Ballarat health consortium : A case study of influential factors in the development and maintenance of a health partnership
- McDonald, John, Murphy, Angela, Payne, Warren
- Authors: McDonald, John , Murphy, Angela , Payne, Warren
- Date: 2001
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 7, no. 2 (2001), p. 75-82
- Full Text:
- Reviewed:
- Description: Intersectoral partnerships in health have a central role in current policy and programs. Partnerships are seen to be an effective strategy for maximising health outcomes. However, theoretical models of health partnerships are underdeveloped. Moreover, the research literature contains inconsistent findings about their effectiveness, and there has been very little evaluative research on health partnerships in this country. This paper reports on a case study of an intersectoral consortium using a health promotion approach to cardiovascular disease. A model of partnership formation and development is presented. From this, a research strategy was devised and carried out. Results indicate that the health consortium was formed inresponse to a critical health issue, and as a separate legal entity without recurrent funding, it has been sustained through the commitment of individual members. Project funding has, in large part, dictated its operations. The case study reveals the strengths, vulnnerabilities and achievements of this consortium over five years. To produce sustainable health outcomes, the researchers conclude, partnerships require strategic management to capitalise on individual endeavours, organisational alignments, and government or funder priorities. Ideological zeal for intersectoral health partnerships must be balanced by rigorous evaluation; together with more sophisticated indicators for measuring success in partnerships in health promotion. Theoretical development of models of health partnerships will also contribute to their enhanced effectiveness.
- Description: 2003004325
- Authors: McDonald, John , Murphy, Angela , Payne, Warren
- Date: 2001
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 7, no. 2 (2001), p. 75-82
- Full Text:
- Reviewed:
- Description: Intersectoral partnerships in health have a central role in current policy and programs. Partnerships are seen to be an effective strategy for maximising health outcomes. However, theoretical models of health partnerships are underdeveloped. Moreover, the research literature contains inconsistent findings about their effectiveness, and there has been very little evaluative research on health partnerships in this country. This paper reports on a case study of an intersectoral consortium using a health promotion approach to cardiovascular disease. A model of partnership formation and development is presented. From this, a research strategy was devised and carried out. Results indicate that the health consortium was formed inresponse to a critical health issue, and as a separate legal entity without recurrent funding, it has been sustained through the commitment of individual members. Project funding has, in large part, dictated its operations. The case study reveals the strengths, vulnnerabilities and achievements of this consortium over five years. To produce sustainable health outcomes, the researchers conclude, partnerships require strategic management to capitalise on individual endeavours, organisational alignments, and government or funder priorities. Ideological zeal for intersectoral health partnerships must be balanced by rigorous evaluation; together with more sophisticated indicators for measuring success in partnerships in health promotion. Theoretical development of models of health partnerships will also contribute to their enhanced effectiveness.
- Description: 2003004325
Strengthening primary health care : Building the capacity of rural communities to access health funding
- McDonald, John, Brown, Leann, Murphy, Angela
- Authors: McDonald, John , Brown, Leann , Murphy, Angela
- Date: 2002
- Type: Text , Journal article
- Relation: Australian journal of rural health Vol. 10, no. 3 (2002), p. 173-177
- Full Text:
- Reviewed:
- Description: Present health funding models can place onerous pressures on rural health services. Staff may lack the time, resources, access to data, and the expertise needed to complete complex and lengthy funding submissions. This present study describes an innovative capacity-building approach to working with Victorian rural communities seeking to access health care funding through the Regional Health Services Program. This approach used several strategies: engaging stakeholders in targeted rural communities, developing an information kit and running a workshop on preparing submissions to the Regional Health Services Program, facilitating community consultations, and providing ongoing support with submissions. Six rural communities were supported in this way. Four have been funded to date, with a combined annual recurrent budget for new primary health care services of over $2.5 million. Each community has developed a service delivery model that meets the particular needs of their local area. This capacity-building approach is both effective and replicable to other health funding opportunities. The definitive version of this article is available at www3.interscience.wiley.com
- Description: 2003000079
- Authors: McDonald, John , Brown, Leann , Murphy, Angela
- Date: 2002
- Type: Text , Journal article
- Relation: Australian journal of rural health Vol. 10, no. 3 (2002), p. 173-177
- Full Text:
- Reviewed:
- Description: Present health funding models can place onerous pressures on rural health services. Staff may lack the time, resources, access to data, and the expertise needed to complete complex and lengthy funding submissions. This present study describes an innovative capacity-building approach to working with Victorian rural communities seeking to access health care funding through the Regional Health Services Program. This approach used several strategies: engaging stakeholders in targeted rural communities, developing an information kit and running a workshop on preparing submissions to the Regional Health Services Program, facilitating community consultations, and providing ongoing support with submissions. Six rural communities were supported in this way. Four have been funded to date, with a combined annual recurrent budget for new primary health care services of over $2.5 million. Each community has developed a service delivery model that meets the particular needs of their local area. This capacity-building approach is both effective and replicable to other health funding opportunities. The definitive version of this article is available at www3.interscience.wiley.com
- Description: 2003000079
Impact of health and safety representative training on concepts of accident causation and prevention
- Culvenor, John, Cowley, Stephen, Harvey, Jack
- Authors: Culvenor, John , Cowley, Stephen , Harvey, Jack
- Date: 2003
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 19, no. 3 (2003), p. 279-292
- Full Text:
- Reviewed:
- Description: In South Australia, health and safety representatives (HSRs) may undertake three levels of training, commencing at basic level, then progressing through advanced level to continuing level. A survey of 1,200 HSRs in SA was conducted to assess their beliefs about accident causation and accident prevention. In regard to accident causation, the survey found that HSRs showed a tendency to favour behavioural causation over workplace environment or systems-type causation. In regard to accident prevention, HSRs at all levels of training had a preference for low-order controls. However, there appears to be some shift in thinking by the time HSRs have completed all levels of training (that is, to the continuing training level), though the thinking of most remains distinctly safe-worker in orientation.
- Description: C1
- Description: 2003003020
Impact of health and safety representative training on concepts of accident causation and prevention
- Authors: Culvenor, John , Cowley, Stephen , Harvey, Jack
- Date: 2003
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 19, no. 3 (2003), p. 279-292
- Full Text:
- Reviewed:
- Description: In South Australia, health and safety representatives (HSRs) may undertake three levels of training, commencing at basic level, then progressing through advanced level to continuing level. A survey of 1,200 HSRs in SA was conducted to assess their beliefs about accident causation and accident prevention. In regard to accident causation, the survey found that HSRs showed a tendency to favour behavioural causation over workplace environment or systems-type causation. In regard to accident prevention, HSRs at all levels of training had a preference for low-order controls. However, there appears to be some shift in thinking by the time HSRs have completed all levels of training (that is, to the continuing training level), though the thinking of most remains distinctly safe-worker in orientation.
- Description: C1
- Description: 2003003020
Prevention of falls and manual handling injuries among plasterers : The case for intervention
- Cowley, Stephen, Leggett, Susan
- Authors: Cowley, Stephen , Leggett, Susan
- Date: 2003
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety Australia and New Zealand Vol. 19, no. 5 (2003), p. 447-456
- Full Text:
- Reviewed:
- Description: Although there are few sources of information specific to plastering, there are data that suggest that individuals who do this type of work are at high risk of injury. While it is commonly accepted internationally that plasterers are exposed to significant risks in the areas of manual handling and falls, direct comparisons to and wholesale adoption of overseas knowledge are inappropriate. A literature review has demonstrated that there has been a great emphasis on defining the size of the problem. There is limited research relating to the adoption of evaluated risk control strategies, and what controls are known are not necessarily universally applicable. The risk control strategies that are known and available are in need of evaluation. To increase the adoption of evaluated risk controls, it is recommended that social marketing strategies be used.
- Description: C1
- Description: 2003000620
- Authors: Cowley, Stephen , Leggett, Susan
- Date: 2003
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety Australia and New Zealand Vol. 19, no. 5 (2003), p. 447-456
- Full Text:
- Reviewed:
- Description: Although there are few sources of information specific to plastering, there are data that suggest that individuals who do this type of work are at high risk of injury. While it is commonly accepted internationally that plasterers are exposed to significant risks in the areas of manual handling and falls, direct comparisons to and wholesale adoption of overseas knowledge are inappropriate. A literature review has demonstrated that there has been a great emphasis on defining the size of the problem. There is limited research relating to the adoption of evaluated risk control strategies, and what controls are known are not necessarily universally applicable. The risk control strategies that are known and available are in need of evaluation. To increase the adoption of evaluated risk controls, it is recommended that social marketing strategies be used.
- Description: C1
- Description: 2003000620
13 days and counting : A mutual support model for young, homeless women in crisis
- Green, Rosemary, Mason, Robyn, Ollerenshaw, Alison
- Authors: Green, Rosemary , Mason, Robyn , Ollerenshaw, Alison
- Date: 2004
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 23, no. 2 (2004), p. 46-50
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- Reviewed:
- Description: An innovative program in rural Victoria matches young homeless women with older homeless women and provides them with a range of support services.The result is more stability in the accommodation setting, mutual benefit and satisfaction for clients, and impressive rates of permanent housing outcomes.
- Description: C1
- Description: 2003000964
- Authors: Green, Rosemary , Mason, Robyn , Ollerenshaw, Alison
- Date: 2004
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 23, no. 2 (2004), p. 46-50
- Full Text:
- Reviewed:
- Description: An innovative program in rural Victoria matches young homeless women with older homeless women and provides them with a range of support services.The result is more stability in the accommodation setting, mutual benefit and satisfaction for clients, and impressive rates of permanent housing outcomes.
- Description: C1
- Description: 2003000964
A rural perspective of telephone counselling and referral
- Watson, Robert, McDonald, John
- Authors: Watson, Robert , McDonald, John
- Date: 2004
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 10, no. 2 (2004), p. 97-103
- Full Text:
- Reviewed:
- Description: A telephone survey was used to examine rural residents' (n=102) perceptions and knowledge of a well-established national telephone counselling and referral service-Lifeline. Residents in rural Australia experience generally poorer access and availability to health-related services than their metropolitan counterparts. They may also have problems with confidentiality and stigmatisation in using what services are available in their area. Although this was a non-comparative study, it was reasoned that these barriers to help-seeking in rural areas would mean their population would know and value a service such as Lifeline, which provides equitable and anonymous support and referrals to all Australians. The results showed that the service was known, valued, and supported strongly by the respondents. The findings supported the belief that telephone counselling and referral has an important and unique place in rural health support and referral.
- Description: C1
- Description: 2003000949
- Authors: Watson, Robert , McDonald, John
- Date: 2004
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 10, no. 2 (2004), p. 97-103
- Full Text:
- Reviewed:
- Description: A telephone survey was used to examine rural residents' (n=102) perceptions and knowledge of a well-established national telephone counselling and referral service-Lifeline. Residents in rural Australia experience generally poorer access and availability to health-related services than their metropolitan counterparts. They may also have problems with confidentiality and stigmatisation in using what services are available in their area. Although this was a non-comparative study, it was reasoned that these barriers to help-seeking in rural areas would mean their population would know and value a service such as Lifeline, which provides equitable and anonymous support and referrals to all Australians. The results showed that the service was known, valued, and supported strongly by the respondents. The findings supported the belief that telephone counselling and referral has an important and unique place in rural health support and referral.
- Description: C1
- Description: 2003000949
Increasing the adoption of OHS risk controls in small business : Can social marketing help to achieve change?
- Cowley, Stephen, Else, Dennis, LaMontagne, A.
- Authors: Cowley, Stephen , Else, Dennis , LaMontagne, A.
- Date: 2004
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety Australia and New Zealand Vol. 20, no. 1 (2004), p. 69-77
- Full Text:
- Reviewed:
- Description: 2003000708
- Authors: Cowley, Stephen , Else, Dennis , LaMontagne, A.
- Date: 2004
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety Australia and New Zealand Vol. 20, no. 1 (2004), p. 69-77
- Full Text:
- Reviewed:
- Description: 2003000708
Initial force and desirable handle height range when pushing a trolley
- Authors: Culvenor, John
- Date: 2005
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 21, no. 4 (2005), p. 341-349
- Full Text:
- Reviewed:
- Description: Trolleys are used in many workplaces, often as a solution to the hazards of lifting and carrying. Guidelines are available to set limits on the force that can be reasonably applied for push and pull activities in a workplace setting. With a level floor, low friction and short movements, the force applied for acceleration when pushing a trolley is more significant than the sustained effort (however, many factors interact with the force and these must be considered together). This study determined the initial force applied to trolleys in a manufacturing setting, with a level floor and low rolling friction. Subjects were asked to move trolleys (weighing between 160 kg and 400 kg) a short distance in the way that they would normally do the work. Results showed a preferred grip height of 120-135 cm. The average results for applied force fell closely along a linear relationship. Future research could be conducted in an experimental setting and include more comprehensive trials with a greater number of subjects (including women).
- Description: C1
- Description: 2003002990
- Authors: Culvenor, John
- Date: 2005
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 21, no. 4 (2005), p. 341-349
- Full Text:
- Reviewed:
- Description: Trolleys are used in many workplaces, often as a solution to the hazards of lifting and carrying. Guidelines are available to set limits on the force that can be reasonably applied for push and pull activities in a workplace setting. With a level floor, low friction and short movements, the force applied for acceleration when pushing a trolley is more significant than the sustained effort (however, many factors interact with the force and these must be considered together). This study determined the initial force applied to trolleys in a manufacturing setting, with a level floor and low rolling friction. Subjects were asked to move trolleys (weighing between 160 kg and 400 kg) a short distance in the way that they would normally do the work. Results showed a preferred grip height of 120-135 cm. The average results for applied force fell closely along a linear relationship. Future research could be conducted in an experimental setting and include more comprehensive trials with a greater number of subjects (including women).
- Description: C1
- Description: 2003002990
- Authors: Mills, Alice
- Date: 2005
- Type: Text , Journal article
- Relation: Academic Exchange Quarterly Vol. 10, no. 2 (2005), p. 1-3
- Full Text:
- Reviewed:
- Description: This is a look at the author Dante and how the writing may effect the reader.
- Description: C1
- Description: 2003001259
Dimensions of pastoral care: Student wellbeing in rural Catholic schools
- Ollerenshaw, Alison, McDonald, John
- Authors: Ollerenshaw, Alison , McDonald, John
- Date: 2006
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 12, no. 2 (2006), p. 137-145
- Full Text:
- Reviewed:
- Description: This paper investigates the health and welfare needs of students (n = 15,806) and the current service model in Catholic schools in the Ballarat Diocese of Victoria, Australia. Catholic schools use a service model underpinned by an ethos of pastoral care; there is a strong tradition of self-reliance within the Catholic education system for meeting students' health and welfare needs. The central research questions are: What are the emerging health and welfare needs of students? How does pastoral care shape the service model to meet these needs? What model/s might better meet students' primary health care needs? The research methods involved analysis of(1) extant databases of expressed service needs including referrals (n = 1,248) to Student Services over the last 2.5 years, (2) trends in the additional funding support such as special needs funding for students and the Education Maintenance Allowance for families, and (3) semi-structured individual and group interviews with 98 Diocesan and school staff responsible for meeting students' health and welfare needs. Analysis of expressed service needs revealed a marked increase in service demand, and in the complexity and severity of students' needs. Thematic analysis of qualitative interview data revealed five pressing issues: the health and welfare needs of students; stressors in the school community; rural isolation; role boundaries and individualised interventions; and self-reliant networks of care. Explanations for many of these problems can be located in wider social and economic forces impacting upon the church and rural communities. It was concluded that the pastoral care model-as it is currently configured-is not equipped to meet the escalating primary health care needs of students in rural areas. This paper considers the implications for enhanced primary health care in both rural communities and in schools.
- Description: C1
- Description: 2003001995
- Authors: Ollerenshaw, Alison , McDonald, John
- Date: 2006
- Type: Text , Journal article
- Relation: Australian Journal of Primary Health Vol. 12, no. 2 (2006), p. 137-145
- Full Text:
- Reviewed:
- Description: This paper investigates the health and welfare needs of students (n = 15,806) and the current service model in Catholic schools in the Ballarat Diocese of Victoria, Australia. Catholic schools use a service model underpinned by an ethos of pastoral care; there is a strong tradition of self-reliance within the Catholic education system for meeting students' health and welfare needs. The central research questions are: What are the emerging health and welfare needs of students? How does pastoral care shape the service model to meet these needs? What model/s might better meet students' primary health care needs? The research methods involved analysis of(1) extant databases of expressed service needs including referrals (n = 1,248) to Student Services over the last 2.5 years, (2) trends in the additional funding support such as special needs funding for students and the Education Maintenance Allowance for families, and (3) semi-structured individual and group interviews with 98 Diocesan and school staff responsible for meeting students' health and welfare needs. Analysis of expressed service needs revealed a marked increase in service demand, and in the complexity and severity of students' needs. Thematic analysis of qualitative interview data revealed five pressing issues: the health and welfare needs of students; stressors in the school community; rural isolation; role boundaries and individualised interventions; and self-reliant networks of care. Explanations for many of these problems can be located in wider social and economic forces impacting upon the church and rural communities. It was concluded that the pastoral care model-as it is currently configured-is not equipped to meet the escalating primary health care needs of students in rural areas. This paper considers the implications for enhanced primary health care in both rural communities and in schools.
- Description: C1
- Description: 2003001995
Issues in rural adolescent mental health in Australia
- Boyd, Candice, Aisbett, Damon, Francis, Kristy, Kelly, Melinda, Newnham, Karyn, Newnham, Krystal
- Authors: Boyd, Candice , Aisbett, Damon , Francis, Kristy , Kelly, Melinda , Newnham, Karyn , Newnham, Krystal
- Date: 2006
- Type: Text , Journal article
- Relation: Rural and Remote health Vol. 6, no. 501 (2006), p. 1-9
- Full Text:
- Reviewed:
- Description: The mental health of adolescents living in rural Australia has received little research attention. In this article, the extant literature on rural adolescent mental health in Australia is reviewed. Given the lack of literature on this topic, the review is centered on a vignette presented at the beginning of the article. The case represented by the vignette is that of a young Australian growing up in a rural area. The issues raised – including the nature of mental health issues for rural adolescents and barriers to seeking professional help – are then discussed in terms of the available literature. The article concludes with a future focus for research efforts in the area of rural adolescent mental health.
- Description: C1
- Description: 2003001815
- Authors: Boyd, Candice , Aisbett, Damon , Francis, Kristy , Kelly, Melinda , Newnham, Karyn , Newnham, Krystal
- Date: 2006
- Type: Text , Journal article
- Relation: Rural and Remote health Vol. 6, no. 501 (2006), p. 1-9
- Full Text:
- Reviewed:
- Description: The mental health of adolescents living in rural Australia has received little research attention. In this article, the extant literature on rural adolescent mental health in Australia is reviewed. Given the lack of literature on this topic, the review is centered on a vignette presented at the beginning of the article. The case represented by the vignette is that of a young Australian growing up in a rural area. The issues raised – including the nature of mental health issues for rural adolescents and barriers to seeking professional help – are then discussed in terms of the available literature. The article concludes with a future focus for research efforts in the area of rural adolescent mental health.
- Description: C1
- Description: 2003001815
Promoting the psychosocial function of young adults through psychiatric residential rehabilitation: A qualitive evaluation of the making a significant change (MASC) program
- Kelly, Melinda, Boyd, Candice
- Authors: Kelly, Melinda , Boyd, Candice
- Date: 2006
- Type: Text , Journal article
- Relation: International Journal of Psychosocial Rehabilitation Vol. 10, no. 2 (2006), p. 139-153
- Full Text:
- Reviewed:
- Description: This research evaluated the Making a Significant Change (MASC) program - the only residential psychosocial rehabilitation program for young adults in the Grampians region of Victoria, Australia. The program provides intensive support and rehabilitation services to young people aged 16 to 24 years who have a mental illness and are at risk of developing further mental health disabilities. This evaluation aimed to establish a holistic view of the program with a focus on the process descriptive data for key stakeholders in the service so that the impact of intervention approaches could be gauged.
- Description: C1
- Description: 2003003401
- Authors: Kelly, Melinda , Boyd, Candice
- Date: 2006
- Type: Text , Journal article
- Relation: International Journal of Psychosocial Rehabilitation Vol. 10, no. 2 (2006), p. 139-153
- Full Text:
- Reviewed:
- Description: This research evaluated the Making a Significant Change (MASC) program - the only residential psychosocial rehabilitation program for young adults in the Grampians region of Victoria, Australia. The program provides intensive support and rehabilitation services to young people aged 16 to 24 years who have a mental illness and are at risk of developing further mental health disabilities. This evaluation aimed to establish a holistic view of the program with a focus on the process descriptive data for key stakeholders in the service so that the impact of intervention approaches could be gauged.
- Description: C1
- Description: 2003003401
Rural adolescents' attitudes to seeking help for mental health problems
- Francis, Kristy, Boyd, Candice, Aisbett, Damon, Newnham, Karyn, Newnham, Krystal
- Authors: Francis, Kristy , Boyd, Candice , Aisbett, Damon , Newnham, Karyn , Newnham, Krystal
- Date: 2006
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 25 , no. 4 (2006), p. 42-49
- Full Text:
- Reviewed:
- Description: Little research has been undertaken into the barriers facing rural adolescents seeking help and support for mental health problems. This study presented students from rural secondary schools in Victoria with hypothetical scenarios of an adolescent living in a rural area with a mental disorder and posed questions inorder to create group discussion. The results revealed a range of perceived barriers to help-seeking that could be considered unique to rural settings. However, adolescents also expressed positive attitudes and identified a range of professional help sources available to them. The findings support recent moves towards providing school-based mental health services to young people in rural areas.
- Description: C1
- Description: 2003001811
- Authors: Francis, Kristy , Boyd, Candice , Aisbett, Damon , Newnham, Karyn , Newnham, Krystal
- Date: 2006
- Type: Text , Journal article
- Relation: Youth Studies Australia Vol. 25 , no. 4 (2006), p. 42-49
- Full Text:
- Reviewed:
- Description: Little research has been undertaken into the barriers facing rural adolescents seeking help and support for mental health problems. This study presented students from rural secondary schools in Victoria with hypothetical scenarios of an adolescent living in a rural area with a mental disorder and posed questions inorder to create group discussion. The results revealed a range of perceived barriers to help-seeking that could be considered unique to rural settings. However, adolescents also expressed positive attitudes and identified a range of professional help sources available to them. The findings support recent moves towards providing school-based mental health services to young people in rural areas.
- Description: C1
- Description: 2003001811
The interrelations between sexual orientation, sense of belonging and dysphoria among Australian women
- Authors: McLaren, Suzanne
- Date: 2006
- Type: Text , Journal article
- Relation: Women and Health Vol. 43, no. 3 (2006), p. 123-137
- Full Text:
- Reviewed:
- Description: This research examined whether sense of belonging in the community and sexual orientation were associated with dysphoria among women. Australian female heterosexuals (n = 202) and lesbians (n = 184) completed the Sense of Belonging Instrument and the Depression, Anxiety, Stress Scales. Results indicated that lesbians experienced a decreased sense of belonging and more dysphoria compared with heterosexual women. Subsequent analyses indicated that sense of belonging to the community mediated the relation between sexual orientation and dysphoria. In addition, sexual orientation moderated the relation between sense of belonging and dysphoria. It appears that the enhancement of lesbians' sense of belonging in the community would be associated with a reduction in dysphoria. Copyright © by The Haworth Press, Inc. All rights reserved.
- Description: C1
- Description: 2003001983
- Authors: McLaren, Suzanne
- Date: 2006
- Type: Text , Journal article
- Relation: Women and Health Vol. 43, no. 3 (2006), p. 123-137
- Full Text:
- Reviewed:
- Description: This research examined whether sense of belonging in the community and sexual orientation were associated with dysphoria among women. Australian female heterosexuals (n = 202) and lesbians (n = 184) completed the Sense of Belonging Instrument and the Depression, Anxiety, Stress Scales. Results indicated that lesbians experienced a decreased sense of belonging and more dysphoria compared with heterosexual women. Subsequent analyses indicated that sense of belonging to the community mediated the relation between sexual orientation and dysphoria. In addition, sexual orientation moderated the relation between sense of belonging and dysphoria. It appears that the enhancement of lesbians' sense of belonging in the community would be associated with a reduction in dysphoria. Copyright © by The Haworth Press, Inc. All rights reserved.
- Description: C1
- Description: 2003001983
Australian rural adolescents’ experiences of accessing psychological help for a mental health problem
- Boyd, Candice, Francis, Kristy, Aisbett, Damon, Newnham, Krystal, Sewell, Jessica, Dawes, Graham, Nurse, Sarah
- Authors: Boyd, Candice , Francis, Kristy , Aisbett, Damon , Newnham, Krystal , Sewell, Jessica , Dawes, Graham , Nurse, Sarah
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 15, no. (2007), p. 196-200
- Full Text:
- Reviewed:
- Description: Objective: This study aims to explore Australian rural adolescents’ experiences of accessing help for a mental health problem in the context of their rural communities. Design and setting: A qualitative research design was used whereby university students who had sought help for a mental health problem during their adolescence were interviewed about their experiences. Interviews were conducted face-to-face at the university. Main outcome measures: A semi-structured interview schedule was designed around the study’s main research questions. Audio-taped interviews were transcribed and thematically coded using a constant comparative method. Participants: Participants were first-year undergraduate psychology students between the ages of 17 and 21 years who sought help for a mental health issue during their adolescence and who at that time resided in a rural area. Results: Participants highlighted various barriers to seeking help for mental health problems in the context of a rural community, including: social visibility, lack of anonymity, a culture of self-reliance, and social stigma of mental illness. Participants’ access to help was primarily school-based, and participants expressed a preference for supportive counselling over structured interventions. Characteristics of school-based helpers that made them approachable included: ‘caring’, ‘nonjudgemental’, ‘genuine’, ‘young’, and able to maintain confidentiality. Conclusions: The findings support previous research that reveals barriers to help seeking for mental health problems that are unique to the culture of rural communities. The study raises questions about the merit of delivery of primary mental health care to young people via GPs alone and suggests that school-based counsellors be considered as the first step in a young person’s access to mental health care.
- Description: C1
- Description: 2003005807
- Authors: Boyd, Candice , Francis, Kristy , Aisbett, Damon , Newnham, Krystal , Sewell, Jessica , Dawes, Graham , Nurse, Sarah
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 15, no. (2007), p. 196-200
- Full Text:
- Reviewed:
- Description: Objective: This study aims to explore Australian rural adolescents’ experiences of accessing help for a mental health problem in the context of their rural communities. Design and setting: A qualitative research design was used whereby university students who had sought help for a mental health problem during their adolescence were interviewed about their experiences. Interviews were conducted face-to-face at the university. Main outcome measures: A semi-structured interview schedule was designed around the study’s main research questions. Audio-taped interviews were transcribed and thematically coded using a constant comparative method. Participants: Participants were first-year undergraduate psychology students between the ages of 17 and 21 years who sought help for a mental health issue during their adolescence and who at that time resided in a rural area. Results: Participants highlighted various barriers to seeking help for mental health problems in the context of a rural community, including: social visibility, lack of anonymity, a culture of self-reliance, and social stigma of mental illness. Participants’ access to help was primarily school-based, and participants expressed a preference for supportive counselling over structured interventions. Characteristics of school-based helpers that made them approachable included: ‘caring’, ‘nonjudgemental’, ‘genuine’, ‘young’, and able to maintain confidentiality. Conclusions: The findings support previous research that reveals barriers to help seeking for mental health problems that are unique to the culture of rural communities. The study raises questions about the merit of delivery of primary mental health care to young people via GPs alone and suggests that school-based counsellors be considered as the first step in a young person’s access to mental health care.
- Description: C1
- Description: 2003005807
Safety in the Victorian thoroughbred horseracing industry
- Cowley, Stephen, Bowman, Bindi, Lawrance, Michael
- Authors: Cowley, Stephen , Bowman, Bindi , Lawrance, Michael
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 23, no. 5 (2007), p. 421-431
- Full Text:
- Reviewed:
- Description: Employees in the Victorian thoroughbred horseracing industry who work closely with horses are exposed to a significant risk of traumatic injury. Although jockeys are the main focus of attention in this industry sector and in the literature, a large number of injuries are sustained by track riders and stable attendants. Exploratory research into the nature of the injury problem was undertaken and it was found that there is a culture in the Victorian thoroughbred horseracing sector that leads to a greater focus on horses and their performance rather than on the health, safety and wellbeing of employees. Workers are exposed to a significant risk of injury as a result of shortcomings with regard to OHS management, the work environment, equipment, rules and procedures, and training and education. There appears to be little understanding of the mutual responsibilities at shared workplaces and a low level of responsiveness by those in a position to control hazards at training tracks and racetracks.
- Description: C1
- Authors: Cowley, Stephen , Bowman, Bindi , Lawrance, Michael
- Date: 2007
- Type: Text , Journal article
- Relation: Journal of Occupational Health and Safety - Australia and New Zealand Vol. 23, no. 5 (2007), p. 421-431
- Full Text:
- Reviewed:
- Description: Employees in the Victorian thoroughbred horseracing industry who work closely with horses are exposed to a significant risk of traumatic injury. Although jockeys are the main focus of attention in this industry sector and in the literature, a large number of injuries are sustained by track riders and stable attendants. Exploratory research into the nature of the injury problem was undertaken and it was found that there is a culture in the Victorian thoroughbred horseracing sector that leads to a greater focus on horses and their performance rather than on the health, safety and wellbeing of employees. Workers are exposed to a significant risk of injury as a result of shortcomings with regard to OHS management, the work environment, equipment, rules and procedures, and training and education. There appears to be little understanding of the mutual responsibilities at shared workplaces and a low level of responsiveness by those in a position to control hazards at training tracks and racetracks.
- Description: C1
The invisible contract: Shifting care from the hospital to the home
- Authors: Dow, Briony , McDonald, John
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Health Review Vol. 31, no. 2 (May 2007), p. 193-202
- Full Text:
- Reviewed:
- Description: The ageing population and associated burgeoning health care costs have resulted in a shift of care from institutional settings to home and community-based care. As one example, rehabilitation-in-the-home (RITH) programs are becoming increasingly prevalent. These programs either substitute or supplement in-hospital treatment by providing multidisciplinary rehabilitation and support services in the client's own home. This paper investigates the impact of RITH programs on informal carers. Semi-structured interviews carried out with caregivers and staff revealed a complex and contradictory interpretation of informal caring. Analysis of carers' interviews revealed: an assumption by themselves and others (including RITH staff) that they would provide care; the intimate, arduous and relentless work of caring; lack of consultation about discharge; lack of recognition and reimbursement; and low levels of program support for them as carers. Carers are integral to the successful rehabilitation of the client, but they occupy a marginal status within the program. An invisible contract consigns to them substantial care-work that was previously provided by the hospital. Informal carers in RITH programs can be seen as disenfranchised care contractors. This has implications for policy makers, program managers and researchers.
- Description: C1
- Description: 2003005828
- Authors: Dow, Briony , McDonald, John
- Date: 2007
- Type: Text , Journal article
- Relation: Australian Health Review Vol. 31, no. 2 (May 2007), p. 193-202
- Full Text:
- Reviewed:
- Description: The ageing population and associated burgeoning health care costs have resulted in a shift of care from institutional settings to home and community-based care. As one example, rehabilitation-in-the-home (RITH) programs are becoming increasingly prevalent. These programs either substitute or supplement in-hospital treatment by providing multidisciplinary rehabilitation and support services in the client's own home. This paper investigates the impact of RITH programs on informal carers. Semi-structured interviews carried out with caregivers and staff revealed a complex and contradictory interpretation of informal caring. Analysis of carers' interviews revealed: an assumption by themselves and others (including RITH staff) that they would provide care; the intimate, arduous and relentless work of caring; lack of consultation about discharge; lack of recognition and reimbursement; and low levels of program support for them as carers. Carers are integral to the successful rehabilitation of the client, but they occupy a marginal status within the program. An invisible contract consigns to them substantial care-work that was previously provided by the hospital. Informal carers in RITH programs can be seen as disenfranchised care contractors. This has implications for policy makers, program managers and researchers.
- Description: C1
- Description: 2003005828
Understanding barriers to mental health service utilization for adolescents in rural Australia
- Aisbett, Damon, Boyd, Candice, Francis, Kristy, Newnham, Krystal, Newnham, Karyn
- Authors: Aisbett, Damon , Boyd, Candice , Francis, Kristy , Newnham, Krystal , Newnham, Karyn
- Date: 2007
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 7, no. (2007), p. 1-10
- Full Text:
- Reviewed:
- Description: INTRODUCTION: There is a general paucity of research in the area of rural adolescent mental health in Australia, and in particular a lack of data regarding the experiences of rural adolescents who seek help for mental health problems. This study used a qualitative approach to data collection and analysis in order to assist understanding of the barriers to mental health service utilization for young people in rural communities. METHOD: A series of interviews were conducted with each of the study's participants, who ranged in age from 15 to 17 years. All participants were clients of the Child and Adolescent Mental Health Services in the rural cities of Horsham and Ararat, Victoria, Australia. RESULTS: Participants described how the lack of reliable transport to and from the mental health service affected the utilization of the service by rural young people. They also expressed concern regarding a lack of qualified professionals in their region who specialize in child and adolescent mental health. Participants reported frustration at long waiting lists and the lack of an after-hours service. One participant shared her experiences of deliberate self-harm to in order to gain access. Results also revealed that rural gossip networks and social visibility within rural communities compounded the experience of stigma and social exclusion for these young people. Furthermore, participants explained how these experiences negatively impacted on their utilization of the mental health service and their progress towards recovery. CONCLUSIONS: There are several barriers to mental health service utilization for rural adolescents which affect both their decision to access help as well as their ability to engage effectively with mental health services over time. Clinicians who work with rural adolescents need to be mindful of the influence of rural culture on mental health service utilization by young people. The co-location of mental health services and general health services is suggested as one way to reduce the fear associated with 'being seen' entering a stand-alone mental health service. It is suggested that treatment programs for adolescents in rural areas address the different types of stigma that these young people are likely to encounter. Furthermore, community and school-based interventions aimed at reducing the social stigma of young people with mental illness in rural areas is recommended.
- Description: C1
- Description: 2003005804
- Authors: Aisbett, Damon , Boyd, Candice , Francis, Kristy , Newnham, Krystal , Newnham, Karyn
- Date: 2007
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 7, no. (2007), p. 1-10
- Full Text:
- Reviewed:
- Description: INTRODUCTION: There is a general paucity of research in the area of rural adolescent mental health in Australia, and in particular a lack of data regarding the experiences of rural adolescents who seek help for mental health problems. This study used a qualitative approach to data collection and analysis in order to assist understanding of the barriers to mental health service utilization for young people in rural communities. METHOD: A series of interviews were conducted with each of the study's participants, who ranged in age from 15 to 17 years. All participants were clients of the Child and Adolescent Mental Health Services in the rural cities of Horsham and Ararat, Victoria, Australia. RESULTS: Participants described how the lack of reliable transport to and from the mental health service affected the utilization of the service by rural young people. They also expressed concern regarding a lack of qualified professionals in their region who specialize in child and adolescent mental health. Participants reported frustration at long waiting lists and the lack of an after-hours service. One participant shared her experiences of deliberate self-harm to in order to gain access. Results also revealed that rural gossip networks and social visibility within rural communities compounded the experience of stigma and social exclusion for these young people. Furthermore, participants explained how these experiences negatively impacted on their utilization of the mental health service and their progress towards recovery. CONCLUSIONS: There are several barriers to mental health service utilization for rural adolescents which affect both their decision to access help as well as their ability to engage effectively with mental health services over time. Clinicians who work with rural adolescents need to be mindful of the influence of rural culture on mental health service utilization by young people. The co-location of mental health services and general health services is suggested as one way to reduce the fear associated with 'being seen' entering a stand-alone mental health service. It is suggested that treatment programs for adolescents in rural areas address the different types of stigma that these young people are likely to encounter. Furthermore, community and school-based interventions aimed at reducing the social stigma of young people with mental illness in rural areas is recommended.
- Description: C1
- Description: 2003005804
Age-specific parental knowledge of restraint transitions influences appropriateness of child occupant restraint use
- Bilston, Lynne, Finch, Caroline, Hatfield, Julie, Brown, Jill
- Authors: Bilston, Lynne , Finch, Caroline , Hatfield, Julie , Brown, Jill
- Date: 2008
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 14, no. 3 (2008), p. 159-163
- Full Text:
- Reviewed:
- Description: Objective: To determine the factors that influence appropriate restraint usage by child occupants across the age range for which any type of child restraint may be appropriate (0-10 years). Design: Randomized household telephone survey. Setting: Statewide survey, New South Wales, Australia. Subjects: Parents or carers of children aged 0-10 years. Main outcome measures: Parental reporting of appropriateness of child restraint. Methods: Demographic information and data on age, size, restraint practices, parental knowledge of child occupant safety, and attitude to restraint use was collected using a structured interview. Data were analysed using logistic regression after cluster adjustment. Results: Inappropriate restraint use by children was widespread, particularly in children aged 2+ years. Overall, parental knowledge of appropriate ages for restraint transitions was associated with increased likelihood of appropriate restraint use. Lower levels of formal parental education, larger families, parental restraint non-use, and parent/child negotiability of restraint use were predictors of inappropriate restraint use. For particular child age subgroups, the parental knowledge that predicted appropriate restraint use was specific to that age group. Most parents felt that they knew enough to safely restrain their child, despite widespread inappropriate restraint use. Conclusions: Parents are more likely to make appropriate restraint choices for their children if they possess restraint knowledge specific to their children's age and size. Educational campaigns may be most effective when they provide information for specific ages and transition points. Strategies to overcome parents' misplaced confidence that they know enough to restrain their children safely are also indicated.
- Description: C1
- Authors: Bilston, Lynne , Finch, Caroline , Hatfield, Julie , Brown, Jill
- Date: 2008
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 14, no. 3 (2008), p. 159-163
- Full Text:
- Reviewed:
- Description: Objective: To determine the factors that influence appropriate restraint usage by child occupants across the age range for which any type of child restraint may be appropriate (0-10 years). Design: Randomized household telephone survey. Setting: Statewide survey, New South Wales, Australia. Subjects: Parents or carers of children aged 0-10 years. Main outcome measures: Parental reporting of appropriateness of child restraint. Methods: Demographic information and data on age, size, restraint practices, parental knowledge of child occupant safety, and attitude to restraint use was collected using a structured interview. Data were analysed using logistic regression after cluster adjustment. Results: Inappropriate restraint use by children was widespread, particularly in children aged 2+ years. Overall, parental knowledge of appropriate ages for restraint transitions was associated with increased likelihood of appropriate restraint use. Lower levels of formal parental education, larger families, parental restraint non-use, and parent/child negotiability of restraint use were predictors of inappropriate restraint use. For particular child age subgroups, the parental knowledge that predicted appropriate restraint use was specific to that age group. Most parents felt that they knew enough to safely restrain their child, despite widespread inappropriate restraint use. Conclusions: Parents are more likely to make appropriate restraint choices for their children if they possess restraint knowledge specific to their children's age and size. Educational campaigns may be most effective when they provide information for specific ages and transition points. Strategies to overcome parents' misplaced confidence that they know enough to restrain their children safely are also indicated.
- Description: C1
Comparison of methods to correct the miscounting of multiple episodes of care when estimating the incidence of hospitalised injury in child motor vehicle passengers
- Du, Wei, Hayen, Andrew, Finch, Caroline, Hatfield, Julie
- Authors: Du, Wei , Hayen, Andrew , Finch, Caroline , Hatfield, Julie
- Date: 2008
- Type: Text , Journal article
- Relation: Accident Analysis and Prevention Vol. 40, no. 4 (2008), p. 1563-1568
- Full Text:
- Reviewed:
- Description: This study evaluates the performance of different case selection criteria to account for multiple episodes of care when estimating the hospitalisation rate due to road trauma amongst children. The internally linked NSW Inpatient Statistics Collection (ISC) dataset for the period between 1st July, 2000 and 30th June, 2003 was used to identify the "single" episode of care for each hospitalised child motor vehicle passenger residing in NSW. We used two hospitalised injury definitions of a case based on (1) all-diagnoses and (2) principal diagnosis only. We then developed case selection criteria, based on (a) linkage methods only available from linked ISC datasets; (b) selected variables available in both the linked and unlinked ISC datasets, to exclude repeat episodes of care for an injury. Changes in the estimated hospitalisation rate, and sensitivity and specificity, were calculated for each selection criteria compared to the findings from linkage methods as the "gold standard". None of the correction methods for multiple episodes of care was clearly superior in terms of incidence estimation, sensitivity, and specificity concurrently. However, the correction criterion which is optimal may vary depending on different study objectives and different types of hospitalised injuries. © 2008 Elsevier Ltd. All rights reserved.
- Authors: Du, Wei , Hayen, Andrew , Finch, Caroline , Hatfield, Julie
- Date: 2008
- Type: Text , Journal article
- Relation: Accident Analysis and Prevention Vol. 40, no. 4 (2008), p. 1563-1568
- Full Text:
- Reviewed:
- Description: This study evaluates the performance of different case selection criteria to account for multiple episodes of care when estimating the hospitalisation rate due to road trauma amongst children. The internally linked NSW Inpatient Statistics Collection (ISC) dataset for the period between 1st July, 2000 and 30th June, 2003 was used to identify the "single" episode of care for each hospitalised child motor vehicle passenger residing in NSW. We used two hospitalised injury definitions of a case based on (1) all-diagnoses and (2) principal diagnosis only. We then developed case selection criteria, based on (a) linkage methods only available from linked ISC datasets; (b) selected variables available in both the linked and unlinked ISC datasets, to exclude repeat episodes of care for an injury. Changes in the estimated hospitalisation rate, and sensitivity and specificity, were calculated for each selection criteria compared to the findings from linkage methods as the "gold standard". None of the correction methods for multiple episodes of care was clearly superior in terms of incidence estimation, sensitivity, and specificity concurrently. However, the correction criterion which is optimal may vary depending on different study objectives and different types of hospitalised injuries. © 2008 Elsevier Ltd. All rights reserved.