The state hospital as a training and staff development resource for community treatment personnel.
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Demand for psychiatric services is rising in part because many former patients are now in the community and the development of community services has not kept pace. Needs perceived by psychiatrists and family physicians are congruent with each other and with the many job opportunities for psychiatrists which now exist. In five years there will be an increase in attrition of psychiatrists by retirement at the same time as the demand for service by the high utilizers--the young middle age group--will increase. The number of psychiatric training positions funded by the Ministry of Health has diminished. The influx of foreign medical graduates on whom one-third of services depend has been severely curtailed. The net result of these trends, if unmodified, will be higher population-to-psychiatrist ratios, decline in quality, decline in effectiveness, and a decline in the availability of services.
This article discusses the context of Australian health care and the policy directions being implemented to meet current challenges. It demonstrates why and how faith community nursing/nurses (FCN) programs commenced within Australia as an innovative response to health policy, changing health needs and altering social and economic trends. The FCN demonstration project is described, and the unfolding FCN role and its relationship to the evolving health care continuum is discussed. Faith community (parish/pastoral) nursing fosters community participation in health and promotes whole person health, within the supported social and culturally specific context of a faith community. The FCN provides individuals and communities with health promotion and illness prevention activities, as well as care management services, and helps clarify and nurture the relationship between faith and health.
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In order to carry out core skills practitioners should not only obtain a postbasic qualification to practise competently but also take up other specialised courses for effective intervention. This article, the second in a two-part series, analyses the difference between qualified and unqualified community nurses in learning disability.
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This article examines the relationship of theater and dramatic study to models of learning communities in promoting identity, diversity, and culture. Theater is an example of how learning community can be achieved and levels of theater use in education are presented as ways in which educators can create ensemble and foster community. Strategies for developing learning communities using the performing arts are provided.
The bacterial diversity in the intestinal tract of Musca domestica L. was examined in larvae collected from turkey bedding and corn silage. Aerobic culturing yielded 25 bacterial species, including 11 from larvae collected from turkey bedding and 14 from larvae collected from corn silage. Providencia rettgeri (Hadley, Elkins & Caldwell) was the only species common to both environments. Two mammalian pathogens, Yersinia pseudotuberculosis (Pfeiffer) and Ochrobactrum anthropi (Holmes), were isolated from the larval intestinal tracts. The majority of isolates represented facultatively anaerobic heterotrophs capable of fermentation. The significance of these bacteria for development of house fly larvae was evaluated by bioassays on trypticase soy egg yolk agar. Pure cultures of individual bacterial species isolated from the intestinal tract of larvae from turkey bedding supported development of flies to a much greater extent than those isolated from larvae from corn silage. House fly development was best supported by a Streptococcus sanguis (White) isolate. The significance of bacteria for development of house flies is discussed.
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Each year up to a quarter of all young Aboriginal men have direct involvement with correctional services, and Aboriginal prisoners currently represent 22% of the total Australian prisoner population. The high rates of repeated short-term incarceration experienced by Aboriginal people in Australia have a multitude of negative health effects for Aboriginal communities and the wider society, while achieving little in terms of increased community safety. Well identified health and social priorities for Aboriginal people affected by incarceration include housing and tenancy support; mental health and wellbeing, including family violence, grief and loss support; substance misuse support; general health services, including hepatitis C management; and social inclusion, including the need for family and community integration, skills development and employment. The post-release period is a crucial time for the provision of integrated health and social services to address these priorities and to break the cycle of incarceration. To achieve significant health gains for Aboriginal people, there is a need to develop a broader collaborative approach to primary health care, incorporating social health and justice perspectives as fundamental components of health care planning. Health and human services have a critical role to play in developing community-based solutions to reduce excessive incarceration rates for Aboriginal people.
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