Saturday, May 2, 2020

Sustainable Comprehensive Primary Health -Myassignmenthelp.Com

Question: Discuss About The Sustainable Comprehensive Primary Health? Answer: Introduction As much as Australia is developed, there still exists the rural part of the country. This is not to mean that if a country is well developed then it cannot have its rural part, no. The main concern is looking at how rural Australia with its beautiful mountains, rivers and such beautiful scenery and the contributions it makes to the whole of the country in various ways including farming. It is a country of high mountains, coastlines and plateaus (Funk Wagnalls New Encyclopedia, 2016). This however is almost not reciprocated to them considering the fact that there are challenges when it comes to service delivery to the rural areas. These service deliveries are important due to also the problems they face like climatic changes and drought and famine.Bushfires are common in areas where there are high temperatures or hot and dry conditions (Funk Wagnalls New Encyclopedia, 2016). There are significant challenges presented when it comes to this but there are also the strengths in it. Seve ral financial are in play affecting rural service delivery either positively or negatively. Understanding what human services is all about is also a very important thing to look at. These services encompass both face-to-face models and the virtual model. Nature of Rural Human Services in Australia Human services is all about providing and making sure that human needs are met in order to make sure that the people live in higher standards of life when it comes to all aspects. It is very vital for human development in all areas. However, it is not major case in rural regions of Australia with the limited provision of such services. The limitation of serviced is due to the problems that Australia faces when it comes to being able to hiring and retaining staff which is responsible for provision of these services (Doherty et al. 2015). The rural part of Australia is prone to natural calamities with far-reaching economic and social impacts for example the 2009 Black Saturday fires (Economist, 2012). Besides, it presents a challenge to the people due to the low life standards they live in. The reason for being not able to retain these workers is that there are shortages of such workers and that this is a problem that is rampant in most rural areas across the world or simply movement f rom the poor parts of a country towards the rich parts in search of better opportunities. Alston (2009) further stresses the situation in the rural areas on. She suggests that the farmers in the rural areas are the most affected by such a thing more than other rural groups. Therefore, it is a proof of the situation on the ground. In a further review of her book, she recognizes the fact that there are complex and intricate challenges that face rural Australia not forgetting the remote areas. The impact that is supposed to be seen from policies made by the structures put in place to accomplish the task very critical is often not seen among the people (Butler, 2011). This situation needs to improve. Putting things into a brighter perspective is Morling Boxall (2014) by saying that the kind of mental illness people in rural and remote Australia face is chronic compounded by poor living conditions and struggle to get good healthcare. The distribution of doctors is also uneven with the m any present in the urban areas leaving the rural areas with almost none (Kamalakanthan Jackson, 2009). Strengths and Weaknesses ofHuman Service Delivery in Australia As much as all the psychologists have weaknesses be it in rural or urban areas, the ones who work in the rural areas have special ones compared to those in the urban areas (Pelling Butler, 2015). The two say that some of the special challenges faced include clients in rural area have or suffer from health problems that must be attended to but there is no enough knowledge that has been written on the same. This is more of being introduced into a new field or more accurately, something that has existed for years but no adequate research or none at all has been carried out. This makes it hard when it comes to dealing with patients when meeting face to face. This would be much better in virtual services where one can refer to the relevant sources as opposed to the other one. The human service delivery also fails when it comes to equity of services. This calls for the need of development in the rural and remote areas in the indigenous people region as this is brought about by the presence of unbalanced models of services (Fitzpatrick et al. 2017). In this issue, the urban areas have far much developed structural resources without forgetting the better infrastructure in the towns. This affects both the face-to-face model and the virtual model of human service delivery as when it comes to the face-to-face model the distance hinders efficient movement between client and doctor. When it comes to the virtual model of delivery, where the doctor and the patient do not have to be necessarily close or in the same location, the structural constraints come into play. The rural areas do not have the technological knowhow and equipment required to enable virtual services (Tham et al. 2010). There is need to have equity and equality in both the rural and urban areas. I f the health services are inadequate then it will lead to poor outcomes in health. When it comes to virtual model of service delivery however, there is hope. Although it is not a field that has been developed extensively and putting into mind some of the weaknesses that have been put forward above, in Australia, the recent development in broadband connection is a tool that can greatly improve the provision of mental health care to the indigenous population. These developments include expanding the region or extent to which the internet connection will be available. This will be best when it comes to management technology features such as videoconferencing and therapy through the internet (Simpson Reid, 2014). According to them, this makes these services far much cheaper than before and at the same more accessible. To stress on the importance of telepsychology, the two say it is a very cheap but at the same time a very effective and a high quality human service delivery. Their findings suggest that this mode of delivery might even come close to being rated as the s ame with face-to-face therapy with a doctor. This is a conclusion made from the views and opinions made by clients who have gone through this kind of therapy and have said that they feel satisfied with it. This is good as it eliminates the geographical and the distance barrier and in turn helps save many people. Challenges Faced in Human Service Delivery In looking at the challenges faced by human services delivery, we will use the delivery of mental health help in the rural, remote, and indigenous Australia. According to the report by a Select Committee on Issues of Mental Health of Australia convened by The Senate in Australia (March 2006), it found out that millions of residents in Australia suffer from mental illness at some stage in their life and manage to get overit and continue to live their lives normally. However, you cannot brush aside the devastating effects that are brought about by this dreadful experience. This is often the case especially when the mental illness is serious. This can make one contemplate suicide due to the depression that comes with mental illness. People suffering from mental health however in the remote areas of Australia were found to be what we can say, Better off because indigenous communities offer many social help and are friendlier. This however does not seem to help so much as the citizens fin d it hard to access mental health institutions. The reason making it hard them to access mental healthcare is due to a low number of mental health practitioners in the remote and rural areas. What brings about this challenge is the distance from where the professionals are to where the rural farms are. This means that at some point the indigenous people have to be taken to somewhere else which according to the report, can mean being taken to a very different world to the indigenous Australians. This agrees with the findings of another researcher who says that when it comes to matters in staffing, this has always presented a problem in rural Australia (Cosgrave et al. 2015). They say that the issue of retention of the professionals presents a big challenge. Still on the challenges, Cosgrave and his colleagues point out that the presence of small towns present the biggest problem in provision of mental services. To stress on the importance of this they talk of the importance of those who have worked in the rural areas for a signific ant amount of time because they have the knowledge onthe impact of retaining workers. This mostly affects the face-to-face model where the services need boots on the ground though it cuts across both. Another challenge when it comes to the virtual model of human service delivery is about telecommunication. Pelling Butler (2015) note it to be a field that has not been developed properly but the psychologists arealready being pressured to use this technology. This involves teleconferencing with the client or where possible videoconferencing. This makes it easier to bridge the distance between patients and professionals. The lack of development of this makes it hard for the practioners to effectively communicate with the clients without forgetting the fact that the indigenous people are not advanced technologically. Morley et al (2007) look at what we can say is the positive side of things away from all these challenges. In their research, they find that there are measures that have been put forward to try to mitigate these challenges faced. In their model of research, they include a look at several case studies in where several projects have been undertaken in a bid to improve the state of mental health services by the government. The projects undertaken projects were tailor made solutions for the rural areas and their research shows that they have worked tremendously. They reach to an extent where they have actually been rated as being standard at some point. This shows that there is actually hope for the Australian indigenous people in the mental health care sector. Margaret Alston in her book, Innovative Human Service Practice: Australias changing landscape (2009), she talks of other challenges that are not domestic as the ones mentioned above but rather external. She says that service delivery in rural communities is also affected by things as the effects of a world that is becoming small through globalization and neo-liberalism. In globalization, she says due to the effects of globalization, the government hasintroduced market based solutions that led to withdrawal of services from the rural areas (Alston, 2007). Conclusion The importance of quality human services has been looked at critically and why the government and all the involved stakeholders in the human services need to work towards the betterment of the nature of these services especially in the rural, remote and places where the indigenous people reside. On other issues, the book written by Margaret Alstons book is a very great book that gives insight into what exactly is happening on the ground and all the forces in play in the rural areas. This book is helpful in improving the standards of rural services provisionas it also points out the issues they face as a community. It however has a place to be criticized as it points out that farmers are the most disadvantaged in the rural areas (Teghe, 2012). There is a need to come up with ways on how to develop a nearly perfect model that works and is fair to all the regions especially the rural areas. This will help reduce economics and tragic events such as suicide. There is needed to look at the factors that make up an ineffective model that is mainly a model that does not enable or allow the worker to give the service to perfection sustainably (Roufeil Battye, 2008). This sustainability should be present at the organizational level, programme level and at the linkages with affiliated services. The technological part is also a vital tool that should be developed to reduce the costs and eliminate distance between clients and therapists or human service workers and the intended group, population or area References Alston, M. (2007). Globalization, rural restructuring and health service delivery in Australia: policy failure and the role of social work? Health Social Care inthe Community,15(3), 195-202. doi:10.1111/j.1365-2524.2007.00696.x Alston, M. (2009). Innovative Human Service Practice: Australias changing landscape. Palgrave Macmillan. South Yarra. Australia. (2016).Funk Wagnalls New World Encyclopedia, 1p. 1. BushfiresinAustralia.(2016).FunkWagnallsNewWorldEncyclopedia,1p.1. Butler, M. P. (2011). Innovative Human Services Practice: Australia's Changing Landscape.Australian Social Work,64(2), 236. doi:10.1080/0312407X.2011.579386 Cosgrave, C., Hussain, R., Maple, M. (2015). Retention challenge facing Australia's rural community mental health services: Service managers' perspectives.Australian Journal of Rural Health,23(5), 272-276. doi:10.1111/ajr.12205 Counting the cost of calamities. (2012).Economist,402(8767), 60. Doherty, C., Shield, P., Patton, W., Mu, G. M. (2015). The limits to public service: rural communities, professional families and work mobility.Community, Work Family,18(1), 100. doi:10.1080/13668803.2014.953446 Fitzpatrick, S. J., Perkins, D., Luland, T., Brown, D., Corvan, E. (2017). The effect of context in rural mental health care: Understanding integrated services in a small town.Health Place,4570-76. doi:10.1016/j.healthplace.2017.03.004 Kamalakanthan, A., Jackson, S. (2009). Doctor supply in Australia: rural--urban imbalances and regulated supply.Australian Journal of Primary Health,15(1), 3-8. Morley, B., Pirkis, J., Naccarella, L., Kohn, F., Blashki, G., Burgess, P. (2007). Improving access to and outcomes from mental health care in rural Australia.Australian Journal of Rural Health,15(5), 304-312. doi:10.1111/j.1440-1584.2007.00905.x Morling, D., Boxall, A. (2014). Rural mental health matters.Australian Journal of Rural Health,22(6), 340-341. doi:10.1111/ajr.12158 Pelling, N., Butler, B. (2015). Rural Counselors and Psychologists in Australia: A Descriptive Survey of Professionals and Practice. International Journal of Mental Health,44(1/2), 94-106. doi:10.1080/00207411.2015.1009782 Roufeil, L., Battye, K. (2008). Effective regional, nursing and remote family and relationship service delivery. AFRC Briefing No. 10 Simpson, S., Reid, C. (2014). Telepsychology in Australia: 2020 vision.Australian Journal of Rural Health,22(6), 306-309. doi:10.1111/ajr.12103 Teghe, D. (2012). Innovative Human Services Practice: Australia's Changing Landscape.Social Work Education,31(1), 134-135. doi:10.1080/02615479.2011.578918 Tham, R., Humphreys, J., Kinsman, L., Buykx, P., Asaid, A., Tuohey, K., Riley, K. (2010). Evaluating the impact of sustainable comprehensive primary health care on rural health.Australian Journal of Rural Health,18(4), 166-172. doi:10.1111/j.1440-1584.2010.01145.x The Senate. (2006). Select Committee on Mental Health: A national approach to mental health-from crisis to community. First report, March 2006

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