Australasian PsychiatryPub Date : 2025-04-01Epub Date: 2024-10-28DOI: 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":"10.1177/10398562241293263","url":null,"abstract":"<p><p>ObjectiveThis 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.ConclusionsSome 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.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"212-214"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","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}
Australasian PsychiatryPub Date : 2025-04-01Epub Date: 2025-01-20DOI: 10.1177/10398562251313929
Alper Mert, Tugce Soyleyici Mert
{"title":"Forty years of research trends in long-acting injectable antipsychotics: A bibliometric analysis.","authors":"Alper Mert, Tugce Soyleyici Mert","doi":"10.1177/10398562251313929","DOIUrl":"10.1177/10398562251313929","url":null,"abstract":"<p><p>BackgroundUsing long-acting injectable (LAI) antipsychotics is crucial for treating psychiatric illnesses, particularly those within the schizophrenia spectrum. Through bibliometric analysis, our study aimed to provide an understanding of the changes in research trends related to LAIs over the past 40 years.MethodsWe collected the publications from 1983 to 2023 related to research studies on LAIs included in the Web of Science database. Two thousand four hundred and twelve publications were selected based on specific criteria and analyzed using the VOSviewer software and the Biblioshiny app. We obtained and presented data on institutional analysis, country analysis, author and co-authorship analysis, journal analysis, funding agencies, and keyword citation numbers.ResultsFrom the period 1983-1992 to 2014-2023, the number of total publications showed a significant growth of 4.91. The majority (approximately 90%) of publications were produced in high-income countries. The private sector may play a significant role in research. The most crucial keywords were schizophrenia and risperidone.ConclusionsThe trend in LAI research is currently dynamic and ongoing. There seems to be an increasing connection between studies and LAIs that contain second-generation antipsychotics. The number of studies relating to the private sector is noteworthy.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"289-297"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999024","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}
Australasian PsychiatryPub Date : 2025-04-01Epub Date: 2025-01-24DOI: 10.1177/10398562251316365
Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely
{"title":"Mapping the regional and remote specialised mental health workforce: Commentary on the AIHW data for 2022-2023.","authors":"Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely","doi":"10.1177/10398562251316365","DOIUrl":"10.1177/10398562251316365","url":null,"abstract":"<p><p>ObjectiveThe Australian Institute of Health and Welfare publishes statistical indicator reports on the specialised mental health workforce. These include data for 2022-2023 on psychiatrists, mental health nurses, mental health occupational therapists, psychologists and mental health social workers. We provide a brief commentary on these reports, reflecting upon the implications of such changes for psychiatric practice and patient care.ConclusionsOverall, there are fewer mental health workers with increasing distance from urban centres. There are insufficient rural psychiatrists with the NT and Queensland having higher rates per 100,000 in outer regional and remote areas. Psychologists and mental health nurses have the highest rates per 100,000 in rural areas. Though low in absolute rates per 100,000, mental health social workers are better distributed in rural compared to urban areas. Further data on public, private and non-governmental sector employment would be useful.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"252-258"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143031982","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}
Australasian PsychiatryPub Date : 2025-04-01Epub Date: 2025-01-30DOI: 10.1177/10398562251317335
Andrew James Amos
{"title":"Gender diverse children deserve a good faith debate about gender-affirming care: Response to Cavve et al. (2024).","authors":"Andrew James Amos","doi":"10.1177/10398562251317335","DOIUrl":"10.1177/10398562251317335","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"301-302"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063415","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}
{"title":"Characteristics and outcomes of consultation-liaison psychiatry referrals: A demographic and clinical analysis.","authors":"Pablo Richly, William Moon, Matthew Jenkins","doi":"10.1177/10398562251330954","DOIUrl":"10.1177/10398562251330954","url":null,"abstract":"<p><p>BackgroundConsultation-liaison psychiatry (CLP) provides mental health expertise in general hospitals, where psychiatric comorbidities affect approximately 30% of patients. Following implementation of a new electronic referral system at Waikato Hospital, this study aimed to analyse referral quality and service utilisation patterns.MethodsA 12-month retrospective audit was conducted from July 2023 to June 2024, analysing all CLP referrals using a new system incorporating the Identify and Rate the Aim of the Contact (IRAC) tool and referral quality metrics. Referral quality was assessed both pre- and post-patient evaluation using a five-point Likert scale.ResultsOf 939 referrals (789 unique patients), 63.7% were rated as relevant to highly relevant. The average referral quality score was 2.698 pre-assessment and 2.682 post-assessment. General Medicine generated the most referrals, while Obstetrics/Gynaecology and Neurology showed lower quality scores. The mean time from admission to referral was 5.4 days. Risk assessment and management were the primary referral purposes, with 11.4% related to suicide attempts. Each referral averaged 3.64 contacts, with 20% of referrals consuming 54% of total contacts.ConclusionsWhile most referrals were appropriate, quality scores below three indicate room for improvement. Findings suggest the need for targeted educational interventions and feedback mechanisms to enhance referral quality and optimise resource allocation in CLP services.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251330954"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750531","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}
Australasian PsychiatryPub Date : 2025-04-01Epub Date: 2024-10-13DOI: 10.1177/10398562241288688
Shanooha Mansoor, Arif Mohamed
{"title":"'Oevaru' 2023: Ocean currents and the journey of an inaugural mental health conference in the Maldives.","authors":"Shanooha Mansoor, Arif Mohamed","doi":"10.1177/10398562241288688","DOIUrl":"10.1177/10398562241288688","url":null,"abstract":"<p><p>ObjectivesThis paper describes an important mental health initiative in Maldives - the inaugural national mental health research conference.ConclusionsAmid socio-cultural challenges in the background of climate change, amplified by COVID-19, mental health issues in Maldives surged. National Centre for Mental Health (NCMH), acknowledging data gaps, has prioritized evidence-based care since 2019 with a vision of building a research culture. Oevaru 2023, Maldives' inaugural mental health research conference, was convened by NCMH and held on October 15-16, 2023, addressing holistic care, prevention, innovation, and investment in mental health as sub-themes. Pre-conference sessions provided skill-building, followed by workshops on specialized topics. Oevaru featured keynotes, expert talks, panel discussions, and poster presentations, including a hybrid session with the Creating Futures Conference. It culminated in a white paper, emphasizing research-driven strategies for a resilient mental health system in Maldives.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"192-194"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456922","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}