Nursing Review Issue 5 | Sep-Oct 2017 | Page 10

news Health bodies back marriage equality Marriage equality would provide health benefits to LGBTIQ Australians, health organisations argue. T he Australian Healthcare & Hospitals Association has joined a host of leading health organisations calling on the Australian government to make marriage equality a reality. AHHA let its stance be known via its recently released Position Statement on Marriage Equality and Health. The statement read: “Marriage equality would confer societal acceptance and would provide significant health benefits to LGBTIQ Australians. “Studies, such as the 2016 evidence review from the Centre for Social Research in Health, show that the introduction of marriage equality results in greater feelings of social inclusion along with better health outcomes for LGBTIQ people.” AHHA chief executive Alison Verhoeven also cautioned against a national plebiscite on the grounds of the mental health of LGBTIQ people. “Evidence from overseas shows that plebiscites on this issue and others involving the rights of a social minority have significant negative mental health impacts on the group in question, in this case LGBTIQ people, through exposure to an adversarial and devaluing public and social debate,” she said. “Rather than having divisive discourse, the Australian government and the community could be acting to reduce marginalisation and discrimination, improve equity, and enhance the health and wellbeing of LGBTIQ people and their families.” AHHA was also one of 36 leading health organisations, including the Australian Nursing & Midwifery Federation, headspace, Australian Primary Health Care Nurses Association, Black Dog Institute and the Public Health Association of Australia, to endorse the United Statement for Marriage Equality by ACON and the Victorian AIDS Council. Both statements draw on an ACON and University of New South Wales evidence review of the impacts of marriage equality, and marriage denial, on the health of lesbian, gay and bisexual people. Verhoeven said the evidence review shows that LGBTIQ people form a minority population group that experiences poorer health outcomes than the general population. “This can be attributed to ‘minority stress’, where LGBTIQ people struggle for validation and social acceptance,” she said. “One of the more recent examples of institutional discrimination against this group is the exclusion of same-sex couples from civil marriage.”  ■ Boost for dementia care Dr Kate Laver. Photo: Flinders University Researchers to investigate improvements to post- diagnosis dementia care. E vidence-based occupational therapy, exercise and carer support will be the key focuses of a new project that aims to improve post-diagnosis care for people with mild to moderate symptoms of dementia. 8 | nursingreview.com.au Dr Kate Laver, from the Rehabilitation Aged and Extended Care research group at Flinders University, said the three guidelines focus on promoting independence, delaying functional decline and reducing carer stress and ill health. She added they are relevant for up to 85 per cent of people with mild to moderate symptoms of dementia who are living in the community. The research team will recruit up to 30 health professionals across Australia who will take on the role of implementation clinicians. These clinicians will be trained and supported to develop and enact a site- specific implementation plan. Laver explained: “The implementation clinicians will come together to form three groups. One group is dedicated to increasing opportunities for exercise for people with dementia, one group is committed to increasing delivery of comprehensive occupational therapy treatment, and the third group aims to improve support and information for informal carers. Each clinician will be upskilled in quality improvement, which will assist them to make changes within their workplace, increasing the quality of care.” The Agents of Change project will also involve establishing a national quality collaborative to implement guideline recommendations. It is being funded through a $770,517 NHMRC grant and will involve other Flinders researchers – professors Maria Crotty and Monica Cations, associate professor Billingsley Kaambwa and associate professor Craig Whitehead – along with experts from Griffith University and the University of Sydney.  ■