The Health Scoop - Issue 19: Mental Health by The Nursing Post

theHealthScoop The Career and Education Magazine for Health Professionals

Mental Health Council of Australia Mental Health Begins with Me!

30 September 2013

- ISSUE 19

Mental Health

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Chronic Disease & Mental Health

CPD: By Nurses, for Nurses

Enhancing the Patientâ&#x20AC;&#x2122;s Journey: Integrating physical & mental health care Many people with chronic disease develop comorbid mental health conditions like anxiety and depression. This free interactive eLearning program uses video vignettes and a range of activities to highlight the key issues related to mental health, for nurses working with patients who live with chronic disease.

4 Improve your knowledge and skills 4 Earn CPD points in your own time, at your own pace

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the Australian College Mental Health Nurses inc.

Editor’s note... Hi Readers, We are delighted to welcome you to Issue 19 of The Health Scoop magazine featuring Mental Health. This issue, we feature a great story from Indigenous Allied Health Australia (IAHA) and Debra HunterMcCormick who shares with us her journey toward a career in Social Work. After spending her younger years working as a Secretary/Receptionist, Debra made the move to return to study. She graduated and began her new career as a Mental Health Worker before realising her ambition to become a Social Worker. With further study, hard work and determination, she made this goal a reality and loves the work she does helping people in the community. To read more about Debra’s journey, turn to page 10. We trust this story inspires you as much as it has inspired us. We also feature the Mental Health Council of Australia and it’s 2013 World Mental Health Day campaign encouraging people to take personal ownership of their own individual mental health and wellbeing. This year the campaign focusses on a simple, personal mental health promise that can be made by anyone and everyone, regardless of their own mental health. To read more, turn to page 14. Our next issue will arrive on Monday 14 October featuring Rural/Remote Health. Until then, take care.

Naomi Byrne Editor

Mental Health

Next Issue: Rural/Remote Health

ABN: 28 105 044 282 PO BOX 6213, East Perth, WA, 6892 Ph: +(618) 9325 3917 | Fax: +(618) 9325 4037 E: editor@healthscoop.com.au W: www.healthscoop.com.au Next Publication Details: Issue 20: 14 October 2013 Content Deadline: Closed 25 September 2013 Artwork Deadline: 7 October 2013 Printed by Daniels Printing Craftsmen Editor and Graphic Designer Naomi Byrne Sales and Marketing Manager Michael Kuhnert

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Contents... Mental Health

6 Australian Red Cross

Turn your phone into a life saver

Indigenous Allied Health Australia

The Australian College of Mental Health Nurses

Inside Cvr The Australian College of Mental Health Nurses CPD: By Nurses, for Nurses Loud Shirt Day 2013

Exercise Your Mood

10 Courses, Conferences and Events

Black Dog Institute

Becoming a Social Worker changed my life

Being responsive and respectful is crucial to patient-centred care

Mental Health Council of Australia Mental Health Begins with Me!

19 Australian College of Nursing The National Nursing Forum 2013 22 Mind & Itâ&#x20AC;&#x2122;s Potential Conference 23 Services for Australian Rural and Remote Allied Health (SARRAH) Scholarship applications now open! 24 Strategic Approaches to Healthcare Infection Prevention Conference

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27 Applying Consumer Directed Care Conference 28 9th National Laser & Cosmetic Medicine Conference 2013 Inside Bck

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Mental Health Council of Australia Mental Health Begins with Me!

Australian Red Cross

Australian Red Cross Turn your phone into a life saver

With more than 2 million downloads from the US and UK to date, the comprehensive app is a tried and tested resource which guides users through the correct response for many incidents including heart attacks, strokes, diabetic episodes along with the more common burns, sprains and strains. Localised for the Australian market, the app can be used 6

“

Localised for the Australian market, the app can be used anywhere, anytime and is the ideal tool to support the skills acquired through First Aid training from Red Cross College.

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Australians are more time poor than ever with 1 in 5 first aiders stating ‘lack of time’ as a key reason for failing to renew their certification. In the lead up to World First Aid Day (14 September), Red Cross released a free First Aid App to make learning First Aid on the go an easy option for Smartphone users.

anywhere, anytime and is the ideal tool to support the skills acquired through First Aid training from Red Cross College. “Initial feedback from students downloading the app has been fantastic,” says Dan Coad National First Aid Advisor for Red Cross.

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“The biggest relief for people once trained is that they no longer feel helpless. This app makes it easy for people to keep their First Aid skills fresh and it’s so simple and easy to use, my kids have even had a go.” This new Smartphone app, available through Google Play or the App stores, features vital life saving information, videos and quizzes to test your first aid knowledge on correct treatments for children and adults. Learning the skills to save a life through First Aid training is one thing, but remembering what to do when under pressure is where this First Aid app can help most. Since it’s release, more than 22,000 users have downloaded the app which shows the demand for quality first aid information in this easy to use and accessible format.

To download the app or find out more about first aid training visit: www.redcross.org.au/first-aid-app.aspx

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Mental Health

Black Dog Institute Exercise Your Mood

Regular exercise has been shown to lift a low mood by: • • • • •

Increasing energy levels Improving sleep Distracting from worries and rumination Providing social support and reducing loneliness if exercise is done with other people Increasing a sense of control and self-esteem, by allowing people to take an active role in their own wellbeing.

“

We all know that it’s hard to drag yourself out of bed on chilly morning but fitting in a bit of exercise doesn’t need to be a chore.

“

We all know that exercise is vital for our physical wellbeing but did you also know it has a huge impact on our mental health?

In addition to being helpful for managing depression, regular exercise has numerous physical health benefits. These benefits include prevention of numerous (including life-threatening) medical conditions such as heart disease, type 2 diabetes, osteoporosis and certain types of cancer. We all know that it’s hard to drag yourself out of bed on chilly morning but fitting in a bit of exercise doesn’t need

to be a chore. It can be as simple as taking a brisk walk in the sunshine at lunch time, taking the stairs instead of the lift or joining a local community sports team. The National Physical Activity Guidelines for Australians recommend: • •

A minimum of 30 minutes of moderate intensity exercise on most, preferably all, days of the week. An example of ‘moderate intensity’ exercise is a brisk walk where a slight increase in breathing and heart rate is noticable. Exercising for at least 10 minutes at a time - 30 minutes total does not need to be continuous; short sessions of different activities can be combined to make up a total of 30 minutes exercise or more each day.

Great tips to help you get started: • • •

Start slowly and build up gradually e.g. if you have not been exercising at all, start with a 10-15 minute walk each morning, and gradually increase this to 30 minutes per day Set short-term realistic goals for exercising each week (e.g. 3 x 20 minute walks per week); plan to exercise at specific times of the day that fit in with your lifestyle and write your plan down You don’t have to join a gym – try a variety of different types of activities to find those that you enjoy (e.g. swimming, walking the dog, jogging whilst listening to music, riding a bike, yoga)

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Mental Health

Debra Hunter-McCormick at the Indigenous Allied Health Australia’s 2012 National Conference.

Indigenous Allied Health Australia Becoming a Social Worker changed my life Debra Hunter-McCormick is a 59 year old Nykina woman, with connections to Bardi, NyulNyul, DjabbaDjabba and Mungala people in the Western Kimberley region of Western Australia. She has 4 children and 10 grandchildren. Although Debra was born and raised in Darwin, Northern Territory, her family originates from the Kimberley’s. “During my younger years, I worked as a Secretary/ Receptionist and often at family gatherings, I would listen to stories being shared between my brothers and sisters about Aboriginal politics,” said Debra. “I was inspired by my brother (Dr Puggy (Arnold) Hunter-) who was at that time, the Chairperson of NACCHO (National Aboriginal Community Control Health Organisation) because he had 10

passion and dedication for Aboriginal people’s health and wellbeing.” “This made me think that there was more to life than being someone’s gofer,” said Debra. “I got an opportunity to study and I enrolled in the Bachelor of Applied Science Indigenous Community Health and an Associate Degree in Aboriginal Health at Curtin University in Perth WA. It was a three year course and I was excited to open a new world of studying. I was a single mum with two teenage children at home, an adult learner and I found it difficult at times balancing my studies and home life and there were many times I wanted to throw it all in, but I had a very supportive family and this encouraged me to go on.”

Debra remarried and moved from Darwin to Western Australia where her studies opened up a whole new world for her. She had a passion for Mental Health and got a job as the Aboriginal Mental Health Worker for the Pilbara region. After she graduated, Debra moved from WA to Queensland, where she continued to work in the Mental Health field as a Mental Health Worker. “I found that in Queensland, Aboriginal Mental Health Workers co-cased managed and you worked with Aboriginal and Torres Strait Islander clients, assisting case managers with cultural input,” said Debra. “On one particular occasion, I was assisting in a case involving an Aboriginal man. Without going into details, I changed the plans regarding his accommodation because I could see that he would have been set up to fail. The Team Leader called me into the office and advised me that I could not make decisions for any Aboriginal clients, because that was the role of case managers only. It was then I decided that I would continue to study so that I too could sit at the table and make decisions for Aboriginal people.” Debra enrolled at James Cook University to study externally in a Bachelor of Social Work. She got recognition of prior learning and this required her to study for a further 2 years instead of 4 years. Debra continued to work full time and study full time. “I was working on the Acute Mental Health Unit with the Social Worker and there were times, I didn’t get home till late in the evenings and I would get straight into my studies,” said Debra. “I would sit up late at night reading, researching and writing assignments. This was a whole new study and there were many times I found it hard to balance my world and understand the literature, but I was determined to do it.”

Debra encourages other Aboriginal women and lets them know that they are never too old to study and learn. “I tell my story about my struggles because when you are working with people, they can be very judgemental and I heard the following phrases, ‘you don’t know’, ‘you have no idea’, ‘you wouldn’t understand,’ so often when I was a Child Protection Officer.” “Becoming a Social Worker changed my life, my thinking and I began seeing the world differently. I took more interest in the environment around me,” said Debra. “It also changed my life financially, professionally, socially and it opened opportunities for employment, because I found I had more choices and there was a high need for Aboriginal Social Workers.” Debra moved from Mental Health to case working in the Youth Detention Centre with young males for about 2 years until she moved from Queensland back to WA to the Kimberley’s. She worked for about 4 years as a Child Protection Officer in Broome, where she currently lives. Debra then applied for a 12 month secondment back to Mental Health, which is where she is today, as the Aboriginal Mental Health Coordinator for the Kimberley region in the Statewide Specialist Aboriginal Mental Health Services. “I love being a Social Worker,” said Debra. “I am passionate about my role and the work I do in helping people in the community. There are so many social issues involving Aboriginal people and I feel that I have a lot to offer through my own life experience and my profession. I enjoy sharing my skills, knowledge and expertise with people at a professional and community level. I continually encourage young people to stay at school and learn, because education is a way out of poverty and education gives you better opportunities in life.”

“With the help of my husband and a tutor, I graduated with my Bachelor of Social Work Degree.” “My husband and my family were very proud of me when I graduated and I felt proud of my own achievements because I knew the effort I put into my studies, the stress I felt, the late nights sitting up and struggling to get to work, it paid off with a few high distinctions in my results, which I was proud of,” said Debra. 11

Mental Health

Adjunct Associate Professor Kim Ryan, CEO of the Australian College of Mental Health Nurses (ACMHN).

The Australian College of Mental Health Nurses Being responsive and respectful is crucial to patient-centred care It seems that any discussions about asylum seekers and refugees bring many opinions and heightened emotions to the fore. Australia has been welcoming people from many cultures and countries for a long time â&#x20AC;&#x201C; this is nothing new. Indeed, after the Vietnamese War, Australia accepted 90,000 refugees. While the recent focus has been on people seeking asylum in Australia who arrive by boat, we have had a long history of multiculturalism. Australia is a multicultural nation. In all, since 1945, seven million people have migrated to Australia. Today, one in four of Australiaâ&#x20AC;&#x2122;s 23 million people were born overseas, 44 per cent were born overseas or have a parent who was, and four million speak 12

a language other than English. We speak over 260 languages and identify with more than 270 ancestries. So why is this important to us as health professionals? As health professionals there is one thing we simply cannot ignore, and that is the depth of psychological distress and significant mental ill health experienced by many people seeking asylum in Australia. Why should health professionals be concerned about these high levels of psychological distress and mental ill health? Because most of the people who have arrived by boat seeking asylum in Australia will be assessed as a refugee; with approximately 90 per cent going on to live permanently in Australia (according to Department of Immigration and Citizenship statistics).

Last year, the Australian College of Mental Health Nurses (ACMHN) drove a campaign that brought key health and mental health organisations, mental health advocates and nursing organisations together to demand the Government urgently review the standard of mental health care service provision in all immigration detention centres. This campaign was not a political one, but rather it was about saying we as a country should look after all people while they are here, regardless of how they arrived. There needs to be a greater focus on the management of health and mental health issues for all people from a multicultural background. We know that mental health is managed and accepted differently across cultures and, as the diverse population continues to increase, we need to increase our knowledge and competence in managing mental health issues from many cultural perspectives. The World Health Organisation’s constitution says, “The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being, without the distinction of race, religion, and political belief, economic or social condition.” People from all persuasions - whether they are from different counties, different religions, etc – have a right to expect good and appropriate mental health care while in Australia.

“

We know that mental health is managed and accepted differently across cultures and, as the diverse population continues to increase, we need to increase our knowledge and competence in managing mental health issues from many cultural perspectives.

“

In other words, the majority of people who are currently held within Australia’s immigration detention network will become part of the Australian community. They will become Australian citizens, they will send their children to Australian schools, they will work and make friends and own homes and build their lives in communities across the land, just like the 90,000 Vietnamese all those years ago. It seems sensible and cost effective, in both human and economic terms, to engage in mental health promotion with immigration detainees wherever possible, and address any mental health issues early, so that when people are released into the community, they can get about the business of making a new life with gusto and enthusiasm, not burdened by a range of mental health issues that have compounded the traumas that sent them to seek asylum in the first place.

countries, with an average of 84% tolerance. The OECD average is 61% tolerance. A 2013 World Value Survey - a study by Swedish economists - which has been measuring global attitudes from three decades, ranks Australia among the most racially tolerant countries in the world. We sit alongside our neighbours New Zealand, the US, UK, Canada, Sweden, Norway, Latvia and large parts of Latin America in the rankings of 80 countries. Australian Governments have been told for more than ten years that uncertainty, trauma and re-traumatisation, hopelessness, and separation from family contribute to poor mental health. We know that many people who either seek asylum or migrate to Australia do so for many and varied reasons, and for many that can result in loss of support networks, while being placed in an unfamiliar culture. As health professionals, it is our responsibility to ensure we consider the cultural context of our practice, and that being responsive and respectful of difference is crucial to patient centred care.

For membership or further information about Australian College of Mental Health Nurses, please visit www.acmhn.org

In a 2011 Tolerance Report, the Organisation for Economic Cooperation and Development found that after Canadians, Australians are the most tolerant of migrants, ethnic monitories and gays and lesbians of all the OECD 13

Mental Health

I promise to...

What’s W hat ’s your your promise? promise?

1010.ORG.AU

Mental Health Council of Australia Mental Health Begins with Me! Every year, Australia marks World Mental Health Day on 10 October. On this special day, Australians take a moment to think about the millions of people who experience a mental illness in this country, every year. In fact, the Australian Institute of Health and Welfare tells us that one in five people will experience a mental illness in the next 12 months, and around 45% of us in our lifetimes. That’s almost one in two Australians.

mental health education, awareness and advocacy. An initiative of the World Federation for Mental Health, the day aims to raise public awareness of mental health issues worldwide. This year in Australia, World Mental Health Day has three objectives: 1. 2. 3.

Encourage help seeking behaviour Reduce the stigma associated with mental illness Foster connectivity throughout communities

What is World Mental Health Day? World Mental Health Day (WMHD) is a day for global 14

The 2013 WMHD campaign aims to achieve these goals by encouraging people to take personal ownership of their

own individual mental health and wellbeing. The campaign is being run by the Mental Health Council of Australia (MHCA).

“We hope as you read this, you will be inspired to make this personal pledge, whatever your mental state,” Mr Wagner said.

“Good mental health is just as important as good physical health,” MHCA’s Director of Communications, Chris Wagner said.

“That’s why we have created a simple way to bring it to everyone’s attention, to help highlight the importance of making sure you are keeping an eye on your mental health.”

“Yet, people in medical professions can often neglect their own health.” “Just like the chef who never cooks for herself, or the hairdresser with bad hair, all too often we see workers in the medical world ignoring issues impacting their own bodies, especially their mental wellbeing.”

“Once you make your promise, we will send you a version of it that you can keep, and share. Through this we hope to inspire more people to take part. If everyone in Australia makes a mental health promise to themselves, imagine what an amazing difference it could make to our country.” Make your promise now at 1010.org.au.

“We believe that by taking small steps and being mindful of our own mental state, we can make a big difference to our stress levels, our overall health and our lives.” So how can you get involved?

The MHCA is the peak, national non-government organisation representing and promoting the interests of the Australian mental health sector, committed to achieving better mental health for all Australians.

Being part of World Mental Health Day is easy. This year the campaign focusses on a simple, personal mental health promise that can be made by anyone and everyone, regardless of their own mental health.

The MHCA aims to promote mentally healthy communities, educate Australians on mental health issues, conduct research into mental health and reform Australia’s mental health system.

So you don’t have to have a mental illness to take part, you just need to have an interest in your own health and wellbeing. With the intensive everyday pressure being felt by nurses and medical practitioners in their day-to-day lives, looking after our mental health makes sense.

Membership of the MHCA consists of national organisations who deal primarily in mental health and wellbeing, state based organisations providing mental health services or advocacy to their state, and organisation that have a keen interest in making a difference in this important sector.

Mental Health Begins with Me! “So let’s be honest, how’s your mental health?” asks Mr Wagner.

To find out more about the work of the MHCA, go to www.mhca.org.au.

“This year we want everyone, including those reading this article, to consider their own wellbeing and not just that of the people they look after who may be experiencing a mental illness. We believe that everyone has a role to play in a mentally healthy society.” This year’s campaign calls on everyone to make their own mental health promise. It’s a simple and quick action that everyone can do at 1010.org.au.

Mental Health Council of Australia

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Strategic Approaches to

Healthcare Infection Prevention Managing infection prevention & control to meet accreditation

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Dr Lee Hamley Executive Director Medical Services

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