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Needs Assessment Report 2019 Western Victoria Primary Health Network

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Needs Assessment Report 2019 Western Victoria Primary Health Network Needs Assessment Report 2019 Western Victoria Primary Health Network Image: https://hallsgaplakeside.com/where-is-halls-gap-grampians/ 1 https://hallsgaplakeside.com/where-is-halls-gap-grampians/ Preface Across Australia, thirty-one Primary Health Networks (PHNs) operate to improve the efficiency, effectiveness, and coordination of primary health services. To inform the planning and delivery of these endeavours, each PHN relies on a Needs Assessment Report, which identifies region-specific health and service needs. The team at Western Victoria PHN, is delighted to present our updated and revised Needs Assessment Report for 2019. The Western Victoria PHN region is home to a myriad of diverse communities that contribute to the sought-after lifestyle offered across our regional and rural areas. To accurately depict the health and wellbeing challenges we face, data has been collected from a variety of publicly available sources as well as through consultations with stakeholders and communities. These valuable contributions made to this Report are detailed in the Acknowledgements section and an overview of our region and our communities is covered in Chapter 1. To guide PHN programs, the Department of Health has provided seven key priority areas – Population Health, Mental Health, Alcohol and Other Drugs, Aboriginal and Torres Strait Islander Health, Aged Care, Health Workforce, and Digital Health. As a way of monitoring PHN progress, four performance indicators have also been developed – Potentially Preventable Hospitalisations, Childhood Immunisation rates, Cancer Screening rates, and Mental Health treatment rates1. As such, future Western Victoria PHN Needs Assessment Reports will have a Chapter dedicated to each of the seven priority areas (Chapters 2 to 8) and report on the four performance indicators in separate sub-sections and in the context of specific diseases wherever possible. This 2019 Needs Assessment Report has updated Overview, Mental Health, Alcohol and Other Drugs, and Aged Care Chapters, with the remaining priority areas scheduled for update in 2020. Any information on topics other than these should be sought from the Western Victoria PHN 2018 Needs Assessment Report. We have diligently aimed to inform our activities and provide a key resource for anyone interested in the health and service needs of our region. We hope this Report proudly reflects the ongoing efforts made in the pursuit of optimal community health. 1 https://www1.health.gov.au/internet/main/publishing.nsf/Content/PHNPerformance_ Framework 1 Acknowledgements Western Victoria PHN acknowledge the traditional custodians of the land on which we live and work and we pay respects to elders past, present and emerging. During the planning and revision stages of the preparation of this report, input and advice was sought and received from across the organisation and all staff are thanked for their contributions. Publicly available data sets and peer-reviewed journals were used to compile a large portion of this Report. Although these have been referenced throughout, primary sources include the Australian Bureau of Statistics, Australian Institute of Health and Welfare, Australian Early Development Census, Crime Statistics Victoria, National Health Workforce Data Set, Public Health Information Development Unit, Regional Wellbeing Survey 2017, and the Victorian Health Information Surveillance System. Community consultations facilitated by our Clinical and Community Councils also provided valuable insights to the challenges facing our communities. In addition, stakeholder engagement is a central component of the Western Victoria PHN Strategic Plan and feedback from Stakeholders has significantly contributed to this report. We are also grateful to all those not mentioned above who work to improve the efficiency, effectiveness, and coordination of primary health services in our region. As these ongoing efforts result in changes to health and service needs over time, the Western Victoria PHN Needs Assessment undergoes regular updates and revision. If you have any feedback on this document, or relevant data you would like to be considered for inclusion, please go to https://www.meetingplacewestvicphn.com.au/ and complete the Data Proposal Form. Dr Leanne Beagley Chief Executive Officer Dec 16, 2019 2 Table of Contents Preface ................................................................................................................................. 1 Acknowledgements ............................................................................................................... 2 List of Figures ....................................................................................................................... 6 List of Tables ........................................................................................................................ 9 Chapter 1: Overview ......................................................................................................... 10 Our region ....................................................................................................................... 10 Our communities ............................................................................................................. 13 Chapter 3: Mental Health .................................................................................................. 17 Snapshot...................................................................................................................... 17 Prevalence of mental illness ............................................................................................ 18 Anxiety and depression ................................................................................................ 18 Psychotic disorders ...................................................................................................... 22 Psychosocial disability and inability to work due to mental illness ................................ 22 Suicidality..................................................................................................................... 23 Risk factors for mental illness .......................................................................................... 25 Life satisfaction ............................................................................................................ 25 Psychological wellbeing ............................................................................................... 28 Psychological distress .................................................................................................. 30 Comorbidities ............................................................................................................... 32 Social determinants of mental health ........................................................................... 35 Mental health treatment rates .......................................................................................... 51 The child and adolescent cohort .................................................................................. 54 Adults ........................................................................................................................... 58 Psychosocial support ................................................................................................... 62 Suicide prevention ....................................................................................................... 64 Hospitalisations ............................................................................................................ 65 Rural and remote areas ............................................................................................... 66 Priority groups ................................................................................................................. 68 Aboriginal and/or Torres Strait Islander people ............................................................ 68 Aged Care Residents ................................................................................................... 71 Culturally and linguistically diverse people (including refugees and asylum seekers) ... 72 Lesbian Gay Bisexual Transsexual and Intersex people .............................................. 73 People with an intellectual disability ............................................................................. 74 Prisoners...................................................................................................................... 74 Rural and remote communities .................................................................................... 75 Serving and ex-serving Australian Defence Force personnel ....................................... 75 3 Survivors of trauma ...................................................................................................... 76 Chapter 4: Alcohol and Other Drugs ............................................................................... 77 Snapshot ......................................................................................................................... 77 Catchment areas ............................................................................................................. 78 Prevalence of alcohol and other drug use ........................................................................... 79 Alcohol ............................................................................................................................ 82 Smoking
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