A5032936790- Substance Abuse Treatment and Outcomes
- Traumatic Brain Injury Research
- Trauma and Emergency Care Studies
- Homelessness and Social Issues
- Indigenous Health, Education, and Rights
- Community Health and Development
- Global Health Workforce Issues
- Alcohol Consumption and Health Effects
- Cardiac Arrest and Resuscitation
- Prenatal Substance Exposure Effects
- Primary Care and Health Outcomes
- Healthcare innovation and challenges
- Emergency and Acute Care Studies
- Agriculture and Farm Safety
- Injury Epidemiology and Prevention
- Global Health and Surgery
- Elder Abuse and Neglect
- Intimate Partner and Family Violence
- Retirement, Disability, and Employment
- Traffic and Road Safety
- Indigenous Studies and Ecology
- Migration, Health and Trauma
- Healthcare Policy and Management
- Employment and Welfare Studies
- Traumatic Brain Injury and Neurovascular Disturbances
Australian Institute of Tropical Health and Medicine
2015-2024
James Cook University
2015-2024
La Trobe University
2019-2024
Western Sydney University
2019-2024
Charles Darwin University
2021-2024
Menzies School of Health Research
2020-2024
Ngaanyatjarra Health Service
2024
Maari Ma Health
2024
Macquarie University
2024
Monash University
2024
The COVID-19 pandemic increased the use of telehealth consultations by telephone and video around world. While can improve access to primary health care, there are significant gaps in our understanding about how, when what extent should be used. This paper explores perspectives care staff on key elements relating effective for patients living remote Australia.Between February 2020 October 2021, interviews discussion groups were conducted with 248 clinic from 20 different communities across...
Abstract Background Aboriginal Community Controlled Health Services (ACCHSs) in Australia aim to optimise access comprehensive and culturally safe primary health care (PHC) for populations. Central quality service provision is the retention of staff. However, there lack published research reporting patterns staff turnover specific ACCHSs. This study quantified regional remote ACCHSs Northern Territory (NT) Western (WA), examined correlations between metrics, ACCHSs’ geographical demographic...
Abstract The rapid response to the COVID‐19 pandemic in Australia has highlighted vulnerabilities of remote Aboriginal and Torres Strait Islander communities terms high prevalence complex chronic disease socio‐economic factors such as limited housing availability overcrowding. also illustrated capability leaders Community Controlled Health Services Sector, working with government, rapidly effectively mitigate threat transmission into these vulnerable communities. exposed persistent workforce...
While there is a well-developed body of literature in the health field that describes processes to implement research, dearth similar disability research involving complex conditions. Moreover, development meaningful and sustainable knowledge translation now standard component process. Knowledge users, including community members, service providers, policy makers call for evidence-led activities occur rapidly. In response, this article presents case study explores needs priorities Aboriginal...
Globally, there is growing recognition of the connection between violence and head injuries. At present, little qualitative research exists around how surviving this experience impacts everyday life for women, particularly Aboriginal Torres Strait Islander women. This project aims to explore nature context these women’s lives including living with injury identify their needs priorities during recovery. 3-year exploratory being conducted across three Australian jurisdictions (Queensland,...
Traumatic brain injury (TBI) is a leading cause of disability worldwide. Previous studies have shown that males higher incidence than females, and Indigenous populations rate non-Indigenous. To date, no study has compared the TBI between non-Indigenous Australians for any cause. Here we add to this rather sparse literature. Retrospective analysis data from North Queensland Emergency Departments 2007 2015 using Australian Bureau Statistics population estimates residents aged 15–64 years as...
Abstract Background Population estimates of alcohol consumption vary widely among samples Aboriginal and Torres Strait Islander (Indigenous) Australians. Some this difference may relate to non-representative sampling. In some communities, household surveys are not appropriate phone feasible. Here we describe activities undertaken implement a representative sampling strategy in an urban setting. We also assess our likely success. Methods used quota-based convenience sample, stratified by age,...
Abstract Introduction Measuring self‐reported alcohol use is challenging in any population, including when episodic drinking may be common. Drinking among Indigenous Australians has been shown to vary greatly within and between communities. However, most survey methods assume ‘regular’ patterns of drinking. National estimates have also underestimate this group. This paper describes two representative community samples (urban remote). Methods (aged 16+ years) South Australian sites were...
Globally, traumatic brain injury (TBI) has been recognised as a serious health issue not only because of the immediate impacts at time occurs but even more so due to longstanding impacts. Even though TBI is globally condition, research disproportionately focused on its incidence in, and long-term effects men. A growing body suggests that generally, women who experience family violence are high risk suffer in ways reflect gendered differences patterns frequency violence. In Australia, social...
In 2002/03 the Queensland Government responded to high rates of alcohol-related harm in discrete Indigenous communities by implementing alcohol management plans (AMPs), designed include supply and reduction treatment measures. Tighter carriage restrictions followed 2008 following indications reductions violence injury. Despite being place for over a decade, no comprehensive independent review has assessed what level aims were achieved effect have had on community residents service providers....
Abstract Objective: A growing body of qualitative literature globally describes post-hospital experiences during early recovery from a traumatic brain injury. For Indigenous Australians, however, little published information is available. This study aimed to understand the lived Australians 6 months post-discharge, identify help and supports accessed transition gaps in service provision or difficulties experienced. Methods Procedure: Semi-structured interviews were conducted at after...
Abstract In Australia and internationally, co‐responder models are becoming an increasingly common intervention to respond police callouts where there is assumed mental health‐related component or crisis. This type of model involves a collaborative approach trained officers team with health clinicians provide specialized responses in order improve outcomes for persons illness. However, limited understanding as major elements required implementation the model. study aims identify essential...
Traumatic brain injury (TBI) is a serious yet commonly under-recognised sustained by women as direct outcome of family violence. Although healthcare and support services are critical, many do not access following this injury. At present, there few relevant qualitative studies that have elevated the voices Aboriginal Torres Strait Islander women. This article describes barriers prevent from accessing hospital after experiencing TBI violence in one regional (Queensland) remote location...
In Australia, 'Alcohol Management Plans' (AMPs) provide the policy infrastructure for State and Commonwealth Governments to address problematic alcohol use among Aboriginal Torres Strait Islanders. We report community residents' experiences of AMPs in 10 Queensland's 15 remote Indigenous communities. This cross-sectional study used a two-stage sampling strategy: N = 1211; 588 (48%) males, 623 (52%) females aged ≥18 years Seven propositions about 'favourable' impacts seven 'unfavourable' were...
Abstract Background: Increasingly, narrative and creative arts approaches are being used to enhance recovery after traumatic brain injury (TBI). Narrative arts-based congruent with Indigenous storytelling may therefore provide benefit during the transition from hospital home for some TBI patients. This qualitative study explored use impact of this approach as part a larger, longitudinal Australians. Method: A combined was one Australian artist describe his experiences following TBI. Together...
Introduction Access to high-quality primary healthcare is limited for remote residents in Australia. Increasingly, health services are reliant on short-term or ‘fly-in, fly-out/drive-in, drive-out’ workforce deliver healthcare. A key strategy achieving service access equity, particularly evident Australia, has been the development of Aboriginal Community Controlled Health Services (ACCHSs). This study aims generate new knowledge about (1) impact staffing and rural ACCHSs Torres Strait...
There is a shortage of nurses, Aboriginal Health Practitioners, GPs and other staff in remote Australian health clinics. also high turnover staff, leading to questions 'who' appropriate for First Nations practice? The aim this paper was identify the characteristics who are likely work well settings, from perspectives practitioners.
Indigenous communities in Queensland (Australia) have been subject to Alcohol Management Plans since 2002/03, with significant penalties for breaching restrictions. 'Sly grog' and 'homebrew' provide access alcohol despite This paper describes how this is made available the risks impacts involved. In affected towns across a large area of rural remote Queensland, interviews focus groups documented experiences views 255 long-standing community members service providers. Using an inductive...
Issue addressed Alcohol-related road crashes are a leading cause of the injury burden experienced by Indigenous Australians. Existing drink driving programs primarily designed for mainstream population. The 'Hero to Healing' program was specifically developed with communities and is underpinned Community Reinforcement Approach (CRA). This paper reports on formative evaluation from delivery in two Far North Queensland communities. Methods Focus groups semistructured interviews were conducted...
Aboriginal and Torres Strait Islander women experience high rates of traumatic brain injury (TBI) as a result violence. While healthcare access is critical for who have experienced TBI it can support pre-screening, comprehensive diagnostic assessment, referral pathways, little known about the barriers in remote areas to healthcare. To address this gap, study focuses on workforce one region Australia. Semi-structured interviews focus groups were conducted with 38 professionals from various...
In recent years, there has been an increasing trend of short-term staffing in remote health services, including Aboriginal Community-Controlled Health Services (ACCHSs). This paper explores the perceptions clinic users' experiences at their local and how impacts quality service, acceptability, cultural safety, continuity care ACCHSs communities. Using purposeful convenience sampling, community users (aged 18+) eleven partnering were invited to provide feedback about through interview or...
ABSTRACT Introduction Indigenous women experience high rates of family violence‐related head injuries. At present, lived accounts from are absent, which results in incomplete understandings and inadequate responses that have detrimental impacts on them their families. The aim this study was to gain insight into women's personal perspectives regarding traumatic brain injury (TBI), including life, as well decision‐making processes about healthcare access engagement. Methods Purposeful sampling...