A5029744118- Mental Health Treatment and Access
- Migration, Health and Trauma
- Resilience and Mental Health
- Child and Adolescent Psychosocial and Emotional Development
- Posttraumatic Stress Disorder Research
- Child Abuse and Trauma
- COVID-19 and Mental Health
- Digital Mental Health Interventions
- Family Caregiving in Mental Illness
- Traumatic Brain Injury Research
- Grief, Bereavement, and Mental Health
- Psychiatric care and mental health services
- Intimate Partner and Family Violence
- Adolescent Sexual and Reproductive Health
- Child and Adolescent Health
- Health and Well-being Studies
- Psychosomatic Disorders and Their Treatments
- Traumatic Brain Injury and Neurovascular Disturbances
- Palliative Care and End-of-Life Issues
- Disaster Response and Management
- Cardiac Arrest and Resuscitation
- Community Health and Development
- Global Maternal and Child Health
- Healthcare professionals’ stress and burnout
- Telemedicine and Telehealth Implementation
UNSW Sydney
2016-2025
World Health Organization
2025
Westmead Institute for Medical Research
2017-2021
University of California, San Francisco
2012
Virginia Mason Medical Center
2010
Macquarie University
2007
Royal College of Physicians
1924
University of Glasgow
1924
Royal Botanic Gardens, Kew
1924
Natural History Museum
1924
Mental disorders are significant contributors to the global burden of disease (1). While they occur across all levels socio-economic status, majority populations in low- and middle-income countries (LMICs) do not have access effective psychological pharmacological interventions (2). Key barriers sustainable delivery therapies LMICs include limited mental health funding infrastructure, chronic shortage professionals, lack treatments adapted local context, challenges associated with training...
The aetiology of postconcussion syndrome (PCS) following mild traumatic brain injury (mTBI) remains controversial. Identifying acute PCS (within the first 14 days after injury) may optimise initial recovery and rehabilitation, identify those at risk increase understanding PCS.To examine predictors outcome by investigating relationship between preinjury psychiatric disorder, demographic factors, related characteristics, neuropsychological psychological variables PCS.Prospective study...
Background Gender-based violence (GBV) represents a major cause of psychological morbidity worldwide, and particularly in low- middle-income countries (LMICs). Although there are effective treatments for common mental disorders associated with GBV, they typically require lengthy treatment programs that may limit scaling up LMICs. The aim this study was to test the effectiveness new 5-session behavioural called Problem Management Plus (PM+) lay community workers can be taught deliver. Methods...
The mental health consequences of conflict and violence are wide-ranging pervasive. Scalable interventions to address a range problems needed.To test the effectiveness multicomponent behavioral intervention delivered by lay workers adults with psychological distress in primary care settings.A randomized clinical trial was conducted from November 1, 2014, through January 28, 2016, 3 centers Peshawar, Pakistan, that included 346 adult attendees high levels both functional impairment according...
Common mental disorders are frequently experienced by refugees. This study evaluates the impact of a brief, lay provider delivered group-based psychological intervention [Group Problem Management Plus (gPM+)] on health refugees in camp, as well parenting behavior and children's health.In this single-blind, parallel, randomized controlled trial, 410 adult Syrian (300 females, 110 males) Azraq Refugee Camp (Jordan) were identified through screening distress (≥16 Kessler Psychological Distress...
The mental health burden among refugees in high-income countries (HICs) is high, whereas access to healthcare can be limited.To examine the effectiveness of a peer-provided psychological intervention (Problem Management Plus; PM+) reducing symptoms common disorders (CMDs) Syrian Netherlands.We conducted single-blind, randomised controlled trial adult recruited March 2019-December 2021 (No. NTR7552). Individuals with distress (Kessler Psychological Distress Scale (K10) >15) and functional...
Background Globally, 235 million people are impacted by humanitarian emergencies worldwide, presenting increased risk of experiencing a mental disorder. Our objective was to test the effectiveness brief group psychological treatment delivered trained facilitators without prior professional health training in disaster-prone setting. Methods and findings We conducted cluster randomized controlled trial (cRCT) from November 25, 2018 through September 30, 2019. Participants both arms were...
Because of the high burden untreated mental illness in humanitarian settings and low- middle-income countries, scaling-up effective psychological interventions require a cultural adaptation process that is feasible acceptable. Our incorporates changes into both content implementation strategies, with focus on local understandings distress treatment mechanisms action.Building upon ecological validity model, we developed 10-step process, health Cultural Adaptation Contextualization for...
Millions of young adolescents in low- and middle-income countries (LMICs) affected by humanitarian crises experience elevated rates poor mental health. There is a need for scalable programs that can improve the health adolescents. This study evaluated effectiveness nonspecialist delivered group-based intervention (Early Adolescent Skills Emotions (EASE)) to adolescents' health.In this single-blind, parallel, controlled trial, Syrian refugees aged 10 14 years Jordan were identified through...
Abstract Background Globally, there is a vast mental health treatment gap, whereby the majority of adolescents living in low- and middle-income countries requiring services, do not have access to adequate care. To improve access, World Health Organization (WHO) developed range interventions, designed be low-cost delivered by non-specialists. We conducted two-arm, individually randomised group feasibility trial new WHO intervention for young with emotional distress (‘Early Adolescent Skills...
Aims: The aim of this feasibility trial was to evaluate the and acceptability locally adapted Group Problem Management Plus (PM+) intervention for women in conflict affected settings Swat, Pakistan. Methods: This mixed-methods study incorporated a quantitative component consisting two arm cluster randomised controlled trial, qualitative evaluation PM+ range stakeholder groups. For component, on average from each 20 Lady Health Workers (LHWs) catchment area (20 clusters), six were screened...
Importance Although grief-focused cognitive behavior therapies are the most empirically supported treatment for prolonged grief disorder, many people find this difficult. A viable alternative is mindfulness-based therapy. Objective To examine relative efficacies of therapy and to reduce disorder severity. Design, Setting, Participants single-blind, parallel, randomized clinical trial was conducted among adults aged 18 70 years with as defined in International Classification Diseases , 11th...
Peters E, Landau S, McCrone P, Cooke M, Fisher Steel C, Evans R, Carswell K, Dawson Williams Howard A, Kuipers E. A randomised controlled trial of cognitive behaviour therapy for psychosis in a routine clinical service. Objective: To evaluate (CBTp) delivered by non‐expert therapists, using CBT relevant measures. Method: Participants ( N = 74) were into immediate or waiting list control groups. The group was offered 6 months and followed up 3 later. received after 9 (becoming the delayed...
Although trauma‐focused cognitive behavior therapy (TF‐CBT) is the recommended treatment for post‐traumatic stress disorder (PTSD), up to one‐half of patients do not respond this intervention. There an urgent need develop new strategies improve response. Training people recall specific positive memories may augment gains in TF‐CBT. We conducted a controlled trial Australia with current or former first responders (including police, firefighters and paramedics) PTSD, who were randomized on 1:1...
Abstract Background Common mental disorders are prevalent in young people low- and middle-income countries (LMICs). Digitally delivered interventions have the potential to overcome many structural psychosocial barriers health care. Chatbots been proposed as one potentially acceptable feasible method that may increase engagement. Yet, there is currently limited evidence for their efficacy reducing psychological distress. This paper summarises development of a World Health Organization digital...
In humanitarian settings common mental disorders (depression, anxiety disorders, posttraumatic stress disorder) are highly prevalent. The World Health Organization (WHO) has developed Problem Management Plus (PM+), a 5-session, individual psychological intervention program, delivered by paraprofessionals that addresses in people communities affected adversity. objectives of this study to test effectiveness and cost-effectiveness the locally adapted PM+ compared Treatment as usual (TAU)...
Objective: To evaluate the relative efficacies of trauma-focused cognitive behavior therapy and problem-solving in treating post-traumatic stress disorder children affected by civil conflict Aceh, Indonesia. Method: A controlled trial with ( N = 64) randomized to either five individual weekly sessions or provided lay-counselors who were brief training. Children assessed blind independent assessors at pretreatment, posttreatment 3-month follow-up on disorder, depression anger, as well...
Abstract Background Although emergency service personnel experience markedly elevated the rates of post-traumatic stress disorder (PTSD), there are no rigorously conducted trials for PTSD in this population. This study assessed efficacy cognitive behaviour therapy (CBT) personnel, and examined if brief exposure (CBT-B) to trauma memories is less efficacious as prolonged (CBT-L). Method One hundred with were randomised either immediate CBT-L, CBT-B or wait-list (WL). Following post-treatment...
Armed conflict leads to increased risk of emotional distress amongst children and adolescents, exposure significant daily stressors such as poverty community family violence. Unfortunately, these risks usually occur in the context largely unavailable mental health services. There is growing empirical support that evidence-based treatment techniques can be adapted delivered by non-specialists with high fidelity effectiveness. However, order improve feasibility, applicability, outcomes,...