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Professor David Perkins

Director

Centre for Rural and Remote Mental Health

Career Summary

Biography

Professor David Perkins is the Director and Professor of Rural Health Research at the University of Newcastle's Centre for Rural and Remote Mental Health, based in Orange, New South Wales. He has extensive research experience in Mental Health Services, Rural Suicide Prevention, Public Health, Rural Health and Primary Health Care. David's career spans senior management and health service research roles in both the United Kingdom and Australia. 

David is a Co-Coordinator of the International Foundation for Integrated Care Australia and Board Member of the International Foundation for Integrated Care. He is also an Editorial Board Member for the International Journal of Integrated care. David has researched questions of integrated care in Australia for 20 years, publishing many peer reviewed articles in the field. 


Qualifications

  • PhD (Social Policy & Administration), University of Kent at Canterbury - UK
  • Bachelor of Arts (Social Sciences)(Honours), University of East Anglia - UK

Keywords

  • Mental Health Services
  • Primary Health Care
  • Public Health
  • Rural Health
  • Suicide Prevention

Fields of Research

Code Description Percentage
111714 Mental Health 50
111799 Public Health and Health Services not elsewhere classified 25
111708 Health and Community Services 25

Professional Experience

UON Appointment

Title Organisation / Department
Professor of Rural Health Research University of Newcastle
Centre for Rural and Remote Mental Health
Australia

Academic appointment

Dates Title Organisation / Department
1/01/2002 - 1/01/2008 Founding Director and Senior Research Fellow The University of New South Wales
Centre for Equity and Primary Health Research in the Illawarra and Shoalhaven (CEPHRIS)
Australia
1/01/1998 - 1/01/2002 Senior Lecturer in Health Policy and Management University of Wollongong
Graduate School of Public Health and Centre for Health Services Development
Australia
1/01/1993 - 1/01/1998 Lecturer in Strategic Management University of Kent
Canterbury Business School
United Kingdom
1/01/1993 - 1/01/1998 Senior Tutor Public Sector Health London Postgraduate Teaching Hospitals
Programme Manager for Short Management Programmes for Doctors
United Kingdom
1/01/1990 - 1/01/1993 SETRHA Director MBA (Strategic Health Services Management) University of Kent
Canterbury Business School
United Kingdom
1/01/1990 - 1/01/1993 Research Fellow University of Kent
Canterbury Business School
United Kingdom
1/01/1989 - 1/01/1993 Senior Training Adviser and Director Management Development and Lecturer University of Kent
United Kingdom
1/01/1988 - 1/01/1993 Consultant in Human Resource Management and Lecturer University of Kent
United Kingdom
1/01/1984 - 1/01/1989 Training Adviser Management Development and Lecturer University of Kent
United Kingdom
1/01/1982 - 1/01/1986 Research Associate University of Kent
Health Services Research Unit
United Kingdom

Membership

Dates Title Organisation / Department
1/01/2018 -  National Expert Panel National Mental Health Service Planning Framework
Australia
1/01/2016 -  Executive Committee NSW Agency for Clinical Innovation (ACI)
1/11/2014 - 2/11/2014 Chair Organising Committee, 2nd World Congress of Integrated Care International Foundation for Integrated Care
Australia
1/01/2014 -  Editorial Board Member International Journal of Integrated Care
Australia
1/01/2013 -  Board Member NSW Minister’s Advisory Committee for Rural Health
Australia
1/01/2012 -  Board member International Journal of Integrated Care
Australia
1/01/2011 - 1/01/2012 Australian Rural Health Scientific Symposium Organising Committee Australian Rural Health Scientific Symposium Organising Committee
Australia
1/01/2009 - 1/01/2014 Australian Rural Health Research Collaboration Australian Rural Health Research Collaboration
1/01/2008 - 1/01/2011 Editorial Board Australian Journal of Rural Health
Australia

Professional appointment

Dates Title Organisation / Department
1/01/2016 -  Director International Foundation for Integrated Care
Australia
1/01/2011 - 1/01/2016 Editor in Chief Australian Journal of Rural Health
Australia
1/01/2008 - 1/01/2013 Associate Professor and Director Centre for Remote Health Research The University of Sydney
Broken Hill University Department of Rural Health
Australia
1/01/1993 - 1/01/1998 Director of the MBA programme University of Kent
Canterbury Business School
United Kingdom
1/01/1984 - 1/01/1993 Employee South East Thames Regional Health Authority
United Kingdom

Awards

Recipient

Year Award
2008 Travelling Fellowship
Australian Primary Health Care Research Institute

Invitations

Participant

Year Title / Rationale
2017 First Asia Pacific Conference of Integrated Care
2015 Third World Congress of Integrated Care
2014 South East Section Royal Flying Doctor Service
2014 Second World Congress of Integrated care
2014 National Rural Health Scientific Symposium
2014 New South Wales Rural Health Congress
2014 National Rural Mental Health Conference
2013 World Congress Integrated Care Scientific Committee
2013 The Australian Rural Health System
2013 New South Wales Rural Mental Health Conference Final Plenary
2012 NSW Rural and Remote Mental Health Conference
2012 Rural and Remote Health Scientific Symposium
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Book (4 outputs)

Year Citation Altmetrics Link
1998 Perkins DA, Clewer A, Economics for Health Care Management, Prentice Hall, Hemel Hempstead, United Kingdom, 203 (1998) [A1]
1996 Perkins DA, Glynn JJ, Stewart S, Managing for Health Care: Achieving Value for Money, Saunders, London, United Kingdom, 256 (1996) [A1]
1995 Glynn JJ, Perkins DA, Managing Health Care: Challenges for the 1990s, Saunders, London, United Kingdom (1995) [A1]
1994 Snapes T, Levant J, Perkins DA, Managing Your Career, The Institute of Health Services Managment, London, United Kingdom, 114 (1994) [A1]
Show 1 more book

Chapter (13 outputs)

Year Citation Altmetrics Link
2010 Saurman E, Perkins DA, Roberts R, Patfield M, Lyle D, 'Better mental health emergency care access for rural and remote Australians', A bright future for Rural Health: Evidence-Based Policy and Practice in Rural and Remote Australian Health Care, Australian Rural Health Education Network, Deakin, Australia 45-47 (2010) [B1]
2010 Saurman E, Perkins DA, Lyle D, Patfield M, Roberts R, 'Chapter 15: Mental Health Emergency Care - Rural Access Project: Assessing Rural and Remote Emergency Mental Health in Western New South Wales Australia by Videoconference Technology', Evidence-Based Practice in Nursing Informatics: Concepts and Applications, IGI Global: Disseminator of Knowledge, Hershey and New York, USA 191-203 (2010) [B1]
DOI 10.4018/978-1-60960-034-1.ch015
2006 Stoelwinder J, Blandford J, Perkins DA, 'Chapter 13: Towards Integrated Service Delivery Systems', Managing Health Services: Concepts and Practice, Elsevier, Sydney, Australia 299-325 (2006) [B1]
2002 Blandford J, Perkins DA, Stoelwinder J, 'Chapter 12: Towards Integrated Service Delivery Systems', Health Service Management Practice, McClennan and Petty, Sydney, Australia ?-? (2002) [B1]
2001 Perkins DA, Owen A, 'Lessons in Governance from Care Net Illawarra', The Australian Co-ordinated Care Trials: Reflections and Lessons, Commonwealth Department of Health and Aged Care, Canberra, Australia 105-113 (2001) [B2]
1996 Perkins DA, Glynn JJ, 'Introduction: A broad overview of Value for Money', Value for Money in Health Care, Saunders, London, United Kingdom 1-10 (1996) [B1]
1996 Perkins DA, 'Effectiveness and efficiency in health care', Value for Money in Health Care, Saunders, London, United Kingdom 13-25 (1996) [B1]
1996 Perkins DA, 'Control and value for money', Value for Money in Health Care, Saunders, London, United Kingdom 112-135 (1996) [B1]
1996 Perkins DA, 'Can strategic management influence value for money?', Value for Money in Health Care, Saunders, London, United Kingdom 201-219 (1996) [B1]
1996 Perkins DA, Glynn JJ, 'The future for value for money', Value for Money in Health Care, Saunders, London, United Kingdom 237-243 (1996) [B1]
1995 Baker A, Perkins DA, 'Managing people and teams', Managing Health Care: Challenges for the 1990's, Saunders, London, United Kingdom 95-118 (1995) [B1]
1995 Perkins DA, 'Looking forwards', Managing Health Care: Challenges for the 1990's, Saunders, London, United Kingdom 245-252 (1995) [B1]
1992 Snapes T, Perkins DA, 'Developing the best managers?', European Casebook of Human Resource Management, Chapman Hill, London, United Kingdom ?-? (1992) [B1]
Show 10 more chapters

Journal article (113 outputs)

Year Citation Altmetrics Link
2018 Rich J, Handley T, Inder K, Perkins D, 'An experiment in using open-text comments from the Australian Rural Mental Health Study on health service priorities.', Rural and remote health, 18 (2018) [C1]
DOI 10.22605/rrh4208
Citations Scopus - 1Web of Science - 1
Co-authors Jane Rich, Kerry Inder
2018 Taylor N, Hartman DK, Bischoff R, Hayes A, Springer P, Dalton H, Perkins D, 'Supporting Strong Families and Capable Communities through cross-national research', Journal of Global Health Reports, 2 (2018) [C1]
DOI 10.29392/joghr.2.e2018010
Co-authors Deborah Hartman, Alan Hayes, Hazel Dalton
2018 Handley TE, Lewin TJ, Perkins D, Kelly B, 'Self-recognition of mental health problems in a rural Australian sample', Australian Journal of Rural Health, 26 173-180 (2018) [C1]

© 2018 National Rural Health Alliance Ltd. Objective: Although mental health literacy has increased in recent years, mental illness is often under-recognised. There has been littl... [more]

© 2018 National Rural Health Alliance Ltd. Objective: Although mental health literacy has increased in recent years, mental illness is often under-recognised. There has been little research conducted on mental illness in rural areas; however, this can be most prominent in rural areas due to factors such as greater stigma and stoicism. The aim of this study is to create a profile of those who are most and least likely to self-identify mental health problems among rural residents with moderate- to-high psychological distress. Design: Secondary analysis of a longitudinal postal survey. Setting: Rural and remote New South Wales, Australia. Participants: Four-hundred-and-seventy-two community residents. Main outcome measure: Participants completed the K10 Psychological Distress Scale, as well as the question ¿In the past 12 months have you experienced any mental health problems?¿ The characteristics of those who reported moderate/high distress scores were explored by comparing those who did and did not experience mental health problems recently. Results: Of the 472 participants, 319 (68%) with moderate/high distress reported a mental health problem. Reporting a mental health problem was higher among those with recent adverse life events or who perceived more stress from life events while lower among those who attributed their symptoms to a physical cause. Conclusions: Among a rural sample with moderate/high distress, one-third did not report a mental health problem. Results suggest a threshold effect, whereby mental health problems are more likely to be acknowledged in the context of additional life events. Ongoing public health campaigns are necessary to ensure that symptoms of mental illness are recognised in the multiple forms that they take.

DOI 10.1111/ajr.12406
Co-authors Terry Lewin, Brian Kelly
2018 Austin EK, Handley T, Kiem AS, Rich JL, Lewin TJ, Askland HH, et al., 'Drought-related stress among farmers: findings from the Australian Rural Mental Health Study.', The Medical journal of Australia, 209 159-165 (2018) [C1]
DOI 10.5694/mja17.01200
Citations Scopus - 2Web of Science - 2
Co-authors Brian Kelly, Jane Rich, Hedda Askland, S Askarimarnani, Anthony Kiem, Terry Lewin, Emma Austin Uon
2018 Fitzpatrick SJ, Perkins D, Handley T, Brown D, Luland T, Corvan E, 'Coordinating mental and physical health care in rural Australia: An integrated model for primary care settings', International Journal of Integrated Care, 18 1-9 (2018) [C1]
DOI 10.5334/ijic.3943
Co-authors Scott Fitzpatrick
2017 Rich JL, Handley T, Davies K, Perkins D, 'Understanding the Mental Health of Rural Young Adults: Risk and Protective Factors', International Journal of Mental Health and Psychiatry, 3 1-4 (2017) [C1]
DOI 10.4172/2471-4372.1000154
Co-authors Kate Davies, Jane Rich
2017 Considine R, Tynan R, James C, Wiggers J, Lewin T, Inder K, et al., 'The contribution of individual, social and work characteristics to employee mental health in a coal mining industry population', PLoS ONE, 12 1-15 (2017) [C1]
DOI 10.1371/journal.pone.0168445
Citations Scopus - 5Web of Science - 6
Co-authors John Wiggers, Terry Lewin, Kerry Inder, Carole James, Brian Kelly
2017 Fitzpatrick SJ, Perkins D, Luland T, Brown D, Corvan E, 'The effect of context in rural mental health care: Understanding integrated services in a small town', Health and Place, 45 70-76 (2017) [C1]
DOI 10.1016/j.healthplace.2017.03.004
Citations Scopus - 3Web of Science - 1
Co-authors Scott Fitzpatrick
2017 Tynan RJ, Considine R, Wiggers J, Lewin TJ, James C, Inder K, et al., 'Alcohol consumption in the Australian coal mining industry', Occupational and Environmental Medicine, 74 259-267 (2017) [C1]

© 2017, BMJ. All rights reserved. Objectives: To investigate patterns of alcohol use within the coal mining industry, and associations with the personal, social, workplace and emp... [more]

© 2017, BMJ. All rights reserved. Objectives: To investigate patterns of alcohol use within the coal mining industry, and associations with the personal, social, workplace and employment characteristics. Design: 8 mine sites across 3 eastern Australian states were surveyed, selected to encompass key geographic characteristics (accessibility and remoteness) and mine type (open cut and underground). Problematic alcohol use was measured using the Alcohol Use Disorders Identification Test (AUDIT) to determine: (1) overall risky or hazardous drinking behaviour; and (2) frequency of single-occasion drinking (6 or more drinks on 1 occasion). Results: A total of 1457 employees completed the survey, of which 45.7% of male and 17.0% of female participants reported levels of alcohol use within the range considered as risky or hazardous, considerably higher than the national average. Hierarchical linear regression revealed a significant contribution of many individual level factors associated with AUDIT scores: younger age, male, current smoking status; illicit substance use; previous alcohol and other drug use (AOD) problems; and higher psychological distress. Workplace factors associated with alcohol use included working in mining primarily for the high remuneration, and the type of mining, with underground miners reporting higher alcohol use than open-cut miners. Conclusions: Our findings provide support for the need to address alcohol use in the coal mining industry over and above routine on-site testing for alcohol use.

DOI 10.1136/oemed-2016-103602
Citations Scopus - 3Web of Science - 3
Co-authors Brian Kelly, Amanda Baker, Terry Lewin, Kerry Inder, John Wiggers, Carole James, Frances Kaylambkin
2016 Tynan RJ, Considine R, Rich JL, Skehan J, Wiggers J, Lewin TJ, et al., 'Help-seeking for mental health problems by employees in the Australian Mining Industry', BMC HEALTH SERVICES RESEARCH, 16 (2016) [C1]
DOI 10.1186/s12913-016-1755-1
Citations Scopus - 3Web of Science - 3
Co-authors John Wiggers, Jane Rich, Terry Lewin, Kerry Inder, Frances Kaylambkin, Amanda Baker, Carole James, Brian Kelly
2016 Perkins D, 'Research that adds something¿', The Australian journal of rural health, 24 2 (2016)
DOI 10.1111/ajr.12286
2016 Perkins D, 'One size fits all ... or not!', Australian Journal of Rural Health, 24 71-72 (2016)
DOI 10.1111/ajr.12295
2016 Perkins D, 'Gordon Gregory OAM: An appreciation', Australian Journal of Rural Health, 24 155 (2016)
DOI 10.1111/ajr.12305
2016 Perkins D, 'Elections, scare campaigns and Medicare: Towards a balanced scorecard', Australian Journal of Rural Health, 24 223 (2016)
DOI 10.1111/ajr.12318
2016 Perkins D, 'Patient-centred health care homes in Australia: Disruptive innovation?', Australian Journal of Rural Health, 24 287-288 (2016)
DOI 10.1111/ajr.12333
2016 Perkins D, 'Research translation: Making a difference in rural health', The Australian journal of rural health, 24 349 (2016)
DOI 10.1111/ajr.12342
2016 Perkins D, 'Stepped Care, System Architecture and Mental Health Services in Australia', International Journal of Integrated Care, 16 (2016) [C1]
DOI 10.5334/ijic.2505
2015 Kirby S, Moore M, McCarron T, Perkins D, Lyle D, 'Nurse-led diabetes management in remote locations', Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la médecine rurale : le journal officiel de la Société de médecine rurale du Canada, 20 51-55 (2015) [C1]

INTRODUCTION: Nurse-led diabetes management has been shown to be effective in urban and regional general practice. We sought to test the feasibility of providing a nurse-led annua... [more]

INTRODUCTION: Nurse-led diabetes management has been shown to be effective in urban and regional general practice. We sought to test the feasibility of providing a nurse-led annual cycle of diabetes care in a remote location and to explore the factors that patients indicated were important in diabetes self-management.METHODS: We conducted a pilot study in 3 locations: 1 town and 2 small townships in remote Australia. A chronic disease nurse (CDN) visited each patient over the course of a year. We examined patient clinical outcomes and interview data. We estimated the cost per hour of the CDN's time, including travel time, per 1% drop in glycated hemoglobin (HbA1C).RESULTS: A total of 21 patients participated in the pilot study. Clinical findings showed significant reductions in HbA1C levels after the nurse-led intervention. Patients reported that they trusted the nurse and thought her advice was pitched at their level. Patients were motivated through a process that included emotional response, change identity and acceptance. The estimated cost in CDN hours per 1% drop in HbA1C level was A$242.95 (Can$237.60).CONCLUSION: Nurse-led diabetes care motivated patients to manage their diabetes and resulted in a significant improvement in diabetes management in this remote setting.

Citations Scopus - 4Web of Science - 3
2015 Perkins D, 'Integrating mental and physical health care: Lessons from the second world congress on integrated care in sydney', International Journal of Integrated Care, 15 (2015) [C3]
2015 Kirby S, Moore M, McGarron T, Johnstone P, Perkins D, Lyle D, 'People living in remote communities can have best-practice diabetes care.', Rural Remote Health, 15 3203 (2015) [C3]
Citations Scopus - 1
2015 Gausia K, Thompson SC, Lindeman MA, Brown LJ, Perkins D, 'Contribution of university departments of rural health to rural health research: An analysis of outputs', Australian Journal of Rural Health, (2015) [C1]

Objective: To assess the research contribution of eleven University Departments of Rural Health (UDRH) which were established as a rural health workforce program in the late 1990s... [more]

Objective: To assess the research contribution of eleven University Departments of Rural Health (UDRH) which were established as a rural health workforce program in the late 1990s through analysis of peer-reviewed journal output. Design and settings: Descriptive study based on validated publications from publication output reported in annual key performance indicator (KPI) reports to the Commonwealth Department of Health, Australia. Main outcome measures: In addition to counts and the type of publications, articles were examined to assess fields of research, evidence of research collaboration, and potential for influencing policy. Funding acknowledgement was examined to provide insight into funding sources and research consultancies. Results: Of the 182 peer-reviewed articles, UDRH staff members were the first and corresponding author for 45% (n=82); most (69%, n=126) were original research. Most publications examined included Australian data only (80%, n=101). Over half (56%; n=102) of the articles addressed rural health issues; Aboriginal health was the main subject in 14% (n=26). Thirty-three articles (18%) discussed the policy implications of the research and only half (51%, n=93) of the articles listed sources of funding. Number of authors per article ranged from 1-19, with a mean of 5 (SD=3.2) authors per article, two-thirds of articles included authors from 2-5 universities/organisations but only 5% of articles included an author from more than one UDRH. Conclusions: Staff from UDRHs are regularly publishing peer-reviewed articles, and research productivity demonstrated cooperation with external partners. Better collaboration between UDRH staff and others may help increase the quality and value of Australian rural health research.

DOI 10.1111/ajr.12142
Citations Scopus - 3Web of Science - 3
Co-authors Leanne Brown
2015 Perkins D, '2015: An opportunity for rural health in Australia', Australian Journal of Rural Health, 23 1-1 (2015)
DOI 10.1111/ajr.12180
2015 Perkins D, 'Reform of federation: An opportunity for rural health', Australian Journal of Rural Health, 23 61 (2015)
DOI 10.1111/ajr.12194
2015 Perkins D, 'People-centred and integrated health services', Australian Journal of Rural Health, 23 123 (2015)
DOI 10.1111/ajr.12209
2015 Perkins D, 'Telehealth will supersede face-to-face consultations in rural Australia by 2025', Australian Journal of Rural Health, 23 255-256 (2015)
DOI 10.1111/ajr.12239
2015 Perkins D, 'Primary Health Networks: Towards commissioning for outcomes', Australian Journal of Rural Health, 23 193-194 (2015)
DOI 10.1111/ajr.12226
2015 Handley T, Perkins D, Kay-Lambkin F, Lewin T, Kelly B, 'Familiarity with and intentions to use Internet-delivered mental health treatments among older rural adults', Aging and Mental Health, 19 989-996 (2015) [C1]

© 2014 © 2014 Taylor & Francis. Objectives: Older adults are the fastest growing age group in Australia, necessitating an increase in appropriate mental health services in t... [more]

© 2014 © 2014 Taylor & Francis. Objectives: Older adults are the fastest growing age group in Australia, necessitating an increase in appropriate mental health services in the coming years. While Internet-delivered mental health treatments have been established as acceptable and efficacious among younger samples, little research has explored whether they would be similarly useful in older populations.Methods: The participants were part of the Australian Rural Mental Health study, which explores mental health and well-being in residents of non-metropolitan New South Wales. A postal survey was used to assess knowledge of and intentions to use Internet-delivered mental health treatments. Demographics, mental health, and frequency of Internet use were also measured.Results: The survey was completed by 950 adults aged 50-93. The sample was largely unfamiliar with Internet mental health services, with 75% reporting that they had never heard of them and a further 20% not knowing any details of what they involved. Intentions to use these services were also low, at 13.5%; however, this increased with level of familiarity. Respondents with higher psychological distress, higher education, and more frequent Internet use were significantly more likely to consider using Internet treatments.Conclusions: Among older adults, overall awareness of Internet-delivered mental health treatments appears to be limited; however, higher familiarity contributes to higher intentions to use these treatments. Importantly, respondents with higher distress and greater computer literacy were more likely to consider mental health treatments delivered via the Internet. Future research exploring strategies to increase the promotion of these services to older samples may further improve their perceptions and use.

DOI 10.1080/13607863.2014.981744
Citations Scopus - 1Web of Science - 6
Co-authors Terry Lewin, Frances Kaylambkin, Brian Kelly
2015 Coombe J, Mackenzie L, Munro R, Hazell T, Perkins D, Reddy P, 'Teacher-mediated interventions to support child mental health following a disaster: A systematic review', PLoS Currents, 7 (2015) [C1]

© 2015, Public Library of Science. All Rights Reserved. Objectives: This review sought to identify, describe and assess the effectiveness of teacher-mediated interventions that ai... [more]

© 2015, Public Library of Science. All Rights Reserved. Objectives: This review sought to identify, describe and assess the effectiveness of teacher-mediated interventions that aim to support child and adolescent recovery after a natural or man-made disaster. We also aimed to assess intervention applicability to rural and remote Australian school settings. Method: A systematic search of the academic literature was undertaken utilising six electronic databases (EBSCO, Medline, PsycINFO, Embase, ERIC and CINAHL) using terms that relate to: teacher-mediated and school-based interventions; children and adolescents; mental health and wellbeing; natural disasters and man-made disasters. This was supplemented by a grey literature search. Results: A total of 20 articles reporting on 18 separate interventions were identified. Nine separate interventions had been evaluated using methodologically adequate research designs, with findings suggesting at least short-term improvement in student wellbeing outcomes and academic performance. Conclusions: Although none of the identified studies reported on Australian-based interventions, international interventions could be adapted to the Australian rural and remote context using existing psychosocial programs and resources available online to Australian schools. Future research should investigate the acceptability, feasibility and effectiveness of implementing interventions modelled on the identified studies in Australian schools settings.

DOI 10.1371/currents.dis.466c8c96d879e2663a1e5e274978965d
Citations Scopus - 2
Co-authors Lisa Mackenzie
2015 Boreland F, Lyle D, Brown A, Perkins D, 'Effectiveness of introducing point of care capillary testing and linking screening with routine appointments for increasing blood lead screening rates of young children: a before-after study.', Arch Public Health, 73 60 (2015) [C1]
DOI 10.1186/s13690-015-0111-y
Citations Scopus - 3Web of Science - 1
2014 Perkins D, 'Population, projections and rural heath', Australian Journal of Rural Health, 22 1-1 (2014)
DOI 10.1111/ajr.12095
Citations Scopus - 1
2014 Perkins D, 'Rethinking Medicare: some rural considerations', The Australian journal of rural health, 22 49 (2014)
DOI 10.1111/ajr.12099
2014 Perkins D, 'Rethinking Medicare: Part 2', The Australian journal of rural health, 22 89 (2014)
DOI 10.1111/ajr.12118
2014 Perkins D, 'How would you recognise a good review?', The Australian journal of rural health, 22 143-144 (2014)
DOI 10.1111/ajr.12131
2014 Perkins D, 'Wither rural hospitals?', The Australian journal of rural health, 22 210 (2014)
DOI 10.1111/ajr.12145
2014 Saurman E, Lyle D, Perkins D, Roberts R, 'Successful provision of emergency mental health care to rural and remote New South Wales: An evaluation of the Mental Health Emergency Care-Rural Access Program', Australian Health Review, 38 58-64 (2014) [C1]

Objective To evaluate a rural emergency telepsychiatry program, the Mental Health Emergency Care-Rural Access Program (MHEC-RAP), which aims to improve access to emergency mental ... [more]

Objective To evaluate a rural emergency telepsychiatry program, the Mental Health Emergency Care-Rural Access Program (MHEC-RAP), which aims to improve access to emergency mental health care for communities throughout western New South Wales (NSW). Methods A descriptive analysis of service activity data from the introduction of the MHEC-RAP in 2008 to 2011 using Chi-squared tests and linear regression modelling to assess change and trends over time. Result There were 55959 calls to the MHEC-RAP, 9678 (17%) of these calls initiated an MHEC-RAP service (~2500 each year). The use of video assessment increased over 18 months, then levelled off to an average of 65 each month. Health care provider use increased from 54% to 75% of all contacts, and 49% of MHEC-RAP patients were triaged 'urgent'. Most (71%) were referred from the MHEC-RAP for outpatient care with a local provider. The proportion of MHEC-RAP patients admitted to hospital initially increased by 12%, then declined over the next 2 years by 7% (by 28% for admissions to a mental health inpatient unit (MHIPU)). Conclusion The MHEC-RAP is well established. It has achieved acceptable levels of service activity and continues to be as used as intended. Further research is required to confirm how the MHEC-RAP works in terms of process and capacity, how it has changed access to mental health care and to document its costs and benefits. What is known about the topic? Rural and remote communities have poorer access to and use of mental health services. Telehealth care is a reliable and accepted means for providing non-urgent mental health care. What does this paper add? The MHEC-RAP is a practical and transferable solution to providing specialist emergency mental health care, and support for local providers, in rural and remote areas via telehealth. There is a possible impact upon the problem of recruiting and retaining a mental health workforce in rural and remote areas. What are the implications for practitioners? Providing reliable remote access to specialist mental health assessment and advice while supporting providers in rural communities can result in better outcomes for patients and services alike. © AHHA 2014.

DOI 10.1071/AH13050
Citations Scopus - 18Web of Science - 15
2014 Handley TE, Kay-Lambkin FJ, Inder KJ, Lewin TJ, Attia JR, Fuller J, et al., 'Self-reported contacts for mental health problems by rural residents: Predicted service needs, facilitators and barriers', BMC Psychiatry, 14 (2014) [C1]

© 2014 Handley et al.; licensee BioMed Central Ltd. Background: Rural and remote Australians face a range of barriers to mental health care, potentially limiting the extent to whi... [more]

© 2014 Handley et al.; licensee BioMed Central Ltd. Background: Rural and remote Australians face a range of barriers to mental health care, potentially limiting the extent to which current services and support networks may provide assistance. This paper examines self-reported mental health problems and contacts during the last 12¿months, and explores cross-sectional associations between potential facilitators/barriers and professional and non-professional help-seeking, while taking into account expected associations with socio-demographic and health-related factors. Methods: During the 3-year follow-up of the Australian Rural Mental Health Study (ARMHS) a self-report survey was completed by adult rural residents (N = 1,231; 61% female 77% married; 22% remote location; mean age = 59¿years), which examined socio-demographic characteristics, current health status factors, predicted service needs, self-reported professional and non-professional contacts for mental health problems in the last 12¿months, other aspects of help-seeking, and perceived barriers. Results: Professional contacts for mental health problems were reported by 18% of the sample (including 14% reporting General Practitioner contacts), while non-professional contacts were reported by 16% (including 14% reporting discussions with family/friends). Perceived barriers to health care fell under the domains of structural (e.g., costs, distance), attitudinal (e.g., stigma concerns, confidentiality), and time commitments. Participants with 12-month mental health problems who reported their needs as met had the highest levels of service use. Hierarchical logistic regressions revealed a dose-response relationship between the level of predicted need and the likelihood of reporting professional and non-professional contacts, together with associations with socio-demographic characteristics (e.g., gender, relationships, and financial circumstances), suicidal ideation, and attitudinal factors, but not geographical remoteness. Conclusions: Rates of self-reported mental health problems were consistent with baseline findings, including higher rural contact rates with General Practitioners. Structural barriers displayed mixed associations with help-seeking, while attitudinal barriers were consistently associated with lower service contacts. Developing appropriate interventions that address perceptions of mental illness and attitudes towards help-seeking is likely to be vital in optimising treatment access and mental health outcomes in rural areas.

DOI 10.1186/s12888-014-0249-0
Citations Scopus - 10Web of Science - 6
Co-authors Kerry Inder, Brian Kelly, Terry Lewin, Frances Kaylambkin, John Attia, Natasha Weaver
2013 Daly M, Perkins D, Kumar K, Roberts C, Moore M, 'What factors in rural and remote extended clinical placements may contribute to preparedness for practice from the perspective of students and clinicians?', Med Teach, 35 900-907 (2013) [C1]
DOI 10.3109/0142159X.2013.820274
Citations Scopus - 22Web of Science - 24
2013 Perkins D, Daly M, 'What is the evidence for clinical placements in underserved areas?', Medical Education, 47 958-960 (2013)
DOI 10.1111/medu.12271
2013 Perkins D, 'Do we need rural health researchers living in rural Australia?', Australian Journal of Rural Health, 21 1-2 (2013)
DOI 10.1111/ajr.12012
Citations Scopus - 3
2013 Perkins D, 'Better rural health through research?', Australian Journal of Rural Health, 21 137-138 (2013)
DOI 10.1111/ajr.12051
Citations Scopus - 1
2013 Perkins D, 'A primary health care strategic framework', Australian Journal of Rural Health, 21 195-196 (2013)
DOI 10.1111/ajr.12067
2013 Perkins D, 'Plus ça change, plus c'est la même chose', Australian Journal of Rural Health, 21 239 (2013)
DOI 10.1111/ajr.12068
2013 Perkins D, 'Integrating rural health services', Australian Journal of Rural Health, 21 297-298 (2013)
DOI 10.1111/ajr.12083
2013 Perkins D, 'A PowerPoint is for a conference, an article is forever.', The Australian journal of rural health, 21 57-58 (2013)
2013 Gladman J, Perkins DA, 'Training Australian General Practitioners in Rural Public Health: Impact, desirability and adaptability of hybrid Problem Based Learning', Health Education Journal, 72 522-529 (2013) [C1]
DOI 10.1177/0017896912450383
2013 Merritt J, Perkins D, Boreland F, 'Regional and remote occupational therapy: A preliminary exploration of private occupational therapy practice', Australian Occupational Therapy Journal, 60 276-287 (2013) [C1]
DOI 10.1111/1440-1630.12042
Citations Scopus - 7Web of Science - 7
2013 Daly M, Roberts C, Kumar K, Perkins DA, 'Longitudinal integrated rural placements: a social learning systems perspective', Medical Education, 47 352-361 (2013) [C1]
DOI 10.1111/medu.12097
Citations Scopus - 17Web of Science - 19
2013 Fragar L, Inder K, Kelly B, Coleman C, Perkins DA, Lewin T, 'Unintentional injury, psychological distress and depressive symptoms - is there an association for rural Australians?', Journal of Rural Health, 29 12-19 (2013) [C1]
DOI 10.1111/j.1748-0361.2012.00423.x
Citations Scopus - 10Web of Science - 10
Co-authors Terry Lewin, Kerry Inder, Brian Kelly
2013 Cameron HE, Boreland FT, Morris JR, Lyle DM, Perkins DA, Magin PJ, et al., 'New South Wales and Australian Capital Territory Researcher Development Program 2005-07: modest investment, considerable outcomes', Australian Journal of Primary Health, 19 59-67 (2013) [C1]
DOI 10.1071/PY11155
Citations Scopus - 2Web of Science - 2
Co-authors Parker Magin, Helen Cameron
2013 Perkins D, Fuller J, Kelly BJ, Lewin TJ, Fitzgerald M, Coleman C, et al., 'Factors associated with reported service use for mental health problems by residents of rural and remote communities: cross-sectional findings from a baseline survey', BMC HEALTH SERVICES RESEARCH, 13 (2013) [C1]
DOI 10.1186/1472-6963-13-157
Citations Scopus - 20Web of Science - 20
Co-authors Kerry Inder, Brian Kelly, Terry Lewin
2013 Fuller J, Perkins D, 'Governance & evaluation of service networks as integrative structures in Australian primary health care', INTERNATIONAL JOURNAL OF INTEGRATED CARE, 13 (2013)
2012 Perkins D, 'Australian Journal of Rural Health: coming of age?', The Australian journal of rural health, 20 289 (2012)
2012 Roberts C, Daly M, Kumar K, Perkins DA, Richards D, Garne D, 'A longitudinal integrated placement and medical students' intentions to practise rurally', Medical Education, 46 179-191 (2012) [C1]
DOI 10.1111/j.1365-2923.2011.04102.x
Citations Scopus - 37Web of Science - 38
2012 Buykx P, Humpherys J, Wakerman J, Lyle D, Perkins DA, McGrail M, Kinsman L, ''Making evidence count': A framework to monitor the impact of health services research', Australian Journal of Rural Health, 20 51-58 (2012) [C1]
DOI 10.1111/j.1440-1584.2012.01256.x
Citations Scopus - 18Web of Science - 16
2012 Cumming M, Boreland F, Perkins DA, 'Do rural primary health care nurses feel equipped for palliative care?', Australian Journal of Primary Health, 18 274-283 (2012) [C1]
DOI 10.1071/PY11150
Citations Scopus - 7Web of Science - 6
2012 Perkins DA, 'The 2012 National Strategic Framework for Rural Health: Part of the solution?', Australian Journal of Rural Health, 20 171-172 (2012) [C3]
2012 Perkins DA, 'Building for the future of rural health', Australian Journal of Rural Health, 20 1-2 (2012) [C3]
2012 Perkins DA, 'Fly in Fly out and Drive in Drive out - Useful contribution or worrying trend?', Australian Journal of Rural Health, 20 239-240 (2012) [C3]
Citations Scopus - 4
2012 Perkins DA, 'Rural health research: What sort of investment is needed?', Australian Journal of Rural Health, 20 49-50 (2012) [C3]
Citations Scopus - 1
2012 Perkins DA, 'Rural residents need research', Australian Journal of Rural Health, 20 101-102 (2012) [C3]
Citations Scopus - 3
2012 Inder KJ, Handley T, Fitzgerald MN, Lewin TJ, Coleman CE, Perkins DA, Kelly BJ, 'Individual and district-level predictors of alcohol use: cross sectional findings from a rural mental health survey in Australia', BMC Public Health, 12 (2012) [C1]
DOI 10.1186/1471-2458-12-586
Citations Scopus - 11Web of Science - 11
Co-authors Terry Lewin, Kerry Inder, Brian Kelly
2011 Fuller JD, Perkins D, Parker S, Holdsworth L, Kelly BJ, Roberts R, et al., 'Effectiveness of service linkages in primary mental health care: A narrative review part 1', BMC Health Services Research, 11 1-11 (2011) [C1]
DOI 10.1186/1472-6963-11-72
Citations Scopus - 15Web of Science - 15
Co-authors Brian Kelly
2011 Fuller JD, Perkins D, Parker S, Holdsworth L, Kelly BJ, Roberts R, et al., 'Building effective service linkages in primary mental health care: A narrative review part 2', BMC Health Services Research, 11 1-9 (2011) [C1]
DOI 10.1186/1472-6963-11-66
Citations Scopus - 19Web of Science - 19
Co-authors Brian Kelly
2011 Kelly BJ, Perkins DA, Fuller JD, Parker SM, 'Shared care in mental illness: A rapid review to inform implementation', International Journal of Mental Health Systems, 5 1-12 (2011) [C1]
DOI 10.1186/1752-4458-5-31
Citations Scopus - 28Web of Science - 22
Co-authors Brian Kelly
2011 Saurman E, Perkins DA, Roberts R, Patfield M, Lyle D, 'Responding to mental health emergencies: Implementation of an innovative telehealth service in rural and remote NSW, Australia', Journal of Emergency Nursing, 37 453-459 (2011) [C1]
DOI 10.1016/j.jen.2010.11.005
Citations Scopus - 13Web of Science - 12
2011 Humphreys J, Perkins D, 'Professor James Dunbar, Editor-in-Chief: An appreciation', AUSTRALIAN JOURNAL OF RURAL HEALTH, 19 3-3 (2011) [C3]
DOI 10.1111/j.1440-1584.2010.01183.x
2011 Kelly BJ, Lewin TJ, Stain HJ, Coleman CE, Fitzgerald MN, Perkins D, et al., 'Determinants of mental health and well-being within rural and remote communities', Social Psychiatry and Psychiatric Epidemiology, 46 1331-1342 (2011) [C1]
DOI 10.1007/s00127-010-0305-0
Citations Scopus - 44Web of Science - 39
Co-authors Brian Kelly, Terry Lewin
2011 Perkins D, 'After careful consideration', Australian Journal of Rural Health, 19 1-2 (2011) [C3]
DOI 10.1111/j.1440-1584.2010.01182.x
2011 Perkins D, 'The Australian health care reforms: Better services for rural residents?', Australian Journal of Rural Health, 19 57-58 (2011) [C3]
DOI 10.1111/j.1440-1584.2011.01196.x
Citations Scopus - 4
2011 Perkins D, 'More questions than answers', Australian Journal of Rural Health, 19 165 (2011) [C3]
DOI 10.1111/j.1440-1584.2011.01216.x
2011 Perkins DA, Barclay L, Browne KM, Blunden L-A, Fragar LJ, Kelly BJ, et al., 'The Australian Rural Health Research Collaboration: Building collaborative population health research in rural and remote NSW', NSW Public Health Bulletin, 22 23-26 (2011) [C2]
Citations Scopus - 2
Co-authors Brian Kelly
2010 Perkins D, Lyle D, 'Australian health reforms: Opportunity or threat?', AUSTRALIAN JOURNAL OF RURAL HEALTH, 18 91-92 (2010)
DOI 10.1111/j.1440-1584.2010.01138.x
Citations Web of Science - 1
2010 Lyle D, Perkins D, 'Health Workforce Australia: For all?', AUSTRALIAN JOURNAL OF RURAL HEALTH, 18 179-180 (2010) [C3]
DOI 10.1111/j.1440-1584.2010.01158.x
2010 Kelly BJ, Stain HJ, Coleman CE, Perkins D, Fragar L, Fuller J, et al., 'Mental health and well-being within rural communities: The Australian Rural Mental Health Study', Australian Journal of Rural Health, 18 16-24 (2010) [C1]
DOI 10.1111/j.1440-1584.2009.01118.x
Citations Scopus - 56Web of Science - 54
Co-authors Brian Kelly, Terry Lewin
2010 Fragar L, Stain HJ, Perkins D, Kelly BJ, Fuller J, Coleman CE, et al., 'Distress among rural residents: Does employment and occupation make a difference?', Australian Journal of Rural Health, 18 25-31 (2010) [C1]
DOI 10.1111/j.1440-1584.2009.01119.x
Citations Scopus - 28Web of Science - 22
Co-authors Terry Lewin, Brian Kelly
2010 Perkins DA, Hamilton M, Saurman E, Luland T, Alpren C, Lyle D, 'The GP Clinic - Promoting access to primary health care for mental health service clients', Australian Journal of Rural Health, 18 217-222 (2010) [C1]
Citations Scopus - 6Web of Science - 6
2010 Chan B, Perkins DA, Wan Q, Zwar N, Daniel C, Crookes P, Harris M, 'Finding Common Ground? Evaluating an intervention to improve teamwork among primary health care professionals', International Journal for Quality in Health Care, 22 519-524 (2010) [C1]
Citations Scopus - 20Web of Science - 22
2009 Garne DL, Perkins DA, Boreland FT, Lyle DM, 'Frequent users of the Royal Flying Doctor Service primary clinic and aeromedical services in remote New South Wales: a quality study', MEDICAL JOURNAL OF AUSTRALIA, 191 602-604 (2009)
Citations Web of Science - 6
2009 Powell D, Perkins DA, McDonald J, Williams A, 'Integrated Primary Health Care in Australia', International Journal of Integrated Care, 9 1-9 (2009) [C1]
2009 Dennis S, May JA, Perkins D, Zwar N, Sibbald B, Hasan I, 'What evidence is there to support skill mix changes between GPs, pharmacists and practice nurses in the care of elderly people living in the community?', Australian and New Zealand Health Policy, 6 1-7 (2009) [C1]
DOI 10.1186/1743-8462-6-23
Citations Scopus - 16
Co-authors Jennifer May
2009 Davies GP, Perkins D, McDonald J, Williams A, 'Integrated primary health care in Australia', International Journal of Integrated Care, 9 (2009)

© 2009, Ubiquity Press Ltd. All rights reserved. Introduction: To fulfil its role of coordinating health care, primary health care needs to be well integrated, internally and with... [more]

© 2009, Ubiquity Press Ltd. All rights reserved. Introduction: To fulfil its role of coordinating health care, primary health care needs to be well integrated, internally and with other health and related services. In Australia, primary health care services are divided between public and private sectors, are responsible to different levels of government and work under a variety of funding arrangements, with no overarching policy to provide a common frame of reference for their activities. Description of policy: Over the past decade, coordination of service provision has been improved by changes to the funding of private medical and allied health services for chronic conditions, by the development in some states of voluntary networks of services and by local initiatives, although these have had little impact on coordination of planning. Integrated primary health care centres are being established nationally and in some states, but these are too recent for their impact to be assessed. Reforms being considered by the federal government include bringing primary health care under one level of government with a national primary health care policy, establishing regional organisations to coordinate health planning, trialling voluntary registration of patients with general practices and reforming funding systems. If adopted, these could greatly improve integration within primary health care. Discussion: Careful change management and realistic expectations will be needed. Also other challenges remain, in particular the need for developing a more population and community oriented primary health care.

DOI 10.5334/ijic.328
Citations Scopus - 26
2009 Garne D, Perkins DA, Boreland F, Lyle D, 'Frequent users of the RFDS primary clinic and aeromedical services in remote NSW: a quality study', Medical Journal of Australia, 191 602-604 (2009) [C1]
Citations Scopus - 7
2009 Perkins D, 'Making good research useful: Another step on the journey', AUSTRALIAN JOURNAL OF RURAL HEALTH, 17 69-70 (2009) [C3]
DOI 10.1111/j.1440-1584.2009.01053.x
2009 Perkins D, 'Peer review: The key to quality and relevance', AUSTRALIAN JOURNAL OF RURAL HEALTH, 17 229-230 (2009) [C3]
DOI 10.1111/j.1440-1584.2009.01099.x
2009 Taggart J, Schwartz A, Harris M, Perkins DA, Powell Davies G, Proudfoot J, et al., 'Facilitating teamwork in general practice: moving from theory to practice', Australian Journal of Primary Health, 15 24-28 (2009) [C1]
Citations Scopus - 8Web of Science - 7
2008 Davies GP, Williams AM, Larsen K, Perkins D, Roland M, Harris MF, 'Coordinating primary health care: an analysis of the outcomes of a systematic review', MEDICAL JOURNAL OF AUSTRALIA, 188 S65-S68 (2008)
Citations Web of Science - 60
2008 Perkins D, 'Mental health academics in the university departments of rural health: Roles and contributions', Australian Journal of Rural Health, 16 325-326 (2008) [C3]
DOI 10.1111/j.1440-1584.2008.01027.x
2008 Perkins DA, Harris M, Tan J, Christl B, Taggart J, Fanaian M, 'Engaging participants in a complex intervention trial in Australian General Practice', BMC Medical Research Methodology, 8 55-55 (2008) [C1]
Citations Scopus - 12
2008 Perkins D, Lyle D, 'Rural and remote public health in Australia: An introduction to the special issue', AUSTRALIAN JOURNAL OF RURAL HEALTH, 16 51-51 (2008) [C3]
DOI 10.1111/j.1440-1584.2008.00972.x
2008 Kirby S, Chong J, Frances M, Davies G, Perkins DA, Zwar N, Harris M, 'Sharing or shuffling - realities of chronic disease care in general practice', Medical Journal of Australia, 189 77-77 (2008) [C1]
Citations Scopus - 18
2008 Powell Davies G, Williams A, Larsen K, Perkins DA, Roland M, Harris M, 'Coordinating primary health care: an analysis of the outcomes of a systematic review', Medical Journal of Australia, 188 S65-S68 (2008) [C2]
Citations Scopus - 68
2007 Oliver N, Perkins DA, Hare L, Larsen K, 'Stories from the past, the reality of the present, taking control of the future - Lifestyle changes among the Pukapuka people in the Illawarra', Health Promotion Journal of Australia, 18 105-108 (2007) [C1]
Citations Scopus - 1
2007 Perkins DA, Larsen K, Lyle D, Burns P, 'Securing and retaining a mental health workforce in Far Western New South Wales', Australian Journal of Rural Health, 15 94-98 (2007) [C1]
Citations Scopus - 22Web of Science - 24
2007 Burns P, Perkins DA, Larsen K, 'The introduction of electronic medication charts and prescribing in aged care facilities: An evaluation', AUSTRALASIAN JOURNAL ON AGEING, 26 131-134 (2007)
DOI 10.1111/j.1741-6612.2007.00237.x
Citations Scopus - 13Web of Science - 11
2006 Vagholkar S, Hare L, Hasan I, Zwar N, Perkins DA, 'Better access to psychology services in primary mental health care: an evaluation', Australian Health Review, 30 195-202 (2006) [C1]
Citations Scopus - 6
2006 Larsen K, Perkins DA, 'Training doctors in general practices: A review of the literature', Australian Journal of Rural Health, 14 173-177 (2006) [C2]
Citations Scopus - 28
2006 Perkins DA, Roberts R, Sanders T, Rosen A, 'The Far West Area Health Service Mental Health Integration Project: A Model for Rural Australia?', Australian Journal of Rural Health, 14 105-110 (2006) [C1]
Citations Scopus - 8
2005 Eagar K, Pirkis J, Owen A, Burgess P, Posner N, Perkins DA, 'Lessons from the National Mental Health Integration Program', Australian Health Review, 29 189-200 (2005) [C1]
Citations Scopus - 9
2005 Perkins DA, Lyle D, 'Is the Far West Mental Health Integration Project making a difference? The General Practitioner Perspective', Australian Journal of Primary Health, 11 32-37 (2005) [C1]
Citations Scopus - 1
2005 Senior K, Perkins DA, 'What are the challenges for evaluating a palliative care service?', Australian Journal of Primary Health, 11 19-24 (2005) [C1]
2002 Perkins DA, Senior K, Owen A, 'Mere Tokenism or Best Practice: The Illawarra Division of General Practice Consumer Consultative Committee', Australian Journal of Primary Health, 8 81-87 (2002) [C1]
Citations Scopus - 1
2001 Perkins DA, Owen A, Eagar K, Adamson L, Quinsey K, Harvey R, Green J, 'The Illawarra Co-ordinated Care Trial: better outcomes with existing resources?', Australian Health Review, 24 161-171 (2001) [C1]
Citations Scopus - 6
1999 Perkins DA, 'Commentary on, Philip Davies, Making Sense of Integrated Care in New Zealand', Australian Health Review, 22 45-47 (1999) [C1]
1999 Perkins DA, 'Business planning in the health service', INTERNATIONAL JOURNAL OF SERVICE INDUSTRY MANAGEMENT, 10 102-103 (1999)
1998 Glynn JJ, Perkins D, 'Control and accountability in the NHS market: a practical proposition or logical impossibility?', Journal of management in medicine, 12 (1998)

Before the imposition of the NHS internal market, systems of accountability and control were far from adequate and could be criticized on a number of grounds. The market was offer... [more]

Before the imposition of the NHS internal market, systems of accountability and control were far from adequate and could be criticized on a number of grounds. The market was offered as a panacea to address these inadequacies. However, in practice there have only been partial improvements which could have been achieved without the imposition of the market. The market also creates new problems and a number of crises and scandals seem to be addressed at the political level by pleas to utilize resources more effectively. These pleas mean that more and more the focus is turning back to central planning in the provision of care and further away from so-called market mechanisms. The NHS "managed" market has been imperfect and will continue to be so. Argues that there is no alternative but to return to the planned provision of health care in order to improve on accountability and control in the NHS. Hopefully the adverse impact of the market on clinicians and others will force a more rational reappraisal of the fundamental raison d'être of the NHS and the need for those involved in the delivery of services, at all levels, to be more openly accountable.

1997 Glynn JJ, Perkins D, 'Control and accountability in the NHS market: A practical proposition or logical impossibility?', International Journal of Public Sector Management, 10 62-75 (1997)

Before the imposition of the NHS internal market, systems of accountability and control were far from adequate and could be criticized on a number of grounds. The market was offer... [more]

Before the imposition of the NHS internal market, systems of accountability and control were far from adequate and could be criticized on a number of grounds. The market was offered as a panacea to address these inadequacies. However, in practice there have only been partial improvements which could have been achieved without the imposition of the market. The market also creates new problems and a number of crises and scandals seem to be addressed at the political level by pleas to utilize resources more effectively. These pleas mean that more and more the focus is turning back to central planning in the provision of care and further away from so-called market mechanisms. The NHS "managed" market has been imperfect and will continue to be so. Argues that there is no alternative but to return to the planned provision of health care in order to improve on accountability and control in the NHS. Hopefully the adverse impact of the market on clinicians and others will force a more rational reappraisal of the fundamental raison d'être of the NHS and the need for those involved in the delivery of services, at all levels, to be more openly accountable.

Citations Scopus - 10
1995 PERKINS DA, 'HEALTH-STATUS MEASUREMENT - A PERSPECTIVE ON CHANGE - BROOKS,RG', INTERNATIONAL JOURNAL OF SERVICE INDUSTRY MANAGEMENT, 6 82-83 (1995)
1993 Baker A, Perkins D, 'Careers: To be forgotten or managed ?', Health Services Management, 89 18-19+21 (1993)
1992 Perkins DA, 'Implementing the managed market: Considerations on the introduction of reforms in the u.k', Hospital Topics, 70 32-36 (1992)
DOI 10.1080/00185868.1992.10543711
1992 Perkins D, 'The Strategic Management of Health Services', Journal of Management Development, 11 31-39 (1992)
DOI 10.1108/02621719210018226
Citations Scopus - 2
1984 PERKINS D, 'RETHINKING GENERAL-PRACTICE - DILEMMAS IN PRIMARY MEDICAL-CARE - JEFFERYS,M, SACHS,H', JOURNAL OF SOCIAL POLICY, 13 511-512 (1984)
DOI 10.1017/S0047279400014197
1984 PERKINS D, 'MANAGEMENT FOR HEALTH-SERVICE ADMINISTRATORS - ALLEN,D, HUGHES,JA', SOCIOLOGY OF HEALTH & ILLNESS, 6 384-385 (1984)
DOI 10.1111/1467-9566.ep10492071
1982 PERKINS DA, 'CLINICIANS CONTRIBUTIONS TO DISTRICT MANAGEMENT TEAMS', BRITISH MEDICAL JOURNAL, 285 1745-1745 (1982)
DOI 10.1136/bmj.285.6356.1745-a
Show 110 more journal articles

Conference (19 outputs)

Year Citation Altmetrics Link
2018 Dalton H, Perkins D, Goodwin N, Hendry A, Davies K, Read D, Handley T, 'Use of the Project Integrate Framework for situational analysis and benchmarking of progress towards care integration in the Central Coast NSW', INTERNATIONAL JOURNAL OF INTEGRATED CARE (2018)
DOI 10.5334/ijic.s1088
Co-authors Angela Booth, Hazel Dalton, Donna Read
2018 Dalton HE, Perkins D, Goodwin N, Hendry A, Read D, Booth A, et al., 'Using the Project Integrate Framework for assessing progress towards care integration: Results from a formative evaluation of a complex intervention in Central Coast Local Health District, NSW, Australia', Utrecht, Netherlands (2018)
Co-authors Angela Booth, Hazel Dalton, Donna Read
2017 Livingstone F, Davies K, Handley T, 'How effective are they? An evaluation of community and clinician-targeted rural suicide prevention workshops', Albury, NSW (2017)
Co-authors Kate Davies
2017 Perkins D, 'Whole person mental health care: towards better systems of care', Coffs Harbour, NSW (Plenary) (2017)
2017 Fitzpatrick S, Perkins D, Luland T, Brown D, Corvan E, 'The effect of context in rural mental health care: understanding integrated services in a small town.', Royal College of Surgeons, Edinburgh, Scotland (Plenary) (2017)
Co-authors Scott Fitzpatrick
2017 Kelly B, Perkins D, Turner J, Gircgs A, Bultz B, 'Whole of patient cancer care: Bridging the gap between policy and practice', Dublin, Ireland (2017)
Co-authors Brian Kelly
2017 Perkins D, 'Integrated Primary Care: the news from Australia.', Royal College of Surgeons, Edinburgh, Scotland (Plenary) (2017)
2017 Perkins D, 'Building community connections and resilience: the importance of context and culture - the CRRMH', Scotland (2017)
2017 Perkins D, Leary J, McGeorge P, Ridoutt L, Hirst V, Dalton H, Read DMY, 'Integrated Mental Healthcare in Australia: Rural Pact and City Partnerships', Dublin, Ireland (2017)
Co-authors Hazel Dalton, Donna Read
2016 Austin EK, Kiem AS, Rich JL, Perkins D, Kelly B, 'Drought, wellbeing and adaptive capacity in rural NSW', NCCARF Climate Adaptation 2016 Conference - Change, Challenge, Opportunity, Adelaide, Australia (2016)
Co-authors Emma Austin Uon, Anthony Kiem, Brian Kelly, Jane Rich
2016 Austin EK, Rich JL, Kiem AS, Handley TE, Perkins D, Kelly B, 'Rural peoples' concerns about climate change: findings from the Australian rural mental health study', NCCARF Climate Adaptation 2016 Conference - Change, Challenge, Opportunity, Adelaide, Australia (2016)
Co-authors Emma Austin Uon, Anthony Kiem, Brian Kelly, Jane Rich
2016 Austin E, Kiem AS, Rich JL, Perkins D, Kelly BJ, 'Drought, wellbeing and climate change concerns in rural Australia', 4th International Young Researchers Workshop on River Basin Environment and Management, Ho Chi Minh City, Vietnam (2016)
Co-authors Brian Kelly, Anthony Kiem, Emma Austin Uon
2016 Livingstone F, Turner N, Davies K, Read D, Booth A, Dalton H, Perkins D, 'Connecting the Dots ¿ a Strengths-Based Approach to Aboriginal Suicide Prevention', Canberra (2016)
Co-authors Kate Davies, Hazel Dalton, Donna Read, Angela Booth
2015 Rich JL, Tynan R, Considine R, kay-lambkin F, inder K, Skehan J, et al., 'Mental Health Help Seeking in the Mining Industry', Brisbance (2015)
Co-authors Frances Kaylambkin, Kerry Inder, Jane Rich, Brian Kelly
2015 Considine R, tynan R, Inder K, skehan J, Rich JL, Perkins D, Kelly B, 'Mental Health in the mining industry: Knowledge, attitudes and help seeking', Bergen Norway (2015)
Co-authors Kerry Inder, Brian Kelly, Jane Rich
2015 Rich J, Inder K, Harris ML, Perkins D, Byles J, 'Who cares for whom? Giving and receiving healthcare for women over 70 in remote Australian places', Chiang Mai, Thailand (2015) [O1]
Co-authors Julie Byles, Jane Rich, Kerry Inder, Melissa Harris
2015 Austin E, Kiem AS, Perkins D, Rich J, Kelly B, 'Spatial analysis of drought and wellbeing in rural Australia', Brisbane, Australia (2015) [E3]
Co-authors Jane Rich, Brian Kelly, Emma Austin Uon, Anthony Kiem
2014 Perkins DA, Fuller J, 'Reforming the Australian Mental Health System: can network theory and methods help?', International Journal of Integrated Care, Brussels, Belgium (2014) [E3]
2009 Kelly BJ, Stain HJ, Coleman CE, Lyle D, Perkins DA, Frager L, et al., 'Living in a rural community and the determinants of mental health: Australian Rural Mental Health Study', 3rd Rural Health Research Colloquium: Building a Healthier Future Through Research: Program and Abstract Book, Ballina, NSW (2009) [E3]
Co-authors Brian Kelly
Show 16 more conferences

Report (8 outputs)

Year Citation Altmetrics Link
2018 Fitzpatrick SJ, Read D, Dalton H, Perkins D, 'National Suicide Prevention Trial Western New South Wales: Closing Report', Western New South Wales Primary Health Network (2018)
Co-authors Scott Fitzpatrick, Hazel Dalton, Donna Read
2018 Read D, Dalton H, Booth A, Davies K, Handley T, Goodwin N, et al., 'Central Coast Integrated Care Program: Formative Evaluation, Technical Paper', Central Coast Local Health District (2018)
Co-authors Hazel Dalton, Angela Booth, Donna Read
2017 Hazell T, Dalton HE, Caton T, Perkins D, 'Rural Suicide and its Prevention: a CRRMH position paper.', Centre for Rural and Remote Mental Health, University of Newcastle, 40 (2017)
Co-authors Hazel Dalton
2017 Dalton H, Read D, Handley TE, Perkins D, 'Low Intensity Mental Health Services: A Rapid Review', A multi-state collective of Primary Health Networks, 124 (2017)
Co-authors Donna Read, Hazel Dalton
2016 kelly B, Considine R, Rich JL, Tynan R, Skehan J, Perkins D, et al., 'Feasibility and Acceptability of Strategies to Address Mental Health in Coal Mining in New South Wales and Queensland', Australian Coal Association Research Program, 54 (2016)
Co-authors John Wiggers, Kerry Inder, Terry Lewin, Jane Rich, Carole James, Brian Kelly
2016 Considine R, Rich JL, Inder K, Perkins D, 'Review of Step-up and step-down Mental Health Services in New South Wales', NSW Health, 42 (2016)
Co-authors Jane Rich, Kerry Inder
2014 Rich JL, Pilbeam V, Ridoutt L, Perkins D, 'and Perkins, D. (2014) Rural mental health service delivery models ¿ a literature review', prepared for Mid North Coast Local Health District, Centre for Rural and Remote Mental Health, University of Newcastle, Australia, 50 (2014)
Co-authors Jane Rich
2014 Perkins D, Handley T, Parker S, Gill T, 'Opiate Substitution: A Rapid Review', New South Wales Health Mental Health and Drug and Alcohol Office (2014)
Show 5 more reports
Edit

Grants and Funding

Summary

Number of grants 12
Total funding $46,049,971

Click on a grant title below to expand the full details for that specific grant.


20182 grants / $164,127

Virtual Dementia Friendly Rural Communities (VERILY) project$139,127

Funding body: Department of Health

Funding body Department of Health
Project Team Dr Irene Blackberry, Doctor Clare Wilding, Doctor Michael Bauer, Professor David Perkins, Doctor Margaret Winbolt, Professor Jennene Greenhill, Associate Professor Megan O'Connell, Doctor Debra Morgan, Ms Catherine Morley, Professor Jane Farmer
Scheme Dementia and Aged Care Services Research and Innovation Funding Round (DACS)
Role Lead
Funding Start 2018
Funding Finish 2019
GNo G1800408
Type Of Funding C2110 - Aust Commonwealth - Own Purpose
Category 2110
UON Y

Prevention and early intervention for people aged 18 and over with, or at risk of, mild to moderate depression and anxiety$25,000

Funding body: The Sax Institute

Funding body The Sax Institute
Project Team Associate Professor Frances Kay-Lambkin, Professor Sally Chan, Professor Brian Kelly, Professor David Perkins, Doctor Tonelle Handley, Doctor Hazel Dalton, Dr Matt Sunderland
Scheme Project Grant
Role Investigator
Funding Start 2018
Funding Finish 2018
GNo G1801155
Type Of Funding C3112 - Aust Not for profit
Category 3112
UON Y

20172 grants / $233,604

Central Coast LHD Integrated Care Formative Evaluation$133,604

Funding body: Central Coast Local Health District

Funding body Central Coast Local Health District
Project Team Professor David Perkins, Doctor Hazel Dalton, Doctor Kate Davies, Doctor Tonelle Handley, Doctor Donna Read, Mrs Angela Booth
Scheme Research Grant
Role Lead
Funding Start 2017
Funding Finish 2017
GNo G1700888
Type Of Funding C2210 - Aust StateTerritoryLocal - Own Purpose
Category 2210
UON Y

GP’s with a Special Interest in Mental Health$100,000

Funding body: Murrumbidgee Primary Health Network

Funding body Murrumbidgee Primary Health Network
Project Team Doctor Tonelle Handley, Doctor Hazel Dalton, Professor David Perkins, Louise Upton, Sarah Connor, Jane Connolly, Sean Mutchmor, Doctor Kate Davies
Scheme Research Grant
Role Investigator
Funding Start 2017
Funding Finish 2018
GNo G1701306
Type Of Funding C2110 - Aust Commonwealth - Own Purpose
Category 2110
UON Y

20162 grants / $20,949,937

Subproject for CRRMH: Rural Adversity Mental Health Program (RAMPH)$13,879,500

Funding body: Health Administration Corporation

Funding body Health Administration Corporation
Project Team Professor David Perkins
Scheme Research Award
Role Lead
Funding Start 2016
Funding Finish 2020
GNo GS160001
Type Of Funding C2210 - Aust StateTerritoryLocal - Own Purpose
Category 2210
UON Y

Centre for Rural and Remote Mental Health CRRMH 2016-2020$7,070,437

Funding body: Health Administration Corporation

Funding body Health Administration Corporation
Project Team Professor David Perkins, Professor David Perkins
Scheme Research Award
Role Lead
Funding Start 2016
Funding Finish 2020
GNo G1600529
Type Of Funding C2210 - Aust StateTerritoryLocal - Own Purpose
Category 2210
UON Y

20151 grants / $2,000

15th International Conference for Integrated Care , Edinburgh Scotland, 25-27 March 2015$2,000

Funding body: University of Newcastle - Faculty of Health and Medicine

Funding body University of Newcastle - Faculty of Health and Medicine
Project Team Professor David Perkins
Scheme Travel Grant
Role Lead
Funding Start 2015
Funding Finish 2016
GNo G1500542
Type Of Funding Internal
Category INTE
UON Y

20131 grants / $400,000

Population Health and Health Services Research Support (PHHSRS)$400,000

Funding body: Health Administration Corporation

Funding body Health Administration Corporation
Project Team Professor David Perkins, Professor Prasuna Reddy, Associate Professor Tony Lower, Professor Lesley Barclay, Professor David Lyle, Dr Megan Passey
Scheme Research Award
Role Lead
Funding Start 2013
Funding Finish 2017
GNo G1301246
Type Of Funding C2220 - Aust StateTerritoryLocal - Other
Category 2220
UON Y

20112 grants / $7,255,000

Centre for Rural and Remote Mental Health CRRMH 2011- 2015$6,775,000

Funding body: Health Administration Corporation

Funding body Health Administration Corporation
Project Team Professor David Perkins, Professor Brian Kelly, Associate Professor Helen Stain, Doctor Tracy Robinson, Mr Bruce Middleton
Scheme Research Award
Role Lead
Funding Start 2011
Funding Finish 2015
GNo G1100672
Type Of Funding Other Public Sector - State
Category 2OPS
UON Y

Agreement for funding to the Centre for Rural and Remote Mental Health for the provision of shared librarian services$480,000

Funding body: Greater Western Area Health Service

Funding body Greater Western Area Health Service
Project Team Professor David Perkins, Professor Prasuna Reddy
Scheme Research Award
Role Lead
Funding Start 2011
Funding Finish 2018
GNo G1200811
Type Of Funding C2220 - Aust StateTerritoryLocal - Other
Category 2220
UON Y

20081 grants / $13,440,070

Rural Adversity Mental Health Program (RAMHP)$13,440,070

Funding body: NSW Ministry of Health

Funding body NSW Ministry of Health
Project Team Professor David Perkins, Mr Trevor Hazell, Professor Prasuna Reddy, Professor Brian Kelly
Scheme Mental Health Research Grant
Role Lead
Funding Start 2008
Funding Finish 2015
GNo G0188613
Type Of Funding C2220 - Aust StateTerritoryLocal - Other
Category 2220
UON Y

20071 grants / $3,605,233

Farm Link: improving the mental health and wellbeing of people on NSW farms' project$3,605,233

Funding body: Department of Health

Funding body Department of Health
Project Team Professor David Perkins, Mr Trevor Hazell, Professor Prasuna Reddy, Mrs Meg Perceval, Mr Bruce Middleton, Professor Brian Kelly, Associate Professor Paul Fanning
Scheme National Suicide Prevention Strategy
Role Lead
Funding Start 2007
Funding Finish 2016
GNo G0187351
Type Of Funding Other Public Sector - Commonwealth
Category 2OPC
UON Y
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Research Supervision

Number of supervisions

Completed0
Current5

Current Supervision

Commenced Level of Study Research Title Program Supervisor Type
2017 PhD A Comparative Analysis of Psychosocial Approaches to the Prevention of Suicide in Australia PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Principal Supervisor
2017 PhD Implementation of the Mental Health Act in Ghana: A Study of Potential Barriers and Enablers using a Mixed-Method Approach PhD (Psychiatry), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2017 PhD The Mental Health Act: Bridging the Gap Between Mental Health, Crime, and the Justice Delivery System. A Comparative Study Between Ghana and Australia PhD (Psychiatry), Faculty of Health and Medicine, The University of Newcastle Principal Supervisor
2015 PhD Drought and Wellbeing in Australian Rural Communities: Implications for Improving Adaptive Capacity and Resilience to Drought PhD (Environmental Sc), Faculty of Science, The University of Newcastle Co-Supervisor
2015 PhD Investigating the Role of Carers of Individuals with Mental Health Issues as an Unpaid Component of the Mental Health Workforce PhD (CommunityMed & ClinEpid), Faculty of Health and Medicine, The University of Newcastle Principal Supervisor
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News

Mental illness going unrecognised in country communities

June 20, 2018

Researchers have found that one third of country people experiencing psychological distress don’t identify as having a mental health problem.

Rural suicide prevention on the agenda at Easter Show

April 11, 2017

In every state in Australia, the rate of suicide among those who live outside the capital cities is higher than that for residents that live within them

Professor David Perkins

Position

Director
Centre for Rural and Remote Mental Health
Faculty of Health and Medicine

Contact Details

Email david.perkins@newcastle.edu.au
Phone 026363 8441
Mobile 0412 461 716

Office

Room R.47
Building CRRMH
Location Orange

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