Strengthening the capacity of public health organisations to deliver effective public health services. In an effort to maintain and improve the health of the population Australia has defined the core public health functions that must be carried out. This project will examine public health infrastructure and capacity in three states - mapping the implementation of core functions, assessing current infrastructure, comparing organisational approaches, and developing measures of local public health ....Strengthening the capacity of public health organisations to deliver effective public health services. In an effort to maintain and improve the health of the population Australia has defined the core public health functions that must be carried out. This project will examine public health infrastructure and capacity in three states - mapping the implementation of core functions, assessing current infrastructure, comparing organisational approaches, and developing measures of local public health capacity. These will then become industry benchmarks to guide investment and interventions, and to assess the quality of these. The project will investigate the context in which core public health functions are successfully delivered and develop tools to measure local capacity and delivery functions.Read moreRead less
Managing risk in community services. A preliminary study of the impacts of risk management on Victorian services and clients. Most older people and those with a disability or a mental illness now live in the community. They receive help from a vast range of community services, which are also expected to keep them safe, and their workers and the wider community safe. Risk management is now an important part of the work of all services and businesses involved in community care. This project will s ....Managing risk in community services. A preliminary study of the impacts of risk management on Victorian services and clients. Most older people and those with a disability or a mental illness now live in the community. They receive help from a vast range of community services, which are also expected to keep them safe, and their workers and the wider community safe. Risk management is now an important part of the work of all services and businesses involved in community care. This project will study the unforeseen impacts and costs of the new risk management, identify the problems, and explore the ways risk management can achieve its goals without reducing services and limiting the lives of the clients.Read moreRead less
Out of the Institution. An investigation of deinstitutionalization, exploring the effectiveness of supported housing for people with psychiatric disabilities leaving care. The project has two objectives. The first is to investigate outcomes of a unique model of supported housing for deinstitutionalised people living in the community. The second is to survey people that are about to be deinstitutionalised along with staff and family and set up a framework for longitudinal analysis of this group. ....Out of the Institution. An investigation of deinstitutionalization, exploring the effectiveness of supported housing for people with psychiatric disabilities leaving care. The project has two objectives. The first is to investigate outcomes of a unique model of supported housing for deinstitutionalised people living in the community. The second is to survey people that are about to be deinstitutionalised along with staff and family and set up a framework for longitudinal analysis of this group. While a major social policy reform, deinstitutionalisation in Australia has been under-researched, despite the potential pitfalls. This project will provide information and analysis that will help government and community agencies to seek and provide better outcomes for clients and communities.Read moreRead less
Assessing risk factors and service needs for homelessness: Perspectives of homeless people and health service providers. This study will examine the risk factors and service needs for homelessness from the perspectives of multiple stakeholders. The aims are to develop and evaluate a risk assessment tool for use in the emergency department and upon discharge; to test the tool for its ability to predict the possibility of future hospital admission and the types of patients who would benefit from r ....Assessing risk factors and service needs for homelessness: Perspectives of homeless people and health service providers. This study will examine the risk factors and service needs for homelessness from the perspectives of multiple stakeholders. The aims are to develop and evaluate a risk assessment tool for use in the emergency department and upon discharge; to test the tool for its ability to predict the possibility of future hospital admission and the types of patients who would benefit from referrals; and to develop best practice guidelines. This innovative study, which seeks to implement and evaluate a collaborative approach in the provision of treatment, will contribute to ensuring a high standard of care for individuals experiencing homelessness.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
Recruitment and Retention of the Australian Medical Practitioner Workforce - a Longitudinal Electronic Cohort Study. Identifying and acknowledging the significant personal and professional influences on the career decisions of doctors, including the choice to leave the profession for several years and factors driving the decision to return or not return, will provide not only the major public employers of doctors, but also government, community and private practice groups with reliable current e ....Recruitment and Retention of the Australian Medical Practitioner Workforce - a Longitudinal Electronic Cohort Study. Identifying and acknowledging the significant personal and professional influences on the career decisions of doctors, including the choice to leave the profession for several years and factors driving the decision to return or not return, will provide not only the major public employers of doctors, but also government, community and private practice groups with reliable current evidence to inform medical workforce planning and design, and ensure quality health care. 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
The emotional and social burden of caring for a young child with complex health needs. The National Agenda for Early Childhood and the Stronger Families and Community Strategy provide a framework for achieving efficient and effective outcomes in early childhood. This project will contribute to those strategies by gaining an understanding of the currently unknown issues faced by the group of families of young infants and children with complex health needs in a variety of geographic, community and ....The emotional and social burden of caring for a young child with complex health needs. The National Agenda for Early Childhood and the Stronger Families and Community Strategy provide a framework for achieving efficient and effective outcomes in early childhood. This project will contribute to those strategies by gaining an understanding of the currently unknown issues faced by the group of families of young infants and children with complex health needs in a variety of geographic, community and service settings, and the government supported services required. The identification of risk and resilience factors will enable the early detection of children at 'high-risk' and provide the opportunity to implement preventative and early intervention programs.Read moreRead less
Community Engagement for Productive Ageing: Models to support rural healthy ageing through the maintenance of community involvement and contribution. Governments at all levels are concerned about the looming social and economic challenges flowing from an ageing population. At present, ageing services are largely focussed on caring for the frail dependent aged. Yet, ultimately, the key to meeting the ageing challenge will lie in how successful we are in supporting our healthy independent aged to ....Community Engagement for Productive Ageing: Models to support rural healthy ageing through the maintenance of community involvement and contribution. Governments at all levels are concerned about the looming social and economic challenges flowing from an ageing population. At present, ageing services are largely focussed on caring for the frail dependent aged. Yet, ultimately, the key to meeting the ageing challenge will lie in how successful we are in supporting our healthy independent aged to stay contributing and productive members of their community. By developing evidence-based interventions that focus on preventing social disengagement before it occurs, the project provides a cost effective approach to ensuring that Australia's rapidly growing aged cohort remain social assets and do not become social burdens.Read moreRead less
Developing an Integrative Active Ageing Model for Policy Makers and Service Providers to Support Older People with Lifelong Intellectual Disability. 'Active ageing' is increasingly gaining international currency and it underpins Australia's national focus on healthy ageing. However, its meaning for older people with intellectual disability, who represent about 0.13% of Australia's older population, is unclear, as little is known about the impact of ageing upon this group. This exciting resear ....Developing an Integrative Active Ageing Model for Policy Makers and Service Providers to Support Older People with Lifelong Intellectual Disability. 'Active ageing' is increasingly gaining international currency and it underpins Australia's national focus on healthy ageing. However, its meaning for older people with intellectual disability, who represent about 0.13% of Australia's older population, is unclear, as little is known about the impact of ageing upon this group. This exciting research project aims to address these knowledge gaps through a series of case studies comprising key stakeholder groups in rural and urban Victoria and Queensland. An Integrative Model of Active Ageing for policy makers and service providers will be developed to facilitate the planning and appropriate distribution of resources for this population. Read moreRead less