Mental Health in Rural Areas Flashcards
Week 3
How does the SDoH of PEOPLE increase suicide risk??
Financial hardship and unemployment
Social isolaion
Intergenerational trauma (ATSI)
How does the SDoH of PLACE increase suicide risk
Workplace environment
Commodity prices
Access to lethal means
How does the SDoH of ACCESS increase suicide risk
Less help-seeking behaviours
Privacy and stigma
Service distance/ cost
What are 4 common ways in which anxiety and depression present?
- sleeping problems
- alcohol
- family member concerns
- self-injury/ physical symptoms
what factors make services appropriately respond to suicide?
Appropriate response
Reduce access barriers
Ask openly and be aware of stressors
Know about local resources
Participate in community education
Factors considered when managing acute health problems
Presenting to GP or ED
Role of telehealth assessment
Emergency sedation
Safety issues w transport
Agricultural community Challenges
Family disputes
Dependency on weather
Lower income
Shrinking community or losing services
Mining community challanges
Low health lit
Predisposition to substance abuse
Male-dominated
Bullying, stigma
Unclear work roles
Transient/FIFO work
Implications of Agricultural and mining communities on service delivery
Difficulty in maintaining services (pop boom/bust)
Continuity of care
Financial ability of patient to pay for services
Historical factors that affect ATSI mental health
Legislated racism
- Forbidden from entering town w/o permission
- Cohabitation w opposite sex prohibited
social factors that affect ATSI mental health
Rapid social transformations
- Unrestricted access to alcohol
- Transition to cash economy
- Introduction of new diseases
Cultural factors that affect ATSI mental health
Damaged sense of identity and belonging
Colonisation (suppression)
Removal of ancestral land
Transgenerational trauma
Stolen Generations
Lack of self-government, cultural facilities and education
What are the consequences of social, historical and cultural factors of ATSI health
Alcohol
Welfare dependency
Incarceration rates
6x higher suicide rates
Health service implications for treating ATSI mental Health
Better communication
Education
Community postvention
ATSI health workers
