Australasian PsychiatryPub Date : 2024-12-01Epub Date: 2024-09-24DOI: 10.1177/10398562241286627
Wajeeha Zagham, Steve Kisely, Terry Stedman, Karen Brown, Frances Dark
{"title":"Factors associated with length of stay in medium secure units: A realist review.","authors":"Wajeeha Zagham, Steve Kisely, Terry Stedman, Karen Brown, Frances Dark","doi":"10.1177/10398562241286627","DOIUrl":"10.1177/10398562241286627","url":null,"abstract":"<p><strong>Objectives: </strong>This 'Realist Review' aimed to investigate the factors associated with length of stay and outcomes of medium secure care to help inform the development of a local secure care pathway.</p><p><strong>Method: </strong>The searches generated a total of 1570 entries across multiple search engines. Following removal of duplicates, application of inclusion/exclusion criteria and selection of articles, a total of 18 were reviewed in detail, including a further five articles obtained from references and the explored grey literature.</p><p><strong>Results: </strong>Several issues influenced not only admission to medium secure units, but also the outcomes. Many articles were retrospective studies relying on administrative data. The realist synthesis provides contextual data to inform program development.</p><p><strong>Conclusions: </strong>The existing literature, though variable in quality, was limited by the varied jurisdictions and contexts. However it may be useful to inform care pathways for the optimal use of medium secure beds.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"531-541"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340193","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 : 2024-12-01Epub Date: 2024-09-21DOI: 10.1177/10398562241285163
Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Stephen J Robson
{"title":"Bearing the standard - Prosocial expert leadership is essential for mental healthcare service reform and renewal.","authors":"Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Stephen J Robson","doi":"10.1177/10398562241285163","DOIUrl":"10.1177/10398562241285163","url":null,"abstract":"<p><p>There are many identified challenges for mental healthcare services in Australia and New Zealand including design, infrastructure and workforce shortfalls. In the 2024 RANZCP Workforce Report over 75% of trainees and psychiatrists endorsed symptoms of burnout, and over 80% reported that workforce shortages contributed. There is a need for effective leadership to reform and renew healthcare services. Clinical expertise is necessary, but not sufficient for leadership of mental healthcare services through substantial cultural and organisational renewal. Expertise and prosocial skills are needed for effective cultural leadership, based upon expressed generosity and kindness that leads to a corresponding reputation that empowers cooperation. Leaders will need such skills to effect change and improve mental healthcare delivery and patient experiences.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"570-572"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279905","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 : 2024-12-01Epub Date: 2024-08-29DOI: 10.1177/10398562241278856
Sushreya Saluja, Anna Cooter, Susan Roberts, Grace Branjerdporn
{"title":"Pharmacotherapy and electroconvulsive therapy prescription for women with depressive and anxiety disorders in a psychiatric mother-baby unit.","authors":"Sushreya Saluja, Anna Cooter, Susan Roberts, Grace Branjerdporn","doi":"10.1177/10398562241278856","DOIUrl":"10.1177/10398562241278856","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to understand the pharmacotherapy and electroconvulsive therapy (ECT) prescription of women with depression and anxiety admitted to an Australian inpatient psychiatric mother-baby unit (MBU) and compare prescription to national clinical practice guidelines.</p><p><strong>Method: </strong>A retrospective audit was conducted on women diagnosed with depression or anxiety admitted to a public psychiatric inpatient MBU from March 2017 to July 2019. Data was captured at three time points to assess demographic, clinical and pharmacotherapy treatment characteristics. Descriptive statistics were completed.</p><p><strong>Results: </strong>Of the 74 women, 57 women had depression, with 73% prescribed Selective Serotonin Reuptake Inhibitors (SSRIs) and 14% provided ECT during admission. For women with anxiety (<i>n</i> = 17), 23% were prescribed a benzodiazepine with concurrent antidepressant prescription. SSRI prescription increased, with other antidepressant prescription up trending through admission. Atypical antipsychotic prescription was increased initially and trended downwards at discharge.</p><p><strong>Conclusions: </strong>This study explored the therapeutic armamentarium employed for the treatment of mothers admitted to an inpatient psychiatric MBU with depression and anxiety. The results point to the intricate prescribing practices in a naturalistic setting and highlight that prescribing practices were in line with national guidelines.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"573-581"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103876","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 : 2024-12-01Epub Date: 2024-09-22DOI: 10.1177/10398562241286686
Andrew James Amos
{"title":"The workforce crisis in public psychiatry can be addressed by asking psychiatrists to focus on psychiatry.","authors":"Andrew James Amos","doi":"10.1177/10398562241286686","DOIUrl":"10.1177/10398562241286686","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"568-569"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279907","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 : 2024-12-01Epub Date: 2024-10-15DOI: 10.1177/10398562241292467
Edward Miller, Fiona A Wilkes, Michael Taran, Ahnoor Benipal, Andrew Amos, Michael Weightman
{"title":"Celebrating the Trainee Takeover of <i>Australasian Psychiatry</i>.","authors":"Edward Miller, Fiona A Wilkes, Michael Taran, Ahnoor Benipal, Andrew Amos, Michael Weightman","doi":"10.1177/10398562241292467","DOIUrl":"10.1177/10398562241292467","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"491-492"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456908","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 : 2024-12-01Epub Date: 2024-08-22DOI: 10.1177/10398562241268102
Feten Fekih-Romdhane, Souheil Hallit, Irfan Mohammed, Sarah El Khatib, Anna Brytek-Matera, Shadrach Chinecherem Eze, Kenneth Egwu, Rawshan Jabeen, Nebojša Pavlović, Pascale Salameh, Michelle Cherfane, Samar Younes, Marwan Akel, Chadia Haddad, Randa Choueiry, Katia Iskandar
{"title":"The mediating effect of resilience between work fatigue and psychological distress among healthcare workers in Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia.","authors":"Feten Fekih-Romdhane, Souheil Hallit, Irfan Mohammed, Sarah El Khatib, Anna Brytek-Matera, Shadrach Chinecherem Eze, Kenneth Egwu, Rawshan Jabeen, Nebojša Pavlović, Pascale Salameh, Michelle Cherfane, Samar Younes, Marwan Akel, Chadia Haddad, Randa Choueiry, Katia Iskandar","doi":"10.1177/10398562241268102","DOIUrl":"10.1177/10398562241268102","url":null,"abstract":"<p><strong>Objectives: </strong>To test the hypothesis that resilience has a mediating effect on the association between work fatigue and psychological distress.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted online in eight countries in 2021: Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia. A total of 1094 healthcare professionals specialized in medicine, pharmacy, and nurse practitioners that were exposed to/worked with COVID-19 patients were included (age: 33.89 ± 10.79 years; 59.6% females).</p><p><strong>Results: </strong>After adjusting for potential confounders (i.e., country, gender, primary work in emergency department, primary work in infectious disease, primary work in intensive care unit, working in a COVID-19 ward, and working voluntary hours), the results of the mediation analysis showed that resilience fully mediated the association between physical work fatigue and psychological distress and partially mediated the associations between mental and emotional work fatigue and psychological distress. Higher work fatigue was significantly associated with less resilience; higher resilience was significantly associated with less psychological distress. Finally, higher mental and emotional, but not physical, work fatigue, were directly and significantly associated with more psychological distress.</p><p><strong>Conclusion: </strong>Identifying resilience as an important mediator in the path from fatigue to distress helps elucidate underlying mechanisms and pathways leading to the mental health-alteration process among healthcare workers during COVID-19. New strategies targeting resilience may be developed to further improve mental health outcomes among healthcare workers.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"510-519"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016207","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 : 2024-12-01Epub Date: 2024-09-24DOI: 10.1177/10398562241286623
Laura Noel-Gough, Nimalee Kanakkahewa, David Mitchell
{"title":"Top end perinatal mental health consultation service: evaluation of services, patient demographics and psychosocial contributors to mental ill-health.","authors":"Laura Noel-Gough, Nimalee Kanakkahewa, David Mitchell","doi":"10.1177/10398562241286623","DOIUrl":"10.1177/10398562241286623","url":null,"abstract":"<p><strong>Objectives: </strong>To understand the key descriptors of the Top End Mental Health Service, Northern Territory's, perinatal mental health consultation service (PMHCS).</p><p><strong>Method: </strong>A retrospective cross-sectional review of all referrals to the PMHCS in the 12 months period 1 January to 31 December 2021 inclusive was undertaken. The study was descriptive in nature.</p><p><strong>Results: </strong>From January 2021 to December 2021, there were 266 women referred to the service. There was a large proportion of Aboriginal and Torres Strait Islanders. Mean age was 28.8 (SD = 6.04) years. A statistically significant difference was identified between the average age of the Aboriginal and Torres Strait Islander women (<i>n</i> = 53, M = 24.6 years, SD = 6.31) which was significantly less than Caucasian women (<i>n</i> = 161, M = 29.4037, SD = 4.982) and women of other cultural backgrounds (<i>n</i> = 52, M = 31.154, SD = 6.792), <i>p</i> < .00,001. Sixty two percent of patients managed had a history of trauma with significantly more service contact.</p><p><strong>Conclusion: </strong>This data gives insight into a unique population group. It also highlights the impact that trauma has on patient care and management.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"582-588"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340198","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}