ORCID Profile
0000-0002-0828-6395
Current Organisation
UNSW Sydney
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In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Policy and Administration | Social Policy | Counselling, Welfare and Community Services | Social Policy | Social Work not elsewhere classified | Public Administration | Social Change | Family And Household Studies | Social Work Not Elsewhere Classified | Human Rights
Ability and disability | Structure, Delivery and Financing of Community Services | Understanding other countries | Youth/child development and welfare | Ability and Disability | Children's/Youth Services and Childcare | Other social development and community services | Health and Support Services not elsewhere classified | Palliative care | Public Services Policy Advice and Analysis | Comparative Structure and Development of Community Services |
Publisher: Informa UK Limited
Date: 07-2014
Publisher: Palgrave Macmillan UK
Date: 2014
Publisher: Cambridge University Press (CUP)
Date: 18-07-2011
DOI: 10.1017/S0047279411000365
Abstract: In the last five years, the Chinese government has begun to encourage the development of non-government organisations (NGO) to increase the supply of social support. Although changes in the NGO sector in China are well researched, questions remain about the barriers to increasing the supply of social services from registered NGOs. We use Mattei's managerial and democratic accountability framework to examine empirical data about the relationship between the way NGO disability services in Beijing are organised and barriers to improving the type, quantity and quality of their social services. Barriers include limited NGO management capacity and underdeveloped government relations. When viewed through the multidimensional accountability framework, the barriers are not surprising. The NGOs' understanding and application of accountability processes are rudimentary. We conclude that government policy to encourage the development of accountability practices of NGOs in China will be critical if it needs NGOs to supply quality social services.
Publisher: Edward Elgar Publishing
Date: 08-06-2023
Publisher: Cambridge University Press (CUP)
Date: 08-12-2010
DOI: 10.1017/S1474746410000394
Abstract: China is at a turning point in the reform of its social welfare system due to new opportunities and pressures. First, China is in transition to a middle developed country. Fast economic growth has created more wealth for the government and society that could be invested in the social welfare of its citizens. Second, social problems and conflicts have accumulated, partly as a result of past social policies, which were residual only, as was common in Asia (Aspalter, 2006). These residual policies had the primary purpose of securing the economic and political interests of the nation, which were regarded as superior to the interests of in idual citizens. The social costs of economic growth at the expense of human rights are widespread and often hidden. In this unsustainable situation, the Chinese public has called for fundamental reforms to China's social policies – not only policies aimed at resolving in idual problems, but also reform of the basic principles of the social welfare system as a whole.
Publisher: Nova Southeastern University
Date: 2022
DOI: 10.46743/2160-3715/2022.5154
Abstract: Negative attitudes about and behaviours towards women with disability are harmful and exclusionary, contributing to poorer health, income, educational, and employment outcomes. Our study focused on what audiences learnt, felt, and did (what changed) after viewing self-portraits and stories by women with disability. We questioned whether a public exhibition of their artworks, created through photovoice methodology, could be an effective platform to provoke social change and increase inclusion for people with disability. We collected audience response to our exhibition to address a research gap and to provide an ex le for other photovoice researchers. We employed interpretive thematic analysis through a generic social processes framework to interrogate responses. Our findings indicate that audiences learnt as much about themselves and their views of disability as they did about the women photographers. The audience described feelings of empathic engagement. They also expressed an unsettling between previously held assumptions around disability and new perspectives gained through the exhibition. Audiences changed how they view women with disability by engaging with the underlying messages of equality in the self-portraits and stories. Audiences thought the exhibition would change other people’s views, too, indicating a pathway to greater inclusion for people with disability.
Publisher: Informa UK Limited
Date: 14-01-2019
Publisher: Informa UK Limited
Date: 25-04-2013
DOI: 10.3109/09638288.2013.770566
Abstract: China has more than five million children with disabilities. According to national statistics, most of them (63%) do not receive the health and therapy services they need, which threatens their lives, wellbeing and opportunities in adult life. The article applies mixed methods (secondary data analysis and case study interviews) to analyse the efforts of families of children with disabilities to obtain health and therapy services to understand why most children do not receive the support they need. The findings are that reasons include poor information, shortage of services and affordability. While these reasons are common across China, the local context, such as resources and social policy implementation, affect the degree to which families obtain the support they need. These circumstances will not change until local communities and government policies at all levels prioritise policy implementation to fulfil the rights of children with disabilities in China. Implications for Rehabilitation Most children with disabilities in China do not receive the health and therapy support they need. Access to support is h ered by poor information, shortage of services and affordability, which are accentuated by local resources and local policy implementation. Central and provincial government resource allocation and local government policy commitment to implementation are critical to children receiving the support they need in their local communities.
Publisher: Wiley
Date: 08-09-2023
DOI: 10.1111/JAR.13156
Publisher: Informa UK Limited
Date: 23-05-2021
DOI: 10.1080/09638288.2019.1615562
Abstract: In idualized funding of disability support services has implications for people's choices about when to share their home. This paper examines how people with disabilities made choices about who to live with and the factors influencing these choices. This paper discusses data from interviews with 30 people with mostly intellectual disabilities using in idualized support services, 21 interviews with family members, four interviews with service managers, and a focus group with five support workers. The data come from a large evaluation of in idualized housing support programs in New South Wales, Australia. Only some people had the opportunity to choose whether to share and with whom. Their choices were constrained by the range of housing options and their limited experience of them, even when they had support to make choices about shared housing or living alone. In some cases, the choices reflected a conceptualization of people with disabilities as different to other citizens in their rights and expectations about their social arrangements. The results have implications for information sharing, housing stock, and the need to challenge the positioning of people with disabilities relative to other people regarding choices about where and with whom to live. Implications for rehabilitation Many people preferred not to live alone, so as to improve their economic and social circumstances, and their choice and control. The choices about shared housing that many people and their supporters made were constrained by their limited experience of housing options or their familiarity with the range of choices made by other people with disabilities. Being able to draw on the material, social, and information resources of family made a big difference to their housing choices. It raises questions for policy implementation about whether in idualized support may lock some people into shared housing arrangements by failing to include housing costs in the in idual package.
Publisher: Cambridge University Press (CUP)
Date: 31-03-2010
DOI: 10.1017/S0047279410000073
Abstract: People with mental illness can be profoundly disabled and at risk of social exclusion. Transitional models of supported housing have limited effectiveness in improving community participation. Stable, in idualised psychosocial housing support programmes have been found to assist in improving mental health and decreasing hospitalisations, but little is understood about whether or how these programmes facilitate social and community participation. This article argues that, if certain supports are available, supported housing models can assist people with high levels of psychiatric disability to participate meaningfully in the community. To make this case, the article uses findings of a longitudinal evaluation of a supported housing model in Australia: the Housing and Accommodation Support Initiative Stage One (HASI). HASI is a partnership between the New South Wales Government Departments of Health and Housing and non-government organisations. It is a coordinated approach that provides clients with housing and community-based clinical support, as well as support with daily living skills and community participation. An analysis of questionnaire, database, interview and clinical data is used to demonstrate how HASI contributes to increased social and community participation. The article concludes with policy implications for supported housing models that aim to facilitate meaningful community participation for people with mental illness.
Publisher: Palgrave Macmillan
Date: 2014
Publisher: Cambridge University Press (CUP)
Date: 08-12-2010
DOI: 10.1017/S1474746410000436
Abstract: This study examines kinship care of orphans throughout China. It finds that in addition to children becoming orphaned if both parents die, some children are treated as orphans when their father dies and rural traditional kinship care obligations restrict the viability of widowed mothers continuing to care for their child. When mothers are forced for socioeconomic reasons to leave the paternal extended family, children effectively become orphans, dependent on ageing grandparents. Girls and disabled children are most at risk. Implementing financial and other support to orphans, widowed mothers and kinship carers could improve the sustainability of these family relationships.
Publisher: Wiley
Date: 10-10-2019
DOI: 10.1111/JAR.12533
Abstract: People with intellectual disability experience higher rates of mental health disorders than the rest of the population, and expert opinion holds that multiple barriers prevent people with intellectual disability from accessing appropriate services. A qualitative study was designed to explore the lived experience of barriers and enablers to access to mental health services among people with intellectual disability. Interviews and focus groups were conducted with people with intellectual disability, carers and service providers. Barriers and enablers were identified across four key dimensions of access: utilization of services service availability relevance, effectiveness and access and equity and access. These factors operated at both systemic and personal levels. The findings from this study provide empirical evidence of anecdotal experiences of access to mental health services and provide insight into the ways users, carers and service providers navigate an often hostile system and indicate further directions for research.
Publisher: Informa UK Limited
Date: 08-2013
DOI: 10.1080/13548506.2012.748207
Abstract: The recovery of people with chronic mental illness who reside in the community requires integrated support services. Yet evidence of poor collaboration in the mental health system abounds and there is little understanding of how non-clinical case managers can work effectively with clinical services. This article analyses an ex le from the mental health Housing and Accommodation Support Initiative in Australia. Using interviews (42 consumers, family members and mental health workers) and consumer care plans (20), the article explores how clinical and non-clinical case managers worked together in consumer care planning and examines the perceived influence of support. The research found they worked effectively in care planning when the planning was consumer-driven there was active participation from consumers, non-clinical and clinical case managers and when planning was treated as a process, with incremental goals, reflective practice, as well as shared understanding and commitment to the collaboration.
Publisher: Informa UK Limited
Date: 12-01-2019
Publisher: Edward Elgar Publishing
Date: 08-06-2023
Publisher: Routledge
Date: 10-06-2011
Publisher: Informa UK Limited
Date: 08-11-2021
Publisher: Wiley
Date: 14-12-2019
Publisher: Cambridge University Press (CUP)
Date: 31-07-2023
DOI: 10.1017/S1474746423000155
Abstract: China adopted neoliberal approaches to improve the supply of quality social services in the early 2000s. How did the Chinese government manage the financial and quality risks of increasing the provision via government purchasing and how did it differ from other countries? The article examines the policy trajectory of early childhood education and care in China and Australia on this question. Policy analysis of the effect of purchasing on the cost to government and quality of services shows how both countries used subsidy arrangements to engage non-profit and private providers to expand supply. When faced with market risks, they both tightened regulations, but China differed in the speed and strength of their response, restricting the proportion of private providers. The findings have implications for understanding the risks of relying on market forces in other social service sectors, and how policy can effectively respond.
Publisher: Cambridge University Press (CUP)
Date: 08-12-2010
DOI: 10.1017/S1474746410000400
Abstract: This review article discusses findings from current Chinese social policy literature about the dilemmas facing the Chinese government to reform China's residual social policies, from historic, socio-economic and political perspectives. It explores how human rights based policies and transparent management are beginning to be reflected in recent literature as the policy changes emerge from current social and political development in China. China is emerging as a new important international force, both economically and socially. Its social policies are at a turning point as it shifts to a middle developed country and as the world witnesses the emergence of a new welfare state.
Publisher: Informa UK Limited
Date: 24-05-2023
Publisher: Informa UK Limited
Date: 28-07-2014
Publisher: Wiley
Date: 04-09-2023
DOI: 10.1111/BLD.12549
Publisher: Wiley
Date: 18-05-2011
DOI: 10.1111/J.1471-6712.2011.00887.X
Abstract: How service users conceptualise their personal support services is under researched, even though this understanding is important for responsive policy development and service implementation. This paper tests the proposition that service users understand formal support in three ways: support is a complement to their other arrangements, an intrusion into their personal life and a right. These three concepts were identified using discourse analysis in a Swedish study of older people wanting in-home support services. To test generalisability of these concepts, they were applied to data from an Australian study of people using disability personal support. The analysis found that the three concepts were core to people's views of their support, although the construction of the concepts differed in the two countries. Service users in Sweden asserted their right to services more forcefully than those in Australia, and they had higher expectations that their support needs would be met. These differences reflect the impact of each country's social policy environment on service users' expectations. The analysis suggests that service users and their families want to control their formal support arrangements to complement their informal care and their life preferences and to minimise the intrusive aspects of formal support. The findings imply that the three concepts have utility for theorising service users' perspectives, informing policy and developing implementation strategies which enhance peoples' quality of life.
Publisher: Wiley
Date: 07-10-2021
DOI: 10.1111/JPPI.12396
Abstract: People with intellectual disability do not have adequate access to mental health services and have worse mental health outcomes than the broader community. Access to information about mental health, treatment, and services has been advocated as one strategy to address these inequities. This article presents findings from a policy analysis of how the right to accessible information is represented in Australian mental health policy, with a focus on information access for people with intellectual disability. An analysis of Australian and New South Wales state policies relevant to mental health services 2007–2017, in current use and available online (49 documents) was conducted. Principles in the United Nations Convention on the Rights of Persons with Disability 2006 and an integrated health literacy framework were used to frame a content analysis. NVivo 11 (QSR 2015) was used to search the policy documents and themes were identified according to the policy type and purpose. The right to information is expressed in Australian and New South Wales state policy documents. However, the mental health policies do not refer to the communication needs of people with intellectual disability or incorporate strategies to address their needs. Many of the mental health policy directives incorporate the need for tailored communication. Some documents mention the needs of other groups of people with specific communication needs, but not people with intellectual disability. The inconsistency between the right to information expressed in policies and processes to communicate information with people who have intellectual disability needs to be addressed. The longstanding disparities in health outcomes, and difficulties accessing mental health service experienced by many people with intellectual disability underline the pressing need for policy to require accessible information practices.
Publisher: Informa UK Limited
Date: 21-07-2021
Publisher: Wiley
Date: 17-06-2020
DOI: 10.1111/SPOL.12523
Publisher: Wiley
Date: 02-2015
DOI: 10.1111/ASWP.12047
Publisher: Informa UK Limited
Date: 02-01-2015
Publisher: Informa UK Limited
Date: 10-01-2023
Publisher: Cambridge University Press (CUP)
Date: 10-10-2022
DOI: 10.1017/S1474746422000434
Abstract: This article reviews the design and delivery features of in idualised budgets for disabled and older adults to understand the mechanisms for disaggregation and collaboration in the way support is organised and delivered. In idualised funding is often assumed to be a fragmenting force, breaking down mass provision into personalised and tailored support and stimulating erse provider markets. However, disability c aigners and policy makers are keen that it also be an integrative force, to stimulate collaboration such that a person receives a ‘seamless’ service. The article brings out these tensions within the in idualisation of funding and support for older and disabled people in the United Kingdom and Australia, and considers whether there is scope for reconciling these dual forces.
Publisher: Wiley
Date: 02-2015
DOI: 10.1111/ASWP.12043
Publisher: Cambridge University Press (CUP)
Date: 02-09-2022
Publisher: Informa UK Limited
Date: 18-07-2023
Publisher: The Ohio State University Libraries
Date: 15-12-2014
Abstract: span style="font-family: Times New Roman font-size: small " /span class="MsoNormal" style="margin: 0in 0in 3pt text-align: justify line-height: 150% tab-stops: 6.5in mso-layout-grid-align: none " span Recent policy approaches in Australia, influenced by neoliberalism, have constrained the implementation of international disability rights at the national level. Within the neoliberal and human rights approaches to social policy, what is the lived experience of people with disabilities? In focus groups with people with disabilities and interviews with disability stakeholders in Australia, participants were asked about their experiences and perspectives of welfare to work programs. We analyzed the data by drawing on the United Nations Convention on the Rights of Persons with Disabilities as a framework. The analysis revealed tensions between the rights and responsibilities of citizens and the government, and a disconnection between policy discourse and policy practice. The results suggest that disability rights are jeopardized unless governments take responsibility to create the policy environment for rights-based policy to be implemented including the equalization of opportunities, providing accessible information and communication about employment, and addressing the administration and process practices that employment service providers follow. /span span style="font-family: Times New Roman font-size: small " /span
Publisher: Edward Elgar Publishing
Date: 08-06-2023
Publisher: Cambridge University Press (CUP)
Date: 03-2010
DOI: 10.1017/S1474746409990339
Abstract: Participatory evaluation gives primacy to the experience of people affected by the policy. How realistic is it for researchers to persuade government of its benefits, given the gap between participatory policy theory and government evaluation practice? We apply this question to the Resident Support Program evaluation. The program coordinates support for people living in boarding houses and hostels in Queensland, Australia. We found that a participatory, longitudinal, formative evaluation process facilitated service user contribution to research outcomes, service experiences and policy implementation. In addition, the values position of participatory research can contribute to managing interest conflict in policy implementation.
Publisher: Elsevier BV
Date: 2010
DOI: 10.2139/SSRN.1700847
Publisher: Wiley
Date: 02-06-2011
Publisher: Wiley
Date: 12-10-2011
Publisher: SAGE Publications
Date: 09-09-2021
Abstract: This article uses Ikäheimo’s concept of institutionally mediated recognition to explore how organisational norms and rules facilitate and constrain interpersonal recognition between a young person with disabilities and their paid support worker. The experience of recognition is important because it reflects the quality of this relationship and shapes the identity of both people in the paid support relationship. To understand the relationships between the pairs, Honneth’s interpersonal modes of recognition were applied as the theoretical lens. The data were generated from photovoice, social mapping, interviews and workshops with 42 pairs of young people and their support workers in six organisations. These data were then analysed for the ways institutional practices mediated the interpersonal relationships. The findings revealed four practices in which the organisational context mediated interpersonal recognition: the support sites, application of organisation policies, practices to manage staff and practices to organise young people’s support. Some organisational practices facilitated recognition within the relationships, whereas others were viewed by the pair or managers as constraints on conditions for recognition. Some young people and support workers also exercised initiative or resisted the organisational constraints in the way they conducted their relationship. The findings imply that to promote quality relationships, organisations must create the practice conditions for recognition, respond to misrecognition, and encourage practices that make room for initiative and change within the paid relationship. This requires supervision and training for and by support workers and people with disability.
Publisher: Informa UK Limited
Date: 02-01-2022
Publisher: Elsevier BV
Date: 12-2022
Publisher: Informa UK Limited
Date: 10-07-2019
Publisher: Wiley
Date: 24-08-2009
Publisher: Wiley
Date: 09-2014
Publisher: Informa UK Limited
Date: 03-07-2023
Publisher: Informa UK Limited
Date: 10-09-2020
Publisher: Informa UK Limited
Date: 24-01-2023
Publisher: Wiley
Date: 05-06-2022
Abstract: Disability support is often provided at the interface with other human services such as health, education, and employment agencies. This can present many organisational problems for people receiving support and the organisations that provide it. In idualised funding is one attempt to ease problems of fragmentation and unmet needs, but perversely, it introduces further interface complexities as organisations consider how to manage their service provision and financial structures. Drawing on interviews with 28 managers, the focus in this paper is on organisational and interface changes and challenges following the introduction of the National Disability Insurance Scheme (NDIS) in Australia, and the adaptive strategies of organisations to provide in idualised and coordinated supports. The three themes derived from the thematic analysis, adopting a commercial mindset , finding a business niche , and working across complex interfaces , epitomise the benefits, constraints, and consequences of new market mechanisms for the delivery of supports, and how organisations are adjusting to a more commercial‐orientated sector while also creatively negotiating multiple funding and governance systems. The findings contribute to understandings of how in idualisation is creating new dynamics of local disability support governance and collaboration in service provision.
Publisher: SAGE Publications
Date: 08-03-2023
DOI: 10.1177/14680181221075558
Abstract: Policy changes often aim to improve the access of socially marginalized people who face systemic, social and personal barriers to the support they need. A major policy reform in Australia was the National Disability Insurance Scheme (NDIS), which was introduced to meet the country’s human rights obligations. NDIS is publicly funded to allocate in idual funding packages to 10% of people with disability and facilitates access to mainstream services for all people with disability. Support services are intended to be entitlements, consistent with a human rights framework. Predictably, the most marginalized people remain under-represented in both packages and mainstream access, including people with psychosocial disability who are at risk of homelessness. A 2-year project was conducted to familiarize people with disability and service providers who have contact with them about how to access support. People with Disability Australia managed the project as action research with university researchers. The research used interviews to study how to improve access. People with disability were advisors to the governance and research design. The findings were that it took many months for people with disability and the organizations that support them to trust the project staff, understand the relevance of disability to their lives, and to take steps to seek their entitlements to support. Some implications for policy are conceptual in terms of the policy language of disability, which alienates some people from the services to which they are entitled. Other implications are bureaucratic – the gap between homeless and disability organizations means that they prioritize people’s immediate needs and people who are easier to serve, rather than facilitating sustainable support. A global social policy implication is that specialized interventions to advocate for the rights of marginalized people with disability and to demonstrate how to engage with them remains a priority while gaps between service types persist.
Publisher: Edward Elgar Publishing
Date: 08-06-2023
Publisher: Elsevier BV
Date: 2012
DOI: 10.2139/SSRN.2014423
Publisher: Informa UK Limited
Date: 18-04-2014
Publisher: Wiley
Date: 06-06-2016
DOI: 10.1111/ASWP.12095
Publisher: Informa UK Limited
Date: 06-2013
Publisher: Wiley
Date: 17-02-2016
DOI: 10.1111/BLD.12126
Publisher: Informa UK Limited
Date: 05-09-2020
Publisher: Wiley
Date: 14-09-2021
DOI: 10.1002/AJS4.188
Abstract: A rapid review of the literature on inter‐organisational collaboration was undertaken to identify and describe key barriers and enablers of relevance to current disability policy developments in Australia. Term searches of four databases resulted in the identification of 433 articles published between 2009 and 2019. After removal of duplicates and refinement, 17 peer‐reviewed articles underwent full review, data extraction and synthesis to distil barriers and enablers of inter‐organisational collaboration at three levels. At the macro‐level, policy instruments, institutional arrangements and resources were salient. At the meso‐level, clarity of organisational purposes and roles, and organisational systems and processes were important, as were factors of leadership, management, power and workforce. At the micro‐level, values, trust, culture and personal relationships could be either barriers or enablers, depending on context. The review indicated that meaningful and sustained collaboration across organisations is unlikely without careful planning, clear actions and significant investment at all three levels, providing important learnings for the Australian National Disability Insurance Scheme context.
Publisher: Informa UK Limited
Date: 03-2008
Publisher: The Ohio State University Libraries
Date: 27-08-2010
DOI: 10.18061/DSQ.V30I3/4.1283
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mso-default-props:yes font-size:10.0pt mso-ansi-font-size:10.0pt mso-bidi-font-size:10.0pt } @page Section1 {size:8.5in 11.0in margin:1.0in 1.0in 1.0in 1.0in mso-header-margin:.5in mso-footer-margin:.5in mso-paper-source:0 } .Section1 {page:Section1 } -- !--[if gte mso 10] style /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal" mso-tstyle-rowband-size:0 mso-tstyle-colband-size:0 mso-style-noshow:yes mso-style-priority:99 mso-style-qformat:yes mso-style-parent:"" mso-padding-alt:0in 5.4pt 0in 5.4pt mso-para-margin:0in mso-para-margin-bottom:.0001pt mso-pagination:widow-orphan font-size:11.0pt font-family:"Calibri","sans-serif" mso-ascii-font-family:Calibri mso-ascii-theme-font:minor-latin mso-fareast-font-family:"Times New Roman" mso-fareast-theme-font:minor-fareast mso-hansi-font-family:Calibri mso-hansi-theme-font:minor-latin mso-bidi-font-family:"Times New Roman" mso-bidi-theme-font:minor-bidi } /style ![endif]-- span style="font-size: 12pt font-family: " Arial" ," sans-serif" " What prevents people with disabilities from having their right to housing support fulfilled? The article identifies the facilitators and barriers to adequate housing support in Australia for people who need 24-hour support by applying a human rights framework to analyze Australian disability housing support policies. The article provides an overview of approaches to housing support arrangements. It outlines the primary goals of disability housing support from disability theory and policy as encompassing human rights, quality of life, independent living and cost effectiveness. The research provides insight into the right of people with disabilities to housing support in a changing policy context and it identifies seven key facilitators and barriers to fulfilling the right to disability housing support: (1) legislation, agreements and regulations (2) funding and demand management (3) interagency coordination (4) range, flexibility and choice of housing support (5) staffing quality (6) informal carers and (7) discrimination. /span class="MsoNormal"
Publisher: CSIRO Publishing
Date: 2016
DOI: 10.1071/AH15073
Abstract: Objective People with severe mental illness have high rates of hospitalisation. The present study examined the role that permanent housing and recovery-oriented support can play in reducing the number and length of psychiatric hospital admissions for people with severe mental illness. Methods The study examined de-identified, in idual-level health records of 197 people involved in the New South Wales Mental Health Housing and Accommodation Support Initiative (HASI) to compare changes in hospitalisation over a continuous 4-year period. Results On average, HASI consumers experienced significant reductions in the number of psychiatric hospital admissions and length of stay after entering the HASI program, and these reductions were sustained over the first 2 years in HASI. Male consumers and consumers under 45 years of age experienced the largest reductions in the number and length of hospital admissions. Conclusions The findings of the present study add support to the hypothesis that supported housing and recovery-oriented support can be effective approaches to reducing hospital admissions for people with chronic mental illness, and that these changes can be sustained over time. What is known about this topic? People living with severe mental illness are heavy users of health and hospitalisation services. Research into the effects of partnership programs on preventing unnecessary admissions is limited because of short periods of comparison and small s le sizes. What does this paper add? The present study extends previous research by analysing de-identified in idual-level health records over a continuous 4-year period and showing that reductions in hospitalisation among people with severe mental illness can be sustained over time. What are the implications for practitioners? These findings provide further evidence that community-based recovery-oriented supported housing programs can assist consumers to manage their mental health and avoid hospital admissions. Although the provision of recovery-oriented community services requires an investment in community mental health, the reduction in consumers’ use of hospital services makes this investment worthwhile.
Publisher: Australian Housing and Urban Research Institute (AHURI)
Date: 07-04-2017
Publisher: IEEE
Date: 08-2011
Publisher: Cambridge University Press (CUP)
Date: 10-10-2022
DOI: 10.1017/S1474746422000410
Abstract: The marketisation of disability support driven by in idualised funding brings new dilemmas for multi-agency collaboration, in particular how to provide personalised supports while remaining commercially viable. This article explores the challenges, risks and adaptations of organisations to navigate the tensions of personalisation and collaboration. Framed by street-level research and using the context of Australia’s National Disability Insurance Scheme (NDIS), this article draws on interviews with twenty-eight organisational managers. Multi-agency challenges are highlighted when several providers are delivering parts of a NDIS participant’s plan, blurring organisational responsibilities and accountabilities. Interviews also revealed the paradox of organisational disconnection and organisational dependence concerning quality support provision and described the collaborative responses organisations implement to ensure their sustainability. There is commitment among organisations to build a trusted ecosystem of providers, but this is largely discretionary and there is a need for further policy mechanisms to enable organisations to negotiate a way through multi-agency dilemmas.
Publisher: Wiley
Date: 07-12-2015
DOI: 10.1111/SPOL.12104
Publisher: Wiley
Date: 11-12-2021
DOI: 10.1111/SPOL.12666
Abstract: Globally, labour markets are encountering profound changes because of the digital revolution. Middle‐income countries such as China are leapfrogging high‐income countries to take advantage of the digital economy. The growing use of digital technologies is also reshaping the labour market in high‐income countries such as Australia. Potentially, new technologies may facilitate both employers and employees to overcome some of the barriers to disability employment. However, it seems that the opportunities and hopes have not yet translated into improved employment rate for people with disability. This paper uses an ecosystem framework to examine the state's role in improving the critical elements of disability employment: developing a national strategy, creating employment opportunities, building capacity and enhancing accessibility. This paper compares the historical development of disability employment and the policies introduced to take advantage of digital technologies across China and Australia. It studies the national policies, funded activities and the governing structure in China and Australia. The findings revealed distinctive approaches that have played to the strengths of each country. However, both countries need to address the weaker links to deliver a real paradigm shift.
Publisher: Wiley
Date: 03-2016
DOI: 10.1111/JPPI.12142
Publisher: Wiley
Date: 03-2014
Publisher: Hindawi Limited
Date: 06-04-2021
DOI: 10.1111/HSC.13364
Publisher: Wiley
Date: 10-2015
DOI: 10.1111/ASWP.12068
Publisher: Stockholm University Press
Date: 05-09-2016
Publisher: Authorea, Inc.
Date: 15-06-2023
DOI: 10.22541/AU.168679667.78974641/V1
Abstract: Purpose The distribution of specialist health services is usually uneven by location due to limited resources, which is a problem for people with complex needs. In this context, the research addressed the question: How can a hub and spoke model offer appropriate (available, accessible, acceptable and quality) services for people with intellectual disability and mental health needs? Methods The research applied the question to point-in-time qualitative interview data about services for people with intellectual disability and mental health needs in the Australian state of New South Wales (NSW). The interview data were from a larger mixed-methods evaluation of a time-limited intervention (2018-2020). Purposeful s ling was used to recruit 25 program consumers, families and service providers for semi-structured qualitative interviews, and 14 other stakeholders for focus groups and interviews. Topics included their experience of the process and outcomes of the intervention. Data were analyzed against a hub-and-spoke model analytical framework. Results The research found that the appropriateness of health services benefited from funded, local positions. These local professionals liaised between local mental health, health and disability providers. They also liaised with other local areas and with centralized, specialist intellectual disability mental health services. Conclusions The implication is that specific local positions can work as a bridge between generic and specialist services to improve the availability, access, acceptability and quality of services for people with specific support needs. This program worked well in a geographically large area with a scattered population and decentralized health system.
Publisher: Wiley
Date: 11-2006
DOI: 10.1002/CAR.964
Publisher: Informa UK Limited
Date: 13-06-2014
Publisher: Cambridge University Press (CUP)
Date: 12-08-2022
DOI: 10.1017/S0047279422000691
Abstract: Within growing marketisation of publicly funded services, the internet has provided new opportunities for marketing, delivery, and coordination of those services. Using web scraping and hyperlink network analysis techniques, this paper examines the ways in which organisations operating in Australia’s evolving National Disability Insurance Scheme (NDIS) system inter-connect online. Social media plays the most important role in the online network. Government agencies also play a central role, with many disability service organisations linking their web users to them. Government agency websites do not hyperlink to disability service providers, suggesting that governments do not see their role as assisting access to such services. Advocacy and peak disability organisations are important in online connections between the websites of government and service organisations. Innovative uses of the internet for online brokerage of disability services are evident. The implications of these findings for service delivery are discussed.
Start Date: 2016
End Date: 2018
Funder: Australian Research Council
View Funded ActivityStart Date: 2015
End Date: 2017
Funder: Australian Research Council
View Funded ActivityStart Date: 2013
End Date: 2017
Funder: National Health and Medical Research Council
View Funded ActivityStart Date: 2009
End Date: 2011
Funder: Australian Research Council
View Funded ActivityStart Date: 2007
End Date: 2010
Funder: Australian Research Council
View Funded ActivityStart Date: 2012
End Date: 2015
Funder: Australian Research Council
View Funded ActivityStart Date: 2010
End Date: 2012
Funder: Australian Research Council
View Funded ActivityStart Date: 2013
End Date: 09-2017
Amount: $237,213.00
Funder: Australian Research Council
View Funded ActivityStart Date: 12-2016
End Date: 12-2022
Amount: $285,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 09-2008
End Date: 12-2010
Amount: $156,142.00
Funder: Australian Research Council
View Funded ActivityStart Date: 2009
End Date: 08-2012
Amount: $247,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 03-2016
End Date: 07-2019
Amount: $360,900.00
Funder: Australian Research Council
View Funded ActivityStart Date: 12-2010
End Date: 06-2014
Amount: $235,000.00
Funder: Australian Research Council
View Funded ActivityStart Date: 06-2019
End Date: 06-2022
Amount: $244,522.00
Funder: Australian Research Council
View Funded ActivityStart Date: 09-2022
End Date: 09-2025
Amount: $466,852.00
Funder: Australian Research Council
View Funded Activity