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    1865 results match your criteria Australasian Psychiatry [Journal]

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    Compliance of metabolic monitoring at rehabilitation facilities.
    Australas Psychiatry 2017 Oct 1:1039856217737899. Epub 2017 Oct 1.
    Registrar, Psychiatry, Metro South Addiction and Mental Health Services; University of Queensland, Brisbane, QLD, Australia.
    Objectives: To examine compliance with routine metabolic monitoring at four rehabilitation facilities within the Metro South Addiction and Mental Health Services in Queensland.

    Methods: A retrospective chart audit was undertaken on 63 residents of rehabilitation facilities with electronic health records from 1 October 2014 to 30 March 2015.

    Results: Evidence of any metabolic monitoring was recorded for 87% of residents. Read More

    Leadership mindset in mental health.
    Australas Psychiatry 2017 Oct 1:1039856217734676. Epub 2017 Oct 1.
    Psychiatrist, Auckland & Waitemata District Health Boards, Auckland, New Zealand.
    Objectives: The objective of this study was to explore the concept of mindset for psychiatrists who are considering stepping into the leadership arena.

    Methods: Qualitative themes were extracted from dialogue on leadership development at a Royal Australian and New Zealand College of Psychiatrists forum for early career psychiatrists.

    Results: Three key themes were identified: adapting to a professional identity as psychiatrists; developing a mindset for leadership; and acting intentionally to seek opportunities for leadership. Read More

    Recommencing lithium in Older Adults with Bipolar I Disorder.
    Australas Psychiatry 2017 Oct 1:1039856217738374. Epub 2017 Oct 1.
    Senior Consultant Old Age Psychiatrist, Central Adelaide Local Health Network, Adelaide, SA, Australia.
    Objectives: This paper addresses considerations in recommencing lithium in elderly patients with Bipolar I Disorder and medical comorbidity. We focus on nephrotoxicity and cognitive impairment.

    Methods: Case reports and review of relevant literature. Read More

    Foundation trainees and changes in career intentions.
    Australas Psychiatry 2017 Oct 1:1039856217737882. Epub 2017 Oct 1.
    Consultant Psychiatrist & Foundation Tutor. Cumbria Partnership NHS Foundation Trust, Carlisle, UK.
    Objectives: To understand whether foundation trainees change their career intentions during psychiatry placements and explore what factors influence such changes.

    Methods: Over a two-year period, foundation trainees completed questionnaires at the beginning, middle and end of their four-month placement. There were two questions, the first as to how likely they were to pursue a career in psychiatry and the second openly asked them to elaborate on their reasons. Read More

    Case formulation using Pattern-based Formulation (PBF) methodology: clinical case 2.
    Australas Psychiatry 2017 Oct 1:1039856217737885. Epub 2017 Oct 1.
    Senior Lecturer, Department of Psychiatry, University of Colombo, Sri Lanka; Honorary Consultant Psychiatrist, University Psychiatry Unit, National Hospital of Sri Lanka, Sri Lanka; Director of the Centre for Combating Tobacco, University of Colombo, Sri Lanka.
    Objectives: To teach psychiatric case formulation; to build a repertoire of patterns that can be reused as building blocks in constructing case formulations.

    Method: Pattern-based Formulation.

    Results: Demonstration of a case formulation and introducing three patterns. Read More

    What is the clinical significance of chronic emptiness in borderline personality disorder?
    Australas Psychiatry 2017 Oct 1:1039856217734674. Epub 2017 Oct 1.
    Executive Clinical Director, Spectrum, Eastern Health, Ringwood East, VIC, Australia.
    Objective: The objective of this study was to review the clinical significance of the experience of chronic emptiness in borderline personality disorder (BPD).

    Methods: A systematic search of the literature was conducted using MEDLINE and PubMed, employing search terms including 'emptiness', 'personality disorder' and 'borderline personality disorder'. The most relevant English-language articles and books were selected for this review. Read More

    On being supervised: getting value from a clinical supervisor and making the relationship work when it is not.
    Australas Psychiatry 2017 Oct 1:1039856217734668. Epub 2017 Oct 1.
    Executive Director Clinical Services, Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia.
    Objective: The importance of clinical supervision is emphasised in psychiatric training programs. Despite this, the purpose and processes of supervision are often poorly defined. There is limited guidance available for trainees about their role in making supervision work. Read More

    Psychiatric impairment ratings in children and adolescents.
    Australas Psychiatry 2017 Oct 1:1039856217732482. Epub 2017 Oct 1.
    Forensic, Child and Adolescent Psychiatrist, and; Medical Director, Children's Health Queensland Hospital and Health Service, Brisbane, QLD, Australia.
    Objectives: It is accepted practice in Australia and New Zealand for psychiatric impairment rating scales to be applied for persons claiming psychiatric injury. These scales were derived for adults, not children. There is less clarity as to whether and how these scales may be applied for children claiming psychiatric injury. Read More

    Brexpiprazole: a new leaf on the partial dopamine agonist branch.
    Australas Psychiatry 2017 Oct 1:1039856217732473. Epub 2017 Oct 1.
    Professor, Monash University, Monash Medical Centre and Centre for Mental Health Education and Research at Delmont Private Hospital, Melbourne, VIC, Australia.
    Objectives: Brexpiprazole is a new dopamine partial agonist antipsychotic in the same class as aripiprazole. This paper will briefly review brexpiprazole and compare it with aripiprazole.

    Conclusions: Brexpiprazole and aripiprazole are both partial agonists at dopamine D2, and serotonin 5-HT1A and antagonists at serotonin 5-HT2A and noradrenergic α1B receptors. Read More

    Shared decision making in mental health: the importance for current clinical practice.
    Australas Psychiatry 2017 Oct 1:1039856217734711. Epub 2017 Oct 1.
    Professor, Department of Psychiatry, St Vincent's Hospital; The University of Melbourne, Melbourne, VIC, Australia.
    Objectives: We reviewed the literature on shared decision making (regarding treatments in psychiatry), with a view to informing our understanding of the decision making process and the barriers that exist in clinical practice.

    Methods: Narrative review of published English-language articles.

    Results: After culling, 18 relevant articles were included. Read More

    PTSD symptoms associated with myocardial infarction: practical clinical implications.
    Australas Psychiatry 2017 Oct 1:1039856217734738. Epub 2017 Oct 1.
    Professor of Cardiology, School of Medicine, University of Queensland, Brisbane, QLD, Australia.
    Objectives: Several studies have demonstrated a link between post-traumatic stress disorder and myocardial infarction. We aim to determine what phenotypic features or symptom profile associated with cardiovascular disease may help with early detection and intervention.

    Methods: This is a cross-sectional study. Read More

    Suvorexant: scientifically interesting, utility uncertain.
    Australas Psychiatry 2017 Oct 1:1039856217734677. Epub 2017 Oct 1.
    Senior Fellow, Centre for Mental Health Education and Research at Delmont Private Hospital, Melbourne, VIC, Australia.
    Objective: Suvorexant, a new hypnotic, is indicated for the treatment of insomnia characterized by difficulties with sleep onset and/or sleep maintenance, and is used long-term. This paper will briefly review suvorexant.

    Results: Orexin is a hypothalamic peptide which promotes wakefulness. Read More

    Clinical research in an academic psychiatry department: some general principles and case studies.
    Australas Psychiatry 2017 Oct 1:1039856217734675. Epub 2017 Oct 1.
    Associate Professor Psychiatry, Psychiatry of Old Age & Neuropsychiatry, & Acting Discipline Lead & Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia.
    Objective: This paper gives guidance for developing collaborative clinical research within an academic psychiatry department.

    Methods: We describe the experience at the Australian National University Medical School, and present three case studies.

    Results: The results reveal that general principles include, but are not limited to, intellectual curiosity, mentorship, collaboration and protected time. Read More

    'Trust me, I'm a doctor': a qualitative study of the role of paternalism and older people in decision-making when they have lost their capacity.
    Australas Psychiatry 2017 Oct 1:1039856217734741. Epub 2017 Oct 1.
    Senior Lecturer in Psychiatry, Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand.
    Objective: The objective of this study was to explore whether older people want their doctors to make treatment decisions on their behalf when they no longer have capacity to do so, and their reasons for these preferences.

    Method: A convenience sample of older people from two retirement villages were interviewed and asked to respond to a hypothetical vignette. Their responses were analysed using qualitative thematic methodology. Read More

    Mania following antidepressant discontinuation in depression: two case reports.
    Australas Psychiatry 2017 Sep 1:1039856217732470. Epub 2017 Sep 1.
    Senior Consultant, Department of Psychiatry, Singapore General Hospital, Singapore.
    Objective: Antidepressant-induced mania and an antidepressant discontinuation syndrome are well documented, whereas mania occurring after antidepressant cessation has been infrequently reported.

    Method: We describe antidepressant discontinuation-related mania in two Chinese patients, as well as a review of the literature on this phenomenon in unipolar depression.

    Results: A 72-year-old man and a 65-year-old woman had late-onset depression with vascular risk factors, but no personal or family history of mood disorders. Read More

    An audit of the management of nicotine withdrawal in an Australian inpatient unit: are we there yet?
    Australas Psychiatry 2017 Sep 1:1039856217732481. Epub 2017 Sep 1.
    Director, Flinders Human Behaviour & Health Research Unit, Department of Psychiatry, Margaret Tobin Centre (Room 4T306), Flinders University, Adelaide, SA, Australia.
    Objectives: This paper reports outcomes of a clinical audit of smoke-free policy implementation within an Australian inpatient psychiatric setting. It aimed to evaluate assessment of smoking status and subsequent management of nicotine withdrawal, and investigate any patient factors influencing these processes.

    Methods: A total of 67 medical case notes were retrospectively analysed for inpatients admitted to psychiatric units of a general hospital in South Australia, from July to September 2015. Read More

    Salt in the soul, steel in the eye and caution towards the winds: a mariner's guide for navigating a new academic psychiatry department.
    Australas Psychiatry 2017 Sep 1:1039856217732480. Epub 2017 Sep 1.
    Student Coordinator and Departmental Administrator, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School & ACT Health, Canberra, ACT, Australia.
    Objectives: This paper describes principles and advice regarding the development of a new academic psychiatry department within a medical school for aspiring academic psychiatrists. We describe general principles based on the experience of the foundation of the Academic Unit of Psychiatry and Addiction Medicine at the Australian National University Medical School.

    Conclusions: Perspicacious leadership and organisation are the foundation for an academic psychiatry department which delivers teaching, research and broader intellectual engagement with the medical and broader community. Read More

    To screen or not to screen? Vitamin D deficiency in chronic mental illness.
    Australas Psychiatry 2017 Sep 1:1039856217726717. Epub 2017 Sep 1.
    Illawarra Shoalhaven Local Health District, Wollongong, NSW, and; Graduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia.
    Objectives: The objective of the current study was to examine the pathology test utilisation of 25-hydroxyvitamin D (25(OH)D) within an Australian inpatient psychiatric setting.

    Method: A retrospective audit of 300 random hospital files of those admitted as inpatients between Nov 2014 and Nov 2015 was undertaken. Data was quantitatively analysed and described. Read More

    How adolescents perceive that community-based exercise improves their well-being.
    Australas Psychiatry 2017 Oct 7;25(5):456-459. Epub 2017 Sep 7.
    Academic Theme Leader & Affiliated Researcher, Graduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia.
    Objectives: To determine if adolescents perceive community-based exercise as beneficial to their well-being and in what ways.

    Methods: A New South Wales Police Citizens Youth Club ran a four-week fitness course. The classes involved: 1) sports including basketball and soccer, 2) non-contact boxing drills, and 3) games, both team games such as dodgeball and non-team games such as line tag. Read More

    Supervising trainees in research: what does it take to be a scholarly project supervisor?
    Australas Psychiatry 2017 Sep 1:1039856217726696. Epub 2017 Sep 1.
    Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand.
    Objectives: Scholarly projects (SPs) are a compulsory component of psychiatry training in Australasia. This article outlines the role of a research supervisor in supporting a trainee to complete an SP.

    Methods: A total of 10 old age and forensic psychiatry SPs were reviewed with regard to aims, methodology, supervisor input, trainee tasks and additional resources. Read More

    Psychiatric advance directives in Australian mental-health legislation.
    Australas Psychiatry 2017 Sep 1:1039856217726719. Epub 2017 Sep 1.
    Clinical Senior Lecturer, School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, NSW, and; Senior Staff Specialist Psychiatrist, Department of Psychiatry, Professor Marie Bashir Centre, Royal Prince Alfred Hospital, Camperdown, NSW, and; Graduate Student, College of Global Public Health, New York University, New York, NY, USA.
    Objective: Following the recent widespread reform of mental-health legislation in Australia, psychiatric advance directives (PADs) have now been incorporated in four jurisdictions. We contextualise the potential role for PADs within the Australian legal framework and note their varying introduction across jurisdictions, with a focus on progressive legislation in the Australian Capital Territory (ACT).

    Conclusion: The formal recognition of PADs effectively shifts the trajectory of mental-health law towards a stronger recognition of consumer autonomy, albeit to varying degrees across jurisdictions. Read More

    The 2016 RANZCP Guidelines for the Management of Schizophrenia and Related Disorders - what's next?
    Australas Psychiatry 2017 Sep 1:1039856217726691. Epub 2017 Sep 1.
    Professor of Psychiatry, Discipline of Psychiatry, The University of Adelaide, Adelaide, SA and; Ramsay Health Care (SA) Mental Health; Northern Adelaide Local Health Network, Adelaide, SA, Australia.
    Objectives: The recently published RANZCP guidelines for schizophrenia and related disorders reviewed recent scientific evidence, and, where lacking, referred to clinical expertise to supply a template for raising the standard of care. This paper builds on the guidelines and recommends how they might be used to improve outcomes.

    Methods: The guidelines call for evidence-based mental health policies, inclusive of mobilising affected families, communities and the public in support of policies that ensure better care and protect the wellbeing of people with severe mental disorders. Read More

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