. Three-quarters of obese people rated their health as good, very good or excellent.
The Guide to the proposed Basin Plan consists of an overview of the Murray-Darling Basin Plan, separate guides to the 19 Basin regions, and this volume - the technical background.
Links are provided below to the regional summaries which comprise the GWAHS area.
Childhood obesity has been linked to a raft of physical and psychosocial health problems, including type 2 diabetes and cardiovascular disease, as well as social stigmatisation and low self-esteem.
This economic perspective considers how individuals respond to changes in incentives, and how they make decisions involving tradeoffs between different consumption and exercise choices, including how they spend their time.
Breast cancer is still the most common cancer affecting Australian women, and over the last few decades its incidence has been on the rise. More research is needed and Register4 aims to facilitate the recruitment of research subjects.
Register4 is looking for all kinds of individuals from all different walks of life (breast cancer sufferers, carers, health professionals, women aged 18 or over .... it is not necessary to have had breast cancer). Men can also join.
Members enrol online. They are contacted if there is a research project for which they might be suitable. Participation in individual research projects is voluntary.
* What is evidence based decision making?
* How good statistics can enhance the decision making process
* Using statistics for making evidence based decisions
* Data awareness
* Understanding statistical concepts
* Analysing and evaluating statistical information
* Communicating statistical findings
* Evaluating policy outcomes
The Psychosocial Support in Disasters web portal will act as a central access point to vital information, helping those in disaster-prone areas to prepare psychologically, providing practical support during the emergency, and providing social, emotional and psychological support during the recovery period. There is also a section with information for the general public.
The web portal is a joint initiative of the Australian Psychological Society, the Australian Centre for Posttraumatic Mental Health, Occupational Therapy Australia, the Royal Australian and New Zealand College of Psychiatrists, the Australian Association of Social Workers, the Royal Australian College of General Practitioners and General Practice Victoria.
Click here to read the entire supplement on Wiley Online Library!
Sample Table of Contents [More in complete issue]
Arthritis occurs less frequently among those living in high socioeconomic areas, compared to Australians living in relatively low socioeconomic areas. A regional difference was also found, with the lowest rates of arthritis in major cities, and inner regional areas recording the highest prevalence. Indigenous Australians were also found to have a higher prevalence of arthritis than other Australians. There are over 100 types of arthritis, with osteoarthritis and rheumatoid arthritis the most common, affecting 1.6 million and 428,000 Australians respectively.
Arthritis and other musculoskeletal conditions accounted for around $4 billion in health expenditure in 2004-05. Arthritis is also the eighth most frequently managed problem by general practitioners in Australia.
It provides tools that explicitly consider health equity at each of the four steps of health technology assessment: 1) Burden of Illness, 2) Community Effectiveness, 3) Economic Evaluation, 4) Knowledge Translation and Implementation. It also incorporates concepts of health impact assessment within the HTA process.
Developers seek to further define this Toolkit, they request suggestions on validated and widely disseminated HTA tools that explicitly consider health equity and that are relevant to the toolkit. These tools may be specific analytical methods such as the Disability-Adjusted Life Years, checklists such as the Health Impact Screening Checklist, software programs such as the Harvard Policy Maker, databases such as The Cochrane Library, etc. Check out the Toolkit!
The program, an initiative of NSW Health and the University of Newcastle, was originally set up in 2006/2007 in response to the drought and the distress many rural communities were experiencing due to lack of water, loss of crops and stock and the flow-on effects this had on regional economies.
In 2008 the total number of registered and enrolled nurses estimated by the Nursing and Midwifery Labour Force Survey was 312,736, an increase of 10.6% since 2004. The nursing workforce continued to age between 1997 and 2008; the proportion of nurses aged 50 years or over increased from 18.9% to 34.4%. The number of full time equivalent nurses per 100,000 population increased by 15.2% between 2004 and 2008, and the profession continued to be predominantly female, with females comprising 91% of employed nurses in 2008.
Medical labour force 2008
The supply of employed medical practitioners increased between 2004 and 2008, from 283 to 304 full-time equivalent practitioners per 100,000 population. The increase reflected a 20.5% rise in practitioner numbers. The gender balance continued to shift, with women making up 35% of practitioners in 2008 compared to 33% in 2004. The average hours worked by male practitioners declined from 47.1 to 45.4 hours, while hours worked by female practitioners changed marginally from 37.6 to 37.7 hours.
NSW suicide prevention strategy 2010-2015: a whole of government strategy promoting a whole of community approach
6 priority areas are identified in the strategy :
1. Improving the evidence base and understanding of suicide prevention
2. Building individual resilience and the capacity for self help
3. Improving community strength, resilience and capacity in suicide prevention
4. Taking a coordinated approach to suicide prevention
5. Providing targeted suicide prevention activities
6. Implementing standards and quality in suicide prevention
However, recent consultation with the community has indicated that more needs to be done in terms of:
* further availability of and access to services, especially for people living in rural/remote communities;
* greater focus on at risk population groups;
* better coordination of non health sectors;
* meaningful reporting;
* greater emphasis on evaluation; and
* embracing new approaches, learnings and service models.
The report found 74 per cent of students from inner regional areas and 75 per cent from outer regional areas worked in a regional area after graduating. Eighty-nine per cent of students from remote areas and 71 per cent from very remote areas accepted employment in a rural area. The portion of metropolitan students who stayed on and practised in a regional area was 43 per cent.
The fields that retained the highest proportion of regional students were psychology, nutrition and dietetics, podiatry, nuclear medicine technology, pharmacy and social work.
The report gives added backing to recent moves by CSU to open its own Medical School.
While the Basin Plan itself will be a legislative instrument, the Guide to the proposed Basin Plan provides information on the background and process of developing all the different parts of the plan. This information includes:
* a summary of the history and current state of Basin water resources
* the factors driving change in use and management of water resources
* the new arrangements under the Basin Plan and their impacts
* implementation of the Basin Plan.
This "Overview" volume is the first of 21 volumes of the Guide. Volume 2 will be a volume on technical specifications of the plan, and will be followed by 19 volumes of regional guides to specific areas.
Visit the MDBA website at http://www.thebasinplan.mdba.gov.au for a copy of the Guide and to find out where the community information sessions on the Guide will be held.
You can also subscribe to the MDBA's monthly e-Letter, which contains reports of happenings across the Basin, by filling out the form at www.mdba.gov.au/media_centre/subscribe
"Workers with mental illness: a practical guide for managers aims to help managers better understand mental illness, develop strategies that assist workers with a mental illness and ensure that their workplaces are healthy and productive," President Branson said. "We developed this guide because research conducted by the Australian Human Rights Commission showed that managers want to provide support to staff members who live with a mental illness, but often lack the confidence or skills to do so," said President Branson.
The guide has been released after extensive consultation with the business community, trades unions, disability organisations, workplace safety bodies and employers.
"During any year, approximately one in five Australian adults will experience a mental illness. It is our hope that this guide will assist managers to understanding their legal obligations while developing strategies that support their staff and reduce the incidence of illness in the workplace," said President Branson.
The guide has been endorsed by the Fair Work Ombudsman, beyondblue: the national depression initiative, SANE Australia, the Mental Health Council of Australia, and supported by Safe Work Australia.
Expenditure on health for Aboriginal and Torres Strait Islander people 2006-07: an analysis by remoteness and disease (AIHW)
practitioners and midwives to provide Medicare-funded services to patients and to prescribe medications listed on the PBS. These changes are scheduled to commence on 1 November 2010.
The AMA has worked very hard to ensure that these reforms do not fragment patient care or deny patients access to a medical practitioner.
Importantly, the Government has enshrined in law the requirement for nurse practitioners and midwives to work in collaborative arrangements with medical practitioners in order to get MBS and PBS access.
The AMA has prepared a guide "Collaborative Arrangements - What you need to know" to help answer many of the questions doctors will have about collaborative arrangements and how they should be structured, as well as identify key issues that doctors should take into account when considering being part of a collaborative arrangement.
Further development will include specialist modules for allied health.
The focus of the revised standards has changed significantly with a large proportion of services now provided in the community, an expansion of non-government and private services and an increased focus on primary mental health care. To support the broader focus directed towards the non-government sector, public and private services and private office based services, guidelines are being developed to support implementation of the National Standards into practice.
There are 10 standards available :
Standard 1. Rights and responsibilities
Standard 2. Safety
Standard 3. Consumer and carer participation
Standard 4. Diversity responsiveness
Standard 5. Promotion and prevention
Standard 6. Consumers
Standard 7. Carers
Standard 8. Governance, leadership and management
Standard 9. Integration
Standard 10. Delivery of care
This paper examines surveys of the general public that included questions related to dementia risk reduction. The findings suggest there is poor knowledge of the current evidence for dementia risk reduction. This paper not only highlights the need to raise awareness that it is possible to reduce the risk of dementia and also the need to educate Australians about the link between cardiovascular risk factors and an increased risk of dementia.
The app provides women with an easy and comfortable method to check their breasts and additionally serves as an automatic reminder for regular monthly check-ups.
The Dr K's Breast Checker app is available for download from iTunes priced $2.49 and 55c of each sale is given to the Breast Cancer Foundation of Western Australia and the McGrath Foundation.
How can telehealth help in the provision of integrated care? Policy Brief 13 - Health Systems and Policy Analysis, World Health Organization.
SHOWWorld is a fascinating global map adjustable by various indices (population, health, energy etc). Select a subject from the top menu and watch the countries on the map change their size. Instead of land mass, the size of each country will represent the data for that subject. Mapping Worlds, the company behind this application is a data visualisation and interface design company who work with organisations such as the International Monetary Fund and the World Bank.
Deakin’s Pro Vice-Chancellor (Rural and Regional) Professor Sue Kilpatrick is the lead researcher in the project that covers fishing, mixed farming, cotton, grains and sugar and involves case studies from around Australia. Preliminary findings from her study, ‘I feel like I’m dancing on the Titanic’ – managing the stress of farming in difficult times, which takes its title from a quote from a farmer interviewed as part of the research, will be presented at the National Centre for Farmer Health’s conference in Hamilton on 12 October.
The federal Senate report into mental health last month, in its reference to rural and remote communities, says the related matters of stigma and lack of information about mental illness is one of two outstanding issues affecting rural areas (the other being poor access to GPs and carer and community support services).
The inquiry says while the closeness of rural communities and their support networks can help some who aren’t coping, stigma against mental illness, underpinned by strong cultural pressures to be independent and resilient in the face of adversity, still means many of those affected will continue to “suffer silently”.
For much of the past three decades, authorities have waged war against the importation and sale of illegal drugs. Hundreds of millions of dollars have been spent on law enforcement and drug rehabilitation programs. Now, reporter Matthew Carney reveals that while illegal drugs remain a major problem, many experts believe the widespread use and abuse of legally prescribed opioid-based drugs could create a new and devastating drug epidemic across the suburbs of Australia.
But now there's another problem, with profound consequences for ordinary Australians. People who take these drugs for legitimate reasons are becoming addicted. Some have died, others have seen their lives destroyed.
An analysis commissioned by Catholic Health Australia has found that the 20 per cent of Australians on the lowest incomes died on average three years earlier than others because of illness caused by unhealthy lifestyles. The most disadvantaged people were in some cases four or five times more likely to suffer chronic illness than the comfortably-off, the report found.
Martin Laverty, the group's chief executive, called on the new Parliament to press for renewed focus on improved early childhood support, education and welfare for disadvantaged people.
''Health reform in the last term of government focused on hospitals, not the drivers that cause people to end up in hospitals,'' Mr Laverty said. ''The then prime minister, Kevin Rudd, missed a major opportunity and left many health professionals disappointed with the health reforms. 'If this Parliament does not act on preventive and social determinants of health, health reforms will not be achieved.''
The analysis by the National Centre for Social and Economic Modelling at Canberra University found the health gaps between the poor and well-off were often very large. Up to 65 per cent of people in public housing had long-term health problems compared with only 15 per cent of home owners. More than 60 per cent of men in jobless households reported having a long-term health condition or disability, and more than 40 per cent of women.
Obesity rates were about three times higher among those in public housing than home owners. High-risk drinking among early school leavers was double the rate of those with a tertiary qualification. ''This is not about access to health services,'' Mr Laverty said. ''There is strong evidence that social determinants of health - such as income level, housing status and education level - are the factors more responsible for health inequities.'' The close links between low socio-economic status, illness and harmful lifestyles like smoking and unhealthy diet showed that more preventive health television campaigns would not solve the problem. ''This report shows that policies targeting behavioural change do not work,'' Mr Laverty said.
The health reforms now being implemented by the Gillard government needed to use the proposed new structures such as the local hospital networks and ''Medicare local'' organisations to assess health needs and advocate improvements in early childhood services, schooling and welfare support where necessary, he said. Any suggestion that the health reform was complete was wrong. ''It is far from it,'' Mr Laverty said.
The report, supported by the St Vincent de Paul Society and Catholic Social Services Australia, showed that thinking on health equity had to change, said Father Frank Brennan of the Australian Catholic University and Tony Wheeler, chairman of Catholic Health Australia's stewardship board.
The report may be downloaded from :
The SRS seeks to fill resource gaps identified across the Aboriginal and Torres Strait Islander family and children's services sector and provide a central information sharing clearinghouse. The site contains a large number of resources, both for order and, in many cases for free download.
An excellent site for resources in indigenous child development, family violence, and family issues.
Reposted from NCAHS Library Clippings
Their occurrence together in the same person (comorbidity) complicates their treatment and management. When
musculoskeletal conditions and mental disorders occur together maps the extent of their relationship in the Australian population.
In 2007, over 1.5 million people (10% of Australians aged 16-85) had at least one musculoskeletal condition and one mental disorder in the preceding 12 months.The number of females experiencing this comorbidity (862,000) was greater than the number of males (671,000).The extent of comorbidity increased sharply in each successive age group until 45-54 years, after which it decreased sharply.
Overall, 25% of people with a musculoskeletal condition also had a mental disorder, the most common of which were anxiety disorders. The clear association between musculoskeletal conditions and mental disorders found in this study emphasises the need for health-care providers to be aware of and provide for a multidisciplinary approach to the management of this comorbidity.
The major findings of the report revealed 3 major areas of concern
1. The current system is not working well, with quality of care perceived as declining over the last five years. As demand is growing rapidly, tinkering with the system is not a long-term answer.
2. Significant investment in aged care is needed, particularly for new facilities and in developing a skilled workforce to deliver age care. The current system is not sustainable without higher tax.
3. We need to find new ways of financing aged care. A survey of more than 3,200 seniors found that many people would be prepared to pay for high quality aged care, while wanting a safety net for those who cannot afford to pay.