Australasian Psychiatry最新文献_第6页

The NSW public psychiatric care crisis: For whom the bell tolls. 新南威尔士州公共精神病护理危机：为谁敲响丧钟？

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-12 DOI: 10.1177/10398562251326063

Jeffrey Cl Looi, Sharon Reutens, Natasha Robinson, Steve Kisely, Tarun Bastiampillai, Stephen Allison

引用次数: 0

Winners of the RANZCP PIF 2024 annual essay competition. RANZCP PIF 2024年度征文比赛的获奖者。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1177/10398562251338110c

引用次数: 0

Ten years gone: Response to Cavve (2024). 十年过去了：对洞穴的回应（2024）。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-02-18 DOI: 10.1177/10398562251322011

Andrew James Amos

引用次数: 0

Examining the role of psychiatrists in involuntary admissions under the Mental Health Act in New Zealand. 根据新西兰《精神卫生法》审查精神科医生在非自愿入院中的作用。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1177/10398562251327036

Matthew Jenkins, Pablo Richly

{"title":"Examining the role of psychiatrists in involuntary admissions under the Mental Health Act in New Zealand.","authors":"Matthew Jenkins, Pablo Richly","doi":"10.1177/10398562251327036","DOIUrl":"10.1177/10398562251327036","url":null,"abstract":"ObjectivesThis perspective examines the role of psychiatrists in section 10 assessments under the Mental Health Act (MHA) in Aotearoa New Zealand, focusing on their involvement, concordance with preliminary assessments, and implications for service delivery. It also explores the potential impact of a capacity-based model.MethodsData was requested from all 20 District Health Boards (DHBs) on section 10 assessments completed between July 2022 and July 2023, including how many resulted in a section 11 certificate. Response rates and concordance between section 8(b) and section 10 assessments were analyzed.ResultsData from six DHBs showed over 95% of section 10 assessments led to a section 11 certificate, demonstrating high concordance. Psychiatrists conducted most section 10 assessments. However, approximately 1 in 20 cases involved non-concordance, suggesting psychiatrist-led assessments serve as a critical safeguard.ConclusionsHigh concordance rates suggest inefficiencies, yet the 1 in 20 non-concordance highlights an important safeguard. Given psychiatrist shortages and after-hours workload, reconsideration of the MHA process is warranted. Possible reforms include streamlining assessments, enabling non-psychiatrist practitioners to conduct final evaluations in some cases, and adopting a capacity-based model to optimize service delivery while maintaining safeguards.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"348-351"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647041","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

'Addressing equity in psychiatric care - A tipped scale'. “解决精神科护理的公平性问题-一个倾斜的天平”

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1177/10398562251338110d

引用次数: 0

New Fellows. 新同事。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1177/10398562251338110f

引用次数: 0

Obituary - Dr William Bor. 讣告-威廉·博尔博士。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1177/10398562251338110b

引用次数: 0

Managing COVID-19 patients with mental illness in a specialized neuropsychiatric setting: An experience from a tertiary care hospital in India. 在神经精神病专科医院管理 COVID-19 精神病患者：印度一家三级医院的经验。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2024-10-10 DOI: 10.1177/10398562241287077

Harkishan Mamtani, Karthick Navin, Pratima Murthy, Arpita Sharma, Siddharth Bangari, Jayant Mahadevan, Sydney Moirangthem

{"title":"Managing COVID-19 patients with mental illness in a specialized neuropsychiatric setting: An experience from a tertiary care hospital in India.","authors":"Harkishan Mamtani, Karthick Navin, Pratima Murthy, Arpita Sharma, Siddharth Bangari, Jayant Mahadevan, Sydney Moirangthem","doi":"10.1177/10398562241287077","DOIUrl":"10.1177/10398562241287077","url":null,"abstract":"ObjectiveTo explore the management and outcome of COVID-19 infection in mental illness at a specialized neuropsychiatric setting.MethodsA retrospective review of the clinical profile of 100 COVID-19 patients with mental illness, admitted to the Psychiatric COVID unit (PCU) from June 2020 to June 2022, was done, with a subgroup analysis of chronic institutionalized patients (n = 36).ResultsSchizophrenia, bipolar affective disorder, and schizoaffective disorder comprised 64% of the study population. Most patients (87%) were on antipsychotics. 56% of the patients had an infection of mild severity and 38% were asymptomatic. Corticosteroids and anticoagulants were given to 33.3% and 25% of the patients, respectively. 16% of the patients encountered medical complications in the PCU, and 14% were referred to a COVID-designated hospital. Patients with diabetes mellitus and/or hypertension were more likely to be referred. The chronic institutionalized patients (n = 36) had either an asymptomatic or mild infection. Three among these patients were referred to a COVID-designated hospital.ConclusionMost psychiatric patients with medical illnesses, including COVID-19, pose unique challenges including complexity of symptoms, ensuring patient safety, and the need for trained professional staff to provide specialized psychiatric interventions, which can be taken care of in psychiatric care settings.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"552-560"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456921","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

Evaluation of the ED MHAOD Hub at St Vincent's hospital. 圣文森特医院ED MHAOD中心的评估。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-02-03 DOI: 10.1177/10398562251316201

Hamed Akhlaghi, Kelly Mullins, Sam Freeman, Shradha Sherry Vasan, Greta Moon, Yvonne Bonomo, Jonathan Karro

{"title":"Evaluation of the ED MHAOD Hub at St Vincent's hospital.","authors":"Hamed Akhlaghi, Kelly Mullins, Sam Freeman, Shradha Sherry Vasan, Greta Moon, Yvonne Bonomo, Jonathan Karro","doi":"10.1177/10398562251316201","DOIUrl":"10.1177/10398562251316201","url":null,"abstract":"IntroductionIn response to the 2021 Royal Commission into Victoria's Mental Health System, the Victorian government established six purpose-built Mental Health Alcohol and Other Drug (MHAOD) emergency department (ED) Hubs. This study evaluates the MHAOD Hub at St Vincent's Hospital Melbourne (SVHM), which opened in March 2022 as metropolitan Melbourne's first multidisciplinary Mental Health and Drug or Alcohol Hub integrated into the St Vincent's Emergency Department.MethodsThis retrospective analysis covers patient admissions to the MHAOD Hub from March 2022 to June 2024, documenting demographics, clinical characteristics and outcomes.Results8553 MHAOD admissions were recorded. The Hub admitted a high proportion of vulnerable populations, including 8.4% Aboriginal and/or Torres Strait Islanders and 36.5% homeless individuals. 76.5% of presentations to the Hub were categorised as Australasian Triage Category (ATS) 1, 2 or 3. The most common discharge diagnosis was alcohol-related diagnosis (18.95%) followed by suicidality (14.71%) and psychosis (5.66%). 17.1% of presentations were admitted to the psychiatric ward.ConclusionThis study highlights the effectiveness of MHAOD Hub care in improving timely access to care and addressing the needs of vulnerable populations. Future research should focus on qualitative assessments to capture the nuanced patient and staff experiences and further evaluate long-term outcomes.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"546-551"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121715","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

Characteristics and outcomes of consultation-liaison psychiatry referrals: A demographic and clinical analysis. 会诊联络精神病学转诊的特征和结果：人口统计学和临床分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-04-01 DOI: 10.1177/10398562251330954

Pablo Richly, William Moon, Matthew Jenkins

{"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":"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.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"409-412"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","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}

引用次数: 0