A number of policies were outlined as being relevant to the critical intervention points, these include:
- South Australia's Strategic Plan (SASP)
This plan launched in 2004 and outlined a medium to long-term course for the whole of South Australia. It set out six interrelated objectives: Growing Prosperity, Improving Wellbeing, Attaining Sustainability, Fostering, Creativity and Innovation, Building Communities, Expanding Opportunity. Eighty-four targets, the majority with a 10-year or longer timeframe, were grouped under these six objectives. SASP has two important, complementary roles. First, it is a means for tracking progress statewide, with the targets acting as points of reference that can be assessed periodically. Second, it provides a framework for the activities of the South Australian Government. Reducing the prevalence of tobacco smoking amongst the SA population has been prioritised as a target of the Plan.
http: //www.stateplan.sa.gov.au/ [Broken link - valid at time of publication]
- SA Health Care Plan 2008-2016
The plan outlines the most significant single investment in health care in South Australia’s history. The government will build the 800-bed Marjorie Jackson-Nelson Hospital, a state-of-the-art facility in Adelaide’s city centre that will become Australia’s most advanced hospital. The 10-year plan also proposes new investment in other major hospitals, promotes healthy lifestyles and illness prevention through new GP Plus Health Care Centres, and makes South Australia the best place for health professionals to work. SA's Health Care Plan will mean, better coordinated hospital services, a responsive health workforce for the future, GP Plus Health Care Centres, with more primary health care services, more elective surgery, less pressure on emergency departments and improved management of chronic diseases. https: //www.library.health.sa.gov.au/Portals/0/south-australiashealth-care-plan-2007-2016.pdf [Broken link - valid at time of publication]
- SA Health Strategic Plan 2008-2010
SA Health will lead and deliver a comprehensive and sustainable health system that aims to ensure healthier, longer and better lives for all South Australians. We will achieve our aims by: strengthening primary health care, enhancing hospital care, reforming mental health care and improving the health of Aboriginal people. We are committed to a health system that produces positive health outcomes by focussing on health promotion, illness prevention and early intervention. We will work with other government agencies and the community to address the environmental, socioeconomic, biological and behavioural determinants of health and to achieve equitable health outcomes for all South Australians.
- Eat well be active Healthy Weight Strategy for South Australia 2006-2010
SA Health has lead responsibility for the South Australian Strategic Plan Target 2.2 Healthy Weight (to increase the proportion of South Australians 18 and over with healthy weight by 10% points by 2014). In 2006 42.5% of adults were in the healthy weight range with the target requiring 52% by 2014. A supplementary measure relates to the weight of four year olds; currently 20% are overweight or obese. Target 2.2 is very closely aligned with Target 2.3 Sport and Recreation (to exceed the Australian average for participation in sport and physical activity by 2014) and some physical activity strategies relate to both targets. A number of other targets are inter-related with Target 2.2 including: T2.6 increase the health status of people living with chronic disease; T2.4 increase healthy life expectancy; T2.5 reduce morbidity rates of Aboriginal South Australians; and T3.6 increase the use of public transport (which requires incidental activity). In addition the eat well be active Healthy Weight Strategy for South Australia 2006 – 201 supports South Australia’s Health Care Plan 2007 – 2016 by adopting a population health approach to promote healthy lifestyles and illness prevention.
- South Australian Alcohol Action Plan 2009-2012
The South Australian Alcohol Action Plan 2009-12 will encourage a whole of government approach to addressing the problems associated with excessive alcohol consumption in South Australia and will set down strategies for reducing harm and promoting responsible consumption of alcohol. The South Australian Alcohol Action Plan 2009-12 will support the goals outlined in the National Alcohol Strategy 2006-2009 and will reflect the priorities outlined in that strategy. The Plan is expected to be completed by June 2009.
- South Australian Tobacco Control Strategy 2005-2010
South Australian Tobacco Control Strategy 2005-2010 has the goal of improving the health of South Australians by reducing the harm caused by tobacco smoking, especially among high prevalence groups (young people, people living with mental illness and Aboriginal people). The South Australian Tobacco Control Strategy 2005-2010 supports the goals of the National Tobacco Strategy 2004-2009 and South Australia's Strategic Plan (2004-2014) target T2.1 of reducing smoking prevalence in young people ( 15-29 years) by 10% between 2004 and 2014.
- SA Drug Strategy 2005 - 2010
The goal of this South Australian Drug Strategy is to improve the health and wellbeing of all South Australians by preventing the use of illicit drugs and the misuse of licit drugs. This goal was set in response to the recommendations of the 2002 SA Drugs Summit. The Drugs Summit brought together representatives from the community, non-government organisations, government departments and agencies and elected members of Parliament and local government. A continuing partnership between the community, service providers and Government is essential to achieving the goal. To build the future that we all want requires changing the present. To achieve the goals of the Drugs Strategy key areas of change have been identified: increase the ability of all South Australians, especially young people, to make healthy choices; reduce the availability of harmful drugs, including reducing access to settings where drug related harm occurs; increase the prevention focus of all drug and alcohol policies and programs; increase the opportunities to: link people into treatment; and support them through difficult times in their lives; increase access to treatment and treatment options; and increase the focus on the needs of specific groups and communities at risk of social exclusion, particularly Aboriginal communities.
http: //dassa.sa.gov.au/webdata/resources/files/SA_Drug_Strategy.pdf [Broken link - valid at time of publication]
The following table provides an overview of the reported programs and strategies.
|Programs / Strategies||Overview||Critical Intervention Point|
|Eat Well Be Active Community Education||The provision of information and education to assist community to make healthy lifestyle choices complemented by school and community programs.|
|School and community programs eg Eat well be active Primary Schools program, Active Transport in schools initiatives, be active playtime, Crunch and Sip.||Health promoting school approaches integrating curriculum activities, policy and environment changes to support healthy eating, physical activity and healthy body image in education and child care settings.|
|Policy and legislation to support healthy eating and physical activity in community settings including workplace and education.||Examples include: Healthy foods in South Australian Health facilities, development and implementation of health in planning policies, integration of active and healthy by design principles in urban and built form.|
|Workforce development||To support the health and other sectors to implement evidence based approaches to healthy weight in community settings.|
|Research and evaluation||Training and professional learning initiatives to support the health, education and care workforce to implement evidence based healthy weight health promotion activities. Including; Healthy Weight short course, Aboriginal Health Worker Training.|
|Alcohol, Smoking & Substance Involvement Screening Tool (ASSIST) Training Program for Primary Health Care Workers||ASSIST is focused on identification and early intervention. ASSIST was developed by DASSA as part of a WHO project for use by primary health care workers who may have limited knowledge of alcohol, tobacco and other drugs issues. SA Health's “Do It For Life” Coordinators, employed throughout South Australia to help clients modify their behaviours to minimise risk of chronic disease, have received this training. Training programs are also being developed with allied health workers, the mental health and youth sectors.|
|Hospitality First Responder Training||The Hospitality First Responder Training program, launched in July 2006. The program is a modified first aid course designed specifically for the hospitality industry to provide relevant training to assist staff to manage medical emergencies (including those related to alcohol or drug consumption) that may be experienced by patrons.|
|Remote Aboriginal Tobacco Project||This aims to build capacity within Aboriginal Health Service and communities in order to reduce tobacco smoking and passive smoking exposure among Aboriginal people living in regional and remote communities in the northern and far western area of South Australia. The Project focuses on two main target groups; Aboriginal Health Workers (AHW) and Aboriginal communities.|
|Aboriginal Tobacco Control Coordinator Project||DASSA currently funds an Aboriginal Coordinator based at Aboriginal Health Council of SA to coordinate Aboriginal tobacco control efforts among Aboriginal Health Services. The role includes providing SmokeCheck training and support to Aboriginal health workers to use this training in their work settings. A Project Officer has been employed in this role and is currently working with Aboriginal community controlled health services to develop initiatives to address smoking.|
|Smoke-free Pregnancy Project Stage 4||The Project aims to increase the incidence of smoke-free pregnancy among Aboriginal women and their families. Based at Quit SA, this involves training Aboriginal and mainstream health professionals to routinely deliver brief smoking cessation interventions, assisting in the development of supportive policy, working with services to increase referrals to the Pregnancy Quitline and increase uptake of Nicotine Replacement Therapy.|
|Tobacco Cessation Campaigns||DASSA works with Quit SA to implement campaigns aimed at reducing the uptake of tobacco smoking and increasing quit smoking attempts.|
|Aboriginal Reference Group||This group has representation from key Aboriginal policy and programs officers from both Government and non-government organisations. The Committee meets regularly to provide advice and guidance on broad policy direction and specific Aboriginal tobacco control projects, identify gaps in the evidence for the effectiveness of strategies, advocate for commitment and resources to improve the capacity of Aboriginal people to reduce smoking, monitor the implementation of specific actions from the South Australian Tobacco Control Strategy 2005-2010 relevant for Aboriginal people and provide advice to the Ministerial Reference Group on Tobacco on relevant issues affecting the Strategy’s progress.|
|Young people and smoking||Develop an implementation plan drawing on evidence from the Youth Friendly Literature Review, focus groups and other literature to identify a number of strategies that would improve our engagement with young people. There have been adaptations to existing procedures within Quit SA and Quitline to better orient services to the needs of young people and the continuation of existing work to train and support youth health workers to provide brief advice within their settings. This includes providing appropriate support, developing relationships with youth health providers , linking young people to younger advisors, providing a modified Quit Pack, including a flyer outlining the web based options that are currently.|
|Tobacco and Mental illness project||The Tobacco and Mental Illness Project has been funded since 1998 to address the high rates of smoking among people living with a severe and disabling mental illness. The Project is based within Mental Health Services, Central Northern Adelaide Health Service (CNAHS). The Project focuses on three key areas: raising awareness among those involved with mental health services, supporting policy and practice change within mental health services in South Australia, and conducting tobacco smoking cessation and reduction programs for people with a mental illness.|
|Controlled Substances Advisory Council||The Controlled Substances Advisory Council is a South Australian body and has been established under the Controlled Substances Act 1984.|
|Smoke-free Health Services||SA Health is planning to develop a comprehensive policy to prohibit smoking at all public hospitals and health services in South Australia. This will include prohibiting smoking across all health premises and developing supporting policy to assist staff and clients to quit smoking.|
|Home Nursing Heart Failure - Southern Adelaide Health Service||The Heart Failure Service provides a patient focused service, which facilitates best practice, continuity and cost effective management of the heart failure patient in order to achieve optimal patient outcomes at all stages of the disease continuum. It is an out-of-hospital service, employing an additional 2 Heart Failure Nurse Practitioners (HFNPs) in order to increase complex case management capacity within General Practice. The HFNPs integrate with current and emerging community-based complex case managers and provide an Outreach Home Visit Program, with nurse-led drop in clinics x2-3 times per week at GP-PLUS facilities and coordinating Heart Failure Exercise Programs as part of the Chronic Disease Community Programs.|
|Regional Chest Pain Assessment and Referral - Central Northern Adelaide Health Service||Provides expert acute cardiac assessment, management and coordination of patients presenting to the emergency department primarily with chest pain. Promotes streamlined care and hospital avoidance by initiating expert investigations, treatments and interventions as required and providing support and education to patients, staff, PHC providers and significant others. Significant outcomes have been achieved in hospital avoidance through processes such as immediate ED stress testing as well as earlier initiated specialist treatment and the resultant streamlined admissions and LOS savings through more efficient treatment regimes and PHC follow up.|
|Integrated Cardiovascular Clinical Network SA||The Integrated Cardiovascular Clinical Network South Australia (iCCnet SA) aims to provide a state-wide provider clinical network which supports the practice of evidence based medicine and continuous quality improvement in the management of cardiovascular disease in diverse settings across regional, rural and remote South Australia covering a population in excess of 400,000.The fundamental aim of iCCnet SA is to remove barriers to access necessary, safe cardiovascular care and to improve clinical outcomes. The success of the network is based on comprehensive collaboration and integration of services between rural and remote health workers, iCCnet SA, Country Health SA and the other service providers across all health sectors concerned with cardiovascular health.|
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