LEADERSHIP AND TEAMWORK: IN CARDIOVASCULAR NURSING (CORONARY CARE UNIT)
March 5, 2024REFLECTION
March 9, 2024Introduction
In today’s ever-evolving world, developing different strategic activities has helped to gain major performance efficiency and grab a strong position in the international segmentation which has made the country more potential and significant. In that context, mental well-being plays a major significant, and essential role as it has helped to enhance the mental wealth competency of people as enhanced mental wealth competency has helped to improve their skills and abilities in the context of long-term development goals.
In that context, the country’s mental health system has been found a major strong position to play in enhancing mental well-being more efficiently and effectively. The present study will discuss the importance of mental health services with the 2030 vision statement of Australia for supporting the well-being and career of Australian customers as it has been recognized as the most impactful analysis of the recent changes in the Australian economic, political, and socio-cultural climate. Moreover, this discussion would be able to discuss enablers and barriers in the vision for the mental health of Australian people in 2030.
Thesis statement
The present discussion aims to critically evaluate the impacts of changes in the Australian political, economic, and socio-cultural climate in the development and implementation of Vision 2030 in the context of the Australian mental health system. Moreover, the study has focused on discussing the impacts of Vision 2030 in advanced nursing practices as well as Australian local health services major efficiently and effectively.
Discussion
Overview of the Australian mental health services through determining socioeconomic and political impacts
Mental health is considered one of the most significant and potential factors in the mental health and well-being of Australian citizens in Australia, The increasing nature of mental health disorders among 16-85 aged 1 to 5 people has majorly indicated the adverse impacts of different factors. In that context, the changing nature of socio-economic factors has majorly impacted the adverse changes in the mental health system and services of the Australian people (Mentalhealthcommission.gov.au, 2022). Mental health illness has led to the physical health illness of Australian citizens most adversely as it has been reflected in the major lack of performance efficiency of the health service system. In that context, there is a major socio-economic factor that has majorly changed the mental health status of the Australian people such as employment status, living conditions, access to mental health services, and more that have majorly impacted the growth of the Australian people more effectively. These socio-economic factors have not only impacted the mental health services of Australian citizens but also impacted the people’s families and career development goals more efficiently and effectively.
In that context, the country has majorly focused on developing different strategic approaches and activities that have majorly helped to trigger the growth of the present state of the mental health system through hiring “specialist medical practitioners, and general practitioners (Mentalhealthcommission.gov.au, 2022). Funding for the above-mentioned things has majorly focused on the development of the entire medical system especially the mental health competency of the Australian people more efficiently and effectively. Moreover, for providing special care to the emergency cases of mentally ill people, implementing “Lifeline and Beyond Blue” and more has helped mitigate the crises in the Australian health service sector more efficiently and effectively (Krysinska et al. 2019, p. 181).
In the area of political impacts on Australian mental health services, the Australian government as well as territory and state governments has played a major role in enhancing the mental health sector more efficiently. The Australian government has focused on adopting different responsibilities such as better access initiatives for Medicare-based subsidized mental health services by allied health professionals, psychiatrists, general practitioners (GPs), and more. Disability support pension, Primary Mental health care flexible funding pool, and more have been adopted throughout major efficiently (Mentalhealthcommission.gov.au, 2022). Hence, adopting such potential and significant strategic movements by the Australian government as well as community health services by the state and territory governments have focused on the development of the entire country’s medical care system. In the community health care context, the territory and the state government have played a major role to manage and fund the public health care forum more efficiently as it has triggered the performance efficiency in improving public health. On the other hand, the Australian Health Practitioner Regulation Agency (AHPRA), the National Housing and Homelessness Scheme, and the National Health Reform Agreement have been focused on the shared responsibility of the political parties of Australia (Thielking, Skues & Le, 2018, p. 21)
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The deadly hit of the COVID-19 virus has not only majorly impacted the well-being and living standard of the global people but most importantly the mental health of the global people has been adversely impacted due to increasing trauma and depression of the entire challenging situation globally. In Australia, the government has played a major pivotal role in handling the entire COVID-19 situation progressively as it has majorly reflected the responsibilities of the Australian government to protect and take care of their citizens more efficiently. The country’s health service has delivered major facilities such as 24*7 mental health support service, expanding ‘Medicare-subsidised telehealth service’, providing facilities to face-to-face meetings with MBS consultation services, major funding in ‘Lifeline, Beyond Blue and Kids Helpline’ and more.
In that context, the country has developed different plans through “National Mental Commission’s Inquiry Report on Mental Health, the Royal Commission into Victoria’s Mental Health System, and advice from the National Suicide Prevention Advisor” that has worth $2.3 billion over the four financial years (Mentalhealthcommission.gov.au, 2022). These plans have included major five pillars workforce, governance, supporting the vulnerable, treatment, suicide prevention, prevention and early prevention, and more, and for these total of $547 million has been allocated in the 2022-23 budget plan.
Critically analysis of approaches to mental health services in Australia
The first approach is to determine the importance of the emotional and social approach as it emphasizes different factors of an individual such as “social, emotional, spiritual and cultural, physical, economic and mental wellbeing” (Fusar-Poli, 2019, p. 355). These all are important to understand and evaluate its equitable effectiveness in different factors such as “housing, economic, employment, environment, and social trends alongside clinical approaches to mental ill-health” as all these are majorly focused on the development of the mental well-being of the Australian people more focussing and efficiently (Mentalhealthcommission.gov.au, 2022). Hence it has majorly reflected the social, physical health, and most significant mental health needs. Moreover, a proactive approach has been generated through the 2030 vision statement as it has been recognized as the most significant key to preventing suicide and reducing mental illness (Atkinson et al. 2020, p. 895). On the other hand, a long-term approach in the country’s mental health service system has been promoted to “make lasting improvements to the health and quality of life for everyone” as through these strategic planning implementations the Australian citizens have majorly focused on developing the mental health condition of the Australian citizens more efficiently and effectively (Schlichthorst et al. 2020, p. 7).
Moreover, a balanced community-based mental health care approach has been adopted as it has been recognized as the most potential and significant “way of delivering all aspects of prevention, assessment, treatment, and recovery at all levels of need” to analyze and provide major support to the needs of the communities of Australia through most local as well as cohesive manner (Mentalhealthcommission.gov.au, 2022). The major focus of the balanced community-based approaches in the 2030 vision statement is to provide major access to healthcare facilities to all communities equally without judging them based on their background and more through the ‘least restrictive environmental possible’. Throughout this entire approach, the country would become able to provide the safest, potential, and exclusive healthcare service recovery while it focused on supporting the connection of individuals to the entire community as well as the education, career, social support, culture, and most importantly family (Block et al. 2022, p. 395).
Importance of mental health services to support consumers and carers through alignment with Vision Statement 2030
In that context, the major focus is to understand the terms carers and consumers as it has majorly focused on the 2030 vision statement of Australia. The carer has been recognized as “A person who cares for or otherwise supports a person living with mental illness” (McNamara et al. 2018, 9). In that context, it can be stated the major responsibility of carers is to maintain a major potential and strong relationship “with the person living with mental illness and maybe a family member, friend, neighbor or member of a broader community” as it is required to increase the mental health and wealth competency (Koschorke et al. 2021, p. e0258729). On the other hand, according to Mentalhealthcommission.gov.au, (2022), the consumer has been recognized as “A person living with mental illness who uses, has used or may use a mental health service” while the major approaches have been made based on including all its stakeholders such as policymakers, funders, clinical, nurses, health workers, carers, consumers and more (Naslund et al. 2019, 320). In the 2030 vision statement, a mental health service has been majorly focused importantly on the consumers and carers aspects. It is based on the statement “Our social and emotional well-being is front and center of every decision, and where we, as consumers and carers, partner and have a choice in the shaping and delivery of our care and support” (Mentalhealthcommission.gov.au, 2022). It is signified in the 2030 statement as it has been imagined by Australians that supporting people through enhancing living experience mitigating major challenges such as suicidality, mental illness, and more (Reis et al. 2022, p. 2466).
Carer support has been majorly focused on the vision statement as it has dedicated the psychosocial and psychological more efficiently. It has signified the needs of kinship groups, families, and most importantly carers. The role of the carers has been focused on determining their job roles as it has required active management in treating a person in their topmost care. In this globalized era, carers have been recognized as the most significant to the integrated approach in the mental health as well as medical health care system more efficiently. In the segmentation of the educational sector as well as the workplace, the carer has played a significant role in mitigating all challenges of mental illness (Hawke et al. 2021, p. 10
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). A carer has focused on delivering psycho-education and mental health information to the children, adults, and most importantly their parents as in the risk resolution the connections among the carers, kinship, and parents have majorly focused on developing the public health condition (Goldschmidt et al. 2019, p. 100).
Moreover, the consumers have focused on mental health service delivery as according to the 2030 vision statement, “Consumers do not consistently have a voice in their care, or the development of service responses to need” (Mentalhealthcommission.gov.au, 2022). As it has majorly focused on maintaining the balance and significant but potential service variability, it is required to enhance the quality, efficiency, and capacity of the services for delivering high-quality standards as well as appropriate care to all people of the country. In that context, lacking in any of these has majorly focused on the development of the quality of the service for the consumers’ services providing culturally appropriate and consistent. In the context of significant variability of the service capacity, the inclusive experience of consumers in the area of care development or serviced development has been majorly focused on while “People described not being believed, taken seriously or respected and a loss of rights, voice and choice, particularly in involuntary care” (Akther et al. 2019, p. 5(3)). On the other hand, funding area of funding in medical healthcare services is majorly required to maximize the choices and flexibility of consumers more efficiently. Moreover, it has majorly focused on a balanced mixed model approach as it has focused on “appropriately uses program, activity and person-centered funding packages to ensure services are capable of meeting a need” (Maxwell et al. 2019, p. 690).
“A vision for mental health in 2030” in Australia and its importance in advanced nursing practices
In Australia, several visions have been developed in the 2030 vision statement which has included different goals and approaches such as addressing mental health in its full social context, across the lifespan promoting the importance of mental well-being from the pre-pregnancy stage to old age, observing communities through identifying its delivering care, designing responses and their needs, considering the people as they have played a major pivotal role in mental health support delivery systems, design, choices and more. In that context, the countries have developed major new approaches to the enhancement of the mental health and well-being of Australian citizens to more efficiently and effectively support the medical care system throughout every Australian citizen. In the context of advanced nursing practices, the major focus of the vision statement is to deliver “the ‘right care, at the right time to all Australians” more efficiently as it is required to increase mental health improvements (Mentalhealthcommission.gov.au, 2022). Moreover, “Mediums for delivery, conveying how services can best reach the people who need them when they need them” has been recognized as the most significant factor in enhancing the medical health care system in Australia (Dassah et al. 2018, p. 10).
Identification of people with diverse experiences through considering enablers, barriers, and recommendations stated by the 2030 vision statement
In 2019, a commission named the National Mental Health Commission was organized to discuss the future prospectus of the National mental health care system in Australia while it conducted “26 Town Hall meetings and 17 service provider stakeholder meetings; connecting with over 1,300 individuals including representatives from approximately 86 organizations” which has been determined the diversity of experiences by the Australian populations throughout its community as well as individuals (Mentalhealthcommission.gov.au, 2022). In that context, there are major statements that have been focused on. At the same time, an Australian individual has stated that accessing appropriate therapy is the most challenging situation that has faced majorly. In that context, major systematic issues have been found to develop the workplace efficiency and enhancement of the workplace environment such as “the training available for frontline workers, insufficient staffing levels, retention of trained workers and the support for diversity in professional roles” (Mentalhealthcommission.gov.au, 2022).
Figure 1: Major barriers identified in the 2030 vision statement
(Source: Mentalhealthcommission.gov.au, 2022)
In that context, it can be stated that the major barriers are such as accessing service facilities, workforce challenges, functioning, systematic, stigma, consumer voice, service gaps, and more while the accessing barriers to great care have been identified (Khatri & Assefa, 2022, p. 10). In that context, it can be stated that discrimination, stigma, and shame have been focused on in the analysis of the quality standard of mental health as it has required to be identified majorly. From the online survey which has been made by the higher authority of the National Commission, 63% have sought help to access health care but have feared barriers while 59% have been focused on fear of being judged as well as worried about accessing barriers and 55% has been recognized for feeling shame and embarrassment as the most challenging to accessing the potential care for enhancing the quality standard and potentiality of the health care system facility (Mentalhealthcommission.gov.au, 2022).
On the other hand, integration, multidisciplinary, research and evaluation, data and information management, priority populations, and age streams are recognized as the most potential performance enablers in the medical healthcare system while integration and multidisciplinary workforce have played a major potential role in the development of the Australian medical healthcare system. In this context, integration has majorly focused on developing different factors such as (Russell et al. 2019, p. e027869). In that context, interoperability of the systems, connected information, and shared responsibilities has been found as the most significant factor to enable the integration in the service quality. Moreover, the resourceful and structured multidisciplinary workforce has focused on “essential to the delivery of quality, accessible care” (McGorry et al. 2022, p. 70). It has included “Psychological clinicians (psychiatrists, psychologists) and allied psychological professionals (counselors, therapists), peer workers, community support professionals and Primary healthcare clinicians and allied health professionals (general practitioners, occupational therapists, dietitians, social workers, speech therapists, pharmacists)” (Jurcik et al. 2021, p. 660). In that context, a stepped care spectrum has been recommended to develop the quality of the services more efficiently and effectively as it has helped to analyze the major performance efficiency in the strong medical healthcare system. Moreover, providing different facilities such as High-intensity care, mild mental health support and more has helped to increase life-saving support efficiently and effectively.
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Conclusion
Based on the entire discussion, it can be concluded that analysis of the Australian 2030 vision statement has helped to understand its impacts on the well-being of Australian citizens as it has found as the most strategic and potential factor to enhance mental well-being as well as mental wealth competency more efficiently and effectively. Describing the recent changes in the political, economic, and socio-cultural climate of Australia in the mental health services has helped to identify where it has adversely impacted as well as has influenced majorly the future enhanced well-being.
Across the lifespan, critical evaluation of the importance and effectiveness of Australian mental health care has helped to understand how to enhance the mental well-being of the Australian people, consumers, and carers more efficiently and effectively. Moreover, discussing the discrimination among the targets, policies, and frameworks relating to mental health competency has helped to understand the deep insights of the 2030 vision statement in Australia. Hence, it can be stated that the present discussion has recognized the most potential and significance to evaluate the effectiveness and impacts of the Australian 2030 vision statement on the mental health system and delivery services in the international segmentation.
References
Akther, S. F., Molyneaux, E., Stuart, R., Johnson, S., Simpson, A., & Oram, S. (2019). Patients’ experiences of assessment and detention under mental health legislation: systematic review and qualitative meta-synthesis. BJPsych Open, 5(3). https://www.cambridge.org/core/services/aop-cambridge-core/content/view/60EF9784BE5293FCA7E0361FE1383C97/S205647241900019Xa.pdf/div-class-title-patients-experiences-of-assessment-and-detention-under-mental-health-legislation-systematic-review-and-qualitative-meta-synthesis-div.pdf
Atkinson, J. A., Skinner, A., Hackney, S., Mason, L., Heffernan, M., Currier, D., … & Pirkis, J. (2020). Systems modeling and simulation to inform strategic decision-making for suicide prevention in rural New South Wales (Australia). Australian & New Zealand Journal of Psychiatry, 54(9), 892-901. https://journals.sagepub.com/doi/abs/10.1177/0004867420932639
Block, K., Hourani, J., Sullivan, C., & Vaughan, C. (2022). “It’s about building a network of support”: Australian service provider experiences supporting refugee survivors of sexual and gender-based violence. Journal of Immigrant & Refugee Studies, 20(3), 383-397. https://www.researchgate.net/profile/Karen-Block/publication/352260035_It%27s_about_Building_a_Network_of_Support_Australian_Service_Provider_Experiences_Supporting_Refugee_Survivors_of_Sexual_and_Gender-Based_Violence/links/6147c3603c6cb310697e08dd/Its-about-Building-a-Network-of-Support-Australian-Service-Provider-Experiences-Supporting-Refugee-Survivors-of-Sexual-and-Gender-Based-Violence.pdf
Dassah, E., Aldersey, H., McColl, M. A., & Davison, C. (2018). Factors affecting access to primary health care services for persons with disabilities in rural areas: a “best-fit” framework synthesis. Global health research and policy, 3(1), 1-13. https://ghrp.biomedcentral.com/articles/10.1186/s41256-018-0091-x
Fusar-Poli, P. (2019). Integrated mental health services for the developmental period (0 to 25 years): a critical review of the evidence. Frontiers in Psychiatry, 10, 355. https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00355/full
Goldschmidt, L. (2019). Mitigating risks for children in institutional care: A case study. Psychoanalytic Psychotherapy in South Africa, 27(1), 76-108. https://journals.co.za/doi/abs/10.10520/EJC-1b91db5d5a
Hawke, L. D., Thabane, L., Iyer, S. N., Jaouich, A., Reaume-Zimmer, P., & Henderson, J. (2021). Service providers endorse integrated services model for youth with mental health and substance use challenges: findings from a discrete choice experiment. BMC Health Services Research, 21(1), 1-13. https://link.springer.com/article/10.1186/s12913-021-07038-3
Jurcik, T., Jarvis, G. E., Zeleskov Doric, J., Krasavtseva, Y., Yaltonskaya, A., Ogiwara, K., … & Grigoryan, K. (2021). Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries. Counselling Psychology Quarterly, 34(3-4), 649-675. https://www.researchgate.net/profile/Jelena-Zeleskov-Djoric/publication/342991354_Adapting_mental_health_services_to_the_COVID-19_pandemic_reflections_from_professionals_in_four_countries/links/5f17986fa6fdcc9626a67c07/Adapting-mental-health-services-to-the-COVID-19-pandemic-reflections-from-professionals-in-four-countries.pdf
Khatri, R. B., & Assefa, Y. (2022). Access to health services among culturally and linguistically diverse populations in the Australian universal health care system: issues and challenges. BMC Public Health, 22(1), 1-14. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-13256-z
Koschorke, M., Oexle, N., Ouali, U., Cherian, A. V., Deepika, V., Mendon, G. B., … & Kohrt, B. A. (2021). Perspectives of healthcare providers, service users, and family members about mental illness stigma in primary care settings: A multi-site qualitative study of seven countries in Africa, Asia, and Europe. PloS one, 16(10), e0258729. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0258729
Krysinska, K., Finlayson-Short, L., Hetrick, S., Harris, M., Salom, C., Bailey, E., & Robinson, J. (2019). Support for people bereaved or affected by suicide and for their careers in Queensland: quality of resources and a classification framework. Advances in Mental Health, 17(2), 178-195. https://www.tandfonline.com/doi/abs/10.1080/18387357.2018.1502614
Maxwell, H., Bramble, M., Prior, S. J., Heath, A., Reeves, N. S., Marlow, A., … & Doherty, D. J. (2021). Staff experiences of a reablement approach to care for older people in a regional Australian community: A qualitative study. Health & Social Care in the Community, 29(3), 685-693. https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/hsc.13331
McGorry, P. D., Mei, C., Chanen, A., Hodges, C., Alvarez‐Jimenez, M., & Killackey, E. (2022). Designing and scaling up integrated youth mental health care. World Psychiatry, 21(1), 61-76. https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/wps.20938
McNamara, B., Same, A., Rosenwax, L., & Kelly, B. (2018). Palliative care for people with schizophrenia: a qualitative study of an under-serviced group in need. BMC palliative care, 17(1), 1-11. https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0309-1
Mentalhealthcommission.gov.au, (2022). Vision 2030 for Mental Health and Suicide Prevention in Australia. [Online]. https://www.mentalhealthcommission.gov.au/getmedia/ad54b39b-ea46-458d-a1e6-71623f53accd/Vision-2030
Naslund, J. A., Aschbrenner, K. A., McHugo, G. J., Unützer, J., Marsch, L. A., & Bartels, S. J. (2019). Exploring opportunities to support mental health care using social media: A survey of social media users with mental illness. Early intervention in psychiatry, 13(3), 405-413. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5910285/
Reis, K., Desha, C., Campbell, S., & Liddy, P. (2022). Working through Disaster Risk Management to Support Regional Food Resilience: A Case Study in North-Eastern Australia. Sustainability, 14(4), 2466. https://www.mdpi.com/2071-1050/14/4/2466/pdf
Russell, G., Kunin, M., Harris, M., Levesque, J. F., Descôteaux, S., Scott, C., … & Haggerty, J. (2019). Improving access to primary healthcare for vulnerable populations in Australia and Canada: protocol for a mixed-method evaluation of six complex interventions. BMJ open, 9(7), e027869.https://bmjopen.bmj.com/content/9/7/e027869.abstract
Schlichthorst, M., Ozols, I., Reifels, L., & Morgan, A. (2020). Lived experience peer support programs for suicide prevention: a systematic scoping review. International journal of mental health systems, 14(1), 1-12. https://ijmhs.biomedcentral.com/articles/10.1186/s13033-020-00396-1
Thielking, M., Skues, J., & Le, V. A. (2018). Collaborative practices among Australian school psychologists, guidance officers, and school counselors: Important lessons for school psychological practice. The Educational and Developmental Psychologist, 35(1), 18-35. https://scholar.archive.org/work/gomgdi7p2jdsflwkwwo66geuua/access/wayback/https://www.cambridge.org/core/services/aop-cambridge-core/content/view/EE20C1B1D3B697B997848AD0157A919C/S2059077618000043a.pdf/div-class-title-collaborative-practices-among-australian-school-psychologists-guidance-officers-and-school-counsellors-important-lessons-for-school-psychological-practice-div.pdf