title: Wisdom from the drought: recommendations from a consultative conference.
abstract: OBJECTIVE
  Drought is a serious and recurring problem for rural and remote Australia. This paper reports the proceedings of a consultative conference concerning the mental health effects of drought held at the Centre for Rural and Remote Mental Health, Orange, in December 2003. The conference objective was to record the collective experience of government and non-government agencies dealing with the effects of drought in rural areas and to collate information for the development of a mental health strategy for future drought.
  
  
  METHODS
  Participants were recruited in consultation with rural mental health organisations. Questions about mental health service strategies to minimise and respond to the mental health impact of the drought were posed to participants. Qualitative data were collected using a Nominal Group Technique.
  
  
  METHODS
  The Centre for Rural and Remote Mental Health, Bloomfield Hospital, Orange, New South Wales.
  
  
  METHODS
  Twenty-three professionals participated, including representatives from New South Wales Health, Mental Health, and Agriculture; the Department of Community Services, and Rural Financial Counsellors.
  
  
  METHODS
  Qualitative analysis of participant responses.
  
  
  RESULTS
  Three general strategies emerged as the most beneficial in minimising adverse mental health outcomes in times of drought: community-building and education about the physical, financial and mental health effects of drought; co-operation between and co-ordination of agencies in delivering mental health and other drought support; and continuity and planning of improved mental health services.
  
  
  CONCLUSIONS
  Drought has a serious effect on the mental health of communities. It is important to plan a response beyond the end of the drought, bringing together different government and non-government agencies to build community capacity to address common mental health needs.
authors.affiliation: Centre for Rural and Remote Mental Health, University of Newcastle c/- Bloomfield Hospital, Forest Road, Orange, New South Wales 2800, Australia. gina.sartore@mwahs.nsw.gov.au
authors.forename: Gina
authors.initials: G
authors.lastname: Sartore
authors.forename: Bryan
authors.initials: B
authors.lastname: Hoolahan
authors.forename: Anne
authors.initials: A
authors.lastname: Tonna
authors.forename: Brian
authors.initials: B
authors.lastname: Kelly
authors.forename: Helen
authors.initials: H
authors.lastname: Stain
mesh_terms: D003226:Congresses as Topic; D004190:Disasters; D017144:Focus Groups; D006285:Health Planning / Q000458:organization & administration*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D020380:Needs Assessment; D009517:New South Wales; D036301:Qualitative Research; D019035:Rural Health Services / Q000458:organization & administration*