Australasian Psychiatry最新文献

Australian community and inpatient general public sector mental health services between 2017-18 and 2021-22: Relative stasis in bed capacity, increasing outpatient demand, and stunted expenditure. 在 2017-18 年至 2021-22 年期间，澳大利亚社区和住院普通公共部门精神健康服务：病床容量相对停滞，门诊需求不断增加，支出增长缓慢。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-11-05 DOI: 10.1177/10398562241292428

Hayden Cornell, Stephen Allison, Tarun Bastiampillai, Stephen R Kisely, Jeffrey Cl Looi, Matthew Brazel

{"title":"Australian community and inpatient general public sector mental health services between 2017-18 and 2021-22: Relative stasis in bed capacity, increasing outpatient demand, and stunted expenditure.","authors":"Hayden Cornell, Stephen Allison, Tarun Bastiampillai, Stephen R Kisely, Jeffrey Cl Looi, Matthew Brazel","doi":"10.1177/10398562241292428","DOIUrl":"https://doi.org/10.1177/10398562241292428","url":null,"abstract":"Objective: To descriptively analyse Australian public sector General Mental Health Services (GMHS) expenditure, ambulatory, and inpatient services, including key performance indicators (KPIs) in comparison with other subspeciality mental health services (MHS).Method: We descriptively analysed data published by the Australian Institute of Health and Welfare (AIHW), including inpatient, ambulatory services, expenditure, and KPIs.Results: From 2017-18 to 2021-22, per capita expenditure for Australian GMHS (18-64) rose by an average annual inflation-adjusted change of 2%. Overall bed numbers remained static, with non-acute beds declining, and commensurate expansion of acute beds. Community GMHS had high outpatient utilisation, with high rates of schizophrenia, schizoaffective disorder, and bipolar affective disorders as primary diagnoses in mid-life. From 2017-18 to 2021-22, GMHS inpatient and ambulatory episodes had decreasing rates of significant improvement and increasing rates of significant deterioration.Conclusions: Although GMHS has the highest overall population and service utilisation, there has been static bed availability and relatively small increases in expenditure which are occurring concurrently with worsening clinical outcomes. Evidence-based modelling of GMHS and outcomes is required to inform future service improvement.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581932","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

Oxytocin in old age psychiatry: A systematic review of the safety of using intranasal oxytocin in older adults. 老年精神病学中的催产素：对老年人使用鼻内催产素安全性的系统性审查。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-30 DOI: 10.1177/10398562241291335

Antoine Sawares, James Olver, Marco Morcos, Trevor Norman

{"title":"Oxytocin in old age psychiatry: A systematic review of the safety of using intranasal oxytocin in older adults.","authors":"Antoine Sawares, James Olver, Marco Morcos, Trevor Norman","doi":"10.1177/10398562241291335","DOIUrl":"https://doi.org/10.1177/10398562241291335","url":null,"abstract":"Objectives: To examine the literature for evidence of adverse events associated with the use of intranasal oxytocin in older adults (60+).Methods: A systematic review was undertaken according to PRISMA guidelines. Peer-reviewed literature was searched for studies involving intranasal oxytocin use in older populations. The Joanna Briggs Institute's (JBI) critical appraisal tool was used to assess the quality of included studies.Results: The search identified nine randomized controlled trials (RCTs) that investigated the effects of intranasal oxytocin on a total sample size of 331 older participants. Adverse effects associated with oxytocin administration were predominantly mild and varied inconsistently between studies. Compared to placebo intranasal oxytocin was not significantly associated with severe adverse outcomes in doses ranging from 24 to 72 IU after single dose and or repeated doses in the short-term.Conclusion: In a population of older adults, intranasal oxytocin is devoid of serious adverse events. Although this review offers valuable insights, it may not fully reflect the potential adverse events associated with the long-term administration of intranasal oxytocin such as would be expected in its clinical application if approved for the treatment of dementia.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543380","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

Effectiveness of long-acting buprenorphine - A systematic review. 长效丁丙诺啡的有效性--系统综述。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-29 DOI: 10.1177/10398562241295872

John McMaster, Hesitha Abeysundera

{"title":"Effectiveness of long-acting buprenorphine - A systematic review.","authors":"John McMaster, Hesitha Abeysundera","doi":"10.1177/10398562241295872","DOIUrl":"10.1177/10398562241295872","url":null,"abstract":"Objective: To analyse the evidence of the effectiveness of long-acting injection buprenorphine (LAI-B) in the management of opioid use disorder (OUD).Method: Databases were searched for studies reporting on the effectiveness of LAI-B for the treatment of OUD. Risk of bias was assessed, and a narrative synthesis of data was presented. The study adhered to PRISMA guidelines and was registered with PROSPERO (CRD42023396033).Results: Eighteen studies were included in the final review: two double-blind randomised control trials, two open-label randomised control trials, two retrospective cohort studies, one non-controlled pilot study, and eleven observational studies. In comparative trials, LAI-B was superior to placebo and superior or non-inferior to treatment as usual. LAI-B was positively associated with improvements in abstinence rates and patient-centred outcomes. There was limited data on the long-term effects of continuous LAI-B prescription.Conclusion: LAI-B is an effective treatment for OUD with advantages over existing forms of treatment. Patients reported high levels of medication satisfaction and there were no significant safety concerns. This review highlights the need for future research on long-term effectiveness outcomes, with participants of more varied demographics and psychiatric comorbidity, which is more reflective of the OUD population seen in community clinical settings.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520880","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

Making it real: Actioning the mental health strategy with Pacific Island communities. 使之成为现实：与太平洋岛屿社区共同实施心理健康战略。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-28 DOI: 10.1177/10398562241293263

Narayan Gopalkrishnan, Annie Crookes

{"title":"Making it real: Actioning the mental health strategy with Pacific Island communities.","authors":"Narayan Gopalkrishnan, Annie Crookes","doi":"10.1177/10398562241293263","DOIUrl":"https://doi.org/10.1177/10398562241293263","url":null,"abstract":"Objective: This paper explores the practical implications of the World Health Organization strategy of focussing on community-based mental health and wellbeing ecosystems in the context of the Pacific Island Countries. It draws on the expertise of the participants of a collaborative workshop held during the Creating Futures conference in 2023 to discuss successes, challenges, barriers, opportunities in the implementation of the framework and to examine potential future actions.Conclusions: Some of the significant factors that make for effective and sustained community-based mental health systems include appropriate central coordination and oversight of community-based services, adequate frameworks for quality assurance, meaningful data collection and sustained long-term funding, as well as a range of workforce factors. Flexible and place-based approaches also need to be considered in effective implementation, moving away from Western diagnostic 'labels' to communication that is effective at the local level. Positive community resources as well as the relative youth of the mental health sector in the Pacific Island Nations are huge opportunities to develop affective and appropriate community mental health systems.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493743","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

How evidence-based is the "hashtag ADHD test" (#adhdtest). A cross-sectional content analysis of TikTok videos on attention-deficit/hyperactivity disorder (ADHD) screening. hashtag ADHD 测试"（#adhdtest）的证据基础如何？对TikTok视频中有关注意缺陷/多动障碍（ADHD）筛查的内容进行横向分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-18 DOI: 10.1177/10398562241291956

Smita Verma, Suman Kumar Sinha

{"title":"How evidence-based is the \"hashtag ADHD test\" (#adhdtest). A cross-sectional content analysis of TikTok videos on attention-deficit/hyperactivity disorder (ADHD) screening.","authors":"Smita Verma, Suman Kumar Sinha","doi":"10.1177/10398562241291956","DOIUrl":"https://doi.org/10.1177/10398562241291956","url":null,"abstract":"Objectives: TikTok is being increasingly used as an easily accessible source of information on Attention-Deficit/Hyperactivity Disorder (ADHD). This study aimed to find the quality of information on ADHD screening or self-test in TikTok videos with the hashtag #adhdtest and the engagement of these videos with their viewers.Method: The content of the top 50 TikTok videos with the \"hashtag #ADHDtest\" was analyzed cross-sectionally and categorized as \"useful\" or \"misleading\" after comparison of its content with the \"Adult ADHD Self-Report Scale\" (ASRS-v1.1). The videos were categorized as \"useful\" if its contents had at least 4 out of the 6 questions on the ASRS-v1.1 screener. Its level of engagement was quantified by measuring the number of times the video was liked, commented on, or added to favorites. Descriptive statistics were used for analysis.Result: Out of the 50 included #adhdtest videos, 92% (n = 46) were misleading. Furthermore, useful videos had minimal engagement, with only 4% of the total likes, 1% of the total comments, and 7% of the total favorites.Conclusion: There is misleading information related to adult ADHD screening and testing on TikTok. There is a need to address this misinformation.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456920","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

Framing the future: Ensuring vulnerable island communities are engaged. 规划未来：确保弱势岛屿社区的参与。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-15 DOI: 10.1177/10398562241292977

Natalie A Cutler, Michele Rumsey, Odille Chang, Silina Motofaga, Julie Millard

{"title":"Framing the future: Ensuring vulnerable island communities are engaged.","authors":"Natalie A Cutler, Michele Rumsey, Odille Chang, Silina Motofaga, Julie Millard","doi":"10.1177/10398562241292977","DOIUrl":"https://doi.org/10.1177/10398562241292977","url":null,"abstract":"Objective: Statements such as the Bridgetown Declaration1 serve as a wake-up call for action to address the significant mental health needs in small island developing states. Overarching frameworks and action plans have been developed to support nations to promote mental health and build resilience for their populations in the region, and while these frameworks and action plans provide direction, translating them into grassroots change can be a challenge. At the Creating Futures 23 conference, delegates from the Oceania region were invited to participate in a plenary workshop entitled Framing the Future. Three questions were posed for workshop participants to respond to in relation to their perceived priorities, opportunities and innovations to support mental health in their local communities. This paper provides a summary of the workshop participants' responses.Conclusion: Community-led innovations, with programs tailored for small island communities, were seen as grassroots solutions in the Oceania region. Engagement with small island communities by policy makers and leaders was considered essential for effective, sustainable and community-led mental health initiatives to realise the objectives of high-level, overarching frameworks and action plans.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456919","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

Celebrating the Trainee Takeover of Australasian Psychiatry. 庆祝实习生接管澳大利亚精神病学。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-15 DOI: 10.1177/10398562241292467

Edward Miller, Fiona A Wilkes, Michael Taran, Ahnoor Benipal, Andrew Amos, Michael Weightman

引用次数: 0

Radicalisation in adolescents: mental health considerations for violent extremism. 青少年的激进化：暴力极端主义的心理健康考虑因素。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-14 DOI: 10.1177/10398562241292209

John Kasinathan, Annie Parsons

{"title":"Radicalisation in adolescents: mental health considerations for violent extremism.","authors":"John Kasinathan, Annie Parsons","doi":"10.1177/10398562241292209","DOIUrl":"https://doi.org/10.1177/10398562241292209","url":null,"abstract":"Objective: To outline current understanding and recommended mental health and psychiatric considerations for radicalisation and violent extremism among adolescents.Method: Overview of recent research regarding violent extremism in adolescents and relationships with mental illness and other psychosocial determinants. Relevant international and Australasian research is outlined, with an emphasis on adolescents. Psychiatric considerations, intervention and policy implications will be explored.Results: Adolescents who become radicalised form a heterogenous group with complex, multifaceted needs from mental disorder, familial, societal and/or environmental contributions. Thus, assessment and management need to be individualised. Mental health clinicians working with at-risk and radicalised adolescents should maintain a high index of suspicion for mental illness (particularly psychosis and depressive disorder) and neurodevelopmental disorder. Identified psychiatric conditions warrant prioritised mental health treatment. There may be a relationship between specific psychopathology and certain ideological beliefs and behaviours.Conclusions: Radicalised adolescents pose challenges with risk of serious harm to others, presentation complexity, multifactorial contributors and associations with varied psychopathology. All adolescents at risk of radicalisation or who are radicalised, should receive comprehensive mental health assessment and prompt assertive treatment of identified psychiatric conditions.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456924","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

Public awareness of mental illness: Mental health literacy or concept creep? 公众对精神疾病的认识：心理健康扫盲还是概念蠕变？

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-14 DOI: 10.1177/10398562241292202

Nick Haslam, Jesse Sy Tse

引用次数: 0

Cybersecurity lessons from the Vastaamo psychotherapy data breach for psychiatrists and other mental healthcare providers. 从 Vastaamo 心理治疗数据泄露事件中，精神科医生和其他心理医疗机构应吸取的网络安全教训。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-14 DOI: 10.1177/10398562241291340

Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Paul A Maguire, Steve Kisely, Sharon Reutens, Richard Ch Looi

{"title":"Cybersecurity lessons from the Vastaamo psychotherapy data breach for psychiatrists and other mental healthcare providers.","authors":"Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Paul A Maguire, Steve Kisely, Sharon Reutens, Richard Ch Looi","doi":"10.1177/10398562241291340","DOIUrl":"https://doi.org/10.1177/10398562241291340","url":null,"abstract":"Objective: The Vastaamo psychotherapy data breach in Finland is perhaps the largest cybersecurity incident in mental healthcare to date, resulting in significant patient harm. There are specific lessons for mental healthcare providers from an analysis of the incident.Method: Case study of this specific electronic health record data breach, based on detailed media reporting.Results: The issues raised include: the importance of governance of the cybersecurity of sensitive personal patient data, such as compliance with legislative requirements on privacy and data security; specific security measures such as de-identification of data, data protection via passwords, multi-factor authentication, firewalls and encryption; and timely and effective communication, and support of those who have been affected.Conclusions: The implications for mental healthcare providers, including psychiatrists and trainees, are that, within their capability, providers need to assess the efficacy and robustness of cybersecurity of electronic health record systems they use, and carefully consider the information that is recorded to minimise exposures such as in the Vastaamo breach.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456917","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