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Articles 1 - 30 of 64
Full-Text Articles in Medicine and Health Sciences
Trajectories Of Depression And Their Relationship With Health Status And Social Service Use, Chun-Min Chen, Judy Mullan, David Griffiths, Irene A. Kreis, Tzuo-Yun Lan, Herng-Chia Chiu
Trajectories Of Depression And Their Relationship With Health Status And Social Service Use, Chun-Min Chen, Judy Mullan, David Griffiths, Irene A. Kreis, Tzuo-Yun Lan, Herng-Chia Chiu
Professor David Griffiths
This longitudinal study was conducted between 1994 and 2004 in a cohort of Southern Taiwan community-living elderly residents. The study aims to explore the trajectories of depression and how these patterns differed between respondents who survived and those who died during data collection phases; this study also investigated how health status change and health/social service use predicted the different trajectories of depression. Eight hundred and ten participants had completed all six waves of the survey or were followed-up at each wave until death in the prospective study in Kaohsiung City. Depressive symptoms were evaluated by the Short Psychiatric Evaluation Schedule …
Setting Directions For Research Capacity Building In Primary Health Care: A Survey Of A Research Network, Karin Ried, Elizabeth Farmer, Kathryn M. Weston
Setting Directions For Research Capacity Building In Primary Health Care: A Survey Of A Research Network, Karin Ried, Elizabeth Farmer, Kathryn M. Weston
Elizabeth Farmer
Background The South Australian Research Network 'SARNet' aims to build research capacity in primary health care, as part of a national government-funded strategy to integrate research into clinical practice. Internationally, research networks have been a fundamental part of research culture change, and a variety of network models exist. The 'SARNet' model uses a whole system, multidisciplinary approach to capacity building and supports individuals and groups. We undertook a descriptive baseline survey in order to understand the background and needs of SARNet members and to tailor network activities towards those needs. Methods A questionnaire survey, assessing members' professional background, research experience, …
Research Networks: Enhancing Change In Australian Primary Health Care, Elizabeth Farmer, Raechel L. Waters, Kathryn M. Weston
Research Networks: Enhancing Change In Australian Primary Health Care, Elizabeth Farmer, Raechel L. Waters, Kathryn M. Weston
Elizabeth Farmer
As primary health care disciplines evolve and strengthen both in Australia and internationally, primary care practitioners need to develop their research capacity at all levels. This paper discusses the changing face of primary health care and the emergence of primary care research networks as agents for research skills capacity building. Much can be learnt from international experiences, such as those in the United Kingdom, in terms of network models and approaches that have demonstrated successful outcomes including increased grant applications, research higher degree completions and publications. However, these outcomes are at least partly dependent on different contexts of health care …
Linking Primary Health Care Researchers In South Australia: A Network Strategy, Sarnet, Raechel L. Waters, Kathryn M. Weston, Elizabeth Farmer
Linking Primary Health Care Researchers In South Australia: A Network Strategy, Sarnet, Raechel L. Waters, Kathryn M. Weston, Elizabeth Farmer
Elizabeth Farmer
In response to the changing definitions of primary care delivery there is a growing need for research to be practitioner-driven and multidisciplinary. This paper addresses the strategies used to enhance multidisciplinary participation and capacity building in research in the South Australian Primary Health Care Research Network (SARNet). This network has 198 members currently. Membership is strongly multidisciplinary and spans all levels of research expertise. The services offered by the network are member-driven and include competitive bursary funding for research and evaluation skills development, writing groups, training events, access to web-based resources and information, special interest groups, and email alerts. Potential …
Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen
Prevalence Of Smoking And Other Health Risk Factors In People Attending Residential Substance Abuse Treatment, Peter J. Kelly, Amanda L. Baker, Frank P. Deane, Frances Kay-Lambkin, Billie Bonevski, Jenna Tregarthen
Frank Deane
Introduction and Aims. People attending substance abuse treatment have an elevated risk of developing cardiovascular disease (CVD) and cancer. Consequently, there have been increasing calls for substance abuse treatment services to address smoking.The current study examined smoking behaviours of people attending residential substance abuse treatment. Additionally, the study examined rates of other potentially modifiable health risk factors for the development of CVD and cancer. Design and Methods. A cross-sectional survey was completed by participants attending Australian Salvation Army residential substance abuse treatment services (n = 228). Rates of smoking, exercise, dietary fat intake, body mass index and depression were identified …
A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe
A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe
Trevor Crowe
A survey was completed by 122 case managers describing the types of homework assignments commonly used with individuals diagnosed with severe mental illness (SMI). Homework types were categorized using a 12-item homework description taxonomy and in relation to the 22 domains of the Camberwell Assessment of Need (CAN). Case managers predominately reported using behaviourally based homework tasks such as scheduling activities and the development of personal hygiene skills. Homework focused on CAN areas of need in relation to Company, Psychological Distress, Psychotic Symptoms and Daytime Activities. The applications of the taxonomy for both researchers and case managers are discussed.
Parallel Processes In Clinical Supervision: Implications For Coaching Menthal Health Practitioners, Trevor P. Crowe, Lindsay G. Oades, Frank P. Deane, Joseph Ciarrochi, Virginia C. Willliams
Parallel Processes In Clinical Supervision: Implications For Coaching Menthal Health Practitioners, Trevor P. Crowe, Lindsay G. Oades, Frank P. Deane, Joseph Ciarrochi, Virginia C. Willliams
Trevor Crowe
No abstract provided.
Enhancing Patient Adherence: Outcomes Of Medication Alliance Training On Therapeutic Alliance, Insight, Adherence, And Psychopathology With Mental Health Patients, Mitchell Byrne, Frank Deane
Enhancing Patient Adherence: Outcomes Of Medication Alliance Training On Therapeutic Alliance, Insight, Adherence, And Psychopathology With Mental Health Patients, Mitchell Byrne, Frank Deane
Mitchell K Byrne
The results of interventions to enhance patient adherence to medication have been inconsistent. This research investigated the utility of an enhanced adherence training programme to ascertain its effectiveness and the possible mechanisms of that effect. Forty-six clinicians were trained in 'medication alliance', and data were collected from 51 patients matched to the clinician. Data on clinician changes in skills, knowledge, and attitudes, in relation to enhancing patient adherence and patient changes in adherence, insight, and psychopathology were collected at baseline and at 6 and 12 months. The quality of the therapeutic relationship between the clinician and the patient was also …
Mental Health Clinicians' Beliefs About Medicines, Attitudes, And Expectations Of Improved Medication Adherence In Patients, Mitchell Byrne, Peter Caputi, Frank Deane
Mental Health Clinicians' Beliefs About Medicines, Attitudes, And Expectations Of Improved Medication Adherence In Patients, Mitchell Byrne, Peter Caputi, Frank Deane
Mitchell K Byrne
Nonadherence to antipsychotic medications remains a major factor in poor clinical outcomes. This study sought to identify clinician beliefs about patients who do not adhere to treatment, the clinicians' own beliefs about medicines, and the impact of beliefs on efforts to enhance patient adherence. In total, 292 clinicians responded to an anonymous questionnaire that included questions about their beliefs and their efforts to enhance adherence. Results indicated that clinicians' beliefs about their own adequacy to enhance adherence significantly predicted actual efforts to enhance adherence. Both pessimism about outcomes and empathy for the patient predicted outcome expectancy. It was concluded that …
A Strong Commitment To Mental Health Nursing, Renee Brighton, Angela Brown, Terence Froggatt, Susan Liersch
A Strong Commitment To Mental Health Nursing, Renee Brighton, Angela Brown, Terence Froggatt, Susan Liersch
Angela M Brown
The School of Nursing, Midwifery and Indigenous Health (SNMIH) at the University of Wollongong, places great emphasis on providing nursing students with fundamental education and knowledge in mental health nursing. There are two dedicated undergraduate mental health subjects delivered within the Bachelor of Nursing (BN) program. Both subjects are placed in adjacent sessions to provide a consolidated speciality experience for all BN students. The two subjects incorporate core values and principles to guide the teaching of mental health nursing, learning outcomes that reflect the Australian Nursing and Midwifery Council (ANMC) competencies and are based on recommendations from the Mental Health …
Primary Health Care Responses To Onsite Psychologist Support, Helen Winefield, John Marley, John Taplin, Justin Beilby, Deborah Turnbull, Ian Wilson, Brian Williams
Primary Health Care Responses To Onsite Psychologist Support, Helen Winefield, John Marley, John Taplin, Justin Beilby, Deborah Turnbull, Ian Wilson, Brian Williams
Ian G Wilson
With the aim of improving early intervention for mental disorders, the 'Better Outcomes in Mental Health Care' initiative is now providing funding for mental health specialists to work in Divisions of General Practice. A key determinant of how this innovation is received is likely to be the readiness on the part of General Practitioners (GPs) and their patients to accept psychological interventions. This paper reports a baseline study of the attitudes to integrated onsite psychological services, held by GPs, nonmedical staff, and patients at one large suburban family practice. An anonymous brief questionnaire was used to gather both ratings and …
The Context Of Clinical Teaching And Learning In Australia: Towards A Reconstruction Of The Relationship Between Medical Schools And Health Services, Julie Ash, Lucie Walters, David Prideaux, Ian Wilson
The Context Of Clinical Teaching And Learning In Australia: Towards A Reconstruction Of The Relationship Between Medical Schools And Health Services, Julie Ash, Lucie Walters, David Prideaux, Ian Wilson
Ian G Wilson
• Gaining clinical experience for an extended period of time in teaching hospitals is one of the enduring strengths of medical education. • Teaching hospitals have recently faced significant challenges, with increasing specialisation of services and workload pressures reducing clinical learning opportunities. • New clinical teaching environments have been established in Australia, particularly in rural and regional areas; these are proving to be ideal contexts for student learning. • The new clinical teaching environments have shown the importance of developing symbiotic relationships between universities and health services. Symbiotic clinical learning is built around longitudinal, patientbased learning emphasising priority health concerns. …
Small Group Peer Support For Gps Treating Mental Health Problems., C Howell, Ian Wilson
Small Group Peer Support For Gps Treating Mental Health Problems., C Howell, Ian Wilson
Ian G Wilson
Peer support groups are a mutual aid system in which the facilitator helps group members to help each other. General practice peer support is seen as the provision of support in small groups by general practitioner colleagues. As part of the Better Outcomes in Mental Health Care Initiative, funding was made available to develop a unique model of peer support for GPs involved in mental health care. It aimed to meet the needs of GPs for support, sharing of knowledge and skills, ongoing education and skills development, while fostering self care. The model involved a GP facilitator training program and …
Long-Term Effects Of Childhood Abuse On The Quality Of Life And Health Of Older People: Results From The Depression And Early Prevention Of Suicide In General Practice Project, Brian Draper, Jon Pfaff, Jane Pirkis, John Snowdon, Nicola Lautenschlager, Ian Wilson, Osvaldo Almeida
Long-Term Effects Of Childhood Abuse On The Quality Of Life And Health Of Older People: Results From The Depression And Early Prevention Of Suicide In General Practice Project, Brian Draper, Jon Pfaff, Jane Pirkis, John Snowdon, Nicola Lautenschlager, Ian Wilson, Osvaldo Almeida
Ian G Wilson
OBJECTIVES: To determine whether childhood physical and sexual abuse are associated with poor mental and physical health outcomes in older age. DESIGN: Cross-sectional, postal questionnaire survey. SETTING: Medical clinics of 383 general practitioners (GPs) in Australia. PARTICIPANTS: More than 21,000 older adults (aged >=60) currently under the care of GPs participating in the Depression and Early Prevention of Suicide in General Practice (DEPS-GP) Study. Participants were divided into two groups according to whether they acknowledged experiencing childhood physical or sexual abuse. MEASUREMENTS: Main outcome measures targeted participants’ current physical health (Medical Outcomes Study 12-item Short Form Survey, Version 2 and …
Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades
Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades
Frank Deane
Background: Homework refers to between-session activities that are tied to therapeutic goals. Homework has been suggested as being an important clinical adjunct to case management practices, however, to date, research has not examined case managers’ use of homework. Aims: To identify the degree that case managers use homework within their clinical practice and explore the way it is administered with people diagnosed with a persistent and recurring psychiatric illness. Method: A survey was completed by 122 case managers (63% of those approached) comprising nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, …
Accessing Asthma Care: A Case Study Of Urban Children, Andrea Wallace
Accessing Asthma Care: A Case Study Of Urban Children, Andrea Wallace
Andrea S. Wallace
The purpose of this exploratory, descriptive study was to identify factors that facilitate or impede the use of health care resources by urban children with asthma. Using an embedded case study design, the study considered the issue of health care access for urban children with asthma by focusing on attributes that impede and facilitate these children's access to health care resources. Interview, demographic, survey, and medical records data were analyzed for 34 parent-child dyads accessing asthma care in one metropolitan health care system. Interview data from 14 health care professionals were also analyzed. These findings were then compared with utilization …
Media Reporting Of Health Interventions: Signs Of Improvement, But Major Problems Persist, Amanda J. Wilson, Billie Bonevski, Alison L. Jones, David Henry
Media Reporting Of Health Interventions: Signs Of Improvement, But Major Problems Persist, Amanda J. Wilson, Billie Bonevski, Alison L. Jones, David Henry
Alison L Jones
Background: Studies have persistently shown deficiencies in medical reporting by the mainstream media. We have been monitoring the accuracy and comprehensiveness of medical news reporting in Australia since mid 2004. This analysis of more than 1200 stories in the Australian media compares different types of media outlets and examines reporting trends over time. Methods and Findings: Between March 2004 and June 2008 1230 news stories were rated on a national medical news monitoring web site, Media Doctor Australia. These covered a variety of health interventions ranging from drugs, diagnostic tests and surgery to dietary and complementary therapies. Each story was …
Evolution And Sustainability Of The Helping Hands Volunteer Program: Consumer Recovery And Mental Health Comparisoins Six Years On, Frank P. Deane, Retta Andresen
Evolution And Sustainability Of The Helping Hands Volunteer Program: Consumer Recovery And Mental Health Comparisoins Six Years On, Frank P. Deane, Retta Andresen
Frank Deane
The Helping Hands program commenced in 1999 and partners volunteers with mental health consumers for support and to increase social contact, recreational and friendship opportunities. The aim of the present study is to describe the evolution and sustainability of the program over the first 6 years. A description of consumers accessing the program using recovery-oriented measures and traditional measures of behavioural functioning is also provided. Service data was collected on the development of the program, service utilisation, volunteer participation and funding patterns. Cross-sectional measures of recovery and baseline and follow-up Health of the Nation Outcome Scales (HoNOS) were collected on …
Benchmarking Across Sectors: Comparisons Of Residential Dual Diagnosis And Mental Health Programs, Frank P. Deane, Peter Kelly, Talia Gonda, Ganapathi Murugesan, Robyn Jeffrey
Benchmarking Across Sectors: Comparisons Of Residential Dual Diagnosis And Mental Health Programs, Frank P. Deane, Peter Kelly, Talia Gonda, Ganapathi Murugesan, Robyn Jeffrey
Frank Deane
[extract] A Question to Ponder: How does your service compare to other similar services in the industry? How would knowing this help your organisation?
A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe
A Taxonomy For Homework Used By Mental Health Case Managers When Working With Individuals Diagnosed With Severe Mental Illness, Peter Kelly, Frank P. Deane, Robert King, Nikolaos Kazantzis, Trevor P. Crowe
Frank Deane
A survey was completed by 122 case managers describing the types of homework assignments commonly used with individuals diagnosed with severe mental illness (SMI). Homework types were categorized using a 12-item homework description taxonomy and in relation to the 22 domains of the Camberwell Assessment of Need (CAN). Case managers predominately reported using behaviourally based homework tasks such as scheduling activities and the development of personal hygiene skills. Homework focused on CAN areas of need in relation to Company, Psychological Distress, Psychotic Symptoms and Daytime Activities. The applications of the taxonomy for both researchers and case managers are discussed.
Improving Therapeutic Use Of Homework: Suggestions From Mental Health Clinicians, Peter Kelly, Frank P. Deane
Improving Therapeutic Use Of Homework: Suggestions From Mental Health Clinicians, Peter Kelly, Frank P. Deane
Peter Kelly
Background. The majority of mental health clinicians report the use of homework to support their case management, but practitioner surveys indicate that homework is not routinely used. Aims. To examine barriers that mental health case managers experience in implementing homework and to identify strategies to promote successful homework administration. Method. One hundred thirty-four surveys were completed by mental health case managers. The survey examined their use of homework for individuals diagnosed with a severe mental health problem. It also asked them to identify barriers to regularly implement homework and describe strategies to promote more regular use of homework. Results. On …
Benchmarking Across Sectors: Comparisons Of Residential Dual Diagnosis And Mental Health Programs, Frank P. Deane, Peter Kelly, Talia Gonda, Ganapathi Murugesan, Robyn Jeffrey
Benchmarking Across Sectors: Comparisons Of Residential Dual Diagnosis And Mental Health Programs, Frank P. Deane, Peter Kelly, Talia Gonda, Ganapathi Murugesan, Robyn Jeffrey
Peter Kelly
[extract] A Question to Ponder: How does your service compare to other similar services in the industry? How would knowing this help your organisation?
Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades
Use Of Homework By Mental Health Case Managers In The Rehabilitation Of Persistent And Recurring Psychiatric Disability, Peter Kelly, Frank P. Deane, Nikolaos Kazantzis, Trevor P. Crowe, Lindsay G. Oades
Peter Kelly
Background: Homework refers to between-session activities that are tied to therapeutic goals. Homework has been suggested as being an important clinical adjunct to case management practices, however, to date, research has not examined case managers’ use of homework. Aims: To identify the degree that case managers use homework within their clinical practice and explore the way it is administered with people diagnosed with a persistent and recurring psychiatric illness. Method: A survey was completed by 122 case managers (63% of those approached) comprising nurses, psychologists, social workers, occupational therapists and welfare/support workers. Results: Ninety-three percent of case managers implement homework, …
Functional Foods And Ingredients: Opportunities For Health And Profit, Linda C. Tapsell
Functional Foods And Ingredients: Opportunities For Health And Profit, Linda C. Tapsell
L. C. Tapsell
The National Centre of Excellence in Functional Foods (NCEFF) is developing well with strategic research projects underway. This report outlines progress to date.
Research In School Health Education: A Needs Assessment, Lloyd Kolbe, Donald Iverson
Research In School Health Education: A Needs Assessment, Lloyd Kolbe, Donald Iverson
Don C. Iverson
No abstract provided.
Federal Data Bases For Health Education Research, Ronald Wilson, Donald Iverson
Federal Data Bases For Health Education Research, Ronald Wilson, Donald Iverson
Don C. Iverson
Described are some of the national health related databases which are useful in conducting health education research. Among areas covered by the projects are hypertension, myocardial infarction, neighborhood health centers, alcoholism, and over the counter drugs.
Comprehensive School Health Education Programs, Lloyd Kolbe, Donald Iverson
Comprehensive School Health Education Programs, Lloyd Kolbe, Donald Iverson
Don C. Iverson
No abstract provided.
The Clinician’S Health Promotion Handbook, R Fried, Donald Iverson, J Nagel
The Clinician’S Health Promotion Handbook, R Fried, Donald Iverson, J Nagel
Don C. Iverson
No abstract provided.
Worksite Health Promotion In Colorado, Mary Davis, Karen Rosenberg, Donald Iverson, Thomas Vernon, Jeff Bauer
Worksite Health Promotion In Colorado, Mary Davis, Karen Rosenberg, Donald Iverson, Thomas Vernon, Jeff Bauer
Don C. Iverson
No abstract provided.
An Overview And Analysis Of The Health Style Campaign, Mary Davis, Donald Iverson
An Overview And Analysis Of The Health Style Campaign, Mary Davis, Donald Iverson
Don C. Iverson
In 1981, the Office of Health Information and Health Promotion of the U.S. Department of Health and Human Services launched a national health promotion media campaign titled Health Style. The purposes of the Health Style campaign were: (1) to increase public awareness of the effects of life-style on health; (2) to enable persons to assess which life-style changes would be most conducive to their health; (3) to stimulate information-seeking behavior and; (4) to foster the development of local health promotion activities and referral networks. The campaign was implemented in nine test communities across the United States. This article: (1) provides …