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Question: Disuss about the Mental Health Nursing Practice in Australia. Answer: Over the past two decades the mental health nursing practice in Australia have significantly changed in terms of delivering care for young people and to people from different cultures. The essay critically analyses the impact of the change in the care delivery process in the mental health nursing on the clinical and the psychosocial outcomes. The focus of the paper is on the mental health care delivery for people of different culture. The essay discusses the psychosocial outcomes of mental health nursing in this target group. Cultural diversity in Australia continues to increase growing population of refugees and migrants. Refugees and immigrants arrive in Australia for diverse purposes, which make the country a multi-cultural society. Most of them belong to Vietnam, China, India, New Zealand, UK and Italy (Kidd et al., 2015). The process of resettlement puts mental health of these people at risk. In Australia, the mental health disorders are highly prevalent among the culturally diverse community. This culturally diverse population was the core consideration of mental health policy making and the funding for the implementation of the policies. However, two decades ago the these policy statements were not translated into implementation objectives. There was lack of sufficient funding to support implementation. In addition, there was no reporting of the progress against policy developed for refugee and immigrant communities (Holland, 2017). According to De Crespigny et al. (2015), dealing with the culturally diverse people involves challenges due to language and cultural barriers for mental health nurses. Only few small-scale studies reported high prevalence of the mental health disorders in Indigenous, refugee, and immigrant communities. The findings were incomplete and contradictory. These communities were reported to underutilise the specialist private mental health services, primary care, psychiatric disability and rehabilitation support services. These scenarios have changed a lot with the introduction of policy making an inclusion of culturally diverse people in decision-making, introduction of medical interpreters who offer translating and interpreting services. In recent decade, Australia has made impressive start to measure routine outcome in mental health nursing (McMurray Clendon, 2015). Outcome measures mainly include cognition, emotion, functioning measures of quality of life. The clinical outcome mainly includes improvement in systematology and functioning of individuals instead of personal recovery. The social outcome indicators were identified as participation of young, older adults and working people from different cultures in mental health services and reduction in stigmatisation attitude (Thornicroft Slade, 2014). However, currently the immigrants and refugees adolescents who are mental health patients can access Refugee health network of Australia at two fold higher rate that in three decades ago. These networks provide professionals who are specialised in refugee health. Other organisations such as Mental Health in Multicultural Australia also offer translated sources, which is mainly accessed by the non-English speaking communities. It includes Pakistani, Mandarin, Cantonese and Arabic people (Minas et al., 2013). Several recent policies include clearer focus on utilisation of the mental health resources by the CALD communities in Australia. The mental health nursing practice has changed with the introduction of Australian College of Mental Health Nurses Aboriginal and Torres Strait Islander Special Interest Group (Morrison-Valfre, 2016). These programs aim to develop culturally competent mental health care services by introducing Transcultural nursing. These programs have increased the hos pitals admission rate for psychosis, dementia, Schizophrenia among the ethnic and minoritys community in Australia (mainly people from New Zealand, Australian Aboriginals and UK) (Stuart, 2014). As per the reports of 2010 based on the survey of mental health disorder among the immigrant and communities of culturally and linguistically diverse population, the prevalence of anxiety disorders, substance abuse disorders, psychosis, posttraumatic stress disorder have decreased by three times in the last two decades. The self-harm and the suicide behaviours profoundly seen in Aboriginal adolescents and asylum seekers have reduced but not remarkably in last two decades (Cleary et al., 2014). These reports showed greater participation of women than men, in services for anxiety disorders in Chinese community. The GP consultations among the refugees from Bangladesh, Vietnam, Pakistan, India and other refugee communities have improved in last two decades. There is an increase in mental health literacy among the Chinese community in last two decades living in Melbourne. A greater participation in psychotherapy sessions was found among the overseas students from New Zealand and India for general anxiety disorder and post-traumatic stress disorder (Mace et al., 2014). According to the latest survey of mental health and well-being, there is increase in people from different culture reporting about fulfilment of the mental health care needs. Depressive symptoms were found to decrease in the Tamil asylum seekers. Burmese refugees showed greater access to treatment for post-traumatic stress treatment. In the last two decades, the Vietnamese refugees showed low presentations to mental heaths clinics. There is a negligible improvement in the self-harm behaviour and suicide risk rates among the young and elderly adults of Northern, western and Eastern Europeancommunities. A low suicide rate was found in immigrants from Sothern Europe, South-East Asia, and the Middle East in Australia (Lam et al., 2010). A greater percentage of Aboriginal and Torres Strait Islanders people particularly adolescents still represented in drug and alcohol abuse, psychosis, schizophrenia, post-traumatic stress disorder, obsessive-compulsive disorder and general anxiety disorder. The findings that are two decades old report lower utilisation of the mental health services (Truong et al., 2014). The policy of social inclusion allowed more mental health patients to participate in education and training programs, voice their feelings to influence decisions, deal with crisis and connect with family and friends (De Crespigny et al., 2015). However, these data does not indicate too much about improvement in the clinical and psychosocial outcomes of people from diverse cultural background. Based on the through literature search, it can be concluded that the there is an improvement in the clinical and psychological outcomes with changes in mental health nursing practice for people from different cultures. These outcomes were evident due to policy making with criteria of social inclusion, Transcultural nursing and accessibility of services such as medical interpreters and mental health services for refugees and advocacy organisations, Refugee health network of Australia. Thus, the improvement in the psychosocial outcomes such as optimism, social inclusion, development of positive identity, meaningfulness in life among the culturally diverse mental health people is still debatable. References Cleary, M., Jackson, D., Hungerford, C. L. (2014). Mental health nursing in Australia: resilience as a means of sustaining the specialty.Issues in mental health nursing,35(1), 33-40. De Crespigny, C., Grnkjr, M., Liu, D., Moss, J., Cairney, I., Procter, N., ... King, R. (2015). Service provider barriers to treatment and care for people with mental health and alcohol and other drug comorbidity in a metropolitan region of South Australia.Advances in Dual Diagnosis,8(3), 120-128. Holland, K. (2017).Cultural awareness in nursing and health care: an introductory text. CRC Press. Kidd, S., Kenny, A., McKinstry, C. (2015). The meaning of recovery in a regional mental health service: an action research study.Journal of advanced nursing,71(1), 181-192. Lam, A. Y., Jorm, A. F., Wong, D. F. (2010). Mental health first aid training for the Chinese community in Melbourne, Australia: effects on knowledge about and attitudes toward people with mental illness.International journal of mental health systems,4(1), 18. Mace, A. O., Mulheron, S., Jones, C., Cherian, S. (2014). Educational, developmental and psychological outcomes of resettled refugee children in Western Australia: a review of School of Special Educational Needs: Medical and Mental Health input.Journal of paediatrics and child health,50(12), 985-992. McMurray, A., Clendon, J. (2015).Community Health and Wellness-E-book: Primary Health Care in Practice. Elsevier Health Sciences. Minas, H., Kakuma, R., San Too, L., Vayani, H., Orapeleng, S., Prasad-Ildes, R., ... Oehm, D. (2013). Mental health research and evaluation in multicultural Australia: developing a culture of inclusion.International journal of mental health systems,7(1), 23. Morrison-Valfre, M. (2016).Foundations of Mental Health Care-E-Book. Elsevier Health Sciences. Stuart, G. W. (2014).Principles and Practice of Psychiatric Nursing-E-Book. Elsevier Health Sciences. Thornicroft, G., Slade, M. (2014). New trends in assessing the outcomes of mental health interventions.World Psychiatry,13(2), 118-124. Truong, M., Paradies, Y., Priest, N. (2014). Interventions to improve cultural competency in healthcare: a systematic review of reviews.BMC health services research,14(1), 99.