Paul Callaghan, Aboriginal Housing Office - Adopting a Social Determinants of Health Approach

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Paul Callaghan, Former Chief Executive, NSW Department of Family and Communities, Aboriginal Housing Office delivered this presentation at the 15th Annual Health Congress 2014. This event brings together thought leaders and leading practitioners from across the Australian health system to consider the challenges, implications and future directions for health reform.

For more information, please visit http://www.informa.com.au/annualhealthcongress14

Published in: Health & Medicine
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Paul Callaghan, Aboriginal Housing Office - Adopting a Social Determinants of Health Approach

  1. 1. Paul Callaghan 4CS Adopting a Social Determinants of Health Approach
  2. 2. The social determinants of health are the conditions in which people are born, grow, live, work and age World Health Organisation 2Paul Callaghan, 4CS
  3. 3. Shaped by the distribution of money, power and resources World Health Organisation 3Paul Callaghan, 4CS
  4. 4.  Social gradients  Stress  Early childhood development  Social exclusion  Unemployment  Social support  Addiction  Healthy food  Healthy transportation 4 Social Determinants Paul Callaghan, 4CS
  5. 5. • Cardiovascular disease  leading cause of death  2 x higher 5 Are Existing Policies Achieving? Paul Callaghan, 4CS
  6. 6. • 47% Aboriginal people current smokers • 1.6 x likely to be physically inactive • 1.3 x poor consumption fruit and vegetables • 1.6 x consumption alcohol at high risk level • More likely to be overweight or obese • Higher psychosocial stressors • 70% of burden modifiable risk factors 6 Contributing Factors Paul Callaghan, 4CS
  7. 7. • 2.2 x high to very high stress • 2.9x more likely hospitalisation for self harm 7 Psychological Distress Paul Callaghan, 4CS
  8. 8. • < life expectation • Higher mortality including infants • Higher years of life lost • Circulatory system disease • Neoplasms including cancer • Endocrine, nutritional, metabolic • Diabetes • Respiratory • Digestive 8Paul Callaghan, 4CS
  9. 9. Hepatitis A 11.7x Hepatitis B 5.4x Meningococcal 7.8x Salmonellosis 4.3x Chlamydia 7.9x Tuberculosis 1.6x Otitis Media 3.0x Paul Callaghan, 4CS 9
  10. 10. NO 10 Are Existing Policies Achieving? Paul Callaghan, 4CS
  11. 11. • Not enough effort and funding directed to preventative activities 11 Why Not? Paul Callaghan, 4CS
  12. 12. 12Paul Callaghan, 4CS Population 2011 208,000 2016 235,000 2026 303,000 2031 345,000
  13. 13. CRISIS! 13Paul Callaghan, 4CS
  14. 14.  Doing the same thing over and over and expecting a different result. 14 Einstein Paul Callaghan, 4CS
  15. 15. 4+2 Model of Wellbeing  A House 15Paul Callaghan, 4CS
  16. 16. Wall One  Education 16 4 + 2 Model Paul Callaghan, 4CS
  17. 17. Wall Two  Employment 17 4 + 2 Model Paul Callaghan, 4CS
  18. 18. Wall Three  A House 18 4 + 2 Model Paul Callaghan, 4CS
  19. 19.  How many people who have a job, qualifications and a house are in a state of wellbeing?  Personal story 19 4 + 2 Model Paul Callaghan, 4CS
  20. 20. Wall Four  Sense of Self 20 4 + 2 Model Paul Callaghan, 4CS
  21. 21. Floor  Hope 21 4 + 2 Model Paul Callaghan, 4CS
  22. 22. Roof  Opportunity 22 4 + 2 Model Paul Callaghan, 4CS
  23. 23. Observation  Breakdown of traditional systems  Love, Respect, Humility 23Paul Callaghan, 4CS
  24. 24.  Learning Systems  Support Systems  Transgenerational Pain and Trauma 24Paul Callaghan, 4CS
  25. 25.  Government Policies  Lateral Violence 25Paul Callaghan, 4CS
  26. 26. Paul Callaghan, 4CS, Email: paul.callaghan5@bigpond.com 26

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