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Health & Wellbeing ~ from the Personal to the Collective Professor Carol Morse Director, Health & Wellbeing Research Monash Peninsula Campus.

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Presentation on theme: "Health & Wellbeing ~ from the Personal to the Collective Professor Carol Morse Director, Health & Wellbeing Research Monash Peninsula Campus."— Presentation transcript:

1 Health & Wellbeing ~ from the Personal to the Collective Professor Carol Morse Director, Health & Wellbeing Research Monash Peninsula Campus

2 The State of Wellbeing Incorporates health and positive psychological, emotional and spiritual experiences and characteristics Incorporates health and positive psychological, emotional and spiritual experiences and characteristics A positive state brought about through the simultaneous satisfaction of personal, relational and collective needs of individuals and communities A positive state brought about through the simultaneous satisfaction of personal, relational and collective needs of individuals and communities

3 Quality of Life Satisfaction with one’s life experiences – past, current Satisfaction with one’s life experiences – past, current Perceived Importance of one’s attributes, achievements, possessions Perceived Importance of one’s attributes, achievements, possessions Subjective Wellbeing

4 The Synergy of Wellbeing Wellbeing Wellbeing

5 Personal Wellbeing Arises from and is maintained by : Sense of control Sense of control Sense of competence Sense of competence Self-esteem Self-esteem Optimism Optimism Physical and mental health Physical and mental health Feeling cared for and valued Feeling cared for and valued

6 Relational Wellbeing Arises from and is sustained by : Support Support Belonging Belonging Cohesion Cohesion Collaboration Collaboration Affection Affection Respect Respect Democratic opportunities & participation Democratic opportunities & participation

7 Collective Wellbeing Arises from and is sustained by : Economic prosperity Economic prosperity Adequate housing Adequate housing Clean environment Clean environment Social justice Social justice Adequate health and social services Adequate health and social services Low crime Low crime Support for community structures Support for community structures

8 Health and Wellbeing Promotion in Synergy Work in partnerships to identify key issues with and through engaging Work in partnerships to identify key issues with and through engaging ~ individuals ~ families ~ community ~ society Develop interventions that are matched to the target’s stage of development, need and change Develop interventions that are matched to the target’s stage of development, need and change

9 Considering the Social Determinants of Health & Wellbeing The Top 10 ~ The social gradient [what you do and earn, where you live, who you are] The social gradient [what you do and earn, where you live, who you are] Manageable stress Manageable stress Early life conditions [ personal, interpersonal, environmental ] Early life conditions [ personal, interpersonal, environmental ] Social inclusion OR exclusion and isolation Social inclusion OR exclusion and isolation Employment status Employment status Work conditions Work conditions Social support and networks Social support and networks Health promoting OR addictive behaviours Health promoting OR addictive behaviours Food and nutrition Food and nutrition Transport & housing policies Transport & housing policies Excess and/or lack of these are linked to physical and mental ill-health and higher mortality [WHO: The social determinants of health: the solid facts]

10 Research Opportunities Addressing Health & Wellbeing at Peninsula Understanding the Biological Bases of Health Understanding the Biological Bases of Health Promoting and Maintaining Health Promoting and Maintaining Health Injury Prevention and Rehabilitation Injury Prevention and Rehabilitation Intervening in Ill Health and Promoting Recovery Intervening in Ill Health and Promoting Recovery Life Transitions Life Transitions

11 1. Understanding the Biological Bases of Health & Wellbeing Metabolism and metabolic mechanisms [molecular biology; disorders ~ allergies, diabetes, obesity] Metabolism and metabolic mechanisms [molecular biology; disorders ~ allergies, diabetes, obesity] Physiology and physiologic functions/ dysfunctions [analysis and enhancement] Physiology and physiologic functions/ dysfunctions [analysis and enhancement] Nutrition across the life course [interventions and evaluations; food safety; dietetics] Nutrition across the life course [interventions and evaluations; food safety; dietetics] Reproduction [pubertal onset to mature aged offset] Reproduction [pubertal onset to mature aged offset]

12 2. Promoting and Maintaining Health & Wellbeing Approaches to enable individuals, groups and communities to increase control of and enhance their health status Approaches to enable individuals, groups and communities to increase control of and enhance their health status Approaches to maximise health status even when irreversible disabilities co-exist Approaches to maximise health status even when irreversible disabilities co-exist ~ infants, children and youth ~ young and mid aged adultsx gender ~ older adults to the very old ethnicity ~ special needs groups culture

13 3. Injury Prevention & Rehabilitation Health promotion, health education and intervention programs designed to overcome the ‘diseases of opulence’: Health promotion, health education and intervention programs designed to overcome the ‘diseases of opulence’: ~ musculo-skeletal fitness - slips, trips, falls ~ occupational health and wellbeing ~ diabetes management ~ weight control ~ chronic diseases management ~ addictive behaviours moderation ~ built environment and safety

14 4. Intervening in Illness & Recovery Heroic surgery in cardiac, orthopaedic, sensory, thoracic and systemic illnesses Heroic surgery in cardiac, orthopaedic, sensory, thoracic and systemic illnesses Post illness care for recovery Post illness care for recovery Post trauma reconstruction and rehabilitation Post trauma reconstruction and rehabilitation Quality care giving Quality care giving Evidence-based practice and Standards for practice Evidence-based practice and Standards for practice Responding to needs of special groups [mental illness, disabilities across the life course] Responding to needs of special groups [mental illness, disabilities across the life course] Health and Illness economics Health and Illness economics

15 5.Life Transitions Early childhood development and education Early childhood development and education [cognitive, educative, emotional, physical, psychological, social] Transition to puberty and adolescence – Transition to puberty and adolescence – interaction with education and socio-emotional development and psychosocial parameters Education to work Education to work Work – home balances Work – home balances Achieving career aspirations Achieving career aspirations Post-career adjustment [retirement from the workforce, from major life roles, in elite athletes & professional sports people] Post-career adjustment [retirement from the workforce, from major life roles, in elite athletes & professional sports people] Becoming a parent – partnering- parenting Becoming a parent – partnering- parenting ~ Relationship break up, break down, reconciliation, family coercion ~ Serial partnering and blended families Post-parenting separation and mid-life Post-parenting separation and mid-life ~ Physical challenges – natural and unnatural ~ social relationships challenges Ageing in the third and fourth age Ageing in the third and fourth age

16 Virtual Centre for Health & Wellbeing Research HealthPromotion Ill Health &Recovery

17 Making a Case for Research on Ageing : Key Issues 1 mill. over 65+ Australians by 2025, 1 mill. over 65+ Australians by 2025, Lifelong focus on issues for research is imperative Lifelong focus on issues for research is imperative Key starting points: childhood, young adulthood, midlife Key starting points: childhood, young adulthood, midlife Ageing as a significant issue ignored by government? fertility assumed to 1.7 Ageing as a significant issue ignored by government? fertility assumed to 1.7 Housing and public transport issues ignored; influences of neighbourhoods ignored Housing and public transport issues ignored; influences of neighbourhoods ignored Myth that research is actually rarely multi-disciplinary Myth that research is actually rarely multi-disciplinary Funders’ rhetoric - multi-disciplinary research requested yet rarely funded by major bodies (NHMRC, ARC) Funders’ rhetoric - multi-disciplinary research requested yet rarely funded by major bodies (NHMRC, ARC) [WHO: The social determinants of health: the solid facts]

18 Research Agenda on Ageing for the 21 st Century Population ageing and the general economy Population ageing and the general economy Determinants of healthy ageing Determinants of healthy ageing Advancing health and wellbeing into old & late old age Advancing health and wellbeing into old & late old age Biological mechanisms and control of age related diseases Biological mechanisms and control of age related diseases Determinants of quality of life and death Determinants of quality of life and death Life course ageing in differing cultural, socio-economic environments Life course ageing in differing cultural, socio-economic environments Ensuring and examining effects of supportive environments [ neighbourhoods] Ensuring and examining effects of supportive environments [ neighbourhoods] Maintaining material wellbeing across the life course Maintaining material wellbeing across the life course Older Australians remaining in the waged workforce Older Australians remaining in the waged workforce The changing nature of kinship ties and reciprocal fidelities [OWLS –’and SKI – ‘Spending the Kids Inheritance’ ideologies] The changing nature of kinship ties and reciprocal fidelities [OWLS –’ Oldies Withdrawing Loot Sensibly’ and SKI – ‘Spending the Kids Inheritance’ ideologies]

19 Ageing Well Model (Global Ageing Research Network – GARNet)

20 Issues to Inform a Research Agenda on Ageing for the Mornington Peninsula Over 65s higher proportion cf’d Melbourne – 15.4% vs. 10.4% Over 65s higher proportion cf’d Melbourne – 15.4% vs. 10.4% projected to rise to 26% of the total M-P population by 2016 [ i.e. in a decade ] SES – 73.5% receive the Age Pension [ ?social inequalities] SES – 73.5% receive the Age Pension [ ?social inequalities] Morbidity – > 60y.o. over represented in all hospital admissions Morbidity – > 60y.o. over represented in all hospital admissions y.o: W: illness, injuries; suicide; self-inflicted injuries; depression; mental illness; traffic accidents M: substance abuses; CVD; falls M: substance abuses; CVD; falls 75+ y.o: W: CVD; falls M: alcohol dependence; suicide; mood disorders; social phobias; self-inflicted injuries M: alcohol dependence; suicide; mood disorders; social phobias; self-inflicted injuries Source: The Elder Citizens Strategy, Mornington Peninsula Shire, 2002

21 Issues to Inform a Research Agenda on Ageing for the Mornington Peninsula Elders’ Concerns: Elders’ Concerns: ~ safety in and out of home ~ affordable housing ~ inadequate public transport ~ too few GPs and services ~ health information lacking ~ limited access to recreation & leisure facilities ~ rural isolation/distance ~ CALD and Indigenous concerns overlooked? Services Constraints: Services Constraints: ~ lack of low & high care beds ~ early discharges to community services -?overload ~ higher numbers of old people & oldest-old [85-90+] ~ large areas of dispersion ~ workforce challenges – attraction, retention, skills base

22 Issues in Fostering a Taskforce for Ageing Research New academic staff on Peninsula campus, unused to working together as a team New academic staff on Peninsula campus, unused to working together as a team Need to break out of discipline-based ‘silos’ in thinking and research conceptualisations to create a truly multi-disciplinary approach Need to break out of discipline-based ‘silos’ in thinking and research conceptualisations to create a truly multi-disciplinary approach Need to marry together different research paradigms to examine sets of issues Need to marry together different research paradigms to examine sets of issues Readiness to engage in community – academic collaborative partnerships Readiness to engage in community – academic collaborative partnerships Need to acknowledge “the whole can be greater than the sum of the parts” Need to acknowledge “the whole can be greater than the sum of the parts”

23 The Centre for Health & Wellbeing Research Examining


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