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BackgroundDespite the high prevalence of mental health concerns, few young adults access treatment. While much research has focused on understanding the barriers to service access, few studies have explored unbiased accounts of the experiences of young adults with mental health concerns. It is through hearing these experiences and gaining an in-depth understanding of what is being said by young adults that improvements can be made to interventions focused on increasing access to care. ObjectiveTo move beyond past research by using an innovative qualitative research method of analyzing the blogs of young adults (18–25 years of age) with mental health concerns to understand their experiences. MethodsWe used an enhanced Internet search vehicle, DEVONagent, to extract Internet blogs using primary keywords related to mental health. Blogs (N = 8) were selected based on age of authors (18–25 years), gender, relevance to mental health, and recency of the entries. Blogs excerpts were analyzed using a combination of grounded theory and consensual qualitative research methods. ResultsTwo core categories emerged from the qualitative analysis of the bloggers accounts: I am powerless (intrapersonal) and I am utterly alone (interpersonal). Overall, the young adult bloggers expressed significant feelings of powerlessness as a result of their mental health concerns and simultaneously felt a profound sense of loneliness, alienation, and lack of connection with others. ConclusionsThe present study suggests that one reason young adults do not seek care might be that they view the mental health system negatively and feel disconnected from these services. To decrease young adults’ sense of powerlessness and isolation, efforts should focus on creating and developing resources and services that allow young adults to feel connected and empowered. Through an understanding of the experiences of young adults with mental health problems, and their experiences of and attitudes toward receiving care, we provide some recommendations for improving receptivity and knowledge of mental health care services.

Prior research has proposed that boredom and academic performance are reciprocally causal of one another. The present study sought to better understand the relationship between boredom and academic performance by, for the first time: distinguishing between boredom proneness, state boredom, and judgments of task boringness; conducting experiments in the laboratory where extraneous variables could be better controlled; and using experimental manipulation for causal conclusions. Study 1 examined the naturally occurring relationship between state boredom and performance on a word list recall task in the laboratory. Study 2 tested whether manipulating state boredom resulted in changes in word list recall, and Study 3 tested whether manipulating perceived word list recall resulted in changes in state boredom. State boredom and performance had a reciprocal relationship only for participants who memorized "interesting" word lists and only after repeated trials (Study 1); trait boredom predicted performance but state boredom did not (Study 2); and manipulating perceptions of performance had no effect on state boredom but did affect participants' judgments of how boring the learning task was (Study 3). Thus, students seem to be able to weather changes in performance or boredom in the moment without one affecting the other. It is when the situation persists, or state boredom crystallizes into the form of a judgment (course-related boredom) or way of being (trait boredom), that problems emerge. Guidelines for educators are offered. Future research work is proposed, most pressingly work to replicate the current findings with more complex learning tasks.

: Objective: To conduct a real‐time audit to assess a Continuous Quality Improvement (CQI) activity to improve the quality of public health data in the Sydney Local Health District (SLHD) Public Health Unit during the first wave of COVID‐19. Methods: A real‐time audit of the Notifiable Conditions Information Management System was conducted for positive cases of COVID‐19 and their close contacts from SLHD. After recording missing and inaccurate data, the audit team then corrected the data. Multivariable regression models were used to look for associations with workload and time. Results: A total of 293 cases were audited. Variables measuring completeness were associated with improvement over time (p Conclusion: Utilising a team, separate from operational staff, to conduct a real‐time audit of data quality is an efficient and effective way of improving epidemiological data. Implications for public health: Implementation of CQI in a public health unit can improve data quality during times of stress. Auditing teams can also act as an intervention in their own right to achieve high‐quality data at minimal cost. Together, this can result in timely and high‐quality public health data., SARS‐COV‐2, the virus that causes COVID‐19, was first reported in December 2019 in China.[sup.1,2] It has since spread around the world, with the first case reported in Australia on 25 [...]

Background: Mental effort plays a critical role in regulating cognition. However, the experience of mental effort may differ for individuals with Attention-Deficit/ Hyperactivity Disorder (ADHD), a disorder for which sustained mental effort ‘avoidance’ or ‘dislike’ is a criterion in the DSM. We conducted a scoping review to characterize the literature on the experiences of effort in ADHD. Methods: This systematic scoping review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) Extension for Scoping Reviews and Joanna Briggs Methodology. PsycINFO (OVID), PsycINFO (ProQuest) and PubMed were searched for studies published in English before February 14, 2023. Studies must have included an ADHD population or a measure of ADHD symptomatology, in addition to a self-report measure of the experience of effort or the use of an effort preference paradigm. Two researchers reviewed all abstracts, and one researcher reviewed full-text articles. Results: Only 12 studies met the inclusion criteria. Several gaps and inconsistencies in the research were identified in terms of method, definitions of effort, measurements of ADHD, and sample characteristics. Moreover, the pattern of results on the experience of effort was mixed. Conclusion: Despite its diagnostic and conceptual significance, the experience of mental effort in ADHD is not well studied. Critical gaps were identified in the existing literature. A three-facet conceptualization of effort is proposed– specifically, task-elicited effort, volitionally exerted effort, and the affect associated with engaging in effort – to guide future explorations of the experience of effort in ADHD. [ABSTRACT FROM AUTHOR]

Objective: Low acuity presentations (LAPs) contribute to large numbers of ED presentations and carry numerous consequences. The present study sought to improve the understanding of regional infant LAPs by analysing temporal patterns of presentation, discharge diagnoses and potential predictive factors. Methods: This retrospective observational study examined ED presentations among children less than 12 months old (infants) to the Royal Prince Alfred Hospital between 2017 and 2019. Descriptive statistics were used to identify temporal patterns of presentation and common discharge diagnoses among LAPs. Multivariable logistic regression was used to determine the association between early life, demographic and perinatal factors and low acuity presenters. Results: Of 6881 infant ED presentations, 19.8% were LAPs, occurring disproportionately on weekdays (82.2%) and during hours of 08.00–17.00 (69.9%). Respiratory tract infections and gastrointestinal complaints were most common overall, though non‐allergic rash, feeding difficulties, eczema and developmental concerns contributed substantially among LAPs. Socio‐economic status (SES) (odds ratio [OR] 1.71), overseas maternal nationality (OR 1.25) and Medicare ineligible maternal financial class (OR 0.49) were associated with low acuity presenters. Low appearance, pulse, grimace, activity and respiration score (OR 3.53), low SES (OR 3.26), complicated delivery (OR 1.64), maternal multiparity (OR 0.50), maternal partner presence (OR 0.40) and obstetric complications (OR 0.37) were associated with repeat, multi‐low acuity presenters (multi‐LAPs). Conclusion: A substantial minority of infant ED presentations are LAPs. Targeted interventions may benefit from focusing on families with a background of socioeconomic disadvantage, social isolation, cultural and linguistic diversity and perinatal complications, with a view to strengthening engagement with community‐based services among these groups. [ABSTRACT FROM AUTHOR]

Introduction: The unmet physical and mental health needs of school-aged children (5–18 years) in New South Wales (NSW), stemming from poor access and engagement with healthcare, can be addressed by school-based integrated care (SBIC) models. This research aims to understand why and how partnerships between the health and education sector, in SBIC models, are important in providing care for children, and to identify the facilitating factors and barriers for implementation. Methods: A qualitative study was conducted using semi-structured interviews and thematic analysis. The principles of the 'Integrated People-Centred Health Service (IPCHS)' framework and Looman et al's (2021) implementation strategies for integrated care were considered. Results: Themes within IPCHS framework: Strategy 1: Engaging and empowering people and communities – community-driven models, improved access to healthcare, positive outcomes for children and families, 'connection', and service provision for marginalised populations; Strategy 2: Strengthening governance and accountability – system integration and developing evidence base; Strategy 3: Reorienting the model of care – shifting healthcare to schools reduces inequity and provides culturally safe practice; Strategy 4: Coordinating services within and across sectors – integrating care and stable workforce; Strategy 5: Creating an enabling environment: leadership, stakeholder commitment, and adequate resourcing. Discussion: Potential strategies for implementing SBIC models across NSW include community consultation and co-design; building multidisciplinary teams with new competencies and roles e.g. linkers and coordinators; collaborative and shared leadership; and alignment of operational systems while maintaining a balance between structure and flexibility. Conclusion: SBIC models require high-level collaboration across sectors and with communities to provide a shift towards child and family centred care that improves engagement, access and outcomes in health delivery. [ABSTRACT FROM AUTHOR]

Introduction: Kalgal Burnbona is a framework developed for applying school-based integrated care (SBIC) across Sydney Local Health District (SLHD). Description: Kalgal Burnbona is an innovative and integrative framework developed to provide holistic, integrated, multidisciplinary child and family centred care to school-aged children from priority populations within SLHD, such as those belonging to the Aboriginal community. The expected outcomes include improved health, behavioural, education and social outcomes. This article contextualises the development of the Kalgal Burnbona framework from its beginnings as a pilot site called Ngaramadhi Space (NS) within the Healthy Homes and Neighbourhoods (HHAN) initiative, through to its evolution to an integrated partnership between the New South Wales (NSW) health and education sector. An example of how the framework can be implemented in other settings within SLHD is described. Discussion: A tiered approach to integrated care across SLHD is postulated based on evidence from a mixed methods evaluation of NS and in line with the Rainbow Model of Integrated Care (RMIC). Kalgal Burnbona is an example of a community-driven response through collaborative partnerships to improve health, education and social outcomes. The framework described provides structure for multisector teams to work within, recognising that each community and school has its own history and needs. Conclusion: The Kalgal Burnbona model can be scaled up to serve a wider network of students across SLHD. The initial successes of the model, which include improving access and engagement for children with unmet physical health, mental health and social needs while being accepted by communities provide evidence for policy changes and advocacy that centre on collaborative cross-sector partnerships. [ABSTRACT FROM AUTHOR]

Trait boredom plays a significant role in well-being. However, this construct suffers from conceptual ambiguity and measurement problems. The aim of this study was to propose a comprehensive theory and a strong assessment tool to address these limitations. We defined trait boredom as the frequent experience of state boredom resulting from a chronic lack of agency. We developed a six-item self-report scale of the tendency to often experience boredom. Results confirmed a uni-dimensional scale with strong psychometric properties, including adequate internal consistency (ω =.84–.93), interindividual stability (69.04% of variance accounted by a trait factor), and acceptable model fit (CFI =.977–.998, TLI =.962–.997, RMSEA =.025–.090, SRMR =.014–.029). Results confirmed the validity of the scale by showing its associations with related measures. Our findings provide clarity on trait boredom and a strong, new measure to be used in future work. [ABSTRACT FROM AUTHOR]

Energy efficiency (EE) is maximizing the effective utilization of energy while minimizing the costs of that energy. Implementation of energy-efficiency programs by a tribe can have many positive impacts. These include the reduction of energy costs and the associated freeing of significant financial resources for other important uses, improved electrical service, increased energy independence, improved air quality, reduction in environmental impacts, and others. Foremost among these benefits may be the potential for reduced energy costs. By employing EE measures, it is easily possible to save 10 percent on energy costs, and the potential exists to save in excess of 50 percent. Thus, if a tribe spends $100,000 annually on energy, it can expect a minimum energy cost savings of $10,000 annually and perhaps significantly more.