Strengthening the capacity of public health organisations to deliver effective public health services. In an effort to maintain and improve the health of the population Australia has defined the core public health functions that must be carried out. This project will examine public health infrastructure and capacity in three states - mapping the implementation of core functions, assessing current infrastructure, comparing organisational approaches, and developing measures of local public health ....Strengthening the capacity of public health organisations to deliver effective public health services. In an effort to maintain and improve the health of the population Australia has defined the core public health functions that must be carried out. This project will examine public health infrastructure and capacity in three states - mapping the implementation of core functions, assessing current infrastructure, comparing organisational approaches, and developing measures of local public health capacity. These will then become industry benchmarks to guide investment and interventions, and to assess the quality of these. The project will investigate the context in which core public health functions are successfully delivered and develop tools to measure local capacity and delivery functions.Read moreRead less
Understanding women's experiences of unplanned pregnancy and abortion. The economic, health and social costs to the Australian community of unplanned pregnancies and abortions constitute a public health concern of undoubted significance. Debates in both policy and public arenas are hampered by a lack of comprehensive reliable evidence about incidence of abortion and the factors underlying decisions to terminate unwanted pregnancies. Further, there is considerable variation among Australian stat ....Understanding women's experiences of unplanned pregnancy and abortion. The economic, health and social costs to the Australian community of unplanned pregnancies and abortions constitute a public health concern of undoubted significance. Debates in both policy and public arenas are hampered by a lack of comprehensive reliable evidence about incidence of abortion and the factors underlying decisions to terminate unwanted pregnancies. Further, there is considerable variation among Australian states regarding abortion-related legislation. The data generated from this project will establish an evidence base, inform potential legislative change and monitor any effects, and improve delivery of appropriate health services and strategies to prevent unplanned pregnancies and their adverse consequences.
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New directions in health inequalities research: understanding the intersection between housing, employment and health in Australia. People employed on a casual basis in Australia are nearly three times more likely to live in a household that is in housing affordability stress than their permanently employed counterparts. Employment and housing are both determinants of health. While social inclusion, employment and housing affordability are critical components of the government's current social p ....New directions in health inequalities research: understanding the intersection between housing, employment and health in Australia. People employed on a casual basis in Australia are nearly three times more likely to live in a household that is in housing affordability stress than their permanently employed counterparts. Employment and housing are both determinants of health. While social inclusion, employment and housing affordability are critical components of the government's current social policy agenda, articulation between these policy domains is limited and little researched. This important study will provide robust evidence on the ways that housing and employment interact to both cause and prevent health inequities. This will directly benefit agencies delivering services to vulnerable people and contribute to an evidence base of benefit to policy makers.Read moreRead less
Integrated Kids Hubs - Ensuring Equity of Access for Children. The Integrated Kids Hubs - Ensuring Equity of Access for Children project aims to determine if integrated Hubs are effective in increasing access to child and family services for disadvantaged urban and regional families with children aged 3 years and under, thus improving early identification of developmental vulnerability, parental wellbeing and capacity, and addressing unmet psychosocial needs. If these issues are not identified a ....Integrated Kids Hubs - Ensuring Equity of Access for Children. The Integrated Kids Hubs - Ensuring Equity of Access for Children project aims to determine if integrated Hubs are effective in increasing access to child and family services for disadvantaged urban and regional families with children aged 3 years and under, thus improving early identification of developmental vulnerability, parental wellbeing and capacity, and addressing unmet psychosocial needs. If these issues are not identified and addressed early, these children will go on to struggle in school and life. We will use a pragmatic trial design (meaning the research is embedded in our usual practice), determine the social return on investment, and establish what is needed to scale up the Hubs across NSW and Australia.Read moreRead less
Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood progr ....Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood programs to date are limited in effectiveness and not truly population-based. The proposed parenting / family support trial aims to overcome these obstacles, by comparing and costing two approaches that can be implemented within whole communities. The trial will help clarify optimal primary care to prevent mental health problems early in life.Read moreRead less
The impact of haemoglobin deferral on blood donors: perceptions, health and non-return. Blood donors are an vital in ensuring the health of the Australian community. However, they are few in number and difficult to recruit. It is crucial to keep existing donors in the system so that Australia has an assured blood supply, not only for the traditional reasons (road trauma, replacement in surgery, treatment of diseases such as cancer), but also to cope with natural disasters, emergent diseases and ....The impact of haemoglobin deferral on blood donors: perceptions, health and non-return. Blood donors are an vital in ensuring the health of the Australian community. However, they are few in number and difficult to recruit. It is crucial to keep existing donors in the system so that Australia has an assured blood supply, not only for the traditional reasons (road trauma, replacement in surgery, treatment of diseases such as cancer), but also to cope with natural disasters, emergent diseases and the potential results of terrorist activities. Apart from providing new information on blood donor behaviour, the project will also contribute to more general knowledge about volunteers in the community and their role in the maintenance and development of health services.Read moreRead less
Out of the Institution. An investigation of deinstitutionalization, exploring the effectiveness of supported housing for people with psychiatric disabilities leaving care. The project has two objectives. The first is to investigate outcomes of a unique model of supported housing for deinstitutionalised people living in the community. The second is to survey people that are about to be deinstitutionalised along with staff and family and set up a framework for longitudinal analysis of this group. ....Out of the Institution. An investigation of deinstitutionalization, exploring the effectiveness of supported housing for people with psychiatric disabilities leaving care. The project has two objectives. The first is to investigate outcomes of a unique model of supported housing for deinstitutionalised people living in the community. The second is to survey people that are about to be deinstitutionalised along with staff and family and set up a framework for longitudinal analysis of this group. While a major social policy reform, deinstitutionalisation in Australia has been under-researched, despite the potential pitfalls. This project will provide information and analysis that will help government and community agencies to seek and provide better outcomes for clients and communities.Read moreRead less
Safety and resiliency at home: voices of children who live with fear. Finding out what can help children feel safer who are currently living in households where there is family violence will enable early intervention for better outcomes for such children. This research is significant because it will focus on targeting appropriate responses by listening to the views of children themselves and hence finding out what is really helpful for them to build resiliency. This is important to the work of a ....Safety and resiliency at home: voices of children who live with fear. Finding out what can help children feel safer who are currently living in households where there is family violence will enable early intervention for better outcomes for such children. This research is significant because it will focus on targeting appropriate responses by listening to the views of children themselves and hence finding out what is really helpful for them to build resiliency. This is important to the work of a key family welfare agency (Berry St) but it also has benefit for health and welfare workers throughout Australia. Appropriate early intervention will not only help the families concerned but will strengthen Australia's economic and social fabric, a priority goal of the national research agenda.Read moreRead less
Improving management decisions in mental health care through applications of advanced simulation modelling. Evidence to inform management decisions about the best way to structure mental health care services is currently lacking. This project will develop a simulation modelling tool that will allow managers to explore various service configurations in virtual reality, enabling predictions to be made about the cost and quality of care.
Towards Community Aged Care Reform: Design and evaluation of a seamless, flexible service model. The project will develop and test a seamless and flexible community aged care model that is more responsive to consumer needs. To be rolled out by Uniting Care Community Options in its community aged care operations, it is expected that the project will raise consumer satisfaction, service quality, and health outcomes. The project will also explore the potential of pooled funding focusing on its pote ....Towards Community Aged Care Reform: Design and evaluation of a seamless, flexible service model. The project will develop and test a seamless and flexible community aged care model that is more responsive to consumer needs. To be rolled out by Uniting Care Community Options in its community aged care operations, it is expected that the project will raise consumer satisfaction, service quality, and health outcomes. The project will also explore the potential of pooled funding focusing on its potential to resolve major service gaps that result from the complexity of current funding arrangements. Moreover, the project will generate new scientific evidence regarding the viability of consumer-directed community aged care in Australia and establish an ongoing research program.Read moreRead less