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Mental Health

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    • Project goal
      To enhance the detection, management and health outcomes of people with mental health issues in the Northern Rivers.
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      Introduction
      “The burden of mental health problems and disorders is high and rising. It has been estimated that depression alone will constitute one of the greatest problems worldwide by the year 2020” (Murray and Lopez, 1996 cited in Mental Health and Prevention National Action Plan, pp1:1998).

      Given that GPs see most of the population in any one year, they are in an ideal position to have the greatest effect, both opportunistically and in response to patients' requests, on the morbidity of mental illness in this area. However, while recognising that the management of mental disorders is integral to family medicine, many disorders are often not detected or managed effectively by GPs.

      The change in the pattern of mental health care from an institutional to a community oriented approach has had a significant effect, not only on the specialist mental health services, but also other community services such as primary health care providers, community welfare agencies and housing agencies. The ability of GPs and mental health services together with other community services to adapt to these changes has been variable, with differences between States and Territories and between urban and rural areas.

      The approach to mental health in the Northern Rivers is no exception with GPs, mental health services and support groups stratified and often oblivious to each other's priorities and strategies until a need or problem arises. This project aims to address these issues in order to provide a unified approach to mental health care that not only enables greater interaction between mental health oriented services but allows for improvements in the detection, management and health outcomes of the people presenting with mental health issues.

      This project is focusing on improving mental health education and training for GPs and identifying effective strategies in mental health care suitable for adoption through an integrated care model approach. This will allow GPs to enhance their roles in mental health care, consistent with currently accepted practice guidelines.
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      Project activities
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      Articles


      Mental health, older people and the aged care assessment team
      29/10/06   A psychogeriatrician service is provided by Dr Mark Scurrah through the Richmond Valley Aged Care Assessment Team (ACAT) more...
      Better access to psychiatrists, psychologists and GPs through the MBS
      29/10/06  Michelle Bouquet The Government recently announced a range of new MBS items under its initiative Better Access to Psychiatrists, Psycholo more...
      The 3 Step Mental Health Process – Incentive Payments and Billing
      29/08/06  Michelle Bouquet Michelle Bouquet The division has received numerous enquiries regarding the billing requirements for the 3 Step Menta more...
      Mental health project update
      20/04/06  Michelle Bouquet GPs referring to division psychologists GPs registered with the Better Outcomes in Mental Health Care Program have been more...
      Effective use of antidepressants program
      19/02/06  Lindy Swain Major depression occurs in about 5% of patients attending general practice while minor depression is thought to be two t more...
      Registered GPs can now refer to NRDGP psychologists
      19/02/06  Michelle Bouquet by Michelle Bouquet Registered GPs may now refer patients with mental health disorders to two division employed psych more...
      NCAHS mental health services update
      23/08/05  Dr Angelo Vergona High demand for Mental Health Access Line (MHAL) As you know the MHAL has been running across the area since November more...
      Beating the blues – the second time around
      20/04/05   (l-r) Ballina GPs Jerome Mellor and Philip Lai during a lunch meeting with Guy Dayhew and Anne Maclean to discuss the pr more...
      Weighted against depression
      20/04/05  Sue Nelson Depression is the most common mental disorder, responsible for half of all suicides in Australia. The prescribing of ant more...
      New arrangements for accessing community mental health services
      15/12/04  Dr Angelo Vergona As previously advised in GPSpeak and various forums, we introduced the mental health access line (MHAL) phone number in more...
      Psychiatry goes by the book
      14/12/04  Robin Osborne At the handover of $2,000 worth of psychiatry texts for Lismore Base Hospital library were (l-r) psychiatric registrar D more...
      New depression project funded
      20/08/04   A project that will allow GPs to refer patients suffering from depression for counselling has recently been approved for more...
      31/12/69  
      Mental health - Who else should I involve in the care of my patients?
      20/06/04  Dr Mark Scurrah The complexities of mental health problems, their impact on families, coomorbidities and the chronicity of some mental h more...
      Easy steps to assessing anxiety
      20/02/04  Dr Mark Scurrah The key is that anxiety is a normal response to a stressor. If the anxiety symptom /level is judged to be beyond a norma more...
      Co-morbidity & mental health
      20/12/03   Physical health and mental health co-morbidity The link between mental health and physical illness is gaining increased more...
      Psychiatrist heads up local mental health services
      20/12/03   Angelo Vergona is the NRAHS’s new area director of psychiatry. Previously, Dr Vergona has been a staff specialist at St more...
      31/12/69  
      Teams of Two launched for region
      17/10/03   Dr Angela Bettess GPs and mental health workers came together at the community mental health more...
      Accredited persons will complete Schedule 2 certificates in pilot project
      17/10/03   Ten NRAHS mental health workers recently undertook the NSW Institute of Psychiatry accredited persons training program. more...
      Identifying the children of Vietnam veterans important
      20/08/03  Louise Du Chesne Asking a patient if they are the son or daughter of a Vietnam veteran is probably not a question GPs commonly ask, howev more...
      Teams of Two a new mental health initiative
      20/08/03   The division is participating in Teams of Two, a statewide program for GPs and mental health professionals. It is the re more...
      Growing out of mental health problems together
      20/08/03  Katherine Breen Kurucsev Angela Dalu (left) with some fellow Growers at a Grow meeting in the region. It seems crazy that the fi more...
      Mental health project update
      20/06/03  Atosha Clancy Are you registered for level one Better Outcomes in Mental Health Care? Then let us know, and we can assist you in provi more...
      Mental health project update
      17/04/03  Atosha Clancy Training for GPs This has been a major focus of this project during the last few months, during the roll out of the Be more...
      Mental health project update
      17/04/03  Atosha Clancy Training for GPs This has been a major focus of this project during the last few months, during the roll out of the Be more...
      Mental health consumers to get fairer access to insurance
      13/03/03   Local GPs have welcomed the news that discrimination against mental health consumers seeking life and income protection more...
      New mental telemedicine service will help older people
      19/02/03  Jonathan Munro The Older Person’s Telemedicine Outreach Service (OPPTOS) will see the establishment of a specialist health care telehea more...
      New rehab services for mental health patients
      17/12/02   The Northern Rivers Fellowship (NRF) Rehabilitation Services and the NRAHS have been participating in a joint project to more...
      Mental health project update
      17/12/02  Atosha Clancy Implementation of the Commonwealth Government’s initiative Better Outcomes in Mental Health Care has directed the work o more...
      Lobbying for mental health funding imperative
      16/10/02  Dr Andrew Binns With a State election looming, now is the time to publicise again the gross inadequacies of funding for our regional men more...
      Community mental health at a glance
      16/10/02   With the opening of the 25-bed mental health in-patient unit in Tweed Heads Hospital in July, the mental health team in more...
      Time to fight for fair share of mental health funding
      07/10/02  Dr Andrew Binns This Mental Health Week, perhaps we should consider the inadequacies of government funding to our regional mental health more...
      Better outcomes in mental health care initiative
      20/06/02  Gareth Daniels This initiative comprises five main segments: {list: Education and training for GPs, Incentive payments – three step m more...
      Memory clinics to be established in region
      19/04/02  Kathryn Pigott The NRDGP and the Far North Coast Dementia Outreach Service are working in partnership to assist GPs in the assessment a more...
      GPs urged to spend week with mental health team
      23/03/02   I had not spent any significant time in an acute psychiatric hospital since I was a student. Memories of that are vague more...
      Taking depression seriously
      23/03/02   In examining the health of populations, statisticians and epidemiologists have traditionally focused on mortality and mo more...
      Better outcomes likely in mental health
      23/03/02  Tim Armstrong Mental health continues to be a major health issue in Australia. Significant increases in funding to encourage GPs’ invo more...
      Division employee to establish mental health service in East Timor
      18/12/01   The Northern Rivers Division of General Practice’s mental health project officer, Tim Armstrong, will leave for East Tim more...
      GPs promote mental health at work
      01/12/01   Is work getting to you? Fear not, several strategies can be used to reduce stress at work, says Tim Armstrong, mental he more...
      Better outcomes likely in mental health
      20/11/01   Mental health continues to be a major health issue in Australia. Significant increases in funding to encourage GPs’ invo more...
      Counselling interventions and indigenous mental health
      20/07/01   While it is widely recognised that disproportionate numbers of indigenous Australians spend time in the prison system, i more...
      Region $4m behind in mental health funding
      20/07/01   It would come as no surprise to doctors and allied health workers in the Northern Rivers to discover that the level of f more...
      The meaning of illness
      20/05/01   What is the basic difference between illness and disease? Have we as doctors ever stopped to think about this? How many more...
      The problem of sex offenders
      01/12/00   Sexual offences elicit strong emotional responses from health professionals, victims, police services and the community more...
      Preventing youth suicide with united communities
      01/12/00   Published in GPSpeak, February 1998 Three years ago Kyogle was like many an Australian country town as seen through more...
      Asking your patient about suicide
      01/12/00   It is estimated that a GP in the UK with a patient list of 6000 will encounter one patient each year who will commit sui more...
      GPs promote mental health in children
      01/12/99   Being truly well requires not only physical health, but mental health too, and promoting this starts from infancy. That’ more...
      Stress and the mid-life blues
      01/12/99   Chris McKenzie has worked in Ballina for the last fifteen years as a GP and VMO at the hospital. He has seen many change more...
      Medicalising suffering
      01/12/99   Psychiatrist Harry Freeman, director of the Community Mental Health Team at the Richmond Clinic, raises some serious con more...
      GPs and dementia
      01/12/99   Dementia affects about one in 10 people older than 65 and one in five people older than 80 years of age. A national s more...
      This mental life
      01/12/99   In this article, psychiatrist Harry Freeman looks at the new generation of anti-depressant drugs, selective seretonin re more...
      The changing culture of madness
      01/12/99   Since the mid 1950s there has been a consistent change in the assessment and treatment of mental illness and the way in more...
      Youth suicide - what can GPs do?
      01/12/99   Australia has one of the highest rates of youth suicide in the world. The Australian Bureau of Statistics’ latest suicid more...
      Is there a difference between anxiety and depression?
      01/12/99   While there has been a longstanding distinction drawn between the concepts of anxiety and depression, is it possible to more...
      Good mental health in young people does not just happen
      01/12/99   Mental health and behavioural problems affect adolescents disproportionately and account for more than half the current more...
      Men, mid life and mental health
      01/12/99   The American poet and philosopher Henry Thoreau once stated that many men “lead lives of quiet desperation”. This may be more...
      Stress - the new epidemic
      01/12/99   It's Friday afternoon in a busy general practice, often a time when challenging emotional and social problems present, a more...
      Consulting a psychologist
      01/12/99   Around one-third of people presenting to GPs suffer a diagnosable mental disorder. A further one-third experience signif more...
      The problem of sex offenders - a different perspective
      01/12/99   In his article in GPSpeak (Oct 2000), Tim Armstrong sought to identify issues in understanding and treating sex offender more...
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