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Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists

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https://www.readbyqxmd.com/read/30638409/attitudes-to-ageing-an-overview-of-australian-perspectives-of-health-support-systems-for-the-older-person
#1
Neil Jeyasingam
OBJECTIVES: Older adults utilise health care systems to a higher frequency than younger groups, and are more vulnerable to system bias regarding ageing and expectations of old age. This narrative review attempts to outline the available literature regarding how various health support systems perceive the older adult, with an Australian focus. CONCLUSIONS: Perspectives on ageing are generally negative regardless of health industry. Possible contributors to this include elements of death anxiety, inadequate education and inadequate occupational exposure during training...
January 14, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30570347/junior-clinical-academic-psychiatrists-in-australia-the-university-of-new-south-wales-initiative
#2
Adith Mohan, Adam Bayes, Perminder S Sachdev, Gordon Parker, Philip B Mitchell
OBJECTIVE: We examined current pathways of training for junior clinical academic psychiatrists in Australia. An initiative of the School of Psychiatry, University of New South Wales, is described from the perspective of two junior clinical academics. CONCLUSIONS: Australia has limited defined clinical academic pathways for psychiatrists when compared internationally. Numerous challenges for junior psychiatrists entering academia include tensions between clinical and academic roles, reduced remuneration, difficulty building a competitive track record and a scarcity of funding...
December 20, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30507301/an-evaluation-of-a-pilot-specialist-smoking-cessation-clinic-in-a-mental-health-setting
#3
A Davis, H Ngo, M Coleman
OBJECTIVES: Smoking rates in people with mental illness in Australia remain alarmingly high whilst they have been declining in the general population. This study reviews a smoking cessation programme in a mental health service, as a pilot for future studies and program development. We aim to assess the effectiveness of this intervention and the ease of implementation after upskilling the clinical workforce. METHODS: Part A - a retrospective analysis of patients attending the Smokers' Clinic, ( n = 44) over a period of 18 months...
December 3, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30501513/an-exploratory-study-into-an-adapted-use-of-the-alert-program-for-tic-disorder-in-children
#4
Nicolette Soler, Chris Hardwick, Iain E Perkes, David Dossetor, Paula Bray, Russell C Dale
OBJECTIVES: This preliminary study explored whether an adapted approach to the Alert Program, that uses sensorimotor strategies, might assist with management of tic disorders in children. The Alert Program, a program that uses sensorimotor strategies for self-regulation in children with neurodevelopmental disorders, had not been trialled with children with tic disorders. METHODS: Ten children with tic disorder were assessed using the Dunn Sensory Profile 2 (SP2), the Yale Global Tic Severity Scale (YGTSS) and the Parent Tic Questionnaire (PTQ)...
December 3, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30501496/nothing-to-sneeze-at-uptake-of-protective-measures-against-an-influenza-pandemic-by-people-with-schizophrenia-willingness-and-perceived-barriers
#5
Paul A Maguire, Rebecca E Reay, Jeffrey Cl Looi
OBJECTIVES: To examine willingness to adopt protective behaviours, and perceived barriers, during a pandemic influenza, in people with schizophrenia. METHODS: A cross-sectional study using a questionnaire was conducted exploring the responses of 71 adults with schizophrenia and 238 adults without schizophrenia attending a general practice setting, regarding willingness and perceived barriers to adopting protective measures against the 2009 swine influenza pandemic in Australia...
December 3, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30488716/doubling-a-model-for-international-clinical-partnerships
#6
Jon Jureidini, Julie Stone, Molly Jureidini
OBJECTIVES: This article draws attention to an initiative aimed at benefiting colleagues in developing countries, through financial and/or moral support. It describes an attempt to engage The Royal College of Australian and New Zealand Psychiatrists ('the College') in supporting this philanthropic activity. It further aims to attract interest from the College and fellows in contributing to international philanthropy. CONCLUSIONS: Doubling provides a credible model for facilitating better mental health care in situations where there are trained staff but inadequate resources...
November 29, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30488715/single-session-work-implementing-brief-intervention-as-routine-practice-in-an-acute-care-mental-health-assessment-service
#7
Jillian Le Gros, Marianne Wyder, Vanessa Brunelli
OBJECTIVES: The study describes the implementation and adaptation of a brief intervention model as routine clinical practice in an acute care service. METHODS: An action research process informed the evaluation and design of the intervention. RESULTS: The model's theoretical framework enhanced clinical practice and benefited consumers, though it was too rigid to be implemented in an acute care setting, so was adapted to suit this environment...
November 29, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30488714/stepping-forward-challenges-and-pathways-to-building-a-vibrant-research-culture-through-the-scholarly-project
#8
Faith Ng, Alice Ayres, Shuichi Suetani, Stephen Parker
OBJECTIVES: The Scholarly Project is a relevant task to support building a culture of research in psychiatry across Australia and New Zealand. However, there are several impediments to trainees' confident completion of this project. The authors review recent literature on the challenges voiced by trainees, as well as solutions posed by clinician-researchers and medical educators. Relevant strategies are highlighted, and several practical solutions to support the completion of the Scholarly Project are proposed...
November 29, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30474399/metabolic-risk-in-patients-participating-in-residential-rehabilitation-programs-how-are-we-doing
#9
Tom Meehan, Donna Jones, Terry Stedman
OBJECTIVES: To examine the prevalence of metabolic syndrome and its association with clinical, demographic and lifestyle factors in patients with mental illness participating in residential rehabilitation. METHODS: A physical health audit of all consumers ( n = 364) in publicly funded residential rehabilitation programs in Queensland was carried out in late 2016. Data collection focused on clinical, demographic and lifestyle factors associated with physical health...
November 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30474391/transgender-ward-allocation-in-single-sex-mental-health-wards-contemporary-considerations
#10
Warren Kealy-Bateman, Tessa Daws, Calina Ouliaris
OBJECTIVES: Allocation of transgender patients to single-sex mental health wards in Australasia can be a complex and challenging decision in the absence of adequate awareness, education and policy that prioritize consumer safety and preference. It is a point of care that can go wrong for a transgender person. We examine relevant literature, law and existing principles of care and offer an approach. CONCLUSION: Transgender individuals experience an excess health burden and have difficulties that are poorly understood by many health practitioners...
November 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30474389/hip-hip-hooray-ect-turns-80
#11
Patrick Clarke
OBJECTIVE: This paper reviews the history of electroconvulsive therapy (ECT) with an emphasis on the Australian context over the past 30 years. The review includes data collection, the contribution of the RANZCP, and changes in legislation. CONCLUSION: ECT remains the most effective treatment for severe depression. Since the 1950s efforts have been made to make it more effective, tolerable and acceptable. Over the same period, significant social and political forces have acted to have the practice of ECT restricted or banned...
November 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30474388/combination-long-acting-injectable-lai-antipsychotic-medication-in-adolescents-with-severe-psychosis-and-aggression-a-case-series
#12
Peter McInnis, John Kasinathan
OBJECTIVES: We examine the use of combination long-acting injectable (LAI) antipsychotic medication for adolescents with severe psychosis and aggression. We discuss benefits and risks with this approach, for a highly challenging small group of young people. METHODS: A clinical summary is given of three adolescents admitted to a secure adolescent forensic inpatient unit, and the literature is reviewed. RESULTS: In these adolescents with severe psychosis, aggression and violent offending, combination LAI antipsychotics effectively treated psychosis and enabled transfer to less restrictive settings...
November 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30474387/psychological-distress-and-health-related-quality-of-life-in-parents-of-children-referred-to-an-outpatient-service-for-children-with-developmental-disorders
#13
Katerina Karaivazoglou, Ermioni Papadaki, Gregoris Iconomou, Gerasimos Touliatos, Sotirios Kotsopoulos, Konstantinos Assimakopoulos
OBJECTIVES: The current study's aim was to measure anxiety, depression and quality of life in parents of children referred for developmental evaluation. METHODS: The Hospital Anxiety and Depression Scale and the Short Form 36 Health Survey were used to assess anxiety, depression and quality of life, respectively. RESULTS: One hundred and thirty parents participated in the study, 95 with a child referred for evaluation and 35 with healthy children...
November 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30474379/how-often-does-computed-tomography-ct-of-the-brain-demonstrate-a-cause-for-psychosis-a-7-year-retrospective-study-at-a-tertiary-metropolitan-hospital
#14
Guy Harris, Hao Xiang, Irene Tan, Varundeep Randhawa
OBJECTIVES: The aim of the study was to determine the diagnostic yield of computed tomography (CT) of the brain for the investigation of psychosis. METHODS: CT brain requests describing psychosis over a 7-year period at a 500-bed major metropolitan hospital were identified retrospectively. Patients were excluded if they were aged greater than 50 years or if the CT request described focal neurological findings on examination, trauma/falls or known brain tumour, demyelinating disorder, encephalopathy, seizure disorder, congenital brain anomaly, stroke or traumatic brain injury...
November 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30426756/factors-that-facilitate-and-constrain-the-utilization-of-a-kaupapa-m%C3%A4-ori-therapeutic-approach-with-mahi-a-atua
#15
Diana M Kopua
OBJECTIVES: To further progress Kaupapa Māori ( Māori focused) approaches within mental health services this study explored the experiences of Māori clinicians from a dedicated Māori mental health service in New Zealand, with a focus on a specific Kaupapa Māori therapeutic approach, Mahi-a-Atua. METHODS: A qualitative approach was used to ascertain factors that facilitate and obstruct the utilization of Mahi-a-Atua. In a focus group hui ( Māori meeting process), eight Māori clinicians discussed their experiences...
November 14, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30407072/comparison-of-public-mother-baby-psychiatric-units-in-australia-similarities-strengths-and-recommendations
#16
M Galbally, A Sved-Williams, D Kristianopulos, K Mercuri, P Brown, A Buist
BACKGROUND: Mother-baby units are innovative and important models of care that allow inpatient treatment of postpartum maternal mental disorders whilst preserving and promoting the attachment relationship with their young infants. OBJECTIVES: To report data across five public mother-baby units in Australia in order to explore similarities and distinguishing features of each model. METHOD: Each unit also provided 12 months of data on key characteristics of their unit...
November 8, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30403149/the-crucible-of-early-career-psychiatry
#17
Lillian Ng, Richard Steane, Natalie Scollay, Stephen Harris, Jasminka Milosevic, Kirsten Young, David Tan, Samantha Chow
OBJECTIVE: To capture the voices of psychiatrists as they reflect on challenges at the early stages of the career trajectory. METHOD: Early career psychiatrists contributed reflections that identified various challenges in the transition from trainee to consultant psychiatrist. RESULTS: Common difficulties included negotiating role transition and conflict. Specific events had deep impact such as involvement with a patient who had committed suicide...
November 7, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30403145/reviewing-the-clinical-significance-of-fear-of-abandonment-in-borderline-personality-disorder
#18
Venura Palihawadana, Jillian H Broadbear, Sathya Rao
OBJECTIVES: To review and highlight the clinical significance of the symptom 'fear of abandonment' in borderline personality disorder (BPD). METHODS: A systematic search of the literature was conducted using MEDLINE and PubMed, employing search terms including 'fear of abandonment', 'borderline personality disorder' and 'rejection'. The most relevant English-language articles and books were selected for this review. RESULTS: Fear of abandonment is widely recognised as a core symptom in BPD; a biopsychosocial explanation for the occurrence of the symptom is presented...
November 7, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30382755/perceptions-of-pregnant-women-regarding-antidepressant-and-anxiolytic-medication-use-during-pregnancy
#19
Alka Kothari, John de Laat, Joel M Dulhunty, George Bruxner
OBJECTIVE: The objective of this study was to explore attitudes and decision-making by pregnant women regarding antidepressant and anxiolytic use during pregnancy. METHOD: An observational study at an outer metropolitan hospital in Brisbane, Queensland. Pregnant women presenting for their first antenatal clinic visit were invited to complete a questionnaire. Participants were asked about current or previous antidepressant/anxiolytic use, influences on drug decision-making and the adequacy of information received...
November 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30382752/methamphetamine-use-in-patients-presenting-to-emergency-departments-and-psychiatric-inpatient-facilities-what-are-the-service-implications
#20
Anish Unadkat, Su Subasinghe, Richard J Harvey, David J Castle
OBJECTIVES: The aim of this study is to understand better the service implications of patients presenting to an inner city Australian Emergency Department (ED) and Acute Psychiatric Inpatient Service (AIS) with a history of recent crystal methamphetamine use. METHODS: An audit was taken of all patients with recent crystal methamphetamine use presenting to St Vincent's Hospital Melbourne ED and AIS over the month of September 2017. Recorded information included patient demographics, diagnosis, aggressive episodes, restrictive interventions and other risk incidents...
November 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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