COVID-19 : factors associated with the psychological distress, fear and resilient coping strategies among community members in Saudi Arabia
- Alharbi, Talal, Alqurashi, Alaa, Mahmud, Ilias, Alharbi, Rayan, Islam, Sheikh, Almustanyir, Sami, Maklad, Ahmed, AlSarraj, Ahmad, Mughaiss, Lujain, Al-Tawfiq, Jaffar, Ahmed, Ahmed, Barry, Mazin, Ghozy, Sherief, Alabdan, Lulwah, Alif, Sheikh, Sultana, Farhana, Salehin, Masudus, Banik, Biswajit, Cross, Wendy, Rahman, Muhammad Aziz
- Authors: Alharbi, Talal , Alqurashi, Alaa , Mahmud, Ilias , Alharbi, Rayan , Islam, Sheikh , Almustanyir, Sami , Maklad, Ahmed , AlSarraj, Ahmad , Mughaiss, Lujain , Al-Tawfiq, Jaffar , Ahmed, Ahmed , Barry, Mazin , Ghozy, Sherief , Alabdan, Lulwah , Alif, Sheikh , Sultana, Farhana , Salehin, Masudus , Banik, Biswajit , Cross, Wendy , Rahman, Muhammad Aziz
- Date: 2023
- Type: Text , Journal article
- Relation: Healthcare (Switzerland) Vol. 11, no. 8 (2023), p.
- Full Text:
- Reviewed:
- Description: (1) Background: COVID-19 caused the worst international public health crisis, accompanied by major global economic downturns and mass-scale job losses, which impacted the psychosocial wellbeing of the worldwide population, including Saudi Arabia. Evidence of the high-risk groups impacted by the pandemic has been non-existent in Saudi Arabia. Therefore, this study examined factors associated with psychosocial distress, fear of COVID-19 and coping strategies among the general population in Saudi Arabia. (2) Methods: A cross-sectional study was conducted in healthcare and community settings in the Saudi Arabia using an anonymous online questionnaire. The Kessler Psychological Distress Scale (K-10), Fear of COVID-19 Scale (FCV-19S) and Brief Resilient Coping Scale (BRCS) were used to assess psychological distress, fear and coping strategies, respectively. Multivariate logistic regressions were used, and an Adjusted Odds Ratio (AOR) with 95% Confidence Intervals (CIs) was reported. (3) Results: Among 803 participants, 70% (n = 556) were females, and the median age was 27 years; 35% (n = 278) were frontline or essential service workers; and 24% (n = 195) reported comorbid conditions including mental health illness. Of the respondents, 175 (21.8%) and 207 (25.8%) reported high and very high psychological distress, respectively. Factors associated with moderate to high levels of psychological distress were: youth, females, non-Saudi nationals, those experiencing a change in employment or a negative financial impact, having comorbidities, and current smoking. A high level of fear was reported by 89 participants (11.1%), and this was associated with being ex-smokers (3.72, 1.14–12.14, 0.029) and changes in employment (3.42, 1.91–6.11, 0.000). A high resilience was reported by 115 participants (14.3%), and 333 participants (41.5%) had medium resilience. Financial impact and contact with known/suspected cases (1.63, 1.12–2.38, 0.011) were associated with low, medium, to high resilient coping. (4) Conclusions: People in Saudi Arabia were at a higher risk of psychosocial distress along with medium-high resilience during the COVID-19 pandemic, warranting urgent attention from healthcare providers and policymakers to provide specific mental health support strategies for their current wellbeing and to avoid a post-pandemic mental health crisis. © 2023 by the authors.
- Authors: Alharbi, Talal , Alqurashi, Alaa , Mahmud, Ilias , Alharbi, Rayan , Islam, Sheikh , Almustanyir, Sami , Maklad, Ahmed , AlSarraj, Ahmad , Mughaiss, Lujain , Al-Tawfiq, Jaffar , Ahmed, Ahmed , Barry, Mazin , Ghozy, Sherief , Alabdan, Lulwah , Alif, Sheikh , Sultana, Farhana , Salehin, Masudus , Banik, Biswajit , Cross, Wendy , Rahman, Muhammad Aziz
- Date: 2023
- Type: Text , Journal article
- Relation: Healthcare (Switzerland) Vol. 11, no. 8 (2023), p.
- Full Text:
- Reviewed:
- Description: (1) Background: COVID-19 caused the worst international public health crisis, accompanied by major global economic downturns and mass-scale job losses, which impacted the psychosocial wellbeing of the worldwide population, including Saudi Arabia. Evidence of the high-risk groups impacted by the pandemic has been non-existent in Saudi Arabia. Therefore, this study examined factors associated with psychosocial distress, fear of COVID-19 and coping strategies among the general population in Saudi Arabia. (2) Methods: A cross-sectional study was conducted in healthcare and community settings in the Saudi Arabia using an anonymous online questionnaire. The Kessler Psychological Distress Scale (K-10), Fear of COVID-19 Scale (FCV-19S) and Brief Resilient Coping Scale (BRCS) were used to assess psychological distress, fear and coping strategies, respectively. Multivariate logistic regressions were used, and an Adjusted Odds Ratio (AOR) with 95% Confidence Intervals (CIs) was reported. (3) Results: Among 803 participants, 70% (n = 556) were females, and the median age was 27 years; 35% (n = 278) were frontline or essential service workers; and 24% (n = 195) reported comorbid conditions including mental health illness. Of the respondents, 175 (21.8%) and 207 (25.8%) reported high and very high psychological distress, respectively. Factors associated with moderate to high levels of psychological distress were: youth, females, non-Saudi nationals, those experiencing a change in employment or a negative financial impact, having comorbidities, and current smoking. A high level of fear was reported by 89 participants (11.1%), and this was associated with being ex-smokers (3.72, 1.14–12.14, 0.029) and changes in employment (3.42, 1.91–6.11, 0.000). A high resilience was reported by 115 participants (14.3%), and 333 participants (41.5%) had medium resilience. Financial impact and contact with known/suspected cases (1.63, 1.12–2.38, 0.011) were associated with low, medium, to high resilient coping. (4) Conclusions: People in Saudi Arabia were at a higher risk of psychosocial distress along with medium-high resilience during the COVID-19 pandemic, warranting urgent attention from healthcare providers and policymakers to provide specific mental health support strategies for their current wellbeing and to avoid a post-pandemic mental health crisis. © 2023 by the authors.
Evaluation of rural general practice experiences for pre-vocational medical graduates
- McGrail, Matthew, Chhabra, Jasleen, Hays, Richard
- Authors: McGrail, Matthew , Chhabra, Jasleen , Hays, Richard
- Date: 2023
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 23, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: Despite substantial investment in rural workforce support, sustaining the necessary recruitment and retention of general practitioners (GPs) in rural areas remains a challenge. Insufficient medical graduates are choosing a general/rural practice career. Medical training at postgraduate level, particularly for those ‘between’ undergraduate medical education and specialty training, remains strongly reliant on hospital experience in larger hospitals, potentially diverting interest away from general/rural practice. The Rural Junior Doctor Training Innovation Fund (RJDTIF) program offered junior hospital doctors (interns) an experience of 10 weeks in a rural general practice, aiming to increase their consideration of general/rural practice careers This study aimed to evaluate the educational and potential workforce impact of the RJDTIF program. Methods: Up to 110 places were established during 2019–2020 for Queensland’s interns to undertake an 8–12-week rotation (depending on individual hospital rosters) out of regional hospitals to work in a rural general practice. Participants were surveyed before and after the placement, although only 86 were invited due to the disruption caused by the COVID-19 pandemic. Descriptive quantitative statistics were applied to the survey data. Four semistructured interviews were conducted to further explore the experiences post-placement, with audio-recordings transcribed verbatim. Semi-structured interview data were analysed using inductive, reflexive thematic analysis. Results: In total, 60 interns completed either survey, although only 25 were matched as completing both surveys. About half (48%) indicated they had preferenced the rural GP term and 48% indicated strong enthusiasm for the experience. General practice was indicated as the most likely career option for 50%, other general specialty 28% and subspecialty 22%. Likelihood to be working in a regional/rural location in 10 years was indicated as ‘likely’ or ‘very likely’ for 40%, ‘unlikely’ for 24% and ‘unsure’ for 36%. The two most common reasons for preferencing a rural GP term were experiencing training in a primary care setting (50%) and gaining more clinical skills through increased patient exposure (22%). The overall impact on pursuing a primary care career was self-assessed as much more likely by 41%, but much less by 15%. Interest in a rural location was less influenced. Those rating the term poor or average had low pre-placement enthusiasm for the term. The qualitative analysis of interview data produced two themes: importance of the rural GP term for interns (hands-on learning, skills improvement, influence on future career choice and engagement with the local community), and potential improvements to rural intern GP rotations. Conclusion: Most participants reported a positive experience from their rural GP rotation, which was recognised as a sound learning experience at an important time with respect to choosing a specialty. Despite the challenges posed by the pandemic, this evidence supports the investment in programs that provide opportunities for junior doctors to experience rural general practice in these formative postgraduate years to stimulate interest in this much-needed career pathway. Focusing resources on those who have at least some interest and enthusiasm may improve its workforce impact © 2023, Rural and Remote Health.All Rights Reserved.
- Authors: McGrail, Matthew , Chhabra, Jasleen , Hays, Richard
- Date: 2023
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 23, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: Despite substantial investment in rural workforce support, sustaining the necessary recruitment and retention of general practitioners (GPs) in rural areas remains a challenge. Insufficient medical graduates are choosing a general/rural practice career. Medical training at postgraduate level, particularly for those ‘between’ undergraduate medical education and specialty training, remains strongly reliant on hospital experience in larger hospitals, potentially diverting interest away from general/rural practice. The Rural Junior Doctor Training Innovation Fund (RJDTIF) program offered junior hospital doctors (interns) an experience of 10 weeks in a rural general practice, aiming to increase their consideration of general/rural practice careers This study aimed to evaluate the educational and potential workforce impact of the RJDTIF program. Methods: Up to 110 places were established during 2019–2020 for Queensland’s interns to undertake an 8–12-week rotation (depending on individual hospital rosters) out of regional hospitals to work in a rural general practice. Participants were surveyed before and after the placement, although only 86 were invited due to the disruption caused by the COVID-19 pandemic. Descriptive quantitative statistics were applied to the survey data. Four semistructured interviews were conducted to further explore the experiences post-placement, with audio-recordings transcribed verbatim. Semi-structured interview data were analysed using inductive, reflexive thematic analysis. Results: In total, 60 interns completed either survey, although only 25 were matched as completing both surveys. About half (48%) indicated they had preferenced the rural GP term and 48% indicated strong enthusiasm for the experience. General practice was indicated as the most likely career option for 50%, other general specialty 28% and subspecialty 22%. Likelihood to be working in a regional/rural location in 10 years was indicated as ‘likely’ or ‘very likely’ for 40%, ‘unlikely’ for 24% and ‘unsure’ for 36%. The two most common reasons for preferencing a rural GP term were experiencing training in a primary care setting (50%) and gaining more clinical skills through increased patient exposure (22%). The overall impact on pursuing a primary care career was self-assessed as much more likely by 41%, but much less by 15%. Interest in a rural location was less influenced. Those rating the term poor or average had low pre-placement enthusiasm for the term. The qualitative analysis of interview data produced two themes: importance of the rural GP term for interns (hands-on learning, skills improvement, influence on future career choice and engagement with the local community), and potential improvements to rural intern GP rotations. Conclusion: Most participants reported a positive experience from their rural GP rotation, which was recognised as a sound learning experience at an important time with respect to choosing a specialty. Despite the challenges posed by the pandemic, this evidence supports the investment in programs that provide opportunities for junior doctors to experience rural general practice in these formative postgraduate years to stimulate interest in this much-needed career pathway. Focusing resources on those who have at least some interest and enthusiasm may improve its workforce impact © 2023, Rural and Remote Health.All Rights Reserved.
Rural maternity and media discourse analysis: Framing new narratives
- Brundell, Kath, Vasilevski, Vidanka, Farrell, Tanya, Sweet, Linda
- Authors: Brundell, Kath , Vasilevski, Vidanka , Farrell, Tanya , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 31, no. 3 (2023), p. 395-407
- Full Text:
- Reviewed:
- Description: Continued rural maternity closure across Australia has seen impacts on women and families such as financial pressures, quality and safety concerns, and emotional pressure. This review aimed at understanding how media coverage of rural maternity and closure are presented and what impact this may have on maternity service sustainability. This research seeks to examine media discourse and characteristics of online newspaper articles related to rural maternity services. A narrative review was conducted using thematic discourse analysis to examine online newspaper content published in Victoria, Australia from 2010 to June 2021. Local maternity services were a source of community interest for rural people. Coverage of negative outcomes for mothers and babies was highlighted by rural newspapers however, increased content over the last 12-month period focused on community support for the sustainability of rural maternity services. Recent community support in newspaper articles coincided with maternity services reviews and retaining some of these rural services. Community support in media may provide a protective social pressure, leading rural health services to consider this when reviewing the sustainability or closure of rural maternity services. Media attention about sustaining local maternity services by highlighting issues and representing community voices may influence health executive to consider opportunities to remodel and sustain high-quality and safe maternity care in rural settings. Knowing how rural health executives consider media, community pressure, and how it impacts expediency of maternity service closure decisions is unknown and an important gap in knowledge to explore and understand.
- Authors: Brundell, Kath , Vasilevski, Vidanka , Farrell, Tanya , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 31, no. 3 (2023), p. 395-407
- Full Text:
- Reviewed:
- Description: Continued rural maternity closure across Australia has seen impacts on women and families such as financial pressures, quality and safety concerns, and emotional pressure. This review aimed at understanding how media coverage of rural maternity and closure are presented and what impact this may have on maternity service sustainability. This research seeks to examine media discourse and characteristics of online newspaper articles related to rural maternity services. A narrative review was conducted using thematic discourse analysis to examine online newspaper content published in Victoria, Australia from 2010 to June 2021. Local maternity services were a source of community interest for rural people. Coverage of negative outcomes for mothers and babies was highlighted by rural newspapers however, increased content over the last 12-month period focused on community support for the sustainability of rural maternity services. Recent community support in newspaper articles coincided with maternity services reviews and retaining some of these rural services. Community support in media may provide a protective social pressure, leading rural health services to consider this when reviewing the sustainability or closure of rural maternity services. Media attention about sustaining local maternity services by highlighting issues and representing community voices may influence health executive to consider opportunities to remodel and sustain high-quality and safe maternity care in rural settings. Knowing how rural health executives consider media, community pressure, and how it impacts expediency of maternity service closure decisions is unknown and an important gap in knowledge to explore and understand.
Sport4Me : a people focused approach to engaging Australians in sport
- Eime, Rochelle, Westerbeek, Hans, Pill, Shane, Reece, Lindsey
- Authors: Eime, Rochelle , Westerbeek, Hans , Pill, Shane , Reece, Lindsey
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Frontiers in Sports and Active Living Vol. 4, no. (2023), p.
- Full Text:
- Reviewed:
- Description: The traditional model of community club-based sport is fine for those, particularly children and youth, who enjoy the competitive focus and have the skills and commitment to play. But societal preferences during leisure time have changed dramatically over recent decades. However, sport organisations have made limited progress in response to these changes in providing ways in which children and youth can participate outside the traditional competitive structures and environments. In this paper the context of community club-based structures is reviewed leading into an assessment of the associated impact of these structures on sport participation. Children and youth's current motivations to play sport including what makes sport fun to play, are considered. It is then demonstrated that the associations between motivations to play sport and the factors that contribute to fun and enjoyment, are often misaligned for many individuals, with a primary focus on competition-based structures to deliver community club sport. In the final part of the paper a model for community sport organisations where people are put first is proposed - Sport4Me. Sport4Me is about flexible, inclusive, equitable sporting opportunities that focus on friends, fun, physical literacy and play. The model would complement the traditional competitive club-based model and afford participants more choice whilst fostering an environment that promotes lifelong involvement in sport. This model will require structural and cultural changes to the sporting environment and include coaching practices. Sport4Me is an evidence-based model, but it is not radical in its conceptualisation but rather, builds on previously proposed approaches, considers the needs and wants of potential sport participants and widens the scope of sport delivery. 2023 Eime, Westerbeek, Pill and Reece.
- Authors: Eime, Rochelle , Westerbeek, Hans , Pill, Shane , Reece, Lindsey
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Frontiers in Sports and Active Living Vol. 4, no. (2023), p.
- Full Text:
- Reviewed:
- Description: The traditional model of community club-based sport is fine for those, particularly children and youth, who enjoy the competitive focus and have the skills and commitment to play. But societal preferences during leisure time have changed dramatically over recent decades. However, sport organisations have made limited progress in response to these changes in providing ways in which children and youth can participate outside the traditional competitive structures and environments. In this paper the context of community club-based structures is reviewed leading into an assessment of the associated impact of these structures on sport participation. Children and youth's current motivations to play sport including what makes sport fun to play, are considered. It is then demonstrated that the associations between motivations to play sport and the factors that contribute to fun and enjoyment, are often misaligned for many individuals, with a primary focus on competition-based structures to deliver community club sport. In the final part of the paper a model for community sport organisations where people are put first is proposed - Sport4Me. Sport4Me is about flexible, inclusive, equitable sporting opportunities that focus on friends, fun, physical literacy and play. The model would complement the traditional competitive club-based model and afford participants more choice whilst fostering an environment that promotes lifelong involvement in sport. This model will require structural and cultural changes to the sporting environment and include coaching practices. Sport4Me is an evidence-based model, but it is not radical in its conceptualisation but rather, builds on previously proposed approaches, considers the needs and wants of potential sport participants and widens the scope of sport delivery. 2023 Eime, Westerbeek, Pill and Reece.
- Gates, Trevor, Bennett, Bindi, Baines, Donna
- Authors: Gates, Trevor , Bennett, Bindi , Baines, Donna
- Date: 2023
- Type: Text , Journal article
- Relation: Social work education Vol. 42, no. 3 (2023), p. 371-387
- Full Text: false
- Reviewed:
- Description: COVID-19 has shifted social work education and widened the gaps in services for historically marginalised communities, including people of diverse cultural, sexual and gender identities and social classes. Existing inequities based on cultural differences have been magnified, perhaps most recently evident in George Floyd's slaying and the subsequent #BlackLivesMatter demonstrations across the globe. Learning to be an ally for diverse communities and working towards the betterment of all people is a goal of social work education. We argue that simple allyship is not enough given the structural inequities present in North America and Australia the civil unrest amidst the COVID-19 pandemic. Social work education's focus should trend towards allegiance with disadvantaged communities or critical allyship and include a commitment to undertake decisive actions to redress the entrenched colonial, capitalist, systemic and structural inequities that oppress many and provide unearned privilege and advantage to others. We explore strategies used in classrooms to promote allegiance and make recommendations for social work education, policy, and practice in this time of change.
The effectiveness of online mental health first aid training in community rugby : a mixed-methods approach
- Russell, Suzanna, Kelly, Vincent, Polman, Remco, Warren-James, Matthew
- Authors: Russell, Suzanna , Kelly, Vincent , Polman, Remco , Warren-James, Matthew
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 7 (2023), p.
- Full Text:
- Reviewed:
- Description: Mental Health First Aid (MHFA) training exists to improve supportive behaviours towards peers, increase mental health literacy, and reduce stigma. Community sport clubs have potential to successfully deliver mental health programs. This study investigated the effectiveness of online MHFA training undertaken by members of the rugby community and evaluated the feasibility and usefulness of the online delivery mode and users’ engagement with it. A mixed-methods approach was used to provide depth of understanding through qualitative analysis, combined with quantitative outcomes. Online surveys examining participants’ knowledge and perceptions were administered pre- and post-MHFA training. Significant improvements (p < 0.05) across all assessed domains were observed post- compared to pre-MHFA training. A large effect size was identified in relation to advice giving and sign and symptom identification. A moderate effect size pre- to post-improvement was identified for users’ perceptions of therapy’s effectiveness, the ability of people with severe mental health conditions to recover, and benefit of a healthcare professional. Participants endorsed the MHFA program to improve mental health literacy, advance non-technical skills, and improve confidence. MHFA training can increase the awareness and knowledge of mental health issues in key individuals in community sport clubs and enable them to aid people with mental health concerns. Online MHFA training is associated with improved mental health literacy and may be a suitable and economically sustainable model for community sport. © 2023 by the authors.
- Authors: Russell, Suzanna , Kelly, Vincent , Polman, Remco , Warren-James, Matthew
- Date: 2023
- Type: Text , Journal article
- Relation: International Journal of Environmental Research and Public Health Vol. 20, no. 7 (2023), p.
- Full Text:
- Reviewed:
- Description: Mental Health First Aid (MHFA) training exists to improve supportive behaviours towards peers, increase mental health literacy, and reduce stigma. Community sport clubs have potential to successfully deliver mental health programs. This study investigated the effectiveness of online MHFA training undertaken by members of the rugby community and evaluated the feasibility and usefulness of the online delivery mode and users’ engagement with it. A mixed-methods approach was used to provide depth of understanding through qualitative analysis, combined with quantitative outcomes. Online surveys examining participants’ knowledge and perceptions were administered pre- and post-MHFA training. Significant improvements (p < 0.05) across all assessed domains were observed post- compared to pre-MHFA training. A large effect size was identified in relation to advice giving and sign and symptom identification. A moderate effect size pre- to post-improvement was identified for users’ perceptions of therapy’s effectiveness, the ability of people with severe mental health conditions to recover, and benefit of a healthcare professional. Participants endorsed the MHFA program to improve mental health literacy, advance non-technical skills, and improve confidence. MHFA training can increase the awareness and knowledge of mental health issues in key individuals in community sport clubs and enable them to aid people with mental health concerns. Online MHFA training is associated with improved mental health literacy and may be a suitable and economically sustainable model for community sport. © 2023 by the authors.
- Porter, Joanne, Dabkowski, Elissa, Ghasemirdekani, Maryam, Barbagallo, Michael, James, Michelle, Prokopiv, Valerie, Wright, Wendy
- Authors: Porter, Joanne , Dabkowski, Elissa , Ghasemirdekani, Maryam , Barbagallo, Michael , James, Michelle , Prokopiv, Valerie , Wright, Wendy
- Date: 2023
- Type: Text , Journal article , Review
- Relation: Reviews on Environmental Health Vol. 38, no. 4 (2023), p. 637-646
- Full Text: false
- Reviewed:
- Description: Objectives: The impact of disasters on individual and community health can be extensive. As such, there exists the need to establish recovery measures that provides support psychologically and with additional mental health services and resilience building for affected people and their communities. Nature-led recovery is one such approach that has the ability to positively impact the mental health of people and their communities after a disaster. Nature-led recovery focuses on the social, economic and environmental recovery through activities that connect people and their communities to nature and the natural environment with the aim to foster recovery after a disaster. Nature-led recovery initiatives support the connection of people with nature and the natural environment to support such recovery processes. This review considers both community and government-led responses pertaining to nature-led recovery. The aim of this review is to systematically explore the literature on the impact of nature-led recovery initiatives on individual and community health following a disaster. Content: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) following a three-step process of planning, conducting and reporting the review. At least three authors reviewed all eligible articles. Summary: There was significant methodological heterogeneity between the sources identified (n=9). A narrative synthesis identified five key themes; A symbol of loss; Nature: the provider; Fostering community connectedness; Spiritual and emotional nourishment; and Regeneration leads to recovery. Outlook: The positive benefits from nature-led recovery initiatives provide an opportunity to promote community connectedness and resilience following a disaster. Further research is needed to explore the implementation and evaluation of these initiatives for community recovery. © 2022 Walter de Gruyter GmbH, Berlin/Boston.
- Authors: Green, Monica
- Date: 2022
- Type: Text , Journal article
- Relation: Children, Youth and Environment Vol. 32, no. 2 (2022), p. 125-144
- Full Text: false
- Reviewed:
- Description: This small-scale study examinesyoung people’s perspectives aboutenergy transition and climate change adaptation in regional Gippsland, Victoria,Australia. As the opinions and experiences of children and youth have been historically overlooked in contemporary sustainability climate discourse and policy, this research investigatespreviously unheard accounts.The studydrawsonfourfacilitated “Conversations for Change”discussions with a total of 14 young people (aged 9-17)that exploredtheir ideas and concerns about sustaining themselves and their communities during a time of climate change and energy transition. Theirideas and opinionsaboutliving in/with a climate-alteredlocaland global futurearereflected across four main themes: (a)young people’s values;(b) perceptions of energy, transition and adaptation;(c) the enabling role of climate literacy for young people; and (d) responding to a just energy transition through collective endeavors.
Community expectations and anticipated outcomes for crisis support services—Lifeline Australia
- Ma, Jennifer, Batterham, Philip, Kõlves, Kairi, Woodward, Alan, Bradford, Sally, Klein, Britt, Titov, Nickolai, Mazzer, Kelly, O’Riordan, Megan, Rickwood, Debra
- Authors: Ma, Jennifer , Batterham, Philip , Kõlves, Kairi , Woodward, Alan , Bradford, Sally , Klein, Britt , Titov, Nickolai , Mazzer, Kelly , O’Riordan, Megan , Rickwood, Debra
- Date: 2022
- Type: Text , Journal article
- Relation: Health and Social Care in the Community Vol. 30, no. 5 (2022), p. 1775-1788
- Full Text: false
- Reviewed:
- Description: Crisis lines provide a critical first line of mental wellbeing support for community members in distress. Given the increasing referral to such services, there is a need to understand what the expectations of the community are around the role of such services in our public health responses. A computer assisted telephone interview was undertaken between 28th October and 30th November 2019. The aim was to explore expectations and anticipated outcomes of Lifeline Australia's crisis support services from a nationally representative community sample (N = 1,300). Analysis was undertaken to determine if demographic variables (age, gender, indigenous status, country of birth, culturally and linguistically diverse (CALD) status, sexual orientation, household composition, region and State/territory) and past service use affected community expectations. Results showed that a majority of respondents expected Lifeline to listen and provide support, recommend other services, and provide information. Help-seekers were expected to feel heard and listened to, receive safety advice or support to stay safe, and feel more hopeful. Lifeline was expected to prioritise people feeling suicidal, in immediate personal crisis, and experiencing domestic violence. Findings reveal that community members hold expectations for Lifeline Australia to serve as a suicide prevention and general crisis support service, which are congruent with the service's aims. There was little variation in community expectations of crisis support services based on demographic factors and past service use. The results show that the community has extensive and diverse expectations for this national crisis service to meet both short and longer-term needs for all vulnerable members of the community—entailing a very substantial public health service responsibility. © 2021 John Wiley & Sons Ltd.
Consumer perspectives on the use of artificial intelligence technology and automation in crisis support services : mixed methods study
- Ma, Jennifer, O’Riordan, Megan, Mazzer, Kelly, Batterham, Philip, Bradford, Sally, Kõlves, Kairi, Titov, Nickolai, Klein, Britt, Rickwood, Debra
- Authors: Ma, Jennifer , O’Riordan, Megan , Mazzer, Kelly , Batterham, Philip , Bradford, Sally , Kõlves, Kairi , Titov, Nickolai , Klein, Britt , Rickwood, Debra
- Date: 2022
- Type: Text , Journal article
- Relation: JMIR Human Factors Vol. 9, no. 3 (2022), p.
- Full Text:
- Reviewed:
- Description: Background: Emerging technologies, such as artificial intelligence (AI), have the potential to enhance service responsiveness and quality, improve reach to underserved groups, and help address the lack of workforce capacity in health and mental health care. However, little research has been conducted on the acceptability of AI, particularly in mental health and crisis support, and how this may inform the development of responsible and responsive innovation in the area. Objective: This study aims to explore the level of support for the use of technology and automation, such as AI, in Lifeline’s crisis support services in Australia; the likelihood of service use if technology and automation were implemented; the impact of demographic characteristics on the level of support and likelihood of service use; and reasons for not using Lifeline’s crisis support services if technology and automation were implemented in the future. Methods: A mixed methods study involving a computer-assisted telephone interview and a web-based survey was undertaken from 2019 to 2020 to explore expectations and anticipated outcomes of Lifeline’s crisis support services in a nationally representative community sample (n=1300) and a Lifeline help-seeker sample (n=553). Participants were aged between 18 and 93 years. Quantitative descriptive analysis, binary logistic regression models, and qualitative thematic analysis were conducted to address the research objectives. Results: One-third of the community and help-seeker participants did not support the collection of information about service users through technology and automation (ie, via AI), and approximately half of the participants reported that they would be less likely to use the service if automation was introduced. Significant demographic differences were observed between the community and help-seeker samples. Of the demographics, only older age predicted being less likely to endorse technology and automation to tailor Lifeline’s crisis support service and use such services (odds ratio 1.48-1.66, 99% CI 1.03-2.38; P<.001 to P=.005). The most common reason for reluctance, reported by both samples, was that respondents wanted to speak to a real person, assuming that human counselors would be replaced by automated robots or machine services. Conclusions: Although Lifeline plans to always have a real person providing crisis support, help-seekers automatically fear this will not be the case if new technology and automation such as AI are introduced. Consequently, incorporating innovative use of technology to improve help-seeker outcomes in such services will require careful messaging and assurance that the human connection will continue. © Jennifer S Ma, Megan O’Riordan, Kelly Mazzer, Philip J Batterham, Sally Bradford, Kairi Kõlves, Nickolai Titov, Britt Klein, Debra J Rickwood.
- Authors: Ma, Jennifer , O’Riordan, Megan , Mazzer, Kelly , Batterham, Philip , Bradford, Sally , Kõlves, Kairi , Titov, Nickolai , Klein, Britt , Rickwood, Debra
- Date: 2022
- Type: Text , Journal article
- Relation: JMIR Human Factors Vol. 9, no. 3 (2022), p.
- Full Text:
- Reviewed:
- Description: Background: Emerging technologies, such as artificial intelligence (AI), have the potential to enhance service responsiveness and quality, improve reach to underserved groups, and help address the lack of workforce capacity in health and mental health care. However, little research has been conducted on the acceptability of AI, particularly in mental health and crisis support, and how this may inform the development of responsible and responsive innovation in the area. Objective: This study aims to explore the level of support for the use of technology and automation, such as AI, in Lifeline’s crisis support services in Australia; the likelihood of service use if technology and automation were implemented; the impact of demographic characteristics on the level of support and likelihood of service use; and reasons for not using Lifeline’s crisis support services if technology and automation were implemented in the future. Methods: A mixed methods study involving a computer-assisted telephone interview and a web-based survey was undertaken from 2019 to 2020 to explore expectations and anticipated outcomes of Lifeline’s crisis support services in a nationally representative community sample (n=1300) and a Lifeline help-seeker sample (n=553). Participants were aged between 18 and 93 years. Quantitative descriptive analysis, binary logistic regression models, and qualitative thematic analysis were conducted to address the research objectives. Results: One-third of the community and help-seeker participants did not support the collection of information about service users through technology and automation (ie, via AI), and approximately half of the participants reported that they would be less likely to use the service if automation was introduced. Significant demographic differences were observed between the community and help-seeker samples. Of the demographics, only older age predicted being less likely to endorse technology and automation to tailor Lifeline’s crisis support service and use such services (odds ratio 1.48-1.66, 99% CI 1.03-2.38; P<.001 to P=.005). The most common reason for reluctance, reported by both samples, was that respondents wanted to speak to a real person, assuming that human counselors would be replaced by automated robots or machine services. Conclusions: Although Lifeline plans to always have a real person providing crisis support, help-seekers automatically fear this will not be the case if new technology and automation such as AI are introduced. Consequently, incorporating innovative use of technology to improve help-seeker outcomes in such services will require careful messaging and assurance that the human connection will continue. © Jennifer S Ma, Megan O’Riordan, Kelly Mazzer, Philip J Batterham, Sally Bradford, Kairi Kõlves, Nickolai Titov, Britt Klein, Debra J Rickwood.
Development and governance of FAIR thresholds for a data federation
- Wong, Megan, Levett, Kerry, Lee, Ashlin, Box, Paul, Simons, Bruce, David, Rakesh, Macleod, Andrew, Taylor, Nicolas, Schneider, Derek, Thompson, Helen
- Authors: Wong, Megan , Levett, Kerry , Lee, Ashlin , Box, Paul , Simons, Bruce , David, Rakesh , Macleod, Andrew , Taylor, Nicolas , Schneider, Derek , Thompson, Helen
- Date: 2022
- Type: Text , Journal article
- Relation: Data Science Journal Vol. 21, no. (2022), p.
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- Description: The FAIR (findable, accessible, interoperable, and re-usable) principles and practice recommendations provide high level guidance and recommendations that are not research-domain specific in nature. There remains a gap in practice at the data provider and domain scientist level demonstrating how the FAIR principles can be applied beyond a set of generalist guidelines to meet the needs of a specific domain community. We present our insights developing FAIR thresholds in a domain specific context for self-governance by a community (agricultural research). ‘Minimum thresholds’ for FAIR data are required to align expectations for data delivered from providers’ distributed data stores through a community-governed federation (the Agricultural Research Federation, AgReFed). Data providers were supported to make data holdings more FAIR. There was a range of different FAIR starting points, organisational goals, and end user needs, solutions, and capabilities. This informed the distilling of a set of FAIR criteria ranging from ‘Minimum thresholds’ to ‘Stretch targets’. These were operationalised through consensus into a framework for governance and implementation by the agricultural research domain community. Improving the FAIR maturity of data took resourcing and incentive to do so, highlighting the challenge for data federations to generate value whilst reducing costs of participation. Our experience showed a role for supporting collective advocacy, relationship brokering, tailored support, and low-bar tooling access particularly across the areas of data structure, access and semantics that were challenging to domain researchers. Active democratic participation supported by a governance framework like AgReFed’s will ensure participants have a say in how federations can deliver individual and collective benefits for members. © 2022 The Author(s).
- Authors: Wong, Megan , Levett, Kerry , Lee, Ashlin , Box, Paul , Simons, Bruce , David, Rakesh , Macleod, Andrew , Taylor, Nicolas , Schneider, Derek , Thompson, Helen
- Date: 2022
- Type: Text , Journal article
- Relation: Data Science Journal Vol. 21, no. (2022), p.
- Full Text:
- Reviewed:
- Description: The FAIR (findable, accessible, interoperable, and re-usable) principles and practice recommendations provide high level guidance and recommendations that are not research-domain specific in nature. There remains a gap in practice at the data provider and domain scientist level demonstrating how the FAIR principles can be applied beyond a set of generalist guidelines to meet the needs of a specific domain community. We present our insights developing FAIR thresholds in a domain specific context for self-governance by a community (agricultural research). ‘Minimum thresholds’ for FAIR data are required to align expectations for data delivered from providers’ distributed data stores through a community-governed federation (the Agricultural Research Federation, AgReFed). Data providers were supported to make data holdings more FAIR. There was a range of different FAIR starting points, organisational goals, and end user needs, solutions, and capabilities. This informed the distilling of a set of FAIR criteria ranging from ‘Minimum thresholds’ to ‘Stretch targets’. These were operationalised through consensus into a framework for governance and implementation by the agricultural research domain community. Improving the FAIR maturity of data took resourcing and incentive to do so, highlighting the challenge for data federations to generate value whilst reducing costs of participation. Our experience showed a role for supporting collective advocacy, relationship brokering, tailored support, and low-bar tooling access particularly across the areas of data structure, access and semantics that were challenging to domain researchers. Active democratic participation supported by a governance framework like AgReFed’s will ensure participants have a say in how federations can deliver individual and collective benefits for members. © 2022 The Author(s).
The autosomamediality of neurodivergent folks’ Facebook pages
- Authors: Meads, Threasa
- Date: 2022
- Type: Text , Journal article
- Relation: Australasian Journal of Popular Culture Vol. 11, no. 1-2 (2022), p. 27-43
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- Description: This article employs life narrative scholarship to examine four neurodivergent (ND) folks’ public Facebook (FB) pages that are making important contributions to the growing representation of ND culture in online spaces and social media. It argues that the participatory, networked, digital, online space of FB facilitates autobiographical acts at the intersection of automedia and autosomatography, where the latter finds its most realized form, and where these multimodal, connected, dynamic manifestations of disabled lives are best defined by an elision of the two terms (automedia and autosomatography): autosomamedia. © 2022 Intellect Ltd Article. English language.
- Authors: Meads, Threasa
- Date: 2022
- Type: Text , Journal article
- Relation: Australasian Journal of Popular Culture Vol. 11, no. 1-2 (2022), p. 27-43
- Full Text:
- Reviewed:
- Description: This article employs life narrative scholarship to examine four neurodivergent (ND) folks’ public Facebook (FB) pages that are making important contributions to the growing representation of ND culture in online spaces and social media. It argues that the participatory, networked, digital, online space of FB facilitates autobiographical acts at the intersection of automedia and autosomatography, where the latter finds its most realized form, and where these multimodal, connected, dynamic manifestations of disabled lives are best defined by an elision of the two terms (automedia and autosomatography): autosomamedia. © 2022 Intellect Ltd Article. English language.
The Sport Participation Pathway Model (SPPM) : a conceptual model for participation and retention in community sport
- Eime, Rochelle, Charity, Melanie, Westerbeek, Hans
- Authors: Eime, Rochelle , Charity, Melanie , Westerbeek, Hans
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Sport Policy and Politics Vol. 14, no. 2 (2022), p. 291-304
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- Description: National sport policy has a dual focus on population-based participation, and elite performance. There are various models depicting the pathway to elite, however, there has not been a population-based sport participation pathway model to track, develop and facilitate holistic participation policies in sport. The aim of this study is to review sport participation trends, including new data on retention and drop-out across age groups in community club-based sport, and combine this data with evidence from literature about people moving in and out of sport, to develop the Sport Participation Pathway Model (SPPM), which provides a holistic view of sport participation. We conducted a 3-year analysis of sport participation for eight major sports from 2015–2017 for children and young people aged 4–29 years. The total number of participants was 579,696. Only half 50.8% played continuously for the three years, 44.7% dropped out, and 4.5% played discontinuously. Drop-out was highest for those aged 4 (57.0%), and lowest for those aged 10–14 years (39.3%). The SPPM demonstrates the movements of participation in sport and the drop-out at various stages out of competitive club-based sport and for those who are the main participants. The model is a standalone sport participation model that is a representation and integration of empirical sport participation. This model therefore is most useful for sports organisations to recognise issues around retention and drop-out. In developing sport policies, government can also use the model to make decisions on target groups and funding support. © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
- Authors: Eime, Rochelle , Charity, Melanie , Westerbeek, Hans
- Date: 2022
- Type: Text , Journal article
- Relation: International Journal of Sport Policy and Politics Vol. 14, no. 2 (2022), p. 291-304
- Full Text:
- Reviewed:
- Description: National sport policy has a dual focus on population-based participation, and elite performance. There are various models depicting the pathway to elite, however, there has not been a population-based sport participation pathway model to track, develop and facilitate holistic participation policies in sport. The aim of this study is to review sport participation trends, including new data on retention and drop-out across age groups in community club-based sport, and combine this data with evidence from literature about people moving in and out of sport, to develop the Sport Participation Pathway Model (SPPM), which provides a holistic view of sport participation. We conducted a 3-year analysis of sport participation for eight major sports from 2015–2017 for children and young people aged 4–29 years. The total number of participants was 579,696. Only half 50.8% played continuously for the three years, 44.7% dropped out, and 4.5% played discontinuously. Drop-out was highest for those aged 4 (57.0%), and lowest for those aged 10–14 years (39.3%). The SPPM demonstrates the movements of participation in sport and the drop-out at various stages out of competitive club-based sport and for those who are the main participants. The model is a standalone sport participation model that is a representation and integration of empirical sport participation. This model therefore is most useful for sports organisations to recognise issues around retention and drop-out. In developing sport policies, government can also use the model to make decisions on target groups and funding support. © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Five-year changes in community-level sport participation, and the role of gender strategies
- Eime, Rochelle, Charity, Melanie, Harvey, Jack, Westerbeek, Hans
- Authors: Eime, Rochelle , Charity, Melanie , Harvey, Jack , Westerbeek, Hans
- Date: 2021
- Type: Text , Journal article
- Relation: Frontiers in Sports and Active Living Vol. 3, no. (2021), p.
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- Description: Background: The rate of participation in community-based sport by boys and men has been double that of girls and women. Contributing to this is the fact that some sports have been traditionally male-only or at least very male-dominated. Aim: The aim of this study was to investigate changes in participation in sport by sex and age across 10 major sports in Australia over a 5-year period. In conjunction with the analysis of participation trends, the gender strategies that were developed and implemented during this time are reviewed. Methods: This study encompassed all sport participants registered with one of 10 State Sporting Associations in Victoria, Australia in 2015 and in 2019. Participation rates by region, age and sex were calculated. State sport and health policies relating to female participation in sport were reviewed. Results: There were 749,037 registrations in 2015 and 868,266 in 2019. A comparison between 2015 and 2019 shows increases in participation for women and girls across all age groups (4–84 years), and highest increases for those aged 4 (6.6%) and 5–9 (4.7%). For boys there was a considerable decrease in participation for those aged 5–9 years (−3.8%). Discussion: This study provides evidence that whilst participation in sport is still dominated by males, the gap might be gradually closing and this is in line with recent strategies and investments into sport and wider cultural developments in society. The implications of these findings are discussed. Copyright © 2021 Eime, Charity, Harvey and Westerbeek. Corrigendum: Five-Year Changes in Community-Level Sport Participation, and the Role of Gender Strategies (Front. Sports Act. Living., (2021), 3, (710666), https://doi.org/10.3389/fspor.2021.798271
- Authors: Eime, Rochelle , Charity, Melanie , Harvey, Jack , Westerbeek, Hans
- Date: 2021
- Type: Text , Journal article
- Relation: Frontiers in Sports and Active Living Vol. 3, no. (2021), p.
- Full Text:
- Reviewed:
- Description: Background: The rate of participation in community-based sport by boys and men has been double that of girls and women. Contributing to this is the fact that some sports have been traditionally male-only or at least very male-dominated. Aim: The aim of this study was to investigate changes in participation in sport by sex and age across 10 major sports in Australia over a 5-year period. In conjunction with the analysis of participation trends, the gender strategies that were developed and implemented during this time are reviewed. Methods: This study encompassed all sport participants registered with one of 10 State Sporting Associations in Victoria, Australia in 2015 and in 2019. Participation rates by region, age and sex were calculated. State sport and health policies relating to female participation in sport were reviewed. Results: There were 749,037 registrations in 2015 and 868,266 in 2019. A comparison between 2015 and 2019 shows increases in participation for women and girls across all age groups (4–84 years), and highest increases for those aged 4 (6.6%) and 5–9 (4.7%). For boys there was a considerable decrease in participation for those aged 5–9 years (−3.8%). Discussion: This study provides evidence that whilst participation in sport is still dominated by males, the gap might be gradually closing and this is in line with recent strategies and investments into sport and wider cultural developments in society. The implications of these findings are discussed. Copyright © 2021 Eime, Charity, Harvey and Westerbeek. Corrigendum: Five-Year Changes in Community-Level Sport Participation, and the Role of Gender Strategies (Front. Sports Act. Living., (2021), 3, (710666), https://doi.org/10.3389/fspor.2021.798271
Young women living in Iran : gendered drivers influencing social participation and wellbeing
- Salehi, Asiyeh, Whitehead, Dean, Sebar, Bernadette, upadhyay, Ravi, Coyne, Elisabeth, Harris, Neil
- Authors: Salehi, Asiyeh , Whitehead, Dean , Sebar, Bernadette , upadhyay, Ravi , Coyne, Elisabeth , Harris, Neil
- Date: 2021
- Type: Text , Journal article
- Relation: Journal of Gender Studies Vol. 30, no. 4 (2021), p. 478-495
- Full Text: false
- Reviewed:
- Description: This paper investigates the social participation and wellbeing outcomes of young Iranian women, using a concurrent mixed method. Findings demonstrated relatively low levels of structural and functional social support as well as low level of social participation at the community level, particularly local and national group participation compared with casual/informal group participation. The individuals who socialized more with friends, relatives, colleagues, neighbours, as well as those with higher civic participation, were more likely to report higher wellbeing, as measured through satisfaction with life, quality of life and healthier lifestyle behaviours. The most common themes regarding barriers to social participation included: lack of time, money, cultural and societal barriers such as low socialization/leisure opportunities/infrastructure in the neighbourhood, lack of community/civic groups, lack of the culture of volunteering/volunteer jobs and low level of trust in society. This study suggests that women are further united and focus on their internal power through challenging gender bias and creating a culture of transformational change; which, in turn, lends itself to positive well-being outcomes. Furthermore, studies are required among Iranian men, how they can advocate for women’s rights and reconstruction of the gendered systems for the interest of both genders. © 2021 Informa UK Limited, trading as Taylor & Francis Group.
Quality indicators for a community-based wound care centre : an integrative review
- Seaton, Philippa, Cant, Robyn, Trip, Henrietta
- Authors: Seaton, Philippa , Cant, Robyn , Trip, Henrietta
- Date: 2020
- Type: Text , Journal article
- Relation: International Wound Journal Vol. 17, no. 3 (2020), p. 587-600
- Full Text: false
- Reviewed:
- Description: The purpose of this review was to identify the role and contribution of community-based nurse-led wound care as a service delivery model. Centres increasingly respond proactively to assess and manage wounds at all stages – not only chronic wound care. We conducted an integrative review of literature, searching five databases, 2007–2018. Based on inclusion and exclusion criteria, we systematically approached article selection and all three authors collaborated to chart the study variables, evaluate data, and synthesise results. Eighteen studies were included, representing a range of care models internationally. The findings showed a need for nurse-led clinics to provide evidence-based care using best practice guidelines for all wound types. Wound care practices should be standardised across the particular service and be integrated with higher levels of resources such as investigative services and surgical units. A multi-disciplinary approach was likely to achieve better patient outcomes, while patient-centred care with strong patient engagement was likely to assist patients' compliance with treatment. High-quality community-based wound services should include nursing leadership based on a hub-and-spoke model. This is ideally patient-centred, evidence-based, and underpinned by a commitment to developing innovations in terms of treatment modalities, accessibility, and patient engagement. © 2020 Medicalhelplines.com Inc and John Wiley & Sons Ltd
- Description: This study was supported by The Nurse Maude Association, Christchurch, New Zealand, a community‐based nursing service in New Zealand. We acknowledge the contribution of the following Nurse Maude Association staff: Mary‐Anne Stone (MPH), Senior Manager of Research, Innovation and Aged Residential Care. Cathy Hammond (MA–Clinical Nursing), Clinical Nurse Specialist – Specialist Wound Service. Denise Brankin (RN, PGDipHSc), Service Manager, Specialty Nursing Services. Gill Coe (BA), Research Officer.creative
- Authors: McLaren, Suzanne
- Date: 2020
- Type: Text , Journal article
- Relation: Aging & Mental Health Vol. 24, no. 1 (Jan 2020), p. 103-109
- Full Text: false
- Reviewed:
- Description: Objectives: Living alone is a risk factor for depressive symptoms among older men, and is likely to occur due to belongingness needs being unmet. It is proposed the living alone-sense of belonging and living alone-depressive symptoms relations are stronger for gay men than heterosexual men, due to different family circumstances. This research tested a moderated mediation model, specifically whether the relationship between living alone and depressive symptoms is mediated by sense of belonging, and whether the living alone-sense of belonging and living alone-depressive symptoms relationships are moderated by sexual orientation. Method: A community sample of 169 Australian gay men aged 65 to 93 years and 187 Australian heterosexual men aged 65 to 94 years completed the Psychological subscale of the Sense of Belonging Instrument and the Center for Epidemiologic Studies Depression Scale. Results: Results supported the simple mediation model, with living alone being associated directly and indirectly with depressive symptoms via sense of belonging. The conditional indirect effect of living alone on depressive symptoms via sense of belonging was not significant, and therefore the moderated mediation model was not supported. Conclusion: Results imply that older men who live alone are at increased risk of depressive symptoms directly and indirectly via lower levels of sense of belonging.
The need for independent advocacy for people subject to mental health community treatment orders
- Weller, Penelope, Alvarez-Vasquez, Susan, Dale, Matthew, Hill, Nicholas, Martin, Jennifer
- Authors: Weller, Penelope , Alvarez-Vasquez, Susan , Dale, Matthew , Hill, Nicholas , Martin, Jennifer
- Date: 2019
- Type: Text , Journal article
- Relation: International Journal of Law and Psychiatry Vol. 66, no. (2019), p.
- Full Text: false
- Reviewed:
- Description: Independent mental health advocacy (IMHA) has been proposed as a way of maintaining peoples' rights in involuntary settings, but little is known about the challenges and opportunities associated with the provision of independent mental health advocacy to those on compulsory treatment orders in the community. In Victoria, Australia, an IMHA service is available to people who are at risk of or subject to compulsory treatment, including those who are subject to Community Treatment Orders. The IMHA service is based on the independent advocacy model developed in the United Kingdom. This paper details the benefits and challenges of providing independent non-legal advocacy to those in the community, drawing on a 15-month independent co-produced evaluation of the IMHA service. With limited publicly available sector level data, the evaluation employed qualitative approaches. Issues raised include the need to better target limited resources in the most effective way and the problem of ensuring timely and adequate access. While advocacy was well received by consumers, tensions specific to the community setting were influenced by the attitudes of clinicians to need, risk and recovery as opposed to a coherent understanding of consumer preference and choice. © 2019
Exploring health promotion and health education in nursing
- Authors: Whitehead, Dean
- Date: 2018
- Type: Text , Journal article
- Relation: Nursing Standard Vol. 33, no. 8 (2018), p. 38-44
- Full Text: false
- Reviewed:
- Description: Why you should read this article: *To understand the differences between health promotion and health education and your role in these areas *To recognise approaches to illness prevention and promoting well-being that you can use in your practice with patients across their lifespan *To count towards revalidation as part of your 35 hours of CPD, or you may wish to write a reflective account (UK readers) *To contribute towards your professional development and local registration renewal requirements (non-UK readers) The term health promotion has been used in healthcare for several years. However, the meaning of this term is debated, particularly in nursing. Some nurses might believe that, because they are healthcare practitioners working in healthcare services, that they are 'by default' automatically involved in health promotion activities however, this is often not the case. Instead, they are more likely to be engaging in health education activities that is, simply providing individuals with health-related information, rather than seeking to empower individuals, families, groups and communities. While health education is related to health promotion, these terms are not interchangeable, since health education is a component of health promotion. This article clarifies these concepts and describes approaches to illness prevention and promoting well-being that nurses can use in their practice with patients across the lifespan.
Effects of past and present livestock grazing on herpetofauna in a landscape-scale experiment
- Kay, Geoffrey, Mortelliti, Alessio, Tulloch, Ayesha, Barton, Philip, Florance, Daniel
- Authors: Kay, Geoffrey , Mortelliti, Alessio , Tulloch, Ayesha , Barton, Philip , Florance, Daniel
- Date: 2017
- Type: Text , Journal article
- Relation: Conservation Biology Vol. 31, no. 2 (2017), p. 446-458
- Full Text: false
- Reviewed:
- Description: Livestock grazing is the most widespread land use on Earth and can have negative effects on biodiversity. Yet, many of the mechanisms by which grazing leads to changes in biodiversity remain unresolved. One reason is that conventional grazing studies often target broad treatments rather than specific parameters of grazing (e.g., intensity, duration, and frequency) or fail to account for historical grazing effects. We conducted a landscape-scale replicated grazing experiment (15,000 km2, 97 sites) to examine the impact of past grazing management and current grazing regimes (intensity, duration, and frequency) on a community of ground-dwelling herpetofauna (39 species). We analyzed community variables (species richness and composition) for all species and built multiseason patch-occupancy models to predict local colonization and extinction for the 7 most abundant species. Past grazing practices did not influence community richness but did affect community composition and patch colonization and extinction for 4 of 7 species. Present grazing parameters did not influence community richness or composition, but 6 of the 7 target species were affected by at least one grazing parameter. Grazing frequency had the most consistent influence, positively affecting 3 of 7 species (increased colonization or decreased extinction). Past grazing practice affected community composition and population dynamics in some species in different ways, which suggests that conservation planners should examine the different grazing histories of an area. Species responded differently to specific current grazing practices; thus, incentive programs that apply a diversity of approaches rather than focusing on a change such as reduced grazing intensity should be considered. Based on our findings, we suggest that determining fine-scale grazing attributes is essential for advancing grazing as a conservation strategy. © 2016 Society for Conservation Biology. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Philip Barton” is provided in this record**