Improving The Evidence Base For Suicide Prevention Initiatives
Funder
National Health and Medical Research Council
Funding Amount
$772,209.00
Summary
The burden of suicide persists partly because we don’t know what works and what doesn’t work in suicide prevention. Relatively little research effort has been invested in studies that can tell us how best to direct resources. The problem is compounded by a disconnect between researchers and decision-makers. Through this Fellowship, Jane Pirkis will develop and implement a model for working with decision-makers to generate the best possible evidence upon which to base suicide prevention policy.
A Longitudinal Study Of Psychopathology In People With Intellectual Disability
Funder
National Health and Medical Research Council
Funding Amount
$999,803.00
Summary
This project will further develop the research opportunities of an internationally unique 15 year follow up study of the mental health of young Australians with ID. We have shown that this group has 2-3 times the risk of suffering serious emotional and behavioural problems that are an added heavy burden on the individual, their family and carers and the community. These problems often are not recognised but are as common as schizophrenia in the community. The study will continue to use a combina ....This project will further develop the research opportunities of an internationally unique 15 year follow up study of the mental health of young Australians with ID. We have shown that this group has 2-3 times the risk of suffering serious emotional and behavioural problems that are an added heavy burden on the individual, their family and carers and the community. These problems often are not recognised but are as common as schizophrenia in the community. The study will continue to use a combination of questionnaire survey and in depth interviews of the young adults and their families or carers to track the course of their mental health. The study commenced in 1990 with nearly 1000 young people with ID aged 4-18 years and their progress has been reviewed every 2-3 years in over 75% of the original group. During the next 5 years we plan to follow their mental health during the critical stage of young adult life. During this time there is the greatest risk of mental illnesses such as depression and schizophrenia and the stresses of adjusting to new daily occupations, independent living or residential care and social contact away from the family. We will be able to study the specific emotional and behavioural problems faced by young adults with the main known causes of ID such as Down, Fragile X, Prader Willi and William Syndromes, as well as those who have autism. The great benefit of a long term follow up study is that it allows us to study the links between earlier family environmental, psychological and biological factors and subsequent mental health problems. We can also demonstrate the impact that mental illness in a young person with ID has on the family and parental mental health. The findings have implications for better diagnosis, improved care and management, early intervention and prevention of these common severe and under recognized mental health problems in this disadvantaged group of young Australians and their families and carers.Read moreRead less
A Randomised Clinical Trial Of Internet-based Treatment For Binge Drinking And Depression In Young Australians
Funder
National Health and Medical Research Council
Funding Amount
$941,787.00
Summary
This project focuses on a common clinical problem that causes substantial functional, economic and health impacts; comorbid depression and binge drinking. These conditions are under-treated and peak in young adulthood. This project offers a low cost, wide reach, youth-appropriate treatment, which will have profound implications for service design and health policy. It relates to current Commonwealth initiatives in e-health and e-Psychology.
The Evaluation of Stuctures and Processes for Effective Client, Carer and Community Outcomes: A Model for Rural Mental Health Services. The South West Healthcare Area Mental Health Service ( Warnambool) has demonstrated according to key performance indicators, an effective system of service delivery. This evaluative research project seeks to identify key components within the organisational structures and processes of a rural mental health service that contribute to these effective outcomes fo ....The Evaluation of Stuctures and Processes for Effective Client, Carer and Community Outcomes: A Model for Rural Mental Health Services. The South West Healthcare Area Mental Health Service ( Warnambool) has demonstrated according to key performance indicators, an effective system of service delivery. This evaluative research project seeks to identify key components within the organisational structures and processes of a rural mental health service that contribute to these effective outcomes for clients. The research process will test these key components against other rural and urban mental health services in Victoria and will result in the development of a model for rural mental health service delivery of both local and national significance.Read moreRead less
The importance of gender and socio-economic disadvantage for the mental health of people living with disabilities. The twenty per cent of Australians reporting a disability are more likely to live in disadvantaged circumstances such as inadequate housing, unemployment, and lower levels of education all of which may contribute to poor mental health. Yet there has not been research on the mental health of people with disabilities. This means that disability services and advocacy groups, which deal ....The importance of gender and socio-economic disadvantage for the mental health of people living with disabilities. The twenty per cent of Australians reporting a disability are more likely to live in disadvantaged circumstances such as inadequate housing, unemployment, and lower levels of education all of which may contribute to poor mental health. Yet there has not been research on the mental health of people with disabilities. This means that disability services and advocacy groups, which deal daily with the lived experiences of disadvantage and poor mental health in people with disabilities, do not have evidence to support policy and service sector reform. This project will provide this critical evidence as well as build research capacity in disability-related research and lead to better monitoring of disability-related health inequities.Read moreRead less
School non-attendance in students with intellectual disability. This project aims to develop a better understanding of school non-attendance among children and adolescents with intellectual disability. School non-attendance is a major societal problem – school outcomes are affected by high rates of school non-attendance – and a current national and international priority. In particular, school non-attendance in students with intellectual disability is a common but poorly understood problem. This ....School non-attendance in students with intellectual disability. This project aims to develop a better understanding of school non-attendance among children and adolescents with intellectual disability. School non-attendance is a major societal problem – school outcomes are affected by high rates of school non-attendance – and a current national and international priority. In particular, school non-attendance in students with intellectual disability is a common but poorly understood problem. This project aims to understand the types and rates of school non-attendance problems in students with intellectual disability and the factors that influence non-attendance. Improved understanding of the pathways to non-attendance would facilitate the development of specific interventions to provide much-needed improvements in attendance in this disadvantaged group.Read moreRead less
Catch Them When They Fall: Providing Best Evidence Care After A Suicide Attempt
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
A previous suicide attempt is the strongest predictor of death by suicide. There is a strong evidence base for the key changes required to care after a suicide attempt: implementing evidence-based care is estimated to reduce suicide attempts at the population level by approximately 12%. Yet this is an area of health services that has been difficult to reform. This project is aimed at implementing best-evidence practice in four regions of NSW, where I have established partnerships.
A Stepped Care Approach For The Management Of Childhood Anxiety Disorders: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$936,628.00
Summary
Anxiety disorders are the most common form of mental disorder in childhood. Research has led to some good treatments but these don't necessarily suit all families. Stepped care is a format that allows the least complicated treatment to be given to a child first, followed by more intense treatments only when needed. The current study aims to compare this approach against a standard, established treatment. We expect the stepped care approach to result in better outcomes at a lower overall cost.
Implementing Safewards In Victoria: Evaluating Acceptability And Outcomes For Consumers And Staff
Funder
National Health and Medical Research Council
Funding Amount
$81,802.00
Summary
Safewards is a theory and specific strategies for inpatient mental health services, intended to create a safer and more supportive environment. Safewards was trialled in Victorian wards, this project will utilise the information collected in the trial. It aims to understand the impact of the implementation of Safewards from the perspectives of consumers and staff. Ultimately my research will provide evidence about the appropriateness of Safewards in Victorian mental health inpatient services.