Australasian Psychiatry最新文献

The ongoing development of a national approach to mental health service experience measurement in Australia. 澳大利亚正在制定衡量精神卫生服务经验的国家办法。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-23 DOI: 10.1177/10398562251335547

Tim Coombs, Rosemary Dickson, Cheryl Reed

引用次数: 0

Closing the equity gap as we approach zero seclusion: Successes of the quality improvement project some doubted could be done. 在接近零隔离的过程中缩小公平差距：一些人怀疑的质量改进项目能否成功。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-22 DOI: 10.1177/10398562251330072

Clive Bensemann, Jess Drummond, Karen O'Keeffe, Arana Pearson, Jacqueline Ryan, Carl Shuker, Karl Wairama, Wi Keelan

{"title":"Closing the equity gap as we approach zero seclusion: Successes of the quality improvement project some doubted could be done.","authors":"Clive Bensemann, Jess Drummond, Karen O'Keeffe, Arana Pearson, Jacqueline Ryan, Carl Shuker, Karl Wairama, Wi Keelan","doi":"10.1177/10398562251330072","DOIUrl":"https://doi.org/10.1177/10398562251330072","url":null,"abstract":"ObjectiveUse of seclusion (in particular inequitable use) continues in mental health services in many countries, despite evidence against it and substantial endeavour to reduce or eliminate it. Aotearoa New Zealand's national quality improvement agency Te Tāhū Hauora Health Quality & Safety Commission has since 2018 led a project to eliminate use of seclusion in mental health inpatient units.MethodThe 'Zero Seclusion: Safety and dignity for all' project co-designed a bicultural change package and implemented it nationwide in a formative collaborative with clinical teams, consumers, families, and whānau. Outcome measures included seclusion rates, duration, and average number of episodes, by ethnicity, with a focus on equity.ResultsFrom a baseline mean of 6.4% of mental health service consumers secluded monthly in the 12 months to September 2019, the mean rate of seclusion reduced to 4.3% by June 2024. The seclusion rate of Māori mental health service consumers fell from 9.9% to 6.0%, and of non-Māori/non-Pacific consumers from 4.0% to 2.3%.ConclusionReduction and elimination of seclusion, especially its inequitable use with indigenous populations, is possible. True co-design, strong leadership, partnership with indigenous populations and those most affected, and an embrace of robust measurement were critical to these good results.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251330072"},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing the trends of MBS telepsychiatry and consultant physician telehealth services from 2017 to 2022: A retrospective study-CORRIGENDUM. 比较2017年至2022年MBS远程精神病学和咨询医生远程医疗服务的趋势：一项回顾性研究-勘误

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-22 DOI: 10.1177/10398562251335518

Luke S-C Woon, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Paul Maguire, William Pring, Rebecca Reay, Jeffrey Cl Looi

引用次数: 0

Evaluation of a rapid response, brief, multi-disciplinary team (MDT) intervention, for young people who presented to hospitals with acute mental health concerns. 对因严重精神健康问题到医院就诊的年轻人进行快速反应、简短、多学科小组（MDT）干预的评估。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-21 DOI: 10.1177/10398562251328791

Kannan Kallapiran, Leanne Payne, Linda Leatherbarrow, Judith Piccone, Meenakshi Sundaram Shanmugam, Stephen Stathis

{"title":"Evaluation of a rapid response, brief, multi-disciplinary team (MDT) intervention, for young people who presented to hospitals with acute mental health concerns.","authors":"Kannan Kallapiran, Leanne Payne, Linda Leatherbarrow, Judith Piccone, Meenakshi Sundaram Shanmugam, Stephen Stathis","doi":"10.1177/10398562251328791","DOIUrl":"https://doi.org/10.1177/10398562251328791","url":null,"abstract":"BackgroundDuring COVID-19 pandemic, the Assertive Community Service Response Team (ASCR team) was set up in Brisbane, Australia to provide a rapid response, 8-week MDT intervention to young people (aged 18 and below) who presented with acute mental health issues.MethodsData involving young people who attended the ACSR team (from June 2021-June 2022) was analysed to evaluate the differences in pre- and post-clinician-rated outcome measures. The proportion of young people who experienced Reliable Change (defined as 1.96 Reliable Change Index (RCI); RCI = x2-x1/Standard deviation) was estimated, and predictive factors were explored.ResultsAmong the 79 consumers who attended ACSR, there were statistically significant improvements in symptom, functioning, and risk scores. More than 30% and 40% experienced reliable changes in symptomatology and functioning, respectively. Despite improvement, nearly 80% experienced ongoing emotional difficulties, and 60% reported family relationship difficulties.ConclusionWhile the ACSR brief MDT intervention was feasible and acceptable for young people with acute mental health concerns and a significant proportion experienced meaningful clinical improvement, future studies with control designs should explore if the improvements could be attributed to the brief intervention.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251328791"},"PeriodicalIF":1.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ketamine for unipolar depression: A systematic review of efficacy and safety. 氯胺酮治疗单极抑郁症：有效性和安全性的系统综述。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-16 DOI: 10.1177/10398562251328805

Tharshanan Edwin Peiris, Amrit Pokhrel, Yuvaraj Paudel

{"title":"Ketamine for unipolar depression: A systematic review of efficacy and safety.","authors":"Tharshanan Edwin Peiris, Amrit Pokhrel, Yuvaraj Paudel","doi":"10.1177/10398562251328805","DOIUrl":"https://doi.org/10.1177/10398562251328805","url":null,"abstract":"BackgroundUnipolar depression is a prevalent mental health disorder with persistent, treatment-resistant symptoms. Traditional antidepressants take weeks to show effects, underscoring the need for faster alternatives. Ketamine, originally an anaesthetic, has emerged as a rapid-acting antidepressant.ObjectiveThis systematic review evaluates ketamine's efficacy and safety in unipolar depression.MethodsA literature search (January 2000-May 2024) in PubMed, PsycINFO, and Cochrane Library included RCTs, CCTs, systematic reviews, meta-analyses, and observational studies on ketamine or esketamine in formally diagnosed individuals. Study characteristics, interventions, outcomes, and adverse events were analyzed, with quality and bias assessments.ResultsAcross 44 studies, ketamine significantly reduced depressive symptoms and suicidal ideation within hours, particularly in treatment-resistant cases, with effects lasting up to 1 week. Common side effects included transient dissociation, elevated blood pressure, nausea, and dizziness, while long-term safety remains uncertain.ConclusionsKetamine shows promise as a rapid antidepressant for treatment-resistant unipolar depression. However, long-term safety and optimal treatment protocols require further research. Careful clinical integration with monitoring is recommended.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251328805"},"PeriodicalIF":1.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resolution of catatonia after propofol anaesthesia. 异丙酚麻醉后紧张症的缓解。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-16 DOI: 10.1177/10398562251330046

Luke Lawrence Viglione, Ralf Ilchef

引用次数: 0

Balancing progress and well-being: Assessing impacts on mental well-being from development initiatives in the Maldives. 平衡进步和福祉：评估马尔代夫发展倡议对心理健康的影响。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-14 DOI: 10.1177/10398562251334643

Mizna Mohamed, Mariyam Shabeena Ahmed, Ahmed Jameel

引用次数: 0

Explicating the implicit: An Australian medical student's reflection on the Perspectives of Psychiatry Program for International Learners (PoPPIL). 解释隐含：一名澳大利亚医学生对国际学习精神病学课程（PoPPIL）观点的反思。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-14 DOI: 10.1177/10398562251333520

Allen J Huang

{"title":"Explicating the implicit: An Australian medical student's reflection on the Perspectives of Psychiatry Program for International Learners (PoPPIL).","authors":"Allen J Huang","doi":"10.1177/10398562251333520","DOIUrl":"https://doi.org/10.1177/10398562251333520","url":null,"abstract":"BackgroundMedical schools are essential in promoting psychiatry as an appealing career, especially amid workforce shortages and prevailing negative perceptions that deter interest in the field. Research suggests that increasing mentorship opportunities and access to enrichment programs and electives can significantly improve attitudes towards psychiatry, encouraging more to consider it as a career path.ObjectiveTo reflect on an Australian medical student's experience in the Perspectives of Psychiatry Program for International Learners (PoPPIL) at Johns Hopkins University School of Medicine, demonstrating how the program, based on its structured multi-perspective framework, serves as an example of an enrichment activity that aligns with these recommendations.ConclusionThe PoPPIL serves as a compelling model for integrating enrichment activities and mentorship within psychiatric education. Participants engage in discourse-driven learning, encouraging reflection on diagnostic formulations and explication of inherent reasoning processes. By establishing its foundations on an adaptable, conceptually sound framework, the PoPPIL aims to facilitate the development of psychiatrists who are holistic and integrative in their daily practice. Integrating educational opportunities such as these into Australia's psychiatric curricula may prove advantageous for future generations.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251333520"},"PeriodicalIF":1.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Amos (2024) misrepresents gender-affirming care for Australian children and adolescents. Amos (2024)错误地描述了为澳大利亚儿童和青少年提供的性别确认护理。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-11-21 DOI: 10.1177/10398562241297558

Blake S Cavve, Robert Tait, Tram T Nguyen, S Rachel Skinner, Ken C Pang

引用次数: 0

A reflection on how the absence of a psychodynamic perspective may disadvantage gender care and decision-making. 关于缺乏心理动力学视角如何可能不利于性别关怀和决策的反思。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-15 DOI: 10.1177/10398562241312979

Jillian Spencer, Roberto D'Angelo

引用次数: 0