A decision support tool to inform local suicide prevention activity in Greater Western Sydney (Australia)

Page, Andrew; Atkinson, Joan; Campos, William; Heffernan, Mark; Ferdousi, Shahana; Power, A. Kathryn; McDonnell, Geoff; Maranan, Nereus; Hickie, Ian B.

doi:10.1177/0004867418767315

Cited by 30 publications

(35 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The variation in responses is not surprising given the paradigm shift that systems thinking represents, and the perceived lack of robust examples of systems approaches being applied to policy which undermines its value proposition (although we note there are examples, eg, 11,14,27,34,59,[82][83][84][85] ). People make sense of the world given what they know so, without a compelling rationale, we tend to hold on to established mental models and avoid the disruption of seeing the world in radical new ways.…”

Section: Discussionmentioning

confidence: 99%

What Can Policy-Makers Get Out of Systems Thinking? Policy Partners’ Experiences of a Systems-Focused Research Collaboration in Preventive Health

Haynes

Garvey

Davidson

et al. 2019

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: There is increasing interest in using systems thinking to tackle ‘wicked’ policy problems in preventive health, but this can be challenging for policy-makers because the literature is amorphous and often highly theoretical. Little is known about how best to support health policy-makers to gain skills in understanding and applying systems thinking for policy action. Methods: In-depth interviews were conducted with 18 policy-makers who are participating in an Australian research collaboration that uses a systems approach. Our aim was to explore factors that support policy-makers to use systems approaches, and to identify any impacts of systems thinking on policy thinking or action, including the pathways through which these impacts occurred. Results: All 18 policy-makers agreed that systems thinking has merit but some questioned its practical policy utility. A small minority were confused about what systems thinking is or which approaches were being used in the collaboration. The majority were engaged with systems thinking and this group identified concrete impacts on their work. They reported using systems-focused research, ideas, tools and resources in policy work that were contributing to the development of practical methodologies for policy design, scaling up, implementation and evaluation; and to new prevention narratives. Importantly, systems thinking was helping some policy-makers to reconceptualise health problems and contexts, goals, potential policy solutions and methods. In short, they were changing how they think about preventive health. Conclusion: These results show that researchers and policy-makers can put systems thinking into action as part of a research collaboration, and that this can result in discernible impacts on policy processes. In this case, action-oriented collaboration and capacity development over a 5-year period facilitated mutual learning and practical application. This indicates that policy-makers can get substantial applied value from systems thinking when they are involved in extended co-production processes that target policy impact and are supported by responsive capacity strategies.

show abstract

Section: Discussionmentioning

confidence: 99%

What Can Policy-Makers Get Out of Systems Thinking? Policy Partners’ Experiences of a Systems-Focused Research Collaboration in Preventive Health

Haynes

Garvey

Davidson

et al. 2019

Int J Health Policy Manag

View full text Add to dashboard Cite

show abstract

“…The adoption of our model would provide an opportunity for interservice cooperation and higher quality care for young people. The application of innovative data‐driven approaches, such as dynamic systems modelling (a computer simulation approach that can be used to test likely impacts on the health system of different intervention combinations over the short and long term), has recently created new insights into complex patient flows and can highlight gaps in service provision within locally connected care systems rather than within a single service . These insights can identify service gaps and assist in building robust connections between previously separate and closed systems, to ensure that mental health services address the complete spectrum of needs for young people over time.…”

Section: Creating Locally Connected Care Systemsmentioning

confidence: 99%

Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health

Hickie

Scott

Cross

et al. 2019

Medical Journal of Australia

105

137

View full text Add to dashboard Cite

show abstract

“…For example, subsequent hospital admission rates have been shown to be higher among those who did not attend their first appointment for psychiatric outpatient treatment following referral from a primary care setting, 2 and a recent study indicated that interventions to re-engage those lost to mental health services had the greatest potential impact on reducing the incidence of suicide. 3 In addition, treatment non-attendance is also associated with additional work load and administrative burden in following-up patients and managing service attendance, 4 potentially decreasing the expected cost-effectiveness of services.…”

Section: Introductionmentioning

confidence: 99%

Determinants of treatment non-attendance among those referred to primary mental health care services in Western Sydney, Australia: a retrospective cohort study

et al. 2020

Self Cite

View full text Add to dashboard Cite

ObjectivesRecommendations of the recent mental health reforms provided an opportunity to implement regional approaches to service provision through Primary Health Networks. This study is designed to identify the determinants of sociodemographic, diagnostic and referral-level factors and first treatment session non-attendance among those referred to primary mental health care (PMHC) services in Western Sydney, Australia.DesignThis study used routinely collected retrospective PMHC data between July 2016 and December 2018.SettingThe study was based on a geographical catchment that covers four local government areas of Blacktown, Parramatta, Cumberland and Hills Shire in Western Sydney, Australia.ParticipantsAll individuals 5 years of age or older referred to PMHC services.Primary outcome measureFirst treatment session non-attendance, following a referral to receive psychological treatments.ResultsThere were 9158 referrals received for 8031 clients, with 1769 (19.32%) referrals resulting in non-attendance to the first treatment session. Those with younger age (ORs ranging from 1.63 to 1.92), substance use (OR=1.55, 95% CI 1.17 to 2.06), poor English proficiency (OR=1.64, 95% CI 1.23 to 2.20), lower socioeconomic status (OR=1.57, 95% CI 1.34 to 1.83), psychotropic medication use (OR=1.20, 95% CI 1.06 to 1.36), and a referral by a social worker (OR=2.04, 95% CI 1.36 to 3.05), allied health (OR=1.49, 95% CI 1.03 to 2.16) or other professional (OR=1.72, 95% CI 1.30 to 2.29) were associated with a higher likelihood of first treatment session non-attendance. Those with a risk of suicide, who mainly speak a language other than English, and a previous use of PMHC services were more likely to attend their first treatment session.ConclusionYouth-specific treatment approaches, behavioural engagement strategies, facilitation of transport services for those live in deprived regions and improvements in capacity for mental health training among allied health professionals are areas of focus for primary care service and policy responses.

show abstract

A decision support tool to inform local suicide prevention activity in Greater Western Sydney (Australia)

Cited by 30 publications

References 29 publications

What Can Policy-Makers Get Out of Systems Thinking? Policy Partners’ Experiences of a Systems-Focused Research Collaboration in Preventive Health

What Can Policy-Makers Get Out of Systems Thinking? Policy Partners’ Experiences of a Systems-Focused Research Collaboration in Preventive Health

Right care, first time: a highly personalised and measurement‐based care model to manage youth mental health

Determinants of treatment non-attendance among those referred to primary mental health care services in Western Sydney, Australia: a retrospective cohort study

Contact Info

Product

Resources

About