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Health News

Prevention and early intervention critical to ending the cycle of family mental illness

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Prevention and early intervention critical to ending the cycle of family mental illness

An international group of researchers led by Monash University have developed a series of principles and recommendations to assist children whose parents are living with a mental illness.

The team of researchers have found that due to a range of factors, children whose parent/s have a mental illness are at risk for their own mental health problems and recommend that mental health services deliver support for the whole family and not only to individuals.

Children whose parents have mental illness are between two to 13 times more likely to develop a mental illness themselves, to be less school-ready, to present with higher rates of physical injury, more likely to be taken into care, and more likely to develop health conditions such as asthma.

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Professor Andrea Reupert, from the School of Educational Psychology and Counselling in the Faculty of Education at Monash University, says children whose parents have mental illnesses are among the most vulnerable in our communities.

“Currently the delivery of evidence-based interventions to support these children have been limited by a lack of adequate support structures. We believe a major service reorientation is required to better meet the needs of these vulnerable children and their families. Accordingly, we’ve outlined a number of recommendations for practice, organisational and systems change to enable this,” said Professor Reupert.

The key recommendations outlined in the position paper, which was recently published in the Journal of Child Psychology and Psychiatry, include:

Child and adolescent-orientated services need to ask whether parents of clients have mental health concerns, ascertain the impact of the parent’s illness on the child, engage with parents to identify, and respond to, their needs and/or initiate and coordinate agency referrals for them
Adult orientated services should identify parenting status, engage with clients in their parenting role and responsibilities, engage with clients’ children to identify, and respond appropriately to their needs and/or initiate and coordinate agency referrals for children
Child and adolescent as well as adult-oriented services need to assess family strengths and needs, including the quality and quantity of family supports, parenting strengths and vulnerabilities, provide age-appropriate information about the parent’s mental illness to children, parents and other family members and consult with children and other family members when or if the parent is hospitalised, and monitor and follow up with of children and other family members, especially at key developmental milestones
Professor Darryl Maybery, from the Monash School of Rural Health in the Faculty of Medicine, Nursing and Health Sciences, says current practices need a complete overhaul so mental health support services are based on family needs rather than individualistic models of care.

“The paper specifically outlines the critical need for appropriate prevention and early intervention initiatives to be provided to children and parents living with parental mental illness. We provide clear direction to inform workforce and systemic change,” said Professor Maybery.

Professor Kim Foster, from the School of Nursing, Midwifery and Paramedicine at the Australian Catholic University, says the paper directly addresses recommendations from the National Mental Health Productivity Commission Report and the Royal Commission into Victoria’s Mental Health System, to provide child and adult mental health services that better meet the needs of these children and families.

“Applying the principles and recommendations from the paper will help services improve the quality of life and outcomes for children and families living with parental mental illness,” said Professor Foster.

Representing seven countries, the 24 authors of the position paper are research experts in the field of parental mental illness and are part of the Prato Collaborative for Change in Parent and Child Mental Health, which aims to contribute to the evidence base for these children and families and promote change at clinician, workforce, and systems levels.

To view the research paper, please visit: https://bit.ly/3ifJXNq

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Health News

New research partnership to tackle hearing loss

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Hearing loss

New research partnership to tackle hearing loss

 

An exciting new collaboration has been established between the Ear Science Institute Australia and the National Acoustic Laboratories (NAL), uniting Australia’s leading hearing researchers in a concerted effort to enhance treatments for the millions affected by hearing impairments.

National Acoustics Laboratories Director, Brent Edwards, emphasised the significance of the collaboration, stating, “This partnership harnesses the collective expertise of some of Australia’s most dedicated and forward-thinking hearing researchers, all committed to profoundly improving hearing healthcare globally.”

Hearing loss is among the world’s most prevalent health issues, with projections suggesting that by 2050 nearly 2.5 billion individuals will experience some form of hearing impairment. This partnership aims to foster substantial advancements in the quality of life for those affected by hearing loss, both in Australia and worldwide.

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By pooling their vast resources and data, both institutions are poised to transform hearing health care. The Ear Science Institute Australia, recognised globally as a for-purpose center of excellence, combines scientific research, medical innovation, and clinical practice to pioneer new treatments for ear and hearing conditions, ultimately striving to discover a cure for hearing loss.

Ear Science Institute’s CEO, Sandra Bellekom, commented on the future implications of the partnership, “Looking forward, this alliance with National Acoustic Laboratories opens new pathways for sharing knowledge, which will enhance the delivery of cutting-edge, personalised hearing solutions and expand access to superior hearing care for people around the world.”

 

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Health News

Introduction of New Clinical Care Standard by ACSQHC to Address Psychotropic Medicine Use in Cognitive Disability and Impairment

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Introduction of New Clinical Care Standard by ACSQHC to Address Psychotropic Medicine Use in Cognitive Disability and Impairment

 

By Jeff Gibbs

The Australian Commission on Safety and Quality in Health Care (the Commission) has today announced the launch of a pivotal new national standard aimed at enhancing the care for individuals with cognitive disabilities or impairments. The introduction of the Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard is a critical advancement in promoting safer and more effective treatment protocols across the healthcare spectrum.

Background and Rationale for the New Standard

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Recent decades have witnessed a 60% surge in the prescription of psychotropic medications across Australia. Despite a modest reduction in antipsychotic use among the elderly—prompted by heightened awareness of associated risks—the prescribing rates remain alarmingly high, particularly among vulnerable populations. Notably, older individuals and those residing in aged care facilities are disproportionately affected by the adverse effects of these medications, including cognitive decline, heightened risk of falls, strokes, and mortality. Additionally, approximately one-third of individuals with intellectual disabilities are prescribed psychotropic drugs, exposing them to potentially severe short and long-term side effects.

Scope and Impact of the Standard

The new Standard seeks to mitigate the inappropriate utilisation of psychotropic medications and emphasises patient safety. It priorities non-pharmacological interventions as the foremost approach for managing challenging behaviours such as aggression and agitation. Psychotropic medications are advised as a last-resort measure, following the ineffectiveness of alternative strategies or in situations posing significant risk to the individual or others.

The Standard advocates for tailored non-medication strategies that respect the individual’s needs and preferences, developed in consultation with their family and other authorised caregivers. This approach underscores the commitment to upholding the dignity and autonomy of individuals with cognitive impairments.

Expert Insights and Support

Key health experts have endorsed the significance of this new Standard. Conjoint Associate Professor Carolyn Hullick, Chief Medical Officer at the Commission, stresses the necessity for mindful prescribing practices given the limited benefits and substantial risks associated with psychotropic medications in this demographic. Professor Julian Trollor from the University of New South Wales and Juanita Breen from the University of Tasmania also highlight the importance of objective-driven prescribing, continuous monitoring, and the potential to reduce medication dosages in favour of non-pharmacological alternatives.

Implementation Across Settings

The Standard is applicable universally across various healthcare settings, including hospitals, aged care facilities, and community services, ensuring that individuals with cognitive disabilities receive consistent and coordinated care irrespective of the setting.

Professor Eddy Strivens emphasises the need for coordinated efforts and effective communication, particularly during care transitions, to maintain continuity and efficacy of treatment plans and to support decision-making processes that honour patient autonomy.

Collaborative Efforts for Enhanced Care

In a collective endeavour to address these issues, the Commission has collaborated with the Aged Care Quality and Safety Commission and the NDIS Quality and Safeguards Commission to issue a Joint Statement against the misuse of psychotropics in managing behaviours in disabled and elderly populations.

Conclusion

The introduction of the Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard marks a significant step forward in improving the quality of care and safety for Australians with cognitive disabilities or impairments. It aligns with ongoing efforts to reform health care, aged care, and disability support systems across the nation.

The complete Standard and accompanying resources are available on the Commission’s website here.

 

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Education

National Walk Safely to School Day Turns 25

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National Walk Safely to School Day Turns 25

 

As National Walk Safely to School Day approaches on Friday, 10 May 2024, primary school-aged children across Australia are encouraged to lace up their shoes for a walk towards a healthier future. Celebrating its 25th anniversary, this initiative, championed by the Pedestrian Council of Australia, highlights the myriad benefits of walking and other forms of active transportation, particularly to and from school.

This annual event not only emphasises physical health but also aims to improve road safety, reduce environmental impact, and promote the use of public transport to lessen car dependency near schools. Harold Scruby, Chairman and CEO of the Pedestrian Council of Australia, emphasises the importance of adult supervision for children under 10 when crossing the street, reinforcing the safety aspect of the campaign.

“Walk Safely to School Day is a great opportunity to teach our kids about the benefits of physical activity,” said Scruby. He also pointed to the worrying statistics of childhood obesity, which affects one in four children at critical levels across the nation, according to the latest ABS National Health Survey results from 2017-18. “The best form of physical activity for all Australians is walking regularly. Children need at least 60 minutes of physical activity a day,” he added.

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The day is not just about walking; it also encourages schools and parent groups to host healthy breakfast events to start the day nutritiously. This initiative supports the dual goals of fostering healthful eating habits and providing social interaction within the school community.

As the event marks a significant milestone, schools across Australia are gearing up to participate more actively than ever. Parents, teachers, and caregivers are encouraged to get involved, not only to support their children but also to take part in making walking a regular part of their daily routine.

This initiative plays a crucial role in mitigating traffic congestion around school areas, promoting environmental stewardship, and fostering a sense of community. Everyone in the community is invited to support the initiative, helping to instil healthy habits in children that can lead to lifelong benefits.

For more information on how to participate in National Walk Safely to School Day, visit the Pedestrian Council of Australia’s website or contact your local school to see what activities are planned for the day. Join the movement on 10 May and help make a difference in the lives of young Australians.

 

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