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Mental health of the Pacific Island Nation communities: What the rest in the world can contribute to and learn from? 太平洋岛国社区的心理健康：世界其他地区可以做出哪些贡献并从中学习？
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-08-31 DOI: 10.1177/10398562241278542
Rahul Shidhaye
{"title":"Mental health of the Pacific Island Nation communities: What the rest in the world can contribute to and learn from?","authors":"Rahul Shidhaye","doi":"10.1177/10398562241278542","DOIUrl":"10.1177/10398562241278542","url":null,"abstract":"<p><p>Introduction<i>Creating Futures</i> initiative has established a network of mental health professionals, researchers, and community members from the Pacific Island Nations (PIN), Australia, and New Zealand to address the growing challenges of mental health conditions compounded by the climate change crisis. The enormous amount of work done in Global Mental Health can be particularly helpful to improve population-level mental health. However, translation of this evidence base into practice poses several challenges.ObjectiveThis perspective paper discusses the role of local culture and health systems context in determining the feasibility and acceptability of implementing and scaling up evidence-based interventions designed in an American-European context. The paper also advocates development (and evaluation) of mental health interventions in the PIN communities particularly and Global South generally and exporting these interventions to the rest of the world.ConclusionsCOVID-19 crisis underlined the role of global cooperation as well as national level 'self-reliance'. In this post COVID-19 world, it will be desirable for the mental health community to cooperate and collaborate to scale up evidence-based interventions through rigorous contextualization and at the same time main-stream mental health interventions developed in the Global South by incorporating them in the Global Mental Health discourse.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"217-219"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103875","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 : 2025-04-01 Epub 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":"10.1177/10398562241292977","url":null,"abstract":"<p><p>ObjectiveStatements such as the Bridgetown Declaration<sup>1</sup> 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.ConclusionCommunity-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.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"203-206"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982574/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The multiple 'faces' of burnout in clinical psychiatric practice. 精神科临床实践中职业倦怠的多重“面”。
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-12-22 DOI: 10.1177/10398562241308695
Gordon Parker
{"title":"The multiple 'faces' of burnout in clinical psychiatric practice.","authors":"Gordon Parker","doi":"10.1177/10398562241308695","DOIUrl":"10.1177/10398562241308695","url":null,"abstract":"<p><p>ObjectiveBurnout is commonly viewed as having three constituent symptoms forming a definable syndrome. This paper seeks to detail a number of burnout profiles as faced by psychiatrists in clinical practice and which can lead to diagnostic dilemmas.ConclusionsWhile those with burnout appear less likely to present to psychiatrists than to other mental health practitioners, there appear to be a number of differing clinical profiles, and so arguing for consideration of a burnout syndrome in the differential diagnosis of some less prototypic clinical presentations.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"249-251"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876058","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
Creating futures out of the conference: 20 years of strengthening mental health capacity in the Pacific. 从会议中创造未来：太平洋地区加强精神卫生能力的20年。
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-10 DOI: 10.1177/10398562241312973
Brigid Ryan, Jennifer McHugh, Annie E Crookes
{"title":"Creating futures out of the conference: 20 years of strengthening mental health capacity in the Pacific.","authors":"Brigid Ryan, Jennifer McHugh, Annie E Crookes","doi":"10.1177/10398562241312973","DOIUrl":"10.1177/10398562241312973","url":null,"abstract":"<p><p>Creating Futures (CF) is an independent, collaborative taskforce supported by in-kind commitments from organisations and practitioners. This paper summarises CF 2023 themes and provides an overview of 20 years of CF activities. It highlights challenges and opportunities to integrate global mental health partnerships and regional mental health projects. CF promotes a partnership model which has created an important space for dialogue, publications, training, and peer-to-peer support. This improves visibility of the Pacific voices and brings out a more nuanced discussion of the complexities of mental health capacity building, leading to informed and sustainable developments in mental health care.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"188-191"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963701","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
Creating a mental health talanoa to promote a collaborative approach to wellbeing across Pacific peoples. 创建一个心理健康塔拉诺亚（talanoa），促进太平洋各族人民以合作的方式实现福祉。
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-09-23 DOI: 10.1177/10398562241281576
Jioji Ravulo
{"title":"Creating a mental health talanoa to promote a collaborative approach to wellbeing across Pacific peoples.","authors":"Jioji Ravulo","doi":"10.1177/10398562241281576","DOIUrl":"10.1177/10398562241281576","url":null,"abstract":"<p><p>ObjectivePromoting holistic health and wellbeing is a shared conversation, or talanoa, requiring collaboration between individuals, their families and wider communities. This paper will explore various community-based initiatives privileging Pacific epistemologies and ontologies that promote and provide accessible resources improving mental health literacies.MethodThree specific initiatives are discussed in this paper; Mental Health Talanoa (MHT), Open Worksheet and Wellbeing Talanoa. These provide a platform to understand practical ways to support Pacific peoples in various contexts.ResultsThe MHT project offers a nuanced understanding of symptomatology related to common mental disorders amongst Pacific peoples, a nuanced understanding of the barriers and enablers to health literacies and help seeking behaviour, and a series of infographics, including the Pacific Mental Health Lexicons (PIMHL). The Open Worksheet is a dynamic tool underpinned by a dialogical and relationally driven way to understanding individual and familial narratives. The Wellbeing Talanoa supports a communally orientated opportunity to enhance a sense of connection to self and others whilst therapeutically reviewing social and welfare needs and solutions.ConclusionDeveloping and implemented Pacific approaches that are grounded in Pacific values and practices can lead to enhanced help seeking behaviour, engagement, service retention and provision.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"207-209"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender-affirming care through the lens of abnormal illness behaviour and abnormal treatment behaviour. 从异常疾病行为和异常治疗行为的角度看性别平等护理。
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-08-29 DOI: 10.1177/10398562241276978
Patrick Clarke, Andrew J Amos
{"title":"Gender-affirming care through the lens of abnormal illness behaviour and abnormal treatment behaviour.","authors":"Patrick Clarke, Andrew J Amos","doi":"10.1177/10398562241276978","DOIUrl":"10.1177/10398562241276978","url":null,"abstract":"<p><p>ObjectiveTo describe the increasing number and changing demographics of patients presenting with gender dysphoria and provide an account of patient- and clinician-related factors which may have contributed to these changes. The concept of abnormal illness behaviours introduced by Pilowsky, and its extension to the concept of abnormal treatment behaviours by Singh, provides a framework for understanding healthy and pathological interactions between gender dysphoria patients and their doctors.ConclusionsAbnormal illness behaviours driven by the reinforcing contingencies of gender-affirming care may explain, in part, the increasing number and changing demographics of gender dysphoria, as well as the increasing incidence of desistance and detransition. The under-diagnosis and under-treatment of mental health disorders by clinicians treating these patients are examples of abnormal treatment behaviours. Uncritical affirmation of patient reported gender identity appears likely to conceal unconscious motivations of some patients and clinicians, increasing the risks of harm to both.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"282-288"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recommendations of the Queensland children's gender service external evaluation and their implications for health policy in Australia. 昆士兰儿童性别服务外部评估的建议及其对澳大利亚卫生政策的影响。
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-10-09 DOI: 10.1177/10398562241280351
Jillian Spencer, Andrew James Amos, Patrick Hubert John Clarke
{"title":"Recommendations of the Queensland children's gender service external evaluation and their implications for health policy in Australia.","authors":"Jillian Spencer, Andrew James Amos, Patrick Hubert John Clarke","doi":"10.1177/10398562241280351","DOIUrl":"10.1177/10398562241280351","url":null,"abstract":"<p><p>ObjectiveTo review the evaluation process and the implications for Australian health policy of the 2024 external clinical service evaluation of the Queensland Children's Gender Service (QCGS) and its recommendations.ConclusionsFailing to perform a systematic review of the relevant literature, and adhering to discredited and ideologically based guidelines, the Review made recommendations lacking evidentiary support that have major implications for Queensland and other Australian health services. The evaluation report's recommendations reveal eight areas of concern about the clinic's functioning.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"265-272"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contextualizing Psychological First Aid for the Pacific Island Countries. 太平洋岛国的心理急救情境化。
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-04 DOI: 10.1177/10398562241307858
Malini Nair, Serik Meirmanov
{"title":"Contextualizing Psychological First Aid for the Pacific Island Countries.","authors":"Malini Nair, Serik Meirmanov","doi":"10.1177/10398562241307858","DOIUrl":"10.1177/10398562241307858","url":null,"abstract":"<p><p>ObjectiveThis article explores the views towards contextualizing Psychological First Aid (PFA) to address the specific needs of communities in Pacific Island Countries (PICs) impacted by disasters. The methodological approach involved a review of existing literature on PFA's relevance, adaptation, and effectiveness in disaster response settings.FindingsIn disaster response, PFA is a recognized, evidence-informed psychosocial support activity internationally, yet measuring its effectiveness in real-time disasters remains challenging. Practical evaluation of evidence-based PFA requires a more strategic approach emphasizing localization and incorporating community participation and needs contextualization. This approach is essential to ensuring cultural relevance and acceptance within the diverse environments of the PICs.ConclusionA contextualized understanding of PFA can enhance its effectiveness and contribute to psychological resilience in communities marked by significant diversity and disaster vulnerability.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"228-231"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926331","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 mental health impact of climate change on Pacific Islanders: A systematic review focused on sea level rise and extreme weather events. 气候变化对太平洋岛民心理健康的影响：以海平面上升和极端天气事件为重点的系统综述。
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-03 DOI: 10.1177/10398562241312865
Netsanet Ayele Mengesha, Zoltan Sarnyai
{"title":"The mental health impact of climate change on Pacific Islanders: A systematic review focused on sea level rise and extreme weather events.","authors":"Netsanet Ayele Mengesha, Zoltan Sarnyai","doi":"10.1177/10398562241312865","DOIUrl":"10.1177/10398562241312865","url":null,"abstract":"<p><p>ObjectiveThis systematic review investigates the impact of climate change on the mental health of Pacific Island Nations (PINs), with a focus on identifying culturally tailored interventions and appropriate research methodologies to address these impacts.MethodA systematic review of peer-reviewed literature up to May 18, 2024, was conducted using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol and the Population, Interest Area, and Context (PICo) framework. Empirical studies on the impact of climate change on mental health in PINs were evaluated by using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD).ResultsSix studies from the Solomon Islands, Cook Islands, and Tuvalu were identified, indicating significant mental health impacts from sea level rise (SLR) and extreme weather events with compounding and mitigating effects across diverse groups. The Skills for Life Adjustment and Resilience (SOLAR) program was highlighted as a promising culturally adapted intervention.ConclusionClimate change significantly impacts mental health, particularly in PIN communities facing SLR and Extreme Weather Events (EWE). Culturally sensitive interventions, local knowledge, and further research are vital to mitigate these effects and support well-being.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"220-227"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AusPATH: Activism influencing health policy. 影响卫生政策的行动主义。
IF 1.2 4区 医学
Australasian Psychiatry Pub Date : 2025-04-01 Epub Date: 2025-01-05 DOI: 10.1177/10398562241312867
Jillian Spencer, Patrick Clarke
{"title":"AusPATH: Activism influencing health policy.","authors":"Jillian Spencer, Patrick Clarke","doi":"10.1177/10398562241312867","DOIUrl":"10.1177/10398562241312867","url":null,"abstract":"<p><p>ObjectiveTo consider the role of AusPATH and its position statements on health policy in Australia.ConclusionsAs a consequence of a membership policy which admits members with lived experience as health experts, AusPATH functions as an activist organisation whilst claiming to be a professional association. There is no accreditation or endorsement underpinning AusPATH's influence on health policy in Australia. Its role as an activist organisation is demonstrated by a lack of caution in its position statements, which are misleading in circumstances where accurate information has been long available. The considerable influence of AusPATH on health policy in Australia needs to be reconsidered, as well as RANZCP Position Statement 62 which provides insufficient guidance upon balancing research and clinical knowledge, as well as medical ethics, with voices of lived experience.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"273-277"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930514","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
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