Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood progr ....Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood programs to date are limited in effectiveness and not truly population-based. The proposed parenting / family support trial aims to overcome these obstacles, by comparing and costing two approaches that can be implemented within whole communities. The trial will help clarify optimal primary care to prevent mental health problems early in life.Read moreRead less
After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, ....After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, early childhood, mental health and drug and alcohol services operated by NSW Health. The research will be the first study of its size to consider the outcomes of routine screening for domestic violence in public health settings in the Australian context.Read moreRead less
Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting ....Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting the health system to focus more on prevention and health promotion, improving current approaches of consumer participation in prevention and chronic disease management, tackling broader issues in public policy trade-offs between health and non-health, diversifying workforce roles and involving health professionals in prevention and promotion.Read moreRead less
Safety and resiliency at home: voices of children who live with fear. Finding out what can help children feel safer who are currently living in households where there is family violence will enable early intervention for better outcomes for such children. This research is significant because it will focus on targeting appropriate responses by listening to the views of children themselves and hence finding out what is really helpful for them to build resiliency. This is important to the work of a ....Safety and resiliency at home: voices of children who live with fear. Finding out what can help children feel safer who are currently living in households where there is family violence will enable early intervention for better outcomes for such children. This research is significant because it will focus on targeting appropriate responses by listening to the views of children themselves and hence finding out what is really helpful for them to build resiliency. This is important to the work of a key family welfare agency (Berry St) but it also has benefit for health and welfare workers throughout Australia. Appropriate early intervention will not only help the families concerned but will strengthen Australia's economic and social fabric, a priority goal of the national research agenda.Read moreRead less
Can and should we link data at a national level? Vaccine safety surveillance: A case study. This project provides many benefits for the community, exploring the legal and ethical issues around consent for data linkage, convening Citizens' Juries to weigh the evidence and make recommendations. It addresses National Research Priorities: Promoting and Maintaining Good Health and Safeguarding Australia as well as National Collaborative Research Infrastructure Strategy priorities. It uses vaccine sa ....Can and should we link data at a national level? Vaccine safety surveillance: A case study. This project provides many benefits for the community, exploring the legal and ethical issues around consent for data linkage, convening Citizens' Juries to weigh the evidence and make recommendations. It addresses National Research Priorities: Promoting and Maintaining Good Health and Safeguarding Australia as well as National Collaborative Research Infrastructure Strategy priorities. It uses vaccine safety surveillance as a case study to evaluate the effectiveness of data linkage (through linking Commonwealth immunisation data to state hospital data) and the methodologies and lessons learnt from cross jurisdictional data linkage can be transferred to other areas. Read moreRead less
Fear, sadness and alcohol in adolescence: A test of innovative curriculum models to prevent adverse outcomes. Lack of mastery over fear, sadness and alcohol use are risk factors for the common forms of mental ill health. When fully developed, anxiety, depressive and substance use disorders account for three quarters of the disability attributed to mental disorders. While prevention strategies exist, none are universally feasible. Climate schools represents a utility that is acceptable, fits with ....Fear, sadness and alcohol in adolescence: A test of innovative curriculum models to prevent adverse outcomes. Lack of mastery over fear, sadness and alcohol use are risk factors for the common forms of mental ill health. When fully developed, anxiety, depressive and substance use disorders account for three quarters of the disability attributed to mental disorders. While prevention strategies exist, none are universally feasible. Climate schools represents a utility that is acceptable, fits within the school syllabus, is effective, and is scaleable to meet the needs of all schools in Australia. If it reduces the target risk factors by 10-20%, a minimal estimate based on the pilot work, then it will be a most cost effective contribution to promoting and maintaining the good health of the community.
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Who acquires infection from whom across international borders? New approaches for control of emerging infections through understanding travel patterns. Mathematical modelling of data on travellers traversing Australia's borders and their contact patterns can be used to understand the pathways by which infectious diseases enter and spread in Australia. Currently available social contact data which informs models are inadequate and outdated. Gathering new data relevant to modern society will help ....Who acquires infection from whom across international borders? New approaches for control of emerging infections through understanding travel patterns. Mathematical modelling of data on travellers traversing Australia's borders and their contact patterns can be used to understand the pathways by which infectious diseases enter and spread in Australia. Currently available social contact data which informs models are inadequate and outdated. Gathering new data relevant to modern society will help control future infectious disease threats to our society. Our aim is to collect detailed, unique data on demography, behavioural and social patterns of travellers and residents, and use this to develop mathematical models to evaluate effective control measures for emerging infections in Australia. This study will make a unique contribution to national disease control policy.Read moreRead less
Do perceptions of morality of alcohol, tobacco & cannabis use influence uptake in high school? In Australia, the cost of drug use was estimated at $34.4 billion in 1998-89. Preventing or delaying alcohol, tobacco and illicit drug use among adolescents is a way of reducing substance use among adults, and therefore, reduces the health, social and economic costs associated with substance use. This study will assess the protective/vulnerability effect of a range of variables on youth substance use i ....Do perceptions of morality of alcohol, tobacco & cannabis use influence uptake in high school? In Australia, the cost of drug use was estimated at $34.4 billion in 1998-89. Preventing or delaying alcohol, tobacco and illicit drug use among adolescents is a way of reducing substance use among adults, and therefore, reduces the health, social and economic costs associated with substance use. This study will assess the protective/vulnerability effect of a range of variables on youth substance use including morality and legitimacy concepts. These data will guide the development of curriculum components to enhance the effect of school-based interventions with respect to substance use, and provide practical recommendations for community interventions targeted at substance use.Read moreRead less
What works best for youth smoking prevention messages? In Australia, tobacco smoking is the leading cause of preventable death and disease, resulting in over 19,000 deaths annually. The morbidity and mortality associated with smoking costs the community over $21 billion a year. People who start smoking when they are young are more likely to smoke heavily as adults, to become more dependent on nicotine and to be at increased risk of smoking-related illness or death. This research study will provi ....What works best for youth smoking prevention messages? In Australia, tobacco smoking is the leading cause of preventable death and disease, resulting in over 19,000 deaths annually. The morbidity and mortality associated with smoking costs the community over $21 billion a year. People who start smoking when they are young are more likely to smoke heavily as adults, to become more dependent on nicotine and to be at increased risk of smoking-related illness or death. This research study will provide practical recommendations for future tobacco control television advertising targeted at youth in terms of the elements featured in tobacco control advertisements that increase advertising effectiveness. Read moreRead less
A prospective investigation of self-injury, suicidal ideation and psychological distress in Australian secondary school students. Suicide prevention has been a national priority for the past 10 years. Self-injury is a predictor of suicide, results in considerable distress for family and friends and is associated with significant health care expenditure. In addition the known correlates of self-injury, such as depression and substance use, also pose significant burden to society and are themselve ....A prospective investigation of self-injury, suicidal ideation and psychological distress in Australian secondary school students. Suicide prevention has been a national priority for the past 10 years. Self-injury is a predictor of suicide, results in considerable distress for family and friends and is associated with significant health care expenditure. In addition the known correlates of self-injury, such as depression and substance use, also pose significant burden to society and are themselves predictors of suicide. Understanding the nature and extent of self-injury in Australian adolescents, and the causal relationships between self-injury, suicidal ideation and psychological distress, will improve the care given to those who self-injure, improve their well-being, decrease their chances of further self-injury, and decrease the chance they will die by suicide.Read moreRead less