Improving Identification And Treatment Of Early-onset Behaviour Disorders In Children
Funder
National Health and Medical Research Council
Funding Amount
$498,869.00
Summary
Most mental health problems begin in childhood and adolescence. Of these, oppositional-defiant and conduct problems in childhood are the most common precursor of all types of adult mental health problems. These children are the most common referral to child mental health clinics but little is known about which of these children will go in which direction i.e., good health, chronic antisocial behaviour, depression and anxiety, substance abuse, the psychoses. Progress in more accurately defining s ....Most mental health problems begin in childhood and adolescence. Of these, oppositional-defiant and conduct problems in childhood are the most common precursor of all types of adult mental health problems. These children are the most common referral to child mental health clinics but little is known about which of these children will go in which direction i.e., good health, chronic antisocial behaviour, depression and anxiety, substance abuse, the psychoses. Progress in more accurately defining subgroups of these children would have huge implications for early intervention for mental health problems in our community. This project proposes the first large scale analysis of genetic distributions through to behavioural and treatment factors that characterise and differentiate a large representative sample of children with conduct problems. The project will test a model of child psychopathology that links genotype, via environmental risk and emotion processing problems, to an improved diagnostic-phenotypic model for treatment of the major childhood disorder. Clinical research activities will be structured into three intersecting arms: first, identifying the genetic and behavioural subtypes of early-onset conduct problems; second, innovative treatments for these children, and third, the dissemination of findings to these children and their families via the health care system. The research will build new collaborations between established and internationally recognised clinical research teams in childhood mental health, biological psychiatry, genetics and the Child and Adolescent Mental Health Statewide Network (CAMHSNET). CAMHSNET have specific responsibilities to NSW Health for expert advice and input on the development of child mental health services directions, dissemination, training, and effectiveness research.Read moreRead less
Relationship Between Caregiver Time And Mental Health&well-being Of Mothers Caring For Children With Chronic Disability
Funder
National Health and Medical Research Council
Funding Amount
$355,127.00
Summary
The Australian Institute of Health and Welfare has calculated that the dollar value of unpaid caring labour is approximately double the total (monetary) welfare service expenditure in Australia. Furthermore, most authorities predict that the need for informal care will grow as the population ages and as government policies continue to emphasize de-institutionalisation and care in the community. A significant group of these informal caregivers are mothers caring for children with chronic disabili ....The Australian Institute of Health and Welfare has calculated that the dollar value of unpaid caring labour is approximately double the total (monetary) welfare service expenditure in Australia. Furthermore, most authorities predict that the need for informal care will grow as the population ages and as government policies continue to emphasize de-institutionalisation and care in the community. A significant group of these informal caregivers are mothers caring for children with chronic disabilities. These mothers have long been known to have higher rates of psychosocial problems than other mothers. However, little is known about the mechanisms by which these problems arise. This is a significant omission, as the potential benefit of home-based care for children with chronic disabilities will only be realised if caregivers remain healthy. It seems unlikely that caregivers will be able to provide effective care for children if their own health has been compromised by the demands of caring for the children's disabilities. The present study will provide new information about the relationship between the caregiving time mothers must spend caring for children with chronic disability, and maternal psychological adjustment and health-related quality of life. A better understanding of the mechanisms which give rise to maternal psychosocial problems in this population is important for two reasons. First, information in this area is an essential prerequisite for the development of effective support to reduce the problems experienced by primary caregivers and ensure they can play an effective ongoing role in the care of children with chronic disability. Second, at a theoretical level there is a great need to obtain a better understanding of the mechanisms by which environmental stressors give rise to mental health problems, particularly depression, in the general population.Read moreRead less
Australian Paediatrics Surveillance Unit: A Collaborative Network For Child Health Research
Funder
National Health and Medical Research Council
Funding Amount
$1,254,500.00
Summary
The proposed Facility will formalise a collaborative, national network of organisations to enable the conduct and dissemination of research on serious child health conditions. The Facility will provide a reliable, accessible, unique mechanism for national research that is aligned with national priorities and addresses knowledge gaps. It will disseminate that research widely to inform clinical practice, policy, prevention programs, resource allocation, the community and health professionals.
Determinants of children's physical activity and sedentary behaviour: a follow-up study from early childhood. This project investigates changes in preschool children's physical activity and sedentary behaviour, and influences on these changes, during the important period of transition to school. It will provide important information on how we might assist children to be more active, thereby avoiding the detrimental health and social outcomes of inactivity.
Childhood obesity, physical activity and wellbeing: Discovering the influence of children's understandings and experiences of places, spaces and communities. The study aims to discover 3-13 yr old children's understandings, perceptions & experiences of physical activity & associated places & spaces. Childhood obesity is a modern 'epidemic' & governments agree that low physical activity levels contribute significantly. Epidemiological & clinical research has been undertaken, but we lack Australia ....Childhood obesity, physical activity and wellbeing: Discovering the influence of children's understandings and experiences of places, spaces and communities. The study aims to discover 3-13 yr old children's understandings, perceptions & experiences of physical activity & associated places & spaces. Childhood obesity is a modern 'epidemic' & governments agree that low physical activity levels contribute significantly. Epidemiological & clinical research has been undertaken, but we lack Australian studies that systematically listen to & understand the pivotal voices of children themselves. Failure to develop such theoretically sound, practice-based understandings may mean ineffective interventions that misunderstand children's worlds. This collaborative study unites highly experienced researchers, practitioners & policy makers who will actively involve children in creating & using new knowledge.Read moreRead less
Development of a comprehensive model and programmed intervention for emotion processing deficits in childhood-onset mental health problems. This research is in the National Research Priority, promoting and maintaining good health. Mental health problems cost Australia millions of dollars every year as well as creating immeasurable social adversity for individuals and families. The proposed research represents a significant step towards reducing these costs and improving the effectiveness of earl ....Development of a comprehensive model and programmed intervention for emotion processing deficits in childhood-onset mental health problems. This research is in the National Research Priority, promoting and maintaining good health. Mental health problems cost Australia millions of dollars every year as well as creating immeasurable social adversity for individuals and families. The proposed research represents a significant step towards reducing these costs and improving the effectiveness of early intervention and prevention. The research will lead to improvements in methods for early detection of child psychopathology with potential for implementation in both community health and educational services nation-wide. The research partnership will build Australia's capacity for innovative research in the development, early intervention and treatment of mental health problems.Read moreRead less
A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed f ....A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed for longer particularly in communities where breastfeeding is not the norm. Increased support for breastfeeding women from family, community and health professionals is likely to reduce the distress reported by many new mothers. Strategic application of findings will lead to health gains from increased breastfeeding and translate into significant cost savings for the Australian health system. Read moreRead less
Maternal mental health and anaemia as determinants of infant health and development in resource constrained settings. A healthy start to life is an explicit Australian priority. Maternal health is a major determinant of the health and development of infants. This international collaborative project will contribute evidence about two maternal health conditions: mental disorders and anaemia, and their effects on infant health and development, through research in Vietnam where both are prevalent. ....Maternal mental health and anaemia as determinants of infant health and development in resource constrained settings. A healthy start to life is an explicit Australian priority. Maternal health is a major determinant of the health and development of infants. This international collaborative project will contribute evidence about two maternal health conditions: mental disorders and anaemia, and their effects on infant health and development, through research in Vietnam where both are prevalent. The findings will inform interventions to improve the health of mothers and infants in all resource-constrained settings, including among indigenous and refugee groups in Australia. It will advance Australia's international relations by strengthening a partnership with Viet Nam and contributing to a World Health Organization priority area. Read moreRead less
A mortality profile of Victoria's Aboriginal (and non-Aboriginal) children 1998-2008 using an innovative method and research process. The development of a population mortality profile of Victoria's children that includes accurate Indigenous identification will provide robust information to assess the effectiveness of programs interventions and policies aimed at reducing preventable deaths in children. This research will contribute to state, national and international imperative to improve the co ....A mortality profile of Victoria's Aboriginal (and non-Aboriginal) children 1998-2008 using an innovative method and research process. The development of a population mortality profile of Victoria's children that includes accurate Indigenous identification will provide robust information to assess the effectiveness of programs interventions and policies aimed at reducing preventable deaths in children. This research will contribute to state, national and international imperative to improve the collection of Aboriginal death information in order to allow meaningful comparisons between Australian jurisdictions and Aboriginal people globally. The consistent imput of the Aboriginal community and relevant experts in all phases of the project will enable and strengthen links with those who can influence government and policy makers to effect change.Read moreRead less
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