Joanna Crawford, Sam Haffar, Sunera Fernando, Holly Stephens, Samuel B Harvey, Melissa Black
{"title":"Client perspectives: Telehealth for mental health services.","authors":"Joanna Crawford, Sam Haffar, Sunera Fernando, Holly Stephens, Samuel B Harvey, Melissa Black","doi":"10.1177/10398562241270986","DOIUrl":"10.1177/10398562241270986","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic required mental health clinicians globally to transition to the delivery of care via telehealth. This study aimed to gain an understanding of clients' satisfaction with and attitudes towards telehealth mental health services.</p><p><strong>Method: </strong>Seventy adults who had attended a clinic for mood and anxiety disorders, and participated in at least one telehealth consultation with a psychologist or psychiatrist, completed an anonymous online survey.</p><p><strong>Results: </strong>The majority of participants (81.5%) reported satisfaction with telehealth mental health care provided during the COVID-19 pandemic. However, satisfaction overall was significantly higher amongst participants who had received both telehealth and face-to-face mental health care, compared to participants who received care via telehealth only. Advantages of telehealth care reported included convenience and increased access to mental health clinicians. However, disadvantages of telehealth care included greater difficulty developing a rapport with a clinician and expressing oneself via telehealth.</p><p><strong>Conclusions: </strong>Whilst client satisfaction with telehealth mental health care for mood and anxiety disorders is generally high, clinicians should consider the limitations of telehealth from clients' perspectives. In particular, strategies to enhance therapeutic connection during telehealth sessions may be needed, and client preferences for mode of delivery should be taken into consideration when possible.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911564","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}
Samantha Finan, Dianna R Bartsch, Tessa Kong, Jacqui Beall
{"title":"Borderline personality disorder and parenting capacity: Understanding child protection population characteristics","authors":"Samantha Finan, Dianna R Bartsch, Tessa Kong, Jacqui Beall","doi":"10.1177/10398562241270947","DOIUrl":"https://doi.org/10.1177/10398562241270947","url":null,"abstract":"ObjectiveThis paper describes an audit of borderline symptoms, risk factors for maltreatment and types of abuse among parents who completed a parenting capacity assessment at a South Australian health-based child protection service.MethodA retrospective case note audit within a 28-month period was conducted and included parents ( n = 107) who had completed a Mclean’s screening instrument for borderline personality disorder and/or had a psychiatric review with a formal diagnosis. Parents who had a borderline personality disorder diagnosis or endorsed five or more symptoms were categorised into the ‘high’ borderline symptom group. Rates of parental risk factors for maltreatment and type of abuse were compared between parents with low or high borderline symptoms.ResultsForty percent of parents endorsed at least five borderline symptoms on the screening tool. On average, parents high in borderline symptoms had a greater number of parental risk factors.ConclusionsThese findings highlight the importance of screening for personality pathology among parents presenting to child protection services. Foundational training for staff and making evidence-based interventions available should be considered in such settings.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141935492","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":"Enhancements to RANZCP continuing professional development (CPD).","authors":"","doi":"10.1177/10398562241263723c","DOIUrl":"https://doi.org/10.1177/10398562241263723c","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915941","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":"Vox populi at the College Congress 2024: Excellence and empathy, knowledge and kindness.","authors":"","doi":"10.1177/10398562241259631a","DOIUrl":"https://doi.org/10.1177/10398562241259631a","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103878","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}
Australasian PsychiatryPub Date : 2024-08-01Epub Date: 2024-05-09DOI: 10.1177/10398562241251999
Nirupamal Pitigala, Irene Zeng, Nishanth Narayanan, Sarah Cullum, Lillian Ng
{"title":"Tracking the 3-year trajectory of referrals to an early psychosis intervention service.","authors":"Nirupamal Pitigala, Irene Zeng, Nishanth Narayanan, Sarah Cullum, Lillian Ng","doi":"10.1177/10398562241251999","DOIUrl":"10.1177/10398562241251999","url":null,"abstract":"<p><strong>Aim: </strong>To review the baseline and clinical characteristics of patients referred to a New Zealand Early Psychosis Intervention (EPI) service across a 4-year timeframe.</p><p><strong>Method: </strong>We compared two cohorts, and identified variables associated with being accepted or declined, and reasons for decline, by an EPI service between 2013 and 2017.</p><p><strong>Results: </strong>There were 576 people with suspected psychosis referred to the EPI service for assessment: 300 (52%) were accepted, 221 (38%) declined and 55 (10%) were not processed. Reasons for being declined by EPI services were a long duration of psychosis (DUP, 48%) and no evidence of psychosis (47%). There were no significant differences between the accepted and declined group in Emergency Department presentations for self-harm or suicide attempts and acute admissions to a psychiatric inpatient unit over the 3-year follow-up period.</p><p><strong>Conclusion: </strong>To optimise the identification of true positive cases, EPI services require clear entry criteria. Replicating this study in other EPI services with different entry criteria may provide evidence to develop a more uniform screening process. Improved outcomes may be enhanced by measuring effectiveness and liaising with other EPI services.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11318223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897095","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}
Australasian PsychiatryPub Date : 2024-08-01Epub Date: 2024-05-05DOI: 10.1177/10398562241249906
Elsie Jing, Eva Gregertsen, Leo Chen, Janice Russell
{"title":"Knowledge and attitudes towards eating disorders: A survey of psychiatrists and psychiatry trainees in New South Wales.","authors":"Elsie Jing, Eva Gregertsen, Leo Chen, Janice Russell","doi":"10.1177/10398562241249906","DOIUrl":"10.1177/10398562241249906","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate New South Wales (NSW) psychiatrists' and psychiatry trainees' knowledge and attitudes towards eating disorders (EDs).</p><p><strong>Method: </strong>A total of 1781 psychiatrists and trainees in NSW were invited to complete an anonymous questionnaire assessing ED confidence, knowledge and attitudes.</p><p><strong>Results: </strong>A total of 51 doctors responded to the survey, with 38 completing all items. Significant knowledge gaps were revealed. Respondents expressed a desire for more ED training.</p><p><strong>Conclusion: </strong>Enhanced ED training in psychiatry education and incorporating the lived experience voice to improve attitudes appear necessary.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851301","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":"From the President.","authors":"","doi":"10.1177/10398562241263723","DOIUrl":"https://doi.org/10.1177/10398562241263723","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915942","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}
Australasian PsychiatryPub Date : 2024-08-01Epub Date: 2024-05-31DOI: 10.1177/10398562241258764
Adrian Cheng, Sara Buten, Matthew Large
{"title":"Time for a change to clozapine haematological monitoring.","authors":"Adrian Cheng, Sara Buten, Matthew Large","doi":"10.1177/10398562241258764","DOIUrl":"10.1177/10398562241258764","url":null,"abstract":"<p><strong>Objectives: </strong>This paper critiques the haematological monitoring guidelines for clozapine. It describes the history of clozapine, as well as the pathophysiology and epidemiology of clozapine-induced neutropenia (CIN) and agranulocytosis (CIA). The paper appraises the extant literature on mandatory clozapine haematological monitoring.</p><p><strong>Conclusion: </strong>Contemporary Australian protocols for clozapine haematological monitoring are not consistent with the current evidence base. CIN and CIA are rare occurrences, and the associated risk of death is low. Potential modifications to existing guidelines include changing neutrophil thresholds for patients with benign ethnic neutropenia and reducing the frequency or removing haematological monitoring after two years of clozapine treatment.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141183727","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}
Australasian PsychiatryPub Date : 2024-08-01Epub Date: 2024-06-14DOI: 10.1177/10398562241261263
John Little, Radhika Palepu, Matthew Higgins
{"title":"Disillusionment amongst clinical staff experiencing repeated change.","authors":"John Little, Radhika Palepu, Matthew Higgins","doi":"10.1177/10398562241261263","DOIUrl":"10.1177/10398562241261263","url":null,"abstract":"<p><strong>Objective: </strong>To describe disillusionment amongst the clinical community as a result of repeated ideological and organisational change and to suggest a road map forward.</p><p><strong>Conclusion: </strong>Despite knowing that change can be disruptive, it will likely remain a constant and necessary feature of organisational life. Various approaches, including the development of a personal sphere of influence and knowing when to resign, are considered.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141316684","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}