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    1956 results match your criteria Australasian Psychiatry [Journal]

    1 OF 40

    Psychiatry's ethical involvement in gender-affirming care.
    Australas Psychiatry 2018 May 1:1039856218775216. Epub 2018 May 1.
    Training and Supervising Analyst, Institute of Contemporary Psychoanalysis, Los Angeles, CA, USA.
    Objective: To reflect on the role of psychiatry in authorising physical treatments for Gender Dysphoria and to examine the quality of evidence for gender-reassignment.

    Method: A Medline search was performed with the subject term "transsexualism" or "gender dysphoria" and "outcome" or "follow-up" in the title. Studies published from 2005 onwards reporting psychosocial outcomes were selected for review. Read More

    The language we use - the effect of writing mental health care plans in the first person.
    Australas Psychiatry 2018 May 1:1039856218772251. Epub 2018 May 1.
    Addiction and Mental Health Services, Metro South Health, Brisbane, QLD, and; Griffith University, Australian Institute for Suicide Research and Prevention, Brisbane, QLD, and; Griffith University, The Hopkins Centre, Menzies Health Institute, Brisbane, QLD, Australia.
    Objective: This study describes the impact of Motivational Aftercare Planning (MAP) - an intervention to increase consumer/clinician collaboration on the content of mental health recovery plans. The intervention focussed on enhancing existing discharge processes in psychiatric inpatient wards and supporting nursing staff in using motivational interviewing techniques to facilitate the completion of these plans.

    Methods: We conducted a qualitative thematic content analysis of the recovery plans completed throughout the study ( n = 110). Read More

    LGI1 antibody encephalitis and psychosis.
    Australas Psychiatry 2018 May 1:1039856218771513. Epub 2018 May 1.
    Professor, Mental Health Center and Psychiatric Laboratory, West China Hospital of Sichuan University, China.
    Objective: To describe a case of leucine-rich, glioma inactivated 1 antibody-encephalitis presenting with psychosis.

    Methods: Case report.

    Results: A young man with leucine-rich, glioma inactivated 1-antibody encephalitis initially presented with acute psychotic symptoms, short-term memory loss and faciobrachial dystonic seizures. Read More

    Management of a complex patient - intravenous olanzapine use.
    Australas Psychiatry 2018 May 1:1039856218771512. Epub 2018 May 1.
    Psychiatry Registrar, NorthWestern Area Mental Health Service, Melbourne, VIC, Australia.
    Objective: This case report aims to highlight the challenges faced by mental health clinicians in managing complex medical and psychiatric presentation, with a particular interest in intravenous (IV) olanzapine use outside the emergency department (ED) and intensive care unit setting.

    Conclusion: There is no current prescribing guideline regarding the use of IV olanzapine for acute agitation associated with schizophrenia and bipolar disorder. Most of the literature available regarding the use of IV olanzapine has originated from studies performed in the ED setting, with the majority of studies reporting a favourable efficacy and safety profile for IV olanzapine. Read More

    Demographics and study practices of psychiatry trainees sitting the RANZCP written examinations.
    Australas Psychiatry 2018 May 1:1039856218771503. Epub 2018 May 1.
    Senior Lecturer and Medical Education Fellow, Department of Medical Education, University of Melbourne, Melbourne, VIC, Australia.
    Objectives: This study explored trainee preparation for the Royal Australian and New Zealand College of Psychiatrists (RANZCP) written examinations. We examined the relationship between candidates' prior psychiatry experience, preparation techniques and expenses, perceptions of the exam and a pass result. We also examined perceptions of well-being. Read More

    Inflammatory bowel disease-related fatigue is correlated with depression and gender.
    Australas Psychiatry 2018 May 1:1039856218772245. Epub 2018 May 1.
    Associate Professor, Old Age Psychiatry, Neuropsychiatry and Psychiatry; Senior Staff Specialist, Old Person's Mental Health Service, ACT Health, Canberra; Director and Acting Discipline Lead, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Clinical Associate Professor, Neuropsychiatry Unit, Royal Melbourne Hospital, Department of Psychiatry, University of Melbourne, Melbourne, VIC, Australia.
    Objectives: Fatigue is a common and disabling problem in inflammatory bowel disease. We sought to explore the possible determinants of inflammatory bowel disease-associated fatigue including demographic, psychological and disease variables.

    Methods: Surveys were distributed to 100 patients undergoing infliximab infusion for inflammatory bowel disease in an infusion lounge, assessing attachment style (Experiences in Close Relationships Revised scale), fatigue (Functional Assessment of Chronic Illness Therapy Fatigue - Fatigue Subscore), and depression and anxiety (Hospital Anxiety and Depression Scale). Read More

    Changing characteristics of a Psychiatric Emergency Care Centre. An eight year follow-up study.
    Australas Psychiatry 2018 May 1:1039856218772252. Epub 2018 May 1.
    Senior Lecturer, University of Sydney, Sydney Medical School - Nepean, Discipline of Psychiatry, Sydney/Penrith, NSW, Australia.
    Objective: The objective of this study was to report changes in characteristics of admissions to an established Psychiatric Emergency Care Centre (PECC) eight years after its opening.

    Method: Key clinical characteristics of admissions to the PECC were documented for 327 patients in 2015 and compared with the 477 patients in 2007, which is when the centre first opened. The characteristics of admission were evaluated using an audit of medical records from June to December in both 2007 and 2015. Read More

    What affects completion of the scholarly project? A survey of RANZCP trainees.
    Australas Psychiatry 2018 May 1:1039856218772250. Epub 2018 May 1.
    Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
    Objective: To explore trainee perception of what facilitates or delays completion of the RANZCP Scholarly Project (SP).

    Method: Of 182 currently registered New Zealand trainees, 33 (18%) completed an online questionnaire and three open-ended questions.

    Results: Most trainees agreed or strongly agreed that having protected time for research (87. Read More

    Assessing workplace discrimination among medical practitioners in Western Sydney.
    Australas Psychiatry 2018 May 1:1039856218772248. Epub 2018 May 1.
    Sunnyside Clinic, Hornsby, Sydney, NSW; and School of Medicine, Western Sydney University, Sydney, NSW, Australia.
    Objectives: To investigate the presence of different forms of experiences of discrimination in the medical workplace.

    Methods: A total of 526 questionnaires were sent out, including a demographic survey form and the Everyday Discrimination Scale.

    Results: Experiences of being "treated with less courtesy than other people are" and feeling as "others acted if they're better than [me]" were reported as having occurred with almost daily frequency by 4. Read More

    Family Systems Training for Medical Students.
    Australas Psychiatry 2018 May 1:1039856218771506. Epub 2018 May 1.
    Department of Psychological Medicine, University of Auckland, Grafton, Auckland 1142, New Zealand.
    Objectives: To evaluate whether a workshop on family systems delivered to medical students could improve participants' understanding of families from a systemic point of view and help them recognise and address systemic issues that may be affecting their patients.

    Method: Fifth year (senior) medical students ( n = 36) from the University of Auckland participated in a 90-min workshop about family systems. Pre- and post-workshop, self-reported measures of knowledge and confidence were completed and qualitative feedback was also obtained from participants. Read More

    Neuro-reciprocity and vicarious trauma in psychiatrists.
    Australas Psychiatry 2018 May 1:1039856218772223. Epub 2018 May 1.
    Staff Specialist Psychiatry, Sydney Local Health District, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
    Objectives: This paper aims to briefly overview the processes of neuro-reciprocity relevant to vicarious traumatization of psychiatrists through their clinical roles.

    Conclusions: High rates of trauma in mental health service users, understanding of the effects of trauma on the brain and mechanisms of neuro-reciprocity in empathic attunement suggest that psychiatrists are at high risk of vicarious trauma. Preventing vicarious trauma at an organizational level through trauma-informed approaches is of paramount importance. Read More

    Obstructive sleep apnoea is more prevalent in men with schizophrenia compared to general population controls: results of a matched cohort study.
    Australas Psychiatry 2018 May 1:1039856218772241. Epub 2018 May 1.
    Discipline of Psychiatry, University of Adelaide, Adelaide, SA, and; Ramsay Health Care (SA) Mental Health, Adelaide, SA, and; Northern Adelaide Local Health Network, Adelaide, SA, Australia.
    Objectives: Obstructive sleep apnoea (OSA) may be more common in people with schizophrenia compared to the general population, but the relative prevalence is unknown. Here, we determine the relative prevalence of severe OSA in a cohort of men with schizophrenia compared to representative general population controls, and investigate the contribution of age and body mass index (BMI) to differences in prevalence.

    Methods: Rates of severe OSA (apnoea-hypopnoea index > 30) were compared between male patients with schizophrenia and controls from a representative general population study of OSA. Read More

    Clozapine toxicity in a CYP2D6 poor metaboliser: Additive effects of haloperidol and valproate on clozapine metabolism.
    Australas Psychiatry 2018 May 1:1039856218771509. Epub 2018 May 1.
    Clinical Chemistry Registrar, NSW Health Pathology, The Prince of Wales Hospital, Australia.
    Objective: To illustrate the complexities of clozapine metabolism with the use of therapeutic drug monitoring.

    Methods: We describe a case of clozapine toxicity in a patient with schizophrenia treated with the combination of clozapine, valproate and haloperidol.

    Results: A 24-year-old CYP2D6 poor metaboliser developed clozapine toxicity corresponding to the additive effects of haloperidol, and increasing clozapine and valproate doses. Read More

    Effect of high-frequency repetitive transcranial magnetic stimulation (rTMS) in patients with comorbid panic disorder and major depression.
    Australas Psychiatry 2018 May 1:1039856218771517. Epub 2018 May 1.
    Professor, Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
    Objective: To explore the role of dorsolateral prefrontal cortex (DLPFC) stimulation in the treatment of panic disorder with comorbid depression.

    Methods: The present study reports findings from retrospective analysis of 13 treatment-resistant patients diagnosed with comorbid panic disorder and depression, given 20 sessions of high-frequency transcranial magnetic stimulation (rTMS) over left-DLPFC over a period of 1 month.

    Results: There was a significant reduction in both the panic and depressive symptom severity, assessed by applying Panic Disorder Severity Scale (PDSS) and Hamilton Depression Rating Scale (HDRS) at baseline and after 20 sessions of rTMS. Read More

    Comparative familial aggregation of bipolar disorder in patients with bipolar I and bipolar II disorders.
    Australas Psychiatry 2018 May 1:1039856218772249. Epub 2018 May 1.
    School of Psychiatry, University of New South Wales, Sydney, NSW, and; Black Dog Institute, Prince of Wales Hospital, Randwick, NSW, Australia.
    Objective: We sought to quantify the prevalence and differential prevalence of a bipolar disorder among family members of patients with a bipolar I or II disorder.

    Methods: The sample comprised 1165 bipolar and 1041 unipolar patients, with the former then sub-typed as having either a bipolar I or II condition. Family history data was obtained via an online self-report tool. Read More

    Huntington's disease: Managing neuropsychiatric symptoms in Huntington's disease.
    Australas Psychiatry 2018 Apr 1:1039856218766120. Epub 2018 Apr 1.
    Neuropsychiatrist, Neuropsychiatry Unit, Royal Melbourne Hospital, Parkville, VIC, and; Melbourne Neuropsychiatry Centre, University of Melbourne, Parkville, VIC, and; Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra Hospital, Canberra, ACT, Australia.
    Objectives: This clinical update review focuses on the management of the neuropsychiatric manifestations of Huntington's disease (HD). The review highlights current issues regarding pharmacological and non-pharmacological treatment, putative therapeutics and recent relevant research findings in this area.

    Conclusions: Neuropsychiatric symptoms may precede the classic motor clinical symptoms of HD (prodromal HD) by decades and cause significant functional impairment. Read More

    Alzheimer Disease: Non-pharmacological and pharmacological management of cognition and neuropsychiatric symptoms.
    Australas Psychiatry 2018 Mar 1:1039856218766123. Epub 2018 Mar 1.
    Neuropsychiatrist, Melbourne Neuropsychiatry Centre, University of Melbourne, Parkville, VIC, and; Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, Australia.
    Objectives: This clinical update review focuses on the management of cognition and the neuropsychiatric features of Alzheimer's disease (AD) and highlights current issues regarding pharmacological and non-pharmacological treatment, putative therapeutics and recent relevant research findings in this area.

    Conclusions: AD is a neurodegenerative progressive condition characterised by cognitive impairment and functional decline. Most people with AD will demonstrate neuropsychiatric features, better known as behavioural and psychological symptoms of dementia (BPSD). Read More

    The third New Zealand Psychiatry of Old Age services and workforce survey.
    Australas Psychiatry 2018 Apr 1:1039856218765891. Epub 2018 Apr 1.
    South Canterbury District Health Board, Timaru, New Zealand.
    Objective: To survey the Psychiatry of Old Age (POA) services and workforce in New Zealand (NZ).

    Methods: The NZ branch of Faculty of POA contacted the POA lead clinician and/or service manager of the 20 district health boards (DHBs) and completed a survey based on variables used in two similar previous national surveys.

    Results: Seventeen services responded. Read More

    Alzheimer's disease paper 1: clinical update on epidemiology, pathophysiology and diagnosis.
    Australas Psychiatry 2018 Mar 1:1039856218762308. Epub 2018 Mar 1.
    Neuropsychiatry Unit, Royal Melbourne Hospital, and; Melbourne Neuropsychiatry Centre, University of Melbourne, Melbourne, VIC, and; Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra Hospital, Garran, ACT, Australia.
    Objectives: To provide a clinical update for general psychiatrists on the assessment and diagnosis of Alzheimer's disease (AD), highlighting current issues regarding epidemiology, risk factors and pathophysiology from recent relevant research findings.

    Conclusions: Psychiatrists can apply their skills and training in the diagnosis of AD, which is based upon a comprehensive assessment comprising history, investigations, and cognitive and functional assessment, guided by accepted diagnostic criteria. Read More

    Virtual study groups and online Observed Structured Clinical Examinations practices - enabling trainees to enable themselves.
    Australas Psychiatry 2018 Mar 1:1039856218765886. Epub 2018 Mar 1.
    Trainee Registrar, Capital and Coast District Health Board, Wellington, New Zealand.
    Objectives: To explore online study groups as augmentation tools in preparing for the Royal Australian and New Zealand College of Psychiatrists Observed Structured Clinical Examinations (OSCE) for fellowship.

    Methods: An online survey of New Zealand trainees was carried out to assess exam preparedness and openness to virtual study groups and results analysed. Relevant material around virtual study groups for fellowship examinations was reviewed and used to inform a pilot virtual study group. Read More

    A comparison between Right Unilateral Ultrabrief electroconvulsive therapy and bilateral electroconvulsive therapy in the elderly: a pilot naturalistic observational study.
    Australas Psychiatry 2018 Mar 1:1039856218765898. Epub 2018 Mar 1.
    Senior Staff Specialist, Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, and; Department of Psychiatry, Westmead Hospital, Westmead, NSW, Australia.
    Objectives: To compare clinical outcomes and adverse effects between Bitemporal (BT) and Right Unilateral Ultrabrief (RUL(UB)) electroconvulsive therapy (ECT) in an elderly population.

    Methods: Patients over the age of 65 years admitted to a tertiary referral hospital over a seven month period requiring ECT received RUL(UB) ECT. They were compared with those who received BT ECT over these and the preceding seven months. Read More

    Perceived confidence, competence and training in evidence-based treatments for eating disorders: a survey of clinicians in an Australian regional health service.
    Australas Psychiatry 2018 Mar 1:1039856218766124. Epub 2018 Mar 1.
    Manager of Clinical Nutrition, London Health Sciences Centre, London, ON, Canada.
    Objectives: Eating disorders (EDs) are challenging to treat and contribute to considerable morbidity and mortality. This study sought to identify the educational preparedness, competence and confidence of clinicians to work with people with EDs; and to identify how services might be improved.

    Methods: Clinicians who worked in the emergency department, medical, paediatric wards and mental health services were invited to complete an online survey. Read More

    Do clinicians assess patients' religiousness? An audit of an aged psychiatry community team.
    Australas Psychiatry 2018 Mar 1:1039856218765849. Epub 2018 Mar 1.
    Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC, Australia.
    Objectives: To determine the frequency and quality of religious history taking of patients by clinicians working in an old age psychiatry service.

    Methods: A retrospective audit of 80 randomised patient files from the Koropiko Mental Health Services for Older People (MHSOP) in Middlemore Hospital, Auckland, New Zealand.

    Results: A total of 66 clinical records were available for analysis. Read More

    Suprasensory phenomena in those with a bipolar disorder.
    Australas Psychiatry 2018 Mar 1:1039856218762306. Epub 2018 Mar 1.
    School of Psychiatry, University of NSW, Sydney, NSW, and; Black Dog Institute, Sydney, NSW, Australia.
    Objectives: To increase awareness of the sensory changes experienced during hypo/manic and depressive states by those with a bipolar disorder and determine if the prevalence of such features is similar across differing bipolar sub-types.

    Methods: We interviewed 66 patients who acknowledged sensory changes during hypo/manic states. They were allocated to bipolar I, bipolar II and soft bipolar diagnostic categories and the prevalence of 10 differing sensory changes was quantified during hypo/manic and depressive phases. Read More

    Ice in the Outback: the epidemiology of amphetamine-type stimulant-related hospital admissions and presentations to the emergency department in Hedland, Western Australia.
    Australas Psychiatry 2018 Mar 1:1039856218762307. Epub 2018 Mar 1.
    Consultant Psychiatrist, Great Southern Mental Health Service, Albany, WA, and; Senior Clinical Lecturer, The Rural Clinical School of Western Australia, University of Western Australia, Nedlands, WA, Australia.
    Objectives: Despite research showing higher use of amphetamine-type stimulants (ATS) in rural areas, limited research has examined the epidemiology of ATS-related presentations and admissions to remote regional centres. To determine the epidemiology of ATS-related (a) Emergency Department (ED) presentations and (b) inpatient admissions over a five-year period at the Hedland Health Campus (HHC) in remote Western Australia.

    Methods: A retrospective review of medical records was conducted. Read More

    Borderline personality disorder: does its clinical features show specificity to differing developmental risk factors?
    Australas Psychiatry 2018 Mar 1:1039856218760732. Epub 2018 Mar 1.
    Senior research fellow, School of Psychiatry, the University of New South Wales, Sydney, NSW, and; Black Dog Institute, Sydney, NSW, Australia.
    Objectives: To determine if differing developmental factors show specificity to differing manifestations of borderline personality disorder (BPD).

    Methods: A clinical sample of 73 females diagnosed with BPD undertook a psychiatrist interview and completed self-report questionnaires, including the semi-structured Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV) assessing for BPD status. A set of negative and potentially traumatic developmental factors were included in the assessment. Read More

    Are we missing dementia with Lewy bodies?: a case report.
    Australas Psychiatry 2018 Mar 1:1039856218762305. Epub 2018 Mar 1.
    General Practitioner, Glen Forrest Medical Practice, Perth, WA, Australia.
    Objectives: We aim to explore the importance of early diagnosis of dementia with Lewy bodies in order to facilitate effective psychiatric management. We present a case where delayed diagnosis stemming from an atypical presentation illustrates the complex issues involved in identifying and treating this type of dementia.

    Conclusions: We discuss the difficulty of diagnosis of this disorder in the absence of obvious memory dysfunction or parkinsonian symptoms. Read More

    Extreme variability in succinylcholine dose for muscle relaxation in electroconvulsive therapy.
    Australas Psychiatry 2018 Mar 1:1039856218761301. Epub 2018 Mar 1.
    Assistant Professor, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
    Objectives: To determine what dose of succinylcholine falls outside the range of 2 SD above or below the mean optimal dose of 0.9 mg/kg used for electroconvulsive therapy (ECT).

    Methods: In this retrospective chart review, for all patients who received ECT at our institution within the 5-year study period, the initial dose of succinylcholine in milligrams per kilogram was compared with subsequent doses after adjustments were made for individual patient responses. Read More

    Risks associated with lamotrigine prescription: a review and personal observations.
    Australas Psychiatry 2018 Feb 1:1039856218760733. Epub 2018 Feb 1.
    Scientia Professor of Psychiatry, University of New South Wales, Sydney, NSW, and; Professorial Fellow, Black Dog Institute, Randwick, NSW, Australia.
    Objectives: To detail some serious lamotrigine side effects and their management, and raise awareness about the possible lack of quality control of some brands of lamotrigine.

    Methods: A literature review is provided and some personal observations added.

    Results: While most psychiatrists are aware of the risks of Stevens-Johnson syndrome (SJS), awareness of two other serious side effects - toxic epidermal necrosis (TEN) and drug-related eosinophilia and systemic symptoms (DRESS) - is seemingly lower. Read More

    Staff awareness of the application of Mental Health and Guardianship Legislation in the care of hospitalised older persons.
    Australas Psychiatry 2018 Feb 1:1039856218758545. Epub 2018 Feb 1.
    Professor and Consultant Geriatrician, Aged Care and Rehabilitation, Bankstown-Lidcombe Hospital and University of New South Wales, Bankstown, NSW, Australia.
    Objective: The study aimed to survey hospital staff knowledge of the application of the Mental Health Act 2007 (NSW) (MHA) and the Guardianship Act 1987 (NSW) (GA) in the care and treatment of older persons in a teaching hospital in Sydney. Method Over a two-month period in 2017, a survey questionnaire was distributed to staff involved in older persons' care across the hospital.

    Results: The majority of the hospital staff demonstrated basic theoretical knowledge of both the GA (76%) and of the MHA (84. Read More

    A new graduate medical school curriculum in Psychiatry and Addiction Medicine: reflections on a decade of development.
    Australas Psychiatry 2018 Feb 1:1039856218758561. Epub 2018 Feb 1.
    Associate Professor, Psychiatry, Neuropsychiatry and Psychiatry of Old Age, Acting Discipline Lead and Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia.
    Objectives: The aim of this study is to reflect upon the rationale, design and development of the Psychiatry and Addiction Medicine curriculum at the Australian National University Medical School, Canberra, Australian Capital Territory, Australia.

    Conclusions: We conclude that the development of the fourth-year curriculum of a four-year graduate medical degree was a complex evolutionary process. Read More

    Community treatment orders: towards a new research agenda.
    Australas Psychiatry 2018 Feb 1:1039856218758543. Epub 2018 Feb 1.
    Associate Professor, Graduate School of Business and Law, RMIT University, Melbourne, VIC, Australia.
    Objectives: The aim of this study was to report on a half-day multi-stakeholder symposium on community treatment orders (CTOs) hosted by the Melbourne Social Equity Institute (MSEI), which identified research gaps and opportunities, and produced an agreed agenda for future CTO research.

    Methods: The MSEI convened a symposium for 22 experts in CTO research to discuss research priorities in this field in Australasia. An independent moderator elicited views and recommendations and produced a report detailing possible research projects. Read More

    Use of personal electronic devices by psychiatric inpatients: benefits, risks and attitudes of patients and staff.
    Australas Psychiatry 2018 Feb 1:1039856218758564. Epub 2018 Feb 1.
    Ward Clerk, Royal North Shore Hospital Psychiatric Emergency Care Centre, St Leonards, NSW, and; North Shore Ryde Mental Health Service, St Leonards, NSW, and; Northern Sydney Local Health District, St Leonards, NSW, Australia.
    Objectives: The study aimed to evaluate the attitudes of patients and staff in relation to the potential benefits and risks of allowing psychiatric inpatients controlled access to personal electronic devices (PEDs), and to document a snapshot audit of practice within the mental health inpatient units of New South Wales, Australia.

    Methods: Psychiatric inpatients and staff at Royal North Shore Hospital's Mental Health inpatient units were surveyed, and an audit of the policies of the psychiatric inpatients of New South Wales was undertaken.

    Results: Access to PEDs is denied in 85% of New South Wales psychiatric inpatient units. Read More

    Referral patterns and implementation costs of the Partners in Recovery initiative in Gippsland: learnings for the National Disability Insurance Scheme.
    Australas Psychiatry 2018 Feb 1:1039856218759408. Epub 2018 Feb 1.
    Professor and Director, Monash University, School of Rural Health, Moe, VIC, Australia.
    Objective: The purpose of this paper is to provide some learnings for the NDIS from the referral pattern and cost of implementing the Partners in Recovery initiative of Gippsland.

    Method: Information on referral areas made for each consumer was collated from support facilitators. Cost estimates were determined using budget estimates, administrative costs and a literature review and are reported from a government perspective. Read More

    Enabling choice, recovery and participation: evidence-based early intervention support for psychosocial disability in the National Disability Insurance Scheme.
    Australas Psychiatry 2018 Feb 1:1039856218759407. Epub 2018 Feb 1.
    Associate Director, Orygen, National Centre of Excellence in Youth Mental Health, Parkville, VIC, and; Graduate Research and Education Head, Functional Recovery in Youth Mental Health, Melbourne, Melbourne, VIC, Australia.
    Objectives: The aim of this study was to identify the most effective interventions for early intervention in psychosocial disability in the National Disability Insurance Scheme (NDIS) through an evidence review.

    Methods: A series of rapid reviews were undertaken to establish possible interventions for psychosocial disability, to develop our understanding of early intervention criteria for the NDIS and to determine which interventions would meet these criteria.

    Results: Three interventions (social skills training, supported employment and supported housing) have a strong evidence base for effectiveness in early intervention in people with psychosocial disability, with the potential for adoption by the NDIS. Read More

    Civil forensic psychiatry: part 2 - specific issues.
    Australas Psychiatry 2018 Feb 1:1039856218759236. Epub 2018 Feb 1.
    District Clinical Director Mental Health, Murrumbidgee Local Health District, Australia; Associate Professor of Psychiatry, University of New South Wales Rural Clinical School, Australia.
    Objectives: This paper describes the main areas of civil forensic psychiatry (FP) and the skills required by psychiatric experts. Some specific areas of civil FP are discussed, including tort law reform, reliability of psychiatric evidence, contentious psychiatric disorders, and the many domains of civil FP.

    Conclusions: Civil FP is an important sub-specialty component of forensic psychiatry that requires greater emphasis in the training and continuing education of psychiatrists. Read More

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