Australasian Psychiatry最新文献_第8页

Identified needs of the very old accessing mental health services in Australia and New Zealand. 确定了澳大利亚和新西兰老年人获得心理健康服务的需求。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2025-12-24 DOI: 10.1177/10398562251407049

Roderick McKay, Gary Cheung, Anne Wand

{"title":"Identified needs of the very old accessing mental health services in Australia and New Zealand.","authors":"Roderick McKay, Gary Cheung, Anne Wand","doi":"10.1177/10398562251407049","DOIUrl":"10.1177/10398562251407049","url":null,"abstract":"ObjectivesTo examine identified needs of 'very old' people accessing Australian and New Zealand specialist mental health services and consider service delivery implications.MethodExamination of Australian and New Zealand routine outcome measure data from admissions to specialist mental health services. Comparison of data for over 16,500 admissions of people aged 85 years or over with people aged 65-84 years.ResultsThose aged over 85 have higher total HoNOS65+ scores, driven by raised impairment and social problem subscales, without reduction in symptom subscales. Increased problems were identified in aggression/agitation, cognitive impairment, physical health and activities of daily living items but reduced prevalence of substance related problems. Whilst magnitudes vary, trends are consistent across countries, and across ambulatory and inpatient settings. On admission to Australian inpatient settings, very old age is associated with >30% of people requiring nursing assistance (measured by RUG-ADL), although <10% required two-person assistance on any domain.ConclusionsVery old age at admission to mental healthcare is associated with increasing complexity and nursing support needs, without reduced psychiatric symptoms. This requires consideration in models of care and staff capabilities. The very old with greatest aged-related support needs may be excluded from specialist inpatient care.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"343-349"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145817612","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

Ongoing NSW public sector mental health crisis highlights weaknesses in service provision and public safety. 新南威尔士州公共部门持续的心理健康危机凸显了服务提供和公共安全方面的弱点。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-03-29 DOI: 10.1177/10398562261437599

Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Natasha Robinson, Stephen J Robson

引用次数: 0

Sustainable use of AI in psychiatry. 人工智能在精神病学中的可持续应用。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-05-30 DOI: 10.1177/10398562261455211

Farah Aga

引用次数: 0

Factors associated with hospitalisations over the two years following first episode psychosis in a remote setting: A retrospective cohort study. 偏远地区首次精神病发作后两年住院的相关因素：一项回顾性队列研究

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-02-13 DOI: 10.1177/10398562261424778

Samuel Ritchie, David Mitchell, Daniel Bressington, William Taft, Tamoor Mirza

{"title":"Factors associated with hospitalisations over the two years following first episode psychosis in a remote setting: A retrospective cohort study.","authors":"Samuel Ritchie, David Mitchell, Daniel Bressington, William Taft, Tamoor Mirza","doi":"10.1177/10398562261424778","DOIUrl":"10.1177/10398562261424778","url":null,"abstract":"ObjectivesThis study explores the incidence of first episode psychosis (FEP) in young people residing in the Top End of the Northern Territory and explores factors associated with FEP hospitalisations in the two years post-diagnosis.MethodsRetrospective review of data from all people aged between 15- and 24-years old presenting to health services with FEP between January 2012 and December 2018. Demographic and clinical data were collected at intervals in the two years after FEP.ResultsData from 313 youths with FEP were included in the study (214 Aboriginal and Torres Strait Islander peoples). The overall FEP incidence was 203 per 100,000 person-years; however, this was much higher among Aboriginal and Torres Strait Islander peoples (435 per 100,000). Being Indigenous and living remotely were significantly associated with longer hospitalisations two years after initial diagnosis.ConclusionThis study demonstrates an elevated incidence of FEP among young people in the Top End of Australia. Psychosis disproportionately affected Aboriginal and Torres Strait Islander peoples, and this group had longer hospitalisations in the two years following FEP. This problem is multifactorial, and findings suggest that sociocultural disadvantage may play a role.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"358-364"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193958","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 telepsychiatry paradox: Extended access and emerging inequalities in Medicare-reimbursed outpatient psychiatric services. 远程精神病学悖论：在医疗报销的门诊精神病学服务中扩展的访问和新出现的不平等。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-04-28 DOI: 10.1177/10398562261446467

Luke S-C Woon, Tarun Bastiampillai, Wai-Man Liu, Paul A Maguire, Rebecca E Reay, Jeffrey C L Looi

引用次数: 0

Australian and New Zealand psychiatrists' and psychiatry trainees' knowledge and views on voluntary assisted dying. 澳大利亚和新西兰精神科医生和精神病学学员对自愿协助死亡的认识和看法。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2025-12-20 DOI: 10.1177/10398562251407826

Alex Rowe, Samantha M Loi, Gary Cheung

{"title":"Australian and New Zealand psychiatrists' and psychiatry trainees' knowledge and views on voluntary assisted dying.","authors":"Alex Rowe, Samantha M Loi, Gary Cheung","doi":"10.1177/10398562251407826","DOIUrl":"10.1177/10398562251407826","url":null,"abstract":"ObjectiveVoluntary assisted dying (VAD) in Australia and New Zealand is reserved for terminally ill individuals experiencing unbearable suffering. This study investigated the knowledge and views of Australian and New Zealand psychiatrists and trainees on VAD, including for mental illnesses, and whether these knowledge and views differ between psychiatrists and trainees.MethodsParticipants completed an online survey consisting of 18 questions between March and June 2024. The survey was distributed via various Royal Australian and New Zealand College of Psychiatrists newsletters and through snowballing.ResultsOne hundred and sixty-four psychiatrists and sixty-five trainees were included. Psychiatrists tended to be more confident in their knowledge of VAD, less willing to be involved with VAD and more conservative in their views of VAD than trainees: 26.8% of psychiatrists and 10.8% of trainees strongly agreed that the criteria for VAD will progressively broaden (p < .047).ConclusionDifferences in experience may explain some of these distinctions; however, other factors are likely to have been influential in explaining these differences. Given the increasingly liberalised and autonomous social landscape, Australian and New Zealand psychiatry should prepare themselves for the ethical question of VAD for mental illnesses that will inevitably arise.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"350-357"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145793097","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

From the President. 来自总统。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-07-30 DOI: 10.1177/10398562261463922

引用次数: 0

Trainee matters. 实习很重要。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-07-30 DOI: 10.1177/10398562261463922a

引用次数: 0

AI psychotherapy: Rethinking connection (Faculty of Psychotherapy Essay Prize winning entry). 人工智能心理治疗：重新思考连接（心理治疗学院论文获奖作品）。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-07-30 DOI: 10.1177/10398562261463922d

引用次数: 0

Multidisciplinary perspectives on quality improvement areas for consultation-liaison psychiatry services in Australian hospitals. 澳大利亚医院咨询联络精神病学服务质量改进领域的多学科观点。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-02-23 DOI: 10.1177/10398562261424837

Murray G Tucker, Zachary Fitzgerald, Emma Nicholson, Julia Hunt, Steven Moylan

{"title":"Multidisciplinary perspectives on quality improvement areas for consultation-liaison psychiatry services in Australian hospitals.","authors":"Murray G Tucker, Zachary Fitzgerald, Emma Nicholson, Julia Hunt, Steven Moylan","doi":"10.1177/10398562261424837","DOIUrl":"10.1177/10398562261424837","url":null,"abstract":"ObjectiveThis study investigated the perspectives of multidisciplinary staff regarding consultation-liaison psychiatry (CLP) services in Australian public hospitals.MethodA cross-sectional survey was distributed to CLP service providers (CLP staff and managers) and non-CLP hospital staff (allied health professionals, peer workers, and medical staff from Victoria and Tasmania). The survey assessed perceptions of response times, satisfaction, and areas for improvement in bed-based CLP service provision. Open-ended responses were analysed thematically.ResultsA total of 222 staff from diverse disciplines and settings participated. Most participants (65%) reported that patients were reviewed within an acceptable timeframe, and 90% were at least moderately satisfied with CLP performance. Frequently endorsed areas for improvement were enhanced communication, increased resource allocation (staff, skill-mix, outpatient clinics), development of referral guidelines, and greater integration with medical teams. Non-CLP staff expressed frustrations with barriers to service delivery, particularly limited telephone access and medical clearance hurdles. Multiple CLP respondents believed that CLP's role continues to be poorly understood by non-psychiatry staff. They also called for digitally integrated workflows to improve efficiency.ConclusionThis study highlights the essential role of CLP services in Australian public hospitals and identifies workforce, leadership, and infrastructure improvements as key priorities for enhancing service quality.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"365-371"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147275396","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