A5002742617- Mental Health and Psychiatry
- Schizophrenia research and treatment
- Psychiatric care and mental health services
- Healthcare Decision-Making and Restraints
- Mental Health Treatment and Access
- Mental Health and Patient Involvement
- Suicide and Self-Harm Studies
- Medical Malpractice and Liability Issues
- Health Policy Implementation Science
- Historical Psychiatry and Medical Practices
- Innovations in Medical Education
- Healthcare innovation and challenges
- Clinical practice guidelines implementation
- Diversity and Career in Medicine
- Emergency and Acute Care Studies
- Ethics in medical practice
- Patient Safety and Medication Errors
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Quality and Management
- Healthcare cost, quality, practices
- Primary Care and Health Outcomes
- Risk Management in Financial Firms
- Family and Disability Support Research
- Global Health Workforce Issues
- Academic and Historical Perspectives in Psychology
Mental Health Commission
2015-2025
New South Wales Department of Health
2009-2023
Royal Australian and New Zealand College of Psychiatrists
2023
Reef Ecologic
2021
Northern Sydney Local Health District
2002-2019
The University of Sydney
2008-2017
Newcastle Dental Hospital
2012-2017
Concord Repatriation General Hospital
2010-2015
Sydney South West Area Health Service
2009-2015
University of Wollongong
2015
Objective: To provide clinically relevant evidence‐based recommendations for the management of bipolar disorder in adults that are informative, easy to assimilate and facilitate clinical decision‐making. Method: A comprehensive literature review over 500 articles was undertaken using electronic database search engines (e.g. MEDLINE, PsychINFO Cochrane reviews). In addition articles, book chapters other known authors were reviewed. The findings then formulated into a set developed by...
Objective: To provide clinically relevant evidence‐based recommendations for the management of depression in adults that are informative, easy to assimilate and facilitate clinical decision making. Method: A comprehensive literature review over 500 articles was undertaken using electronic database search engines (e.g. MEDLINE, PsychINFO Cochrane reviews). In addition articles, book chapters other known authors were reviewed. The findings then formulated into a set developed by...
Experimental studies by O'Connor (2) and Rawnsley (3) have indicated the value of separating chronic schizophrenics into those who exhibit do not paranoid symptoms. Other work Venables (4) (6) has shown that performance schizophrenic patients on experimental laboratory tasks may be clarified dividing them active or withdrawn groups means a rating scale (Venables, 5) in addition to division basis presence
Introduction Restorative systems are human centred and distinguished by an emphasis on relational principles practices. Emerging evidence indicates that a restorative approach holds promise to mitigate respond harm in the complex health environment. Advocates collaborating with clinicians institutions develop responses adverse events. Method This paper shares insights of international network who have been nurture development policy practice five countries since 2019 (Aotearoa New Zealand,...
Kanner (1943Kanner ( , 1957) ) was the first to point out that one particu- lar syndrome of abnormal behaviour could be separated from previously undifferentiated group childhood psychoses.Children with (called early infantile autism) were distinguished by three outstanding characteristics: lack responsiveness other human beings-that is, " autism "-an insistence on preservation sameness in environment, and an onset two years life.The children attractive alert appearance, believed they not...
Objective: To describe the lived experiences of people subject to community treatment orders (CTOs) and their carers. Method: We recruited 11 participants (five mental health consumers six carers) through consumer carer networks in NSW, Australia, take part interviews about experiences. analysed interview data set using established qualitative methodologies. Results: The were characterised by ‘access’ concerns, ‘isolation’, ‘loss trauma’, ‘resistance resignation’ ‘vulnerability distress’....
A model of care for community mental health services was developed by reviewing the available literature, surveying ?best practice? and evaluating performance existing in a metropolitan area service servicing population approximately 1.1 million people.A review relevant academic literature recognized ?good delivery models undertaken conjunction with local activity data consultation key stakeholders (not addressed this paper). identifying core functions delivery.The components comprehensive,...
A number of publications in recent years have pointed out that, as a result alterations the laws relating to care insane, new methods treatment, and changing public attitude mental illness, important changes occurred during last 25 type patient admitted hospital, average length stay. Fitzgerald (1954), Norris (1952), Harris (1954) dealt with different aspects this phenomenon, Shepherd analysed occurring one circumscribed region after an interval 15 years. Goldhamer Marshall (1949) discussed...
Objective: A framework developed to promote the understanding and application of clinical governance principles in an area mental health service is described. The operationalized through systems, processes, roles responsibilities. Methods: development explicit operationalizable for arose from authors' experiences leading managing services. There a particular emphasis on improvement quality care patient safety. informed by recent developments thinking about governance, including key documents...
This study collected an area-wide snapshot of current handover practice in psychiatric settings which included acute care units and community mental health centres. The was conducted two stages. Firstly, a questionnaire sent to all clinical staff within service regarding normal procedures processes. second part the used non-participant observers evaluate actual handovers inpatient settings. Of 1125 surveys distributed stage one, 380 (34%) were returned completed. 40 observed 637 patients...
In this first paper the role and dynamics of blame in context medical critical incidents is examined. Blame pathologies are described complex nature adverse events environment explored.The literature examined a case scenario explored.Evidence regarding effects 'blame culture' on clinicians organizations presented. an accompanying second place accountability relation to health elucidated.The necessary conditions for accountable, responsive, fair transparent culture proposed.
The recognition that we cannot use risk stratification (high, medium, low) to predict suicide or allocate resources has led a paradigm shift in prevention efforts. There are challenges adapting these new paradigms, including reluctance of clinicians and services move away from traditional categorisations; conversely, the pendulum swing which focus care swings one approach determining service priority (e.g., diagnosis, formulation, clinical care) specific non-clinical care), potentially...
This second paper follows an exploration of the nature blame and addresses balance between a 'blame-free' health culture appropriate accountability. aims to define describe accountability as key component clinical governance responsive, fair transparent culture.The literature is examined concept explored. The case vignette in Part 1 used illustrate particular issue accountability.The place relation clinicians organisations elucidated.The necessary conditions for accountable, are proposed.
Objective The aim of the present study was to examine stakeholder perspectives on how operation mental health system affects use involuntary community treatment orders (CTOs). Methods A qualitative performed, consisting semi-structured interviews about CTO experiences with 38 purposively selected participants in New South Wales (NSW), Australia. Participants included consumers (n=5), carers (n=6), clinicians (n=15) and members Mental Health Review Tribunal NSW (n=12). Data were analysed...
Objectives: Most clinicians are poorly informed in relation to the key concepts of organizational learning. Yet paradigm may offer a powerful method for using their knowledge and skills respond demands changing environment through experimentation The concept is critically examined. Organizational learning principles presented, including conceptual framework assessing health services as Learning Organizations. Barriers strategies overcome these discussed. Methods: seminal works Argyris Senge...
Objectives Root cause analysis (RCA) is the model of accident investigation mandated by New South Wales Ministry Health in Australia to review all serious incidents. Anecdotal evidence suggests that RCA not suitable for reviewing adverse events mental health services such as suicides and homicides. The aims research were evaluate impact on improving patient outcomes a regional service Wales, Australia, discover whether most appropriate health. Methods literature was reviewed. effectiveness...
Abstract: Basonuclin is a zinc finger protein present in the basal cell layer of epidermis and hair follicles. Human epidermal cells are often heterogeneous with respect to nuclear or cytoplasmic location basonuclin may be concentrated either compartment. In mouse rat epidermis, although clusters seen some nuclei, mainly cytoplasm. When whose contain predominantly disaggregated cultivated presence supporting 3T3 cells, growing keratinocyte colonies strongly nuclei. Transfer culture medium...
Objective: The authors, in collaboration with NSW Health, have recently developed a comprehensive suicide risk assessment framework. present paper describes key concepts the of by mental health professionals. Methods: A framework for conducting was derived from literature, incident analysis and clinical experience. underwent consultation process involving clinicians area services. aim to provide standardized conceptual map risk. MEDLINE search conducted publications dealing ‘suicide’...