Australasian Psychiatry最新文献_第6页

Editorial: Bearing the standard - Prosocial expert leadership is essential for mental healthcare service reform and renewal. 社论：承担标准--亲社会的专家领导对于精神医疗服务的改革和更新至关重要。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-21 DOI: 10.1177/10398562241285163

Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Stephen J Robson

引用次数: 0

The psychological impact of supervised quarantine facilities for the mitigation of COVID-19: A systematic review. 用于缓解 COVID-19 的监督隔离设施的心理影响：系统回顾。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-20 DOI: 10.1177/10398562241283582

Eric Erickson, Daniel Bressington, David Mitchell

{"title":"The psychological impact of supervised quarantine facilities for the mitigation of COVID-19: A systematic review.","authors":"Eric Erickson, Daniel Bressington, David Mitchell","doi":"10.1177/10398562241283582","DOIUrl":"https://doi.org/10.1177/10398562241283582","url":null,"abstract":"Background: Government mandated quarantine outside the home was implemented to mitigate COVID-19 in some countries. Individual studies report that this can result in psychological distress. Investigating levels of distress and associated risk factors across different settings would inform public health models of care during future pandemics. However, no previous systematic reviews have been conducted on the topic. Therefore, we systematically reviewed international research on the prevalence and risk factors of psychological distress within supervised quarantine facilities during the COVID-19 pandemic.Methods: A systematic review of the literature was conducted using Medline, Psychological and Behavioural Sciences, Psych Info, Cochrane databases and Google Scholar from January 2020 until June 2023. Relevant quantitative studies published in English were included.Results: 13 studies (pooled participants n = 4366) were included in this review. The prevalence of psychological distress varied widely across the included studies (depression 4%-63%; anxiety 4%-100%; stress 1%-68%). Associated risk factors identified were also heterogeneous between studies and facilities.Conclusion: In future pandemics, the benefits of infection mitigation need to be weighed against the risk of psychological distress. Models of care utilising specifically designed facilities, with greater freedoms, increased comfort and ease of access to mental health services may limit psychological distress.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279906","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

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 : 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-19","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

The uptake and utility of a reflective practice group for psychiatry registrars in a state-wide forensic service 全州法医服务机构精神病学注册医师反思性实践小组的采用情况和效用

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-14 DOI: 10.1177/10398562241277457

Graham Walker, Jaydip Sarkar, Ruchi Bhalla

{"title":"The uptake and utility of a reflective practice group for psychiatry registrars in a state-wide forensic service","authors":"Graham Walker, Jaydip Sarkar, Ruchi Bhalla","doi":"10.1177/10398562241277457","DOIUrl":"https://doi.org/10.1177/10398562241277457","url":null,"abstract":"ObjectivesIt is essential that mental health clinicians have access to reflective processes where they may understand and make sense of emotional responses to patients, teams, and organisations. The authors share their experience of initiating and successfully running a reflective practice group, framed with Balint principles, for psychiatry registrars working in forensic settings across Victoria.MethodWe describe the process of setting up a Balint group for this professional population. Qualitative feedback was obtained from group members. The data was analysed thematically, regarding motivating factors for group attendance and feedback post pilot group.ResultsOverall, feedback on the pilot Balint group was positive, which led to the group being extended for recurring 6-month periods. We share an illustrative example of a complex case which could be formulated in a forensic psychiatry Balint group setting, alongside reflections of the facilitators of the group.ConclusionsReflection is paramount for safe, effective mental health treatment, particularly in the context of forensic psychiatry. Our pilot results highlight areas where the approach of setting up a fledgling Balint group has been successful. We hope to inspire others to engage and participate in routine reflective practice.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255631","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

Mental State 精神状态

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-14 DOI: 10.1177/10398562241283543

Saxby Pridmore

引用次数: 0

Psychosocial workplace safety in mental health services – Commentary and considerations to improve safety 心理健康服务中的社会心理工作场所安全--改进安全的评论和考虑因素

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-14 DOI: 10.1177/10398562241283206

Jeffrey CL Looi, Paul A Maguire, Steve Kisely, Stephen Allison, Tarun Bastiampillai

引用次数: 0

Characterising the nature of psychiatric disorders and patterns of antipsychotic medications prescribed in a psychiatric ward in a public hospital in Tasmania 分析塔斯马尼亚州一家公立医院精神科病房中精神疾病的性质和抗精神病药物处方的模式

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-14 DOI: 10.1177/10398562241283156

Sharad Tamrakar, Antonio Mendoza Diaz, Adriana G Nevarez Flores, David Castle

{"title":"Characterising the nature of psychiatric disorders and patterns of antipsychotic medications prescribed in a psychiatric ward in a public hospital in Tasmania","authors":"Sharad Tamrakar, Antonio Mendoza Diaz, Adriana G Nevarez Flores, David Castle","doi":"10.1177/10398562241283156","DOIUrl":"https://doi.org/10.1177/10398562241283156","url":null,"abstract":"ObjectiveWe present an evaluation of antipsychotic prescribing in an inpatient psychiatry ward in Hobart, Tasmania, to establish pattern of use, alignment with other psychiatric wards or centres and the recommendations in the Royal Australian and New Zealand College of Psychiatry Clinical Practice Guidelines, and to determine predictors of polypharmacy.MethodsA descriptive cross-sectional survey design was used. Data from 118 patients discharged from the Royal Hobart Hospital (RHH) Mental Health Inpatient Unit between 01/02/2021 to 01/08/2021 were evaluated.ResultsAntipsychotic polypharmacy (APP) was observed in 40% of patients. When low doses of adjunctive (‘PRN’) use of olanzapine and quetiapine were excluded, the APP proportion was 35%. APP was predicted by age and by a schizophrenia diagnosis. Long-acting injections (LAIs) were used in 46% of the patients. The most common LAI was risperidone (52%). Average daily dose of antipsychotic at the time of discharge was 529 mg chlorpromazine (CPZ) equivalents. High dose antipsychotics (more than 1000 mg CPZ equivalents per day) was observed in 13% of the patients.ConclusionsThe observed prescribing practice is consistent with other clinical settings. Antipsychotic prescribing practice should, however, continue to be monitored to ensure adherence to best practice guidelines.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269058","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

The Live Well intervention: Promoting healthy lifestyles during routine older people’s mental healthcare 健康生活干预：在常规老年人心理保健过程中推广健康的生活方式

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-12 DOI: 10.1177/10398562241276973

Carmelo Aquilina, Lachlan J. Best, Mohammed Mohsin, Cathy O’Callaghan

{"title":"The Live Well intervention: Promoting healthy lifestyles during routine older people’s mental healthcare","authors":"Carmelo Aquilina, Lachlan J. Best, Mohammed Mohsin, Cathy O’Callaghan","doi":"10.1177/10398562241276973","DOIUrl":"https://doi.org/10.1177/10398562241276973","url":null,"abstract":"ObjectiveLifestyle is an important determinant of health. The Live Well intervention allows mental health clinicians to address lifestyle during routine mental health encounters.MethodClinicians were taught how to encourage consumers to learn more about lifestyle and health; consider their own lifestyle and health using a self-rated health and wellness questionnaire (HAWQ) and helped them decide which out of six health domains (physical, mental and social activity, healthy eating, mental wellbeing and positive thinking) should be improved in small, sustainable steps using a SMART (specific, measurable, achievable, relevant and timed) goal-setting template.ResultsOut of 65 enrolled consumers, 52 completed pre-intervention, 6-week and 12-week post-assessment assessments. There were improvements in all self-rated health domains except for heathy eating. At 12-week, consumers also recorded significant satisfaction with the Live Well program, goal achievement and wellbeing. Clinicians’ feedback was positive about using this intervention with their consumers.ConclusionsLive Well is a feasible and effective way to engage consumers on positive lifestyle changes in routine mental health care encounters.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175847","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

Response to workplace aggression in forensic and secure mental health services: Investigating staff confidence, associated factors, and training needs 法医和安全心理健康服务机构应对工作场所侵犯行为的措施：调查员工的信心、相关因素和培训需求

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-09-10 DOI: 10.1177/10398562241282874

Wei He, Lara Denman, Michael Luder, Terry Stedman

{"title":"Response to workplace aggression in forensic and secure mental health services: Investigating staff confidence, associated factors, and training needs","authors":"Wei He, Lara Denman, Michael Luder, Terry Stedman","doi":"10.1177/10398562241282874","DOIUrl":"https://doi.org/10.1177/10398562241282874","url":null,"abstract":"ObjectiveTo evaluate forensic and secure mental health services (FSMHS) staff’s confidence in managing workplace aggression, identify associated factors, and explore their workplace aggression prevention training needs.MethodsThrough an online survey, staff rated their experience of workplace aggression, perceived effectiveness of current training, and confidence in responding to workplace aggression, and described training needs. Stepwise multiple regression was used to identify associated factors with statistical significance. Thematic analysis was used to generate themes describing their training needs.ResultsThe staff perceived current training as low-to-medium in effectiveness, mirroring their confidence in managing workplace aggression. Nurses experienced more workplace aggression compared to other professions. Staff working at High Security perceived current training as less effective compared to those working at Medium Security or Low Security. Qualitative findings underscored the necessity for improved training content, methods, and supportive strategies.ConclusionRecommendations for enhancing training include: tailoring training to FSMHS settings; equally focussing on both non-physical and physical intervention techniques; providing more scenario-based hands-on practice opportunities; delivering training in a reasonable trainer-trainee ratio; prioritising nurses and High Security staff and integrating other professions into the training framework; and implementing strategies that support staff, consumers, and environment to ensure training effectiveness and applicability.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175857","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

A reflection on mental health education for pacific clinicians. 对太平洋地区临床医生心理健康教育的反思。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-07 DOI: 10.1177/10398562241279646

Odille Chang

引用次数: 0