• How do we become a Jack of All Trades?

    A report back on Kate Allardice's session Jack of All Trades – a nursing experience of Hep C treatment outreach work in the TAP study. 

    As nurses working with vulnerable and difficult to engage communities, we are constantly looking for new ways to become a Jack of all trades. Kate and her team’s innovative program is an exemplary example of how we can create new models of care & remove barriers.

    Kate and her team had the innovative idea of setting up a van that is equipped to perform hepatitis C screening, treatment, follow up and monitoring. This allowed them to access those vulnerable people on the streets who were difficult to engage in mainstream health services, particularly IVDUs. By meeting client’s on their terms and in a place that is familiar and comfortable to them, the team were able to remove a significant barrier to care.

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  • Passion and Patience

    A report back on Mim O'flynn's session Towards a cure on the inside. 

    No one could help but be inspired by Mim’s passion for nursing and nurse-led models of care. Returning to the fold, as it were, after many years away from nursing, she displayed an enthusiasm and vigor to the room that was inspiring.  She has achieved outstanding results in just over 12 months providing “in-reach” HCV screening and treatment at the Arthur Gorrie Correctional Centre (AGCC). The AGCC is a privately run, high security remand centre that holds 1187 adult male prisoners waiting for sentencing.

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  • Improving access to services to address the physical health care needs of people engaged with a public mental health AOD services in Melbourne

    A report back on Rebecca Brereton and Bradley Whitto's session Integrating hepatitis C care within community mental health and addiction services

    An innovative model of care between a Nurse Practitioner and Hepatology Nurse. Rebecca Brereton and Bread Whitten are employed by The Alfred Hospital in Melbourne, Vic. Both nurse specialists who have set up a nurse-led Hep C clinic within the Psychiatry and AOD service. Their aim is to provide access to DAA’s whilst educating the broader Psychiatry/AOD teams and increasing their confidence in prescribing, with a hope to reduce the burden of disease amongst this vulnerable group of people.

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  • Empowering CALD communities affected by Hepatitis B utilising bilingual trained Health workers

    A report back on Marrianne Blacks Hepatitis B and the CALD community: A unique community based nursing model of care utilising Bi-Lingual community health workers.

    Majority of CALD communities in Australia originate from areas with high prevalence of Hep B and majority of them are completely unaware of their Hep B status until their arrival in Australia where the diagnosis is made. After the diagnosis most of them are clueless what it to is and what it means their lives. When they are under perception that it is acquired through sex it can lead to a marriage breakdown, leaving them alienated by families and friends. This is compounded by the failure of GP’s to explain adequately to patients about the disease process, what it means to them, long-term plan management and surveillance that is required when they have the virus. 

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  • Advanced Nursing Care provided by the Alfred Hospital to the S.E. suburban community

    A report back on Rebecca Brereton and Bradley Whitto's session Integrating hepatitis C care within community health and addiction services

    Rebecca and Brad provided an insight into what services they provide at the Alfred Hospital for the south eastern suburbs of Melbourne, from m the point of view of a Nurse Practitioner and Clinical Nurse Consultant working with people who have hepatitis C, drug addiction issues and/or diagnosed with a mental health disorder. The aim of the service is to provide a nurse-led model of care, to educate people with hepatitis C, on the new treatment regime, allowing them to feel included and not excluded, due to their mental health and lifestyle choices.  The idea is to minimize the barriers of treatment by allowing everyone who has hepatitis C, no matter what their status is, in having access to affordable accessible treatment and being cured.

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  • Breaking one of the barriers to Hepatitis C treatment – Linking outreach to existing services

    A report back on Gary Keogh’s session Breaking one of the Barriers to Hepatitis C treatment – Linking outreach to existing services.

     

    Queensland Injectors Health Network (QuIHN) have a successfully set up a network of nurse practitioner/clinical nurse consultants -led community clinics across Queensland targeting vulnerable clients and they are also happy to see anyone that walks in their door.   Their model is not preaching abstinence, but rather a harm reduction model. 

     

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  • One-off prescribers: the face of DAA prescribing in general practice

    A report back on Professor Greg Dore’s presentation: DAA uptake and outcomes in Australia delivered at the Treating Hepatitis C in General Practice Forum

    In this session, we were given an update on the current data about who is prescribing DAAs in Australia and how it is going, with a bit of a focus on general practice.

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  • Inside the Lived Experience

    A report back on Kurt Brereton's session: Inside the Lived Experience delivered at the Treating Hepatitis C in General Practice Forum

    Kurt is a man who has had Hep C contracted, many years ago, in his youth.  He outlined his journey and provided insight into his feelings and treatment by others particularly health professionals and provided advice and ideas on how to interact with people who are at risk or do carry Hep C.

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  • Where are all the undiagnosed HCV cases?

    A report back on Dr Anne Balcomb’s session: Where are all the undiagnosed HCV cases? Delivered at the Treating Hepatitis C in General Practice Forum.

    Anne outlined her work as a GP working in a hospital interface role in a small town and finding and managing patients with viral hepatitis.

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  • HCV care in OPT clinic setting: changing Model of Care and inclusion of peer workers

    A report back on Ms Sinead Sheils's session: HCV care in OPT clinic setting: changing Model of Care and inclusion of peer worker can increase client engagement and HCV screening rates.

    Sinead spoke about the benefits of her model, which involves collaboration between a Nurse Practitioner and a Peer worker to increase access to DAA therapy. The peer worker significantly increased engagement in screening by establishing rapport and endorsing the validity of the treatments to fellow peers. This also freed up the Nurse Practitioner to perform clinical care duties.

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