Next week, at the Perth Convention and Exhibition Centre, The Royal Australian and New Zealand College of Psychiatrists (RANZCP) meet for the RANZCP 2023 Congress on the theme of “New Horizons: Connected Futures”
Delegates have been invited to reflect on how interconnectedness is a strength; and connections with each other in personal and professional lives, connections with the diverse cultures in communities, and connection to place with First Nations people.
Looking forward delegates have been asked to consider the next horizon in biological psychiatry and the delivery of evidence-based treatments. They have been asked to consider how the criminal justice system, mental healthcare system, disability sector and drug and alcohol services are interwoven and how to provide care that is integrated, and person centred.
Australian Health Journal spoke to current President-Elect Dr Elizabeth Moore and soon to be President, RANZCP about the Congress, as well as the recent Federal Budget announcements around mental health funding.
The RANZCP has welcomed a number of measures:
- $260.2 million over two years from 2023–24 to extend Commonwealth psychosocial supports for people with severe mental illness who are not in the National Disability Insurance Scheme (NDIS)
- $0.9 million over two years from 2022–23 to develop a 10 Year National Action Plan to support the health and wellbeing of Lesbian, Gay, Bisexual, Transgender, Intersex, Queer and Asexual (LGBTIQA+) people and establish a LGBTIQA+ Health Advisory Group.
- $40.0 million over 4 years from 2023–24 to establish the National Clinical Quality Registry Program for tracking the safety and performance of treatments and devices, thereby improving performance reporting for clinicians and hospitals.
- $4.9 billion over 5 years from 2022–23 (with $1.3 billion per year ongoing) to increase support for people receiving working age payments including the JobSeeker Payment. As noted in the College’s submission to the Senate Inquiry into poverty in Australia, we urged for an increase to the allowance rate for Australians accessing government-funded payments, including JobSeeker.
However, while there are some positive measures for mental health, RANZCP believe funding has been weighted to wellbeing initiatives and primary care. Australians experiencing the most serious mental health conditions, with severe, complex and chronic presentations have missed out on vital support in this year’s Federal Budget.
A particular group of concern is children. Around 3 in 4 children with a severe mental health disorder are missing out on critical support, according to Dr Moore.
Out of the 80,000 children in Australian with a severe mental health condition, only 22,000 are currently being seen by a psychiatrist, stating the case that more child and adolescent psychiatrists are needed to meet the needs of children.
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Surgical Site Infection (SSI) Synopsis, including modifiable and non-modifiable risk factors
Talking to the Australian Health Journal, Professor Russo states there is a particular concern in joint operations, such as hip or knee replacements, as infections in these areas can have severe consequences, including the removal of the infected joint, prolonged treatment, and significant costs for both hospitals and patients. Despite the substantial impact of surgical site infections, Australia lacks a national surveillance program for these infections, making it challenging to obtain accurate data. However, an estimate suggests that around 45,000 surgical site infections occur annually in Australia, resulting in approximately 900 deaths.
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Diary of a Paramedic in a primary health care clinic
Alecka Miles is a lecturer at Edith Cowan University and works as a paramedic in a multidisciplinary team at Dianella Family Medical Centre in Metropolitan Perth, Western Australia.
Community paramedic roles have a history in Australia, dating back to 2007 in New South Wales and followed by similar initiatives in South Australia and New Zealand. Alecka’s position emerged after she sought to evaluate how paramedics could integrate into general practice, ultimately leading to a job offer post-COVID lockdown in 2020. Her skills, particularly in cannulation, proved valuable as healthcare shifted towards primary care.
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Study on digital tool for pharmacists in aged care
In March 2022, the Australia government announced $350 million of funding over 4 years to employ on-site pharmacists in residential aged care, starting July 2023. In April 2023, the government made changes to the proposed on-site pharmacists, where the new program will now be delivered by and through community pharmacies. Regardless of how the model will be implemented, the goal remains the same – to improve quality use of medicines and medicines safety for aged care residents.
