DHF Annual Report 2009 - NT Health Digital Library - Northern ...

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Targeting Smoking, Alcohol andSubstance AbuseSmoking, alcohol and substance abuse affects thehealth and wellbeing of individuals and their families as the health and community service system. Tacklingsmoking, alcohol and substance abuse, and thedamage it causes, is a priority for the Departmentbecause of its imposts on all facets of health rangingfrom disease, injury, disability, family violence and childdevelopment, protection and care. Aboriginal peopleare at particular risk of smoking-related disease,including preventable chronic disease, because of theirhigh rates of smoking.Many Territorians consume alcohol at levels judged as risky in the long term. The alcohol attributable death rate ofAboriginal Territorians is more than eight times the national average, and twice that of non-Aboriginal people. Heavydrinkers and their families are more likely to experience alcohol-related violence, injury and illness.The Department has an important role in reducing the impact of substance abuse through the provision oftreatment and rehabilitation services, acute and primary health care and in providing family support and children’sprotection services. The agency also has a role to prevent substance related harm through the development andimplementation of effective legislation, policy, health promotion and education.We delivered in 2009-10The Department of Health and Families Smoke Free Policy came into effect on 1 July 2009 across allDepartment services, premises and grounds. It supports staff and patients to quit smoking through theprovision of smoking cessation courses and nicotine replacement therapy. Introduced changes to the Tobacco Control Regulations banning smoking in all enclosed public areas from 2January 2010, supported by a comprehensive public campaign.Provided improved protections from environmental tobacco smoke by amending the Tobacco Control Act andits Regulations to provide for restrictions on smoking in outdoor eating and drinking venues, prohibiting thedisplay of tobacco products at point of saleand to better monitor tobacco sales throughthe introduction of tobacco retail fees.Enhanced access to alcohol and other drugscreening, referral and interventions forpatients in Alice Springs and Royal DarwinHospitals by implementing the hospitalbased Interventions Project.Key focus areasDeveloping and delivering targeted health promotionand educational strategies and messages.Assisting in the development and implementationof effective legislation and policy, including having alegislative and clinical responsibility under the VolatileSubstance Abuse Prevention Act, Tobacco Control Actand the Poisons and Dangerous Drugs Act.Offering a range of treatment and rehabilitation services,acute and primary health care and family support andchild protection services.Partnered with the Department of Justice ona joint funded Menzies School of Health Research Substance Misuse Research Program to contribute to alocal knowledge and research base on alcohol and other drugs.Supported people to quit smoking through print advertising and airing two new television commercials aboutAdditional InitiativesPublished the Northern Territory Tobacco Action Plan2009-2012 as a framework to guide tobacco controlactivities and strategies across the Northern Territory.32Department Health and Families
the health effects of smoking from December 2009 to March 2010.Developed and applied new methods for determining the proportion of deaths in the Territory and admissionsin Territory hospitals which are attributable to alcohol as part of the Northern Territory Alcohol IndicatorsProject and to inform public policy on alcohol.Where we are going in 2010-11 Legislative options for the storage of volatile substances in retail outlets will be developed. New legislation to replace the Poisons and Dangerous Drugs Act will provide the Territory with contemporarymedicines and therapeutic goods legislation which harmonises with other Australian legislation and supportscontemporary best practice. A public awareness campaign about the new outdoor smoking restrictions under the Tobacco Control Actwill be developed and implemented. Targeted education and information campaign about smoke free areas in outdoor eating areas will beimplemented for registered food businesses. Commencement of the Remote Tobacco Education and Cessation Team, based in Darwin and AliceSprings. A detailed review into the harms and economic costs of tobacco in the Northern Territory will be conducted. A ‘how to’ guide for Management Areas and Management Plans under the Volatile Substance AbusePrevention Act will be developed. The construction of new Sobering Up Shelters in Katherine and Tennant Creek will be completed. Six joint Mental Health and Alcohol and Other Drug positions will be piloted in East Arnhem to supportclients affected by co-morbidity. Construction of a Nhulunbuy Special Care Centre(alcohol and rehabilitation centre) Manager’s Cottage andcompleted. Integration of Brief Intervention training into all Departmentof Health and Families primary and acute care services,including development of an internet based learningmodule.Department Health and Families 33
Page 2: Visit the department’s website at
Page 8 and 9: Chief Executive ForewordChief Execu
Page 10 and 11: 10Department Health and Families
Page 12 and 13: Dr Barbara PatersonCorporate Plan P
Page 14 and 15: Peter BeirneCorporate Plan Priority
Page 16: In comparing data between 1994-98 a
Page 19 and 20: Aboriginal Health and FamiliesProf.
Page 21: Corporate Plan 2009 - 2012Vision, M
Page 25 and 26: to detect, monitor, report and eval
Page 27 and 28: PRIORITY ACTION AREA 2Healthy Child
Page 29 and 30: to parents at key ages i.e. exclusi
Page 31: PRIORITY ACTION AREA 3Targeting Smo
Page 35 and 36: PRIORITY ACTION AREA 4Connecting Ca
Page 37 and 38: The Chief Minister’s Youth Round
Page 39 and 40: Created four additional positions i
Page 41 and 42: PRIORITY ACTION AREA 5Safety, Quali
Page 43 and 44: essential to make sure that, wherev
Page 45 and 46: PRIORITY ACTION AREA 6Attract, Deve
Page 47 and 48: Established an Indigenous Nursing a
Page 49 and 50: Implement the Professional Practice
Page 51 and 52: The Integrated Maternity Services C
Page 53 and 54: Radiation Oncology Services
Page 55 and 56: Service Map DetailsDepartment Healt
Page 57 and 58: NT HEALTH FACILITIESDEPARTMENT OF H
Page 59 and 60: Through the East Arnhem Regionalisa
Page 61 and 62: very effective with the Alice Sprin
Page 63 and 64: Across the TerritoryDigital Regions
Page 65 and 66: Our PeopleDepartment Health and Fam
Page 67 and 68: Snapshot of our peopleFigure 1 show
Page 69 and 70: National Indigenous Cadetship Progr
Page 71 and 72: Supporting our PeopleHuman Resource
Page 73 and 74: Managing AggressionAggression Manag
Page 75 and 76: Eliminating bullying and harassment
Page 77 and 78: Graduate ProgramThe Department has
Page 79 and 80: GovernanceDepartment Health and Fam
Page 81 and 82: NT Family & ChildrenAdvisory Counci
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Royal Darwin Hospital Medical Evacu
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Coronial FindingsThe Coroners Act e
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NTFC options for a complaint outcom
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Sentinel Eventsdeath or serious har
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Human Research Ethics CommitteeThe
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Department Health and Families 93
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Table 16: Budget by Output groups20
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NT Families and ChildrenDepartment
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Key Achievementsfurther increases i
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Key AchievementsAdditional funds of
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The Youth Triage Team was formed in
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Youth ServicesThe Northern Territor
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Performance Measure2008-09Actual200
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Acute CareDepartment Health and Fam
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1. “Due to remoteness, the disper
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Figure 5 - Weighted Separations by
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There are three types of treatment
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1.2.3.4.Due to remoteness, the disp
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HospitalsAlice Springs HospitalTota
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Audiologist (visits from Darwin) Ce
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Patients requiring services that ar
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Health and Wellbeing ServicesDepart
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in remote communities. Children are
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Key AchievementsMore than 70 facili
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Healthy Pregnancy Healthy Baby info
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The core clinical and health promot
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School Screening Services (SSS)The
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increased access to after-hours med
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Key AchievementsImplemented the NT
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Community Support Services for Frai
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Commenced development and implement
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146Department Health and Families
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Public Health ServicesEnvironmental
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Key AchievementsNo Germs on MeThe
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Figure 13: NT Schedule 8 drug presc
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1. SHBBV 2009-10 data may not be co
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of on-shore detections of exotic Ae
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In July 2009 a National Coordinatio
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Tuberculosis and Leprosy Unitwith a
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1 The Alcohol and Other Drugs Progr
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other drugs nursing position is bas
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Father Flynn FellowshipThe Father F
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Sales of Goods &Services4%Other Rev
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Grants and Subsidies
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CERTIFICATION OF THE FINANCIAL STAT
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Balance SheetNOTE 2010$'0002009$'00
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Cash Flow StatementNOTE2010$’0002
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1. Objectives and fundingThe Depart
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c) Agency and Territory Itemsand eq
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Revenue in respect of Appropriation
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o) ReceivablesReceivables include a
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t) Employee Benefitsmeasured at pre
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3. Comrehensive operating statement
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2010$'0002009$'000Note 6 (cont)Unal
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10 PROPERTY, PLANT AND EQUIPMENT (C
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11c HERITAGE AND CULTURAL ASSETS201
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2010$’0002009$’00017. NOTES TO
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18. FINANCIAL INSTRUMENTS (continue
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18. FINANCIAL INSTRUMENTS (continue
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20. CONTINGENT LIABILITIES AND CONT
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24. SCHEDULE OF TERRITORY ITEMSThe
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Appendix IFunding to External Provi
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Appendix II2009-10 Capital and Mino
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New Works 2009-10Alice Springs Hosp
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Appendix IIILegislation Responsibil
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Appendix IVCouncils, Committees and
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7. Raise community awareness of the
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Northern Territory Family and Child
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Key areas from terms of reference:T
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Australian Manufacturing Workers’
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Members of the Council who left in2
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Meetings:The Committee met in July
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Appendix VEmployment InstructionsDe
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Employment Instruction No.5Medical
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Appendix VIAcronymsAASAustralian Ac
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DHFDepartment of Health andFamilies
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MHSMental Health ServicesMJDMachado
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TBCTBCHTuberculosis CommunityHealth
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