Australasian Psychiatry最新文献_第7页

FEEDING HOPE: Assessing the effectiveness of Western Australia's first public, voluntary, inpatient Eating Disorder Program. 喂养希望：评估西澳大利亚州第一个公共，自愿，住院饮食失调计划的有效性。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-29 DOI: 10.1177/10398562261464431

Michael Hooper, Helen Bremer, Katelyn McCafferty, Kelly Mowat, Katharine Lux, Sandra McMillan, Sarah Forbes, Thomas Ryan, Gabriella Alosi, Sophie Kerrigan, Thalia Robey, Alexandra Glen, Akira Fukutomi

{"title":"FEEDING HOPE: Assessing the effectiveness of Western Australia's first public, voluntary, inpatient Eating Disorder Program.","authors":"Michael Hooper, Helen Bremer, Katelyn McCafferty, Kelly Mowat, Katharine Lux, Sandra McMillan, Sarah Forbes, Thomas Ryan, Gabriella Alosi, Sophie Kerrigan, Thalia Robey, Alexandra Glen, Akira Fukutomi","doi":"10.1177/10398562261464431","DOIUrl":"10.1177/10398562261464431","url":null,"abstract":"ObjectiveTo assess the effectiveness of Western Australia's first public, voluntary, inpatient eating disorder program in improving client weight, BMI, eating disorder cognitions and behaviours, and depression, anxiety and stress levels, and to identify factors associated with self-discharge, over the first 12 months of operation.MethodsClients participated in a multidisciplinary team eating disorder program comprised of meal support, group education sessions, and one-on-one clinician reviews. Weight, BMI, Global EDE-Q, and DASS-21 scores were compared at admission and discharge. An analysis was completed to identify variables predicting self-discharge from the program.ResultsThere were 81 admissions over a 12-month period. Weight and BMI were significantly higher at discharge compared to admission, and Global EDE-Q, depression, anxiety, and stress scores were significantly lower. The self-discharge rate was 21%. Older age was associated with lower chance of self-discharge, while admission BMI, referral source, and diagnosis demonstrated no association with self-discharge.ConclusionsThese results broadly support the effectiveness of the program in increasing client weight and BMI, reducing eating disorder cognitions and behaviours, and improving depression, anxiety and stress levels. The high self-discharge rate should prompt further investigation and reflection on strategies to improve client retention and engagement.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261464431"},"PeriodicalIF":1.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148343737","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

Single-session therapy as a counselling waitlist management strategy in a public health service: A brief quality improvement evaluation. 在公共卫生服务中，单次治疗作为咨询候补名单管理策略：一个简短的质量改进评价。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-29 DOI: 10.1177/10398562261465222

Aliz Ovlachi

{"title":"Single-session therapy as a counselling waitlist management strategy in a public health service: A brief quality improvement evaluation.","authors":"Aliz Ovlachi","doi":"10.1177/10398562261465222","DOIUrl":"https://doi.org/10.1177/10398562261465222","url":null,"abstract":"ObjectiveTo evaluate the feasibility and perceived helpfulness of Single Session Therapy (SST) as a counselling waitlist management strategy in an Australian public health service.MethodThis quality improvement project used a single-group post-intervention design, drawing on routine service data and brief patient feedback from a small SST pilot embedded within a counselling waitlist management initiative at a community health counselling service within Monash Health, Victoria, Australia, between October 2024 and January 2025. Of 51 referrals processed, 13 patients were allocated to SST and 9 completed the intervention. Follow-up feedback was obtained from 5 patients.ResultsPatient-reported helpfulness ratings were positive, with a mean rating of 4.4/5, and all five respondents reported some perceived benefit. Of the nine patients who completed SST, only one required further counselling input from the service. Qualitative feedback suggested that SST was perceived as helpful in increasing awareness, providing practical strategies, and offering an opportunity to speak with a psychologist.ConclusionSST may be a feasible and acceptable brief intervention within counselling waitlist management in an Australian public health setting. Findings should be interpreted within the limits of a small local quality improvement evaluation and warrant further service-level investigation.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261465222"},"PeriodicalIF":1.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148350507","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

Autism diagnosis in a complex systemic and cultural landscape: A clinical perspective. 自闭症诊断在一个复杂的系统和文化景观：临床的观点。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-28 DOI: 10.1177/10398562261462997

Lauren J Taylor, Kelly McKenna-Kerr

引用次数: 0

Artificial intelligence in Australian prison psychiatry: Promise, pitfalls, and ethical imperatives. 澳大利亚监狱精神病学中的人工智能：希望、陷阱和道德要求。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-24 DOI: 10.1177/10398562261464441

Farah Aga

{"title":"Artificial intelligence in Australian prison psychiatry: Promise, pitfalls, and ethical imperatives.","authors":"Farah Aga","doi":"10.1177/10398562261464441","DOIUrl":"https://doi.org/10.1177/10398562261464441","url":null,"abstract":"BackgroundArtificial intelligence (AI) may offer potential to augment risk assessment and expand personalised treatment in prison psychiatry. In Queensland, prisoners experience high rates of mental illness, and Aboriginal and Torres Strait Islander people are overrepresented, placing additional demands on already overstretched services.PurposeTo explore the potential role of AI in enhancing clinical decision-making, improving risk assessment (including recidivism, self-harm, and violence), and supporting more personalised treatment approaches within prison psychiatry. Research DesignConceptual and ethical discussion of AI applications in correctional mental health, considering clinical, cultural, and systemic implications.Study SampleConceptual discussion focused on prison populations in Queensland, particularly individuals with mental illness and Aboriginal and Torres Strait Islander peoples.Data Collection and/or AnalysisCritical synthesis of emerging AI risk-prediction models and their potential application in correctional psychiatry, alongside analysis of ethical considerations such as bias, transparency, and cultural competence.ResultsAI-based risk-prediction models may help identify emerging risks related to recidivism, self-harm, and violence, supporting earlier intervention and improved resource allocation. However, these models may also reproduce structural biases embedded in underlying data, raising concerns about equity and fairness. ConclusionsAI has potential to support, but not replace, clinical judgement and therapeutic relationships in prison psychiatry. Ethical implementation requires rigorous validation, transparency, and sustained human oversight, with strong emphasis on cultural competence to ensure equitable outcomes.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261464441"},"PeriodicalIF":1.7,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306737","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

Development and implementation of the Ironbark Program: A cross-sector collaboration for supporting people with borderline personality disorder. 铁树皮计划的发展和实施：跨部门合作，支持边缘型人格障碍患者。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-24 DOI: 10.1177/10398562261455816

Joy Quek, Jillian H Broadbear, Jennifer Cain, Lisa Vuillermin, Philippa Bradley, Tania Wittleton, Melissa Morando, Sathya Rao, Chris Murphy

{"title":"Development and implementation of the Ironbark Program: A cross-sector collaboration for supporting people with borderline personality disorder.","authors":"Joy Quek, Jillian H Broadbear, Jennifer Cain, Lisa Vuillermin, Philippa Bradley, Tania Wittleton, Melissa Morando, Sathya Rao, Chris Murphy","doi":"10.1177/10398562261455816","DOIUrl":"https://doi.org/10.1177/10398562261455816","url":null,"abstract":"IntroductionThis paper describes the development, implementation, and preliminary findings of the Ironbark Program, a group-based intervention delivered in a residential psychiatry facility. The Ironbark Program uses a common treatment factor approach to support people with a range of mental health challenges, including borderline personality disorder (BPD), BPD traits, or emotion dysregulation.MethodThe rationale, development, goals, and session outline of the Ironbark Program are described. The preliminary evaluation of the program examined feasibility and acceptability from a staff perspective using pre- and post-training implementation surveys, and from a consumer perspective, using session ratings collected after each Ironbark module.ResultsThe Ironbark Program has been an effective way to utilise existing resources despite initial implementation challenges. The Ironbark Program has resulted in greater cohesiveness, confidence, and a broad improvement in staff attitudes regarding consumers diagnosed with BPD. Consumers consistently rated Ironbark modules as 'very good' and 'excellent'.ConclusionsPreliminary findings suggest Ironbark represents an effective collaboration between a non-government organisation and mainstream public psychiatry. The program can be delivered cost-effectively by non-clinical and support staff. Ironbark was designed to be specific enough to be effective for consumers with BPD or BPD traits, while being sufficiently generic to benefit all PARC consumers.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261455816"},"PeriodicalIF":1.7,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306806","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

Defining, differentiating, and diagnosing burnout: Contributing to a critical debate. 定义、区分和诊断职业倦怠：促成一场关键的辩论。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-22 DOI: 10.1177/10398562261463007

Gabriela Tavella

{"title":"Defining, differentiating, and diagnosing burnout: Contributing to a critical debate.","authors":"Gabriela Tavella","doi":"10.1177/10398562261463007","DOIUrl":"https://doi.org/10.1177/10398562261463007","url":null,"abstract":"ObjectivesThe nosological status of burnout has been a topic of critical debate since its inception as a psychological phenomenon in the 1970s. It was sought here to narratively review current literature regarding burnout's definition, differentiation from depression, and diagnostic status, including Parker's contribution to this field.ConclusionBurnout was originally defined as being comprised of emotional exhaustion, empathy loss, and reduced professional accomplishment. More recent research suggests other symptoms, such as cognitive dysfunction and emotional withdrawal/distancing, may also be important components of the syndrome. There are mixed findings regarding the degree of overlap between burnout and depression. However, research by Parker and others provides preliminary evidence that the overlap is stronger when considering non-melancholic compared to melancholic depression. Finally, while its current diagnostic status is ambiguous, diagnostic criteria covering (paid or unpaid) work-based causes, multiple key symptoms, and consideration of other confounding conditions, have been proposed. Such criteria may allow for the clinical distress caused by burnout to be acknowledged, while reducing the chance of over-diagnosis.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261463007"},"PeriodicalIF":1.7,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300636","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

Enhancing safety and compliance in acute behavioural disturbance management: Pilot of proposed update to zuclopenthixol acetate guidelines in a regional PICU. 加强急性行为障碍管理的安全性和依从性：拟议更新醋酸zuclopenthixol指南在区域PICU的试点。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-22 DOI: 10.1177/10398562261455834

Sarah Ridd, Vishal K Sharma, Matthew Hiskens, Ashish Rana

{"title":"Enhancing safety and compliance in acute behavioural disturbance management: Pilot of proposed update to zuclopenthixol acetate guidelines in a regional PICU.","authors":"Sarah Ridd, Vishal K Sharma, Matthew Hiskens, Ashish Rana","doi":"10.1177/10398562261455834","DOIUrl":"https://doi.org/10.1177/10398562261455834","url":null,"abstract":"ObjectivesZuclopenthixol acetate (ZA) is commonly used in psychiatric intensive care units (PICUs) to manage acute behavioural disturbance (ABD). Despite its clinical utility, monitoring practices remain inconsistent, creating issues such as oversedation and cardiac risk. This study aimed to evaluate compliance with existing Queensland ABD guidelines, benchmark standards, and develop and pilot a proposed revision to the Queensland state guideline to strengthen monitoring and improve patient safety.MethodsIn this quality improvement project, a proposed ABD management guideline was synthesised from key guidelines identified by literature review. Baseline ZA practice was assessed in a regional PICU against the proposed ABD guideline. Following staff education and guideline implementation, pre/post outcomes were evaluated.ResultsEighty-eight patients were included. Following ABD guideline implementation, compliance improved significantly for pre-ZA blood tests (49.3% to 84.2%, p < .01) and ECGs (43.5% to 83.3%, p < .01), and at discharge (ECG 33.3% to 83.3%, p < .01). Baseline documentation improved from 30.9% to 83.3% (p < .01). Improvements were consistent across patient demographics, except for higher discharge ECG completion in non-Indigenous patients (p = .04).ConclusionsImplementation of the proposed ABDM guideline markedly improved monitoring and documentation of ZA use. These findings provide evidence for state-wide adoption to support safer and more consistent care.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261455834"},"PeriodicalIF":1.7,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300678","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

Vascular risk factors in maintenance versus acute electroconvulsive therapy: A retrospective case-control study from a regional Australian service. 维持与急性电痉挛治疗的血管危险因素：来自澳大利亚地区服务的回顾性病例对照研究。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-19 DOI: 10.1177/10398562261457053

Fesochi Atulayo, Matthew Jy Kang, Kim S Carey, Emma R Nicholson, Vivek H Phutane, Malcolm Forbes

{"title":"Vascular risk factors in maintenance versus acute electroconvulsive therapy: A retrospective case-control study from a regional Australian service.","authors":"Fesochi Atulayo, Matthew Jy Kang, Kim S Carey, Emma R Nicholson, Vivek H Phutane, Malcolm Forbes","doi":"10.1177/10398562261457053","DOIUrl":"https://doi.org/10.1177/10398562261457053","url":null,"abstract":"ObjectivesTo compare vascular risk factors among patients receiving maintenance electroconvulsive therapy (M-ECT) versus acute ECT, and to examine cognitive outcomes associated with M-ECT.MethodsA retrospective, single-centre, matched case-control study was conducted using a regional Health Service ECT Register (2015-2023). Adults with DSM-5 mood disorders were included. 25 received ≥6 months of M-ECT and 37 received acute-only ECT. Frequency matching achieved similar age structure and sex distribution. Vascular risk factors (hypertension, dyslipidaemia, diabetes, stroke, myocardial infarction, smoking) and a composite \"high vascular risk\" score (≥2 factors) were compared using Fisher's exact tests and logistic regression. Cognition was assessed with the Montreal Cognitive Assessment (MoCA) at baseline and longitudinally with linear mixed-effects models.ResultsHigh vascular risk was common in both groups (M-ECT 76%; acute-only 68%) without significant between-group difference, although dyslipidaemia was more prevalent in the M-ECT group (OR 5.52, 95% CI: 1.51-20.20; p = 0.049). Baseline MoCA was comparable (21.9 vs 22.1) and remained stable during M-ECT (mean change +0.92; 95% CI: -0.51 to +2.35). High vascular risk, not ECT group, predicted cognition (-4.64, 95% CI: -7.45 to -2.01; p = 0.002).ConclusionsCognitive performance remained stable during M-ECT. Lower scores were associated with vascular comorbidity, and the higher dyslipidaemia rate underscores the need for cardiometabolic and cognitive monitoring.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261457053"},"PeriodicalIF":1.7,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148275819","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

Gordon Parker's bipolar disorder research. Gordon Parker的双相情感障碍研究。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-18 DOI: 10.1177/10398562261462460

Philip B Mitchell

引用次数: 0

Evaluation of an innovative youth mental health service model - bridging the service gap. 评估创新的青少年心理健康服务模式-弥合服务差距。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-17 DOI: 10.1177/10398562261458931

Helen Mildred, Trish Coulton, Lynne Allison, Nicole Harris, Peter Jenkins, Stan Innes, Peter Brann

{"title":"Evaluation of an innovative youth mental health service model - bridging the service gap.","authors":"Helen Mildred, Trish Coulton, Lynne Allison, Nicole Harris, Peter Jenkins, Stan Innes, Peter Brann","doi":"10.1177/10398562261458931","DOIUrl":"10.1177/10398562261458931","url":null,"abstract":"BackgroundWith rising youth mental health needs, there is an urgent call for new service models that are cost-effective, accessible, and non-duplicative. The Youth Engagement & Treatment Team Initiative (YETTI) was implemented in the federal Eastern metropolitan health region of Victoria, Australia, to deliver tertiary-level mental health interventions within trusted headspace sites, and to provide specialist consultation to their staff.MethodOver six years, YETTI supported 981 young people aged 12-25 years (and families/carers) whose severe and complex mental ill-health was beyond the remit of enhanced primary care but did not meet eligibility for public mental health services.ResultsPre-post outcome comparisons demonstrated clinically and statistically significant improvements in symptoms and functioning for 67% of the cohort, including reductions in Health of the Nation Outcome Scale Child Adolescent total and scale scores (F = 600.48, df = 1,582, p < 0.001). Further, most consumers (81.4%) reported improved mental health and functioning on the Kessler Psychological Distress Scale (K10). High satisfaction with YETTI was reported by 90% of consumers with an 84% response rate, indicating a positive impact on young people during a developmentally vulnerable period.ConclusionsOverall, these findings suggest that YETTI is an acceptable and effective model in bridging the youth mental health service gap. Future research could examine longer-term clinical, functional and system-level outcomes.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261458931"},"PeriodicalIF":1.7,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270019","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