Rural Mental Health Conference 2023: Insights from MediRecords

Rural Mental Health Conference 2023: Insights from MediRecords

Peer-support workers are the future of mental-health service provision, including in rural Australia, where the need is among the highest and access to services among the lowest, the Rural Mental Health Conference was told this week.

Also, the conference heard that talking openly about mental ill health and suicide is essential to reduce stigma, increase understanding and activate prevention initiatives in communities.

MediRecords was an industry sponsor for the conference in Albury, which was attended by mental health professionals, researchers, advocates and others.

Conference co-chair Professor Russell Roberts, of Charles Sturt University and the Manna Institute, opened the conference by dispelling the oft-made claim that rural towns were dying. In fact, they have been growing for 20 years, boosted further by an increase in relocation to rural Australia during the pandemic, he said.

Speakers highlighted workforce challenges including recruitment and retention, and low mental-health literacy, compounded by the housing crisis for people willing to move and live rurally.

“Peer support workers are the future of mental-health service provision,” said

Dr Chris Maylea, Associate Professor of Law at La Trobe University.

Also, he argued that inadequate mental-health services for rural Australians was a breach of human rights.

“Sub-par services because someone lives in a rural area – we should call that a human-rights violation, not a geographic disparity.”

Mental Health Australia CEO Carolyn Nikoloski called for a national human-rights act – one that embedded mental health into human rights.

Other themes from the conference included:

  • A dearth of mental health services in rural areas means people with mental ill health end up in the justice system. As the documentary film Solstice stated, people in urgent need of mental health care don’t get a helicopter flight to Melbourne like accident victims; the more likely options are a busy hospital Emergency Department or police custody.
  • Telehealth is increasingly essential for providing access to services where few or none are available locally and wait lists are long. The Royal Far West Centre for Rural and Remote Children’s Health gave an example of setting up a farmer with video-call technology so he could join a case conference for his daughter from his tractor. Clean Slate Clinic clinical nurse consultant Fiona Faulkner said the home treatment program enabled people in rural areas to seek support without the fear of being ‘outed’ in their small communities.
  • Kelly McGrath, of the Wesley Research Institute, highlighted the way that services need to adapt telehealth to support individuals, ensuring there is personalised tech help and financial support, and sensitivity to how and where people engage with telehealth – from having kids running around in the background or access at the workplace, where there may be insufficient privacy.
  •  Ruralaid is experiencing a significant spike in demand for its services in Queensland, where farmers have been confronted with floods, bushfires, rising costs and falling returns for produce.

MediRecords is a cloud-hosted electronic health record and client management platform with industry-leading options for secure data sharing. MediRecords supports a broad range of telehealth care providers, including the Victorian Virtual Emergency Department.

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    Critical care: 84% of healthcare workers facing burnout, putting mental health at risk

    84% of healthcare workers
    facing burnout, putting mental health at risk

    On World Mental Health Day, it is timely to remember the importance of supporting the mental health of healthcare workers.

    The latest data from Mental Health Australia’s (MHA) annual survey of the mental well-being of healthcare workers paints a concerning picture.

    The survey found 84% of respondents reported that the pandemic’s demands lead to burnout in 2022.

    The WHO describes burnout as a syndrome caused by unmanaged workplace stress. It includes feeling exhausted, negative about work, and ineffective.

    Burnout is linked to a conceptualised “COVID-19 fourth wave”, alongside psychological trauma, mental illness, and economic strain, according to the US physician, Associate Prof. Victor Tseng.

    Burnout significantly raises the risk of unsafe care by doctors and nurses, studies show.

    In a review of 13 studies involving 20,643 doctors, “physicians with overall burnout had almost three times greater odds of making self-perceived errors,” found a study in the Journal of Patient Safety in 2022. The odds were almost identical for nurses, with burnout likely to providing poor-quality care, a separate study found this year.

    One leading organisation supporting the wellbeing of healthcare professionals is the Black Dog Institute. It established The Essential Network (TEN), which aims to prevent burnout.

    TEN offers practical resources , confidential personalised support and up to five free telehealth sessions.

    “Every Australian has been impacted by COVID-19, but few have felt the brunt of the pandemic more keenly than health professionals,” said Black Dog Institute’s Deputy Director and Chief Psychiatrist, Professor Sam Harvey.

    Mental Health Australia CEO Carolyn Nikoloski said that, for the first time in 20 years, Australia does not have a national mental health and suicide prevention plan. She said: “A national roadmap needs to be developed to address these concerning trends and ensure equitable access to mental health care supports for all people in Australia.”

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