Australasian Psychiatry最新文献_第9页

Bullying within specialist medical training in Australia: Analysis of the medical training survey, 2020-2023. 澳大利亚专科医学培训中的欺凌行为：2020-2023 年医学培训调查分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-08-03 DOI: 10.1177/10398562241269123

Fiona A Wilkes, Ashvini Munindradasa, Paul A Maguire, Katrina Anderson, Jeffrey Cl Looi

{"title":"Bullying within specialist medical training in Australia: Analysis of the medical training survey, 2020-2023.","authors":"Fiona A Wilkes, Ashvini Munindradasa, Paul A Maguire, Katrina Anderson, Jeffrey Cl Looi","doi":"10.1177/10398562241269123","DOIUrl":"10.1177/10398562241269123","url":null,"abstract":"Objective: Bullying is common in medical specialist training in Australia. To understand bullying rates across medical specialist training programs, we analyse the recent Medical Training Survey, administered by the Medical Board of Australia to all registered medical practitioners.Methods: Medical Training Survey data were extracted and averaged from 2020 to 2023.Results: Many speciality trainees reported personally experiencing or witnessing bullying. This was lowest in general practice (13% personally experienced and 15% witnessed) and highest in obstetrics and gynaecology (27% and 41%). The highest rate of bullying by supervisors was in surgery: 60% of surgical trainees stated that when they were bullied it was by their supervisor. Within psychiatry, 22% of trainees had personally experienced bullying and 32% of trainees had witnessed bullying. When they were bullied, the perpetrator was less commonly a supervisor (40%). In all specialities, there was a very low percentage of bullying which was reported, and was identified as having a satisfactory outcome: the most satisfactory outcomes (13%) were in general practice.Conclusion: Current rates of bullying for medical specialist trainees, the reluctance to report, as well as the lack of satisfactory outcomes, is of grave concern for Australian healthcare. This requires urgent attention at a systems level.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"459-466"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878295","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

Potential promises and perils of artificial intelligence in psychotherapy -The AI Psychotherapist (APT). 人工智能在心理治疗中的潜在前景和危险--人工智能心理治疗师（APT）。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-29 DOI: 10.1177/10398562241286312

Marc Jurblum, Rob Selzer

{"title":"Potential promises and perils of artificial intelligence in psychotherapy -The AI Psychotherapist (APT).","authors":"Marc Jurblum, Rob Selzer","doi":"10.1177/10398562241286312","DOIUrl":"https://doi.org/10.1177/10398562241286312","url":null,"abstract":"Objective: Since the release of ChatGPT, popular demand has driven the use of social chatbots as pseudo-AI psychotherapists. With time, it is inevitable that these technologies will be deployed in some form as dedicated psychotherapy interventions. Here, we attempt to forecast the implications for psychotherapy including the unique benefits to distributive justice as well as concerns for the quality of the therapy and its societal impact.Conclusion: An AI psychotherapist (APT) has the potential to provide engaging clinical interactions given its capacity for highly realistic interaction as well as its high level cognitive and emotional capabilities. Moreover, it can potentially address financial and workforce limitations on access to therapy. However, an APT may cause significant iatrogenic harm if released without adequate quality control and oversight by trained psychotherapists. If not appropriately designed and regulated, APTs have potential to mislead and reinforce maladaptive coping behaviours. Given societal drivers and possible benefits, these technologies will inevitably be deployed; thus, it is incumbent upon us as a professional body to consider their regulation.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241286312"},"PeriodicalIF":1.2,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340195","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

Naturalistic outcomes of patients discharged from a community treatment order: QA project. 社区治疗令出院病人的自然结果：质量保证项目。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-27 DOI: 10.1177/10398562241286669

Manpreet Kaur Dhawan, Ramanathan Ganapathy, Anoop Sankaranarayanan, Ricardo Maldonado

{"title":"Naturalistic outcomes of patients discharged from a community treatment order: QA project.","authors":"Manpreet Kaur Dhawan, Ramanathan Ganapathy, Anoop Sankaranarayanan, Ricardo Maldonado","doi":"10.1177/10398562241286669","DOIUrl":"https://doi.org/10.1177/10398562241286669","url":null,"abstract":"Objective: To study outcomes for patients after they are discharged from Community treatment orders (CTO) including rate of relapse, median time to relapse and to identify the risk factors associated with relapse.Method: The study population included patients discharged from CTO from July 2017 to December 2021, managed by a major metropolitan* case management team (CMT). The data were collected from electronic medical records (EMR). Descriptive analysis was conducted to study the sample characteristics. Logistic regression using univariate and multivariate analysis was performed to examine the associations between factors related to relapse.Results: A total of 128 patients were studied. The relapse rate was 27.4% with median time to relapse of 72 days. Poor insight, poor treatment compliance, duration of CTO and number of CMT contacts were significantly associated with relapse while substance use, psychiatric comorbidities and psychosocial factors were not.Conclusions: The findings suggest that people who relapsed had poor insight and poor medication adherence, had CTO for a longer period and had frequent contact from CMT even after discharge from CTO.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241286669"},"PeriodicalIF":1.2,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340194","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 call for multi-agency collaboration in the Pacific Island countries' mental health - The World Federation for Mental Health viewpoint. 呼吁在太平洋岛国心理健康方面开展多机构合作--世界心理卫生联合会的观点。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-25 DOI: 10.1177/10398562241285377

Neeraj Gill

引用次数: 0

Reckoning with rights: the Voice Referendum. 重新考虑权利：全民公决之声。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-24 DOI: 10.1177/10398562241285984

Ernest Hunter

引用次数: 0

Will Rogers phenomenon and cosmetic psychiatry. 威尔-罗杰斯现象和美容精神病学。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-24 DOI: 10.1177/10398562241285527

Shuichi Suetani

引用次数: 0

Creating a mental health talanoa to promote a collaborative approach to wellbeing across Pacific peoples. 创建一个心理健康塔拉诺亚（talanoa），促进太平洋各族人民以合作的方式实现福祉。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-09-23 DOI: 10.1177/10398562241281576

Jioji Ravulo

{"title":"Creating a mental health talanoa to promote a collaborative approach to wellbeing across Pacific peoples.","authors":"Jioji Ravulo","doi":"10.1177/10398562241281576","DOIUrl":"https://doi.org/10.1177/10398562241281576","url":null,"abstract":"Objective: Promoting holistic health and wellbeing is a shared conversation, or talanoa, requiring collaboration between individuals, their families and wider communities. This paper will explore various community-based initiatives privileging Pacific epistemologies and ontologies that promote and provide accessible resources improving mental health literacies.Method: Three specific initiatives are discussed in this paper; Mental Health Talanoa (MHT), Open Worksheet and Wellbeing Talanoa. These provide a platform to understand practical ways to support Pacific peoples in various contexts.Results: The MHT project offers a nuanced understanding of symptomatology related to common mental disorders amongst Pacific peoples, a nuanced understanding of the barriers and enablers to health literacies and help seeking behaviour, and a series of infographics, including the Pacific Mental Health Lexicons (PIMHL). The Open Worksheet is a dynamic tool underpinned by a dialogical and relationally driven way to understanding individual and familial narratives. The Wellbeing Talanoa supports a communally orientated opportunity to enhance a sense of connection to self and others whilst therapeutically reviewing social and welfare needs and solutions.Conclusion: Developing and implemented Pacific approaches that are grounded in Pacific values and practices can lead to enhanced help seeking behaviour, engagement, service retention and provision.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241281576"},"PeriodicalIF":1.2,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279904","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":" ","pages":"10398562241282743"},"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":"42 1","pages":""},"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