Psychiatric assessment of children and families in immigration detention--clinical, administrative and ethical issues.

Abstract:

OBJECTIVE:This paper reports the clinical, practical and ethical issues arising in the assessment of 10 consecutive referrals from a remote Immigration Reception and Processing Centre to a child and adolescent mental health service (CAMHS) between February and August 2002. METHOD:The 16 adults and 20 children (age range 11 months to 17 years) were comprehensively assessed by allied health clinicians and child psychiatrists. All children were also assessed by the statutory child protection agency. RESULTS:There were very high levels of mood disturbance and post-traumatic symptoms in this population. All children had at least one parent with psychiatric illness. Of the 10 children aged 6-17 years, all (100%) fulfilled criteria for both post-traumatic stress disorder (PTSD) and major depression with suicidal ideation. Eight children (80%), including three pre-adolescents, had made significant attempts at self harm. Seven (70%) had symptoms of an anxiety disorder and half reported persistent severe somatic symptoms. The majority (80%) of preschool-age children were identified with developmental delay or emotional disturbance. Few clinically based recommendations were implemented. CONCLUSIONS:Very high levels of psychopathology were found in child and adult asylum seekers. Much was attributable to traumatic experiences in detention and, for children, the impact of indefinite detention on their caregivers. IMPLICATIONS:Multiple obstacles to adequate service provision are identified. Adequate clinical intervention and care was not possible. The impact on involved clinicians is discussed.

authors

Mares S,Jureidini J

doi

10.1111/j.1467-842x.2004.tb00041.x

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

520-6

issue

6

eissn

1326-0200

issn

1753-6405

journal_volume

28

pub_type

杂志文章
  • How has the sexual behaviour of gay men changed since the onset of AIDS: 1986-2003.

    abstract:OBJECTIVE:To report changes in sexual behaviour among gay men in Sydney from 1986 to 2003. METHODS:Baseline data from four studies of gay men in Sydney were used: the Social Aspects of the Prevention of AIDS study (1986/87: 91 HIV-positive and 444 HIV-negative men); the Sydney Men and Sexual Health cohort (1993-95: 23...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2005.tb00245.x

    authors: Prestage G,Mao L,Fogarty A,Van de Ven P,Kippax S,Crawford J,Rawstorne P,Kaldor J,Jin F,Grulich A

    更新日期:2005-12-01 00:00:00

  • Older people's lives in the inner city: hazardous or rewarding?

    abstract::An exploratory, qualitative study was used to investigate the social health needs of older residents of a low-income inner-Sydney area characterised by multiple social and environmental hazards. The research was conducted to inform the development by the South Eastern Sydney Area Health Promotion Unit of a strategy to...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章,评审

    doi:10.1111/j.1467-842x.1998.tb01152.x

    authors: Russell C,Hill B,Basser M

    更新日期:1998-02-01 00:00:00

  • A health researcher's guide to qualitative methodologies.

    abstract:OBJECTIVE:To provide an overview of qualitative methodologies for health researchers in order to inform better research practices. APPROACH:Different possible goals in health research are outlined: quantifying relationships between variables, identifying associations, exploring experience, understanding process, disti...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2007.00114.x

    authors: Dew K

    更新日期:2007-10-01 00:00:00

  • High HIV testing and low HIV prevalence among injecting drug users attending the Sydney Medically Supervised Injecting Centre.

    abstract:OBJECTIVE:Measure the self-reported prevalence of HIV, history of HIV testing and associated risk factors among injecting drug users (IDUs) attending the Sydney Medically Supervised Injecting Centre (MSIC). METHODS:Cross-sectional survey of IDUs attending the Sydney MSIC (n=9,778). RESULTS:The majority of IDUs had be...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2009.00389.x

    authors: Salmon AM,van Beek I,Amin J,Grulich A,Maher L

    更新日期:2009-06-01 00:00:00

  • Housing conditions associated with recurrent gastrointestinal infection in urban Aboriginal children in NSW, Australia: findings from SEARCH.

    abstract:OBJECTIVE:To examine the associations between housing and gastrointestinal infection in Aboriginal children in urban New South Wales. METHODS:A total of 1,398 Aboriginal children were recruited through four Aboriginal Community Controlled Health Services. Multilevel regression modelling of survey data estimated associ...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12786

    authors: Andersen MJ,Skinner A,Williamson AB,Fernando P,Wright D

    更新日期:2018-06-01 00:00:00

  • 'Are you Aboriginal and/or Torres Strait Islander?': improving data collection at BreastScreen Victoria.

    abstract:OBJECTIVE:To evaluate the ascertainment and recording of clients' Indigenous status at BreastScreen Victoria (BSV) by assessing: staff compliance with best practice recommendations in ascertaining Indigenous status data collection practices; and the consistency of recording of Indigenous status between visits. METHODS...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2004.tb00924.x

    authors: Adams K,Kavanagh A,Guthrie J

    更新日期:2004-04-01 00:00:00

  • Long-term benefits for Mäori of an asthma self-management program in a Mäori community which takes a partnership approach.

    abstract:BACKGROUND:In 1991, an intervention trial of the efficacy of an asthma self-management plan was carried out in partnership with a rural Mäori community. The program relied on Mäori community health workers and other health professionals working in partnership, was delivered through clinics in traditional Mäori communit...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1999.tb01544.x

    authors: Ratima MM,Fox C,Fox B,Te Karu H,Gemmell T,Slater T,D'Souza WJ,Pearce NE

    更新日期:1999-12-01 00:00:00

  • Intentional self-harm and assault hospitalisations and treatment cost of children in Australia over a 10-year period.

    abstract:OBJECTIVE:To examine the magnitude, 10-year temporal trends and treatment cost of intentional injury hospitalisations of children aged ≤16 years in Australia. METHOD:A retrospective examination of linked hospitalisation and mortality data for children aged ≤16 years during 1 July 2001 to 30 June 2012 with self-harm or...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12782

    authors: Mitchell RJ,Seah R,Ting HP,Curtis K,Foster K

    更新日期:2018-06-01 00:00:00

  • Parents' and carers' views on factors contributing to the health and wellbeing of urban Aboriginal children.

    abstract:OBJECTIVE:To identify and describe caregiver perspectives on factors important for the health and wellbeing of urban Aboriginal children. METHODS:Caregivers of Aboriginal children participating in the Study of Environment on Aboriginal Resilience and Child Health (SEARCH) were asked to describe the single most importa...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12992

    authors: Miller HM,Young C,Nixon J,Talbot-McDonnell M,Cutmore M,Tong A,Craig JC,Woolfenden S

    更新日期:2020-08-01 00:00:00

  • Closing the Aboriginal child injury gap: targets for injury prevention.

    abstract:OBJECTIVE:To describe the leading mechanisms of hospitalised unintentional injury in Australian Aboriginal children and identify the injury mechanisms with the largest inequalities between Aboriginal and non-Aboriginal children. METHODS:We used linked hospital and mortality data to construct a whole of population birt...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12591

    authors: Möller H,Falster K,Ivers R,Falster MO,Clapham K,Jorm L

    更新日期:2017-02-01 00:00:00

  • Have purpose-built vaccine refrigerators reduced the cost of vaccine losses in South Australia?

    abstract:OBJECTIVES:There is limited epidemiological data on the performance of different refrigerator types for vaccine storage in the real world. This study aims to measure if the introduction of purpose-built vaccine refrigerators has reduced the cost of vaccine losses in South Australia. METHODS:Data were taken from a regi...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2012.00932.x

    authors: D'Onise K,Almond S,MacDonald B,Watson M,Scrimgeour S

    更新日期:2012-12-01 00:00:00

  • Indigenous child health research: a critical analysis of Australian studies.

    abstract:OBJECTIVES:To conduct a critical and systematic analysis of descriptive studies regarding the health, development and wellbeing status of Indigenous children in Australia and to map them according to 1) Reported Indigenous involvement in the research process; 2) Domains of the life-course model of health; and 3) Geogra...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章,评审

    doi:10.1111/j.1753-6405.2009.00339.x

    authors: Priest N,Mackean T,Waters E,Davis E,Riggs E

    更新日期:2009-02-01 00:00:00

  • Factors relating to high psychological distress in Indigenous Australians and their contribution to Indigenous-non-Indigenous disparities.

    abstract:OBJECTIVE:To explore factors associated with high psychological distress among Aboriginal and non-Aboriginal Australians and their contribution to the elevated distress prevalence among Aboriginal people. METHODS:Questionnaire data from 1,631 Aboriginal and 233,405 non-Aboriginal 45 and Up Study (NSW, Australia) parti...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12766

    authors: McNamara BJ,Banks E,Gubhaju L,Joshy G,Williamson A,Raphael B,Eades S

    更新日期:2018-04-01 00:00:00

  • Why don't owners improve their homes? Results from a survey following a housing warrant-of-fitness assessment for health and safety.

    abstract:OBJECTIVE:To assess homeowners' intentions to make voluntary improvements to their homes following a warrant-of-fitness (WOF) assessment to highlight health and safety issues. METHODS:We recruited 83 homeowners, including nine landlords, in Taranaki, New Zealand, who agreed to have a WOF assessment carried out on thei...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12895

    authors: Chisholm E,Keall M,Bennett J,Marshall A,Telfar-Barnard L,Thornley L,Howden-Chapman P

    更新日期:2019-06-01 00:00:00

  • Changes in solarium numbers in Australia following negative media and legislation.

    abstract:OBJECTIVE:To monitor changes in the number of indoor tanning facilities in Australia's capital cities following widespread negative publicity and the introduction of legislation in some states. METHODS:An audit of listings under Solarium/Tanning Centres in the most recent hard copy Yellow Pages for Australia's capital...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2009.00436.x

    authors: Makin JK,Dobbinson SJ

    更新日期:2009-10-01 00:00:00

  • Anti-smoking advertisements are perceived differently by smokers and individuals with health or advertising knowledge.

    abstract:OBJECTIVE:Several studies have examined the characteristics of anti-smoking advertisements that are associated with quitting behaviour. Some studies use researchers or graduate students to code advertisement characteristics, while others recruit smokers or members of the general public. The aim of this study was to ass...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12945

    authors: Lizama N,Slevin T,Pettigrew S

    更新日期:2019-12-01 00:00:00

  • Trends in the prevalence of trachoma, South Australia, 1976 to 1990.

    abstract::The eye health of rural Aboriginal Australians is known to be poor. Over the past 20 years, Aboriginal communities in remote parts of Australia have had increasing access to eye health services through the National Trachoma and Eye Health Program (NTEHP). Using published and unpublished data, we examined trends in the...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1996.tb01049.x

    authors: Stocks NP,Hiller JE,Newland H,McGilchrist CA

    更新日期:1996-08-01 00:00:00

  • 'Punching above their weight': a qualitative examination of local governments' organisational efficacy to improve the social determinants of health.

    abstract:OBJECTIVE:The World Health Organization calls upon local government worldwide to play a greater role in improving public health by improving the social determinants of health. This research aimed to determine how local governments in Victoria, Australia, conceptualised their organisational efficacy to address public he...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12847

    authors: Browne GR,Davern M,Giles-Corti B

    更新日期:2019-02-01 00:00:00

  • Carbon pricing of food in Australia: an analysis of the health, environmental and public finance impacts.

    abstract:OBJECTIVE:To estimate the impact of integrating the price of greenhouse gas emissions into the price of food commodities on dietary and weight-related risk factors and associated disease burden in Australia, as well as on national emissions reductions and public revenues. METHODS:We used country-specific data for Aust...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12830

    authors: Springmann M,Sacks G,Ananthapavan J,Scarborough P

    更新日期:2018-12-01 00:00:00

  • Comparing indigenous health status across regions: a numerical example of uncertainty.

    abstract:OBJECTIVE:To illustrate how regional variation in data quality could explain some or all of the apparent regional differences in the health status of Indigenous Australians. METHODS:A series of simple hypothetical numerical examples is provided, with varying assumptions regarding the accuracy of identification of Indi...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2002.tb00355.x

    authors: Cunningham J

    更新日期:2002-12-01 00:00:00

  • Advocacy for clinical trials: do the Royal Colleges and State cancer councils play an appropriate role?

    abstract:BACKGROUND:Endorsement of clinical trials by prominent local or national organisations may help to promote public awareness of and enhance patient and doctor participation in randomised trials. METHOD:A survey was undertaken of the specialist medical colleges of Australia, State and Territory cancer councils and natio...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2001.tb00542.x

    authors: Ellis PM,Tattersall MH

    更新日期:2001-01-01 00:00:00

  • Adolescent hepatitis B immunisation--should it be the law?

    abstract::Universal hepatitis B immunisation of young adolescents was included in the Australian Standard Vaccination Schedule in 1998. However, rates of immunisation among adolescents world-wide have often been inadequate. Australia's experience in this area is no exception, particularly in States where school-based delivery i...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2001.tb00567.x

    authors: Skinner R,Nolan T

    更新日期:2001-06-01 00:00:00

  • Rehabilitation and convalescent hospital stay in New South Wales: an analysis of 3,979 women aged 75.

    abstract:OBJECTIVES:With a rapidly ageing population, it is imperative to examine health service costs and plan appropriately for the future. This paper determines the factors related to extended hospital stay for 'Rehabilitation' or 'Convalescence', as defined by ICD-10 coding, in acute hospital settings for older women in New...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12731

    authors: Chojenta C,Byles J,Nair BK

    更新日期:2018-04-01 00:00:00

  • Determinants of uptake of home modifications and exercise to prevent falls in community-dwelling older people.

    abstract:OBJECTIVE:To examine the age-specific population prevalence and predictors of uptake of home modifications and exercise to prevent falls in the NSW older population. METHODS:A total of 5,681 respondents were asked questions on fall prevention activities as part of the 2009 NSW Falls Prevention Survey. RESULTS were wei...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12243

    authors: Harvey LA,Mitchell RJ,Lord SR,Close JC

    更新日期:2014-12-01 00:00:00

  • The Sydney Medically Supervised Injecting Centre: a controversial public health measure.

    abstract:BACKGROUND:Injecting drug use remains a major public health concern, particularly because of opiate overdose and transmission of blood-borne viruses. Sydney's Medically Supervised Injecting Centre (MSIC) opened on a trial basis in May 2001 in an effort to reduce the harms of drug use. In this report, we provide a brief...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2002.tb00365.x

    authors: Kelly C,Conigrave KM

    更新日期:2002-12-01 00:00:00

  • Farm-related fatalities involving children in Australia, 1989-92.

    abstract:OBJECTIVE:To describe the types of and circumstances surrounding unintentional farm-related fatal injuries involving children aged less than 15 years in Australia. METHODS:Information concerning 115 deaths were obtained from inspection of coronial files for the period 1989-92. RESULTS:Children less than 15 years made...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2001.tb00585.x

    authors: Mitchell RJ,Franklin RC,Driscoll TR,Fragar LJ

    更新日期:2001-08-01 00:00:00

  • Tracing and recruiting a cohort with community acquired hepatitis 25 years later.

    abstract:OBJECTIVE:We describe the methods used to trace and recruit a cohort (including injecting drug users) 25 years after admission to hospital in Melbourne with hepatitis. METHODS:Information recorded in the original medical record was used for tracing purposes. Subjects were located using the electoral roll, CD-ROM telep...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.2001.tb00309.x

    authors: Rodger A,Lanigan A,Hocking J,Crofts N

    更新日期:2001-12-01 00:00:00

  • Barriers to health promotion activities in public hospitals.

    abstract::Despite the central role hospitals have in the health care system, relatively few health promotion activities are conducted in Australian public hospitals. This study investigated the types of obstacles that were perceived to inhibit health promotion activities in hospitals. A questionnaire for self-completion was sen...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1467-842x.1996.tb01629.x

    authors: Stanton WR,Balanda KP,Gillespie AM,Lowe JB

    更新日期:1996-10-01 00:00:00

  • GPs' perceived readiness to identify and respond to intimate partner abuse: development and preliminary validation of a multidimensional scale.

    abstract:OBJECTIVES:To develop a scale to assess the perceived readiness of general practitioners (GPs) to identify and respond to intimate partner abuse (IPA) and to examine its psychometric properties. METHODS:A qualitative study of GPs' perceived readiness and a literature review were used to generate items for the General ...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/1753-6405.12683

    authors: Leung TP,Bryant C,Phillips L,Hegarty K

    更新日期:2017-10-01 00:00:00

  • Recommendations by Queensland GPs to be more physically active: which patients were recommended which activities and what action they took.

    abstract:OBJECTIVE:To ascertain the extent to which general practitioners in Queensland recommend physical activity to their patients, the types of patients they target, types of activities they suggest and how patients respond to the recommendations. METHODS:Questions designed to answer the research objectives were included i...

    journal_title:Australian and New Zealand journal of public health

    pub_type: 杂志文章

    doi:10.1111/j.1753-6405.2011.00779.x

    authors: Robertson R,Jepson R,Shepherd A,McInnes R

    更新日期:2011-12-01 00:00:00