18 results
Search Results
2. The Rurality of Intimate Partner Femicide: Examining Risk Factors in Queensland.
- Author
-
McLachlan, Freya
- Subjects
RISK assessment ,HEALTH services accessibility ,POLICY sciences ,WOMEN ,INTIMATE partner violence ,MENTAL health services ,SEX offenders ,GOVERNMENT policy ,POPULATION geography ,PSYCHOLOGY of men ,CHI-squared test ,DESCRIPTIVE statistics ,CRIME victims ,HOMICIDE ,RURAL conditions ,RURAL population ,INTERPERSONAL relations ,DATA analysis software ,SOCIAL isolation - Abstract
While violence against women and domestic violence can be seen throughout Australia, emerging evidence suggests that intimate partner femicide (IPF) is more common in rural spaces than urban ones. This study examined 100 IPF cases to determine the rate of femicide and frequency of common risk factors in rural areas of Queensland, Australia. The study also explored how victims accessed services and the characteristics of rural IPF and male offenders. Findings indicated that IPF is more common in rural areas and associated risk factors are similar between urban and rural cases. Rural IPF was more likely to occur during a current relationship and offenders were found to be less likely to conceal their actions. These differences suggest that the physical and social isolation of rural spaces may facilitate higher rates IPF. Implications discuss the need for rural-focused policies and responses. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Development of Australia's first psychiatric emergency centre.
- Author
-
Frank, Rowena, Fawcett, Lisa, and Emmerson, Brett
- Subjects
MENTAL health services ,HOSPITAL emergency services ,EMERGENCY medical services - Abstract
Objectives: To describe the development of the first Australian psychiatric emergency centre co-located with the Emergency Department at the Royal Brisbane and Women's Hospital. This paper covers the current operational model, significant partnerships and benefits of this service, which assesses and treats over 7200 presentations per year. Conclusions: The co-location of the Psychiatric Emergency Centre and Emergency Department has created a unique model of service delivery and effective working relationships between the two services. The model improves clinical care providing multiple benefits for patients and the Emergency Department by means of direct access to specialized mental health staff, early mental health responsibility for patients and reduced access block. [ABSTRACT FROM AUTHOR]
- Published
- 2005
- Full Text
- View/download PDF
4. Telemedicine applications in an integrated mental health service based at a teaching hospital.
- Author
-
Yellowlees, Peter, Kennedy, Craig, Yellowlees, P, and Kennedy, C
- Subjects
TELEMEDICINE ,MEDICAL telematics ,MENTAL health services ,TEACHING hospitals ,MEDICAL education ,ACADEMIC medical centers ,COMMUNITY mental health services ,COMMUNITY mental health service administration ,COMPARATIVE studies ,EMPLOYEE orientation ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,EVALUATION research ,HUMAN services programs ,EVALUATION of human services programs - Abstract
Psychiatric applications have predominated in Australian telemedicine in recent years. This paper describes the development of the first telemedicine system for an integrated mental health service based at a teaching hospital. Much effort was devoted to training and education for staff. Within about six weeks of the system being installed, over 80% of all clinical administrative staff, from all the mental health disciplines of the integrated service, had completed a formal training programme. Applications within the service included direct clinical work and the use of videoconferencing in preference to standard telephony over short distances. Applications external to the service, over distances of thousands of kilometres, included clinical supervision and teaching. Evaluation is continuing. [ABSTRACT FROM AUTHOR]
- Published
- 1996
- Full Text
- View/download PDF
5. Remoteness and socioeconomic status reduce access to specialist mental health care across Australia.
- Author
-
Amos, Andrew, Coleman, Mathew, Spring Walsh, Breeanna, and Gardiner, Fergus W
- Subjects
MENTAL health services ,INDIGENOUS Australians ,SOCIOECONOMIC status - Abstract
Objective: Estimate impact of socioeconomic factors and remoteness from tertiary hospital on incidence/duration of Australian mental health admissions. Methods: Retrospective analysis of incidence/duration of public mental health unit admissions (2018–19). Covariates included Indigenous population, potentially preventable hospitalisations (PPH) and socioeconomic disadvantage. Results: Regional distance from hospital was correlated with socioeconomic disadvantage (ρ : p < 0.01). Population identifying as Aboriginal or Torres Strait Islander was associated with distance from hospital, socioeconomic disadvantage and PPH (ρ : p < 0.01). Bed days per capita was explained (R
2 adj : 0.48) by distance and socioeconomic disadvantage (p < 0.0001). A 1% increase in distance from hospital was associated with a 0.37% decrease in per capita bed days. Admission rate per capita across Queensland and WA was explained (R2 adj : 0.36) by distance, education/occupation and state (p < 0.05). Across Queensland and WA a 1% increase in distance from hospital was associated with a 0.05% decreased incidence of admission. Conclusions: Rural Australians face high mental illness burden, socioeconomic disadvantage and limited service provision. Overcoming the additional disadvantages of reduced likelihood of admission to and reduced time in hospital with increasing distance from hospital will require increased outreach proportional to remoteness. [ABSTRACT FROM AUTHOR]- Published
- 2023
- Full Text
- View/download PDF
6. Comparisons of outcomes between different age groups attending a specialist mental health service for children and young people in care.
- Author
-
Eadie, Kathryn, Galloway, Hannah, and Middeldorp, Christel M.
- Subjects
CHILD mental health services ,YOUNG adults ,MENTAL health services ,AGE groups ,CARE of people ,AGE differences - Abstract
Objective : Children and adolescents in care experience higher rates of mental illness. No studies have looked at differences in treatment effect amongst age groups for children/young people in care accessing mental health services. This study aims to determine if age is associated with outcomes for children and adolescents in care receiving treatment from a specialist mental health service in Queensland, Australia. Method : This 5-year retrospective cohort study consisted of a sample of 1338 children and adolescents in care aged 0–17 with pre- and post-treatment data. The Children's Global Assessment Scale (CGAS) and the Health of the Nations Outcome Scale for Children and Adolescents (HoNOSCA) were used to assess functioning and mental health outcomes. Results : Data analysis revealed significant differences between the age groups. Age 0–4 also showed significantly greater improvement on a number of domains when compared with older age groups, including overactivity and attention, scholastic and language skills, emotional symptoms, peer relationships, and family life and relationships. Conclusion : This study demonstrated positive outcomes for all ages, yet better outcomes for the younger age groups in a cohort of children and adolescents in care attending a specialist mental health service. It highlights the importance of providing mental health interventions to children/young people in care, particularly age 0–4. Further, it calls for validated measures for young children to be utilised across mental health services to aid research in this area and optimise outcomes for this vulnerable population. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
7. A model for managing the mentally ill fixated person at major events.
- Author
-
Pathé, Michele T., Haworth, Debbie J., Lowry, Timothy J., Webster, Danae M., Winterbourne, Paul, Mulder, Melodie J., and Emmerson, Brett
- Subjects
- *
PSYCHIATRIC diagnosis , *MENTAL illness treatment , *CELEBRITIES , *CROWDS , *INTERPROFESSIONAL relations , *MENTAL health services , *PEOPLE with intellectual disabilities , *RISK assessment , *RISK management in business , *SAFETY , *SPECIAL days , *SUICIDE , *HARM reduction - Abstract
Objective: The main risk of serious harm at major public figure gatherings comes not from terrorists or criminal activity but from fixated persons, many of whom have a serious mental illness. This paper reviews a collaborative mental healthpolice diversionary model for assessing and managing mentally ill individuals who attend major events because of their fixation on a dignitary or some idiosyncratic cause. Method: We examine the role of a multidisciplinary fixated threat assessment service during the pre-operational, operational and post-operational phases of major events in Queensland in 2014, including the G20 World Leaders' Summit. The benefits and challenges of this unique approach are reviewed. Results: The royal visit and G20 Finance Ministers' Meeting presented opportunities for the Queensland Fixated Threat Assessment Centre to develop and refine its approach to assessing and managing the threat posed by fixated persons at such events. Based on this experience, we also developed a typology to assist in the assessment of mentally ill people who present at public figure gatherings. In the week prior to the G20 Summit, six fixated people required hospitalisation for acute psychosis. A further 18 cases were identified during the event, one of whom was an involuntary patient whose leave from hospital was revoked as a consequence of his concerning behaviour at one of the G20 venues. There were no other admissions to hospital during the event, but in the remaining cases, where indicated, follow-up was arranged through the treating mental health service or general practitioner. There were no disruptive incidents involving fixated individuals during the G20. Conclusion: This novel diversionary model for assessing and intervening with concerning, fixated persons at major events proved effective in mitigating the risk posed by these individuals. It also highlighted the need for police, security and mental health services to consider the fixated in major event planning, for the safety of the event, the public and vulnerable mentally ill, fixated persons. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
8. Art therapy: promoting wellbeing in rural and remote communities.
- Author
-
Sweeney, Susan
- Subjects
ART therapy ,RURAL geography ,PSYCHOTHERAPY ,MENTAL health services - Abstract
Art therapy encompasses both preventative and curative activities and aims to improve ways of engaging those who might be reticent in seeking more traditional forms of psychological support offered through ‘talking therapies’. The Longreach base of the Royal Flying Doctor Service in Queensland provides mental health support to people living in rural and remote locations in central western Queensland and has been complemented since 2006 by the addition of a full-time art therapist. This paper provides an overview of art therapy and a description of this innovative approach to addressing mental health needs in a rural and remote setting. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
9. The language we use - the effect of writing mental health care plans in the first person.
- Author
-
Wyder, Marianne, Kisely, Steve, Meurk, Carla, Dietrich, Josie, Fawcett, Teresa, Siskind, Dan, Robinson, Gail, and Crompton, David
- Subjects
MENTAL health services ,PSYCHIATRIC hospitals ,INTERVIEWING ,INPATIENT care ,THEMATIC analysis ,ACADEMIC medical centers ,DECISION making ,PATIENT aftercare ,LANGUAGE & languages ,MEDICAL protocols ,WRITING ,PATIENT participation ,QUALITATIVE research - Abstract
Objective: This study describes the impact of Motivational Aftercare Planning (MAP) - an intervention to increase consumer/clinician collaboration on the content of mental health recovery plans. The intervention focussed on enhancing existing discharge processes in psychiatric inpatient wards and supporting nursing staff in using motivational interviewing techniques to facilitate the completion of these plans.Methods: We conducted a qualitative thematic content analysis of the recovery plans completed throughout the study ( n = 110). Chi-squared tests were then used to compare the occurrence of themes and content identified in recovery plans pre and post the intervention ( n = 55).Results: The thematic content of the recovery plans shifted in focus following the intervention, with a change from third to first person language. Those completed prior to the intervention generally mentioned: decreasing symptoms of mental illness; acceptance of the illness; achieving clinical stability; risk management and treatment compliance. The recovery plans completed after the intervention focussed on: general wellness; participate in meaningful activities; community life; social roles and connections with others.Conclusions: This study demonstrated that a simple time-limited, facilitated intervention resulted in a change of thematic content in recovery plans. The use of these plans and its effect on care planning will need further evaluation. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
10. Inter-agency collaboration between mental health services and police in Queensland.
- Author
-
Scott, Russ and Meehan, Tom
- Subjects
MENTAL health services ,POLICE ,FIRST responders ,MENTAL illness ,MENTAL illness treatment ,COOPERATIVENESS - Abstract
Objective: The objective of this study was to consider the collaboration between mental health services and police in Queensland.Conclusion: Queensland has developed a number of initiatives for intervention and response to incidents involving police and persons with mental illness. Future research should focus on identifying interventions that promote effective resolution of incidents involving police. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
11. Mental health services planning for G20 summit in Brisbane and assessment of impact.
- Author
-
Emmerson, Brett, Praskova, Anna, Fawcett, Lisa, Crompton, David, and Heffernan, Edward
- Subjects
MENTAL health services ,HEALTH programs ,MENTAL health screening ,PSYCHIATRIC treatment ,MEDICAL care ,MENTAL illness treatment ,CONFERENCES & conventions ,EMERGENCY services in psychiatric hospitals - Abstract
Objective: The objective of this study was to inform planning for similar events, our aim was to describe planning undertaken by Brisbane Mental Health Services for the 2014 G20 Summit and the impact of the Summit on service use.Methods: We analysed routinely collected service data comparing presentations and discharges for the same time period in two consecutive years.Results: While presentations to mental health services increased from the previous year across a five-month period (including the month of G20), the week of the G20 Summit showed little change.Conclusions: Our findings will be useful to other services that prepare for major events, such as G20. Our experience shows that, with detailed planning and extra resources, the G20 Summit passed without any major mental health incidents or major increase for mental health presentations. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
12. Beasts of burden or organised cooperation: the story of a mental health team in remote, Indigenous Australia.
- Author
-
Hunter, Ernest, Onnis, Leigh-Ann, Santhanam-Martin, Radhika, Skalicky, Judy, Gynther, Bruce, and Dyer, Geraldine
- Subjects
MENTAL health services ,HEALTH care teams ,MEDICAL cooperation ,MEDICAL personnel ,MEDICAL care - Abstract
The article focuses on a study which explores the growth of a regionally-based mental health personnel offering services to remote Indigenous communities in north Queensland. It presents several factors that support the development and sustained capacity of integrated mental health groups. An overview of the concept of remote area mental health service is provided.
- Published
- 2013
- Full Text
- View/download PDF
13. How the creative spirit saved me from a fate worse than hospitalization.
- Author
-
O'Donovan, Ross
- Subjects
MENTAL health personnel ,PEOPLE with mental illness ,HOSPITAL care ,MENTAL health services ,HEALTH services administration - Abstract
Ross is a mental health patient representative based in Cairns and has been a member of the Cairns CAG for the past eight years. He has played a significant role in the development of consumer participation in Cairns and at a state level. Ross has sat on a range of committees as a consumer representative and has worked as an accreditor with the Institute of Healthy Communities Australia. Currently he sits on the management committee of the Queensland Voice for Mental Health. Ross was a founding member of the Irukandji Pens writers group, based at the Cairns Mental Health Resource Service. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
14. Perceptions of mental health service delivery among staff and Indigenous consumers: it's still about communication.
- Author
-
Eley, Diann, Young, Louise, Hunter, Keith, Baker, Peter, Hunter, Ernest, and Hannah, Dominique
- Subjects
MENTAL health services ,INDIGENOUS peoples ,MEDICAL quality control ,PSYCHIATRY - Abstract
Objective: A needs analysis was undertaken to determine the quality and effectiveness of mental health services to Indigenous consumers within a health district of Southern Queensland. The study focussed on identifying gaps in the service provision for Indigenous consumers. Tools and methodologies were developed to achieve this. Method: Data were collected through the distribution of questionnaires to the target populations: district health service staff and Indigenous consumers. Questionnaires were developed through consultation with the community and the Steering Committee in order to achieve culturally appropriate wording. Of prime importance was the adaptation of questionnaire language so it would be fully understood by Indigenous consumers. Both questionnaires were designed to provide a balanced perspective of current mental health service needs for Indigenous people within the mental health service. Results: Results suggest that existing mental health services do not adequately meet the needs of Indigenous people. Conclusions: Recommendations arising from this study indicate a need for better communication and genuine partnerships between the mental health service and Indigenous people that reflect respect of cultural heritage and recognises the importance of including Indigenous people in the design and management of mental health services. Attention to the recommendations from this study will help ensure a culturally appropriate and effective mental health service for Indigenous consumers. [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
15. Establishing and running a trauma and dissociation unit: a contemporary experience.
- Author
-
Middleton, Warwick and Higson, David
- Subjects
MENTAL health ,PSYCHIATRY ,PATIENTS ,MENTAL health services ,COUNSELING of employees ,RESEARCH ,POST-traumatic stress disorder ,TREATMENT of post-traumatic stress disorder ,COOPERATIVENESS ,DISSOCIATIVE disorders ,COUNTERTRANSFERENCE (Psychology) ,FALSE memory syndrome ,GROUP psychotherapy ,HEALTH care teams ,HOSPITAL care ,HOSPITALS ,HOSPITAL administration ,MEDICAL needs assessment ,PHILOSOPHY of medicine ,MULTIPLE personality ,ORGANIZATIONAL change ,PSYCHIATRIC hospitals ,TRANSFERENCE (Psychology) ,SOCIAL responsibility ,PSYCHOLOGICAL factors ,PSYCHOLOGY ,THERAPEUTICS - Abstract
Objective: To evaluate the functioning of a trauma and dissociation unit that has run for the past 8 years in a private hospital, with particular regard to operating philosophy, operating parameters, challenges encountered, research and educational initiatives, and the applicability of the treatment model to other settings.Conclusions: Despite the challenges associated with significant difficulties in the corporate management of a private health-care system, it has been possible to operate an inpatient and day hospital programme tailored to the needs of patients in the dissociative spectrum, and the lessons learnt from this experience are valid considerations in the future planning of mental health services overall. [ABSTRACT FROM AUTHOR]- Published
- 2004
- Full Text
- View/download PDF
16. The Queensland Northern Regional Health Authority telemental health project.
- Author
-
Trott, Paul
- Subjects
MENTAL health services ,TELEMEDICINE ,MENTAL health personnel ,VIDEOCONFERENCING - Abstract
The article provides information on the telemental health project of the Queensland Northern Regional Health Authority. Despite strategies from provincial health authorities, there is still some difficulty in the recruitment and retention of mental health professionals in Queensland. One possible solution to the limited mental health care service delivery to the rural sector and the geographical maldistribution of mental health care professionals is the development in videoconferencing technology.
- Published
- 1996
- Full Text
- View/download PDF
17. Community treatment for heavy users of private mental health services: Who benefits?
- Author
-
Jessop, Nikki, Hassall, Jon, Geffen, Josh, and Yellowlees, Peter
- Subjects
MENTAL health services ,PUBLIC health ,PUBLIC-private sector cooperation - Abstract
Much attention has been paid recently to the possibilities offered by the development of integrated services across the public and private sectors. In mental health a variety of models have been proposed and trials implemented. This article describes the advantages of a model of public-private integration that addresses the needs of private heavy service users. The model takes advantage of the increasing expertise within the public sector in managing complex and severe mental health problems in community settings and seeks to address the lack of availability of this type of resource for private sector patients. [ABSTRACT FROM AUTHOR]
- Published
- 2000
- Full Text
- View/download PDF
18. The Napranum Social and Emotional Wellbeing Week.
- Author
-
Hartman, David, Wallis, Gloria, Drahm, Michael, Unwin, Ron, and Robinson, Dane
- Subjects
ABORIGINAL Australian social conditions ,MENTAL health ,PATHOLOGICAL psychology ,MENTAL health services - Abstract
Objective: A week-long intensive outreach project to the Indigenous community of Napranum was undertaken by a Community Forensic Mental Health Service with the aim of developing the community's capacity for primary and secondary prevention of forensic mental health problems. Method: The process of developing and implementing the project is described. The outcome is evaluated by means of qualitative feedback from community members and participants. Results: The project was requested by the local community; planning involved extensive consultation between Queensland Health, community leaders and local service providers; and it was delivered with extensive contributions from other Queensland Health services, various non-government organizations, Indigenous opinion-leaders and public media, and an NRL football team. The outcomes are sustainable at a local level. Conclusions: This form of community engagement may contribute to destigmatization of mental illness in Indigenous communities, increased engagement beween these communities and mental health service providers, and increased cohesiveness and morale of these communities. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.