A5067544297- Indigenous Health, Education, and Rights
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Digital Mental Health Interventions
- Community Health and Development
- Mental Health Treatment and Access
- Maternal Mental Health During Pregnancy and Postpartum
- Child Abuse and Trauma
- Global Health Workforce Issues
- Primary Care and Health Outcomes
- Substance Abuse Treatment and Outcomes
- Diabetes Management and Education
- Health disparities and outcomes
- Impact of Technology on Adolescents
- Health, psychology, and well-being
- Family and Patient Care in Intensive Care Units
- Clinical practice guidelines implementation
- Cultural Competency in Health Care
- Facial Trauma and Fracture Management
- Homelessness and Social Issues
- Emergency and Acute Care Studies
- Child and Adolescent Psychosocial and Emotional Development
- Child Development and Digital Technology
- Maternal and Perinatal Health Interventions
- Opioid Use Disorder Treatment
Charles Darwin University
2014-2024
Menzies School of Health Research
2014-2024
Queensland University of Technology
2020
The University of Sydney
2020
Flinders University
2001-2016
Royal Darwin Hospital
2006-2016
James Cook University
2007-2012
Mental Health Services
2006-2009
Royal Brisbane and Women's Hospital
1995
The University of Queensland
1995
Aboriginal and Torres Strait Islander Australians experience high rates of mental illness psychological distress compared to their non-Indigenous counterparts. E-mental health tools offer an opportunity for accessible, effective, acceptable treatment. The AIMhi Stay Strong app the ibobbly suicide prevention are treatment designed combat disproportionately levels stress experienced within community.This study aimed explore community members' experiences using two culturally responsive...
To develop and evaluate a culturally adapted brief intervention for Indigenous people with chronic mental illness.A mixed methods design in which an exploratory phase of qualitative research was followed by nested randomised controlled trial.Psycho-education resources intervention, motivational care planning (MCP), were developed tested collaboration aboriginal health workers three remote communities northern Australia.A total 49 patients illness 37 carers recruited to trial that compared...
Cross‐cultural considerations and difficulties recruiting retaining skilled workers in rural remote regions may contribute to poorer service use for Aboriginal Torres Strait Islander people. However, electronic resources provide the opportunity workforces deliver structured, evidence‐based, culturally appropriate treatments with limited training burden. The aim was develop determine acceptability, feasibility, appropriateness of a new e‐mental health resource (the Australian Integrated...
Abstract Background Strengthening primary health care is critical to reducing inequity between Indigenous and non-Indigenous Australians. The Audit Best practice for Chronic Disease Extension (ABCDE) project has facilitated the implementation of modern Continuous Quality Improvement (CQI) approaches in community centres across Australia. demonstrated improvements centre systems, delivery services patient intermediate outcomes. It also highlighted substantial variation quality care. Through a...
Objective There is a need to adapt pathways care promote access mental health services for Indigenous people in Australia. This study explored community and service provider perspectives of well-being ways at risk depressive illness. Design A participatory action research framework was used inform the development an agreed early intervention pathway; thematic analysis Setting 2 remote communities Northern Territory. Participants Using snowball purposive sampling, 27 providers members with...
Culturally responsive, strengths-based early-intervention mental health treatment programs are considered most appropriate to influence the high rates of psychological distress and suicide experienced by Aboriginal Torres Strait Islander youth. Few early intervention services effectively bridge socio-cultural geographic challenges providing sufficient culturally relevant in rural remote Australia. Mental Health apps provide an opportunity current gaps service access if co-designed with youth...
Mental health practitioners struggle to translate recovery paradigms into practice. Changing from a focus on remediation of symptoms reclaiming life in the community and enhancing protective factors requires new approach. One approach that particularly challenges providers is equalising traditional patient-service provider relationships. Given additional issues disempowerment social disadvantage Indigenous peoples Australia, relationships embedding values for mental clients especially...
Electronic mental health (e-mental health) interventions offer effective, easily accessible, and cost effective treatment support for illness well-being concerns. However, e-mental approaches have not been well utilized by services to date little is known about their implementation in practice, particularly diverse contexts communities.This study aims understand stakeholder perspectives on the requirements implementing regional remote Indigenous Australians.Qualitative interviews were...
Abstract Background End stage kidney disease (ESKD) is associated with many losses, subsequently impacting mental wellbeing. Few studies have investigated the efficacy of psychosocial interventions for people ESKD and none exist Indigenous people, a population in which burden especially high. Methods This three-arm, waitlist, single-blind randomised controlled trial examined Stay Strong App improving psychological distress (Kessler scale; K10), depressive symptoms (adapted Patient Health...
A growing body of international literature points to the importance a system approach improve quality care in primary health settings. Continuous Quality Improvement (CQI) concepts and techniques provide theoretically coherent practical way for organisations identify, address, overcome barriers improvements. The Audit Best Practice Chronic Disease (ABCD) study, CQI-based improvement project conducted Australia's Northern Territory, has demonstrated significant improvements service systems,...
To report the impact of Indigenous e-mental health training course 'Yarning about Mental Health using AIMhi Stay Strong App'.
Incidence of end stage kidney disease (ESKD) for Indigenous Australians is especially high in remote and very areas Australia (18 20 times the rate comparable non-Indigenous people). Relocating away from family country treatment, adjusting to life with a chronic condition time lost dialysis cause grief sadness which have immense impact on quality challenges treatment adherence. We describe first randomised controlled trial address both mental health people ESKD, test effectiveness culturally...
Despite young First Nations Australians being typically healthy, happy, and connected to family culture, high rates of emotional distress, suicide, self-harm are also observed. Differing worldviews service providers people regarding illness treatment practices, language differences, culturally inappropriate models, geographical remoteness, stigma can all inhibit access appropriate mental health support. Mental treatments delivered digitally (digital health; dMH) offer flexible...
The Australian Integrated Mental Health Initiative in the Northern Territory is one of a number sites funded by National and Medical Research Council. project has been working with Aboriginal Workers (AMHWs), Top End Division General Practice (TEDGP) to adapt mental health information Torres Strait Islander context through development stories. stories focus on personal strengths family support, use local artwork images, language, metaphors music. concepts have incorporated into service...
To investigate trends in hospital admissions involving suicidal behaviour the Northern Territory (NT) resident population over period 2001-2013.Estimates of age-standardised rates and average changes annual rate were calculated by socio-demographic characteristics types behaviour.Overall for Indigenous 2.7 times higher than non-Indigenous had increased almost twice as much. While male female admission similar both residents, change was greater females (13.4%) compared to males (8.8%) (7.7%)...
This article reviews the changing Aboriginal mental health service delivery model of Top End Mental Health Services, and highlights importance workers in improving communication with patients. The Australian Integrated Initiative Northern Territory Indigenous stream (AIMHI NT) is introduced.
This study is one of the activities a multi-site research program, Australian Mental Health Initiative (AIMhi), funded by National and Medical Research Council. AIMhi in Northern Territory collaborated with Aboriginal mental health workers remote service providers developing range resources strategies to promote improved Indigenous outcomes. A brief intervention that combines principles motivational interviewing, problem solving therapy chronic disease self-management described. The has been...
Abstract High risk drinking is linked with high rates of physical harm. The reported incidence alcohol - related trauma among Aboriginal and Torres Strait Islander people in the Northern Territory highest world. Facial fractures are common young Islanders. They often misuse frequently secondary to assault. This review focuses on alcohol-related draws attention an urgent need for preventative health approach address this critical issue.
Relatively little is known about how depression amongst people with chronic illness identified and managed in diverse primary health care settings. We evaluated the role of complex physical needs influencing current practice screening, documentation antidepressant prescriptions during a 12-month period, among adults Type 2 diabetes attending Aboriginal Torres Strait Islander centres Australia.We analysed clinical audit data from 44 participating continuous quality improvement initiative,...
Chronic kidney disease is an increasingly common health problem for Aboriginal and Torres Strait Islander people. It associated with multiple concurrent psychosocial stressors frequently resulting in negative impacts on emotional social wellbeing. There need well-designed intervention studies to provide evidence of effective treatment comorbid depression or other mental illness this setting. Attention early phase piloting development work recommended when testing complex interventions. This...
Digital mental health tools can promote access to culturally safe early intervention services for Aboriginal and Torres Strait Islander young people. Participatory design methodology facilitates user engagement in the co-design of digital resources. However, several challenges have been identified that limit methodological rigor this approach.This paper aims present an in-depth account second phase participatory development Mental Health Initiative Youth (AIMhi-Y) app.A first idea...
Purpose We aimed to test the reliability and validity of two brief measures resilience adopted for evaluation a preventative social-emotional curriculum implemented Aboriginal middle school students from socially disadvantaged remote communities in Australia’s Northern Territory. The questionnaires chosen were intended measure psychological socio-cultural as complementary dimensions capacity cope circumstances significant life stress risk self-harm. Methods Confirmatory factor analysis (CFA)...
Gambling impacts upon the health, wellbeing and finances of many people throughout Australia. This study aimed to explore socioeconomic cultural factors linked with gambling in urban remote Indigenous settings Northern Territory inform development a public health strategy. The Aboriginal Islander Mental Health Initiative developed semi‐structured questionnaire partner organisations following consultation. consumers substance use treatment facilities participated focus group discussions key...