Victorian transcultural mental health research conference 2005 dr ruth vine
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Victorian Transcultural Mental Health Research Conference 2005 Dr Ruth Vine. RESEARCH IN THE CONTEXT OF MENTAL HEALTH SERVICE PROVISION – THE CHALLENGES. THE COMPETING PRIORITIES. Steady increase in demand for services Sustained media interest and criticism

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Victorian transcultural mental health research conference 2005 dr ruth vine

Victorian Transcultural Mental Health Research Conference 2005

Dr Ruth Vine

RESEARCH IN THE CONTEXT OF MENTAL HEALTH SERVICE PROVISION – THE CHALLENGES


The competing priorities
THE COMPETING PRIORITIES 2005

  • Steady increase in demand for services

  • Sustained media interest and criticism

  • Complicated funding and responsibilities – commonwealth primary care and specialist, state public health and non-government organisations

  • Pressure in other areas such as prisons, child protection, juvenile justice


A little bit of history
A LITTLE BIT OF HISTORY 2005

  • NMH Policy and first NMHP 1992

  • Second NMHP broadened the focus

  • Current plan 2003 –2008 stated intention to continue the work of the first plan in re-orienting MH services, as well as progressing a more inclusive and whole of government approach

  • Victoria ahead of the pack in many ways


Why research
WHY RESEARCH? 2005

  • What is the problem? – prevalence, diagnosis, service access

  • What is the cause of the problem? – personal history, environment, social support

  • What can be done? – service configuration, service range, workforce attributes, specific treatments, specialist services


What do we already do
WHAT DO WE ALREADY DO? 2005

  • Research not primary responsibility of MHB

  • Commonwealth responsibility - NHMRC

  • Specific research funding by MHB:

    - beyondblue/Centre for Excellence in Depression and Related Disorders

    - MHRI

  • Other – mix of funding streams

    - Neuropsychiatry centre

    - Orygen Youth Health

    - range of research oriented units – CPNRP, Alfred, Centre for Rural Mental Health etc


What do we already do in transcultural mental health
WHAT DO WE ALREADY DO IN TRANSCULTURAL MENTAL HEALTH? 2005

  • Funding to transcultural/ethnic areas

    - VTPU

    - ADEC

    - VFSTT

    - Ethnic Mental Health Consultants

  • Must recognise the importance of sensitivity to and awareness of transcultural issues in mainstreamed services – use of interpreters etc.


What do we know
WHAT DO WE KNOW? 2005

  • Population stats, incl. specific communities

  • Cultural backgrounds of people using MHS

  • Some knowledge of mental illness prevalence in ethnic groups

  • Feedback about access & treatment barriers

  • Knowledge in some areas about what works, what is helpful, who should be involved


What should we do
WHAT SHOULD WE DO? 2005

  • Be clear about the research role of MHS: should lead to better services for consumers and carers

  • Direct attention to how best to use existing funds, as well as seeking more funding

  • Disseminate research/share info/coordinate research efforts

  • Implement research evidence & evaluate


So what place research
SO WHAT PLACE RESEARCH? 2005

  • Needs to be a mix of exploring new areas for service and evaluating those already in place

  • Must be consistent with overall directions – community support, integration with other areas in health and community, workforce development; and recognise emerging areas such as specific communities – eg detention centres, ethnic specific growth areas

  • Funding should be from a range of Government, corporate and philanthropic sources, linked to other research efforts


Conclusion
CONCLUSION 2005

  • Research important, has to remain relevant, and able to be acted upon

  • VTPU operational for 9 years

  • Greater effort on putting services in place and addressing workforce needs

  • Issues will change with new waves of immigration – Middle East, Africa etc

  • Need to address both metro and rural areas