Melbourne Region Research Articles

Analysis of air temperature change trends and their impacts in Australia

Global climate change has become a major challenge of our time, affecting ecosystems, weather patterns, and human activities across the globe. In this paper, we analyze the causes and effects of climate change by looking at Australia, in particular, summer temperature trends in the Melbourne region over the past 20 years. By examining historical data and considering the current situation, this paper makes recommendations to address these challenges. The relevant data shows a general increase in average summer temperatures in Melbourne and across Australia from 2003 to 2023. The main factors contributing to these fluctuations include global climate change, human activity, and urbanization. Continued temperature increases are primarily caused by global warming, exacerbated by increased greenhouse gas emissions from human activities and the urban heat island effect. The impacts of climate change on Melbourne and Australia are multifaceted, affecting public health, water management, energy demand, ecosystems, and agriculture. After analyzing Australia's overall climate, this paper proposes measures to improve it, such as reducing greenhouse gas emissions, increasing urban resilience, improving public health security, protecting and restoring ecosystems, and promoting scientific research and education.

Actors mainstreaming nature-based solutions in cities: A case study of Melbourne’s change agents and pathways for urban sustainability transformations

Nature-based solutions (NBS) are implemented across multiple cities worldwide and feature as promising solutions in local and global agendas. As solutions that can deal with interlinked urban challenges, NBS are being taken up by cities in different geographies and are considered to be mainstreaming. The process, referred to as mainstreaming, and how this can be achieved needs to be better understood, which is identified as a research gap. In this paper, we examine the roles that actors can undertake that contribute to the mainstreaming of NBS in cities. The aim is to understand the roles that urban actors, especially those within local governments, assume in the process of NBS mainstreaming to mobilise and implement novel and innovative strategic solutions for cities. This topic is explored in a case study of the metropolitan Melbourne region in Australia, where urban forest strategies are gaining traction in local governments for addressing urban resilience concerns. We present how the roles different actors assume contribute to the (re)shaping, building, and/or transformation of institutions to attain climate and ecologically resilient cities. The main contribution of this paper is a pathways framework that illustrates how sustainability norms can move through the mainstreaming process, facilitated by the roles that actors undertake – to champion, advocate, and realise transformative discourses and actions within urban politics and urban practices. Our key findings are framed as success factors of mainstreaming agencies and pathways underpinning transformation, which are: commitment longevity, innovative capacity, collaborative mindset, and on-ground delivery.

Association between network characteristics and bicycle ridership across a large metropolitan region

Numerous studies have explored associations between bicycle network characteristics and bicycle ridership. However, the majority of these studies have been conducted in inner metropolitan regions and as such, there is limited knowledge on how various characteristics of bicycle networks relate to bicycle trips within and across entire metropolitan regions, and how the size and composition of study regions impact on the association between bicycle network characteristics and bicycle ridership. We conducted a retrospective analysis of household travel survey data and bicycle infrastructure in the Greater Melbourne region, Australia. Seven network metrics were calculated (length of the bicycle network, betweenness centrality, degree centrality, network density, network coverage, intersection density and average weighted slope) and Bayesian spatial models were used to explore associations between these network characteristics and bicycle ridership. We demonstrated that bicycle ridership was associated with several network characteristics, and that these characteristics varied according to the outcome (count of the number of trips made by bike or the proportion of trips made by bike) and the size and characteristics of the study region. These findings challenge the utility of approaches based on spatially modeling network characteristics and bicycle ridership when informing the monitoring and evaluation of bicycle networks. Further efforts are required to be able to quantify network characteristics that reflect the myriad of factors that influence comfort and safety for people of all ages and abilities.

Stormwater Treatment Using Natural and Engineered Options in an Urban Growth Area: A Case Study in the West of Melbourne

The expected increase in urbanization and population in coming years is going to increase the impervious land area, leading to substantial increases in stormwater runoff and hydrological challenges, and presents significant challenges for urban potable water supply. These are worldwide challenges that can potentially be ameliorated by harvesting stormwater for potable use or for other uses that can reduce the pressure on potable water supply. This study sought to assist the local water authority in planning for future potable water supply through a review of the scientific literature to determine the likely chemical and microbial characteristics of stormwater, the treatment train (TT) requirements, and the likely costs of treatment to achieve potable standards for the high-growth metropolitan region of Melbourne, Australia. Literature stormwater quality statistical data and treatment process performance data were used to model the expected product water microbial and chemical quality after treatment using a number of advanced TT options. The results of the modelling were compared with literature microbial log reduction targets (LRTs) for the potable use of stormwater and with the Australian Drinking Water Guidelines (ADWG). It was found that a reverse osmosis (RO)-based TT with microfiltration pre-treatment and post-RO advanced oxidation and chlorination in storage reservoirs is a conservative stormwater potable use treatment option. A less conservative and less expensive ozone-and-biologically active filtration (O3/BAF)-based TT option is also proposed if RO concentrate disposal is deemed to be too challenging. These results could be useful in climate change adaptation involving the evaluation of options for the mitigation of future population-growth- and climate-change-driven water supply challenges, as well as urbanization-driven stormwater hydrology and receiving water pollution challenges.

Primary healthcare needs and service utilisation of people with disability: a data linkage protocol

IntroductionGeneral practitioners (GPs) play a crucial role in the early management and treatment of the comorbidities and complications experienced by people with disability. However, GPs experience multiple constraints, including limited...

Two Quasi-Linear Convective Systems, Their Mesoscale Structure and Moisture Sources

Abstract Over half of the total rainfall and more than 70% of heavy and extreme rainfall in the Melbourne, Australia, region occurs on days with linearly organized precipitation. These systems are typically convective in nature and frequently associated with cold fronts. It is useful to understand the processes that support extreme rainfall in organized convection, for prediction of both near-term and future extreme rainfall, and the topography and climate of Melbourne are different from many of the regions where QLCSs have been studied more extensively (e.g., the U. S. Great Plains region). On both 7 and 8 December 2010, a QLCS passed through the Melbourne region. Both QLCSs resembled classic systems on radar, but heavy rainfall was much more widespread on the second day. The goals of this work are to 1) understand the processes that drive these seemingly similar QLCSs; 2) explore the relationship between the convective inflow layer and moisture sources; and 3) to better understand the characteristics of rain bearing systems in the Melbourne region, which have received little attention to date. A convection-permitting WRF-ARW simulation captures both events. The mesoscale structure is different in each case, but generally is explainable by the existing theory. The development of a mesoscale downdraft, along with more moisture (and CAPE) over a deeper layer, contributed to higher rainfall totals on the second day. Low-level moisture in the QLCS region comes from the east, and parcel trajectories become increasingly westerly with height. On the second day some parcels originate in the tropics; these tend to have the most moisture. Significance Statement A lot of the rain that falls in Melbourne, Australia, occurs in storms that are grouped or “organized” in the shape of a line. Many studies have looked at how lines of storms work in other places in the world. In southeast Australia, only one study in the 1980s looked at observations of a line of storms. Since then, our understanding of storms and our ability to use computer models to simulate them has improved considerably. In this study we simulate two lines of storms that happened two days in a row. We found that even though they looked similar on weather radar, they had many differences including how air flows through the storm, the role of rain-cooled air, and where moisture comes from.

Using weather factors and google data to predict COVID-19 transmission in Melbourne, Australia: A time-series predictive model

BackgroundForecast models have been essential in understanding COVID-19 transmission and guiding public health responses throughout the pandemic. This study aims to assess the effect of weather variability and Google data on COVID-19 transmission and develop multivariable time series AutoRegressive Integrated Moving Average (ARIMA) models for improving traditional predictive modelling for informing public health policy. MethodsCOVID-19 case notifications, meteorological factors and Google data were collected over the B.1.617.2 (Delta) outbreak in Melbourne, Australia from August to November 2021. Timeseries cross-correlation (TSCC) was used to evaluate the temporal correlation between weather factors, Google search trends, Google Mobility data and COVID-19 transmission. Multivariable time series ARIMA models were fitted to forecast COVID-19 incidence and Effective Reproductive Number (Reff) in the Greater Melbourne region. Five models were fitted to compare and validate predictive models using moving three-day ahead forecasts to test the predictive accuracy for both COVID-19 incidence and Reff over the Melbourne Delta outbreak. ResultsCase-only ARIMA model resulted in an R squared (R2) value of 0.942, Root Mean Square Error (RMSE) of 141.59, and Mean Absolute Percentage Error (MAPE) of 23.19. The model including transit station mobility (TSM) and maximum temperature (Tmax) had greater predictive accuracy with R2 0.948, RMSE 137.57, and MAPE 21.26. ConclusionMultivariable ARIMA modelling for COVID-19 cases and Reff was useful for predicting epidemic growth, with higher predictive accuracy for models including TSM and Tmax. These results suggest that TSM and Tmax would be useful for further exploration for developing weather-informed early warning models for future COVID-19 outbreaks with potential application for the inclusion of weather and Google data with disease surveillance in developing effective early warning systems for informing public health policy and epidemic response.

Promoting social inclusion among asylum seekers and refugees living in the south east region of Melbourne, Australia, through volunteering.

This article describes the Refugee Health Volunteer Program; a Monash Health initiative that aimed to promote social inclusion among asylum seekers and refugees within the south-eastern region of Melbourne, Australia. This article also presents the evaluation findings of this strategy. This mixed-methods evaluation aimed to determine the impact of the Volunteer Program at both an individual and organisational level. Volunteers completed a survey (n=39) and participated in interviews (n=14), and staff working alongside volunteers at Monash Health Community completed a survey (n=82). Volunteers attributed a range personal benefits to their involvement in the Refugee Health Volunteer Program; reporting improvements across all survey domains, including "Personal development," "Skill development," "Health and wellbeing," "Sense of trust and inclusion," "Social development." Further, within the interviews participants discussed that through volunteering they had made friends, developed new skills and felt their emotional wellbeing had improved. Staff members (n=82) working at Monash Health Community also reflected positively on the program, reporting that volunteers increased organisational capacity and enhanced their personal understanding of asylum seeker and refugee issues. This program has successfully responded to an emerging need within the local asylum seeker and refugee community. Applying a social determinants framework acknowledges the fundamental impact of social connectivity on wellbeing. SO WHAT?: Many of the factors that adversely impact the wellbeing of asylum seekers and refugees sit beyond both individual and organisational control. However, this article defines an effective volunteering model that fosters social inclusion and promotes emotional wellbeing among humanitarian arrivals in Australia, within the confines of the existing context.

Disposition of patients utilising the virtual emergency department service in southeast region of Melbourne (SERVED-1).

Supported by the state government, three health networks partnered to initiate a virtual ED (VED), as part of a broader roll-out of emergency telehealth services in Victoria. The aim of the present study (Southeast Region Virtual Emergency Department-1 [SERVED-1]) was to report the initial 5-month experience and included all patients assessed through the service over the first 5months (1 February 2022 to 30 June 2022). VED consults occurred after referral from paramedics in the pre-hospital setting. Electronic medical records were retrospectively reviewed for demographic, presenting complaint and outcome data. The primary outcome was the count of VED consultations. The secondary outcome was the proportion of patients where physical ED attendance was avoided within 72 h. The proportion of physical ED attendances avoided sub-grouped by primary presenting complaints were reported. There were 1748 patients who had a VED consultation, of which 1261 (72.1%; 95% confidence interval [CI] 70.0-74.2) patients had physical presentation to an ED avoided in the 72 h following the consult. There was a significant increase in consultations over the 5-month period (incidence rate ratio 1.27; 95% CI 1.23-1.31, P < 0.001) that was consistent in the three health services. The most common presenting complaints were COVID-19 and shortness of breath, and physical presentation was avoided most often among younger patients and those with COVID-19. Initial experience demonstrated a significant increase in adoption of the service and an overall avoidance of physical ED attendance by a majority of patients. These results support ongoing VED consultations, complemented by follow up and health economic evaluations.

Identification of Embodied Environmental Attributes of Construction in Metropolitan and Growth Region of Melbourne, Australia to Support Urban Planning

As growth regions evolve to accommodate the increasing population, they need to develop a wider variety of residential properties to accommodate the varying needs of the residents. As a result, the new accommodation is denser which involves higher embodied water carbon and energy. This research compares the construction differences in metropolitan and growth regions of Melbourne to identify embodied carbon, water, and energy. Representative areas of 25 km2 are selected from both regions. The growth region has 80% of the built area comprised of 2nd generation low-rise residential buildings whereas the prolific construction type in the Metropolitan region is mixed purpose industrial with 30% of the built area comprising of this type. The methodology implies open-source satellite imagery to build a spatial dataset in QGIS. The visual identification of the constructions in the study areas enables to identity the materials used in their construction. The total embodied carbon, water, and energy for the Metropolitan region are 32,895 tonnes, 4192 mL, and 3,694,412 GJ, respectively, whereas in the growth region, the totals are 179,376 tonnes carbon, 2533 mL water, and 2,243,571 GJ. Whilst Metropolitan has a significantly higher overall footprint when this is compared to the population of each region, it is shown that the growth region with its current construction type has a higher embodied carbon, water, and energy per head. The total per head for Metropolitan is 226.7 GJ energy, 257 kL water, and 20 tonnes carbon, whereas in the growth region, the embodied energy, water, and carbon, respectively, per head is 287.4 GJ, 324.6 kL, and 22 tonnes. The current performance per head of the growth region is considerably lower than that of Metropolitan. Using diverse residential construction types and efficient materials can serve the demanding needs of denser populated areas.

Developing urban biking typologies: Quantifying the complex interactions of bicycle ridership, bicycle network and built environment characteristics

Extensive research has been conducted exploring associations between built environment characteristics and biking. However, these approaches have often lacked the ability to understand the interactions of the built environment, population and bicycle ridership. To overcome these limitations, this study aimed to develop novel urban biking typologies using unsupervised machine learning methods. We conducted a retrospective analysis of travel surveys, bicycle infrastructure and population and land use characteristics in the Greater Melbourne region, Australia. To develop the urban biking typology, we used a k-medoids clustering method. Analyses revealed 5 clusters. We highlight areas with high bicycle network density and a high proportion of trips made by bike (Cluster 1; reflecting 12% of the population of Greater Melbourne, but 57% of all bike trips) and areas with high off-road and on-road bicycle network length, but a low proportion of trips made by bike (Cluster 4, reflecting 23% of the population of Greater Melbourne and 13% of all bike trips). Our novel approach to developing an urban biking typology enabled the exploration of the interaction of bicycle ridership, the bicycle network, population and land use characteristics. Such approaches are important in advancing our understanding of bicycling behaviour, but further research is required to understand the generalisability of these findings to other settings.

A Brief, Daily, Online Mental Health and Well-being Intervention for University Staff During the COVID-19 Pandemic: Program Description and Outcomes Using a Mixed Methods Design.

BackgroundThe unprecedented changes and isolation measures to contain COVID-19 have had multiple psychological and social impacts, with implications for professional and personal functioning. Evidence-informed interventions that can be rapidly implemented under pandemic conditions to support mental health during such times are urgently needed.ObjectiveThe aim of this study was to determine the acceptability and preliminary outcomes of a daily online mental health promotion program for tertiary education staff during the COVID-19 pandemic.MethodsThe “Victoria University (VU) Elevenses” program was delivered as an uncontrolled intervention at Victoria University (VU) in the western metropolitan region of Melbourne, Australia. In April 2020, an email invitation was sent to all academic and professional staff inviting them to: (1) participate in the program and (2) opt-in to the research component. The “VU Elevenses” program provided 10-15–minute microinterventions comprising lifestyle and well-being strategies to promote mental health via an online meeting platform at 11 AM each weekday. A mixed methods approach was used to evaluate the program, combining structured questionnaires with semistructured interviews to investigate the experiences of staff who participated in the program.ResultsBetween 16 and 90 participants provided weekly program feedback. A total of 106 university staff opted into the longitudinal research component and 10 staff participated in the interviews. Participants reported high levels of satisfaction with sessions and perceived benefits for mental health. Approximately one quarter of participants reported moderate to severe symptoms of depression, anxiety, and stress at baseline, with significant reductions in these symptoms in the first 7 weeks of the program, corresponding with easing in mandatory isolation (“lockdown”) restrictions. Symptoms of depression, anxiety, and stress all increased when lockdown measures were reintroduced, but not to the same levels as found during the initial lockdown period. Overall changes in depression and anxiety from baseline to the end of the program were explained by changes in COVID-19–related distress, whereas changes in self-compassion explained changes in stress.ConclusionsWe show that it is feasible and acceptable to develop and deliver a program of brief interventions in a timely manner, using a simple and accessible online platform. Although participation in the program was initially associated with reduced symptoms of depression, anxiety, and stress, participants’ mental health worsened with the reintroduction of a “lockdown” period. However, as symptoms of depression, anxiety, and stress did not return to levels observed at the start of the VU Elevenses program, participation in the uncontrolled intervention may have offered a protective benefit against the impact of the second significant lockdown period.

Linear Rainfall Features and Their Association with Rainfall Extremes near Melbourne, Australia

AbstractLinear precipitation systems are a prominent contributor to rainfall over Melbourne, Australia, and the surrounding region. These systems are often convective in nature, frequently associated with cold fronts, and in some cases can lead to significant rainfall and flash flooding. Various types of linearly organized systems (e.g., squall lines, quasi-linear convective systems) have been the subject of much research in the United States and elsewhere, but thus far relatively little analysis has been done on linear systems in Australia. To begin to understand rainfall extremes and how they may change in this region in the future, it is useful to explore the contribution of these types of systems and the characteristics that define them. To this end, we have examined the recently developed Australian Radar Archive (AURA), identifying objects that meet a specific set of relevant criteria, and used multiple methods to identify heavy and extreme daily rainfall. We found that on average, days with linear systems contribute over half of the total rainfall and 70%–85% of heavy/extreme rainfall in the Melbourne region. The linear systems that occur on heavy rainfall days tend to be larger, slower-moving, and longer-lived, while those on extreme rainfall days also tend to be more intense and have a greater degree of southward propagation than linear systems on other days.

Factors affecting the frequency and outcome of platypus entanglement by human rubbish

The platypus’s tapered shape and benthic foraging habits predispose it to becoming entangled in encircling rings or loops of plastic, rubber or metal rubbish. Based on 54 cases of litter entanglement recorded in Victorian live-trapping surveys, items may encircle the neck (68%), torso (8%), jaw (2%) or be wrapped bandolier-fashion from in front of a shoulder to behind the opposite foreleg (22%). Entanglement frequency was eight times higher in the greater Melbourne region than in regional Victoria, and was significantly greater in first-year juveniles than in older animals and also in adult/subadult females compared with adult/subadult males. Items recovered from carcasses or from rescued animals that were unlikely to have survived without human intervention included elastic hair-ties, fishing line, a hospital identification wristband, an engine gasket and a plastic ring seal from a food jar; all of these items had cut through skin and (in most cases) deeply into underlying tissue. Up to 1.5% of the platypus residing in the greater Melbourne area and 0.5% of those living in regional Victoria are estimated to be at risk of entanglement-related injuries or death at any point in time.

Addressing alcohol and other drug use among young people from migrant and ethnic minority backgrounds: Perspectives of service providers in Melbourne, Australia.

Young people from migrant and ethnic minority backgrounds are recognised as emerging priority populations for reducing alcohol and other drug (AOD)-related harms in Australia. Limited research has investigated how service providers address AOD challenges in migrant communities. In this qualitative study, we interviewed 15 service providers from AOD, migrant support, community and other health services in a diverse region of Melbourne. Interviews explored the challenges that service providers faced and the strategies they implemented to engage with young migrants in relation to AOD use. Thematic analysis was used to generate four themes: stigma as a barrier to service delivery, intergenerational differences between young people and parents, the need for outreach and establishing trust and understanding over time. Service providers believed that stigma prevented many young people from migrant backgrounds having open conversations about their AOD use with family members and professionals. Participants perceived that some parents had less AOD-related knowledge and lower English language proficiency than their children creating challenges for effective communication. Service providers recognised the importance of engaging with young people in settings where they felt comfortable rather than expecting them to approach their service. Participants also acknowledged the need to invest time in establishing trust and understanding with young migrants so they could facilitate conversations about AOD use as relationships evolved. Although service providers had a strong understanding of young people's needs, they found it challenging to build relationships in the context of funding and time constraints. Our results indicate the need for long-term funding and timelines that enable service providers to build strong relationships with young migrants, their families and their broader cultural communities to facilitate access to AOD support.

Mapping social-ecological injustice in Melbourne, Australia: An innovative systematic methodology for planning just cities

Social-ecological justice is an emerging field that argues for nature’s agency, social-ecological awareness, recognition of nature’s capabilities, and participation in decision-making processes. A social-ecological justice perspective lifts the analysis out of a distribution of environmental impacts to humans, to a recognition of social-ecological complexities. However, bringing this perspective to urban planning requires a suite of methods and tools in coordination with existing planning methods that do not address issues of social-ecological justice, or, justice for nature. Drawing from existing methods and tools, this paper presents a novel methodology to define, identify, and map social-ecological injustices in urban landscapes. Three dimensions of social-ecological justice (distribution, recognition, and participation) are operationalised into a set of indicators, which are added to create a Social-Ecological Injustices Index that identifies place hotspots. A fourth dimension, capabilities, is discussed, but not operationalised in the paper. The urban region of Melbourne, which has been undergoing intense urbanisation processes, is used as a case study to test the applicability of this index. The geospatial analysis reveals various degrees of social-ecological injustices across the Melbourne Metropolitan region and unveils the location of the most deprived areas. This methodology can be applied as a systematic and effective way for urban planners and decision-makers to identify and target social-ecological injustice hotspots as areas of prioritisation for urban regeneration with nature-based solutions.

Prioritising source populations for supplementing genetic diversity of reintroduced southern brown bandicoots Isoodon obesulus obesulus

Reintroduction programs can benefit from optimisation of source populations to maximise genetic diversity. Here, we report an approach to guide genetic supplementation of founder individuals to maximise genetic diversity in a reintroduction program for a nationally threatened Australian ground-dwelling marsupial, the southern brown bandicoot (eastern subspecies), Isoodon obesulus obesulus. Following local extinction ~ 100 years earlier, founding individuals were reintroduced to Booderee National Park in south-eastern Australia over three years from the nearest viable wild population, approximately 250 km to the south. To assess and manage risks associated with low genetic diversity, we measured genetic diversity of the reintroduced population relative to the diversity across the subspecies’ range. The genetic diversity of the initial founder population was comparable with other sampled populations; most likely because the source population had high genetic diversity relative to other locations. We simulated scenarios of supplementation of the founder population from alternative candidate sources. We identified populations in the Melbourne region of Victoria as those that would yield the greatest increase in genetic diversity in the Booderee population. The simulated increase in diversity resulting from supplementation was accurately predicted by the pairwise FST comparison between the candidate and recipient population, but not diversity of the supplementation source itself. Genetic diversity is an important consideration in reintroductions; our study enables managers to make informed decisions to maximise the long-term persistence and genetic diversity of reintroduced populations.

Advance care planning in dementia: a qualitative study of Australian general practitioners.

As the population ages, so does the prevalence of dementia, a condition in which timely advance care planning (ACP) is recommended. This study explored the barriers and enablers of ACP for Australian GPs caring for people with dementia. Semi-structured qualitative telephone interviews informed by the theoretical domains framework (TDF) were conducted with 16 GPs from the south-east region of metropolitan Melbourne. The most prevalent domains of the TDF were: (1) environmental context and resources; (2) beliefs about consequences; and (3) social/professional role and identity. Further thematic analysis found that: (1) ACP was felt to be within the scope of general practice, but more so before the onset of dementia because lack of confidence in capacity assessment acted as a barrier once a diagnosis was made; (2) beliefs about the perceived benefits of ACP motivated GPs to engage patients in ACP; and (3) doctors felt that patients were often reluctant to discuss ACP, especially in the time-pressured context of the standard consultation. This study's use of the TDF provides direction for potential interventions to alleviate challenges faced by Australian GPs with ACP in dementia. Improving ACP in general practice may require a focus on public health campaigns to educate patients about the benefits of ACP before the onset of dementia. GPs' difficulty assessing a patient's decisional capacity may be addressed through skills development workshops.

Analysis of pharmacy drug consumption following extreme weather conditions

This paper presents the results of the project conducted within the Research embedded in teaching initiative in collaboration with NostraData. The main objective of the research was to analyse if the peak values of such weather conditions, like rainfall and wind speed, can impact the drug purchase transactions within shorts time periods (one, three, and five days) of time, after the peak values of the weather parameters have appeared. The basis for the automated analysis were the data collected over more than six years, restricted to the Melbourne region in Australia.

“The dual diagnosis attitudes survey”: understanding the attitudinal impact of training across mental health and alcohol and drug service systems

PurposeAnecdotal feedback obtained from alcohol and drug and mental health staff across the eastern metropolitan region of Melbourne, Australia suggests that attitudes towards working with people experiencing a dual diagnosis are becoming more positive. The purpose of this paper is to understand if dual diagnosis-specific training delivered to staff within mental health and alcohol and other drug services was a factor positively influencing attitudes.Design/methodology/approachNo formal evaluation assessing the impact of dual diagnosis-specific training on staff attitudes had previously occurred within this region of Australia. Access to staff on two occasions from three distinct sectors provided an opportunity to examine if and, to what degree, attitudes can be influenced by dual diagnosis-specific training. Using a co-designed attitudes survey, information was gathered from mental health and alcohol and drug staff on their attitudes to working with people with co-occurring mental health and substance use problems.FindingsTwo surveys were conducted involving 186 staff in 2012 and 110 staff in 2016. The dual diagnosis attitudes survey showed that positive attitudes to working with people experiencing a dual diagnosis were associated with recency of training. While attitudes may be improved by dual diagnosis training, these findings cannot exclude the impact of other dual diagnosis capacity building activities.Originality/valueThis study highlights the benefits of a regional partnership between mental health and alcohol and drug services and people with lived experience of dual diagnosis and the benefit of recent co-designed dual diagnosis training on longitudinally assessed worker attitudes.