2.1.7 AWHN Conference 6 2010 Federation:
What Works? Services for Culturally and Linguistically Diverse Women with Co-occurring Mental Health and Drug and Alcohol Issues
Public health week conference racism and healthcareAntoniette Holt
This is an older presentation from Public Health Conference in 2016, but still has some really helpful points to address racism, health disparities, and the need for health equity. There are scenarios to help encourage discussion. Also some helpful next steps.
Public health week conference racism and healthcareAntoniette Holt
This is an older presentation from Public Health Conference in 2016, but still has some really helpful points to address racism, health disparities, and the need for health equity. There are scenarios to help encourage discussion. Also some helpful next steps.
Fetal Alcohol Spectrum Disorder Provincial Roundtable Report
A Report from Parliamentary Assistant Granville Anderson to the Minister of Children and Youth Services
SEPTEMBER 2015.
IMO it is a comprehensive and honest report that acknowledges the importance and need for more diagnostic facilities. This is in contrast to the recent Government of Canada, Nineteenth Report of the Standing Committee on Justice and Human Rights entitled Study of the Subject Matter of Bill C-583, An Act to amend the Criminal Code (fetal alcohol spectrum disorder), tabled in the House of Commons on May 8, 2015, which made no reference to the need for increased diagnostic facilities.
Barry Stanley
Lecture 10 from a college level neuropharmacology course taught in the spring 2012 semester by Brian J. Piper, Ph.D. (psy391@gmail.com) at Willamette University. Focus is on the Monitoring the Future.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
Fetal Alcohol Spectrum Disorder Provincial Roundtable Report
A Report from Parliamentary Assistant Granville Anderson to the Minister of Children and Youth Services
SEPTEMBER 2015.
IMO it is a comprehensive and honest report that acknowledges the importance and need for more diagnostic facilities. This is in contrast to the recent Government of Canada, Nineteenth Report of the Standing Committee on Justice and Human Rights entitled Study of the Subject Matter of Bill C-583, An Act to amend the Criminal Code (fetal alcohol spectrum disorder), tabled in the House of Commons on May 8, 2015, which made no reference to the need for increased diagnostic facilities.
Barry Stanley
Lecture 10 from a college level neuropharmacology course taught in the spring 2012 semester by Brian J. Piper, Ph.D. (psy391@gmail.com) at Willamette University. Focus is on the Monitoring the Future.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
Drug and alcohol addiction develops over time, but it often comes with copious warning signs before casual use grows into full-blown addiction. Even before a person uses, there are many signs that could indicate a person is more likely to fall into abusive patterns of drug use. While risk factors don’t necessarily mean that addiction is inevitable, it’s important for individuals to be aware of their risk level so their behavior will be more informed if they choose to engage in drug use. Watch our slide show for information and statistics about drug and alcohol abuse risk factors. For more information about seeking help with addiction recovery for yourself or a loved one, contact Hillside.
Presentation on Bath Salts & Spice - Synthetic Drugs. Synthetic Drugs are very dangerous and are legal in many states. This PowerPoint explains why we need to work to make these street drugs illegal to manufacture, distribute, possess and use.
Death has occurred on the first use and are available legally to kids of any age. Help us pass laws to make synthetic drugs illegal.
some things we need to know (and be aware) of violence and abuse, especially among the women and children. Then, discern about it.
**this presentation still lacks some images. had lost the folder with the samples of those pics. tsk3. i'll remake this one!
The Intersection of Domestic Violence and Substance Abuse- April 2012Dawn Farm
"The Intersection of Domestic Violence and Substance Abuse" was presented on April 17, 2012, by Barbara Niess May, MPH, MSW; Executive Director, SafeHouse Center; and David J.H. Garvin, LMSW; Director, Alternatives to Domestic Aggression, Catholic Social Services of Washtenaw County. Domestic violence offender and survivor alcohol and other drug use/abuse is central to this discussion. The audience is provided with a primmer regarding batterer tactics, strategies, and core beliefs which hold the batterer accountable for his abusive behaviors while maintaining and promoting survivor safety. The program will help participants to recognize the critical importance of understanding domestic violence and alcohol/other drug use/abuse in order to safely and effectively intervene and/or interrupt the batterer's abusive behaviors and support the survivor. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
How does human connection improve our health and relationships? Michael Lee Stallard, co-founder of ConnectionCulture.com, explains the effects of connection on our physical and mental health.
This is seminar presented as part of academics in my department. Please comment on the content, so that i can improve myself. If the content is good, kindly like it.
NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
This presentation discusses the establishment, challenges and achievements of SAACHAC. Advisory committee members Dr Lillian Mwanri and Mabok Marial lead the discussion with PEACE Multicultural Service Manager Enaam Oudih at the nder the Baobab African Diaspora Networking Zone at the International AIDS Conference, AIDS 2014.
4.8.4 AWHN Conference 6 2010 Theatrette Wool Store:Reproductive Health at Risk:
Challenges Associated with
Pelvic Inflammatory Disease
in remote Central Australia
4.8.2 AWHN Conference 6 2010 Theatrette Wool Store:IMPROVING WOMEN’S ACCESS TO HEALTH SERVICESTHE INNOVATIVE ROLE OF THE WOMEN’S HEALTH NURSE PRACTITIONER
4.1.4 AWHN Conference 6 2010 Federation Concert Hall: Cooperation and collaboration between NACCHO & AWHN and the Talking Circle. National Aboriginal Community ControlledHealthOrganisation.Aboriginal Community Controlled Health Service
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
1. ndri.curtin.edu.au
National Drug Research Institute
Preventing Harmful Drug Use in Australia
What Works?
Services for Culturally and Linguistically
Diverse Women with Co-occurring Mental
Health and Drug and Alcohol Issues
Dr Lynn Roarty
Professor Sherry Saggers
19 May 2010
2. Introduction
Co-occurrence of mental health issues
and problematic substance use a
significant concern (AIHW, 2005; Cole & Sacks, 2008.;
Davis, 2003; Shand et al, 2003; Teesson & Byrnes, 2001; Todd, et
al, 1999).
3. Introduction (cont)
• Gender a factor in:
– occurrence and effects of mental illness
– drug and alcohol misuse
– social determinants contributing to these
issues
• Women in vulnerable populations face
multiple and systemic barriers to health
care
4. Some statistics
First generation1
culturally and linguistically
diverse people make up a significant
proportion (almost one-eighth) of Western
Australia’s population (ABS, 2006).
1
People born overseas in a non-English speaking country.
5. • five largest groups Italy, Malaysia, India,
Singapore, and Viet Nam;
• new and emerging communities fastest
growing settler groups;
• majority settle in major centres.
6. Methodology
The research involved a desktop review of:
• academic & ‘grey’ Australian and
international literature on the extent,
treatment, and barriers to service for
CaLD women with co-occurring disorders,
• training needs of professionals working
with them, and
7. Methodology (cont)
Eight interviews with practitioners from services
primarily concerned with:
– general health care,
– women’s health policy,
– drug and alcohol issues,
– maternal and child health,
– mental health,
– domestic violence, and
– trauma.
8. The six questions
• Who and what is the CaLD community in Perth, Western
Australia?
• What is the evidence of the extent of the problem of
comorbidity for CaLD women?
• What works for CaLD women in terms of service?
• What are the core elements of good practice?
• How can gender and cultural sensitivity be integrated as
an essential element of service delivery?
• What are the training needs of professionals working
with this group?
9. Who are the CaLD community in
Perth?
• Client groups include people from:
– Italy, Greece, Viet Nam, eastern Europe,
Bangladesh, Afghanistan, Iraq, South East
Asia, Somalia, the Sudan, and other countries
on the African sub-continent;
– the mix of client groups varied dependent
upon service location.
10. What is the CaLD community in
Perth?
When we’re talking about CaLD communities we’re
talking about anyone here who has either linguistic
differences ... or they’ve got cultural diversity. So they
may be someone who is born in Australia, but whose
parents have come from overseas, and so there are
completely different expectations of them in their home
versus the everyday outside social environment.
11. • CaLD women utilising services very
diverse:
– different age groups;
– birthplaces here and overseas;
– often parents;
– in Australia as migrants or as refugees and
humanitarian entrants;
– from established and new and emerging
communities;
– from many countries, cultures, and sub-groups within
those cultures.
12. The extent of the problem –
Drugs and Alcohol
• Epidemiological evidence of drug and//or
alcohol use among CaLD
communities/CaLD women varies.
• Under-utilisation vs lower need for
services.
• Additional pressures related to higher risk
factors.
• Higher still for newly arrived refugees.
13. Drugs and alcohol
• Where women do have personal
drug/alcohol issues, service providers
attributed these to causes such as a
sudden feeling of wealth and freedom,
escape from difficult situations, or lack of
support.
14. Drugs and alcohol
Experience of service providers says
more often a family member –
partner/child – misusing drugs and/or
alcohol.
15. A lot of our women are exposed to alcohol
and drug issues. They are not users, but
they are dependants, since their partners
have been users of drugs or alcohol.
16. I was just thinking of a Vietnamese family,
and a Burmese family, where there were
young men – 18 or 19 – and yes, they had
quite substantial drug issues [and] the
shame in the family was quite significant.
17. Mental health
In some languages, there is no equivalent
vocabulary to what we use ... they would say
they feel sad ...
Because of the stigma attached to mental
health issues, in more or less every society,
they wouldn’t talk about it.
18. Mental health
• Mismatch between the western medical model
and different cultural world views:
– being cursed,
– visited by malign spirits,
– somatic consequences of psychological
states.
19. Mental health
• Overwhelmingly, the CaLD women
utilising services included in the research
were seen to be experiencing stress,
anxiety, depression;
• smaller numbers suffering from the more
‘serious’ mental illnesses such as bipolar
disorder or psychoses.
20. • Service providers highlighted a number of issues
contributing to or exacerbating these conditions:
– resettlement difficulties;
– intergenerational (and marital) clashes;
– distrust of the Australian culture;
– past trauma;
– separation and isolation from family and
community;
– lack of sufficient and long-enough term
institutional support;
– domestic violence.
21. Mental health
• A high percentage of our clients are very,
very socially isolated ... many of them
have no family at all.
• I think there’s a honeymoon period ... then
the whole cold hard realities of life [start]
to hit home. I suspect that it would be
around then that people might start to
have emerging issues.
22. Domestic violence
• Recurrent theme throughout interviews.
• Another difficult topic for CaLD women to
speak about for a number of reasons:
– shame;
– economic necessity;
– fear for family in country of origin;
– fear of authorities.
23. Domestic violence
There is less understanding of our
understandings of domestic violence. So if it’s
hitting and shoving, that’s seen as ‘real’
violence, but being screamed at, denied
access to things – yeah, that takes a bit of
learning that that is also not okay.
24. More clients I deal with are mental health
issues that are caused by domestic violence.
The crossover between alcohol and drugs
and domestic violence is huge.
Very often we see a history of DV, we see
mental health, drug and alcohol, housing, no
support, education issues, very litte
employment. So you have complex issues
and they are all having to be unpacked.
25. Comorbidity
• Far more complex than co-existence of
substance misuse/mental health issues.
• Cultural understandings of
family/individual.
26. Core elements of good
practice ... what works?
• respectful attitude;
• taking time;
• treating each client as an individual;
• not making assumptions based on
ethnicity;
• not assuming knowledge of culture; and
• really listening, and taking what they say
seriously.
27. What works?
I think what works for CaLD women is
what works for most people – that is,
coming in with respect, a gentle approach,
not assuming you know anything about
their culture.
28. What works?
• Offering concrete support;
• Taking in the bigger picture;
• Providing opportunities for interaction with
‘mainstream’ people and communities;
• Having an inclusive attitude;
• Avoiding encouraging dependency.
29. Essential elements of service delivery
Gender and culture are two elements of social
determination, so they are both important, to
the patient and to the practice ... you have to
be careful about how you put them together.
You can’t just say because they want this,
they need that – they relate differently in
different circumstances.
30. Essential elements
• Specific sensitivities – around such things
as the need for a female doctor, cultural
taboos, Western ‘essential’ preventative
procedures;
• General sensitivities – to the language
barrier, to the expectations of both
cultures, to realities of clients’ lives.
31. Training
• gender and cultural sensitivity not difficult
to learn
• training availability in Perth is good
• high staff turnover requires continuous
training.
32. Training
• Training needs were seen to be around:
– cultural competence;
– development of clinical service models;
– on-the-job training;
– mentoring of less experienced staff;
– awareness of trust and power issues;
– creation of multicultural workplaces;
– frequent updating of ‘specialised’ training;
– extension of training out of the services into
the general community.
33. Training
• Responses to questions about training
needs mixed.
• Formal training important, but needs to be
overlaid with informal on-the-job learning
34. Summary
Women more likely than men to be affected
by and requiring assistance for:
– mental health, in particular affective disorders;
– domestic violence;
– trauma;
– the ‘health’ of the family, or the mother/child
dyad, as a unit.
35. • The research on which this presentation is
based was funded by the Womens Health
Services, Perth, as part of a COAG Comorbidity
Capacity Building Project.
• Roarty, L. & Saggers, S. (2010). Evaluation of
services to culturally and linguistically diverse
(CaLD) women with comorbid mental health and
drug and alcohol issues. Perth: National Drug
Research Institute.