Multiple-criteria decision analysis for integrated catchment management

Implementation of integrated catchment management (ICM) is hampered by the lack of a conceptual framework for explaining how landowners select farming systems for their properties. Benefit–cost analysis (a procedure that estimates the costs and benefits of alternative actions or policies) has limitations in this regard, which might be overcome by using multiple-criteria decision analysis (MCDA). MCDA evaluates and ranks alternatives based on a landowner's preferences (weights) for multiple-criteria and the values of those criteria. A MCDA approach to ICM is superior to benefit–cost analysis which focuses only on the monetary benefits and costs, because it: 1) recognizes that human activities within a catchment are motivated by multiple and often competing criteria and/or constraints; 2) does not require monetary valuation of criteria; 3) allows trade-offs between criteria to be measured and evaluated; 4) explicitly considers how the spatial configuration of farming systems in a catchment influences the values of criteria; 5) is comprehensive, knowledge-based, and stakeholder oriented which greatly increases the likelihood of resolving catchment problems; and 6) allows consideration of the fairness and sustainability of land and water resource management decisions. A MCDA based on an additive, multiple-criteria utility function containing five economic and environmental criteria was used to score and rank five farming systems. The rankings were based on the average criteria weights for a sample of 20 farmers in a US catchment. The most profitable farming system was the lowest-ranked farming system. Three possible reasons for this result are evaluated. First, the MCDA method might cause respondents to express socially acceptable attitudes towards environmental criteria even when they are not important from a personal viewpoint. Second, the MCDA method could inflate the ranks of less profitable farming systems for the simple reason that it allows the respondent to assign non-zero weights to non-economic criteria. Third, the MCDA might provide a better framework for evaluating a landowner's selection of farming systems than the profit maximization model.

Integrated depression management: a proposed trial of a new model of care in a low vision rehabilitation setting

Purpose:
Depression is a common problem among people with visual impairment and contributes to functional decline. This article presents a study protocol to evaluate a new model of care for those patients with depressive symptoms in which psychological treatment is integrated into low vision rehabilitation services. Low vision staff will be trained to deliver "problem solving therapy for primary care" (PST-PC), an effective psychological treatment developed specifically for delivery by non-mental health care staff. PST-PC is delivered in 8 weekly telephone sessions of 30-45 minutes duration and 4 monthly maintenance sessions. We predict this new integrated model of care will significantly reduce depressive symptoms and improve the quality of life for people with visual impairment.

Methods and Design:
A randomized controlled trial of PST-PC will be implemented nationally across low vision rehabilitation services provided by Vision Australia. Clients who screen positive for depressive symptoms and meet study criteria will be randomized to receive PST-PC or usual care, consisting of a referral to their general practitioner for more detailed assessment and treatment. Outcome measures include depressive symptoms and behaviors, quality of life, coping and psychological adjustment to visual impairment. Masked assessments will take place pre- and post-intervention as well as at 6- and 12-month follow-up.

Conclusion:
We anticipate that this innovative service delivery model will lead to sustained improvements in clients' quality of life in a cost effective manner and provide an innovative service delivery model suitable for other health care areas in which depression is co-morbid.

Impact of medication reconciliation and review on clinical outcomes

To examine the evidence regarding the effectiveness of medication reconciliation and review and to improve clinical outcomes in hospitals, the community, and aged care facilities.

Integrated supply chain construction ecosystem management

Agenda 21 may be considered the most significant programme of action influencing environmental policy for the Australian development and construction industry. The industry has remained one of the most rapidly expanding sectors; yet, we have seen the gradual process of exhausting natural resources and irreversible environmental degradation. Even with the introduction of numerous new environmental policies, it remains questionable as to whether real improvements have occurred across the industry. Legislative mechanisms to direct on-site environmental management appear deficient; information flows between participants along the supply chain appear to impact upon environmental management performance; and industry fragmentation remains compounded by ill-defined external, non-contractual supply chain influences that directly impact on contractual systems. Limited research has considered construction supply chain theory and environmental management particularly in reference to policy. The literature highlighted a need to develop a supply chain model which seeks to integrate chain actors and government regulators through holistic information management. The model assumes that fundamental to industry change is statutory control to mandate construction environmental management plans. However, industry change and subsequent environmental management rely upon effective information dissemination. The next stage involves model refinement, investigating barriers and enablers to widespread diffusion of such an innovative integrated environmental management system.

Stimulating vertical integration in coastal management in a federated nation: The case of Australian coastal policy reform.

Four decades ago Australia was credited as being an early leader in  implementing integrated coastal management (ICM). Nevertheless, as a  federation of states and territories Australia has since struggled to fully  implement vertical integration of its coastal governance arrangements. In particular the federal government has historically possessed only a minor role in coastal management despite the recommendations of several major inquires suggesting that this role needed to be enhanced. This article examines a series of circumstances and events over the past two years in Australia that has created the opportunity for the federal government to adopt a more significant and prominent role in coastal management and hence to substantially complete the vertical integration of ICM in Australia. These stimuli for coastal policy reform could also play a role in enhancing ICM in other federated nations.

Complexities of medicines safety: communicating about managing medicines at transition points of care across emergency departments and medical wards

To explore how health professionals, patients and family members communicate about managing medicines across transition points of care in two Australian public hospitals.

Multivariate modelling of landuse on in-stream salinity over multiple spatial scales

An impediment to sustainable dryland salinity management is the lack of information on contributing factors. GIS and satellite imagery now offer a cost-effective means of generating relevant land and water resource information for integrated regional management of salinity. In this paper the relationships between patterns in land uselcover distribution and base flow salt concentration in streams (indicated by EC) are investigated and modelled. The Glenelg-Hopkins area is a large regional watershed in southwest Victoria, Australia, covering approximately 2.6 million ha. It is currently estimated that 27,400 ha of land is affected by dryland salinity and this is predicted to rapidly increase in the next decade' if current conditions prevail. Salt concentration data from five gauging stations were analysed with multi-temporal land use maps obtained from satellite imagery. Multiple regression analyses demonstrated that the variables Native Vegetation and Dry/and Grain Cropping were the most significant influences on in~stream salinity in the whole catchment (1=88.9%) and 500 m V=88.3%) and 100 m riparian buffers (1=86.9%) during times of base flow. The implications for future land use planning, effectiveness of riparian zones and revegetation programmes is discussed. This work also demonstrates the utility of applying nmltivariate statistical analyses, spatial statistics, and remote sensing with data integrated in a GIS framework for the purpose of predicting and managing the regional salinity threat.

The theory and practice of coastal area planning: linking strategic planning to local communities

Integrated coastal management (ICM) has been slowly accepted over the last decade as a unifying approach for coastal planning and management throughout the world. Coastal planning aimed at achieving the objectives of ICM can be implemented by varying processes and faces many challenges. One major challenge for coastal planning is to adapt the well-developed theoretical principles of ICM to practical and understandable outcomes in local areas. Associated with this challenge is the need to balance coastal planning objectives for conservation and economic development of a nation or state/province with the objectives of the local community. This article describes a three-tiered approach to coastal planning in Victoria, Australia, which will be of value to other countries, particularly those with subnational coastal planning jurisdictions. This approach not only has the aim of balancing subnational (e.g., state government) and local objectives, but also of applying the theoretical concept of ICM in practice on the ground. In addition, the approach sets out to achieve a sense of ownership of the planning process by local communities by maximizing their involvement at all levels of planning and also by making the state strategy as easy to understand and follow as possible.

Analysis of forest policy using multi-attribute value theory

Contents:
1. Role of multi-criteria decision making in natural resource management /​ Gamini Herath and Tony Prato
2. Analysis of forest policy using multi-attribute value theory /​ Jayanath Ananda and Gamini Herath
3. Comparing Riparian revegetation policy options using the analytic hierarchy process /​ M. E. Qureshi and S. R. Harrison
4. Managing environmental and health risks from a lead and zinc smelter : an application of deliberative multi-criteria evaluation /​ Wendy Proctor, Chris McQuade and Anne Dekker
5. Multiple attribute evaluation of management alternatives for the Missouri River System /​ Tony Prato
6. Multi-criteria decision analysis for integrated watershed management /​ Zeyuan Qiu
7. Fuzzy multiple attribute evaluation of agricultural systems /​ Leonie A. Marks and Elizabeth G. Dunn
8. Multi-criteria decision support for energy supply assessment /​ Bram Noble
9. Seaport development in Vietnam : evaluation using the analytic hierarchy process /​ Tran Phuong Dong and David M. Chapman
10. Valuing wetland aquatic resources using the analytic hierarchy process /​ Premachandra Wattage and Simon Mardle
11. Multiple attribute evaluation for national park management /​ Tony Prato
12. The future of MCDA in natural resource management : some generalizations /​ Gamini Herath and Tony Prato.