The Broken Hill Psychopathology Project

1992 ◽  
Vol 26 (2) ◽  
pp. 197-207 ◽  
Author(s):  
Peter M. Yellowlees ◽  
Anil V. Kaushik

The main objective of this study was to describe the psychiatric disorders seen in patients presenting for treatment in rural New South Wales. The patients were seen primarily in the community, in both public and private practice, but also in the local base hospital and prison. Seven hundred and seven patients were consecutively examined during the study period. The results of this study were compared with a previous Australia-wide study to identify specific disorders that were more prevalent in rural areas. Alcohol abuse and dependence stood out as being much more prevalent. Life problems such as domestic violence, sexual assault, and incest occurred commonly in women referred for psychiatric assessment. More than ten percent of the study patients were children aged under 17, who had similar prevalence rates of the various psychiatric disorders to a national comparison. It is concluded that alcohol abuse is very common in rural New South Wales, particularly in men, although there are also high rates in women, and this is probably related, in part at least, to the high rates of domestic violence, sexual assault and incest. It appears probable that there is a cycle of alcohol abuse in men leading to domestic violence and sexual abuse in women and children. This may contribute to the latter becoming anxious and depressed. The rates of the major functional psychiatric disorders were similar to those seen nationally. There is a great need for the maldistribution of psychiatrists between metropolitan and rural areas to be addressed.

2018 ◽  
Author(s):  
George Karystianis ◽  
Armita Adily ◽  
Peter Schofield ◽  
Lee Knight ◽  
Clara Galdon ◽  
...  

BACKGROUND Vast numbers of domestic violence (DV) incidents are attended by the New South Wales Police Force each year in New South Wales and recorded as both structured quantitative data and unstructured free text in the WebCOPS (Web-based interface for the Computerised Operational Policing System) database regarding the details of the incident, the victim, and person of interest (POI). Although the structured data are used for reporting purposes, the free text remains untapped for DV reporting and surveillance purposes. OBJECTIVE In this paper, we explore whether text mining can automatically identify mental health disorders from this unstructured text. METHODS We used a training set of 200 DV recorded events to design a knowledge-driven approach based on lexical patterns in text suggesting mental health disorders for POIs and victims. RESULTS The precision returned from an evaluation set of 100 DV events was 97.5% and 87.1% for mental health disorders related to POIs and victims, respectively. After applying our approach to a large-scale corpus of almost a half million DV events, we identified 77,995 events (15.83%) that mentioned mental health disorders, with 76.96% (60,032/77,995) of those linked to POIs versus 16.47% (12,852/77,995) for the victims and 6.55% (5111/77,995) for both. Depression was the most common mental health disorder mentioned in both victims (22.30%, 3258) and POIs (18.73%, 8918), followed by alcohol abuse for POIs (12.24%, 5829) and various anxiety disorders (eg, panic disorder, generalized anxiety disorder) for victims (11.43%, 1671). CONCLUSIONS The results suggest that text mining can automatically extract targeted information from police-recorded DV events to support further public health research into the nexus between mental health disorders and DV.


2019 ◽  
Vol 42 (2) ◽  
Author(s):  
Annie Cossins

Two cases studies illustrate the paradox at the heart of the substantive law of sexual assault – that it is possible (i) for a woman who does not communicate her consent to be deemed to consent; and (ii) for a defendant to have a reasonable belief about a woman’s consent even though it is accepted that she did not consent, both of which undermine the concept of her sexual autonomy. In light of the research on rape myth acceptance (‘RMA’) which shows that RMA is one of the most consistent predictors of victim blame in sexual assault scenarios, this article discusses how sexual assault law reform in New South Wales in 2007, which introduced a ‘communicative’ model of consent, has been subsequently undermined by the decisions in two recent judge-alone trials. Options for reform are discussed in light of the community standards expected under a ‘communicative’ model of consent.


2018 ◽  
Vol 43 (2) ◽  
pp. 96-101 ◽  
Author(s):  
James Monaghan ◽  
Gail Mason

In this article, we consider the influence of the communicative model of consent in New South Wales. After outlining the model, we argue that it stood behind 2007 reforms to the law of sexual assault in New South Wales. Then, we analyse a recent appellate decision, Lazarus v R [2016] NSWCCA 52, asking whether the communicative ideals that underpinned the 2007 amendments are evident in the legal discourses in the judgments. We argue that communicative ideals remain under-realised in the discourses.


2002 ◽  
Vol 25 (3) ◽  
pp. 122 ◽  
Author(s):  
Roslyn Meyer ◽  
Rachelle Gilroy ◽  
Peter Williams

Complete surveys of the dietetic workforce in NSW were conducted in 1984 and 1991 and have now been updated with a new survey in 2000. In the nine years since 1991, the total active workforce grew by 48%. Although there were significant improvements in the ratios of hospital dietitians per 100 acute beds (from 0.88 to1.08) and dietitians per million population (from 69.7 to 96.5), the supply of dietitians does not yet reach recommended levels, especially in rural areas. Other trends were significant increases in the proportion of dietitians employed outside hospitals (to 38% in 2000) and in non-clinical work (50% in 2000), and declines in the number of technical support staff for dietitians.


1991 ◽  
Vol 16 (04) ◽  
pp. 31-33
Author(s):  
Jenny Cruise

Many efforts have been made to determine the differences between the meaning of ‘rural’ areas and ‘isolated’ areas, and it is not until you are provided with the occasion to venture forth into outer rural areas that you realise the true meaning of isolation. In my position of ‘Mobile Support Teacher, Wentworth Area’, working with primary school children in the south-west of New South Wales, I have the opportunity to visit many station properties and families, and have gained an understanding of how these families cope with isolation.


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