Fifty-three psychiatric hospital inpatients with a dual diagnosis of substance abuse and schizophrenia were given the Brief Symptom Inventory Schizophrenia/Substance Abuse Interview Schedule. Mean age was 29; 49 men. Only 11% employed. Forty percent abused mainly alcohol, 40% cannabis 8% amphetamines; 20% more than one substance. onset drug 16 years; diagnosed mean 5 years later, subjects had been admitted to an average 7 times since then. Most believed that initiated or exacerbated their...

Objectives: Recent prevalence studies in Australia, the USA and Canada have estimated 1-2% of adult population meet diagnostic criteria for problem or pathological gambling. The Statewide Gambling Therapy Service (SGTS) provides treatment gamblers key metropolitan rural regions South Australia. aims this study were two-fold: to analyse short mid-term outcomes following provided by SGTS identify factors associated with drop-out. Method: A cohort seeking was recruited through 2008. Repeated...

To investigate what is lost or gained in a psychiatric evaluation when it takes place via telepsychiatry we compared the inter-rater reliability between two psychiatrists interviewing 63 subjects an observer/interviewer split configuration and same-room settings. The measures used were BPRS interviewer ratings from semi-structured interview. Patients also rated their experience. There some clear differences evaluations. Despite these variations, diagnoses as reliably made by telepsychiatry....

Answering the Call, Australian National Police and Emergency Services Mental Health Wellbeing Study, surveyed 14,868 ambulance, fire rescue, police, state emergency service employees. services personnel had lower rates of mental wellbeing higher psychological distress probable PTSD than general adult population. Overall 30% low wellbeing, 21% high 9% very distress, 10% PTSD. An estimated 5% suicidal ideation 2% a suicide plan in past 12 months, while 16% binge drink at least weekly. Only one...

Background: The United Kingdom IAPT (Improving Access to Psychological Therapies) approach of delivering low intensity therapies for symptoms depression and anxiety was adapted Australia named NewAccess. Clinical outcomes the service were evaluated in three sites between October 2013 2016.Aims: This paper describes clinical Australian health setting.Methods: Prospective cohort study with repeated measures. Both intent-to-treat per protocol analyses conducted primary measures Patient Health...

This review examines the relationship between alcohol misuse and comorbid psychiatric disorders, treatment of these disorders. In past, literature was dominated by papers describing prevalence, clinical services comorbidity with schizophrenia. It is now advancing into areas such as anxiety affective disorders eating considering diagnostic paradigm. Knowledge also emerging about influences genetics adverse effects over different stages life cycle in development disorders.Recent studies have...

Clinical interventions which focus on extinction learning have been shown to reduce craving and relapse in substance related behavioural addictions.This paper reports a small pilot study with 20 problem gamblers referred for treatment by local court diversion program.We investigated the use of portable heart rate monitors measure effectiveness Cue Exposure Therapy (CET) extinguishing gambling cue-reactivity.Cue-reactivity procedures consisted relaxation period followed in-vivo exposure...

Objective: To examine the influence of co-occurring conditions on gambling treatment outcomes. Design, setting and participants: Prospective cohort study problem gamblers. Participants were recruited from consecutive referrals to a therapy service in 2008. Inclusion criteria were: (i) assessed as gambler based screening interview including DSM-IV for pathological gambling, (ii) suitable admission program. Cognitive-behavioural was graded exposure-to-gambling urge. One-to-one conducted with...

Substance abuse is associated with significant mortality and morbidity as a consequence of an array physical complications. Not all complications are acute, many may manifest themselves some years in the future. For substances long-term yet to be researched. Purpose review There essential, ongoing background updating our knowledge social determinants public health issues related substance abuse. It also vital that psychiatrists remain aware medical surgical problems patients use disorders...

Aim Describe the management of patients with methamphetamine (MA)-induced psychosis and offer recommendations for effective treatment. Methods Prospective assessment consecutive admissions at 6 public psychiatric treatment services in Australia, Philippines, Thailand. One hundred fifty (aged 17 to 48 y) who screened negative lifetime history schizophrenia organic participated study. Results Sixty-one percent participants presented their first MA episode. Most common psychotic symptoms were...

In recent years, greater emphasis has been placed on gambling venues to identify potential problem gamblers, respond appropriately and refer treatment. seeking the perspectives of venue staff treatment providers, this qualitative study investigates how gamblers experience being identified referred for by staff. A semi-structured interview guide focusing experiences perceptions identification referral in gaming was used conduct 4 focus groups 9 in-depth interviews. Participants comprised 22...

The rate of females imprisoned worldwide has increased by more than 50% during the last two decades, with recent figures suggesting that, worldwide, female prison population may still be increasing at a faster males. Despite prevalence rates for psychiatric conditions among prisoners being significantly higher males, there is particular lack programs specifically designed women. This preliminary study evaluates initial effectiveness mindfulness and acceptance–based group program in an...

Objective: The aim of this paper is to provide an overview the history and activities RANZCP Section Addiction Psychiatry, as well its current challenges opportunities. Conclusions: From initial exclusion active growing membership, Psychiatry continues ensure that problematic substance use gambling remain core issues within Australasian psychiatry. In addition commenting contributing ongoing clinical policy initiatives, has recently introduced advanced training curriculum maintains a strong...

Objectives: This case report discusses the response to exposure and prevention therapy in a patient with problem gambling comorbid early dementia. It further neurobiology of its application patients mild cognitive impairment. Conclusion: Studies show good use impairment studies are needed study neurobiological changes