Family violence prevention programs in Indigenous communities
|Professor Tom Calma at the #JustJustice launch|
About the #JustJustice Book with further links
Download available from this page
Aboriginal workforce strategic framework: taking the next STEP UP in growing a strong and culturally supported Aboriginal workforce 2016-2020
The Framework is structured around six key priorities areas:
1. Lead and Plan Aboriginal Workforce Development
2. Build Cultural Understanding and Respect
3. Attract, Recruit and Retain Aboriginal staff
4. Develop the capabilities of Aboriginal staff
5. Work with others to achieve workforce priorities
6. Track our achievements and improve results.
Physical health and mental wellbeing: evidence guide
Women reported five main health concerns.These health concerns included weight management, female-specific cancers, mental and emotional health, menopause and chronic pain. Women that responded to the survey appear to be in good health and are mostly invested in doing the right thing for their health. Over half of all women reported that they are most likely to compare their body to family and friends as opposed to comparing their bodies to models, athletes, media figures and actors. On average women visited the doctor 3-5 times per year, with only a small number of women not visiting the doctor at all in the last 12 months.
Insights in Recovery: A consumer-informed guide for health practitioners working with people with eating disorders
The recommendations in the Guide include:
* Establish a shared understanding of recovery
* Help individuals talk about their eating disorder
* Help individuals feel safe
* Use mindful language
* Help individuals find their identity beyond the eating disorder
* Integrate choice into treatment decisions
* Encourage the use of healthy supports in everyday life
* Listen and incorporate the perspectives of those with lived experience
About the guide.
Spatial distribution of the supply of the clinical health workforce 2014: relationship to the distribution of the Indigenous population (AIHW)
Download report: Spatial distribution of the supply of the clinical health workforce 2014: relationship to the distribution of the Indigenous population
The tools and information on this page are set up to support health professionals and students of eye health in this group. They include links to programs and projects, reviews of the literature, relevant policies, health promotion resources and information about the workforce in this field - training, conferences and job opportunities.
The research reveals the key reasons for RFDS aeromedical retrievals from remote Indigenous communities as being for:
> 17.9% for injury or poisoning;
> 14.4% suffering a stroke, heart attack or disease of the circulatory system;
> 12.8% having pneumonia, asthma or other disease of the respiratory system.
1 in every 5 aeromedical retrievals of Indigenous people suffering respiratory illness were under one year of age. 40% were below school age.
"This research is a first for the RFDS. It warns Indigenous children are over-represented in aeromedical retrieval data. Preventable or manageable illnesses such as pneumonia, asthma and croup are leaving kids so ill the only option is to fly them to hospital," said Martin Laverty, CEO of the Royal Flying Doctor Service of Australia.
The research outlines illness and injury rates requiring a sample of 17,606 to be flown from remote communities to hospitals over a three year period. It points to how illness and injury can be prevented and how health services can improve Indigenous health care.
Providing aeromedical retrieval care to remote Indigenous communities: Lara Bishop, Martin Laverty and Lauren Gale
Better Cardiac Care measures for Aboriginal and Torres Strait Islander people: second national report 2016 (AIHW)
Download report: Better Cardiac Care measures for Aboriginal and Torres Strait Islander people: second national report 2016
* There were about 7.5 million presentations to public hospital emergency departments;
* 74% of patients received treatment within an appropriate time for their urgency (triage) category;
* 73% of patients spent 4 hours or less in the emergency department;
* 2.2 million patients were admitted to hospital from the emergency department, and 49% of these were admitted within 4 hours.
Beginning with 277 people without diabetes and 75 with type 2 diabetes (but still able to produce insulin), the team led by Helle Krogh Pedersen monitored the blood concentrations of over 1200 metabolites and combined this with a detailed analysis of the gut bacteria for each participant.
They discovered that people who were insulin resistant had elevated blood levels of branched-chain amino acids (BCAAs). BCAAs originate from ingested food or gut microbial synthesis, and have been previously associated with incident type 2 diabetes, and normalisation of BCAA levels has been observed after bariatric surgery.
They also found that the main drivers of elevated BCAA in those people were two bacteria; Provotella copri and Bacteroides vulgatus. Lesser roles in insulin resistance were also played by E.coli, Suterella wadsorthensis and unclassified Sutterella and Prevotella species.
More information and links
Diabetes Australia CEO A/Professor Greg Johnson said it was important to assess Australia's progress in responding to the challenges of the diabetes epidemic.
The new report also updates the growth and impact of the diabetes epidemic in the past year, noting that:
• 100,105 Australians were diagnosed with diabetes in the past year
• 1,211,251 Australians are currently living with diabetes
• Around one third of all these people will develop diabetic retinopathy and damage to their eyes
• 36,198 women diagnosed with gestational diabetes in the past year
• 383,439 Australians with diabetes needed insulin injections every day (or insulin pump therapy).
• an estimated 250,000 to 500,000 have undiagnosed, silent type 2 diabetes
• an estimated 2 million Australians have prediabetes and are therefore at high risk of developing type 2 diabetes
• 4,400 diabetes related amputations of toes, feet or limbs have been performed
• 3,500 people with diabetes needed kidney dialysis
• 840,000 hospitalisations related to diabetes
Diabetes: state of the nation Report
* Antimicrobial dispensing
* Diagnostic interventions
* Surgical interventions
* Interventions for mental health and psychotropic medicines
* Opioid medicines
* Interventions for chronic diseases.
The interactive atlas provides an easy interface to all the content in the Australian Atlas of Healthcare Variation, including the availability of data in easy-to-download formats. Users are able to look at maps of Primary Health and Local Hospital networks and compare their areas with state, national and sometimes international rates.
Reposted from HealthInfo Blog
This comprehensive report card measures where things have improved (or not) against 52 indicators across a range of areas including governance, leadership and culture, early childhood, education, health, home and safe and supportive communities, and includes case studies on things that work to improve outcomes.
Indigenous Australians are becoming more disadvantaged, with alarming increases in imprisonment rates, mental health problems and self harm, according to the report.
The Commission's Overcoming Indigenous Disadvantage report says despite some positive trends, the plight of Indigenous Australians has "stagnated or worsened" in critical areas of wellbeing. Among the findings, the national Indigenous imprisonment rate has surged by 77 per cent over the past 15 years and the hospitalisation rate for self harm is up by 56 per cent over the past decade.
Download the report, and supporting material
Indigenous Australians' wellbeing 'stagnating or worsening', Productivity Commission report reveals (ABC)
The report evaluated 88 suicide prevention programs Australia-wide to identify and analyse the most successful. The report's 17 recommendations to government, including that local Aboriginal Community Controlled Health Services remain preferred mental health service providers, are key to addressing the unacceptable rate of suicide in Indigenous communities.
About the report
Report: Solutions that work: addressing Aboriginal and Torres Strait Islander suicide rates.
The use of lung function testing for the diagnosis and management of chronic airways disease demonstration data linkage project using the 45 and Up Study 2001-2014
* contrary to recommended guidelines, most study participants (82%) initiated on medications for managing their chronic airways disease did not have lung function testing performed within 12 months, either before or after their initial prescription
* among respondents who reported having current asthma, lung function testing was only claimed for about one-quarter (26%) in a recent 3-year period and 12% had only 1 lung function test claim during that time.
The evidence from this study will inform initiatives to help improve appropriate prescribing and health outcomes for people with chronic airways disease. This project also provides a demonstration of methods that could also potentially be used to fill evidence gaps associated with other chronic diseases such as diabetes, arthritis and cancer.
Download report: The use of lung function testing for the diagnosis and management of chronic airways disease demonstration data linkage project using the 45 and Up Study 2001-2014.
Australian Indigenous HealthInfoNet Director, Professor Neil Drew, says 'This is a first for us as we expand our suite of digital tools and new platforms to deliver knowledge and information to the sector. The eBook is a tactile, sensory tool which provides multiple ways of utilising the latest technology to assist learning about this important topic. We have been overwhelmed by the positive feedback from stakeholders in the testing phases and know there is a need for a resource of this kind. We are delighted to be able to provide this - our first eBook.'
The eBook has been created for Apple devices, such as iPads, iPhones, laptops and desktop computers. It is free to download from iTunes and via the Knowledge Centre http://www.aodknowledgecentre.net.au/vsu-ebook. Users can read it, listen to it, make notes and copy/paste content. Embedded in the eBook are short films and inks to the original source of references. Once downloaded, the eBook can be accessed and used multiple times in any way a user determines.
VSU is an issue of concern to Aboriginal and Torres Strait Islander and non-Indigenous Australians. The purpose of the review is to provide a comprehensive synthesis of key information for people involved in Aboriginal and Torres Strait Islander health in Australia. The eBook is the review in another dynamic format.
Download from : http://www.aodknowledgecentre.net.au/vsu-ebook
Published in the Medical Journal of Australia this week, Improving maternity services for Indigenous women in Australia: moving from policy to practice comprehensively reviewed Australia's National Maternity Services Plan (NMSP) and resulting actions regarding Aboriginal mothers and babies between 2010-2015.
The report found that the NMSP "expired without notable results" in 3 priority areas: building the Aboriginal maternity workforce, providing culturally competent maternity care and developing dedicated programs for 'birthing on country'.
Emeritus Professor Lesley Barclay AO from the University Centre for Rural Health, said: "Almost a quarter of Aboriginal women give birth in remote parts of Australia, compared with just two percent of non-Aboriginal women. The disparities in health outcomes between Aboriginal and non-Aboriginal Australians are well established, including higher incidence of preterm birth, low birth weight and newborn mortality. We also know chronic diseases take root early in life."
"We're calling on the government to provide urgent funding for priority areas identified and accepted in the past, and for further research into the most effective ways we can arrest and improve health outcomes for all Aboriginal people. "
Report in PDF
About the report
People should also be mindful of family members and loved ones during this difficult time, and are encouraged to reach out to others, especially if they have not heard from them in some time.
WNSWLHD Rural Adversity Mental Health Program (RAMHP) Consultant, Di Gill said people should take care of their health and wellbeing, especially following a natural disaster. “Natural disasters like flooding can really impact people’s mental health, and we urge everyone in central western NSW in flood-affected areas to make sure they look after themselves, their families and their communities,” Ms Gill said.
Read more at: http://wnswlhd.gwahs.nswhealth.net/NewsandPublications/MediaReleases.php?mr=1478
The ABC has obtained a copy of the Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project (ATSISPEP), co-chaired by West Australian professor Pat Dudgeon and former social justice commissioner Tom Calma.
The report calls for a radical rethink in Indigenous mental health policy to place Aboriginal people at the centre of care.
Read more at: http://www.abc.net.au/news/2016-10-12/indigenous-led-suicide-prevention-plan-need-to-fight-deaths/7921776
A mental health strategy released by the NSW Government on Wednesday turns the "crisis response" mentality upside-down and places prevention at the forefront of mental health care, with staff encouraged to be aware of potential issues from the beginning of their career.
Read more at: http://www.smh.com.au/national/health/emergency-services-join-forces-on-mental-health-strategy-20161011-grzy04.html
* Spending on health in Australia (recurrent and capital expenditure combined) was $161.6 billion in 2014-15, $4.4 billion (2.8%) higher in real terms than in 2013-14.
* This was the third consecutive year that growth in health expenditure was below the 10-year average (4.6% between 2004-05 and 2014-15).
* Growth in health expenditure per person was also relatively low, at less than a half of the average annual growth over the decade (1.4% compared with 2.9%).
* Despite the low growth, the share of the economy (GDP) represented by health reached 10.0% for the first time.
Prime Minister Malcolm Turnbull has asked Health Minister Sussan Ley to host a summit on the issue in the Kimberley in northern Western Australia and a coronial inquest into the issue has been planned.
Just under a decade ago, Professor Stanley gave extensive evidence to a previous coronial inquest into Indigenous suicides in the Kimberley.
Read more at: http://www.abc.net.au/news/2016-10-04/action-not-talk-needed-for-indigenous-suicide-fiona-stanley-says/7899620
The aim is to emphasise the importance of getting help for things causing problems or for changes in the way a person might be feeling.
For the people behind one of the Central Coast’s most successful alcohol and drug rehabilitation services, The Glen at Chittaway Bay, mental health wellness is critical and getting the right help vital.
See more at: http//www.dailytelegraph.com.au/newslocal/central-coast/mental-health-expo-at-the-glen-aims-to-help-those-in-need-and-entertain-the-whole-family/news-story/639e4c0f6960dce0189649e646871def
Established in response to a request in December 2015 by federal Minister for Health, Sussan Ley, the group provides advice, expertise and strategic support for suicide prevention policy across Australia by identifying priorities and promoting action.
In keeping with the National Mental Health Commission’s commitment to the ideal of nothing about us without us, membership includes people with a lived experience of mental ill health.
Read more at: http://www.mentalhealthcommission.gov.au/media-centre/news/new-suicide-prevention-advisory-group.aspx
Tobacco indicators: measuring midpoint progress-reporting under the National Tobacco Strategy 2012-2018 (AIHW)
* This report presents midpoint data for several tobacco indicators using various data sources and collections years.
* The majority of indicators show that favourable progress has been made, particularly for exposure to tobacco smoke, uptake of smoking, transition to established smoking and regular smoking among young people, adults and Aboriginal and Torres Strait Islander people.
* However, some groups achieved greater progress than others, and inequalities within particular groups increased for some indicators.
Media release: New report shows positive changes in Australians' smoking patterns
Download report: Tobacco indicators: measuring midpoint progress-reporting under the National Tobacco Strategy 2012-2018
The Hip Fracture Care Clinical Care Standard aims to ensure that a patient with a hip fracture receives optimal treatment from presentation to hospital through to the completion of treatment in hospital. Fact sheets and other resources are also available.
Healthy Communities: Hospitalisations for mental health conditions and intentional self-harm in 2013-14 (AIHW)
Media release: Australians living in regional areas more likely to be hospitalised for a mental health condition
Download report: Healthy Communities: Hospitalisations for mental health conditions and intentional self-harm in 2013-14
Australian Burden of Disease Study: impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2011 (AIHW)
Australian Burden of Disease Study: impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2011
* This report provides estimates of the non-fatal and fatal burden of disease for the Aboriginal and Torres Strait Islander population; as well as estimates of the gap in disease burden between Indigenous and non-Indigenous Australians.
* The disease groups causing the most burden among Indigenous Australians in 2011 were mental and substance use disorders, injuries, cardiovascular diseases, cancer and respiratory diseases.
* Indigenous Australians experienced a burden of disease that was 2.3 times the rate of non-Indigenous Australians.
* Over one third of the overall disease burden experienced by Indigenous Australians could be prevented by removing exposure to risk factors such as tobacco and alcohol use, high body mass, physical inactivity and high blood pressure.
* This report is accompanied by a media release and a summary report.
Download the report: Australian Burden of Disease Study: impact and causes of illness and death in Aboriginal and Torres Strait Islander people 2011.
Australian Burden of Disease Study 2011: methods and supplementary material
* This document provides a detailed description of the methods used to derive the fatal and non-fatal burden of disease (using the disability-adjusted life years, years lived with disability and years of life lost measures) for the Australian and Aboriginal and Torres Strait Islander populations for 2011 and 2003, as well as estimates of how much of the burden can be attributed to various risk factors.
* The report is targeted at researchers and epidemiologists, and those seeking to further understand results provided in the Australian Burden of Disease Study 2011.
Download the report: Australian Burden of Disease Study 2011: methods and supplementary material
The UK National Institute for Health and Care Excellence (NICE) has released a guideline covering care for people with multimorbidity (multiple long-term conditions.
Designed to optimise care by reducing treatment burden (polypharmacy and multiple appointments) and unplanned care, the aim of this guideline is to improve quality of life by promoting shared decisions based on what is important to each person in terms of treatments, health priorities, lifestyle and goals. The guideline sets out which people are most likely to benefit from an approach to care that takes account of multimorbidity, how they can be identified and what the care involves.
Access the full guideline on multimorbidity.
Feature articles include
* Nurse empathy and the care of people with dementia
* Access to healthcare services for people living with HIV experiencing homelessness.
* Stoma and shame: engaging affect in the adaptation to a medical device.
* Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice.
* A mental health nursing transition program for enrolled nurses at a forensic mental health hospital.
* The health status of Australians
* Health expenditure
* The major causes of ill health
* Determinants of health
* Health through the life course
* Health of Indigenous Australians
* Preventing and treating ill health
* Health system performance
The main publication is accompanied by a summary report, Australia's health 2016-in brief.
Click on the links (below) to view the report and media release.
Media release: 85 out of 100 Australians say they're healthy-but are we really?
The Emergency Psychiatry Service at Flinders Medical Centre, South Australia, is described as a case example. Its specialised models of assessment and clinical care are described, highlighting how these are differentiated from more traditional models in inpatient, community and general hospital consultation–liaison psychiatry.
See more at: http://apy.sagepub.com/content/early/2016/09/06/1039856216665286?papetoc
Aspects of disability covered include community & civic participation, education, economic participation, housing & built environment, health & wellbeing, safety & security, social relationships and transport.
The Australian Guide to the diagnosis of FASD.
About the guide, forms, resources and information sheets.
This research report maps the number of government and non-government Indigenous programs and potential level of duplication among different program providers (federal, state/territory and non-government). The report also estimates how much funding is allocated for Indigenous specific programs, across the non-government sector as well as by federal and state/territory governments.
* Older Australians are generally living healthier and longer than previous generations.
* Older Australia at a glance is a series of web-based snapshots providing insight into who they are, where they are living, how they are changing, how healthy they are and the services they are using.
* Each snapshot provides succinct information supported by figures and tables, with new snapshots to be released annually.
* The series will paint a picture reflecting the complexity and diversity of the older Australian population.
View web page: Older Australia at a glance.
* The total number of registered medical practitioners increased from 67,890 in 2005 to 97,466 in 2015.
* The majority of these (83,871) were practitioners employed as clinicians.
* This report shows the supply of general practitioners (GPs) changed little between 2005 and 2015, ranging from 109 per 100,000 people in 2008 to 114 in 2015.
* There has also been no increase in the supply of hospital non-specialists over the past 5 years.
* In contrast, the supply of non-GP specialists increased from 121 to 143 per 100,000 people between 2005 and 2015 and the supply of specialists-in-training increased from 43.4 to 74.8 per 100,000 people.
* This suggests that while the supply of GPs and non-specialists is keeping pace with population growth, the number of medical practitioners working in, or training to take on, roles in other specialties is growing faster.
Media release: Doctor workforce increasingly specialised-and more female clinician specialists and GPs
View web page: Medical practitioner workforce 2015.
* NICE Guideline NG17 Type 1 diabetes in adults: diagnosis and management.
The #ItsOkayToTalk campaign began with a UK rugby player, Luke Ambler, deciding to take the conversation (or lack of conversation) around mental health into his own hands after his brother-in-law Andy Roberts took his own life very suddenly.
Read more at: http://www.huffingtonpost.com.au/2016/08/17/aussie-men-say-itsokaytotalk-changing-the-conversation-around/
In research findings just released in Nature’s Scientific Reports journal, Flinders University experts as part of a high-level US research team at the Institute of Molecular Medicine (IMM) and University of California, Irvine (UCI) have made a successful vaccine formulation that targets the abnormal beta-amyloid and tau proteins that signal Alzheimer’s disease.
Read more at: http://www.myvmc.com/news/progress-in-worlds-first-alzheimers-vaccine/
The health district’s acting director of population health Priscilla Stanley attests to progress in reducing the rate of smoking, but she and colleagues remained focused on those who are yet to quit the deadly habit.“There are over 48,000 smokers across Western NSW,” she said. "More than half of this number will die early as a direct result of smoking.”
The health district recently launched a long-term strategic plan to save more lives.
See more at: http://www.dailyliberal.com.au/story/4098948/24000-face-an-early-death/?cs=112
Chronic back problems can have a strong negative effect on a person's quality of life, affecting their ability to participate in daily activities, work, family and social activities.
This bulletin provides the latest detailed information on the impacts (in terms of quality of life and disability) of chronic back problems in Australia.
Media release: '1 in 6 Australians have chronic back problems'
Download report: Impacts of chronic back problems
"Men just love to tinker," he told 774 ABC Melbourne's Clare Bowditch.
"I really tried to tap into the whole aspect of mental health and physical health and what the shed can actually mean to them.
Aboriginal patients were particularly lukewarm on the quality of their communications with clinical staff, whether they had enough privacy when discussing their treatment and whether appropriate arrangements were made for their discharge. However, there was little difference between them and non-Aboriginal patients in the way that they rated the physical environment and comfort, safety and hygiene.
The responses of 2682 Aboriginal patients to the Bureau's annual survey of admitted patients for 2014 comprise this report. Individual reports are also available for Western NSW and other local health districts.
Aboriginal patients have different experience of hospital, especially in country (Dubbo Liberal)
There have been varying reports about the extent of this problem, but in 2012-2013, national estimates of the prevalence of diabetes among Aboriginal and Torres Strait Islander people ranged from 9% (based on self-reported data) to 11% (based on biomedical data). "After age-adjustment, Aboriginal and Torres Strait Islander people were more than 3 times as likely as non-Indigenous people to have diabetes." In addition, hospitalisation rates for complications of type 2 diabetes were almost six times higher than for non-Indigenous people.
As well as looking at the data for prevalence and complications, the review puts Aboriginal and Torres Strait Islander diabetes into context, discusses current prevention and management programs and policies and suggests future directions.
Australia's hospitals 2014-15 at a glance
* Australia's hospitals 2014-15 at a glance provides summary information on Australia's public and private hospitals.
* In 2014-15, there were 10.2 million hospitalisations, including 2.5 million involving surgery.
* Public hospitals provided care for 7.4 million presentations to emergency departments, with 74% of patients seen within recommended times for their triage category and about 73% completed within 4 hours.
* This publication is a companion to the 2014-15 Australian hospital statistics suite of publications.
Hospital resources 2014-15: Australian hospital statistics
* Hospital resources 2014-15: Australian hospital statistics presents a detailed overview of public and private hospital resources in Australia.
* In 2014-15, there were: 698 public hospitals; with over 60,300 beds, and accounting for more than $57 billion of recurrent expenditure (including depreciation); 624 private hospitals: with almost 3,000 beds, and accounting for more than $12 billion of expenditure.
Non-admitted patient care 2014-15: Australian hospital statistics
* In 2014-15, about 34.9 million non-admitted patient service events were provided by Australia's public hospitals.
* About 46% of non-admitted patient service events occurred in Allied health and/or clinical nurse specialist clinics, 30% were in Medical consultation clinics, 13% in Procedural clinics and 10% in stand-alone diagnostic clinics.
Perils of place: identifying hotspots of health inequality by the Grattan Institute, introduces a method of identifying small areas where health inequalities are entrenched and, without intervention, are likely to endure.
To build up the limited evidence of what works in reducing place-based health problems, the report recommends that government combine with Primary Health Networks and local communities to run three- to five-year trials of tailored programs in selected places. Rigorous evaluation is critical, so that the lessons from successful trials can be applied across the country.
Listen to a podcast of the authors discussing the report.
Download the report
About the report.
Download Patient experiences in Australian hospitals
The White Book presents a general overview of the topic and details the main frailty pathologies. Assessment tools and implementation initiatives are presented, in view of preventing and/or delaying disability and dependence, at home, in the community and in hospital settings.
The reports include a set of freely-available training resources for research capacity building in Indigenous communities.
This report provides an overview of skin cancer in Australia, risk factors, and key summary measures, including incidence, hospitalisations, survival and mortality.
It shows that while the age-standardised incidence rate has risen for most age groups, for Australians aged less than 40, the incidence rate for both types of skin cancers are declining. This is likely due to sun protection awareness programs run at the school level.
Media release: Skin cancers common, but melanoma rates falling among younger people
Download report: Skin cancer in Australia
This report examines the results of the 2015 Regional Wellbeing Survey, focusing on wellbeing, liveability, and resilience. Further reports will be released from the 2015 survey, including reports focusing on experiences of drought, the wellbeing of farmers, natural resource management, and water reform. The Regional Wellbeing Survey team is also partnering with other groups conducting large scale surveys, to ensure we can broaden the information available on wellbeing of different people and communities.
The Australian Commission on Safety and Quality in Health Care has developed Acute Stroke - the Case for Improvement to support the implementation of the Acute Stroke Clinical Care Standard. Designed for a wide audience, including clinicians and health services, the resource highlights what is known about the evidence, best practice and current practice, and the opportunities to bring these closer together.
Acute stroke clinical care standard
Acute stroke : the case for improvement
The portal provides access to health promotion resources, health practitioner tools and information about programs that promote healthy lifestyles and chronic disease management for Aboriginal and Torres Strait Islander people. It also highlights workforce opportunities for chronic disease workers, including job vacancies, events, training and funding.
The review found mHealth interventions can promote significant improvements in glycaemic control (for diabetes patients), as well as in physical activity, weight loss and smoking cessation, with the strongest evidence for SMS. Benefits appeared to be mediated by the characteristics of both the intervention and the patient population. Integrating mHealth technologies into healthcare as part of a service rather than a standalone system was as an important marker of success.
mHealth Technologies for Chronic Disease Prevention and Management;, 2015. L Laranjo, A Lau, B Oldenburg, E Gabarron, A O'Neill et al. Sax Institute.
Dementia in My Family provides age-specific information for children in several age-groups from pre-schoolers (with an animated story) to late teens (who are provided with more complex information and links to counselling services). It also has a page for adults on how to talk to children about Dementia. There are also some very useful links to websites, online books, fact sheets and contacts.
Incorporating perspectives from a wide range of stakeholders on priority evidence-practice gaps and barriers, enablers and strategies for achieving improvement it should be useful for stimulating discussion and action.
The Final Report
Health Promotion Journal of Australia Virtual Issue - Looking Back, Looking Forward - 30 years of the Ottawa Charter
The succinct articulation of the themes around healthy public policy, healthy environments and reorienting health systems towards prevention helped re-frame the classic health education approach to embrace a broader health promotion approach including the social determinants of health.
This virtual issue of the Health Promotion journal revisits many of the classic articles produced during the 30 years of the Ottawa Charter.
An evidence-based approach to reducing discharge against medical advice amongst Aboriginal and Torres Strait Islander patients by Caitlin Shaw, makes a number of recommendations, including:
* Improving cultural competency training and cultural safety frameworks in hospitals
* Developing a nationally recognised scope of practice for Aboriginal Health Workers (AHWs) and Aboriginal Liaison Officers (ALOs)
* Developing more flexible community-based care models to provide culturally appropriate care for Aboriginal and Torres Strait Islander patients.
Primary health care-based programmes targeting potentially avoidable hospitalisations in vulnerable groups with chronic disease
Trends in PAH and ED presentation rates
* PAH rates are high, but mostly stable for chronic and acute conditions in the general population, but they have increased for vaccine-preventable conditions
* PAHs are higher in vulnerable populations (Indigenous Australians, rural/remote residents, socioeconomically disadvantaged, elderly)
* Chronic diseases account for more than half of all PAHs, particularly chronic obstructive pulmonary disease
* Despite widespread implementation of chronic disease management programmes, there is no statistically significant reduction in the rates of PAH and ED presentation.
Overview of programmes to reduce PAHs and ED presentations
* Key predictors of PAHs, ED presentations and readmissions include: older age, low socioeconomic status, ethnicity, rurality, comorbidities, mental illness and substance use and being widowed or separated
* Elements of successful programmes are largely context- and condition-specific as PAH rates vary according to different chronic conditions and disease severity; therefore, flexibility in approaches is needed
Primary health care-based interventions that showed significant reductions in rates of PAH and ED presentations included:
* Continuity of GP care (condition-dependent)
* GP management plan with team care arrangement (e.g., diabetes)
* Multidisciplinary team care, with gerontologist and integrated social care for the elderly; and with care coordinators to liaise with GPs, hospital and other services
* Comprehensive, flexible vertical and horizontal integration of primary health care with hospital and community-based services
* Home care for socioeconomically disadvantaged and the elderly
* For Indigenous Australians, evidence was highly variable and condition-specific, often related to multiple disadvantage (remoteness, advanced illness, low socioeconomic status and poor health literacy). Programmes that are culturally appropriate and integrated across sectors are more likely to reduce PAHs
* For rural/remote residents, flexible design and implementation to address problems of access and social isolation are more effective
* Cost of accessing care, multimorbidity and low literacy are key barriers for in low socioeconomic situations
* Flexible, individualised approaches, nurse coordinator involvement and interventions that involve integration across primary health care, acute and community care may influence the rates of PAH.
For more detail see the Summary and the Full report
Alzheimer's: Risk | Diagnosis | Therapy & Treatment | Caregiving
Alcohol and other drug treatment services in Australia 2014-15
* In 2014-15, around 850 alcohol and other drug treatment services provided just over 170,000 treatment episodes to around 115,000 clients.
* The top 4 drugs that led clients to seek treatment were alcohol (38% of treatment episodes), cannabis (24%), amphetamines (20%) and heroin (6%).
* The proportion of episodes where clients were receiving treatment for amphetamines has continued to increase over the last 10 years, from 11% of treatment episodes in 2005-06 to 20% in 2014-15.
* The median age of clients in AOD treatment services is increasing, 33 years in 2014-15, up from 31 in 2005-06.
Media release: 1 in 200 Australians seek treatment for alcohol and other drugs
Report: Alcohol and other drug treatment services in Australia 2014-15
In 2015, 91.9% of all registered nurses and midwives were in the nursing and midwifery workforce (331,015). Of these, 8,930 were looking for work in nursing and midwifery, down from 9,110 in 2014. In 2015, the overall supply of employed nurses and midwives was 1,138 full-time equivalents or FTEs for every 100,000 people. This compares with the figure of 1,107 FTEs per 100,000 in 2011. In 2011 and 2015, there were more employed nurses and midwives in the 50-54 year age group than any other age group. The proportion aged 50 and over grew from 38.3% in 2011 to 39.0% in 2015. The proportion in 2014 was 39.4%.
View web page: Nursing and midwifery workforce 2015
The report first discusses the growing problem of AMR and why action is needed. It then proposes some ways to curtail unnecessary use and increase the supply of new antimicrobials, before looking at social measures such as public awareness campaigns, improvements in sanitation and hygiene, reducing pollution, improving global surveillance and introducing rapid diagnostics and vaccines. The economic implications of innovation funds, market entry awards and global funding are also examined, as well as ways to build political and international consensus.
Cancer death rates have generally decreased over time, with the death rate from all cancers combined decreasing from 199 deaths per 100,000 people in 1968 to 166 per 100,000 in 2013. Between 2014 and 2025 the death rate from all cancers combined is projected to continue an overall downward trend from an estimated 208 to 180 deaths per 100,000 males, and from 133 to 120 deaths per 100,000 females.
View web page: Cancer mortality trends and projections: 2014-2025
In 2011, the latest year for which data were available for most professions, there were over 800 ophthalmologists, around 4,000 optometrists and over 6,000 allied ophthalmic personnel (orthoptists, optical dispensers, optical mechanics, orientation and mobility specialists and occupational therapists specialising in eye health) in the eye health workforce.
Ian Hickie from the University of Sydney's Brain and Mind Centre said leading mental health advocates want candidates to commit to a national suicide prevention program and support a suicide prevention trial in 12 regions.
"It's really the rural and regional areas that suffer the most," said Professor Hickie, who noted that economic impacts such as the mining downturn, drought, and the closure of regional industries were major risk factors.
"They're the areas in which we see high suicide rates two to three times the national average and we need focused intensive activity in those communities."
The audit of 28 electorates shows suicide rates exceeded the road toll in every electorate surveyed, while 23 of the 28 seats had high to extremely high suicide rates.
Report and further information downloads
Let's talk about success: exploring factors behind positive change in Aboriginal communities draws on interviews with leaders of successful Aboriginal organisations to understand the factors behind the successes that they are achieving in their communities. It explores how they define and assess success and what they see as the factors behind their achievements. It discusses the challenges and critical turning points they have faced and what enables them to sustain their success. It also explores what they say are distinctively Aboriginal features about the way they work. The paper finds considerable continuities with previous studies of Aboriginal organisations, but also outlines some of the successful strategies they use in working with their communities.
In addition, this web product includes the release of a new product known as 'Mortality Over Regions and Time' (MORT) Books. These books present national mortality data at the PHN level and also by selected geographical areas, including remoteness area, socioeconomic group and Statistical Area Level 3 (SA3). The analysis includes the leading causes of death and trends over time.
View web page:
http://www.aihw.gov.au/primary-health-care/ Primary health care
Mortality Over Regions and Time (MORT) books
Community Paediatric Review, produced by the Centre for Community and Child Health at the Royal Children's Hospital, Melbourne, supports health professionals in caring for children and their families through the provision of evidence-based information on current health issues. Each edition includes articles for professionals and information sheets for families.
Community Paediatric Review publications and parent information sheets can be downloaded free from the archives listed below (editions date back to 2000). Previous topics covered include: Child mental health, encouraging your child's language, asthma, ear, nose & throat health, travelling safely with children, probiotics and many others.
Latest edition: Child behaviour and emotional regulation Vol 24 No. 2, May 2016
As children grow and develop, they learn to regulate their emotions and manage their behaviour. On the way to learning those skills, young children express their wide range of emotional responses in ways that can create stress and anxiety for parents and caregivers – sometimes their behaviour will include aggression, defiance and/or hyperactivity. Child and family health nurses can play an important role in helping parents to nurture their child's developing mind and, along the way, help their children to develop their emotional regulation skills.
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The Community Paediatric Review is just one of several resources available for download.
Media release: New course will help improve the mental health of older people
In 2014, nearly 30,000 Australians began using insulin to treat their diabetes-67% had type 2 diabetes, 23% had gestational diabetes, 9% had type 1 diabetes and 2% had other forms of diabetes.
Almost 2 in 3 (63%) people diagnosed with type 1 diabetes were aged under 25, whereas almost all (93%) new cases of insulin-treated type 2 diabetes occurred in those aged over 40.