A life without stigma

Stigma stops people asking for help and getting the treatment and support they need. It makes it more difficult to find somewhere decent to live, a job, a mortgage, or insurance. It can make it more difficult to get help to look after children, make friends, feel good about yourself, or even to feel that life is worth living. Stigma is a major barrier to recovery. If people with mental illness are to be included as equal members of our society, then stigma and its associated discrimination must be eliminated.This report examines the impact stigma has on the lives of people affected by mental illness, including an overview of associated issues from the growing body of research in this area. It describes some of the major stigma-reduction initiatives carried out in Australia and overseas, looks at the evidence base to identify what works, and makes recommendations for future action in Australia to create a life without stigma

Quality Assurance for KidsMatter Primary: a scoping paper

This Scoping Paper reviews and details options for the ongoing quality assurance of KidsMatter PrimaryThis scoping paper was commissioned and funded by beyondblue, the national depression initiative. The Flinders team wishes to thank and acknowledge beyondblue for their ongoing support throughout the development of this report

Strategies and practices for promoting the social and emotional wellbeing of Aboriginal and Torres Strait Islander people

This resource sheet reviews programs that aim to promote social and emotional wellbeing and identifies those that have been evaluated and shown to be effective in relation to Indigenous people. Social and emotional wellbeing is a term that is synonymous with mental health and wellbeing, and is widely used in policy and program documentation related to Indigenous people, as well as in the literature. The definition of social and emotional wellbeing used in this resource sheet is articulated in the National strategic framework for Aboriginal and Torres Strait Islander peoples’ mental health and social and emotional well being 2004–2009: A positive state of wellbeing in which the individual can cope with the normal stress of life and reach his or her potential in work and community life in the context of family, community, culture and broader society. A range of programs, including education, housing and employment programs, that do not have specific objectives related to promoting mental health, have the potential to positively affect social and emotional wellbeing. These programs are covered in other resource sheets published by the Clearinghouse. A link to these resource sheets is in Table A2 on page 11. The focus of this resource sheet is on the promotion of social and emotional wellbeing and the prevention of mental illness. Treatment services specifically for people with a drug addiction and/or established mental illness are not considered in detail. Strategies to reduce alcohol and other drug-related harm are also not included as they are the subject of the resource sheet Reducing alcohol and other drug related harm. The association between mental illness and suicide is well established. A separate resource sheet Strategies to minimise the incidence of suicide and suicidal behaviour has been prepared, therefore programs whose primary purpose is suicide prevention are not considered in this resource sheet. This resource sheet assesses the effectiveness of Australian and international programs whose primary purpose is to promote the mental health and wellbeing of Indigenous and non-Indigenous people in urban and remote locations

Improving e-therapy for mood disorders among lesbians and gay men

Introduction This toolkit provides the first comprehensive set of guidelines for tailoring mood-disorder e-therapies to the needs of same-sex attracted people. It gives developers of e-therapies a set of practical recommendations for adjusting e-therapies to more effectively accommodate lesbians and gay men. These recommendations are supported by in-depth research that was designed specifically to inform this toolkit. Summaries of this research are provided in the toolkit and detailed findings are available in published research articles. This toolkit also provides information on the mental health-related challenges that are often faced by same-sex attracted people and links readers to key resources and organisations for further information. Checklists and other tools are included as aids for developers to assess the inclusiveness and relevance of e-therapies to lesbians and gay men. In short, this toolkit contains an extensive set of tools and explains why and how they could be implemented

e-Mental health for mood and anxiety disorders in general practice

Familiarises general practitioners (GPs) with the range of online programs in Australia that have demonstrated efficacy and are currently available for use by patients with mental health problems. Background Australia is a world leader in the development of internetdelivered programs for the prevention and management of mood and anxiety disorders. Despite a strong evidence base of time- and cost-effectiveness, as well as clinical efficacy, the uptake of these programs in general practice remains low. Objective To familiarise general practitioners (GPs) with the range of online programs in Australia that have demonstrated efficacy and are currently available for use by patients with mental health problems. Discussion E-mental health programs provide an efficacious and accessible form of mental healthcare and have the potential to fill the gap for those for whom such care is inaccessible, unaffordable or unacceptable. Clinicians can also use it in a stepped-care manner to augment existing healthcare services. There are a number of online resources currently available to Australians who have mood or anxiety disorders. These resources have strong evidence to support their effectiveness. Online portals facilitate access to these programs. Recently the Australian Federal Government has funded an education program (eMHPrac) for GPs and mental health professionals, to outline what is available, indicate situations where recommending such resources is appropriate, and suggest ways in which they can be incorporated into general practice

The Sleep Or Mood Novel Adjunctive therapy (SOMNA) trial: a study protocol for a randomised controlled trial evaluating an internet-delivered cognitive behavioural therapy program for insomnia on outcomes of standard treatment for depression in men

BACKGROUND: Insomnia is a significant risk factor for depression onset, can result in more disabling depressive illness, and is a common residual symptom following treatment cessation that can increase the risk of relapse. Internet-based cognitive behavioural therapy for insomnia has demonstrated efficacy and acceptability to men who are less likely than women to seek help in standard care. We aim to evaluate whether internet delivered cognitive behavioural therapy for insomnia as an adjunct to a standard depression therapeutic plan can lead to improved mood outcomes.METHODS/DESIGN: Male participants aged 50 years or more, meeting Diagnostic and Statistical Manual of Mental Disorders criteria for current Major Depressive Episode and/or Dysthymia and self-reported insomnia symptoms, will be screened to participate in a single-centre double-blind randomised controlled trial with two parallel groups involving adjunctive internet-delivered cognitive behavioural therapy for insomnia and an internet-based control program. The trial will consist of a nine-week insomnia intervention period with a six-month follow-up period. During the insomnia intervention period participants will have their depression management coordinated by a psychiatrist using standard guideline-based depression treatments. The study will be conducted in urban New South Wales, Australia, where 80 participants from primary and secondary care and direct from the local community will be recruited. The primary outcome is change in the severity of depressive symptoms from baseline to week 12. DISCUSSION: This study will provide evidence on whether a widely accessible, evidence-based, internet-delivered cognitive behavioural therapy for insomnia intervention can lead to greater improvements than standard treatment for depression alone, in a group who traditionally do not readily access psychotherapy. The study is designed to establish effect size, feasibility and processes associated with implementing e-health solutions alongside standard clinical care, to warrant undertaking a larger more definitive clinical trial.Trial registration: Australian and New Zealand Clinical Trials Registry ACTRN12612000985886.The study is supported by beyondblue: the national depression and anxiety initiative National Priority Driven Research Program and funded through a donation from the Movember Foundation

A closer look at private lives 2: addressing the mental health and wellbeing of lesbian, gay, bisexual, and transgender (LGBT) Australians

Based on a national survey of almost 4000 people, the report reveals strong links between psychological distress and drug use among LGBT Australians. Executive Summary A Closer Look at Private Lives 2 is a companion to the second Private Lives report released in 2012. The research and writing of both reports were funded by beyondblue and the Movember Foundation. The project was jointly managed by GLHV and ARCSHS, La Trobe University. Background The first Private Lives was released in 2006 and at the time was one of the largest reports on LGBT health and wellbeing anywhere in the world. Both the first and second reports provided a snapshot of LGBT Australian’s everyday lives. They included demographic data on diversity within LGBT communities and data on LGBT Australian’s physical and mental health, health service use, relationships, experiences of discrimination and community connections. This companion report, in contrast, focuses on the mental health and wellbeing of LGBT Australians. It relies on the mental health data from Private Lives 2 and looks, in detail, at variations in psychological distress and resilience between LGBT and mainstream communities and variations within LGBT communities according to gender identity, sexual identity, age and socio-economic status. It also looks at the relationships between LGBT Australians mental wellbeing and their experiences of heterosexist discrimination, drug use, LGBT and mainstream community engagement, and health service use. The report concludes with an evidence-based LGBT mental health policy and program framework to guide the development of policies, programs and services aimed at promoting LGBT Australians’ positive mental health and their access to quality care. Methodology Private Lives 2 reported on the findings of a national, online survey of the lives of 3,835 LGBT Australians. Respondents came from all states and territories and from rural, regional and remote areas. The companion report used two of the validated scales from Private Lives 2 as measures of mental health outcomes: the K10 Psychological Distress Scale; and the Brief Resilience Scale. The development of the LGBT mental health policy and program framework involved a review of recent Australian population and health promotion strategies and a separate review of the research and grey literature on LGBT-inclusive service provision in Australia and overseas. Related identifer: ISBN 978192191569

Fly-in fly-out workforce practices in Australia: the effects on children and family relationships

This paper summarises the emerging literature on the effect on children and family relationships of having a fly-in fly-out/drive-in drive-out FIFO/DIDO parent. Abstract: A limited but growing amount of Australian research into fly-in fly-out (FIFO) work practices tentatively suggests that a FIFO lifestyle can have positive, negative or few effects on children and on family relationships, depending on the circumstances. Effects vary according to a range of contextual factors, such as workplace cultures, rosters and recruitment practices, as well as community and home environments, and individual characteristics. As a result, there is a high level of complexity involved in understanding the FIFO lifestyle and how it may impact on outcomes for children and family relationships. Substantial limitations in regards to the available evidence highlight the need for further research rather than providing any robust conclusions. Key messages: Limited studies exist that explore the effects on children and family relationships of having a FIFO parent. Research to date indicates that FIFO families are likely to be healthy, functioning families that demonstrate high levels of communication and cohesion. Most FIFO couples report healthy, satisfying and cohesive relationships. Potential impacts on children include: negative emotions experienced as a result of the FIFO parent\u27s absence; increased levels of behaviour problems (particularly amongst boys) when the parent is away for longer periods; greater experiences of bullying at school; and increased pressure to succeed academically. However, some children view the extended time that a FIFO parent has at home as a positive outcome. Parenting is a challenge for FIFO families, particularly for partners at home to manage the continual transitioning from solo parenting to co-parenting. Providing for the physical, emotional and intellectual needs of children can be difficult without the support of a partner at home. The ability to communicate regularly, privately, effectively and spontaneously is an important factor that mediates the impact a FIFO lifestyle can have on children and families. Family support services, policy-makers and practitioners need to be aware of the unique set of challenges faced by FIFO workers and their families. Further research is needed that is longitudinal, engages with all types of FIFO workers and their families, and includes data collection prior to entry into FIFO work. A FIFO lifestyle does not suit everyone. Families considering FIFO should thoroughly review the likely advantages and disadvantages to all members of the family. Before commencing FIFO work, families should identify the resources and supports available at the work site and in the home environment and be aware of pressure points and coping strategies

Predictors of depression stigma

BACKGROUND: To investigate and compare the predictors of personal and perceived stigma associated with depression. METHOD: Three samples were surveyed to investigate the predictors: a national sample of 1,001 Australian adults; a local community sample of 5,572 residents of the Australian Capital Territory and Queanbeyan aged 18 to 50 years; and a psychologically distressed subset (n = 487) of the latter sample. Personal and Perceived Stigma were measured using the two subscales of the Depression Stigma Scale. Potential predictors included demographic variables (age, gender, education, country of birth, remoteness of residence), psychological distress, awareness of Australia's national depression initiative beyondblue, depression literacy and level of exposure to depression. Not all predictors were used for all samples. RESULTS: Personal stigma was consistently higher among men, those with less education and those born overseas. It was also associated with greater current psychological distress, lower prior contact with depression, not having heard of a national awareness raising initiative, and lower depression literacy. These findings differed from those for perceived stigma except for psychological distress which was associated with both higher personal and higher perceived stigma. Remoteness of residence was not associated with either type of stigma. CONCLUSION: The findings highlight the importance of treating the concepts of personal and perceived stigma separately in designing measures of stigma, in interpreting the pattern of findings in studies of the predictors of stigma, and in designing, interpreting the impact of and disseminating interventions for stigma

KidsMatter Early Childhood Evaluation Report

KidsMatter Early Childhood is the Australian national early childhood mental health promotion, prevention and early intervention initiative specifically developed for early childhood services. It was trialled in 111 long day care services and preschools during 2010 and 2011. KMEC involves the people who have a significant influence on young children’s lives – parents, carers, families and early childhood educators, along with a range of community and health professionals – in making a positive difference to young children’s mental health and wellbeing during this important developmental period. The KMEC initiative provides a framework to enable services to plan and implement evidencebased mental health promotion, prevention and early intervention strategies. These strategies aim to improve the mental health and wellbeing of children from birth to school age, reduce mental health difficulties among children, and achieve greater support for children experiencing mental health difficulties and their families.KidsMatter Australian Early Childhood Mental Health Initiative was developed through collaboration between beyondblue, the Australian Psychological Society and Early Childhood Australia, and with funding from the Australian Government Department of Health and Ageing and beyondblue