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Social determinants of health

Medical practices Perspective 3 March 2025 Open Access

Decentralised COVID‐19 molecular point‐of‐care testing: lessons from implementing a primary care‐based network in remote Australian communities

The First Nations COVID-19 molecular point-of-care (POC) testing program was part of the Australian pandemic response, ensuring equitable testing access and minimising diagnosis delays. To inform future pandemic preparedness, we reviewed the POC framework to provide key recommendations.

Belinda Hengel · Rebecca J Guy · Dawn Casey · Lorraine Anderson · Kirsty Smith · Kelly Andrewartha · Tanya D Applegate · Amit Saha · Philip Cunningham · Lucas DeToca · William D Rawlinson · Marianne Martinello · Annie Tangey · Prital Patel · Mark DS Shephard · Susan Matthews · Louise Causer

National consensus statement on opioid agonist treatment in custodial settings

Introduction: Opioid use and dependence are prevalent among incarcerated people, contributing to elevated rates of overdose and other harms in this population. Opioid agonist treatment (OAT) has been shown to be an effective intervention to mitigate these risks. However, challenges to health care implementation in the custodial sector result in suboptimal and variable access to OAT in prisons nationally. Main recommendations: Among a national multidisciplinary expert panel, we conducted a modified Delphi study that yielded 19 recommendations to government, relevant health authorities and custodial health services. These recommendations cover five core domains: induction or continuation of OAT, OAT options and administration, transition of care to the community, special populations, and organisational support. Key recommendations include prompt recognition and treatment of opioid withdrawal, active linkage to community‐based OAT providers upon release, and ensuring appropriate organisational support through local protocols, adequate funding, and monitoring of key program indicators. Changes in management as a result of this statement: This consensus statement addresses a significant gap in national policy on OAT in Australian prisons. The recommendations, finalised in July 2024, set forth best practice standards grounded in evidence and expert consensus. We expect that implementing these recommendations will enhance the quality, consistency and continuity of OAT both within prison and upon release. Optimising OAT provision is crucial for improving health outcomes and addressing the risk of overdose, which is the leading cause of death among people released from prison.

Jocelyn Chan · Jon Cook · Michael Curtis · Adrian J Dunlop · Ele Morrison · Suzanne Nielsen · Rebecca J Winter · Thileepan Naren

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Child health Editorial 18 November 2024 Open Access

Future Healthy Countdown 2030: from passive trickle‐down to active participation for improved health and wellbeing of children, young people and future generations

The Future Healthy Countdown 2030 creates a platform of evidence, data, policy action and accountability that supports allies to advocate for policy change that will improve the health and wellbeing of Australian children and young people

Kevin Kapeke · Anne Hollonds · Susan Maury

The Future Healthy Countdown 2030 consensus statement: core policy actions and measures to achieve improvements in the health and wellbeing of children, young people and future generations

The Countdown aims to drive change and ultimately hold politicians and policy makers accountable for their choices to value, or not to value, children and young people in our society

Kate Lycett · Hannah Lane · Georgie Frykberg · Susan Maury · Carolyn Wallace · Luisa Taafua · Bernie Morris · Anne Hollonds · Pasi Sahlberg · Kevin Kapeke · Ngiare Brown · Jordan Cory · Peter D Sly · Craig A Olsson · Fiona J Stanley · Anna MH Price · Planning Saw · Khalid Muse · Peter S Azzopardi · Susan M Sawyer · Rebecca Glauert · Marketa Reeves · Roslyn Dundas · Sandro Demaio · Rosemary Calder · Sharon R Goldfeld

Mental health Guideline 18 November 2024 Open Access

Guidelines for the design and implementation of youth participation initiatives to safeguard mental health and wellbeing

The youth participation guidelines aim to improve youth participation initiatives while safeguarding the mental health of participating young people

Kailin Guo · Danica Meas · Dominik Mautner · Fulin Yan · Imeelya Al‐Hadaya · Amarina Donohoe‐Bales · Lily Teesson · Stephanie R Partridge · Magenta B Simmons · Mariam Mandoh · Emma L Barrett · Maree R Teesson · Scarlett Smout · Marlee Bower

Co‐designing integrated child and family hubs for families experiencing adversity

Participatory approaches to health service design, involving genuine partnerships with children, young people and families, are feasible with sufficient investment in resource and workforce skills

Alicia Montgomery · Suzy Honniset · Teresa Hall · Santuri Rungan · Ally Drinkwater · Rebecca Bosward · Tammy Meyers Morris · Huei Ming Liu · Valsamma Eapen · John Eastwood · Raghu Lingam · Harriet Hiscock · Susan Woolfenden · Sharon R Goldfeld

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