A5041225099- Mental Health Treatment and Access
- Health disparities and outcomes
- Digital Mental Health Interventions
- Chronic Disease Management Strategies
- Mental Health and Patient Involvement
- Mental Health Research Topics
- Cardiac Health and Mental Health
- Schizophrenia research and treatment
- Health, psychology, and well-being
- Health Systems, Economic Evaluations, Quality of Life
- Complementary and Alternative Medicine Studies
- Resilience and Mental Health
- Treatment of Major Depression
- COVID-19 and Mental Health
- Service and Product Innovation
- Technology Use by Older Adults
- Child and Adolescent Psychosocial and Emotional Development
- Diabetes Management and Education
- Mobile Health and mHealth Applications
- Child Abuse and Trauma
- Healthcare cost, quality, practices
- Innovative Approaches in Technology and Social Development
- Intimate Partner and Family Violence
- Family Caregiving in Mental Illness
- Migration, Health and Trauma
The University of Melbourne
2010-2023
Park Centre for Mental Health
2023
Melbourne Health
2021
Mental Health Australia
2009
Improving access to primary healthcare (PHC) for vulnerable populations is important achieving health equity, yet this remains challenging. Evidence of effective interventions rather limited and fragmented. We need identify innovative ways improve PHC populations, clarify which elements systems, organisations or services (supply-side dimensions access) abilities patients (demand-side be strengthened achieve transformative change. The work reported here was conducted as part IMPACT...
Background Mental health treatment rates are increasing, but the burden of disease has not reduced. Tools to support efficient resource distribution required. Aim To investigate whether a person-centred e-health (Target-D) platform matching depression care symptom severity prognosis can improve depressive symptoms relative usual care. Design and setting Stratified individually randomised controlled trial in 14 general practices Melbourne, Australia, from April 2016 February 2019. In total,...
Background The COVID-19 pandemic has highlighted the importance of health care workers’ mental and well-being for successful function system. Few targeted digital tools exist to support hospital-based workers, none them appear have been led co-designed by workers. Objective RMHive is being developed workers using experience-based co-design (EBCD) processes as a mobile app challenges posed We present protocol impact evaluation rapid design delivery app. Methods will adopt mixed methods...
Abstract Background Mental health policies outline the need for codesign of services and quality improvement in partnership with service users staff (and sometimes carers), yet, evidence systematic implementation impacts on healthcare outcomes is limited. Objective The aim this study was to test whether an adapted mental experience intervention improve recovery‐orientation led greater psychosocial recovery users. Design A stepped wedge cluster randomized‐controlled trial conducted. Setting...
Background Target-D, a new person-centred e-health platform matching depression care to symptom severity prognosis (minimal/mild, moderate or severe) has demonstrated greater improvement in depressive symptoms than usual plus attention control. The aim of this study was evaluate the cost-effectiveness Target-D compared from health sector and partial societal perspective across 3-month 12-month follow-up. Methods findings A cost-utility analysis conducted alongside randomised controlled...
The use of chiropractic services is widespread, however, little known about the characteristics people who seek care in Australia. This study compared users and non-users from a cohort patients sourced general medical practice Victoria, secondary analysis baseline screening data prospective adult beginning 2005. Thirty randomly selected Australian practices mailed out surveys to 17,780 their patients. Differences were examined between others, reported back problem those did not. Of 7,519...
Strategies of personal resilience enable successful adaptation in adversity. Among patients experiencing depression symptoms, we explored which strategies they find most helpful and tested the hypothesis that use these improves recovery. We used interview survey data from Diagnosis, Management Outcomes Depression Primary Care 2005 cohort symptoms Victoria, Australia. A total 564 participants answered a computer-assisted telephone question at 12 months follow-up, about what found for their...
There is increased recognition that people with lived-experience of mental ill-health ought to be centred in research design, implementation and translation, quality improvement program evaluation services. also an focus on ways ensure co-design processes can led by ill-health. Despite this, there remains limited explanation the physical, social, human, economic infrastructure needed create sustain such models service settings. This particularly pertinent for all health sectors (across...
While depression is frequently managed by general practitioners, often patients self-manage these symptoms with alternative therapies, including St John's wort (SJW). We tested whether use of SJW was associated different patterns conventional and complementary health service use, strategies used for management depression, or user dissatisfaction lack trust in their practitioner clinic overall. Secondary analysis data collected from an Australian population screened a longitudinal cohort...
There is a global shift to foster patient-centred and recovery-oriented mental health services. This has resulted from the expansion of how concept recovery understood in literature practice. Recovery now more than return function or reduction symptoms; it subjective, individualised multi-faceted experience. To date there not been investigation services can be translated implemented into primary care system. paper presents results survey prospective cohort patients with probable depression...
Cardiovascular disease (CVD) accounts for 40% of the excess mortality identified in people with severe mental illness (SMI). Modifiable CVD risk factors are higher and can be exacerbated by cardiometabolic impact psychotropic medications. People SMI frequently attend primary care presenting a valuable opportunity early identification, prevention management cardiovascular health. The ACCT Healthy Hearts Study will test coproduced, nurse-led intervention delivered general practitioners to...
Aims: To assess trajectories of women’s experience intimate partner violence (IPV) over time, and baseline risk factors associated four-year outcomes for different trajectories. Design: A cohort study 548 women with depressive symptoms, attending primary care appointments, were surveyed annually four years. Secondary analysis was undertaken using growth mixture modelling to generate IPV Analyses associations these generated classes hypothesised measures undertaken. Results: At baseline, 42%...
To evaluate a facilitated, 90-min session, delivered for four weeks, Online Carer Wellbeing and Connection Program in Victoria, Australia.One hundred three carers took part the evaluation. Eighty-six completed both pre- post-program surveys evaluating program impacts on psychological distress, perceived loneliness, social support. Qualitative interviews were conducted (n = 76) experiential data.Paired samples t-tests showed significant decreases between distress (M 25.10, SD 7.08; M 22.00,...
<sec> <title>BACKGROUND</title> The COVID-19 pandemic has highlighted the importance of health care workers’ mental and well-being for successful function system. Few targeted digital tools exist to support hospital-based workers, none them appear have been led co-designed by workers. </sec> <title>OBJECTIVE</title> RMHive is being developed workers using experience-based co-design (EBCD) processes as a mobile app challenges posed We present protocol impact evaluation rapid design delivery...