Catch Them When They Fall: Providing Best Evidence Care After A Suicide Attempt
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
A previous suicide attempt is the strongest predictor of death by suicide. There is a strong evidence base for the key changes required to care after a suicide attempt: implementing evidence-based care is estimated to reduce suicide attempts at the population level by approximately 12%. Yet this is an area of health services that has been difficult to reform. This project is aimed at implementing best-evidence practice in four regions of NSW, where I have established partnerships.
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.
The Role Of Individual Patient, Social Support And Treatment Centre Variables In The Psychosocial Outcomes Of Cancer Patients
Funder
National Health and Medical Research Council
Funding Amount
$512,192.00
Summary
This national study, involving 20 medical oncology units, will be the first study of its kind to rigorously examine the role of individual patient (disease, demographic), social support, and treatment centre characteristics in psychosocial outcomes for cancer patients. Findings will give a bird’s eye view of which characteristics should be targeted to improve psychosocial outcomes for cancer patients.
A longitudinal study exploring women's experiences following a prenatal diagnosis of fetal abnormality. In Australia four per cent of babies are born with a congenital abnormality, many of which are detected during pregnancy. Little is known about women's experiences of a diagnosis. The aim of this study is to explore women's experiences following the diagnosis of a fetal abnormality during pregnancy, in order to develop appropriate models of supportive care.
Intellectual disability in courts and police cells. Benefit to the nation accrues because offenders with intellectual disability will be accurately identified early in their contact with the criminal justice system (CJS), and appropriate diversions from the CJS as well as rehabilitation programs can be implemented, thus producing cost-savings in all jurisdictions. The community benefits because offenders with ID can receive appropriate service provision, based on evidence provided by this study ....Intellectual disability in courts and police cells. Benefit to the nation accrues because offenders with intellectual disability will be accurately identified early in their contact with the criminal justice system (CJS), and appropriate diversions from the CJS as well as rehabilitation programs can be implemented, thus producing cost-savings in all jurisdictions. The community benefits because offenders with ID can receive appropriate service provision, based on evidence provided by this study. The individual's ties to the community will be maintained and on the community will be supported to assist the individual. Justice health systems, in staff management and training areas, will benefit. The outcomes will benefit educational programs for the judiciary, police and lawyers.Read moreRead less
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.
Working Conditions, Job Stress And Mental Health Of Family Day Care Providers: Implications For Quality Of Caregiving.
Funder
National Health and Medical Research Council
Funding Amount
$93,630.00
Summary
Over 100,000 children attend family day care in the homes of 12,000 providers in Australia. Family day carers work under challenging conditions and many carers leave the profession annually. The working conditions, mental health and job stress of family day carers and how their mental health may relate to quality of care has not been investigated. This PhD study will examine these issues and explore if and how a systems approach can improve family day carer mental health and job satisfaction.
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