{"title":"Using an industry-sponsored tailored educational program to support specialist international medical graduates preparing for the Royal Australian and New Zealand College of Psychiatrists modified essay question examination.","authors":"Raju Lakshmana","doi":"10.1177/10398562251328173","DOIUrl":"https://doi.org/10.1177/10398562251328173","url":null,"abstract":"<p><p>ObjectiveTo analyse the success of an industry-sponsored educational program specifically designed to support Specialist International Medical Graduates (SIMGs) in their preparation for the Royal Australian and New Zealand College of Psychiatrists (RANZCP) Modified Essay Question (MEQ) examinations.Method(1) Synthesis of survey responses from SIMGs attending the educational program. (2) Comparison of SIMG MEQ examination pass rates.ResultsSurvey responses show that the educational programme specifically designed for SIMGs was valued by the majority of attendees. Pass rates for MEQ examinations held after the program were higher than those held prior to the program.ConclusionSurvey responses and pass rates suggest the educational program designed to support Victorian-based SIMGs undertaking MEQ examinations does provide a positive influence. It also provides an excellent example of College Member designed, industry-sponsored educational activity. Compared with similar Psychiatry Colleges overseas, additional practical support could be provided by the RANZCP to SIMGs during their fellowship training.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251328173"},"PeriodicalIF":1.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673491","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, Sharon Reutens, Natasha Robinson, Steve Kisely, Tarun Bastiampillai, Stephen Allison, Stephen J Robson, Isabel M Perera
{"title":"Policy levers for the NSW psychiatrists' workforce crisis: The implications of Perera's supply-side policy feedback model.","authors":"Jeffrey Cl Looi, Sharon Reutens, Natasha Robinson, Steve Kisely, Tarun Bastiampillai, Stephen Allison, Stephen J Robson, Isabel M Perera","doi":"10.1177/10398562251328464","DOIUrl":"https://doi.org/10.1177/10398562251328464","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251328464"},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662214","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":"Evaluation of a psychosocial group program for older adults: The Healthy Ageing Service Wellbeing Skills Group.","authors":"Stephanie Perin, Grace Billing, Julia McCurry, Tanya Cottrell, Terence Wh Chong","doi":"10.1177/10398562251327518","DOIUrl":"https://doi.org/10.1177/10398562251327518","url":null,"abstract":"<p><p>ObjectiveTo conduct a quality assurance study assessing the implementation of the Healthy Ageing Service Wellbeing Skills Group Program (HAS-WSGP), a novel psychosocial skills group designed to support older adults' mental health.MethodsEligible participants were aged 65 years or older, presenting with mild-moderate mental health symptoms or interested in learning skills to enhance their emotional wellbeing, and living in community and residential aged care settings. Sessions were conducted weekly and facilitated by mental health clinicians and a peer support worker. Data collection involved a combination of demographic variables, outcome measures, and feedback surveys.ResultsA total of 40 consumers participated in the HAS-WSGP during the study period. Overall, participants demonstrated improvements in psychiatric, social, and occupational functioning, however no improvements in depressive and anxiety symptoms were observed. Improvements in self-reported knowledge of group program topics were observed, and participants endorsed the program as relevant, supportive, and helpful for improving their overall wellbeing.ConclusionsIt is feasible to run a psychosocial group program with older adults, and older adults report good benefits from this form of service provision. Further research will be needed to determine the efficacy of these programs on improving older adults' mental health.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251327518"},"PeriodicalIF":1.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656170","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":"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":"https://doi.org/10.1177/10398562251327036","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251327036"},"PeriodicalIF":1.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne Pf Wand, Margaret Thomas, Andrew Baillie, Megan Still, Kate Anderson, Jemima Isbester, Andrew McDonald
{"title":"Development of a data-informed research strategy for a public mental health service using stakeholder consultation.","authors":"Anne Pf Wand, Margaret Thomas, Andrew Baillie, Megan Still, Kate Anderson, Jemima Isbester, Andrew McDonald","doi":"10.1177/10398562251325953","DOIUrl":"10.1177/10398562251325953","url":null,"abstract":"<p><p>ObjectiveTo develop a data-informed research strategy for a public mental health service (MHS).MethodsData collection involved consultation with MHS key stakeholders and external partners and a MHS staff survey regarding research training, experience, needs and suggested research themes for the MHS. Results were descriptively analysed, discussed in a MHS research planning workshop and used to inform the research strategy.ResultsEnablers of research included time, funding, research training and resources/infrastructure and linkage with supervisors/mentors. Barriers included lack of time, funding/resources and managerial support, competing clinical demands and lacking confidence, skills or experience. Key workshop outcomes were two strategic goals: to build a collaborative research culture, and to focus on translational multidisciplinary research which improves outcomes and experiences for consumers, families and MHS staff. To achieve goals, strategic actions with matching priorities and signs of success were outlined.ConclusionsMultidisciplinary and peer worker staff perspectives directly informed development of the MHS's Strategic Plan for Research, anchoring the plan in the local context and identifying strengths and limitations to be addressed to achieve the Plan. These study findings may assist other public MHSs wishing to establish their own research strategy and embed a research culture as part of clinical practice.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251325953"},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623268","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}
William Young, Laura R Joyce, Chris Frampton, Roger Mulder
{"title":"Adolescent mental health presentations to a New Zealand emergency department: A 16-year retrospective observational study.","authors":"William Young, Laura R Joyce, Chris Frampton, Roger Mulder","doi":"10.1177/10398562251325414","DOIUrl":"https://doi.org/10.1177/10398562251325414","url":null,"abstract":"<p><p>ObjectiveTo examine trends in adolescent mental health presentations to Christchurch Emergency Department (ED) and contribute to the limited data on long-term trends in adolescent mental health within New Zealand.MethodA retrospective observational study of mental health presentations by adolescents aged 10-17 years to the Christchurch ED over 2007-2022. Data on patient demographics, rates of frequent presenters (≥5 presentations in a calendar year) and hospital admissions were analysed using simple descriptive statistics.ResultsRates of adolescent mental health ED presentations increased by 289% over 16 years, while rates of adolescent all-cause ED presentations increased by 9.8%. Female presentations increased over five-fold while male rates nearly doubled. Rates of medical hospital admissions increased by 70% and numbers of frequent presenters increased from 0 in 2007 to a peak of 19 in 2022.ConclusionThere has been a significant increase in adolescent mental health ED presentations over the study period. Demographic trends - including higher presentation rates for females and Māori - are consistent with those observed in the Youth2000 survey series. Ongoing monitoring of adolescent mental health ED presentation rates will be an important way of assessing the efficacy of any changes to the mental health system.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251325414"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613371","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":"Failures in care - The value we place on being human - Part 2.","authors":"J D Little, M Burt, C Sanderson","doi":"10.1177/10398562251325396","DOIUrl":"https://doi.org/10.1177/10398562251325396","url":null,"abstract":"<p><p>ObjectiveTo consider whether institutional abuse could recur and how that risk may be reduced.ConclusionsVulnerable populations are likely to remain at risk unless failures in care, and the subsequent abuse, are recognised. Some suggestions are made including an open organisation where the status quo is contested and innovation welcomed. To speak up individually is frightening, unless supported by a shared culture that agrees to do so.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251325396"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612754","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":"Failures in care - The value we place on being human - Part 1.","authors":"J D Little, M Burt, C Sanderson","doi":"10.1177/10398562251326480","DOIUrl":"https://doi.org/10.1177/10398562251326480","url":null,"abstract":"<p><p>ObjectiveBy examining Lake Alice and other historical examples, Part 1 is an attempt to understand how a dedicated care facility might become a place of abuse. Whether this could occur in the current rights- and community-based model of care and if so, how could that risk be reduced, is discussed in Part 2.ConclusionsAlthough known risk factors include vested interests, inadequate funding and an isolated organisation, it is the neglect and lack of advocacy for the vulnerable, alongside a lack of regulatory oversight that underwrites the abuse.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251326480"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623270","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":"Prevalence of anxiety disorders in a clinical sample of Chinese children with autism spectrum disorder in Hong Kong.","authors":"Yiu Chung Vincent Tang, Grace Fong Chun Chan","doi":"10.1177/10398562251323749","DOIUrl":"https://doi.org/10.1177/10398562251323749","url":null,"abstract":"<p><p>Little is known about the prevalence of anxiety disorders in Han Chinese children with Autism Spectrum Disorder (ASD). This is an important topic for research as symptoms may be written off as being due to ASD alone.ObjectiveTo provide prevalence rates of anxiety disorders in a clinical sample of Han Chinese children with ASD and identify correlates which may be amenable to intervention.MethodThe pre-existing ASD diagnosis of 165 Hong Kong Han Chinese was confirmed with the Chinese version of the Developmental, Dimensional and Diagnostic Interview (3Di). Anxiety comorbidities were confirmed with the Chinese version of the Diagnostic Interview Schedule for Children-Version Four (DISC-IV): parent version.ResultsThe prevalence of comorbid anxiety disorders was 52.1%. The prevalence rate of specific phobis was 44.8%, separation anxiety disorder was 11.5%, social anxiety disorder was 9.1%, agoraphobia 0.6%, selective mutism 0.6%, panic disorder 0% and generalized anxiety disorder 0%. Autistic disorder subtype and more severe 3Di scores were significantly associated with anxiety rates, whereas high household income was protective.ConclusionPrevalence rates of comorbid anxiety are high in Hong Kong Han Chinese children with ASD and imperative to catch for early intervention.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251323749"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613169","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, Sharon Reutens, Natasha Robinson, Steve Kisely, Tarun Bastiampillai, Stephen Allison
{"title":"The NSW public psychiatric care crisis: For whom the bell tolls.","authors":"Jeffrey Cl Looi, Sharon Reutens, Natasha Robinson, Steve Kisely, Tarun Bastiampillai, Stephen Allison","doi":"10.1177/10398562251326063","DOIUrl":"https://doi.org/10.1177/10398562251326063","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251326063"},"PeriodicalIF":1.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613173","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}