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Background: Major depressive disorder (MDD) can have severe impacts on function and quality of life. Up to one third of patients will have an inadequate response to their first line of treatment, with subsequent lines of therapy associated with lower remission rates and higher relapse rates. Recently esketamine has become available for Australian patients, and this agent provides an additional treatment option for those with MDD who have had an inadequate response to two or more antidepressant therapies during the current moderate to severe depressive episode. This paper provides an expert panel's practical recommendations and clinical guidance for establishing esketamine clinics in Australia. Methods: An expert panel (n = 11) comprising psychiatrists, mental health care nurses, pharmacists, and individuals with experience establishing esketamine clinics was convened in Sydney. The panel developed practical recommendations and clinical guidance, which were then further refined. Results: Five key areas were identified: practical considerations for esketamine clinic set‐up, including multidisciplinary care considerations; patient selection; administering esketamine; adverse event management and long‐term follow‐up. Conclusions: Guidance presented in this paper should assist Australian clinicians to set up an esketamine clinic, and provide practical advice on the infrastructure and clinical requirements for treatment of patients with this agent. [ABSTRACT FROM AUTHOR]

Australia has a hidden but growing problem with household food insecurity, revealing the failure of conventional food infrastructures to support human flourishing. Disruptions to employment and livelihoods due to pandemic lockdowns have exacerbated household food insecurity, evincing the uneven geography of food access in countries globally, including Australia. Increasing demand for food relief had been observed prior to the COVID‐19 pandemic and has been met by food relief providers, which we consider as infrastructures of care addressing growing levels of hunger. This paper reveals COVID‐19's many impacts on the food relief sector across Metropolitan Sydney, New South Wales. It analyses both a questionnaire of food relief providers in 2022 and media articles, social media posts, reports, and websites. It provides much‐needed insights into the impacts of pandemic lockdowns on the demand for food, interruptions to food provisioning, changes to food supply, and alterations made to suppliers' ways of operating. Those insights show how infrastructures of care are place‐based, responsive, dynamic, and constrained by caring capacities. Such insights are increasingly important for understanding infrastructural failures, documenting the real extent of household food insecurity, and challenging dominant discourses of Australia as a food‐secure nation. [ABSTRACT FROM AUTHOR]

This paper examines the impact of daylight saving time (DST) on fatal road crashes in Australia. I exploit within year transitions to and from DST in a regression discontinuity in time framework. To examine the long run effect of the policy, I use trials of DST implemented in various states, and a DST extension due to the Sydney Olympics. Neither the transition to or out of DST, nor the long run effects of DST have an impact on fatalities on the road. However, there is evidence of reallocation of accidents over the day due to ambient light. [ABSTRACT FROM AUTHOR]

Based on a large‐scale survey conducted with parents from Japanese language schools in Sydney in 2015, this paper aims to review multiple dimensions of social cohesion in the Japanese ethnic community in Australia. Looking at several indices such as economic, political, and cultural integration, the paper describes the social profile of the Japanese ethnic community, questioning the generic perception of the community as a coherent body of middle‐class migrants in Australia. This was achieved through a comparative analysis with outcomes of a national survey of the Australian population on social cohesion and draws attention to the ways in which a particular sense of social cohesion with Australian society is constructed by Japanese migrants. The study found a differentiated sense of belonging to the local community, country of residence (Australia), and nation of origin (Japan). It found communal diversity in the Japanese community resulting from there being a majority of women migrants who were part of cross‐border marriages and their children living in multicultural family circumstances. It was concluded that this configuration within the community leads to advocacy related to a re‐identification as a possible ethnic group of migrants that should be recognized in an inclusive migration settlement policy in Australia. [ABSTRACT FROM AUTHOR]

In a period when care is being cast as an individual responsibility there is a need to invigorate analyses of caring capacity, of the factors and relations that make care possible. This paper develops caring‐with as an analytic to guide analyses of caring capacity. Caring‐with brings feminist care ethics together with assemblage thinking. It innovates from Tronto's identification of "caring with" as the fifth phase of care to figure care as a generative sociomaterial relation that is productive of and emergent through assemblages of actors who are not always supportive of care. Caring‐with advances three frames for conceptualising caring capacity. First, caring‐with situates care in a sociomaterial and performative frame. Second, it places care in a temporal frame, speaking to the historical and generative depth of relations that are the foundation and future of care. Third, it theorises the production and translation of care across space. These concepts are empirically examined through the caring experiences of single older women living in precarious housing in Sydney, Australia. Interviews with these women show how housing assemblages shape the emergent potential for care, co‐constituting the capacity for individuals to take part in caring practices (for self and others) and to achieve basic care needs (including needs for food, energy, and appropriate housing). Caring‐with provides a framework for conceptualising caring capacity in unequal worlds and illuminates the adaptive and creative agencies that generate and hold care together. It also points to new ways of conceptualising caring responsibility as a distributed achievement. Finally, caring‐with suggests an approach to conceptualising housing within care research. At a time when care is being cast as an individual responsibility, this paper asks what makes care possible. It develops caring‐with as an analytic to guide analysis of caring capacity. Caring‐with brings feminist care ethics together with assemblage thinking to place care in a sociomaterial, temporal, and spatial frame. The paper theorises the production and translation of care across space and identifies the assemblages that enable future care. Empirically it asks how older women care in precarious housing. [ABSTRACT FROM AUTHOR]

Through a comparative study of political activism in Millers Point, Dawes Point, and The Rocks in Sydney from 1971 to 1974 and from 2014 to 2017, this paper examines the more‐than‐human force of bodies and buildings in redemocratising cities. The paper brings theoretical insights from urban assemblage and Deleuzian scholarship into dialogue with post‐political theory. In doing so, it shifts the focus in urban political geography from a concern with diverse social groups to the political potential in more‐than‐human assemblages. Through a re‐reading of Sydney's Green Bans in Millers Point, Dawes Point, and The Rocks, the paper first shows how the withdrawal of labour and stilled building sites comprise informal pathways of planning rejection that centralise social and ecological concerns in decision‐making in urban development. That first case is then contrasted with the contemporary case of privatisation and displacement at the same sites, showing how aged bodies can energise latent deliberative spaces across diverse (if repressed) institutions in liberal democracies. Given the capacities of materials and bodies to produce planning outcomes, the paper conceptualises planning as a more‐than‐human process enhanced by immersion in the experimental materialism of political movements—and this materialism is inherently geographical. The paper concludes with my reflecting on whether the proximity of workers and residents to the materials of the built environment in social movement activism of the 1970s intensified the reach of the event compared with the uncertain struggle over Millers Point today. [ABSTRACT FROM AUTHOR]

In this paper, we draw on insights from economic theory on urban growth, large shocks and spatial dynamics to assess COVID‐19 flow‐on effects and potential disruptive legacy in urban‐regional dynamics. Urban dynamics in Australia are assessed at national, regional and intra‐urban scales. Long‐term and short‐term urban dynamics are analysed against random growth, locational fundamentals and increasing returns theories of urban growth and adjustment. A focus in Australia and elsewhere is the potential effect of COVID‐19 on where people want to live, enabled in part by technological connectivity that releases some workers from proximity to work constraints when choosing a home. Our results suggest that urbanisation trends and adjustments to shocks differ for capital cities and noncapital cities. At the inter‐regional migration level, Australia's largest urban system, Sydney, is characterised by a cointegration relationship between outmigration and Sydney property prices relative to other housing markets. At finer spatial scales, COVID‐19 had a negative impact on house prices within Sydney and may, for some micro‐geographies and/or towns and regional centres, lead to significant change. However, typically this effect on houses (not units) began to dissipate in the period June‐November 2020, when also controlling for housing policy pre‐ and post‐COVID‐19. [ABSTRACT FROM AUTHOR]

Issue Addressed: Drowning is a global public health challenge with a need to ensure equity to drowning prevention information and interventions. In Australia, people born overseas are identified as being at greater risk of drowning. This paper presents findings from a community-based qualitative evaluation of swimming and water safety (SWS) programs delivered to adults from migrant backgrounds in Sydney, Australia.Methods: A qualitative study was conducted in November-December 2019 among 35 female participants of SWS programs targeted to adult migrants. While offered to all SWS program participants, no males took part in the study. Focus groups and interviews were recorded, transcribed and thematically analysed using a deductive approach. The domains of enquiry were guided by the health belief model and the theory of planned behaviour.Results: Study participants were ≥25 years, first generation and most had lived in Australia for ≥10 years. Most were nonswimmers and were fearful of water prior to the program. Key themes were: direct SWS program outcomes, health and well-being; enablers and barriers to participation including: motivation, a program coordinator, fear and settlement priorities.Conclusion: Findings suggest that in order to increase SWS participation among migrant communities, the broader determinants of health need to be considered. Culturally appropriate strategies are required to enable both men and women equal opportunities to access SWS programs.So What: SWS programs provide multiple benefits for adult migrants; however, the impact on reducing inequities is limited, with broader multi-strategic health promotion approaches and policies required for inclusion and sustainability. [ABSTRACT FROM AUTHOR]

In Australia, as in other Western countries, peri-urban farmland is increasingly being considered a public good, contributing to urban sustainability and climate change mitigation. To retain local food production, advocates have called for the implementation of farmland protection policies that restrict urban development, such as exclusion zoning. Many such policies have been abandoned due to protests, often from the very people the policies are ostensibly intended to protect - farmers. Examining the failure of Sydney's latest 'green zones' through a political ecology lens, this paper challenges the prevailing narrative that these protests indicate a lack of community support for the ideal of farmland protection. The failure of the green zones was one of political process, specifically the lack of consultation with Sydney's culturally and linguistically diverse small-scale farmers, rather than community rejection of the principle of protection. Interview responses from farmers suggest that a bottom-up approach to policy-making would have yielded alternative and more successful approaches to maintaining farming on the fringe. This paper concludes that ensuring small-scale farmers have access to and agency in the environmental decision-making process generates options for farmland protection policy that move beyond a housing-versus-farming dichotomy. [ABSTRACT FROM AUTHOR]

The author, English born and living in Sydney, Australia, presents an argument for the usefulness of the recognition of the implicit simultaneous links between the following: development of psychic skin and the establishment of the body schema development of a sense of identity relationship with place such that the formulation psychic skin< > mind < > body < > self < > place < > world can be thought of as an organising gestalt or implicit continuum of 'skin' experience and process upon which the explicit always depends. This constitutes a taken-for-granted ground-plan of the self-in-place. The author follows this with an exploration of the consequences for psychic health of a traumatic rupture of this gestalt for both individual and group. Material from two cases is presented: first, a young woman whose family fled the Balkan wars which splintered the former Yugoslavia; second, the transmission of displacement trauma into the third generation of a family who arrived in Australia after WW II from the former Yugoslavia. For the purposes of this paper I will not make a distinction between migrants/exiles/refugees and instead refer to either displacement or dislocation. [ABSTRACT FROM AUTHOR]

This paper investigates the complex and continuously evolving processes of de-democratisation evident in urban planning practice in Sydney between 2011 and 2017. New South Wales' successive rounds of planning reform, establishment of a metropolitan commission, and amalgamation of local governments over that period have aimed to reduce local democratic participation in planning decisions, but they have had uneven success. I argue that while New South Wales' efforts to streamline development and de-democratise planning have evolved considerably in response to multiple forms of opposition, the success of the neoliberal project is still uncertain. The insights this story offers add complexity to theorists' claims about the inevitability of depoliticisation and the end of meaningful democratic engagement. The story also offers insights about how power is created, lost, and regained in particular local circumstances. [ABSTRACT FROM AUTHOR]

Most models of immigrant minority enclave formation in cities represent their situation as relatively transient elements in urban residential mosaics. As minority group members become both economically integrated and socially-culturally assimilated into the host society, so they move away from the enclaves where they initially concentrated. Such shifts are especially likely in the second and later generations of group members, who are more likely to overcome the disadvantages experienced by many of the original settlers with regard to human capital. This paper evaluates that model using data on the residential distributions of three generations of those claiming one of 19 different ancestral groups in Sydney in 2011, at four nested spatial scales, deploying a recently developed inferential method for evaluating the intensity of residential segregation. The findings are not consistent with the model: in general, members of the second and third generations in any ancestral group are as segregated as the first generation (that is, those born outside Australia) at both regional and neighbourhood scales. [ABSTRACT FROM AUTHOR]

Gender is a key lens for interpreting meanings and practices of home(making) in urban neighbourhoods, but while there is a rich understanding of women's experiences, there is a paucity of work on men's. To advance insights into gendered dimensions of home in urban contexts, this paper discusses men's embodied experiences of home in inner Sydney, drawing data from fieldwork with 52 men. This focus is prompted by scholarly and policy concern with men's emotional wellbeing. I seek to understand how these men deploy their homes to pursue work/life balance and how domestic activities contribute to their emotional wellbeing. I find that these men use their bodies as emotional and sensuous instruments to manage the interplay of work(place) and home(place). Moreover, I suggest that these men's embodied emotional engagements with domesticity reconfigure the gendered practices and imaginaries of homelife, and challenge persistent gender inequalities and stereotypes by providing alternatives to hegemonic masculinity. [ABSTRACT FROM AUTHOR]

City-region theory — fuzzy as the boundaries of such a theory may be — centres on the claim that the territorial basis and organizational architecture of the global economy is now a mosaic of globally connected city-regions rather than nations. Despite some intuitive appeal, there is a growing body of critique which targets specific frailties arising from the theoretical reliance in such arguments on a global capitalist-logic and, relatedly, the focus on global exchange relations. In exploring the limits of these theoretical tendencies, this paper provides a critical account of the processual and practical formation of Sydney (NSW, Australia) as a city-regional space of governance. It pays particular attention to the contingent emergence of Sydney’s metropolitan policy regionalism through political mediations of the particular and complex politics elicited by the spatial distributional consequences of city-region development. Its concluding argument is that city-region formation must be understood as an ongoing and multiscalar process without autonomy from the national political economy or from its territory. [ABSTRACT FROM AUTHOR]

All but three universities in Australia have departments or schools of psychology. In the older universities (e.g., the universities of Sydney, Melbourne, and Western Australia), the psychology departments evolved from philosophy departments in the late 1920s and early 1930s. There was a rapid expansion of universities in the 1960s, which led to the establishment of many new psychology departments. In a further expansion in the late 1980s, many former institutes of advanced education were afforded university status or were merged with existing universities. In these newer universities, psychology had been taught primarily to students in nursing and education, but these academic areas later evolved from “service” departments into larger and broader psychology departments. There is a strong system of accreditation of psychology departments, a function that is provided by the Australian Psychological Society. The APS conducts reviews of all departments of psychology on a 5-year cycle. This system of accreditation was significantly strengthened in the mid-1990s. Graduates who wish to become members of the APS must have completed their degrees within an accredited program (or the equivalent for applicants from other counties). Australian psychology programs are of three types. A 3-year degree in psychology, often combined with other subjects such as teaching, is a popular major, but does not prepare psychologists. A 4-year program, with a fourth-year honours program requiring a thesis and study of ethics and practical applications, is required for those who wish to practise psychology. Graduate (postgraduate) degrees are also offered to prepare psychologists. Each university has some autonomy in the structure of the programs, and emphasis varies. Structure of courses also varies somewhat. Distance education and on-line courses, although still controversial in Australia, are rapidly increasing in availability. More typically, courses are taught using lectures, group discussions, papers, presentations, and exams. L'ensemble des universités australiennes, à l'exception de trois, ont un département ou une école de psychologie. Dans les universités les plus anciennes (p. ex., les Universités de Sydney, de Melbourne et d'Australie de l'Ouest), les départements de psychologie sont nés des départements de philosophie à la fin des années 1920 et au début des années 1930. Il y a eu une expansion rapide des universités dans les années 1960, ce qui a mené à l'établissement de plusieurs nouveaux départements de psychologie. Lors d'une autre expansion survenue à la fin des années 1980, plusieurs des anciennes institutions d'éducation avancée se sont vues conférer le statut universitaire ou ont été jointes à des universités existantes. Dans ces nouvelles universités, la psychologie a été enseignée en premier lieu à des étudiants en nursing et en éducation. Cependant, ces domaines académiques se sont plus tard développés en département de «service» à l'intérieur des départements plus larges de psychologie. Il existe un fort système d'accréditation des départements de psychologie, une fonction qui est octroyée par la Société australienne de psychologie (SAP). La SAP effectue des révisions de tous les départements de psychologie à tous les 5 ans. Ce système d'accréditation était significativement robuste vers le milieu des années 1990. Les étudiants gradués qui souhaitaient devenir membre de la SAP devaient avoir obtenu un diplôme dans un program accrédité (ou l'équivalent pour les candidats des autres pays). Les programs australiens de psychologie sont de trois types. Un diplôme de 3 ans en psychologie, souvent combiné avec d'autres matières telles que l'enseignement, ne prépare pas les psychologues. Un program de 4 ans, avec une quatrième année en program d'honneur requérant une thèse et l'étude de l'éthique et des applications pratiques, est requis pour ceux qui veulent pratiquer la psychologie. Des diplômes d'études supérieures sont également offerts pour préparer les psychologues. Chaque université jouit d'une autonomie dans la structure de ses programs et les emphases sont variées. La structure des cours varie aussi grandement. Les cours par correspondance et les cours en ligne, quoique toujours controversés en Australie, sont de plus en plus disponibles. De façon plus typique, les cours sont enseignés sous formes magistrale, de groupes de discussion, de travaux, de présentations et d'examens. Todas excepto tres universidades en Australia tienen departamentos o escuelas de psicología. En las universidades más antiguas (por ejemplo, las universidades de Sydney, Melbourne y de Australia Occidental), los departamentos de psicología evolucionaron de los departamentos de filosofía a fines de los años veinte y principio de los treinta. Hubo una expansión rápida de las universidades en la década de 1960 que condujo al establecimiento de muchos departamentos de psicología nuevos. Durante otra expansión hacia el final de los años 80, se concedió el estatus de universidad a muchos ex-institutos de educación avanzada, o bien se incorporaron a universidades existentes. En estas universidades más nuevas, se había enseñado psicología principalmente a estudiantes de enfermería y educación, pero esas áreas académicas después se convirtieron de departamentos de “servicio” en departamentos de psicología más grandes. Existe un sistema poderoso de acreditación de departamentos de psicología, función que desempeña la Sociedad Australiana de Psicología (SAP). La SAP evalúa todos los departamentos de psicología cada cinco años. Este sistema de acreditación se fortaleció de manera importante hacia la mitad de la década de 1990. Los graduados que desean convertirse en miembros de la SAP deben haber obtenido sus grados de un programa acreditado (o el equivalente para solicitantes de otros países). Los programas de psicología australianos son a menudo de tres tipos. Un grado de tres años en psicología, a menudo combinado con otros temas, tales como enseñanza, no prepara psicólogos. Un programa de cuatro años, con un programa de alta exigencia en el cuarto año que requiere una tesis y el estudio de la ética y de las aplicaciones prácticas es necesario para aquéllos que desean practicar la psicología. Se ofrecen postgrados también para preparar psicólogos. Cada universidad tiene cierta autonomía y la estructura de los programas y énfasis varía. La estructura de los cursos también varía de alguna manera. La disponibilidad de la educación a distancia y los cursos en-línea, aunque controvertidos en Australia, aumenta rápidamente. Es más frecuente que los cursos se enseñen por medio de conferencia, discusión de grupo, trabajos, presentaciones y exámenes. [ABSTRACT FROM AUTHOR]

Mobility is the keystone of the 'new' regional geography. Attention is drawn to the outpouring of work on travellers throughout history. Surprisingly, little mention is made of geographers who have crossed borders, been immigrants and have engaged in writing about movement. As is evident from Peter Scott's pocket log diary of air travel and airports, there is scope for a study of the whole range of spatial practices of individual geographers through an examination of maps, diaries, stories, books and television programs. As all geographers are travellers, it is perhaps more appropriate to create the spirit of the time so that we can position ourselves in the bigger picture and enjoy our private reveries. This paper, therefore, seeks to recreate the air transport geography of the mid-1960s and to list key changes over the following thirty years, before examining air transport geography in the mid-1990s. Attention is paid to advertising signs and images of each period. [ABSTRACT FROM AUTHOR]

Background A new self-directed learning package was developed to assist medical students learn the counselling and practical skills to enable them to communicate with men and women about contraception and related matters. Objectives This paper describes the package and the way it was facilitated, the students’ ratings of the package and their feedback about the session on the first time it was presented at four teaching hospitals. Results The students rated the contraception package as average. The reasons given were: no introduction to the contraception session, lack of a trained person to conduct and facilitate the contraception learning session, poor organization at one of the hospitals and too little emphasis on self-assessment. The assumption that the students had a basic hormonal knowledge prior to the contraception sessions was incorrect. Discussion The results suggest the contraception learning package needs a person with contraceptive knowledge, patient–doctor skills and experience with self-directed learning to be present throughout the 3-hour session and for tools to be available that emphasize self-assessment during the session. Outcome The modifications to be made to the learning package include pairing male and female students, a reduction in duration of the learning stations, an additional learning station relating to hormonal contraception, and inclusion of pregnancy and ovulation testing. These modifications were suggested by the participating students. [ABSTRACT FROM AUTHOR]

Introduction and Aims: Indicators suggest an escalation in opioid use globally, with recent HIV outbreaks linked to non-medical pharmaceutical opioid (NMPO) use. Little is known about how young Australians engage in NMPO use.Design and Methods: During 2015, we conducted qualitative interviews with young people (16-29 years) who reported oral NMPO use at least twice in the past 90 days. The study included a sample of injecting (n = 14) and oral (n = 22) users. This paper focuses on the oral user group.Results: Most participants grew up in affluent areas of Sydney, reported few health problems, rarely accessed health or welfare services and had limited contact with police. NMPO use was part of a repertoire of drug use involving: (i) use to come down from stimulants; (ii) use in conjunction with cannabis and alcohol; and (iii) use by itself. Participants reported limiting their use in order to avoid stigma and dependence.Discussion and Conclusions: Results suggest culture of self-limiting NMPO use characterised by stable housing, disposable income and intimate friendship networks. Despite the adverse health outcomes observed in other settings, our data suggest that the patterns and meanings of NMPO use observed in this small sample may help explain the limited nature of problematic use among young Australians to date. Findings indicate a need for epidemiological data, including longitudinal data, to assess possible demographic shifts in NMPO use in Australia, and to address risk factors for dependence and transitions to injecting and heroin use in this population. [Dertadian GC, Dixon TC, Iversen J, Maher L. Self-limiting non-medical pharmaceutical opioid use among young people in Sydney, Australia: An exploratory study. Drug Alcohol Rev 2017;00:000-000]. [ABSTRACT FROM AUTHOR]