Australasian PsychiatryPub Date : 2025-02-01Epub Date: 2024-08-27DOI: 10.1177/10398562241274341
Jaco Erasmus
{"title":"Addressing the misconceptions in gender-affirming care: Response to Amos (2024).","authors":"Jaco Erasmus","doi":"10.1177/10398562241274341","DOIUrl":"10.1177/10398562241274341","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"170"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079016","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 : 2025-02-01Epub Date: 2024-10-10DOI: 10.1177/10398562241288424
Vicki Christodoulou, Dennis Liu, Adrian Esterman, Cherrie Galletly
{"title":"'Facilitators and barriers to recruitment in mental health research: A survey of psychiatrists and psychiatry registrars in training'.","authors":"Vicki Christodoulou, Dennis Liu, Adrian Esterman, Cherrie Galletly","doi":"10.1177/10398562241288424","DOIUrl":"10.1177/10398562241288424","url":null,"abstract":"<p><strong>Objective: </strong>To explore the attitudes of Royal Australian and New Zealand College of Psychiatrists (RANZCP) consultants and registrars towards recruitment of patients in mental health research. Specifically, we aimed to measure potential barriers and facilitators for recruitment and comment on strategies for improvement.</p><p><strong>Method: </strong>A survey was distributed to 287 consultant and trainee psychiatrists working across South Australian public mental health services. The survey was hosted via SurveyMonkey and ran for 5 weeks from April to June 2023. Participant's attitudes were recorded through use of Likert scale, yes/no and free-text response.</p><p><strong>Results: </strong>In total, 88 responses were collected, corresponding to a 30.7% response rate. Participants were interested in mental health research, with 90.7% reading articles and 61.4% reporting personal research engagement. The factors that rated most highly as recruitment barriers were unawareness of current studies, competing clinical demands and not prioritising recruitment. Factors felt most strongly to facilitate recruitment included the presence of an onsite research assistant and the clinician viewing the trial as clinically relevant.</p><p><strong>Conclusions: </strong>While attitudes towards research were generally positive, many barriers to recruitment were identified. Increased advertising of current studies, presence of an onsite research assistant and reduction in clinicians' workload are likely to improve clinicians' capacity to recruit.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"153-161"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399166","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 : 2025-02-01Epub Date: 2024-10-18DOI: 10.1177/10398562241291956
Smita Verma, Suman Kumar Sinha
{"title":"How evidence-based is the \"hashtag ADHD test\" (#adhdtest). A cross-sectional content analysis of TikTok videos on attention-deficit/hyperactivity disorder (ADHD) screening.","authors":"Smita Verma, Suman Kumar Sinha","doi":"10.1177/10398562241291956","DOIUrl":"10.1177/10398562241291956","url":null,"abstract":"<p><strong>Objectives: </strong>TikTok is being increasingly used as an easily accessible source of information on Attention-Deficit/Hyperactivity Disorder (ADHD). This study aimed to find the quality of information on ADHD screening or self-test in TikTok videos with the hashtag #adhdtest and the engagement of these videos with their viewers.</p><p><strong>Method: </strong>The content of the top 50 TikTok videos with the \"hashtag #ADHDtest\" was analyzed cross-sectionally and categorized as \"useful\" or \"misleading\" after comparison of its content with the \"Adult ADHD Self-Report Scale\" (ASRS-v1.1). The videos were categorized as \"useful\" if its contents had at least 4 out of the 6 questions on the ASRS-v1.1 screener. Its level of engagement was quantified by measuring the number of times the video was liked, commented on, or added to favorites. Descriptive statistics were used for analysis.</p><p><strong>Result: </strong>Out of the 50 included #adhdtest videos, 92% (<i>n</i> = 46) were misleading. Furthermore, useful videos had minimal engagement, with only 4% of the total likes, 1% of the total comments, and 7% of the total favorites.</p><p><strong>Conclusion: </strong>There is misleading information related to adult ADHD screening and testing on TikTok. There is a need to address this misinformation.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"82-88"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456920","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}
{"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":"https://doi.org/10.1177/10398562251317335","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251317335"},"PeriodicalIF":1.2,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gary Kk Low, Jason Li, Emily Hielscher, Veronica Sheanoda, Sumathi Govindasamy, Fadzi Marasha
{"title":"Demographic and mental health characteristics of individuals in the NSW Housing and Accommodation Support Initiative (HASI), Community Living Supports and HASI Plus.","authors":"Gary Kk Low, Jason Li, Emily Hielscher, Veronica Sheanoda, Sumathi Govindasamy, Fadzi Marasha","doi":"10.1177/10398562251316431","DOIUrl":"https://doi.org/10.1177/10398562251316431","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the demographic characteristics associated with mental health recovery measures among individuals accessing the Housing and Accommodation Support Initiative (HASI) program over a 19-year period.</p><p><strong>Methods: </strong>This was a retrospective cohort study conducted from January 2004 to October 2023. The Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and Recovery Assessment Scale (RAS) were used as measures of mental health recovery.</p><p><strong>Findings: </strong>A total of 2350 people with an average age of 42 years old were included. Female accounts for 46.0% of the total. The proportion of unmet needs in the CANSAS reduced from a median of 33.3% of the first follow-up to 5.8% in the 20<sup>th</sup> follow-up. The average RAS scores were above three, indicating agree and strongly agree in all domains and improved in each follow-up. First Nations were associated with higher unmet needs in 'psychotic symptoms', 'safety to others' and 'transport' CANSAS domains, and LGBTI had reduced RAS scores in all domains.</p><p><strong>Conclusion: </strong>HASI program engagement is associated with the reduction of unmet needs and improvement of the recovery of individuals with severe mental illness. Age, sex, gender, LGBTI, First Nations and country of birth were associated with changes in the CANSAS and RAS outcomes.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251316431"},"PeriodicalIF":1.2,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063413","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}
{"title":"Language barriers in mental healthcare: A critical analysis.","authors":"Pablo Richly","doi":"10.1177/10398562251316102","DOIUrl":"https://doi.org/10.1177/10398562251316102","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251316102"},"PeriodicalIF":1.2,"publicationDate":"2025-01-30","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}
Jeffrey Cl Looi, Natasha Robinson, Stephen J Robson
{"title":"Each hour injures, the last one kills.","authors":"Jeffrey Cl Looi, Natasha Robinson, Stephen J Robson","doi":"10.1177/10398562251316408","DOIUrl":"https://doi.org/10.1177/10398562251316408","url":null,"abstract":"<p><p>The haemorrhage of psychiatrists from the NSW state-funded mental health system parallels losses throughout Australia, and internationally. The lack of workforce cripples the capacity to provide adequate care. There has been persistently neglectful under-resourcing of the care of people with severe mental illness. A sense of horror exists due to the inability to provide high-quality care as a result of lack of infrastructure, staff, and time. This horror has driven psychiatrists to exit a dysfunctional state-funded health system, and an urgent remedy, although needed, appears absent.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251316408"},"PeriodicalIF":1.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143036316","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}
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":"https://doi.org/10.1177/10398562251316365","url":null,"abstract":"<p><strong>Objective: </strong>The 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.</p><p><strong>Conclusions: </strong>Overall, 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":"10398562251316365"},"PeriodicalIF":1.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicholas Kowalenko, Monica Hagali, Paul Robertson, Craig Heron, Mandy Douch, Juana Katzer, Ben Rogers, Ruby Awram
{"title":"Weaving the strands together for a stronger future: Responding to the mental health needs of Pacific children and young people.","authors":"Nicholas Kowalenko, Monica Hagali, Paul Robertson, Craig Heron, Mandy Douch, Juana Katzer, Ben Rogers, Ruby Awram","doi":"10.1177/10398562251314313","DOIUrl":"https://doi.org/10.1177/10398562251314313","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this paper is to summarise the findings of a virtual workshop at the Creating Futures 2023 Conference held on October 18 with 45 participants attending from Fiji, PNG, Solomon Islands, the Federated States of Micronesia, Cook Islands, Australia and New Zealand. Brief presentations about future mental health needs of Pacific children & young people were followed by small group discussions. These focussed on how island nation participants could \"make it real\" by considering actions to promote mental health and wellbeing in their communities.</p><p><strong>Conclusions: </strong>A wide variety of actions and strategies were recommended, spanning the implementation of national plans, integrating culture, preventing suicide, including the voice of children and managing trauma. The small group discussions found that the range of responses to meet future needs demanded a broad public health response, significant workforce development and the promotion of mental health.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251314313"},"PeriodicalIF":1.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027919","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}