{"title":"Is it time to include people with intellectual disabilities in Royal Australian and New Zealand College of Psychiatrists' treatment guidelines?","authors":"Harry Hill","doi":"10.1177/1039856219848834","DOIUrl":"https://doi.org/10.1177/1039856219848834","url":null,"abstract":"<p><strong>Objective: </strong>The Royal Australian and New Zealand College of Psychiatrists' (RANZCP) treatment guidelines set the zeitgeist for psychiatric practice in Australasia. This review conceptualises the current approach to treatment of individuals with an intellectual disability and co-occurring mental illness in RANZCP guidelines, and its potential impact.</p><p><strong>Conclusions: </strong>The enduring omission of people with an intellectual disability and co-occurring mental illness from RANZCP clinical guidelines is a missed opportunity in normalising care and optimising outcomes for people with an intellectual disability. There are substantial cultural, political and historical overlays contributing to the ongoing divide between health and disability. In developing psychiatric guidelines, authors should consider including people with co-occurring intellectual disability as a specific population, that requires distinctive consideration.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"519-521"},"PeriodicalIF":1.8,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1039856219848834","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40451375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Constance Stone, Bronwyn Copeland, Cheryl Collier, Gary Cheung
{"title":"Memory clinic survey in New Zealand: a second look.","authors":"Constance Stone, Bronwyn Copeland, Cheryl Collier, Gary Cheung","doi":"10.1177/1039856219852299","DOIUrl":"https://doi.org/10.1177/1039856219852299","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the changes in publicly funded memory clinics in New Zealand's since the last survey in 2008.</p><p><strong>Method: </strong>We conducted an online survey of the 20 District Health Boards (DHBs) and gathered information on the recently discontinued or established memory clinics.</p><p><strong>Results: </strong>We found dedicated memory clinics in the seven DHBs that have the largest older persons populations in New Zealand. Those DHBs that had discontinued their memory clinics did so because they opted for a more integrated approach using their primary care based dementia care pathway. Increased waiting times, low staffing ratios, variance in cognitive screening tests and patient demographics were reported.</p><p><strong>Conclusions: </strong>There is significant variability in the structure of memory clinics in New Zealand. These clinics could benefit from collaboration and bench-marking of their services.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"486-490"},"PeriodicalIF":1.8,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1039856219852299","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40538885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Time to end the drought in the bush.","authors":"Mathew Coleman, Denese Playford","doi":"10.1177/1039856219852296","DOIUrl":"https://doi.org/10.1177/1039856219852296","url":null,"abstract":"<p><strong>Objective: </strong>This paper outlines the current psychiatry workforce shortages experienced by rural and remote communities in Australia and argues that postgraduate training in psychiatry may play a role in rectifying these healthcare access inequities.</p><p><strong>Conclusion: </strong>Funding for postgraduate medical specialist training in Australia is undergoing a shift away from solely metropolitan-centric training schemes, based on substantial evidence over the past two decades in undergraduate medical training. Psychiatry is well placed to lead the development of dedicated postgraduate rural training pathways to enhance recruitment and retention of an urgently required rural and remote psychiatry workforce.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"366-368"},"PeriodicalIF":1.8,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1039856219852296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40550820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruth Vine, Holly Tibble, Jane Pirkis, Matthew Spittal, Fiona Judd
{"title":"The impact of substance use on treatment as a compulsory patient.","authors":"Ruth Vine, Holly Tibble, Jane Pirkis, Matthew Spittal, Fiona Judd","doi":"10.1177/1039856219852286","DOIUrl":"https://doi.org/10.1177/1039856219852286","url":null,"abstract":"<p><strong>Objectives: </strong>This paper considers the impact of having a diagnosis of substance use disorder on the utilisation of compulsory orders under the Victorian Mental Health Act (2014).</p><p><strong>Methods: </strong>We analysed the subsequent treatment episodes over 2 years of people who had been on a community treatment order for at least 3 months and determined the odds of a further treatment order if there was a diagnosis of substance use at or about the time the index community treatment order ended.</p><p><strong>Results: </strong>An additional diagnosis of a substance use disorder was coded in 47.7% and was associated with significantly increased odds of a subsequent treatment order in the following 2 years for those with a main diagnosis of schizophrenia (AOR = 3.03, <i>p</i><0.001) and 'other' disorders (AOR = 11.60, <i>p</i>=0.002). Those with a main diagnosis of mood disorder had a significant increase in odds for an inpatient treatment order if there was an additional substance use disorder diagnosis (AOR = 3.81, <i>p</i>=0.006).</p><p><strong>Conclusions: </strong>Having an additional diagnosis of substance use disorder was associated with increased likelihood of being placed on an order. This study supports greater emphasis being given to treatment of substance use concurrently with that of mental illness.</p>","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":" ","pages":"378-382"},"PeriodicalIF":1.8,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1039856219852286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40563007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Isaac Schweitzer Travelling Fellowship.","authors":"","doi":"10.1177/1039856216685947f","DOIUrl":"https://doi.org/10.1177/1039856216685947f","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124335690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obituary: Sharonne Gillian Lang (1952 - 2015).","authors":"","doi":"10.1177/1039856216685947b","DOIUrl":"https://doi.org/10.1177/1039856216685947b","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116291817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recover, rebuild, regenerate: New Zealand Conference 2016 in Christchurch.","authors":"","doi":"10.1177/1039856216685947c","DOIUrl":"https://doi.org/10.1177/1039856216685947c","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"356 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121634389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"College releases new position statement on patient-psychiatrist confidentiality and the issue of subpoenas.","authors":"","doi":"10.1177/1039856216685947d","DOIUrl":"https://doi.org/10.1177/1039856216685947d","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125755406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adolescent forensic psychiatry training in the Top End.","authors":"","doi":"10.1177/1039856216638959e","DOIUrl":"https://doi.org/10.1177/1039856216638959e","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121454153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obituary: Dr Alston Melvyn Unwin (1939-2015).","authors":"","doi":"10.1177/1039856216629576c","DOIUrl":"https://doi.org/10.1177/1039856216629576c","url":null,"abstract":"","PeriodicalId":347122,"journal":{"name":"Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115570094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}