Australasian Psychiatry最新文献_第10页

Psychosocial workplace safety in mental health services – Commentary and considerations to improve safety 心理健康服务中的社会心理工作场所安全--改进安全的评论和考虑因素

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-14 DOI: 10.1177/10398562241283206

Jeffrey CL Looi, Paul A Maguire, Steve Kisely, Stephen Allison, Tarun Bastiampillai

引用次数: 0

Characterising the nature of psychiatric disorders and patterns of antipsychotic medications prescribed in a psychiatric ward in a public hospital in Tasmania 分析塔斯马尼亚州一家公立医院精神科病房中精神疾病的性质和抗精神病药物处方的模式

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-14 DOI: 10.1177/10398562241283156

Sharad Tamrakar, Antonio Mendoza Diaz, Adriana G Nevarez Flores, David Castle

{"title":"Characterising the nature of psychiatric disorders and patterns of antipsychotic medications prescribed in a psychiatric ward in a public hospital in Tasmania","authors":"Sharad Tamrakar, Antonio Mendoza Diaz, Adriana G Nevarez Flores, David Castle","doi":"10.1177/10398562241283156","DOIUrl":"https://doi.org/10.1177/10398562241283156","url":null,"abstract":"ObjectiveWe present an evaluation of antipsychotic prescribing in an inpatient psychiatry ward in Hobart, Tasmania, to establish pattern of use, alignment with other psychiatric wards or centres and the recommendations in the Royal Australian and New Zealand College of Psychiatry Clinical Practice Guidelines, and to determine predictors of polypharmacy.MethodsA descriptive cross-sectional survey design was used. Data from 118 patients discharged from the Royal Hobart Hospital (RHH) Mental Health Inpatient Unit between 01/02/2021 to 01/08/2021 were evaluated.ResultsAntipsychotic polypharmacy (APP) was observed in 40% of patients. When low doses of adjunctive (‘PRN’) use of olanzapine and quetiapine were excluded, the APP proportion was 35%. APP was predicted by age and by a schizophrenia diagnosis. Long-acting injections (LAIs) were used in 46% of the patients. The most common LAI was risperidone (52%). Average daily dose of antipsychotic at the time of discharge was 529 mg chlorpromazine (CPZ) equivalents. High dose antipsychotics (more than 1000 mg CPZ equivalents per day) was observed in 13% of the patients.ConclusionsThe observed prescribing practice is consistent with other clinical settings. Antipsychotic prescribing practice should, however, continue to be monitored to ensure adherence to best practice guidelines.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":"208 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269058","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

The Live Well intervention: Promoting healthy lifestyles during routine older people’s mental healthcare 健康生活干预：在常规老年人心理保健过程中推广健康的生活方式

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-12 DOI: 10.1177/10398562241276973

Carmelo Aquilina, Lachlan J. Best, Mohammed Mohsin, Cathy O’Callaghan

{"title":"The Live Well intervention: Promoting healthy lifestyles during routine older people’s mental healthcare","authors":"Carmelo Aquilina, Lachlan J. Best, Mohammed Mohsin, Cathy O’Callaghan","doi":"10.1177/10398562241276973","DOIUrl":"https://doi.org/10.1177/10398562241276973","url":null,"abstract":"ObjectiveLifestyle is an important determinant of health. The Live Well intervention allows mental health clinicians to address lifestyle during routine mental health encounters.MethodClinicians were taught how to encourage consumers to learn more about lifestyle and health; consider their own lifestyle and health using a self-rated health and wellness questionnaire (HAWQ) and helped them decide which out of six health domains (physical, mental and social activity, healthy eating, mental wellbeing and positive thinking) should be improved in small, sustainable steps using a SMART (specific, measurable, achievable, relevant and timed) goal-setting template.ResultsOut of 65 enrolled consumers, 52 completed pre-intervention, 6-week and 12-week post-assessment assessments. There were improvements in all self-rated health domains except for heathy eating. At 12-week, consumers also recorded significant satisfaction with the Live Well program, goal achievement and wellbeing. Clinicians’ feedback was positive about using this intervention with their consumers.ConclusionsLive Well is a feasible and effective way to engage consumers on positive lifestyle changes in routine mental health care encounters.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":"105 1","pages":"10398562241276973"},"PeriodicalIF":1.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175847","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

Response to workplace aggression in forensic and secure mental health services: Investigating staff confidence, associated factors, and training needs 法医和安全心理健康服务机构应对工作场所侵犯行为的措施：调查员工的信心、相关因素和培训需求

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-10 DOI: 10.1177/10398562241282874

Wei He, Lara Denman, Michael Luder, Terry Stedman

{"title":"Response to workplace aggression in forensic and secure mental health services: Investigating staff confidence, associated factors, and training needs","authors":"Wei He, Lara Denman, Michael Luder, Terry Stedman","doi":"10.1177/10398562241282874","DOIUrl":"https://doi.org/10.1177/10398562241282874","url":null,"abstract":"ObjectiveTo evaluate forensic and secure mental health services (FSMHS) staff’s confidence in managing workplace aggression, identify associated factors, and explore their workplace aggression prevention training needs.MethodsThrough an online survey, staff rated their experience of workplace aggression, perceived effectiveness of current training, and confidence in responding to workplace aggression, and described training needs. Stepwise multiple regression was used to identify associated factors with statistical significance. Thematic analysis was used to generate themes describing their training needs.ResultsThe staff perceived current training as low-to-medium in effectiveness, mirroring their confidence in managing workplace aggression. Nurses experienced more workplace aggression compared to other professions. Staff working at High Security perceived current training as less effective compared to those working at Medium Security or Low Security. Qualitative findings underscored the necessity for improved training content, methods, and supportive strategies.ConclusionRecommendations for enhancing training include: tailoring training to FSMHS settings; equally focussing on both non-physical and physical intervention techniques; providing more scenario-based hands-on practice opportunities; delivering training in a reasonable trainer-trainee ratio; prioritising nurses and High Security staff and integrating other professions into the training framework; and implementing strategies that support staff, consumers, and environment to ensure training effectiveness and applicability.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":"85 1","pages":"10398562241282874"},"PeriodicalIF":1.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175857","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

A reflection on mental health education for pacific clinicians. 对太平洋地区临床医生心理健康教育的反思。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-07 DOI: 10.1177/10398562241279646

Odille Chang

引用次数: 0

Mostly harmless? Clinical practice guidelines need further consideration of psychotherapy adverse effects. 大多无害？临床实践指南需要进一步考虑心理疗法的不良反应。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-07 DOI: 10.1177/10398562241282736

Stephen Allison, Jeffrey Cl Looi, Steve Kisely, Tarun Bastiampillai

引用次数: 0

The Thought Broadcast: The importance of psychiatric journal clubs. 思想广播：精神病学期刊俱乐部的重要性。