High-cost users of hospital beds in Western Australia.
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Biomedical subjects
Publications and source records attributed to Chris Holmwood.
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BACKGROUND: Imprisonment rates in Australia have been steadily increasing over the past decade. Prisoners have high rates of substance use and dependence, mental illness, self harming behaviours and infectious disease. OBJECTIVE: This article discusses health issues of prisoners and the role of general practitioners in prison health. DISCUSSION: The standard of health care provided for prisoners should be equivalent to that available in the general community. Medical officers working within prisons need to be competent GPs with particular skills in managing the unique patterns of morbidity encountered. In addition, public health advocacy, an ability to examine the frequent ethical issues at stake, and close links with colleagues both within prisons and in the community are needed.
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BACKGROUND: This article is based on a literature review and discussion document developed for the Commonwealth Department of Health and Aging to assist in its deliberations on the structure of the Better Outcomes in Mental Health Program (BOMH). OBJECTIVE: This article examines issues regarding the engagement of allied health professionals in the delivery of specific time limited and evidence based counselling interventions in the general practice setting. DISCUSSION: Specific issues examined include employment and administrative arrangements, citing of these services, communication between general practitioners and counsellors, as well as clinical supervision and support.