Implementing A Needs-based Evidence-driven Primary Health Care Workforce Planning Model To Describe The Multidisciplinary Primary Health Care Team Necessary To Deliver Best Practice In Community Mental Health Care And Prevention
Funder
National Health and Medical Research Council
Funding Amount
$380,104.00
Summary
Mental illness is a major source of disease burden, with high levels of unmet need, particularly in disadvantaged groups. An innovative needs-based, evidence-driven health workforce model is to be applied to mental health, to describe the multidisciplinary primary care team required to meet the mental health needs of the population. Conducting this work in partnership with government; mental health and strategic planning divisions will support evidence translation to enhance mental wellbeing.
ImpleMentAll: Towards Evidence-based Tailored Implementation Strategies For EHealth
Funder
National Health and Medical Research Council
Funding Amount
$459,914.00
Summary
Internet-based programs to treat depression and anxiety (“iCBT” programs) are highly effective. However, there are barriers to increased public use of these programs. This project will test ways to improve the implementation of iCBT in clinical services, with a focus on GP practices. Specifically, two Australian-led subprojects will: (i) trial implementation of stepped care, tailoring care to individual needs, and (ii) compare implementation of iCBT in GP practices, pharmacies and online.
The Development Of An Effective Response For The Management Of Suicidality In Primary Care For Patients With Depressive Symptoms
Funder
National Health and Medical Research Council
Funding Amount
$98,238.00
Summary
This study aims to improve the identification of and response to suicidality in primary care for people with depressive symptoms. It will utilise diamond collected as part of the diamond study, a mixed methods cohort study on depression in primary care. It will be the first study in suicidality research to investigate the natural history trajectories of suicidal ideation and health service use over time in a primary care cohort with depressive symptoms.
Reducing Depression And Suicide Amongst Older Australians: A Clustered Randomised Clinical Trial In Primary Health Care
Funder
National Health and Medical Research Council
Funding Amount
$765,050.00
Summary
Like many industrialised nations, Australia's population is ageing. By the year 2051, the population aged 65 years and over is projected to triple in size, while those over 85 will increase five-fold. The social, financial, and health consequences of a rapidly ageing society cannot be ignored. Accompanying this population explosion will be greater numbers of individuals experiencing age-related physical disorders and disabilities that give rise to social and psychological problems, including dep ....Like many industrialised nations, Australia's population is ageing. By the year 2051, the population aged 65 years and over is projected to triple in size, while those over 85 will increase five-fold. The social, financial, and health consequences of a rapidly ageing society cannot be ignored. Accompanying this population explosion will be greater numbers of individuals experiencing age-related physical disorders and disabilities that give rise to social and psychological problems, including depression and suicide. Suicide rates are very high in later life, with the ratio of men who kill themselves in late old age greater than that found in their youthful counterparts. Depression is most often linked to suicidal behaviour in this age group, with research suggesting that the treatment of this mental disorder may directly lead to a reduction in suicide in the aged. Approximately 80% of older adults will visit their general practitioner at least once per year in Australia, while up to 70% of older people will consult their GP in the month prior to their death by suicide. This suggests that GPs are in the best possible position to detect and manage depression and suicide risk in later life. Unfortunately, depression is consistently reported to be underdiagnosed and undertreated in this setting. The purpose of this study is to determine whether an educational programme targeting Australian GPs can enhance doctors' detection rates of depression and suicide risk, thereby leading to a reduction in depression and suicidal behaviour among those older patients visiting their surgeries.Read moreRead less
Systematic Medical Appraisal, Referral And Treatment For Common Mental Disorders In India - SMART Mental Health
Funder
National Health and Medical Research Council
Funding Amount
$1,957,608.00
Summary
An estimated 150 million Indians have mental health disorders and the vast majority receive no care whatsoever. We have developed a solution to strengthen India's primary healthcare system comprising village-based anti-stigma campaigns, and a workforce strategy that leverages the skills of doctors and non-physician frontline workers through use of mobile health technologies. It will be tested in North and South India in a large-scale trial involving 44,000 people and 20 primary health centres.
Assertive Care: A Randomised Trial To Reduce Cardiovascular Risk For People With Severe Mental Illness
Funder
National Health and Medical Research Council
Funding Amount
$1,487,357.00
Summary
The physical health of people with severe mental illness is at crisis point. People die 15-20 years earlier than the general population from cardiovascular diseases that are preventable. Treatments do exist but routine identification is not happening and people with severe mental illness are missing out. Our assertive care intervention will identify, assess, treat, and follow up to reduce cardiovascular risk in severe mental illness and improve health outcomes.
Adaptive Screening For Depression, Anxiety And Suicidality For Online Interventions And Primary Care
Funder
National Health and Medical Research Council
Funding Amount
$307,946.00
Summary
A large proportion of people with depression, anxiety or suicidality do not seek help. Existing methods to screen for these conditions are not sufficiently effective and are not well incorporated into health care systems. This study will develop new, individually tailored ways to screen for mental health conditions. The study will test the implementation of these screening tools into a tailored service that combines online and primary care services.
Development And Population-based Validation Of Hierarchical Adaptive Mental Health Screeners
Funder
National Health and Medical Research Council
Funding Amount
$391,710.00
Summary
Although 45% of all Australians will experience a lifetime mental disorder, methods to identify mental health problems are inadequate. This project will develop and validate new mental health screening tools, building on a new generation of screeners developed in the US. These screeners will be tailored to the individual, resulting in highly precise and flexible assessment tools. The screeners will be tested in a large community survey, forming the basis for future tailored mental health service ....Although 45% of all Australians will experience a lifetime mental disorder, methods to identify mental health problems are inadequate. This project will develop and validate new mental health screening tools, building on a new generation of screeners developed in the US. These screeners will be tailored to the individual, resulting in highly precise and flexible assessment tools. The screeners will be tested in a large community survey, forming the basis for future tailored mental health services.Read moreRead less