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Mental Health. Danielle Maloney School-Link Coordinator Sydney South West Area Mental Health. Mental health - the global scene. Depression is an important global public health problem due to both its relatively high lifetime prevalence and the significant disability that it causes.

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Mental Health

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Mental Health

Danielle Maloney

School-Link Coordinator

Sydney South West Area Mental Health

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Mental health - the global scene

Depression is an important global public health problem due to both its relatively high lifetime prevalence and the significant disability that it causes.

  • In 2002, depression accounted for 4.5% of the worldwide total burden of disease (in terms of disability-adjusted life years).

  • It is also responsible for the greatest proportion of burden attributable to non-fatal health outcomes, accounting for almost 12% of total years lived with disability worldwide.

  • Without treatment, depression has the tendency to assume a chronic course, to recur, and to be associated with increasing disability over time

WHO, 2007

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Mortality rates – Mental Health

AIHW, 2006

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Mortality rates – all causes

AIHW, 2006

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AIHW, 2006

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  • People with mental illness have considerably elevated mortality rates from all main causes of death.

  • Their overall mortality rate is two and a half times higher than the general population of WA.

  • The rate of suicide in the mentally ill has been increasing over the period 1980-98 and almost entirely explains the net increase in the total population suicide rate.

  • Despite a downward trend in the general community, the IHD death rate in people with mental illness has increased in women and remained roughly constant in men. People with diagnosed mental illness have not participated in the marked decline in IHD mortality in Australia.

  • Hospitalisation rate ratios were often lower than corresponding mortality rate ratios suggesting that people with mental illness may not receive the level of health care commensurate with their illness.

Duty to Care

Preventable physical illness in people with mental illness


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Young people’s Mortality

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ASSAD Survey - Australian School Students’ Alcohol and Drugs Survey

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Aboriginal data

Western Australia Child Health Survey

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Mental health services inAustralia 2004–05

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What is being done to address mental health ?

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National level

  • National Action Plan for Promotion, Prevention and Early Intervention for Mental Health

    • Initial 5 year framework to progress mental health reform

    • National direction in promotion and prevention

    • Into the third plan

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National Level (continued)

  • For each 15 priority groups:

    • Outcomes

    • Evidence base for action

    • Partners

    • Indicators

    • National action

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National initiatives

  • National Mental Health promotion and prevention Working group

  • National Mental health Reform

  • Auseinet

  • Mind Matters, Kids Matter

  • Mindframe

  • Beyond Blue

  • GP Divisions

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State Level

  • School-Link

  • Parenting

  • Integrated perinatal care

  • Early intervention psychosis

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School Mental Health The Australian Experience

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Emotional well-being





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Resilience Skills

  • Problem solving

  • Help seeking

  • Communication

  • Negotiation

Young People who are resilient have developed skills and attitudes that enable them to cope with sadness, disappointments, as well as other traumas and difficulties

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Health Promoting Schools Framework

Curriculum Teaching & Learning

Organisation, Ethos & Environment

Partnerships & Services

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Whole of School programs

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Level of intervention

Create Environment

Whole school community


All students and teachers

Part of general curriculum

Students needing additional help in school


20 to 30% of students


3 - 12% of students

World Health Organisation model for

school mental health promotion

Who is involved?

Entire school community

Students needing additional mental health intervention

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Universal Programs

APEEL (A Partnership Encouraging Effective learning)

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Indicated programs

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Adolescents Coping with Emotion (ACE)

Get Lost Mr Scary

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School-Link Initiative

Link between Mental Health Services and Education

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Aims of School Link

  • To improve the mental health of children, adolescents and young people in NSW.

  • To improve the partnership between child and adolescent mental health services and their local schools and TAFE colleges.

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Focus areas of School-Link

  • Promotion, Prevention

  • Early intervention

  • Service access

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