Australasian Psychiatry最新文献_第3页

Fitness to stand trial: 415 consecutive defendants assessed by a New Zealand forensic psychiatry service. 受审资格：新西兰法医精神病学服务机构连续对415名被告进行了评估。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-10-07 DOI: 10.1177/10398562241290027

Amber Wakefield, Susanna Every-Palmer, James A Foulds

{"title":"Fitness to stand trial: 415 consecutive defendants assessed by a New Zealand forensic psychiatry service.","authors":"Amber Wakefield, Susanna Every-Palmer, James A Foulds","doi":"10.1177/10398562241290027","DOIUrl":"10.1177/10398562241290027","url":null,"abstract":"Background: New Zealand defendants found unfit to stand trial following a Court-ordered forensic mental health assessment cannot be detained in prison and must either be released, or made subject to a mental health or intellectual disability order. There is increasing awareness of the need to identify these people and protect their rights.Methods: Retrospective audit of 8 years of Court-ordered health assessor reports addressing fitness to stand trial prepared by a New Zealand regional forensic mental health service with a catchment area of around 850,000.Results: Between 2014 and 2022, Courts referred 415 defendants for assessment of fitness to stand trial. The number of reports requested increased by 20% between 2014 and 2022. Report subjects were 81% male and had a median age of 31. Commonest primary diagnoses were psychotic disorders (37%), intellectual disability (13%) and acquired neurocognitive disorders (15%). Few people with foetal alcohol spectrum disorder were identified. Despite the increase in assessments, the number of defendants considered unfit by report writers remained stable over time.Conclusion: The increasing number of referrals for assessment of fitness to stand trial has resourcing implications for forensic mental health services.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"51-56"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387546","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

Australian community and inpatient general public sector mental health services between 2017-18 and 2021-22: Relative stasis in bed capacity, increasing outpatient demand, and stunted expenditure. 在 2017-18 年至 2021-22 年期间，澳大利亚社区和住院普通公共部门精神健康服务：病床容量相对停滞，门诊需求不断增加，支出增长缓慢。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-11-05 DOI: 10.1177/10398562241292428

Hayden Cornell, Stephen Allison, Tarun Bastiampillai, Stephen R Kisely, Jeffrey Cl Looi, Matthew Brazel

{"title":"Australian community and inpatient general public sector mental health services between 2017-18 and 2021-22: Relative stasis in bed capacity, increasing outpatient demand, and stunted expenditure.","authors":"Hayden Cornell, Stephen Allison, Tarun Bastiampillai, Stephen R Kisely, Jeffrey Cl Looi, Matthew Brazel","doi":"10.1177/10398562241292428","DOIUrl":"10.1177/10398562241292428","url":null,"abstract":"Objective: To descriptively analyse Australian public sector General Mental Health Services (GMHS) expenditure, ambulatory, and inpatient services, including key performance indicators (KPIs) in comparison with other subspeciality mental health services (MHS).Method: We descriptively analysed data published by the Australian Institute of Health and Welfare (AIHW), including inpatient, ambulatory services, expenditure, and KPIs.Results: From 2017-18 to 2021-22, per capita expenditure for Australian GMHS (18-64) rose by an average annual inflation-adjusted change of 2%. Overall bed numbers remained static, with non-acute beds declining, and commensurate expansion of acute beds. Community GMHS had high outpatient utilisation, with high rates of schizophrenia, schizoaffective disorder, and bipolar affective disorders as primary diagnoses in mid-life. From 2017-18 to 2021-22, GMHS inpatient and ambulatory episodes had decreasing rates of significant improvement and increasing rates of significant deterioration.Conclusions: Although GMHS has the highest overall population and service utilisation, there has been static bed availability and relatively small increases in expenditure which are occurring concurrently with worsening clinical outcomes. Evidence-based modelling of GMHS and outcomes is required to inform future service improvement.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"144-152"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581932","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

Obituary - Dr John Stuart Johnston.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 DOI: 10.1177/10398562241308040c

引用次数: 0

Public awareness of mental illness: Mental health literacy or concept creep? 公众对精神疾病的认识：心理健康扫盲还是概念蠕变？

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI: 10.1177/10398562241292202

Nick Haslam, Jesse Sy Tse

引用次数: 0

Obituary - Dr Revindran (Revi) Nair.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 DOI: 10.1177/10398562241308040b

引用次数: 0

Trainee matters.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 DOI: 10.1177/10398562241308040a

引用次数: 0

The uses and misuses of artificial intelligence in psychiatry: Promises and challenges. 人工智能在精神病学中的应用与误用：承诺与挑战。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-09-02 DOI: 10.1177/10398562241280348

Sharon Reutens, Christopher Dandolo, Richard C H Looi, George C Karystianis, Jeffrey C L Looi

引用次数: 0

A survey of the psychiatric care provided for children and young people in general hospital settings in New Zealand. 新西兰综合医院为儿童和青少年提供的精神病治疗调查。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-09-19 DOI: 10.1177/10398562241282743

John Hopkins, Ella Skudder, Frederick Sundram, Paul Vroegop

{"title":"A survey of the psychiatric care provided for children and young people in general hospital settings in New Zealand.","authors":"John Hopkins, Ella Skudder, Frederick Sundram, Paul Vroegop","doi":"10.1177/10398562241282743","DOIUrl":"10.1177/10398562241282743","url":null,"abstract":"Objective: The aim of this study was to conduct an in-depth survey of psychiatric care provided for children and young people (CYP) in general hospital settings in New Zealand (NZ).Method: As part of a larger national survey of Consultation-Liaison Psychiatry (CLP) services across the lifespan, a 44-question survey was emailed to clinicians who were involved in providing psychiatric care for CYP at each of the 24 public general hospitals with specialist paediatric services.Results: Responses were obtained from all four paediatric CLP teams that cover the four specialist children's hospitals, and 16 of the 23 child and adolescent community mental health services that provide hospital inreach. These services were found to be under-resourced, utilise variable service models, and rely heavily on inreach.Conclusion: Escalating presentation rates for young people and increasingly complex paediatric presentations pose major challenges for the psychiatric care of CYP in general hospital settings. Utilising international staffing standards and service models, proposals are made to evolve more consistent and effective paediatric CLP services in NZ.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"64-75"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279903","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

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 : 2025-02-01 Epub Date: 2024-09-07 DOI: 10.1177/10398562241282736

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

引用次数: 0

Client perspectives: Telehealth for mental health services. 客户视角：远程医疗心理健康服务。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-08-10 DOI: 10.1177/10398562241270986

Joanna Crawford, Sam Haffar, Sunera Fernando, Holly Stephens, Samuel B Harvey, Melissa Black

{"title":"Client perspectives: Telehealth for mental health services.","authors":"Joanna Crawford, Sam Haffar, Sunera Fernando, Holly Stephens, Samuel B Harvey, Melissa Black","doi":"10.1177/10398562241270986","DOIUrl":"10.1177/10398562241270986","url":null,"abstract":"Objective: The COVID-19 pandemic required mental health clinicians globally to transition to the delivery of care via telehealth. This study aimed to gain an understanding of clients' satisfaction with and attitudes towards telehealth mental health services.Method: Seventy adults who had attended a clinic for mood and anxiety disorders, and participated in at least one telehealth consultation with a psychologist or psychiatrist, completed an anonymous online survey.Results: The majority of participants (81.5%) reported satisfaction with telehealth mental health care provided during the COVID-19 pandemic. However, satisfaction overall was significantly higher amongst participants who had received both telehealth and face-to-face mental health care, compared to participants who received care via telehealth only. Advantages of telehealth care reported included convenience and increased access to mental health clinicians. However, disadvantages of telehealth care included greater difficulty developing a rapport with a clinician and expressing oneself via telehealth.Conclusions: Whilst client satisfaction with telehealth mental health care for mood and anxiety disorders is generally high, clinicians should consider the limitations of telehealth from clients' perspectives. In particular, strategies to enhance therapeutic connection during telehealth sessions may be needed, and client preferences for mode of delivery should be taken into consideration when possible.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"96-102"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911564","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