{"title":"Success in the Psychotherapy Written Case Submission: An Interview with Korinne Northwood and Stephen Parker.","authors":"","doi":"10.1177/10398562241287080b","DOIUrl":"https://doi.org/10.1177/10398562241287080b","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":"32 6","pages":"495"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749634","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 : 2024-12-01Epub Date: 2024-08-22DOI: 10.1177/10398562241268362
Megan Galbally, Beth Kotze, Caroline Bell, Carolyn Quadrio, Cherrie Galletly, Helen Herrman, Helen Milroy, Jackie Curtis, Jessica Green, Josephine Power, Judy Hope, Katherine Sevar, Kimberlie Dean, Korinne Northwood, Lisa Lampe, Megan Kalucy, Nicole Korman, Nicola Lautenschlager, Nicola Warren, Phyllis Chua, Rebecca Anglin, Ruwanthi De Alwis Seneviratne, Samantha Loi, Sara Burton, Shalini Arunogiri, Shirlony Morgan
{"title":"Achieving gender equity in academic psychiatry - barriers to involvement and solutions for success.","authors":"Megan Galbally, Beth Kotze, Caroline Bell, Carolyn Quadrio, Cherrie Galletly, Helen Herrman, Helen Milroy, Jackie Curtis, Jessica Green, Josephine Power, Judy Hope, Katherine Sevar, Kimberlie Dean, Korinne Northwood, Lisa Lampe, Megan Kalucy, Nicole Korman, Nicola Lautenschlager, Nicola Warren, Phyllis Chua, Rebecca Anglin, Ruwanthi De Alwis Seneviratne, Samantha Loi, Sara Burton, Shalini Arunogiri, Shirlony Morgan","doi":"10.1177/10398562241268362","DOIUrl":"10.1177/10398562241268362","url":null,"abstract":"<p><strong>Objective: </strong>Women face considerable barriers in pursuing careers in academic psychiatry.</p><p><strong>Methods: </strong>A group of Australian and New Zealand academic women psychiatrists convened in September 2022 to identify and propose solutions to increase opportunities for women in academic psychiatry.</p><p><strong>Results: </strong>Limiting factors were identified in pathways to academia including financial support, engagement and coordination between academia and clinical services, and flexible working conditions. Gender biases and the risk of burnout were additional and fundamental barriers. Potential solutions include offering advanced training certificates to enable trainees to commence a PhD and Fellowship contemporaneously; improved financial support; expanding opportunities for research involvement; establishing mentoring opportunities and communities of practice; and strategies to enhance safety at work and redress gender bias and imbalance in academia.</p><p><strong>Conclusions: </strong>Support for women in research careers will decrease gender disparity in academic psychiatry and may decrease problematic gender bias in research. Fellows and trainees, the RANZCP, universities, research institutes, governments, industry and health services should collaborate to develop and implement policies supporting changes in working conditions and training. Facilitating the entry and retention of women to careers in academic psychiatry requires mentoring and development of a community of practice to provide and enable support, role modelling, and inspiration.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"563-567"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016206","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 : 2024-12-01Epub Date: 2024-08-27DOI: 10.1177/10398562241278570
Alla Grynevych, Anthony Hew, James Olver
{"title":"The impact of psychiatric facility design on reducing aggressive behaviours in an adult population: a narrative literature review.","authors":"Alla Grynevych, Anthony Hew, James Olver","doi":"10.1177/10398562241278570","DOIUrl":"10.1177/10398562241278570","url":null,"abstract":"<p><strong>Objectives: </strong>This review examines the literature to determine whether physical design features of psychiatric facilities can help reduce aggressive behaviours in an adult patient population.</p><p><strong>Methods: </strong>Using PRISMA's methodology, we conducted a narrative review of peer-reviewed primary studies on the physical design features and aggressive behaviours in psychiatric facilities. The Joanna Briggs Institute's (JBI) critical appraisal tool was used to assess the quality of included studies.</p><p><strong>Results: </strong>A total of eight studies were identified. The findings revealed underlying themes in physical design efforts to reduce the incidences of aggressive behaviours, which included changes in structural design (e.g. single rooms; visiting/living/recreational areas; views of outdoors/nature; and uncrowded spaces) and changes in interior design (e.g. art and home-like/comforting environment). There were varying measures of patient aggression.</p><p><strong>Conclusions: </strong>There was mixed evidence that superficial or structural design changes to psychiatric wards reduced patient aggression. Some studies found reduced aggression; others found no changes, while one study found increased aggression following the implementation of physical design changes. The methodological limitations of the available studies made it difficult to draw causative links and further research on the topic is needed.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"520-530"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079017","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":"Obituary - Associate Professor Peter Burnett.","authors":"","doi":"10.1177/10398562241294167d","DOIUrl":"https://doi.org/10.1177/10398562241294167d","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":"32 6","pages":"600-601"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749615","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 : 2024-12-01Epub Date: 2024-09-20DOI: 10.1177/10398562241283582
Eric Erickson, Daniel Bressington, David Mitchell
{"title":"The psychological impact of supervised quarantine facilities for the mitigation of COVID-19: A systematic review.","authors":"Eric Erickson, Daniel Bressington, David Mitchell","doi":"10.1177/10398562241283582","DOIUrl":"10.1177/10398562241283582","url":null,"abstract":"<p><strong>Background: </strong>Government mandated quarantine outside the home was implemented to mitigate COVID-19 in some countries. Individual studies report that this can result in psychological distress. Investigating levels of distress and associated risk factors across different settings would inform public health models of care during future pandemics. However, no previous systematic reviews have been conducted on the topic. Therefore, we systematically reviewed international research on the prevalence and risk factors of psychological distress within supervised quarantine facilities during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A systematic review of the literature was conducted using Medline, Psychological and Behavioural Sciences, Psych Info, Cochrane databases and Google Scholar from January 2020 until June 2023. Relevant quantitative studies published in English were included.</p><p><strong>Results: </strong>13 studies (pooled participants <i>n</i> = 4366) were included in this review. The prevalence of psychological distress varied widely across the included studies (depression 4%-63%; anxiety 4%-100%; stress 1%-68%). Associated risk factors identified were also heterogeneous between studies and facilities.</p><p><strong>Conclusion: </strong>In future pandemics, the benefits of infection mitigation need to be weighed against the risk of psychological distress. Models of care utilising specifically designed facilities, with greater freedoms, increased comfort and ease of access to mental health services may limit psychological distress.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"496-509"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279906","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":"Pursuing Early Career Success in Psychiatry: An Interview with Nathan Jacobs and Ashlea White.","authors":"","doi":"10.1177/10398562241287080a","DOIUrl":"https://doi.org/10.1177/10398562241287080a","url":null,"abstract":"","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":"32 6","pages":"495"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749631","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 : 2024-12-01Epub Date: 2024-09-24DOI: 10.1177/10398562241286627
Wajeeha Zagham, Steve Kisely, Terry Stedman, Karen Brown, Frances Dark
{"title":"Factors associated with length of stay in medium secure units: A realist review.","authors":"Wajeeha Zagham, Steve Kisely, Terry Stedman, Karen Brown, Frances Dark","doi":"10.1177/10398562241286627","DOIUrl":"10.1177/10398562241286627","url":null,"abstract":"<p><strong>Objectives: </strong>This 'Realist Review' aimed to investigate the factors associated with length of stay and outcomes of medium secure care to help inform the development of a local secure care pathway.</p><p><strong>Method: </strong>The searches generated a total of 1570 entries across multiple search engines. Following removal of duplicates, application of inclusion/exclusion criteria and selection of articles, a total of 18 were reviewed in detail, including a further five articles obtained from references and the explored grey literature.</p><p><strong>Results: </strong>Several issues influenced not only admission to medium secure units, but also the outcomes. Many articles were retrospective studies relying on administrative data. The realist synthesis provides contextual data to inform program development.</p><p><strong>Conclusions: </strong>The existing literature, though variable in quality, was limited by the varied jurisdictions and contexts. However it may be useful to inform care pathways for the optimal use of medium secure beds.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"531-541"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340193","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 : 2024-12-01Epub Date: 2024-08-29DOI: 10.1177/10398562241278856
Sushreya Saluja, Anna Cooter, Susan Roberts, Grace Branjerdporn
{"title":"Pharmacotherapy and electroconvulsive therapy prescription for women with depressive and anxiety disorders in a psychiatric mother-baby unit.","authors":"Sushreya Saluja, Anna Cooter, Susan Roberts, Grace Branjerdporn","doi":"10.1177/10398562241278856","DOIUrl":"10.1177/10398562241278856","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to understand the pharmacotherapy and electroconvulsive therapy (ECT) prescription of women with depression and anxiety admitted to an Australian inpatient psychiatric mother-baby unit (MBU) and compare prescription to national clinical practice guidelines.</p><p><strong>Method: </strong>A retrospective audit was conducted on women diagnosed with depression or anxiety admitted to a public psychiatric inpatient MBU from March 2017 to July 2019. Data was captured at three time points to assess demographic, clinical and pharmacotherapy treatment characteristics. Descriptive statistics were completed.</p><p><strong>Results: </strong>Of the 74 women, 57 women had depression, with 73% prescribed Selective Serotonin Reuptake Inhibitors (SSRIs) and 14% provided ECT during admission. For women with anxiety (<i>n</i> = 17), 23% were prescribed a benzodiazepine with concurrent antidepressant prescription. SSRI prescription increased, with other antidepressant prescription up trending through admission. Atypical antipsychotic prescription was increased initially and trended downwards at discharge.</p><p><strong>Conclusions: </strong>This study explored the therapeutic armamentarium employed for the treatment of mothers admitted to an inpatient psychiatric MBU with depression and anxiety. The results point to the intricate prescribing practices in a naturalistic setting and highlight that prescribing practices were in line with national guidelines.</p>","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"573-581"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103876","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}