Improving maternal and child health care for women experiencing violence: collaborative development, implementation and effectiveness of a good practice model. Maternal and child health services are universal community-based national services for Australia's mothers and babies. However, they are poorly researched, supported, resourced and lack evidence for managing the challenges of addressing intimate partner violence among their client populations. Partner violence is prevalent in early parent ....Improving maternal and child health care for women experiencing violence: collaborative development, implementation and effectiveness of a good practice model. Maternal and child health services are universal community-based national services for Australia's mothers and babies. However, they are poorly researched, supported, resourced and lack evidence for managing the challenges of addressing intimate partner violence among their client populations. Partner violence is prevalent in early parenthood and imposes a heavy health burden on victims and infants and a significant cost to society. If effective, this innovative model of maternal child health nursing care for abused mothers and infants will inform the enhanced provision of early intervention services nationwide, contribute to community nursing scholarship and give children a healthier start to life.Read moreRead less
Improving the physical and oral health of people with severe mental illness: using Normalisation Process Theory to support new practices. The physical health of people with severe mental illness is extremely poor, often due to inadequate attention to their health needs by health professionals in primary care and the public mental health system. This project will focus on how practices can be changed to improve the health of this population and increase their access to preventative healthcare.
Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-ki ....Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-kin will be interviewed to determine the context surrounding the deceased's death, and the abilities of health professionals to identify warning signs and to intervene prior to suicide. Given our ageing population, the outcomes will be significant in educating all health professionals to identify suicidal signs, and to prevent premature death in the elderly.Read moreRead less
An internet-based intervention program for distress associated with tinnitus in an industrial setting. This project involves a randomised controlled trial of an internet-based intervention for distress associated with tinnitus in an industrial setting. This study is significant because it is the first to investigate the effectiveness of an internet-based program for workers with tinnitus living in metropolitan, regional and rural areas of Australia and New Zealand. Changes will be assessed on wo ....An internet-based intervention program for distress associated with tinnitus in an industrial setting. This project involves a randomised controlled trial of an internet-based intervention for distress associated with tinnitus in an industrial setting. This study is significant because it is the first to investigate the effectiveness of an internet-based program for workers with tinnitus living in metropolitan, regional and rural areas of Australia and New Zealand. Changes will be assessed on work performance (e.g. job satisfaction), tinnitus-related distress, negative affect, and quality of life. It is expected that workers accessing the internet-based intervention will show significant improvements on all measures at post-intervention with improvements maintained at six-month follow up.Read moreRead less
Beyond Bullying in Primary Schools: Explicating Psychosocial Antecedents and Implementing an Effective Intervention to Enhance Pro-Social Behaviour, Well-Being and Academic Engagement. Early intervention to combat bullying in primary schools is vital given the pervasiveness and long-term consequences of bullying for academic failure, mental health costs, and anti-social behaviour. Consistent with National Research Priorities (promoting/maintaining good health & well-being), our research offers i ....Beyond Bullying in Primary Schools: Explicating Psychosocial Antecedents and Implementing an Effective Intervention to Enhance Pro-Social Behaviour, Well-Being and Academic Engagement. Early intervention to combat bullying in primary schools is vital given the pervasiveness and long-term consequences of bullying for academic failure, mental health costs, and anti-social behaviour. Consistent with National Research Priorities (promoting/maintaining good health & well-being), our research offers important educational and socio-economic benefits by enriching the psychosocial adjustment and life potential of young Australians. Effective intervention and explicating the determinants/consequences of primary school bullying enhances pro-social behaviours, self-concept, mental health, and school engagement of bullies and victims. This fosters safer schools that contribute to individual, local community, and national well-being.Read moreRead less
From Suspician to Intervention : Improving responsiveness to abuse of the elderly in acute and sub-acute health care. Early identification of risk and an integrated multidisciplinary response across the health service would be effective in responding to the multiple and complex behavioural and social issues which contribute to aged abuse as it presents in emergency, acute and sub-acute care, but are currently often ignored in health services and the literature. We propose that effective use of ....From Suspician to Intervention : Improving responsiveness to abuse of the elderly in acute and sub-acute health care. Early identification of risk and an integrated multidisciplinary response across the health service would be effective in responding to the multiple and complex behavioural and social issues which contribute to aged abuse as it presents in emergency, acute and sub-acute care, but are currently often ignored in health services and the literature. We propose that effective use of this "window of opportunity in health care" could extend the level of community response to this vulnerable group of people. Read moreRead less
The Evaluation of Stuctures and Processes for Effective Client, Carer and Community Outcomes: A Model for Rural Mental Health Services. The South West Healthcare Area Mental Health Service ( Warnambool) has demonstrated according to key performance indicators, an effective system of service delivery. This evaluative research project seeks to identify key components within the organisational structures and processes of a rural mental health service that contribute to these effective outcomes fo ....The Evaluation of Stuctures and Processes for Effective Client, Carer and Community Outcomes: A Model for Rural Mental Health Services. The South West Healthcare Area Mental Health Service ( Warnambool) has demonstrated according to key performance indicators, an effective system of service delivery. This evaluative research project seeks to identify key components within the organisational structures and processes of a rural mental health service that contribute to these effective outcomes for clients. The research process will test these key components against other rural and urban mental health services in Victoria and will result in the development of a model for rural mental health service delivery of both local and national significance.Read moreRead less
The importance of gender and socio-economic disadvantage for the mental health of people living with disabilities. The twenty per cent of Australians reporting a disability are more likely to live in disadvantaged circumstances such as inadequate housing, unemployment, and lower levels of education all of which may contribute to poor mental health. Yet there has not been research on the mental health of people with disabilities. This means that disability services and advocacy groups, which deal ....The importance of gender and socio-economic disadvantage for the mental health of people living with disabilities. The twenty per cent of Australians reporting a disability are more likely to live in disadvantaged circumstances such as inadequate housing, unemployment, and lower levels of education all of which may contribute to poor mental health. Yet there has not been research on the mental health of people with disabilities. This means that disability services and advocacy groups, which deal daily with the lived experiences of disadvantage and poor mental health in people with disabilities, do not have evidence to support policy and service sector reform. This project will provide this critical evidence as well as build research capacity in disability-related research and lead to better monitoring of disability-related health inequities.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.
People with Mental Health Disorders and Cognitive Disabilities in the Criminal Justice System. Over 40 000 people are imprisoned in Australia each year, almost half of them in NSW. 40% males and 60% females involved in the NSW CJS have a MHD or CD with many having a dual diagnosis. The appropriateness of the arrest and imprisonment of many people with MHDCD is currently of serious public, social and professional concern. Interventions are hampered by lack of an overall and longitudinal appreciat ....People with Mental Health Disorders and Cognitive Disabilities in the Criminal Justice System. Over 40 000 people are imprisoned in Australia each year, almost half of them in NSW. 40% males and 60% females involved in the NSW CJS have a MHD or CD with many having a dual diagnosis. The appropriateness of the arrest and imprisonment of many people with MHDCD is currently of serious public, social and professional concern. Interventions are hampered by lack of an overall and longitudinal appreciation of the CJS's impact upon and interaction with such people.This study will provide integrated information for the first time in Australia and give CJS and human service agencies a coherent picture of the involvement of people with MHDCD in the CJS, which will assist development of new interventions to address duty of care and human rights.Read moreRead less