A5034885249- Substance Abuse Treatment and Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Opioid Use Disorder Treatment
- Maternal and Perinatal Health Interventions
- HIV, Drug Use, Sexual Risk
- Empathy and Medical Education
- Homelessness and Social Issues
- Forensic Toxicology and Drug Analysis
- Infant Development and Preterm Care
- Prenatal Substance Exposure Effects
- Alcohol Consumption and Health Effects
- Pain Management and Opioid Use
- Breastfeeding Practices and Influences
- Cannabis and Cannabinoid Research
- Biomedical Text Mining and Ontologies
- Gestational Diabetes Research and Management
- Attachment and Relationship Dynamics
- Child and Adolescent Psychosocial and Emotional Development
- Pain Mechanisms and Treatments
- Pregnancy and Medication Impact
- HIV/AIDS Research and Interventions
- Misinformation and Its Impacts
- Intramuscular injections and effects
- Scientific Computing and Data Management
- Research Data Management Practices
South Eastern Sydney Local Health District
2020-2024
The University of Sydney
2011-2024
Deleted Institution
2024
UNSW Sydney
2006-2023
Miriam Hospital
2023
New South Wales Department of Health
2023
Ministero della Salute
2023
University of St Andrews
2019
University of Lethbridge
2018
St John of God Hospital
2017-2018
Aim To conduct a meta-ethnographic study of the experiences, meanings and ways 'dealing with' symptoms or diagnosis postnatal depression amongst migrant women living in high income countries. Background Prevalence is highest who are migrants. Yet many do not seek help for their health services always respond appropriately to women's needs. Studies have reported experiences it timely synthesise findings from these studies understand how can be improved. Design A synthesis 12 15 papers Data...
This paper examines population trends in morphine prescriptions Australia, and contrasts them with findings from annual surveys regular injecting drug users (IDU). Data on 1995 to 2003 were obtained the Drug Monitoring System (DRUMS) run by Australian Government Department of Health Ageing. collected IDU as part Illicit Reporting (IDRS) analysed (2001 - 2004). The rate prescription per person aged 15 54 years increased 89% across Australia between (from 46.3 85.9 mg person). Almost half...
Background: Previous research suggests that alcohol use during pregnancy and breastfeeding has a negative impact on birth neonatal outcomes. No threshold for this effect been determined. The aim of study is to determine the prevalence correlates in lactation large representative sample Australian women. Method: Data were used from women drawn 2007 National Drug Strategy Household Survey. A complex sampling framework was elicit estimates lactation. logistic regression analysis psychosocial...
To examine trends in patterns of cannabis use and related harm the Australian population between 1993 2007.Analysis prospectively collected data from: (1) National Drug Strategy Household Survey (NDSHS) Secondary Student Alcohol (ASSADS); (2) Hospital Morbidity Database (NHMD); (3) Other Treatment Services Minimum Dataset (AODTS-NMDS).Australians aged 14 years over from general population; students 12-17 years; public private hospital in-patients; in-patients out-patients attending for drug...
We aimed to evaluate the acceptability and efficacy of two brief, Internet-delivered cognitive behavioural therapy interventions—MUMentum Pregnancy (study 1) MUMentum Postnatal 2)—in reducing maternal symptoms anxiety, depression overall psychological distress compared usual care in perinatal period. Women who are pregnant or < 12 months postpartum 2) with current clinically elevated anxiety and/or according validated self-report measures, will be recruited via research arm a not-for-profit...
To examine age-related differences in drug use and risk among regular injecting users (IDU) Australia.Cross-sectional data from the 2006 Illicit Drug Reporting System were examined for demographic characteristics, history current patterns self-reported behaviours.IDU under 25 years of age more likely to have initiated at a younger age, identify as Aboriginal and/or Torres Strait Islander, be daily or often than their older counterparts. They reported frequent heroin preceding 6 months,...
Abstract Background One in five women experience psychological distress the perinatal period. To support appropriately, Australian guidelines recommend routine depression screening and psychosocial risk assessment by midwives pregnancy. However, there is some evidence that current processes results higher rates of false positives. The Perinatal Integrated Psychosocial Assessment (PIPA) Project compared two models referral – Usual Care PIPA model with a view to improving decisions. This paper...
Background: To date, no studies have used population-level data to investigate whether maternal location of residence (metropolitan vs. regional/remote populations) is associated with alcohol use in pregnancy. This information has important implications for appropriate service provision. Methods: Information on all live births New South Wales Australia was linked records alcohol-related admissions mothers these over a 6-year period (2000 2006). Cases were women who had at least 1 hospital...
Abstract Introduction Women who attend alcohol and other drug (AOD) services experience higher rates of unintended pregnancy, access less contraception, than the general population. This study aims to observe contraceptive initiation use after contraception were offered at metropolitan regional AOD services. Methods Clinical staff provided education. One hundred women aged 16–49 recruited from two between 2017 2021. completed a questionnaire on their obstetrics gynaecological history,...
Studies examining psychosocial and depression assessment programs in maternity settings have not adequately considered the context which occurs or how broader components of integrated care, including clinician decision-making aids, may optimise program delivery its cost-effectiveness. There is also limited evidence relating to diagnostic accuracy symptom-based screening measures used this context. The Perinatal Integrated Psychosocial Assessment (PIPA) Project was developed address these...
Abstract Introduction and Aims The limited literature on pain in opioid‐treatment samples indicates that it is highly prevalent. Understanding the implications of treatment outcomes important, particularly light ageing cohorts. This study explores correlates pain, including aberrant behaviours related to prescribed opioids. Our hypothesis may increase opioid‐related behaviours, illicit substance use, among opioid‐dependent people. Design Methods We examined methadone or buprenorphine...
Australian clinical practice guidelines support comprehensive psychosocial assessment as a routine component of maternity care.To examine the concurrent and predictive validity Antenatal Risk Questionnaire-Revised (ANRQ-R) when used across perinatal period.Women completed ANRQ-R diagnostic reference standard (SAGE-SR) in second third trimesters at 3-months postpartum. test performance for cut-off scores each time-point was assessed using Receiver Operator Characteristic (ROC)...
While routine psychosocial assessment is acceptable to most pregnant women, some women will not fully disclose concerns their clinician.To assess the impact of risk, current symptoms and mode on women's honesty disclosure at assessment.Logistic regression was used examine associations between a range characteristics in who were 'always honest' 'not always honest'. Mixed ANOVAs test influence scores repeated measure risk.10.8% (N=193 1788) did assessment. Non-disclosure associated with mental...
Although perinatal universal depression and psychosocial assessment is recommended in Australia, its clinical performance cost-effectiveness remain uncertain.To compare the of two models assessment: Usual-Care Perinatal Integrated Psychosocial Assessment (PIPA).Women attending their first antenatal visit were prospectively recruited to this cohort study. Endorsement significant depressive symptoms or risk generated an 'at-risk' flag identifying those needing referral Triage Committee. Based...
Amphetamine type substances (ATS) are commonly used by Australian alcohol and other drug service entrants. We describe demographic characteristics, patterns of ATS substance use, health social conditions among clients entering New South Wales (NSW) public services.Retrospective cohort 13,864 records across six districts (2016-2019) for seeking use treatment. These approximately 44% the NSW population aged 15 years over. Multivariate analysis was conducted on a subsample whom full data were...
To investigate the demographic characteristics, substance use, and self-rated health of people entering treatment in New South Wales public services for alcohol, amphetamine-type stimulants, cannabis, cocaine, or opioids by principal drug concern.Baseline findings a cohort study; analysis data patient electronic medical records NSW minimum set alcohol services.People completing initial Australian Treatment Outcomes Profile (ATOP) assessments on entry to publicly funded other six local...