Navigating public health chemicals policy in Australia: a policy maker’s and practitioner’s guide

Chemicals are ubiquitous in everyday life. Environmental health practitioners rely on a complex web of regulators and policy bodies to ensure the protection of public health, yet few understand the full extent of this web. A lack of understanding can hamper public health response and impede policy development. In this paper we map the public health chemicals policy landscape in Australia and conclude that an understanding of this system is essential for effective environmental health responses and policy development.   NSW Public Health Bulletin 23(12) 217-227 http://dx.doi.org/10.1071/NB1211

Communicating with the public about the risks of naturally occurring asbestos

Objectives: To explore the application of evidence based risk communication to community messaging about naturally occurring asbestos (NOA). Type of program or service: Risk communication education about NOA. Methods: We apply principles and determinants of risk communication to the topic of NOA. Results: We emphasise the importance of erring on the side of transparency and trust, even when officials may be concerned about inadvertently heightening needless public concern. We offer a range of practical suggestions for how to lower public concern and outrage relating to the issue of NOA when it arises in local contexts. Lessons learnt: Public concern and outrage can be reduced by favouring early and frequent communication, awareness and use of the ‘rule of threes’ in media communication, open acknowledgement of uncertainty, prioritising response to community concern above narrow myth-busting strategies, and supporting community action

Populating an Online Consultation Tool

Abstract. The paper addresses the extraction, formalisation, and presentation of public policy arguments. Arguments are extracted from documents that comment on public policy proposals. Formalising the information from the arguments enables the construction of models and systematic analysis of the arguments. In addition, the arguments are represented in a form suitable for presentation in an online consultation tool. Thus, the forms in the consultation correlate with the formalisation and can be evaluated accordingly. The stages of the process are outlined with reference to a working example

Populating an Online Consultation Tool

Abstract. The paper addresses the extraction, formalisation, and presentation of public policy arguments. Arguments are extracted from documents that comment on public policy proposals. Formalising the information from the arguments enables the construction of models and systematic analysis of the arguments. In addition, the arguments are represented in a form suitable for presentation in an online consultation tool. Thus, the forms in the consultation correlate with the formalisation and can be evaluated accordingly. The stages of the process are outlined with reference to a working example

Argument Schemes for Reasoning with Legal Cases Using Values

ABSTRACT Argument schemes can provide a means of explicitly describing reasoning methods in a form that lends itself to computation. The reasoning required to distinguish cases in the manner of CATO has been previously captured as a set of argument schemes. Here we present argument schemes that encapsulate another way of reasoning with cases: using preferences between social values revealed in past decisions to decide cases which have no exact matching precedents when the cases are described in terms of factors. We provide a set of schemes, with variations to capture different ways of comparing sets and varying degrees of promotion of values; we formalise these schemes; and we illustrate them with some examples

Clinical staging and the differential risks for clinical and functional outcomes in young people presenting for youth mental health care

Background: Clinical staging proposes that youth-onset mental disorders develop progressively, and that active treatment of earlier stages should prevent progression to more severe disorders. This retrospective cohort study examined the longitudinal relationships between clinical stages and multiple clinical and functional outcomes within the frst 12 months of care. Methods: Demographic and clinical information of 2901 young people who accessed mental health care at age 12–25 years was collected at predetermined timepoints (baseline, 3 months, 6 months, 12 months). Initial clinical stage was used to defne three fxed groups for analyses (stage 1a: ‘non-specifc anxious or depressive symptoms’, 1b: ‘attenuated mood or psychotic syndromes’, 2+: ‘full-threshold mood or psychotic syndromes’). Logistic regression models, which controlled for age and follow-up time, were used to compare clinical and functional outcomes (role and social function, suicidal ideation, alcohol and substance misuse, physical health comorbidity, circadian disturbances) between staging groups within the initial 12 months of care. Results: Of the entire cohort, 2093 young people aged 12–25 years were followed up at least once over the frst 12 months of care, with 60.4% female and a baseline mean age of 18.16 years. Longitudinally, young people at stage 2+ were more likely to develop circadian disturbances (odds ratio [OR]=2.58; CI 1.60–4.17), compared with individuals at stage 1b. Additionally, stage 1b individuals were more likely to become disengaged from education/employment (OR=2.11, CI 1.36–3.28), develop suicidal ideations (OR=1.92; CI 1.30–2.84) and circadian disturbances (OR=1.94, CI 1.31–2.86), compared to stage 1a. By contrast, we found no relationship between clinical stage and the emergence of alcohol or substance misuse and physical comorbidity. Conclusions: The diferential rates of emergence of poor clinical and functional outcomes between early versus late clinical stages support the clinical staging model’s assumptions about illness trajectories for mood and psychotic syndromes. The greater risk of progression to poor outcomes in those who present with more severe syndromes may be used to guide specifc intervention packages

Moving beyond 'rates, roads and rubbish': How do local governments make choices about healthy public policy to prevent obesity?

While the causes of obesity are well known traditional education and treatment strategies do not appear to be making an impact. One solution as part of a broader complimentary set of strategies may be regulatory intervention at local government level to create environments for healthy nutrition and increased physical activity. Semi structured interviews were conducted with representatives of local government in Australia. Factors most likely to facilitate policy change were those supported by external funding, developed from an evidence base and sensitive to community and market forces. Barriers to change included a perceived or real lack of power to make change and the complexity of the legislative framework. The development of a systematic evidence base to provide clear feedback on the size and scope of the obesity epidemic at a local level, coupled with cost benefit analysis for any potential regulatory intervention, are crucial to developing a regulatory environment which creates the physical and social environment required to prevent obesity