Centre for Rural and Remote Mental Health
Quarterly Report October – December 2017 About the CRRMH
The Centre for Rural and Remote Mental Health (CRRMH) is based in Orange NSW and is a major rural initiative of the University of Newcastle and the NSW Ministry of Health. Our staff are located across rural and remote NSW.
The Centre is committed to improving mental health and wellbeing in rural and remote communities. We focus on the following key areas:
• the promotion of good mental health and the prevention of mental illness;
• developing the mental health system to better meet the needs of people living in rural and remote regions; and
• understanding and responding to rural suicide.
As the Australian Collaborating Centre for the Integrated Foundation for Integrated Care, we promote patient-centred rather than provider-focused care that integrates mental and physical health concerns. As part of the University of Newcastle, all of our activities are underpinned by research evidence and evaluated to ensure appropriateness and effectiveness
Centre for Rural and Remote Mental Health T +61 2 6363 8444 E [email protected]
2 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Contents
Report Page
Director’s Report 4
Snapshot of the Quarter 5
Rural Suicide Prevention Position Paper 6
Research 7
John Hoskin Library 8
Connections 9
Communications 11
Partnerships 13
Online Connections 15
Act-Belong-Commit 17
Good SPACE 18
Rural Adversity Mental Health Program 19
Staff Achievements, Training and Development 20
Appendix 21
3 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Director’s Report Prof David Perkins, Director Welcome to our last report for 2017.
This has been an extremely busy year and has ended on a high note. You will be aware that the CRRMH addresses three key questions: how can rural people be mentally healthy; how can we improve rural services; and, how can we help communities to reduce rural suicide.
In December, we published our CRRMH position paper on the prevention of rural suicide. This process started with a consultation held at the 2017 Royal Sydney Easter Show with 60 representatives of health, government, agriculture, primary industries, and academia. The Governor of NSW honoured us with his presence.
We asked attendees how we should address rural suicide which happens at substantially higher rates than in capital cities and does not seem to be improving. After the consultation, we examined the research evidence, sought expert advice and produced a position paper about how we can work together to reduce rural suicide. Most of the effort and investment at the moment focuses on how we can identify individuals who might die by suicide and how we might change that trajectory. This work needs to continue but it is not enough. We need to focus on those who are affected by suicide whether as survivors, families, neighbours, workmates, or school friends and we need to consider actions which will make a difference in the medium and long term. These require action at the regional and community levels. We need firstly to plan with vulnerable groups in the community to ensure their wellbeing. Secondly, we need to safeguard and strengthen children and young people so that they are not drawn to self-harm and suicide. Thirdly, we need to build healthy and resilient rural communities where factors such as isolation and extreme poverty are addressed and all members can experience a worthwhile life.
Writing position papers, even very good ones(!) will not change rural suicide rates. We need to communicate widely and work in partnership with communities and a wide variety of stakeholders. This goes far beyond, but does not exclude, working with health services. We are pleased to thank our “communications partners” including the ABC and The Land, and we have attempted to engage Federal, State and local governments. This is the start of a long-term CRRMH commitment to work with interested parties basing our actions on best evidence and evaluating our actions to create new knowledge. There is further information about the position paper on page 6 of this report.
May I thank our staff, our partners, and our Community Advisory Committee for their support and wish you and your families a happy 2018.
4 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au 2,594 people 2017 Glove Box attended training Guide launched courses with RAMHP
Dec 9 2017 Publication of This quarter Rural Suicide and ARMHS results its Prevention: A Five papers in a CRRMH position accepted for snapshot paper released publication
People linked to care through RAMHP Celebrated Mental Health Month with This quarter - 356 a host of activities Total for 2017 1,947
5 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au SPECIAL PROJECT: RURAL SUICIDE PREVENTION POSITION PAPER
On 7 December the Centre published and released “Rural Suicide and its Prevention: A CRRMH Position Paper”, in response to the fact that in 2016 the number of suicides per 100,000 people in rural and remote Australia was 50 percent higher than in capital cities. The paper proposes five key focus areas for action to address the need to save rural lives now and to lower the number of deaths and rates of suicide in the future. Recommendations outlined in the positon paper draw on the suggestions and ideas obtained from participants who attended the CRRMH’s Rural Suicide Prevention Forum held at the 2017 Sydney Royal Easter Show, as well as local and international sources, and the CRRMH’s experience and research.
Strategies outlined advocate that leadership for rural suicide prevention is needed at the Commonwealth, State and Local Government level. Local communities also have a role to play and are best-placed to identify local opportunities for suicide prevention, both in terms of how to help those who might be at risk of experiencing suicidality and how to improve the resilience of their community.
The paper also provides concrete suggestions for addressing the high rates of suicide in Aboriginal and Torres Strait Islander communities, specifically looking at indigenous leadership and participation in suicide prevention strategies.
Patron of the CRRMH, His Excellency General The Honourable David Hurley AC DSC (Ret’d) Governor of NSW endorsed the Position Paper and says the purpose of this paper is twofold: to describe the problem and to suggest how we might address it based on the best available evidence.
The Position Paper has been distributed widely to stakeholders throughout Australia and significant media interest has been generated. Work will continue in 2018 in further promoting and discussing the paper as we continue to advocate for action to decrease rural suicide prevention. The CRRMH welcomes the opportunity to partner with organisations that also wish to take action and have a positive The Centre’s Tessa Caton, Hazel Dalton and Vanessa Delaney with impact on rural suicide. the position paper The Position Paper and summary can be downloaded at www.crrmh.com.au.
6 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Research This quarter saw the launch of a youth adaptation of the ‘How are you going’ poster and companion quiz, as well as a reader survey within the 2017 Glove Box Guide to Mental Health. See the Partnerships page for more information on these activities.
Workshop Evaluation The We-Yarn evaluation looked at whether people are better equipped to address and respond to suicide after attending a We-Yarn workshop. Participants had fairly high levels of engagement and confidence, but modest improvements were reported. Recommendations for development of the workshop included the need for follow-up in communities to turn discussions into action and for content to be specifically targeted to health workers and community members. The findings will be disseminated to project partners in the coming months.
Suicide Prevention National Suicide Prevention Trial - Service provider and community consultations and work plans for each of the four trial sites have been completed and submitted to Western NSW PHN. A final report is being prepared. National Coronial Information System - Data for the four jurisdictions included in the study (NSW, QLD, TAS and SA) has been extracted and coding of case reports (police, coronial, and toxicology) has begun.
Publication of Australian Rural Mental Health Study (ARMHS) results has continued throughout 2017, with five papers accepted for publication and further papers under development. ARMHS Research Manager, Terry Lewin (pictures left) officially retired from his position in November, but will continue working on ARMHS in a volunteer capacity.
Integrated Care The evaluation of the Central Coast Local Health District’s (LHD) Integrated Care Program continued in the fourth quarter with the completion of data collection. Analysis continues and a consultative draft was shared with the LHD and our international collaborators. The final evaluation report will be ready in early 2018, with research papers to follow.
The CRRMH, especially the research team, would like to take the opportunity to thank Dr Kate Davies for her time with and contribution to research at the CRRMH. She will be taking a position outside of academia in January 2018. See page 27 for more detail on Kate’s contribution to the Centre. Compiled by Lucy McEvoy, Research Assistant
7 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au John Hoskins Library
The period Oct-Dec 2017 proved to be a slightly quieter period than the previous three months with the overall library use. The fact that a substantial proportion of December was holidays must be taken into consideration. Visitor numbers were stable overall, increasing from 303 to 311 for this period. Article requests were down from 190 to 83 for CRRMH staff and only slightly decreased from 409 to 398 for Western NSW LHD staff. There was an overall decrease in inter library loans from 119 to 109 for all requests and information skills training was stable. There are now new statistics measured which will be implemented in the New Year, this incorporates splitting up area health staff to taken into account patients using the library.
The Library Collections Committee Library Activity during Oct-Dec, 2017 There was one library collections committee meeting held on the 7th of December 2017, which discussed issues including the Loans online library collection, with staff recommendations and the Other Training Provided
continuation of library orientation for students and staff and Information Skills Training ongoing training in the wards. Literature Searches Publications Publications have been regularly checked during this period. Inter-library loans Library Promotion Article requests There was a new book display on October 19th, 2017 with a Visitor Type range of new items relating to mental health. The library continued to be promoted through regular emails on library 0 50 100 150 200 250 300 350 400 450 services, including orientations, library database training and Other Health Students Area Health Service Staff CRRMH Staff Endnote. Library Activity Total Daily News Alerts Visitor Type 311 This remains a popular feature of library services at John Hoskin Article requests 533 Library. It is available for subscription through the CRRMH and Inter-library loans 109 Literature Searches 33 the RAMHP websites. There is also regular journal Table of Information Skills Training 16 Contents sent out to Western NSW LHD and CRRMH staff. Other Training Provided 200 There were some issues with the “Daily News” alerts being Loans 60 received by health staff during this period which have now been resolved. Compiled by Paul Stanfield, Librarian
8 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Connections
University of Newcastle (UON) • CRRMH Director Professor David Perkins attended the launch of the University of Newcastle’s new office space at Muswellbrook’s Tertiary Education Centre on November 6, marking the expansion of the University’s presence in the Upper Hunter region. • It was a privilege to have two special guests from UON visit the CRRMH on December 6. Professor Alan Above : Dr Jamin Day (UON Family Action Hayes, (Professor of Family Studies and Director, Family Centre) and Prof. David Action Centre) and Professor John Aitken (Pro Vice- Perkins at the Chancellor, Office of the PVC Health and Medicine) met Muswellbrook launch Left: Professors Alan with Professor David Perkins to discuss the Centre's Hayes, David Perkins and work and new research opportunities. We look forward to John Aitken at the Centre working together on new initiatives in 2018.
Mental Health Month
. The CRRMH are proud sponsors of Orange Parkrun, and were on hand to help them celebrate their first birthday on October 14 and Mental Health Month on October 21. . The Centre and RAMHP joined local service providers at the Orange Mental Health Expo on October 18 as part of this year’s local Mental Health Month activities organised by TAFE. Hundreds of people were in attendance, many taking the opportunity to pick up the 2017 edition of the RAMHP Glove Box Guide.
Compiled by Vanessa Delaney, Senior Development Officer
9 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Rural Mental Health Symposium
. The Centre and RAMHP attended the Australian Rural Mental Health Symposium in Albury in October, with a number of staff presenting. Tessa Caton (RAMHP Program Manager) presented on RAMHP’s ten year history and the lessons learnt. Sarah Maddox (RAMHP Evaluation Manager) presented on the new data collection system implemented.
. After completing a rapid review of Low Intensity Mental Health Services in February (https://www.crrmh.com.au/content/uploads/Low-Intensity-MH- Service-Rapid-Review_13-Jan-2017_final.pdf), the research team were successful in a bid to evaluate the ACT PHN Next Step Tessa Caton presenting at the Australian Rural Mental psychological services and in November, Dr Hazel Dalton was Health Symposium invited on to a multidisciplinary working group for accreditation of low intensity services by the Australian Psychological Society. The group met in November and will continue working together in 2018. Compiled by Vanessa Delaney, Senior Development Officer
10 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Communications
Overview In the fourth quarter of 2017, the Communications team launched the 2017 Glove Box Guide to Mental Health as well as a new podcast series – ‘Let’s Talk – Rural Mental Health’. The team also developed and implemented a Communications Plan promoting the CRRMH Position Paper on rural suicide prevention, distributed the third RAMHP eNewsletter to over 1,500 subscribers and launched some new resources targeting the youth demographic in partnership with ReachOut Australia.
New Resources 2017 Glove Box Guide to Podcast series Mental Health This quarter, the Communications team delivered a new This quarter saw the launch of podcast series – ‘Let’s Talk -Rural Mental Health’ hosted the 2017 Glove Box Guide to and produced by journalist Kia Handley (current producer Mental Health. This year the ABC Statewide Drive). The podcasts were broadcast stories were promoted every Tuesday throughout October (Mental Health Month) separately online on The on ABC’s Statewide Drive program. Land’s new Mental Health Topics included: page. . Talking to Your GP http://www.theland.com.au/men . Disasters tal-health/ . Trauma and Mental Health . Mentally Healthy Workplaces Photos and a live video from . Transitioning back to the land our Glove Box Guide Launch at . Rural Suicide Prevention and Example of a LikeMind can be seen at: . Mental Health Peer Workers. social media post promoting the https://www.facebook.com/ram Podcasts can be accessed at: podcast series hp/videos/725959560933941/ https://www.crrmh.com.au/get-help-now/self-help-resources/podcasts/ The team promoted the series on social media and developed and implemented a direct email campaign shared with Communications Managers across the mental health sector. Feedback has been extremely positive. For example on Whooshkaa, the platform that hosts the podcast series, the podcast on ‘Talking to Your GP’ had over 333 listens. On the RAMHP Facebook page one specific post promoting the series reached over 4,913 people with 21 shares.
11 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Communications
NEW resources targeting youth demographic . Resources were developed targeting the youth demographic in partnership with ReachOut Australia. The online quiz is a useful tool designed for people to check in and see how they are doing? https://www.crrmh.com.au/get-help-now/self-help- resources/quick-quiz/. Online interactive quiz
. The infographic was based on the mental health continuum ‘How Are You Going?’ and uses language to engage young people. A youth advisory group (via ReachOut) was consulted to ensure the resource effectiveness. The tools were also promoted in the ReachOut newsletter which goes out to parent subscribers as well as on their Infographic –How Facebook page which has a reach of over 100,000 followers. are you going?
Rural Suicide Prevention Position Paper During this quarter the team developed and implemented a Communications Plan promoting the CRRMH Rural Suicide Prevention Position Paper. The plan included a comprehensive national media, social media and direct mail strategy to successfully launch the Paper. The Paper received wide spread media coverage including interviews with ABC’s Statewide Drive, NSW Country Hour, The Land, NBN Tamworth and numerous radio outlets around Australia. The Patron of the CRRMH, His Excellency General The Honourable David Hurley AC DSC (Ret’d) Governor of NSW endorsed the position paper and participated in a video launch as part of the Communications Plan. To view the video: Example of a social media https://www.facebook.com/crrmh/videos/1466115853502459/ post promoting the Position Paper
Media This quarter the team distributed media releases as per Appendix 8. To read media releases visit our News and Media page: https://www.crrmh.com.au/news-media/media-releases/
For a full list of media interactions this quarter, please refer to Appendix 7. Compiled by Jocelyn Johnston, Communications Officer
12 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Partnerships
During this quarter the Centre continued to work with our partner organisations across a variety of projects. We are always looking at new opportunities to partner with other organisations to achieve our shared goals.
Industry Partnerships
. On November 23, the Centre hosted a visit from its ReachOut.com Australia colleagues to discuss joint projects for the future and celebrate the recent launch of a youth version of the ‘How are you going?’ resource. Developed in partnership by the Centre and ReachOut, the online quiz version of this valuable resource has had over 1,000 hits! https://www.crrmh.com.au/get-help-now/self-help-resources/quick-quiz/
. The results of RAMHP’s long standing partnership with The Land newspaper came to fruition again in October with the launch of the 2017 Glove Box Guide to Mental Health. The Research team are conducting an evaluation of the Guide with an online survey for readers and stakeholder interviews being conducted in early 2018. https://www.crrmh.com.au/news-item/survey-feedback-glove-box-guide-mental- health/
. The 1st Asia-Pacific Conference on Integrated Care was held in Brisbane in November with members of the Scientific Committee, David Perkins and Hazel Dalton attended and presented on integrated care topics. It was a great networking opportunity and valuable discussions were had over the two days to find the best solutions for delivery of care that works for families and communities in Australia.
. The second meeting of IFIC Australia partners was held at the conference with growing interest in the movement locally.
. Following on from the conference, meetings were held in Orange with Dr Nick Goodwin, CEO and founder of IFIC and Fiona Lyne, IFIC Director of Communications to discuss next steps and activities for IFIC Australia.
13 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Academic Partnerships . During this quarter we continued to collaborate with numerous academic partners across a variety of projects. . The CRRMH has been commissioned to undertake a review of community wellbeing collaboratives by the NSW Mental Health Commission and as part of this work the CRRMH has offered expertise and support of a funding bid by the University of Newcastle’s Family Action Centre to launch a community wellbeing initiative based on Act-Belong-Commit.
Government Partnerships . The Centre is pleased to support Safework NSW and were on hand for the launch of their Agriculture Work Health and Safety Plan at the Australian National Field Days in Borenore on 27 October. This followed the launch of RAMHP’s Glove Box Guide on Oct 5th, which was sponsored by SafeWork NSW, demonstrating the strength of this important partnership.
. In early November, the Centre's RAMHP Program Manager Tessa Caton attended the SafeWork NSW two-day Mentally Healthy Workplace Summit in Sydney discussing components of the 'NSW Strategy to Improve Mental Health Within Workplaces'. We are looking forward to our continued work with the government in this space.
. A partnership was established between RAMHP and the Department of Justice to commence delivery of Workplace Support Skills (WSS), using Dubbo and Wellington as pilot sites. In early 2018, approximately 200- Prof. David Perkins at the ANFD 300 employees from the prison and local court houses will receive the training.
. RAMHP played a strong role in bringing a mental health focus to the Department of Primary Industry’s 2017 Rural Women’s Tessa Caton at the SafeWork NSW Summit Gathering in Narrandera.
Compiled by Vanessa Delaney, Senior Development Officer and Tessa Caton, RAMHP Partnerships Manager
14 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Online Connections
Social Media The Centre has a number of social media platforms which are used to promote activities, industry news, resources and to promote and highlight achievements. The engagement on posts continued to improve during this quarter particularly on the RAMHP Facebook page and the CRRMH twitter platform with more shares and post clicks.
CRRMH Facebook followers increased by over 10% Sept-Dec to 772. WEBSITE SNAPSHOT There were 144 posts in this quarter. RAMHP Facebook followers increased by over 14% up to 710. Increase of visitors: There were 169 posts and over 1.1K total views. Good SPACE Facebook followers increased by 5.2% up to 463. CRRMH website 25% There were 62 posts in this quarter. from July- Sep 2017 quarter to CRRMH twitter @crrmhnsw followers increased to 649 an increase of 8%. Oct-Dec 2017 quarter 95 tweets were posted. RAMHP twitter @ramhpnsw followers increased to 333. 74 tweets were posted. Top 5 pages this quarter (CRRMH): 1. CRRMH Home page 2. Podcasts 3. News Items: Rural Suicide Prevention RAMHP eNewsletter Edition 3 - Let’s Talk Paper The eNewsletter – Let’s Talk was distributed to over 1500 4. Downloadable Resources subscribers raising awareness about the signs of a mental 5. Programs and Projects – RAMHP health concern and knowing what to do about it. Top 5 pages this quarter (RAMHP): Subscribe to the RAMHP eNewsletter 1. RAMHP Home page http://crrmh.us5.listmanage1.com/subscribe?u=0d60c245b 2. Downloadable Resources 35213c2c03262115&id=a1134f8d53 3. About Us - Meet the team 4. Find a RAMHP Coordinator 5. About Us
15 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Online Forum
The following online forums were facilitated with The Land:
6 October Stay Connected and Mentally Well http://www.theland.com.au/story/4961510/friday-forum- stay-connected-and-well/?cs=5020
Panel: Ian Firth, State Inspector in the Psychosocial Services Team, Health and Return to Work Directorate, SafeWork NSW; Liz Priestley, Chief Executive Officer, WayAhead -Mental Health Association; Kim O’Neill, Chief Executive Officer, On The Line; Katherine Newton, Campaign Director, R U OK?
The forum had 123 page views and 102 unique page views 1 December 3 November Let’s Talk About Rural Suicide Prevention Social and Emotional Wellbeing http://www.theland.com.au/story/5086421/a-bit-stressed-take-part- http://www.theland.com.au/story/5001155/lets-all-have-a- in-friday-forum/?cs=4941 yarn-about-mental-health/ Panel members: Susan Beaton, Psychologist; Sue Murray, CEO Panel: Fiona Livingstone, CRRMH; Stuart McMinn, Suicide Prevention Australia; Susan Vaughan, National Interrelate; Donna Stanley, District Coordinator Aboriginal Partnership Coordinator, Stand by Support After Suicide; Mental Health Drug and Alcohol for Western NSW LHD; Trevor Hazell, Manager Suicide Prevention CRRMH. Dr Jodie Adams-Brinkley, Resident Doctor in Newcastle and Lecturer in Indigenous Health at the University of The forum had 109 page views and 79 unique page views. Newcastle.
The forum had 129 page views and 94 unique page views.
Compiled by Jocelyn Johnston, Communications Officer
16 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Act-Belong-Commit
. The Centre continues to work with the Mental Health Commission of NSW, offering expertise and support of a funding bid by the University of Newcastle’s Family Action Centre to launch a community wellbeing initiative based on Act-Belong-Commit in Muswellbrook.
. By the middle of December, the design of development (Stage 2) of the Western NSW Local Health District (WNSWLHD) Act- Belong-Commit project was well underway. The project team worked closely with key WNSWLHD staff from various units including communications, wellbeing, workforce and culture, and human service management. This approach enabled all aspects/contexts of the organisation to be considered in the body of the program, developing a holistic approach to mental health and wellbeing in the workforce.
Moving Forward
. The CRRMH project officer will provide project handover at the end of January 2018, to the newly recruited WNSWLHD Wellbeing Program Manager.
. The Launch of the WSNWLHD Act-Belong-Commit Workplace Wellbeing program at pilot sites is expected for end of February 2018. The potential increase in staff seeking help has been identified, therefore in conjunction with the program roll-out, the CRRMH’s RAMHP program will be providing Workplace Support Skills Training to managers. This will assist to ensure safe and supportive environments for all staff involved in conversations and education around mental health and wellbeing.
Compiled by Courtney Bilske, Senior Project Officer
17 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Good SPACE
This period has been busy for the Good SPACE team. In addition to the activities below, the team continues to attend community and service provider meetings across their region, which covers the Upper Hunter New England North West regions of NSW. Good SPACE continues to provide individual and group referrals to those in need to various support. This period saw multiple referrals provided to individuals and families bereaved by suicide. Further details can be found in Appendix 6.
Community Conferences
Good Space has been involved in the following areas: . GSC attended and presented at the Rural and Remote Mental Health Symposium in October. . SuicideTALK . GSC submitted an abstract to the International . Good SPACE workshops Association for Suicide Prevention in New Zealand in . ASIST May. . Golf Day and Charity Dinner at Armidale Golf Club, held in partnership with Suicide Prevention Australia (SPA) Program development . Activities in Tenterfield during mental health month . Black Dog Institute’s ‘Advanced Training in Suicide . Research has commenced regarding the possibility of Prevention developing services and resources around suicide . GP Stepcare in General Practice program Postvention.
Top left: Project Officer, Jess Aboriginal suicide prevention Barraket at local Armidale event Top right: GSW participant . HNECC PHN have contracted the CRRMH to deliver seven activity Bottom: Scone ASIST healing days in the communities that the We-Yarn workshop was participants held in. Initial meetings have been held and planning is currently taking place
. Several initial and follow up meetings have been attended on the North Coast with Aboriginal Health Services as part of the North Coast Primary Health Network contact, where the CRRMH has been contracted to deliver 16 We-Yarn workshop by June 2018. Four workshops are scheduled for early 2018. Compiled by Fiona Livingstone, Coordinator and Carmel O’Sullivan, Project Officer
18 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Rural Adversity Mental Health Program (RAMHP)
. RAMHP Coordinators Linked 356 people to care between Oct – Dec 2017. This brought the total for 2017 to 1,947 people. 2,594 people were trained between Oct-Dec, the highest quarterly figure since the program was refunded in 2016.
. The October – December period was very busy for RAMHP with October being Mental Health Month. RAMHP’s first podcast series, Let’s Talk, was launched in collaboration with ABC Reporter, Kia Handley. Topics included, Disasters, Trauma & Mental Health, Mentally Healthy Workplaces, Transitioning Back to The Land and many more . The partnership between The Land, RAMHP and SafeWork NSW came to fruition with the launch of the 6th Edition of The Glove Box Guide. This year’s version contains a survey to evaluate its effectiveness and collect data on where rural people seek help for their mental health
. Supporting workplaces to improve the mental health of their workforce is becoming an increasing priority for rural businesses and communities. RAMHP’s Program Manager Tessa Caton represented the CRRMH at SafeWork NSW’s Mentally Healthy Workplaces Summit in November. A draft strategic plan on creating mentally healthy workplaces in NSW will be released in early 2018. RAMHP will take direction from this plan to determine the most effective role for the program in this space . RAMHP’s training sessions were expanded, with the introduction of “Wellbeing & You” training session. This is a one hour session focusing on personal wellbeing . The RAMHP Communications team has worked in collaboration with ReachOut to develop a youth version of our ‘How are you going poster?’ This will be used by RAMHP Coordinators that have youth as a priority group
. RAMHP had a strong presence at DPI’s Rural Women’s Gathering in Narrandera. RAMHP Coordinators Merilyn Limbrick and Marie Kelly delivered CSS training and ensured participants received information on how to improve their mental health.
For the full RAMPH Report for this quarter, please refer to Appendix 8 Compiled by Tessa Caton, RAMHP Program Manager
19 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Staff Training and Achievements Achievements and Celebrations . Congratulations to CRRMH researchers Kate Davies, Scott Fitzpatrick and Tonelle Handley who were all promoted to Level B in the University of Newcastle promotions round this quarter. . The Centre’s Rural Adversity Mental Health Program (RAMHP) received a Certificate of Commendation for Excellence in Service Delivery at this year’s Way Ahead Mental Health Association of NSW Mental Health Matters Awards.
New staff During this quarter we welcomed Research Assistant, Nic Powell. After completing a Masters in Science at Sydney University, Nic is happy to have returned to his birthplace in Orange where he will provide support to the CRRMH research team, including analysing models of collaboration to ascertain the key elements in a mentally healthy community. This information will help guide community initiatives that aim to increase wellbeing in rural communities. Nic will also look at treatment and prevention of poor mental health, so that we can develop methods that will help people in rural communities increase and maintain their mental wellbeing. Training
. Senior Development Officer Vanessa Delaney and Administrative Officer Rosie Dunnett attended a two-day course in Project Management Fundamentals at the University’s Callaghan campus on October 5 and 6. The training introduced the critical elements of project management and covered the latest theories, practical exercises and case studies on how projects can be most effectively managed. Both Vanessa and Rosie are looking forward to applying their new knowledge and skills in their project work at the Centre. . Centre and some RAMHP staff had the opportunity to attend a LGBTI workshop at the Centre on 29 November. Presented by ACON, NSW’s leading HIV prevention and LGBTI health organisation. The workshop allowed participants to learn more about how they can better support lesbian, gay, bisexual, transgender and intersex (LGBTI) people.
. Centre managers and supervisors finalised their Workplace Health and Safety training with a visit from the University of Newcastle’s Associate Director of Health and Safety Maggie Goldie.
20 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Research – 2017 IN REVIEW Appendix 1 * denotes QTR4 activity Research: Funded proposals
Program Development: General Practitioners with a Special Interest in Mental Health Partner organisations: Black Dog Institute (lead), CRRMH, ACRRM (Australian College of Rural and Remote Medicine) Funding body: RFP Murrumbidgee Primary Health Network ($390,000, $100,000 for CRRMH – evaluation component) submitted February, awarded March 2017. QTR1
Formative evaluation of the ‘Whole of Program – Central Coast Integrated Care Program’ Perkins D, Goodwin N, Hendry A, Dalton H, Davies K, Handley T, Read D and Booth A – Central Coast Local Health District - Expression of interest (competitive) submitted ($133,604) and awarded February 2017. QTR1
National Suicide Prevention Trial – community engagement work Perkins D, Dalton H, Fitzpatrick S, Read D and McEvoy L – Western NSW Primary Health Network – invited proposal ($127,025) submitted and awarded April 2017. QTR2
IMHpact MNC – Evaluating the benefits of a Regional Mental Health Services Collaborative Structure; collecting data for the second year of the evaluation Johnson P, Perkins D, Davies K, Read D, Riddout L, Hirst V and Dalton H - MNCLHD Research Support Program – submitted April 2017 ($20,000), awarded May 2017. QTR2
VERILY Virtual Dementia Friendly Rural Communities Project – Blackberry I, Bauer M, Winbolt M, Wilding C (La Trobe University Vic), Perkins D (UON –CRRMH), Greenhill J (Flinders University SA), O’Connell J, Morgan D (University of Saskatchewan, Canada), Morley C (Northwest Health, Vic), Farmer J (Swinburne University Vic) Funding body: Commonwealth Government – Department of Health ($1,695,603) submitted December 2016, awarded June 2017. QTR2
Development of a Community Wellbeing Collaborative Model for Rural and Remote Communities – CRRMH. Funding body: NSW Mental Health Commission ($141,180) submitted May, awarded June 2017. QTR2
Proposal for the Evaluation of ACT PHN Commissioned Psychological Intervention Activities -Partner organisations: Human Capital Alliance (lead –Ridoutt L, Hirst V and Cowes C), CRRMH (Perkins D, Dalton H) Funding body: RFP ACT Primary Health Network ($95,250) submitted May, awarded August 2017. QTR3
21 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Appendix 2 Research: Unsuccessful proposals
Evaluation of IMHpact MNC – Mid North Coast Integrated Care collaborative, Johnson P, Perkins D, Davies K, Read D, Riddout L, Hirst V and Dalton H. Funding body: NSW Health Translational Research Grant Scheme – Round 2 ($213,132), submitted November 2016.
Human Health and Social Impacts Node University of Newcastle consortia led by the International Centre for Balanced Land Use (ICBLU), including CRRMH – Office of Environment and Heritage – EOI ($500,000) submitted January 2017, declined February 2017.
Building the mental health and wellbeing of regional communities: Act-Belong-Commit (ABC) as an evidence-based community-wide solution. Dalton H, Perkins D, Hartman D and Hayes A. Funding body: Perpetual IMPACT philanthropy ($76,409), submitted December 2016, declined June 2017
A randomised controlled trial of an online intervention addressing social isolation, depression, and alcohol use in older Australians – Kay-Lambkin F, Sunderland M, Chan S, Slade T, Kelly B, Perkins D, Handley T – NHMRC TCR - depression, alcohol use, social networks in older Australians, ($547,784.10) submitted June 2017.
Formative evaluation of the Western NSW Mental Health Reform Process Perkins D, Dalton H, Read D and Handley T – Western NS W Local Health District – invited proposal ($248,000) submitted May 2017.
Research and Evaluation Services for the Fly In Fly Out (FIFO) Work Arrangements On Mental Health In The Resources Industry. Kelly B, James C, Kay-Lambkin F, Hayes A, Duncan M, Perkins D - Mental Health Commission, Western Australia – Tender ($510,236) submitted May 2017.
Discovery Early Career Researcher Award (DECRA) – Dr Scott Fitzpatrick – Australian Research Council, submitted March ($394,099).
Discovery Early Career Researcher Award (DECRA) – Dr Tonelle Handley Australian Research Council, submitted March.
22 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Appendix 3 Research – Publications
PUBLISHED McKenzie, H., White, K., Hayes, L., Fitzpatrick, S., Cox, K. and River, J. (2017). ‘Shadowing’ as a management strategy for chemotherapy outpatient primary support persons. Scandinavian Journal of Caring Sciences. Published online first doi: 10.1111/scs.12410 QTR1
Fitzpatrick, S.J., Perkins, D., Luland, T., Brown, D. and Corvan, E. (2017). The effect of context in rural mental health care: Understanding integrated services in a small town. Health & Place, 2017. 45: p. 70-76. QTR1
Dalton H., Read D., Handley, T. and Perkins, D. (2017) Low Intensity Mental Health Services: a rapid review – January 2017. Centre for Rural and Remote Mental Health, University of Newcastle, Australia. ISBN: 978-0-9943652-9-3 QTR1
Considine, R., Tynan, R., James, C., Wiggers, J., Lewin, T., Inder, K., Perkins, D., Handley, T. and Kelly, B. (2017). The contribution of individual, social and workplace characteristics to employee mental health in a coal mine industry population. PLOS ONE. 12(1): e0168445 QTR1
Butterworth, P., Kelly, B., Handley, T., Inder, K., Lewin, T. (2017) Does living in remote Australia lessen the impact of hardship on psychological distress? Epidemiology and Psychiatric Sciences Apr 3:1-10. doi: 10.1017/S2045796017000117. [Epub ahead of print] QTR2
Fletcher, R., Hammond, C., Faulkner, D., Turner, T., Shipley, L., Read, D. and Gwynn, J. (2017) Stayin’ on Track: the feasibility of developing internet and phone-based resources to support young Aboriginal fathers. Australian Journal of Primary Health, Apr 28. doi: 10.1071/PY16151. [Epub ahead of print] QTR2
Fitzpatrick, S.J., Hooker, C. (2017). A ‘systems’ approach to suicide prevention: Radical change or doing the same things better?" Public Health Research & Practice, 27(2):e2721713. QTR2
Fitzpatrick, S.J., River, J. (2017). Beyond the medical model: Future directions for suicide intervention services" International Journal of Health Services QTR2
23 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au *Handley, T., Rich, J., Davies, K. and Perkins, D. (2017). Understanding the mental health of rural young adults: Risk and protective factors. International Journal of Mental Health and Psychiatry 2017, 3:4 DOI: 10.4172/2471-4372.1000154 QTR4
*Hazell, T., Dalton, H., Caton, T., Perkins, D. (2017). Rural Suicide and its Prevention: a CRRMH position paper. Centre for Rural and Remote Mental Health, University of Newcastle, Australia. QTR4
*Fitzpatrick, S.J. (2017). Reshaping the ethics of suicide prevention: Responsibility, inequality, and action on the social determinants of suicide. Public Health Ethics. QTR4
ACCEPTED
Handley, T., Rich, J., Davies, K. and Perkins, D. Understanding the mental health of rural young adults: Risk and protective factors.” Australian Journal of Rural Health.
Handley, T., Lewin, T., Perkins, D. and Kelly, B. Recognition of mental health problems in a rural Australian sample. Health Promotion Journal of Australia.
Inder, K., Holliday, E., Handley, T., Fragar, L., Lower, T., Booth, A., Lewin, T. and Kelly, B. Depression and risk of non-intentional injury in rural communities – a longitudinal analysis of the Australian Rural Mental Health Study. BMC Public Health.
Rich, J., Handley, T., Inder, K. and Perkins, D. An experiment in using open-text comments from the Australian Rural Mental Health Study on health service priorities. Rural and Remote Health.
Clay-Williams, R., Plumb, J., Luscombe, G., Hawke, C., Dalton, H., Shannon, G., Johnson, J. (2018). Improving teamwork and patient outcomes with daily structured interdisciplinary bedside rounds: a multi method evaluation. Journal of Hospital Medicine (ID: JHM-16- 0711.R2) accepted July 2017
24 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Appendix 4 Research - Conferences PRESENTED
Perkins, D., Leary, J., McGeorge, P., Ridoutt, L., Hirst, V., Dalton, H., Read, D. Integrated mental healthcare in Australia: rural pact and city partnership. 17th International Conference on Integrated Care, Dublin, Ireland. 8-10 May 2017.
Kelly, B., Perkins, D., Turner, J., Gircgs, A. and Bultz, B. Whole of patient cancer care: bridging the gap between policy and practice. 17th International Conference on Integrated Care, Dublin, Ireland. 8-10 May 2017.
Perkins, D. Building community connections and resilience: the importance of context and culture- the CRRMH. IFIC Scotland. 16 May 2017.
Fitzpatrick, S., Perkins, D., Luland, T., Brown, D. and Corvan, E. The effect of context in rural mental health care: understanding integrated services in a small town. Small Countries PHC Meeting (Robert Wood Johnston Foundation), Royal College of Surgeons, Edinburgh, Scotland (Plenary) 17 May 2017.
Perkins, D. Integrated Primary Care: the news from Australia. Annual Conference 2017. Scottish School of Primary Care. Royal College of Surgeons, Edinburgh, Scotland (Plenary) 18 May 2017.
Perkins, D. Whole person mental health care: towards better systems of care. Centre for Healthcare Knowledge and Innovation. Coffs Harbour (Plenary) 13 June 2017.
Davies, K., Blacklock, N., Turner, N. and Livingstone, F. We-Yarn: Starting the discussion about Aboriginal suicide prevention. In Aboriginal Mental Health & Wellbeing Workforce Forum Looking Back, Looking Forward. Sydney, Australia: NSW Health. 15 June 2017.
Fitzpatrick, S. Rethinking risk and responsibility: Broadening ethical and political debate about suicide and its prevention through the use of public health ethics frameworks. Critical Suicidology 2.0 – Conference. Canterbury, United Kingdom. 28 June – 1 July 2017.
Dalton, H. and Read, D. A rapid literature review of low intensity mental health services: findings, challenges and implications for rural health equality. Western NSW Health Research Network Conference. Orange, NSW Australia. 16-17 August 2017.
25 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au *Livingstone, F., Davies, K., Booth, A., Handley, T., Perkins, D., Boydell, K., Cox, A. 'How effective are they? An evaluation of community and clinician-targeted rural suicide prevention workshops, 9th Australian Rural and Remote Mental Health Symposium. Albury, NSW Australia. 11-13 October 2017.
*Maddox, S. Developing a data collection app for frontline staff. 9th Australian Rural and Remote Mental Health Symposium. Albury, NSW Australia. 11 –13 October 2017.
*Maddox, S., Caton, T. Adapting to Structural Reform in a Rural Environment. 9th Australian Rural and Remote Mental Health Symposium. Albury, NSW Australia. 11 –13 October 2017.
*Davies, K., Livingstone, F. and Booth, A. “It made it real”: Applying rural suicide prevention gatekeeper training in everyday life. 23rd Annual Qualitative Health Research Conference. Quebec, Canada. International Institute for Qualitative Methodology. 17-19 October 2017.
*Handley, T., Rich, J., Lewin, T., Kelly, B. Longitudinal predictors of depression in a community dwelling sample of rural Australians. 16th International Congress of the International Federation of Psychiatric Epidemiology, Melbourne, VIC, 17-20 October 2017.
*Dalton, H., Perkins, D., Goodwin, N., Hendry, A., Davies, K., Booth, A., Read, D., Handley, T. “Use of the Project Integrate Framework for situational analysis and benchmarking of progress towards care integration in the Central Coast NSW” 1st Asia Pacific Conference on Integrated Care, Brisbane, QLD Australia. 6-8 November 2017
*Perkins, D. “Similar prevalence and disappointing outcomes - can integrated care be of benefit to rural and remote residents?” 1st Asia Pacific Conference on Integrated Care Brisbane, QLD Australia. 6-8 November 2017
*Dalton, H. “Rural Mental Health Challenges” 5th Annual National Mental Health Summit Sydney, NSW Australia. 20-21 November 2017
26 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au SUBMITTED
Wilding, C., Blackberry, I., Farmer, J., Greenhill, J., Perkins, D., Bauer, M., Winbolt, M., O'Connell, M., Morgan, D. Virtual Dementia Friendly Rural Communities: VERILY project consumer consultation. 6th Rural and Remote Health Scientific Symposium. Canberra, ACT Australia. 11 –12 April 2018
FAREWELL TO KATE DAVIES
Kate joined the Centre in late 2015 to assist with some funding proposals and quickly became an active and highly valued member of the research team. CRRMH are grateful for her contributions to the research output of the Centre, including work in youth mental health needs, collaborative work on GPs with a special interest in mental health project with the Black Dog Institute and Australian College of Rural and Remote Medicine. She has led the evaluations of Farm-Link (now Good Space) and We-Yarn with final reports completed in December 2017. Kate will remain associated with the CRRMH as a conjoint lecturer. CRRMH congratulate her on her new position and wish her all the best.
27 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Appendix 5 Research – PhD students
Candidates Mr Len Kanowski, Ms Emma Austin, and Ms Victoria Hirst are continuing their studies.
Ms Shahinoor Akter had her PhD confirmed in June.
Ms Natalie Cheesemond has commenced her PhD under the supervision of Dr Kate Davies in 2017, she sought early confirmation in December 2017 and was confirmed. The CRRMH extends its congratulations to Natalie.
Mr Sophun Mok was awarded a 2017 University of Newcastle Scholarship and has commenced a PhD in rural suicide (Supervisors: Prof David Perkins, Prof Sally Chan, A/Prof Kerry Inder and Dr Scott Fitzpatrick, Topic: approaches to prevention of suicide in rural and remote areas).
Ms Sunga Kalemba-Nyirenda was successful in the competitive award for a PhD scholarship on remote health workforce service provision (with the University of Newcastle –Centre for Resources Health and Safety). Her application is being processed with the University of Newcastle. Unfortunately Sunga has taken another opportunity whilst waiting for this. We wish her all the best with her new project.
28 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Appendix 6 Good SPACE Overview Good SPACE is a suicide prevention program that operates in the Upper Hunter New England North West regions of NSW. The program is funded by the Hunter New England Central Coast Primary Health Network, and is managed by the CRRMH. The main activities the program engages in, includes providing education to community and frontline workers around the signs they may notice in a person who could be at risk of suicide, how to have a conversation with that person, and where to refer them to for help. The current training package includes the Good SPACE Workshop (4 hours), ASIST (2 days), and SuicideTALK (2 hours). Good SPACE also coordinates clinical training through the Black Dog Institute (BDI), and contracts BDI to deliver their Advanced Skills in Suicide Prevention Training – a 6 hour workshop targeted at General Practitioners, Psychologists, and other allied health workers. Good SPACE also provides service linkage to individuals and communities. Lastly, the program is involved in contracts regarding the delivery of the CRRMH’s Aboriginal Suicide Prevention Workshop – We-Yarn.
2017-2018 Work plan
Good SPACE is currently funded until June 2018. A review and amendment of the work plan has resulted in the following KPIs in the Good SPACE region, which covers the Upper Hunter New England and North West NSW:
. X12 Good SPACE Workshops
. X6 ASIST Workshops
. X3 BDI Advanced Suicide Prevention Training for clinicians
Program update – October-December 2017 This period has been busy for the Good SPACE team. In addition to the activities following, the team continues to attend community and service provider meetings across their region, which covers the Upper Hunter New England North West regions of NSW. Good SPACE continues to provide individual and group referrals to those in need to various support. This period saw multiple referrals provided to individuals and families bereaved by suicide.
29 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Community:
. SuicideTALK – one workshop has been delivered in the Muswellbrook . Relationships with Tenterfield Rotarians and COMPASS Housing have been formed with SuicideTALK (or a short program) to be delivered to these sectors . Good SPACE workshops – a total of four workshops were delivered in the towns of Armidale, Tenterfield, Scone and Warialda . ASIST – one ASIST workshop was delivered in Scone. The remaining five workshops are scheduled from February-June 2018 . GS Project Officer (PO) represented GS at its Golf Day and Charity Dinner at Armidale Golf Club, held in partnership with Suicide Prevention Australia (SPA) to raise awareness and funds for suicide prevention. SPA CEO, Sue Murray, was a guest at this event . GS PO attended activities in Tenterfield during mental health month, and provided resources to a local highschool . GS has approached the Country Women’s Association (CWA) to be part of its annual State Conference to be held in Armidale mid- 2018.
Clinical: . Black Dog Institute’s ‘Advanced Training in Suicide Prevention’ has been delivered in Moree. . GS SPO accompanied the PHN Suicide Prevention and Early Intervention Officer, to the Journal Club at HealthWISE New England North West in Moree. SPO provided an introduction and the opportunity for PHN to present the GP Stepcare in General Practice program to 12 GPs/Registrars
Meetings
. HNECC PHN – Good SPACE Coordinator (GSC) and Senior Project Officer (SPO) attended the quarterly Service Provider meeting in Willow Tree in October; this meeting is coordinated by HNECCPHN and is a platform for GS, PHN and Lifeline Newcastle to work together in the Upper Hunter region. At this meeting, PHN indicated that Good SPACE is likely to receive three years funding from July 2018 – June 2021.
Conferences
. GSC attended and presented at the Rural and Remote Mental Health Symposium in October. GSC submitted an abstract to the International Association for Suicide Prevention in New Zealand in May.
30 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Good SPACE has been involved in several media channels:
. The coordinator was a panellist in the online forum hosted by the Land and the Rural Adversity Mental Health Program (RAMHP)
. Good SPACE appeared in the Scone Advocate regarding the ASIST workshop that took place in Scone
. The Coordinator was interviewed for a series of podcasts that RAMHP is rolling out.
. The Coordinator was interviewed by NBN and appeared on local news. The interview was in relation to the CRRMHs recent position paper about suicide prevention, and the work Good SPACE is doing in the area.
Program development
. Research has commenced regarding the possibility of developing services and resources around suicide Postvention.
Aboriginal suicide prevention:
. HNECC PHN have contracted the CRRMH to deliver seven healing days in the communities that the We-Yarn workshop was held in. Initial meetings have been held and planning is currently taking place
. Several initial and follow up meetings have been attended on the North Coast with Aboriginal Health Services as part of the North Coast Primary Health Network contact, where the CRRMH has been contracted to deliver 16 We-Yarn workshop by June 2018. Four workshops are scheduled for early 2018.
31 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Appendix 7 Communications – Media List
DATE PUBLICATION TOPIC SPOKESPERSON LINK 29.09.2017 Mental Health Commission Mental Health Awards 2017 Parliament Clarence Valley Action Group and RAMHP http://mentalhealthmonth.wayahead.org.au/mental-health-matters-awards- video House Coordinator Sam Osborne 2017/ 02.10.2017 Northern Daily Leader- Clyde Rathbone and RAMHP with GBG Ambassador and former Wallaby Clyde Article available on file Tamworth Tamworth Business Chamber Rathbone
03.10.2017 ABC Statewide Drive CRRMH podcasts Podcast participants No link 05.10.2017 Radio 889 FM Tamworth Clyde Rathbone and RAMHP with GBG Ambassador and former wallaby Clyde Link unavailable Tamworth Business Chamber Rathbone
05.10.2017 ABC Riverina, Breakfast Activities around Riverina – mental CRRMH Director Prof David Perkins Link unavailable health 05.10.2017 The Land Forum, suicide rates and launch of GBG CRRMH Director Prof David Perkins http://www.theland.com.au/story/4961510/friday-forum-stay-connected-and- to Mental Health well/
05.10.2017 The Land GBG launch CRRMH and RAMHP http://www.theland.com.au/story/4969242/its-all-the-talk/?cs=5020
05.10.2017 Port Stephens Examiner Farmers preparing for dry Suicide briefing paper mentioned Article available on file
05.10.2017 ABC Central West Launch of GBG to Mental Health RAMHP Program Manager Tessa Caton Link unavailable – Live cross
05.10.2017 Radio 2CUR Newcastle Launch of GBG to Mental Health RAMHP Program Manager Tessa Caton Link unavailable – News bulletin
05.10.2017 Northern Daily Leader Mental health GBG Ambassador and former Wallaby Clyde https://www.facebook.com/NDLNews/videos/1508449355913080/ Rathbone, RAMHP and Tamworth Business Chamber 05.10.2017 Armidale Express Good SPACE Project Officer Jessica Good SPACE Jess Barraket http://www.armidaleexpress.com.au/story/4967960/ask-a-question-and- Barraket teaching the community how to save-a-life/ ask difficult questions about suicide
05.10.2017 NBN news Emphasis on mental health GBG Ambassador and former Wallaby Clyde http://www.nbnnews.com.au/2017/10/05/even-greater-emphasis-being- Rathbone, RAMHP and Tamworth Business placed-on-mental-health/ Chamber 5.10.2017 Mental Health Commission Mental Health Month Awards 2017 RAMHP Coordinator Sam Osborne and https://nswmentalhealthcommission.com.au/ website Parliament House Sydney Clarence Valley Action Group
32 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au 5.10.2017 Prime 7 News North West Mental health GBG Ambassador and former Wallaby Clyde https://www.facebook.com/Prime7NewsNorthWest/videos/156573750348 Rathbone 6382/ 06.10.2017 ABC Rural NSW Country Suicide and drought CRRMH Director Prof David Perkins http://www.abc.net.au/news/rural/2017-10-12/suicide-still-a-bigger- Hour with Michael Condon problem-in-the-bush/8996568
06.10.2017 Northern Daily Leader Mental health GBG Ambassador Clyde Rathbone and http://www.northerndailyleader.com.au/story/4966625/rugby-star-delivers- RAMHP inspiration-hope-photos-video/#slide=6 7.10.2017 Parkes Champion Post Black Dog Presentation at Peak Hill RAMHP Coordinator Di Gill https://www.parkeschampionpost.com.au/story/4963422/breaking-down- depression-in-peak-hill/
7.10.2017 Parkes Champion Post Black Dog Presentation at Peak Hill RAMHP Coordinator Di Gill https://www.facebook.com/ParkesChampPost/posts/1554646024582042 Facebook page 9.10.2017 Border News Glove Box Guide Launch CRRMH and The Land Article available on file 10.10.2017 Radio 2WEB Bourke Launch of GBG RAMHP Program Manager Tessa Caton Link unavailable - live cross
10.10.2017 In the Loop – University of Launch of GBG CRRMH and Director Professor David Perkins https://www.newcastle.edu.au/newsroom/current-staff/glove-box-guide- Newcastle connects-rural-communities/_nocache
11.10.2017 ABC Rural NSW Country Drought and impact on mental health RAMHP Coordinator Camilla Kenny http://www.abc.net.au/news/rural/2017-10-12/suicide-still-a-bigger- Hour with Michael Condon problem-in-the-bush/8996568
ABC online http://www.abc.net.au/news/rural/programs/nsw-country-hour/2017-10- 11/nsw-country-hour-wednesday-11-october-2017/9039104
12.10.2017 Central Western Daily Agribuzz goes bush – RAMHP and RAMHP and pic Vicky Smyth On file Vicky Smyth 17.10.2017 ABC Statewide Drive CRRMH podcasts Podcast participants No link 19.10.2017 ABC Riverina Wagga Landcare with Edwina Hayes RAMHP mentioned Link unavailable Wagga 19.10.2017 The Daily Examiner Stall promotes resources for mental RAMHP and Sam Osborne https://www.dailyexaminer.com.au/news/stall-promotes-help-for-mental- illness illness/3242658/ 19.10.2017 Molong Express Breaking down depression and building RAMHP On file resilience 19.10.2017 The Land Our Healthy Clarence RAMHP Coordinator Sam Osborne http://www.theland.com.au/story/4997096/bringing-the-clarence- communiti 20.10.2017 Daily Examiner and online Maclean Mental Health and Wellbeing RAMHP Coordinator Sam Osborne https://www.dailyexaminer.com.au/news/stall-promotes-help-for-mental- street stall illness/3242658/
33 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au 20.10.2017 NBN News and Our Grafton Saleyards Stock and Chat RAMHP Coordinator Steve Carrigg https://www.facebook.com/ourhealthyclarenceNSOA/videos/2928561478 Healthy Clarence 86686/ Facebook
21.10.2017 Area News 2017 Glove Box Guide encourages you CRRMH and RAMHP http://www.areanews.com.au/story/5003101/lets-talk-about-mental-health/ to have a conversation
21.10.2017 Newcastle Herald 2017 Glove Box Guide encourages you CRRMH and RAMHP http://www.theherald.com.au/story/5003101/lets-talk-about-mental-health/ to have a conversation
2.10.2017 Western Advocate 2017 Glove Box Guide encourages you CRRMH and RAMHP http://www.westernadvocate.com.au/story/5003101/lets-talk-about- to have a conversation mental-health/
21.10.2107 Central Western Daily 2017 Glove Box Guide encourages you CRRMH and RAMHP http://www.centralwesterndaily.com.au/story/5003101/lets-talk-about- to have a conversation mental-health/
21.10.2107 Illawarra Mercury 2017 Glove Box Guide encourages you CRRMH and RAMHP http://www.illawarramercury.com.au/story/5003101/lets-talk-about-mental- to have a conversation health/
21.10.2017 Bunbury Mail GBG 2017 CRRMH and RAMHP http://www.bunburymail.com.au/story/5003101/lets-talk-about-mental- health/?cs=4070 23.10.2017 The Daily Examiner Stock and chat about mental health RAMHP Coordinator Steve Caring https://www.dailyexaminer.com.au/news/stock-and-chat-about-mental- health/3245952/ 24.10.2017 ABC Statewide drive CRRMH podcasts Podcast participants No link 24.10.2017 ABC Mid North Coast Transitioning back to the land – RAMHP Camilla Kenny and others interviewed Link unavailable CRRMH podcast on the podcast 25.10.2017 NBN news Health and Wellbeing RAMHP Coordinator Judy O’Mara http://www.nbnnews.com.au/2017/10/25/step-out-with-friends-for-health- and-wellbeing/ 25.10.2017 Quirindi Advocate NEW Glove Box Guide CRRMH Director Prof David Perkins On file 26.10.2017 ABC North Coast – Transitioning back to the land CRRMH RAMHP Camilla Kenny and others interview Link unavailable Lismore at 10:21 podcast on the podcast 26.10.2017 ABC Mid North Coast Transitioning back to the land RAMHP Camilla Kenny and others interviewed Link unavailable on the podcast 27.10.2017 Central Western Daily Act Belong Commit – Anson Street CRRMH http://www.centralwesterndaily.com.au/story/5018005/act-belong-commit- School wins mental health award anson-street-school-wins-mental-health-workplace-award/
31.10.2017 ABC Statewide drive CRRMH podcasts Podcast participants No link
34 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au 31.10.2017 ABC Mid North Coast – Report on mental health struggles in Good SPACE Project Coordinator Fiona Link unavailable Statewide Drive with Kia regional areas Livingstone with ABC presenter Kia Handley Handley 1.11.2017 NSW ABC Country Hour Medicare rebates for telehealth CRRMH Director Prof David Perkins http://www.abc.net.au/news/rural/programs/nsw-country-hour/2017-11- psychology 01/nsw-country-hour-wednesday-1-october-2017/9108312
2.11.2017 SBS Small Secrets Mental health and suicide prevention for RAMHP Coordinator Camilla Kenny To air in February 2018 Program- farming businesses - Small Business
2.11.2017 The Land Let’s all have a yarn about mental CRRMH and RAMHP http://www.theland.com.au/story/5001155/lets-all-have-a-yarn-about- health – online forum mental-health/ 2.11.2017 ABC Rural News Medicare rebates for telehealth CRRMH Director Prof David Perkins http://www.abc.net.au/news/rural/programs/nsw-country-hour/2017-11- psychology 01/nsw-country-hour-wednesday-1-october-2017/9108312
3.11.2017 ABC Central West – pre- Medicare rebates for telehealth CRRMH Director Prof David Perkins Link unavailable recorded with Julie Clift psychology
5.11.2017 The Area News 82nd Murumbidgee Lachlan CWA Group RAMHP mentioned http://www.areanews.com.au/story/5034906/cwa-conference-celebrates- Conference involvement-of-country-women/ 7.12.2017 Coonabarabran Times MHFA Course in Baradine RAMHP Coordinator Camilla Kenny Link unavailable
8.11.2017 ABC South East Radio Medicare rebates for psychology and CRRMH Director David Perkins Link unavailable waiting times 13.11.2015 Goondiwindi Argus Let’s Talk podcasts CRRMH http://www.goondiwindiargus.com.au/story/5051569/lets-talk-podcast- focuses-on-rural-mental-health/ 14.11.2017 Radio 2WEB CRRMH and RAMHP podcasts CRRMH Tessa Caton Link unavailable 15.11.2017 Bingara Advocate Let’s talk – suicide prevention Good SPACE Senior Project Officer Fiona On file workshops in Gwydir Shire Livingstone 15.11.2017 Daily Telegraph Sydney Vote to end pain not life CRRMH stats http://www.dailytelegraph.com.au/news/opinion/john-anderson-we-should- be-voting-to-end-pain-not-life/news- story/b92ce740541de8c9d8323b9f62356fd9 20.11.2017 Scone Advocate Good SPACE brings ASSIST suicide Senior Project Officer Fiona Livingstone http://www.sconeadvocate.com.au/story/5061766/assist-workshop-comes- prevention workshops to town to-scone/?cs=1911
24.11.2017 Temora Independent Mental Health Awards Link unavailable 5.12.2017 ABC Statewide Drive with Rural Suicide Prevention Paper CRRMH Prof David Perkins MP3 available Kia Handley (broadcast 8th Dec)
35 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au 5.12.2017 13 tips to reduce stress Far West Local Health District RAMHP Coordinator Marie Kelly http://www.farwesthealthjobs.com.au/?news=ramhps-13-tips-to-reduce- stress-over-the-festive-season 6.12.2017 Tumbarumba Times MHFA Tumbarumba RAMHP Coordinator Helen Sheather On file 7.12.2017 The Land Rural Suicide Prevention Paper CRRMH Prof David Perkins http://www.theland.com.au/story/5104598/rural-suicide-rate-more-than- 50-per-cent-above-the-cities/?cs=4941 7.12.2017 Mudgee Guardian Rural Suicide Prevention Paper CRRMH Prof David Perkins http://www.mudgeeguardian.com.au/story/5107177/rural-suicide-rate- more-than-50-per-cent-above-the-cities/?cs=356
7.12.2017 ABC National – Michael Rural Suicide Prevention Paper CRRMH Prof David Perkins http://www.abc.net.au/news/rural/programs/nsw-country-hour/2017-12- Condon – The Country 08/nsw-country-hour-thursday-7-december-2017/9239846 Hour 7.12.2017 ABC Illawarra Wollongong Pre-recorded interview with Michael CRRMH Prof David Perkins http://www.abc.net.au/news/rural/programs/nsw-country-hour/2017-12- Condon 08/nsw-country-hour-thursday-7-december-2017/9239846
7.12.2017 Radio 2GB Rural Suicide Prevention Paper CRRMH Prof David Perkins No link 7.12.2017 Nambucca Guardian RAMHP’s tips for dealing with RAMHP team https://www.nambuccaguardian.com.au/story/5106331/top-tips-for- Christmas handling-christmas-adversity/?cs=733 7.12.2017 The Daily Advertiser Rural Suicide Prevention Paper CRRMH Prof David Perkins http://www.dailyadvertiser.com.au/story/5105954/rural-suicide-rate-more- than-50-per-cent-above-the-cities/?cs=7 8.12.2017 Inverell Times Rural suicide: People are less likely to CRRMH Prof David Perkins http://www.inverelltimes.com.au/story/5108289/rural-suicide-50-higher- kill themselves in city areas than-cities/
8.12.2017 The Macleay Argus Reducing Christmas stress over the RAMHP’s 13 tips for Christmas http://www.macleayargus.com.au/story/5109623/reducing-christmas- festive season stress/ 8.12.2017 Moree Champion Rural suicide: People are less likely to CRRMH Prof David Perkins http://www.moreechampion.com.au/story/5108290/rural-suicide-50- kill themselves in city areas higher-than-cities/
8.12.2017 ABC Western Vic Rural Suicide Prevention Paper CRRMH Director Prof David Perkins Link unavailable 8.12.2017 2NUR Newcastle Rural Suicide Prevention Paper CRRMH Director Prof David Perkins Link unavailable 8.12.2017 Triple M – WA Rural Suicide Prevention Paper CRRMH Director Prof David Perkins Link unavailable 9.12.2017 ABC North Coast NSW - 13 Tips for reducing stress at RAMHP Coordinator Judy O’Mara Link unavailable Lismore Christmas time
11.12.2017 ABC Ballarat - Jasmine Rural Suicide Prevention Paper CRRMH Director Prof David Perkins Link unavailable
11.12.2017 NBN Tamworth – Amelia Rural Suicide Prevention Paper Senior Project Officer Fiona Livingstone https://www.facebook.com/crrmh/posts/1470873706360007 Bernasconi
36 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au 11.12.2017 Barrier Daily Truth 13 Tips to reduce stress over the RAMHP Coordinator Marie Kelly Link unavailable festive season
11.12.2107 ABC Radio Broken Hill 13 Tips to reduce stress over the RAMHP Coordinator Marie Kelly Link unavailable festive season
11.12.2-17 Northern Daily Leader Rural Suicide Prevention Paper CRRMH Director Prof David Perkins http://www.northerndailyleader.com.au/story/5105954/rural-suicide-rate- more-than-50-per-cent-above-the-cities/
13.12.2017 Radio 2 BX 13 Tips to reduce stress over the RAMHP Coordinator Di Gill Link unavailable festive season
15.12.2017 Northern Daily Leader 13 tips to reduce stress over the RAMHP Coordinator Kate Arndell http://www.northerndailyleader.com.au/story/5121338/how-to-beat-the- festive season stresses-of-the-silly-season/
20.12.2017 Daily Liberal Dubbo Tips to reduce stress during the RAMHP Coordinator Camilla Kenny http://www.dailyliberal.com.au/story/5131533/13-tips-to-reduce-stress- festive season during-the-festive-season/?cs=112#slide=7
21.12.2017 Mudgee Guardian 13 tips to reduce stress over the RAMHP Coordinator Camilla Kenny http://www.mudgeeguardian.com.au/story/5133496/13-tips-to-reduce- festive season stress-during-the-festive-season/
Dec 2017 Northern Exposure RAMPH Coordinator Samantha RAMHP and Sam Osborne Newsletter article Osborne, wins RAMHP award in November for her contribution to the Our Healthy Clarence initiative.
19.12.2017 Sir Ivan Fire Recovery Coping with Christmas RAMHP Coordinator Camilla Kenny On file Newsletter Email
19.12.2017 Port Macquarie News 13 tips to reduce stress over the RAMHP Coordinator Judy O’Mara http://www.portnews.com.au/story/5124328/tips-to-avoid-a-frantic- festive season festive-season/
19.12.2017 Daily Examiner Opening of Grafton Headspace Includes RAMHP Coordinator Sam Osborne https://www.dailyexaminer.com.au/news/headspace-opening-doors-for- our-youth/3293371/#/0
23.12.2017 Camden Courier 13 tips to reduce stress over the RAMHP Coordinator Judy O’Mara https://www.camdencourier.com.au/story/5131379/tips-to-avoid-a- festive season frantic-festive-season/
37 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au Appendix 8 Communications – Media Releases
Media This quarter the team distributed the following media releases
. NEW Glove Box Guide connects communities and encourages conversation – Thursday 5 October 2017
. Let’s Talk – a new podcast series about rural mental health –Monday, 13 November 2017
. Position paper recommends strategies to save lives and decrease rates of rural suicide – Thursday, 7 December 2017
. RAMHP’s 13 tips to reduce stress over the festive season – Monday, 11 December 2017
38 | The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au The University of Newcastle – Centre for Rural and Remote Mental Health crrmh.com.au RAMHP Quarterly Update October – December 2017 RAMHP Quarterly Update Report Q6 October – December 2017
RAMHP Quarterly Update Report Q6: Oct. – Dec. 2017 This report is intended to provide an update for our key stakeholders on the work being undertaken by the Rural Adversity Mental Health Program (RAMHP). It is intended that this report will be emailed to key stakeholders and also available on the Program’s website and that of the Centre for Rural and Remote Mental Health. Please email comments or questions to: [email protected]
NOT FOR FURTHER DISTRIBUTION
Table of Contents
Page Section Number
General RAMHP Program Updates 3
Data considerations 16
RAMHP Updates by Program Component 17
LINK 18
TRAIN 22
INFORM 24
2 General RAMHP Program Updates
The Rural Adversity Mental Health Program – Tessa Caton RAMHP Program Updates • The October – December period was very busy for RAMHP with October being Mental Health Month. RAMHP’s first podcast series, Let’s Talk, was launched in collaboration with ABC Reporter, Kia Handley. Topics included, Disasters, Trauma & Mental Health, Mentally Healthy Workplaces, Transitioning Back to The Land and many more Management Report 6 • The partnership between The Land, RAMHP and Safework NSW came to fruition with the Highlights launch of the 6th Edition of The Glove Box Guide. This year’s version contains a survey to evaluate its effectiveness and collect data on where rural people seek help for their mental health • Supporting workplaces to improve the mental health of their workforce is becoming an increasing priority for rural businesses and communities. RAMHP’s Program Manager • 356 People Linked to Care represented the CRRMH at Safework NSW’s Mentally Healthy Workplaces Summit in between Oct – Dec 2017, November. A draft strategic plan on creating mentally healthy workplaces in NSW will be bringing the total for 2017 to released in early 2018. RAMHP will take direction from this plan to determine the most 1,947 people effective role for the program in this space • RAMHP’s training sessions were expanded, with the introduction of “Wellbeing & You” • 104 Training Courses were training session. This is a 1 hour session focusing on personal wellbeing delivered to 2,594 participants • The RAMHP Communications team has worked in collaboration with Reach Out to develop between Oct – Dec 2017 a youth version of our ‘How are you going poster?’. This will be used by RAMHP Coordinators that have youth as a priority group • This quarter recorded the highest number of training • The RAMHP team based in Orange received training from ACON on how to be more participants since the Program inclusive of LGBTI populations. Tailoring of our resources and some of our data collection was refunded at the start of 2016 methods will occur in 2018 as a result of this training • RAMHP had a strong presence at DPI’s Rural Women’s Gathering in Narrandera. RAMHP Coordinators, Merilyn Limbrick and Marie Kelly delivered CSS training and ensured participants received information on how to improve their mental health. Staffing Updates • Letitia Cross was the successful applicant for the Moree RAMHP Coordinator Position, she 3 will start in January 2018. General RAMHP Program Updates
RAMHP Communication Highlights – Jocelyn Johnston
NEW resources targeting the youth demographic • This quarter, the team developed some new resources targeting the youth demographic in partnership with ReachOut Australia. The online quiz is a useful tool designed for people to check in and see how they are doing? By mid - December there was well over 900 hits on the quiz. • To view the quiz, click here: https://www.crrmh.com.au/get-help-now/self-help- resources/quick-quiz/.
• The infographic to go with the quiz was based on the mental health continuum ‘How Are you going?’ and is designed for young people. A youth advisory group was consulted (via ReachOut) to ensure the resource was an effective and engaging tool. The tools were also promoted in the ReachOut newsletter (https://about.au.reachout.com/new-quiz-and-infographic-for-young-people-in- regional-nsw-2017/) which goes out to parent subscribers as well as on their
social media facebook page which has a reach• f of over 100,000 fans. https://www.facebook.com/ReachOutAUS/videos/10155269041022058/
RAMHP eNewsletter •The third edition of the RAMHP eNewsletter – ‘Let’s Talk’ was distributed to over 1,500 subscribers raising awareness about the signs of a mental health concern and knowing what to do about it. It also highlights important key dates, events and industry news. Feedback has been extremely positive and the eNewsletter subscriber list continues to grow..
•You can subscribe to our RAMHP eNewsletters on our website: http://www.ramhp.com.au/enewsletter/
4 General RAMHP Program Updates
RAMHP Communication Highlights – Jocelyn Johnston
Podcast Series – Let’s Talk •This quarter, the Communications team delivered a new podcast series – ‘Let’s Talk rural mental health’ •hosted and produced by journalist Kia Handley (current producer ABC Statewide Drive). • The topics included: Talking to your GP, Disasters, Trauma and Mental Health, Mentally Healthy Workplaces, Transitioning back to the land, Rural Suicide Prevention and Mental Health Peer Workers.
•The Podcasts were broadcast every Tuesday throughout October (mental health month) on ABC’s Statewide Drive program. The team also promoted the series on social media and developed and implemented a successful direct email campaign shared with the mental health sector. •Feedback has been extremely positive. On Whooshkaa, a platform that hosts the podcast series, the podcast on ‘Talking to your GP’ for example had over 333 listens. On the RAMHP facebook page one post promoting the series reached over 4,913, with 21 shares. This is one example only.
New Glove Box Guide launched • This quarter saw the launch of the 2017 Glove Box Guide. This year the stories were promoted separately online on The Land’s
new mental health page. You can access• thesef stories here: http://www.theland.com.au/mental-health/ • A total of 43,000 copies of the 2017 Glove Box Guide will reach almost 102,670 readers across NSW and beyond. An extra 25,000 copies will be distributed by the CRRMH and RAMHP workers in rural NSW. • The theme this year was – ‘Let’s Talk’ and our major sponsor was SafeWork NSW. • The Guide was launched around the state including in Orange at LikeMind where people from the mental health sector, community and partners attended to hear from special guests and contributors in the Guide. • Special guest at the launch included Mayor of Orange Cr Reg Kid who also shared his lived experience. • Photos and a live video from our Glove Box Guide Launch at LikeMind can be seen here: https://www.facebook.com/ramhp/videos/725959560933941 • Other successful launches included a Business Breakfast with RAMHP and the Tamworth Business Chamber who invited guest speaker and ambassador for the Glove Box Guide – former wallaby Clyde Rathbone. Clyde spoke about his personal experience with mental health and the importance of seeking help.
5 General RAMHP Program Updates
Online Forums Friday 6 October – Let’s talk about rural suicide prevention: http://www.theland.com.au/story/4961510/friday-forum-stay- connected-and-well/?cs=5020
Panel members: Ian Firth, State Inspector in the Psychosocial Services Team, Health and Return to Work Directorate, SafeWork NSW, Liz Priestley, Chief Executive Officer, WayAhead – Mental Health Association, Kim O’Neill, Chief Executive Officer, On The Line, Katherine Newton, Campaign Director, R U OK?
Analytics for this forum: 123 page views and 102 unique page views. Friday 3 November – Social and Emotional Wellbeing: http://www.theland.com.au/story/5001155/lets-all-have-a-yarn-about- mental-health/ Panel members: Fiona Livingstone – CRRMH, Stuart McMinn – Interrelate, Donna Stanley, District Coordinator Aboriginal Mental Health Drug and Alcohol for Western NSW LHD, Dr Jodie Adams-Brinkley, Resident Doctor in Newcastle and Lecturer in Indigenous Health at the University of Newcastle.
Analytics for this forum: 129 page views and 94 unique page views.
Friday1 December – Let’s talk about rural suicide prevention: http://www.theland.com.au/story/5086421/a-bit-stressed- take-part-in-friday-forum/?cs=4941
Panel members: Psychologist Susan Beaton, CEO Suicide Prevention Australia, Sue Murray, National Partnership Coordinator, Stand by Support After Suicide, Susan Vaughan, Manager Suicide Prevention CRRMH, Trevor Hazell
Analytics for this forum: 109 page views and 79 unique page views.
Thank you to all our 2017 panel experts for volunteering their time to promote awareness about these important mental health topics.
6 General RAMHP Program Updates
Media Highlights
This quarter the team distributed the following media releases:
NEW Glove Box Guide connects communities and encourages conversation – Thursday 5 October 2017 Let’s Talk – a new podcast series about rural mental health – Monday 13 November 2017 Position paper recommends strategies to save lives and decrease rates of rural suicide – Thursday 7 December 2017 RAMHP’s 13 tips to reduce stress over the festive season – Monday 11 December 2017
To read media releases visit our News and Media page: https://www.crrmh.com.au/news-media/media-releases/
Some examples of key media activity are presented in Table 1 below. Please note this is a sample only. For a full list of media articles, see Appendix 1. Topics include the launch of the 2017 Glove Box Guide to Mental Health, Mental Health First Aid Training, the new Podcasts series – Let’s Talk, the rural suicide prevention paper (CRRMH) and RAMHP’s 13 tips to reduce stress over the festive season. Table 1: Overview of Media Interactions
Date Media Outlet Topic Spokesperson Link
05.10.2017 NBN news Emphasis on mental GBG Ambassador and http://www.nbnnews.com.au/2017/10/05/ev health former wallaby Clyde en-greater-emphasis-being-placed-on- Rathbone, RAMHP and mental-health/ Tamworth Business Chamber 7.10.2017 Parkes Champion Black Dog Presentation RAMHP Coordinator Di https://www.parkeschampionpost.com.au Post at Peak Hill Gill /story/4963422/breaking-down- depression-in-peak-hill/ For a full list of media coverage for this quarter, please refer to Appendix A for more details. 7 General RAMHP Program Updates
Date Table 1:Media OverviewOutlet of MediaTopic Interactions (continued),Spokesperson note this is a sample onlyLink
11.10.2017 ABC Rural NSW Drought and its impact on RAMHP Coordinator http://www.abc.net.au/news/rural/2017-10- Country Hour with mental health Camilla Kenny 12/suicide-still-a-bigger-problem-in-the- Michael Condon bush/8996568 ABC online http://www.abc.net.au/news/rural/programs/ nsw-country-hour/2017-10-11/nsw-country- hour-wednesday-11-october-2017/9039104 19.10.2017 The Daily Examiner Stall promotes for mental RAMHP and https://www.dailyexaminer.com.au/news/ illness Coordinator Sam stall-promotes-help-for-mental- Osborne illness/3242658/ 20.10.2017 NBN news and our Grafton Saleyards Stock RAMHP Coordinator https://www.facebook.com/ourhealthyclar healthy Clarence and Chat Steve Carrig enceNSOA/videos/292856147886686 facebook 25.10.2017 NBN news Health and Wellbeing RAMHP Coordinator http://www.nbnnews.com.au/2017/10/25 Judy O’Mara /step-out-with-friends-for-health-and- wellbeing/ 21.10.2107 Illawarra Mercury 2017 Glove Box Guide CRRMH and RAMHP http://www.illawarramercury.com.au/stor encourages you to have a y/5003101/lets-talk-about-mental-health/ conversation 8.12.2017 The Macleay Argus Reducing Christmas stress RAMHP’s 13 tips for http://www.macleayargus.com.au/story/5 over the festive season Christmas 109623/reducing-christmas-stress/ 7.12.2017 The Land Rural Suicide Prevention CRRMH Prof David http://www.theland.com.au/story/510459 Paper Perkins 8/rural-suicide-rate-more-than-50-per- cent-above-the-cities/?cs=4941 15.12.2017 Northern Daily 13 tips to reduce stress RAMHP Coordinator http://www.northerndailyleader.com.au/st Leader over the festive season Kate Arndell ory/5121338/how-to-beat-the-stresses-of-8 the-silly-season/ General RAMHP Program Updates
9 General RAMHP Program Updates
RAMHP Social Media – Vicky Smyth Overview of Facebook data The following table provides an overview of the key statistics for RAMHP’s Facebook page. Table 2: Overview of RAMHP’s Facebook Page Statistics
Statistic Impact
• 94 new likes were achieved during this period, bringing the total number of likes to • Number of likes increased by 14% 710
• Post Publishing increased this quarter to • Daily posts were scheduled over the holiday 169, which was up 9% on last quarter period
• Engagement with posts: − Reactions 1,467 • Total engagements were down 22.2% on last quarter − Comments 143 • Lower engagement may be due to the − Shares 337 Christmas Holidays − Link Clicks 318
10 General RAMHP Program Updates
Figure 1: Top performing posts during the period Oct – Dec 2017
11 General RAMHP Program Updates
Figure 1: Top performing posts during the period Oct – Dec 2017.
12 General RAMHP Program Updates
Overview of Twitter Data The following table provides an overview of key statistics relating to RAMHP’s twitter account during the period Oct – Dec 2017. Table 3: Overview of RAMHP’s Twitter Analytics
Statistic Impact
• 44 new followers were achieved during • RAMHP’s Twitter audience continues to this period, bringing the total number of increase followers to 344 • This increase was due to scheduled • Post Publishing increased by 118% over posting over mental health month and the the period holiday season • Mentions decreased 36% with 16 • Fewer people directly ‘mentioned’ RAMHP mentions specifically when posting
• 74 Tweets during this period − @mentions 16
− Replies 3 • Twitter engagement figures are similar to − Retweets 60 the previous quarter. − Tweet likes 74 − Retweet with comment 7
13 General RAMHP Program Updates
Overview of Twitter Data Figure 2: Top performing tweets during the period Oct - December 2017
14 General RAMHP Program Updates
Overview of Social Media Oct - Dec 2017 Glove Box Guide to Mental Health Launch Live Stream from Facebook was used for this years launch. With 327 people viewing the event. Podcast – Let’s talk Podcasts were launched via social media. Other social media posts featured an embedded feed so the podcast could be listened to directly within the post. Glovebox Guide 2017 Stories Over the holiday period, RAMHP shared the individual stories from the Glove Box Guide, as well as using these to promote the Glove Box Guide evaluation. This is the first year we have been able to share stories through The Land hosting them individually on a new, dedicated Mental Health page on their website Glove Box Guide Evaluation The RAMHP Team have been using a range of strategies to promote the evaluation of the Glove Box Guide. An ad was created for insertion in the Guide, and has also been used a number of times on social media. RAMHP Christmas Campaign RAMHP Coordinators provided one Christmas tip each which were shared over the holiday period. The tips and images were also used as an e-Christmas card sent to stakeholders.
15 Data Considerations
This RAMHP Quarterly Update Report 6 represents the sixth period of data collected using the RAMHP App.
There are a number of considerations which must be taken into account when interpreting the results of this Report (RAMHP Quarterly Update 6). These include:
• The correctness of data from the RAMHP App relies on the accurate data entry of the RAMHP Coordinators
• Additionally, annual leave taken by RAMHP Coordinators during the reporting period may impact on their data presented in this Report.
16 RAMHP Updates by Program Component
LINK TRAIN INFORM
17 LINK
How Many People Were Linked?
Chart 2: Number of Links Apr. – Dec. 2017, by Linkage Type Chart 3: Proportion of Links Oct. – Dec. 2017, by Method of Linkage
800
1% 3% 700 5% 19% 600 206 10% 500 I met them at a community event or meeting
400 They attended training I delivered
I provided linking advice to a professional in my 300 189 partnerships/networks 485 191 Through phone or email contact
200 Number of Links Number of The ‘person in need’ works for a service in my 100 211 partnerships/networks 165 The ‘person in need’ was referred from another 22% service 0 Other Apr - Jun 2017 Jul - Sept 2017 Oct - Dec 2017
Quarter 40%
Linked someone to services/resources to help someone else Linked someone to services/resources for themselves
Note: 39 cases were not included as they were group links i.e. when a group of people are linked at the same time for a specific issue. Source: RAMHP App Source: RAMHP App
• From October to December 2017, 356 people were linked to • During October to December 2017 almost two-thirds of all links mental health support services or resources by RAMHP occurred when RAMHP Coordinators delivered training (n=126, Coordinators. This 11% decrease from Q5 is the result of RAMHP 40%) or provided linking advice to a professional in their Coordinators on leave over the Christmas holiday season networks (n=70, 22%) • The majority of links (n=191, 54%) were people seeking assistance for someone else 18 LINK
What Symptoms Or Issues Were RAMHP Coordinators Assisting With?
Chart 4: The Ten Most Frequent Symptoms Identified when Linking, Oct. – Dec. 2017
Youth related concerns 43
Physical health concerns 48
Carer related concerns 52
Grief and loss 70
Work or financial concerns 71
Relationship concerns 95
Symptoms of an emerging mental health disorder 107
Change in behaviour 117
Pre-existing mental health disorder 128
Stress 196
0 50 100 150 200 250 Number of Times Symptom is Selected
Note: A symptom or issue can be selected multiple times (N=1,215). 39 cases were not included as they were group links i.e. when a group of people are linked at the same time for a specific issue. Source: RAMHP App
• The most common issues or symptoms RAMHP Coordinators assisted with were stress (n=196, 16%), pre-existing mental health disorders (n=128, 11%) and/or a change in behaviour (n=117, 10%) • The most common issues or symptoms RAMHP Coordinator assist with remain consistent with Q2 to Q5 • Carer related concerns replaced social disconnection among the ten most frequent symptoms or issues identified when linking 19 compared to Q5 LINK
What Support Or Resources Were Suggested By RAMHP Coordinators?
Chart 5: Number of Times a Type of Support or Resource was Suggested, Oct. – Dec. 2017
Child protection services 2 Education support services 3 Housing assistance service 7 Material or financial assistance service 10 Legal aid 13 Rural assistance services 15 Social worker 17 Family or relationship service 21 Non-Gov MH Team 26 Emergency services 27 Other 27 Alcohol or Other Drug Service 29 Social support group 32 Employment support services 35 Youth services 44 Carer support service 46 CMHT 67 Other mental health telephone support service 79 MH Line or Accessline 99 Private specialist 103 Website information, online therapy or e-mental health 116 I provided strategies 141 Printed information 144 GP 215
Note: A support or resource can be selected multiple times (N=1,318). 39 cases were not included as they were group links i.e. when a group of people are linked at the same time for a specific issue. Source: RAMHP App
• The most common support or advice provided by RAMHP Coordinators remains visiting their GP (n=215, 16%) • Providing printed information (n=144, 11%), website information, online therapy or e-mental health (n=116, 9%) and private specialist (n=103, 8%) were other frequently provided suggestions • In addition to linking people to services and/or resources, RAMHP Coordinators provided strategies (e.g. sleep hygiene) during 20 11% (n= 141) of all links LINK
Coordinator's stories from t h o s e w e h e l p
I received a call from a woman who spoke I spoke with an elderly farmer who had handed part of about the marriage equality debate causing his property to his son. The son is asking him to move conflict within her family. I linked her to a local out. I referred him to Rural Financial Counselling to marriage equality group. explore legal rights. He did not want to pursue emotional support.
I was approached by a man whose business was recently destroyed by fire. He has been waiting on insurance for some time and was I was contacted by a person in my professional network. not coping well. I encouraged him They were fearful that their ex-partner had attempted to take to talk to his GP. his own life. I suggested she phone the Police. The ex- partner was later admitted to the inpatient unit.
I was contacted by a member of the Local Council regarding concerns from community members about rate increases and the stress this was causing. I developed a Facebook strategy to A teacher contacted me about her mother in law who has outline support services for mental health and wellbeing, as well dementia and ongoing conflict issues with family members over as access to financial guidance such as local financial planners guardianship issues. I linked her to a local social worker. and rural financial counsellors.
21 TRAIN
How Much Training Was Delivered?
Chart 6: Number of Training Courses Delivered, by Course Type, Chart 7: Number of Training Participants, Apr. – Dec. 2017 Apr. – Dec. 2017
2,750 120 114 109 2,500 104 100 2,250 30 36 80 38 2,000 24 1,750 60 28 1,500 22 40 1,250 2,594 41 2,296 33 27 1,000 20 1,729 Number of Training Training Courses Number of 750 14 13 13 0 3 500 Apr - Jun 2017 Jul-Sept 2017 Oct-Dec 2017
Number Number of Training Participants 250 Quarter 0 CSS WSS Tailored Training Apr - Jun 2017 Jul-Sept 2017 Oct-Dec 2017 MHFA HISS Wellbeing & You Total number of training participants across all training courses Total Source: RAMHP App Source: RAMHP App
• In Q6, RAMHP Coordinators delivered training to 2,594 • From October to December 2017, 104 training courses were participants. Despite 10 fewer courses compared to Q5, this delivered by RAMHP Coordinators represents the highest number of people trained by RAMHP • The most common training course delivered was Mental Health since the Program was refunded. This was partly due to several First Aid (n=38, 37%) training courses delivered to school groups exceeding 100 • The new Wellbeing & You training course, launched in participants. November, was delivered 3 times. 22 • On average each course contained 20 people TRAIN
Who Did RAMHP Coordinators Train?
Chart 8: Number of Training Courses, Audience Type, Oct. – Dec. 2017
General Community Members 20 Examples of Organisations Other government or council 14 Trained Primary industry 12
Community group or organisation 11 • CSA Glencore Mine Peer Support Other Private Business 9 • Spotless Cleaning Mental health 6 • Nestle Purina Education 6 • Carevan Foundation Youth 5 • Community Recycling Enterprises Mixed welfare services 4 • Community Housing Ltd Physical health (eg medical) 3 • Bellingen Shire Council
Audience Type Other 2 • Mid Coast Council
Heavy industry 2 • Women’s and Children’s
Aboriginal 2 Aboriginal Centre
Housing 2 • Balranald MPS Aged Care Facility Sports 2 • YMCA Carers 2 • Sunrice Police or emergency services 1 • Ministerial Committee for Rural Disability 1 Health 0 5 10 15 20 25 Number of Training Courses • Social Futures • Mission Australia Carers Support Source: RAMHP App Group
• Training courses were predominantly comprised of a number of different disciplines employed by Primary Industry (n=12, 12%), Government or Council (n=14, 13%) and Community Groups or Organisations (n=20, 19%) • The predominant training audience Primary Industry, represent a change from the previous quarters data and is due to targeting Workplace Support Skills to Local Land Services across NSW 23 INFORM
What Audiences Were Reached Through Community Events?
Chart 9: Coordinator Attendance at Community Events, by Audience Type, Oct. – Dec. 2017
General community 40
Farming 14
Youth 10
Aboriginal 5
Women 5
Men 4
AudienceType Professionals 2
Carers 2
Consumers 1
Other Private Business 1
Elderly 1
0 5 10 15 20 25 30 35 40 45 Coordinator Attendance at Community Events Note: Events which are attended by more than one RAMHP Coordinator are recorded more than once in the chart above Source: RAMHP App
• General Community (n=40, 47%) and Farming (n=14, 16%) focused events remain the most common community events attended by RAMHP Coordinators • The occurrence of Black Dog Institute events in schools in Western NSW contributed to the high number (n=10, 12%) of community events focused on Youth that were attended by RAMHP Coordinators in Q6 24 If you have any questions regarding the content of this Report, please contact: Tessa Caton Program Manager, RAMHP Ph: 0484 339 996 Email: [email protected]