RCT of a client-centred, caseworker-delivered smoking cessation intervention for a socially disadvantaged population

Background: Disadvantaged groups are an important target for smoking cessation intervention. Smoking rates are markedly higher among severely socially disadvantaged groups such as indigenous people, the homeless, people with a mental illness or drug and alcohol addiction, and the unemployed than in the general population. This proposal aims to evaluate the efficacy of a client-centred, caseworker delivered cessation support intervention at increasing validated self reported smoking cessation rates in a socially disadvantaged population.
Methods/Design: A block randomised controlled trial will be conducted. The setting will be a non-government organisation, Community Care Centre located in New South Wales, Australia which provides emergency relief and counselling services to predominantly government income assistance recipients. Eligible clients identified as smokers during a baseline touch screen computer survey will be recruited and randomised by a trained research assistant located in the waiting area. Allocation to intervention or control groups will be determined by time periods with clients randomised in one-week blocks. Intervention group clients will receive an intensive client centred smoking cessation intervention offered by the caseworker over two face-to-face and two telephone contacts. There will be two primary outcome measures obtained at one, six, and 12 month follow-up: 1) 24-hour expired air CO validated self-reported smoking cessation and 2) 7-day self-reported smoking cessation. Continuous abstinence will also be measured at six and 12 months follow up.
Discussion: This study will generate new knowledge in an area where the current information regarding the most effective smoking cessation approaches with disadvantaged groups is limited.

Client circumstances before and after SAAP assistance : an analysis of the national data collection, 2002-03

If a program is to be successful for clients, it is important to be able to assess the outcomes before and after having been in the program. In order to draw some conclusions about the success of SAAP the following article attempts to summarise briefly the changes in circumstances experienced by SAAP clients when compared with their pre-SAAP circumstances.

Children in SAAP : a brief analysis of the national data collection

Consistent with the theme of this edition of Parity, the following article highlights the number of children in the Supported Accommodation Assistance Program (SAAP) and the services provided to them. The data used is published by the Australian Institute of Health and Welfare (AIHW), the national body responsible for SAAP data collection. Despite the limitations of information provided by official statistics, the aim in the following is to explore the national information provided by the annual collection of statistics by SAAP agencies.

Spaces of trauma : young people, homelessness and violence

Little contemporary research has examined young people’s experiences ofviolence and homelessness in detail within the Australian context. This articledraws upon qualitative research with 33 homeless youth in Melbourne andseeks to enhance understanding of the impact of violence on young people.It argues that everyday experiences of violence play a central role in shapinghomeless young people’s lived experiences, traumatising young people andviolating any sense of connection and home. It suggests that violence is notonly a causal factor for homelessness, but also exacerbates and prolongs homelessness.

Definition of homelessness changes but problems remain

According to the best estimates at the time, almost 105,000 Australians were homeless on census night in August 2006. This promoted then Prime Minister Kevin Rudd to make the ambitious commitment to accommodate all people sleeping rough and halving the number of homeless in Australia by 2020.

Sharp rise in youth homelessness shatters stereotypes

The number of Australians who were homeless on census night increased by 17% to 105,237 in the five years to August 2011. When adjusted for population growth, the increase the increase is still worryingly high, at around 8%. It’s clear we need a stronger commitment to address this significant social issue.

Social media for social change lawyers: an Australian housing rights lawyer's experience

This paper reflects on the use of Twitter and Facebook at the PILCH Homeless Persons' Legal Clinic (HPLC), and the lessons for social change lawyers. While these two forms of social media have been useful tools in the HPLC's mission to address the systemic and structural issues that impact on people experiencing homelessness in Victoria, Australia, there have been salutary lessons in their deployment, engagement and impact. This paper, written in autoethnographic form by a former HPLC manager, reflects on the costs and benefits of these new media forms for ‘social change lawyering’.

A music and health perspective on music's perceived 'goodness'

In this paper consideration is given to aspects of social and professional music use premised from a “music as health” perspective. This critical exploration is intended to reveal values about music participation and music listening, with consideration of the way music is constructed as a contributor to social gains within music as health application. The frequently encountered expectation that music participation and music listening are innately good and “helpful” is examined. A range of projects are described and examined with reference to the theme of music's “commodified goodness” or what has elsewhere been termed, the ubiquitous “goodness of music” (Edwards, 2008b).

Still serving hot soup? Two hundred years of a charitable food sector in Australia: a narrative review

OBJECTIVE: Despite the importance of the charitable food sector for a proportion of the Australian population, there is uncertainty about its present and future contributions to wellbeing. This paper describes its nature and examines its scope for improving health and food security. METHODS: The review, using systematic methods for public health research, identified peer-reviewed and grey literature relevant to Australian charitable food programs (2002 to 2012). RESULTS: Seventy publications met the criteria and informed this paper. The sector includes food banks, more than 3,000 community agencies and 800 school breakfast programs. It provides food for up to two million people annually. The scope extends beyond emergency food relief and includes case management, advocacy and other support. Weaknesses include a food supply that is sub-optimal, resource limitations and lack of evidence to evaluate or support their work towards food security. CONCLUSIONS: The sector supports people experiencing disadvantage and involves multiple organisations, working in a variety of settings, to provide food for up to 8% of the population. The limits on the sector's capacity to address food insecurity by itself must be acknowledged so that civil society, government and the food industry can support sufficient, nutritious and affordable food for all.

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Marias : biopolítica, vida nua e resiliência

Taking the narrative of life of three women (homeless), Maria José (residente of a psychiatric hospital) and Maria de La Luz Cervantes (fictional character of Gabriel Garcia Marquez, accidentally intern in a psychiatric hospital), the dissertation "Marias: Biopolitics, bare life and their stories" brings Giorgio Agamben's theories referring to Naked Life and Homo Sacer, Michel Foucault's with the biopolitics and resiliences written by Boris Cyrulnik. Its on these three women life stories that the dissertation develops a imaginary concentration camp to work their lives and bodies subjection to the external power, the biopolitic

"Reforma urbana já"; "arroz, feijão, saúde e habitação" :A luta por moradia na grande João Pessoa

Our object of study in this work concerns to the movement of fight for the housing in the Great João Pessoa, Paraíba, Brazil, and looks for to investigate the conditions and context of the occupations of building, public or private, for devoid populations that do not have where to live. Front to the absence of politics effective directed to the habitation or the cities, in a picture of unemployment and impoverishment of the population, the result of the habitation point of view, is the absolute lack of popular housings, the degradation of the cities and the growth of the number of homeless and also of its occupations. The urban occupations today represent a reply of these devoid populations that from an involvement with parties or Not Governmental Organizations, and social movements leave for the class action known by the occupation of abandoning public or private buildings. These occupations, even so initially if assume as pressure instrument or of visibility for attainment of housings, for the delay in obtaining the attention of the public agencies and a solution for the problem, becomes definitive or is drawn out per many years. E this if gives although the deficiencies, of the accumulation or families neither in an adequate, always precarious space nor in sanitary installations, that the necessary privacy does not allow. The study it consisted of an empirical research, through the participant comment and open and half-open interviews, and counted on the audiovisual register of two occupations, one in the downtown of João Pessoa City (old building of the INSS, in the Ponto dos Cem Réis) and other (Community of the Cajueiro), next to the Beach "Praia do Jacaré", in the city of Cabedelo.The choice of the Visual Anthropology as research instrument is on to a concern in better translating other ways of life, therefore the accomplishment of the video in allows them to know with more precision the reality where the citizens of the research live. We also use as methodological resource in the research the deepened interview, in intention to better understand the description of the way of life of the studied families and the movements of fight for the housing, particularly the MDM - Movement of Right for the Housing, and the MNLM- Nacional Movement of Fight for the Housing