Australasian Psychiatry最新文献_第10页

The wounded healer: The history and implications of lived experience in mental health care. 受伤的治疗者：精神卫生保健生活经验的历史和影响。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2024-12-02 DOI: 10.1177/10398562241303267

Sarah Taylor

引用次数: 0

Language barriers in mental healthcare: A critical analysis. 精神卫生保健中的语言障碍：一项批判性分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-01-30 DOI: 10.1177/10398562251316102

Pablo Richly

{"title":"Language barriers in mental healthcare: A critical analysis.","authors":"Pablo Richly","doi":"10.1177/10398562251316102","DOIUrl":"10.1177/10398562251316102","url":null,"abstract":"In multicultural healthcare settings, language barriers pose significant challenges, particularly in mental health where nuanced communication is vital. This manuscript examines the impact of limited English proficiency (LEP) on mental healthcare in New Zealand, where a substantial portion of the population and healthcare workforce are foreign-born. Despite official recommendations, professional interpreter use remains low, compromising care quality for LEP patients. The paper explores interpreters' roles beyond interpretation, including cultural mediation, while noting limitations in interpreter-mediated consultations. It also addresses communication difficulties arising from strong accents and dialects, even when a common language is shared. Multifaceted strategies to improve communication are proposed, including enhanced cultural competency training, patient-centered protocols, and language matching in healthcare teams. Emphasizing a polycultural approach, the manuscript advocates for comprehensive interventions addressing linguistic, cultural, and cognitive aspects of communication in mental healthcare. It calls for further research and policy changes to integrate language access and cultural competency into healthcare quality assessments, aiming to reduce disparities and improve outcomes for diverse patient populations.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"336-338"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063417","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

Are Baby Boomers hazardous drinkers as they age? An exploratory interRAI study. 随着年龄的增长，婴儿潮一代是危险的饮酒者吗？一项探索性interRAI研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-05-30 DOI: 10.1177/10398562251346622

Yoram Barak, Gil Rothschild-Eliasi, Paul Glue, Robin Turner

{"title":"Are Baby Boomers hazardous drinkers as they age? An exploratory interRAI study.","authors":"Yoram Barak, Gil Rothschild-Eliasi, Paul Glue, Robin Turner","doi":"10.1177/10398562251346622","DOIUrl":"https://doi.org/10.1177/10398562251346622","url":null,"abstract":"ObjectiveAdults born between 1946 and 1964 ('Baby Boomers'; BBs) reportedly show an increase in alcohol use creating a critical focus for prevention. We studied age-specific alcohol use patterns in a national dataset.MethodsNew Zealanders 65 years and older who completed an international resident assessment instrument (interRAI-HC) interview were included.FindingsData from 166,524 participants was analysed (mean age, 82.3 ± 7.8 years; 100,315 (60.2%) females). Of these 14,382 were BBs (mean age, 67.8 ± 2.3 years; 7581 (52.7%) females). Alcohol use declined with age. The majority of interviewees did not use any alcohol in the last 14 days. Highest number of drinks in the last 14 days were significantly higher in BBs (Chi2 = 647; DF = 3; p < .001). Hazardous drinking, defined as having had five or more drinks in any 'one sitting', was 3 times more frequent in BBs (2.99% vs 1.0%; p < .001). However, when fitting a logistic regression model to capture enough events, for those aged 68 to 74 this effect was reduced. Women had lower adjusted odds of hazardous drinking.ConclusionsSome BBs exhibit higher rates of hazardous alcohol use than older adults - the 'Silent Generation'. This calls for policy makers to raise awareness and offer prevention - especially to younger BBs.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251346622"},"PeriodicalIF":1.2,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186421","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

Developing a culturally informed telepsychiatry competency framework for aotearoa New Zealand: A cross-sectional survey and factor analysis. 在新西兰发展一个文化上知情的远程精神病学能力框架：一个横断面调查和因素分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-05-28 DOI: 10.1177/10398562251345313

Alisha Vara, Yan Chen, Etuini Ma'u, Rodrigo Ramalho, Mark Lawrence, Gary Cheung

{"title":"Developing a culturally informed telepsychiatry competency framework for aotearoa New Zealand: A cross-sectional survey and factor analysis.","authors":"Alisha Vara, Yan Chen, Etuini Ma'u, Rodrigo Ramalho, Mark Lawrence, Gary Cheung","doi":"10.1177/10398562251345313","DOIUrl":"https://doi.org/10.1177/10398562251345313","url":null,"abstract":"ObjectiveThe COVID-19 pandemic accelerated telepsychiatry use in New Zealand. This study aimed to survey New Zealand psychiatrists and trainees' perception of their telepsychiatry competencies; the importance of these competencies when providing a culturally responsive telepsychiatry service; and to ascertain if the competency items converged to dimensions developed from a previous qualitative study.MethodsNew Zealand psychiatrists and trainees completed an anonymised online questionnaire comprising 20 competency statements. Participants rated each statement on a scale from 0 (low level competence/importance) to 100 (high level competence/importance): (1) How competent do you believe you are? (2) How important is this competency when providing a culturally responsive telepsychiatry service? A principal components factor analysis with Varimax Rotation was conducted on the importance ratings.ResultsEighty-six participants (47.7% female) participated. The factor analysis revealed four new domains: Cultural Safety, Infrastructure and Technology, Professional Development and Ethics, and Clinical Practice. These new domains explained 64.9% of the total variance. Their internal consistencies were acceptable (alpha≥0.70) except for self-rated competence in the Clinical Practice domain (alpha = 0.68).ConclusionThis competency framework could be used to develop educational curricula and training resources to improve culturally responsive telepsychiatry practice in Aotearoa.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251345313"},"PeriodicalIF":1.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172571","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

Artificial intelligence (AI) in psychotherapy: A challenging frontier. 人工智能在心理治疗中的应用：一个具有挑战性的前沿领域。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-05-27 DOI: 10.1177/10398562251346075

Daniel Jesudason, Stephen Bacchi, Tarun Bastiampillai

引用次数: 0

Mini editorial: The role of the trainee editor at Australasian Psychiatry. 迷你社论：澳大利亚精神病学实习编辑的角色。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-05-23 DOI: 10.1177/10398562251344533

Edward Miller, Michael Taran

引用次数: 0

Scientific insights from ten years of delivering psychological treatment via the internet as part of routine care. 从十年来通过互联网提供心理治疗作为日常护理的一部分的科学见解。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-05-21 DOI: 10.1177/10398562251344490

Olav Nielssen, Lauren Staples, Blake Dear, Nickolai Titov

{"title":"Scientific insights from ten years of delivering psychological treatment via the internet as part of routine care.","authors":"Olav Nielssen, Lauren Staples, Blake Dear, Nickolai Titov","doi":"10.1177/10398562251344490","DOIUrl":"https://doi.org/10.1177/10398562251344490","url":null,"abstract":"BackgroundDigital mental health services (DMHS) providing psychological treatment via the internet were developed to address the huge unmet need for evidence-based care for high prevalence psychiatric disorders.AimTo review some of the scientific insights derived from data provided by a high volume DMHS delivering psychological services as part of routine care.MethodA summary of results derived from demographic information and validated symptom self-report scales from very large samples of patients.ResultsThe main findings were (1) anxiety and depression are often part of the same condition and respond to the same treatment, (2) iCBT is effective for mood symptoms, regardless of cause, (3) iCBT works just as well for men and for women and (4) chronic pain is a symptom that is amenable to psychological treatment delivered via the internet. We identified five core behaviours required to maintain good mental health. We also found that psychological assessment and treatment provided remotely was relatively safe.ConclusionsDMHS are accessible, effective, efficient and relatively safe. As well as supporting quality control and service evaluation, the routine measurement of outcomes by DMHS has improved our understanding of the nature of common mental disorders.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251344490"},"PeriodicalIF":1.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109500","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 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

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