This Framework outlines the target audience, aims, training requirements,learning outcomes, and responsibilities in providing Aboriginal Cultural Training.
Residential aged care in Australia 2009-10 provides comprehensive statistical information on residential aged care facilities, their residents, admissions and separations, and residents' dependency levels. At 30 June 2010, there were nearly 183,000 residential aged care places, an increase of almost 3% compared with 30 June 2009. Over 83,500 permanent residents (52%) had a recorded diagnosis of dementia at 30 June 2010. Other recorded health conditions included circulatory diseases (40,000 residents) and diseases of the musculoskeletal and connective tissue (27,500 residents).
This report describes the key characteristics of services and recipients and also looks at the distribution of services relative to the needs of the population. At 30 June 2010 there were around 47,700 recipients of care packages. Around 1,150 providers delivered low-care packages, 370 providers delivered high-care packages and 240 providers delivered high-care specialised dementia packages.
* information about radiology tests and procedures that you or a family member may require
* additional clinical and technical information for health professionals about radiology tests and image-guided treatments
* information about the roles and training of the different health professionals you may encounter at a radiology practice, or in a hospital radiology department
* easy-to-follow instructions about how to find the information that you are seeking.
Forwarded from NCAHS Library Clippings
Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care Centers for Disease Control, May 2011
Hospitals play a critical role in providing communities with essential medical care during all types of disaster. Depending on their scope and nature, disasters can lead to a rapidly increasing service demand that can overwhelm the functional capacity and safety of hospitals and the health-care system at large. The World Health Organization Regional Office for Europe has developed the Hospital emergency response checklist to assist hospital administrators and emergency managers in responding effectively to the most likely disaster scenarios. This tool comprises current hospital-based emergency management principles and best practices and integrates priority action required for rapid, effective response to a critical event based on an all-hazards approach. The tool is structured according to nine key components, each with a list of priority action to support hospital managers and emergency planners in achieving:
* continuity of essential services;
* well-coordinated implementation of hospital operations at every level;
* clear and accurate internal and external communication;
* swift adaptation to increased demands;
* the effective use of scarce resources; and
* a safe environment for health-care workers.
References to selected supplemental tools, guidelines and other applicable resources are provided. The principles and recommendations included in this tool may be used by hospitals at any level of emergency preparedness. The checklist is intended to complement existing multisectoral hospital emergency management plans and, when possible, augment standard operating procedures during non-crisis situations.
Mr Neil Barber, a lecturer with the School of Humanities and Social Sciences at CSU in Wagga Wagga believes the focus should be on preventing mental health problems, particularly when associated with alcohol and drug abuse.
The Council of Australian Governments (COAG) has recently agreed to develop a National Partnership to move Australia’s mental health system away from crisis-driven activity towards prevention, early intervention and care in the community. “The statistical data collated from state and federal health bodies on self harm and suicide alone has for some time reported not only high levels of incidence in rural areas, but with only odd exceptions, generally an upward trend in rural areas,” Mr Barber said.
The report, A Climate of Suffering: The Real Cost of Living with Inaction on Climate Change, prepared for the Climate Institute, says loss of social cohesion in the wake of severe weather events related to climate change could be linked to increased rates of anxiety, depression, post-traumatic stress and substance abuse.
As many as one in five people reported emotional injury, stress and despair in the wake of these events. The report called the past 15 years a "preview of life under unrestrained global warming".
Population differences in health-care use for arthritis and osteoporosis in Australia
This report presents differences in health-care use for osteoarthritis, rheumatoid arthritis and osteoporosis between population groups. The report suggests that, among those with osteoarthritis or osteoporosis, females are more likely to take actions to manage their condition and have a lower rate of joint replacement than males. The report also suggests that complementary medicines that may slow the progression of these conditions are used at a lower rate in the lowest socioeconomic group compared to the highest socioeconomic group.
Use of antiresorptive agents for osteoporosis management
There is no cure for osteoporosis but antiresorptive drugs can reduce further bone loss and slow down disease progression. This report provide information on both the individual and community use of antiresorptive drugs for managing osteoporosis as well as trends in the supply of and expenditure for these medications.
It found Aboriginal children are now seven times as likely to be abused as non-indigenous Australians.
The issue is receiving attention after Swinburne University of Technology's head of Psychology Sciences and Statistics Professor Greg Murray presented research indicating that harnessing the creativity of people suffering with bipolar disorder may lead to a more holistic and beneficial treatment approach.
This spectacularly unexpected success has led to the formation of the Emergency 2.0 wiki project. Project Leader, Eileen Culleton, presented to the gov2qld group group her idea of capturing and leveraging the lessons learnt by creating an emergency 2.0 wiki to provide best practice advice on how to use social media and web2.0 in all phases of emergency management.
She shared her vision of an emergency 2.0 empowered community in which all sectors : emergency, government, not for profit, community, business, education, media and the public had the knowledge to use social media to better prepare for, respond to and recover from emergencies. Her vision involved the wiki acting as a hub for collaboration and knowledge sharing across the community, locally and globally.
Although the wiki is still young it now boasts an impressive range of resources on disaster scenarios.
Gary Banks, who chairs the inter-governmental Steering Committee, said 'the latest data still reveal considerable disparities in outcomes between Indigenous and other Australians. This applies across the six COAG 'closing the gap' targets, as well as for over 40 other significant indicators. And progress in closing those gaps has been mixed'.
Of the 45 quantitative indicators in the report, available data show improvement in outcomes for 13 indicators - including in employment, educational attainment and home ownership. For 10 indicators, including many health and school education outcomes, there has been no significant improvement, while for another seven, including social indicators such as criminal justice, outcomes have actually deteriorated.
The report reflects ongoing improvements in data collections, but data to measure change over time were not available for one third of the indicators in this edition.
The Minister for Health, Jillian Skinner, and the Parliamentary Secretary for Regional Health, Melinda Pavey, have issued a discussion paper titled Securing a Stable Medical Workforce for NSW Rural Communities.
The discussion paper seeks to support a rural generalist training program and rural pathway for GP training in NSW. The NSW pathway for rural general practice training is designed to provide medical graduates with a structured training program which balances community general practice exposure with rural hospital experience.
Feedback on the discussion paper, which has been distributed to key stakeholders, is requested by Friday, 30 September, 2011. Forward your comments to:
Rural Medical Practitioner Feedback
Workforce Development & Innovation Branch
NSW Department of Health
Locked Bag 961
NORTH SYDNEY NSW 2059
or via email to WDI@doh.health.nsw.gov.au
Local Health Districts and Specialty Health Networks
Under the new governance arrangements, Local Health Districts and Specialty Health Networks will have clear responsibility and accountability for governing hospital and health service delivery for their local district or specialty network. These responsibilities and the funding required to deliver a specified volume of activity will be articulated in a Service Agreement negotiated between the Department of Health, as purchaser and system manager/regulator, and the Local Health District or Specialty Network Board, as providers of health services.
The Ministry of Health
The Department of Health will become the Ministry of Health, providing Westminster functions supporting the Minister and the Government, regulatory functions, public health functions (disease surveillance, control and prevention) and system manager functions in state-wide planning, purchasing and performance monitoring of hospitals and health services. A number of functions will be transferred from the Ministry to other health entities such as the four "Pillar" agencies.
The four "Pillar" agencies
The Agency for Clinical Innovation and the Health Education and Training Institute (previously the Clinical Education and Training Institute) will have an enhanced range of responsibilities and accountabilities. The Clinical Excellence Commission and the Bureau of Health Information will also take on an expanded portfolio of responsibilities.
In the past ten years, the number of female prisoners over 50 has nearly quadrupled in NSW and last year there were 161 men over 65 in jails, a study by the Australian Institute of Criminology has found.
Menopause is a natural transition and needs to be managed within the context of other life changes at the time. However the experience will be different for each woman. While 20% of women have few or no specific reactions, many others will experience a range of symptoms. The challenge for health professionals is to assess and manage individual reactions and their impact.
This program discusses the efficacy and safety of evidence based treatments; the latest research on hormone replacement therapy and its relative risks and benefits; the impact of lifestyle interventions; and the evidence base for complementary or "natural" treatments. The program emphasises the benefits of a multidisciplinary approach to the management of problems associated with menopause.
See Strong: A Focus on Indigenous Eye Health [26 minutes]
This documentary highlights several successful programs operating in Australia that offer preventative or treatment options to improve Indigenous eye health. The case studies include:
* a model of coordinated eye care in Katherine, NT.
* a preventative approach to trachoma in remote Australia through the use of Trachoma Story Kits for clinics, schools and communities at Bulla NT; and
* an interview with Dr Tim Henderson about the role of the ophthalmologist in the provision of specialist eye health services in Alice Springs and the Barkly region.
This documentary is part of the Rural Health Education Foundation's Improving Indigenous Eye Health Project which incorporates two educational television programs for health professionals and the community on Indigenous eye health.
All Ears: Healthy Hearing in Indigenous Communities (30 minutes)
Otitis media (middle ear infection) and associated hearing problems are a major health and development concern for many Indigenous children in Australia. In some remote Aboriginal communities, rates of tympanic membrane perforation exceed 60% and up to 50% of school children possibly require hearing aids. Studies have shown that in Aboriginal communities, the onset of otitis media frequently occurs within 3 months of birth and progresses to chronic suppurative otitis media in 60% of cases.
This program discusses the barriers to achieving better outcomes for children with otitis media, and proposes strategies to overcome them. It also discusses diagnosis, management, and treatment of the different stages/forms of otitis media. The case studies involved provide good models of how to treat otitis media successfully in Indigenous communities, with particular focus on Indigenous children, and the complications that arise in rural and remote areas.
Jimmy Little Foundation chief executive Graham "Buzz" Bidstrup said the website would provide vital health and wellbeing information for schoolchildren in their early formative years. The Thumbs Up! website is part of a broader Jimmy Little Foundation healthy eating program funded by Medicines Australia.
It has now created a new look website to deliver accessible information about the many conditions and common problems faced by children.Practice professionals, parents and researchers will find a host of information geared specifically to their needs. Health resources include regular newsletters, practice resources (education modules on a variety of topics), posters, publications and training courses
"When families have a child in need of palliative care, finding the right information and support is crucial." said Dr Scott Blackwell, PCA President. "Journeys can help families and carers identify where to look or who to go to for specific information and support which best meets their needs at all stages of their palliative care journey."
Journeys is divided into 4 sections, reflective of the different stages and situations families may face as their child's illness progresses. "No child, family or illness is the same and this resource contains a wealth of information to support the whole family, from explaining commonly used words or phrases used in initial diagnosis, though to dealing with death and bereavement."
Dr Sandra Haukka, from the ARC Centre of Excellence for Creative Industries and Innovation (CCI) at Queensland University of Technology (QUT), said seniors, particularly pensioners, risked being left behind as businesses and governments shifted more services to the web. Dr Haukka's nationwide study, Older Australians and the Internet, surveyed 149 participants aged 50 and older who were members of National Seniors Australia. It also included in-depth interviews with seniors who did not use or rarely used the internet, including those who lived in urban, regional, rural and remote areas.
Major findings in the report included:
- 53% of participants said their interest in the internet was 'moderate' or 'above', while 46% said their interest was 'nil' or 'low'.
- Almost two-thirds of participants said they had 'very low' internet skills.
- More than 40% of participants said cost was a barrier to using the internet.
- One-third (34%) of participants said the internet would improve their daily life.
"Many seniors told us they need one-on-one help, more cheap classes, equipment, a helpline and clear instructions," Dr Haukka said.
Nature of association between rural background and practice location: A comparison of general practitioners and specialists
See: Nature of association between rural background and practice location: A comparison of general practitioners and specialists McGrail M, Humphreys J, et al. (2011). BMC Health Services Research, 11:63
The economic value of the contribution of informal carers to the Australian economy has been estimated at over $40 billion a year, if all the care was to be replaced by formal services (Access Economics 2010). The social value of informal care is immense, because care provided by family or friends enables others to remain in their home, connected to their family and community. Yet the available evidence suggests that, under the current policy settings, the contribution of informal carers may significantly affect the lives of the individual carers.
This project addressed this issue by investigating three research questions:
* What is known about the direct costs incurred in informal caring as distinct from the indirect costs of care?
* What are the most robust methods to investigate the direct costs of care and what data are available in Australia to do so?
* What are the living standards of different subgroups of carers in Australia and what might this imply about the direct costs of care?
Spokesman Dr Brendan Shaw said the website is part of a broader initiative to explain to the public who the industry is and what it does. He said that most Australians don't stop and think about where their medicines come from and many people don't really know that we have a medicines industry in Australia.
The NSW Government Office of Liquour, Gaming and Racing has a number of resources available to staff working with problem gamblers. These include the resource book "A guide to problem gambling", a DVD "Gaming machines : myths and facts" and several brochures and fact sheets. Resources may be downloaded or ordered in hard copy.
Amongst other things, the inquiry examined:
- how a scheme should be designed and funded to better meet the long-term needs of people with disability, their families and carers
- how to determine the people most in need of support, the services that should be available to them, and service delivery arrangements
- the costs, benefits, feasibility and funding options of alternative schemes
- how the scheme will interact with the health, aged care, informal care, income support and injury insurance systems
- its impacts on the workforce
- how any scheme should be introduced and governed
- what protections and safeguards should be part of the scheme.
The Commission has now submitted its final report to Parliament. Key findings include :
* Most families and individuals cannot adequately prepare for the risk and financial impact of significant disability. The costs of lifetime care can be so substantial that the risks and costs need to be pooled.
* The current disability support system is underfunded, unfair, fragmented, and inefficient, and gives people with a disability little choice and no certainty of access to appropriate supports. The stresses on the system are growing, with rising costs for all governments.
* There should be a new national scheme - the National Disability Insurance Scheme (NDIS) - that provides insurance cover for all Australians in the event of significant disability. Funding of the scheme should be a core function of government (just like Medicare).
The agreement cements the commitment made at the 13 February Council of Australian Governments meeting, and will see all governments working together to reform the health system. This agreement will build on the work already progressed to date.
Under the agreement, all governments have agreed to major reforms to the organisation, funding and delivery of health and aged care.
These reforms aim to deliver better access to services, improved local accountability and transparency, greater responsiveness to local communities and provide a stronger financial basis for our health system into the future through increased Commonwealth funding.
Future challenges include the increasing numbers and expectations of older people, a relative fall in the number of informal carers, and the need for more workers. By 2050, over 3.5 million Australians are expected to use aged care services each year.
The Productivity Commission has released its report into the aged care system, Caring for Older Australians. The aged care system suffers key weaknesses. It is difficult to navigate. Services are limited, as is consumer choice. Quality is variable. Coverage of needs, pricing, subsidies and user co-contributions are inconsistent or inequitable. Workforce shortages are exacerbated by low wages and some workers have insufficient skills. The Commission's proposals address these weaknesses and challenges, and aim to deliver higher quality care.
The supply of dentists (including dental specialists) grew from 46.6 to 50.3 full-time equivalent practising dentists per 100,000 population between 2000 and 2006. In 2006 there were an estimated 10,400 practising dentists in Australia, of whom 1,300 were dental specialists. There were an additional 3,100 allied dental practitioners comprising of dental hygienists, dental therapists, and oral health therapists, nearly all of whom were women. Almost 90% of the estimated 900 practising dental prosthetists in 2006 were men.
In 2006, there were 1,171 dental therapists, 674 dental hygienists and 371 oral health therapists practising in Australia. The oral health practitioner workforce was overwhelmingly female, with 98.8% of dental therapists, 96.7% of hygienists and 94.8% of oral health therapists being female. Dental therapists were the oldest group among the oral health labour force, with an average age of 42.9 years.
Between 2006 and 2025 the number of oral health therapists practising in Australia is expected to increase from 371 to 2,117. Dental hygienist numbers are also expected to increase (from 674 to 1,458), while dental therapist numbers are projected to decrease (from 1,171 to 443). Overall, the number of oral health practitioners per 100,000 population is expected to increase from 10.8 to 16.2 by 2025.
Breaking down communication barriers between health professionals and Indigenous people (teaching resources)
The Byalawa project comprises a website and a set of six online videos designed to assist health sciences students across a range of disciplines learn to effectively communicate with Indigenous patients and clients. Health professionals such as lead researcher Dr Tricia McCabe, from the Faculty of Health Sciences, Sydney University, have long known that cultural misunderstandings can be a barrier to communication. Factors that can limit effective communication between Aboriginal patients and healthcare workers include a lack of patient control over language, timing, content and circumstances of the interactions; and most importantly for this project, a lack of staff training in intercultural communication. To create the videos Dr McCabe conducted qualitative research through focus groups with Aboriginal people.
The coercive, stressful family environment which leads to incidents of child abuse in the home is being overcome through Parent Child Interaction Therapy (PCIT), a hi-tech interactive therapy program.
As communities affected by disaster go through the important phase of recovery, it is vital that people with mental health problems, such as depression or anxiety, are identified early and given support and access to help," beyondblue CEO Dawn O’Neil AM said.
The Royal Newcastle Hospital Heritage Trust, in conjunction with the University of Newcastle Foundation, annually awards a visiting fellowship to a prominent scholar to visit and teach in Newcastle. This year Professor McGorry has been appointed the Fellow.
The report includes diagnoses changes, state and territory data for the epidemiology of autism, education and labour force participation and the need and receipt of assistance. The data indicated that people with autism were "struggling with economic participation, with lower levels of post-school qualifications and labour force participation compared to other people with disabilities." It concludes, "Autism is a very restrictive condition requiring a high level of support on a daily basis. While schools in Australia are providing some support to help children with the condition, 2009 data indicates more needs to be done to help them into further education and to the labour force."
* The NSW Rural Paediatric Emergency Clinical Guidelines : a document to help outline procedures to ensure the early management of children who present to Emergency Departments where Medical Officers are not immediately available.
* The Recognition of the Sick Baby or Child in the Emergency Department : guidelines to assist clinicians in early and rapid recognition of imminent risk in our young and very vulnerable patients.
* The first chapter of the DETECT Junior manual : an online paediatric version of the DETECT program to enhance the recognition and management of clinically deteriorating infants and children. (Program currently in development)
Mental health professionals who would like to keep up-to-date with the mental health research literature may benefit from incorporating The Mental Elf into their reading patterns.
The Mental Elf website provides daily summaries which highlight evidence-based publications that are relevant to mental health practice in the UK and further afield. The site is developing nicely, covering new research in all major fields of mental health practice.
The Mental Health Rights Manual: A Consumer Guide to the Legal and Human Rights of People with Mental Illness in NSW (3rd Edition) 2011
The Mental Health Coordinating Council presents its online NSW Mental Health Rights Manual (3rd Edition) which extensively builds on the 2004 online edition and the original manual published in 1995. By incorporating the latest legislative reform and government directives, the new edition ensures ongoing access to current legal information for anyone in contact with the mental health sector.
Written in plain language, the manual is an invaluable readily accessible resource, bringing together vital information crucial to anyone having to navigate the mental health system, enabling them to become acquainted with their rights, the legal and service system, and access support and guidance.