A5027905995- Mental Health Treatment and Access
- Digital Mental Health Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Adolescent and Pediatric Healthcare
- Mental Health Research Topics
- Schizophrenia research and treatment
- Suicide and Self-Harm Studies
- Bipolar Disorder and Treatment
- Telemedicine and Telehealth Implementation
- Health disparities and outcomes
- Mobile Health and mHealth Applications
- Functional Brain Connectivity Studies
- Mental Health and Patient Involvement
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- COVID-19 and Mental Health
- Tryptophan and brain disorders
- Infant Development and Preterm Care
- Treatment of Major Depression
- Impact of Technology on Adolescents
- Advanced Neuroimaging Techniques and Applications
- Homelessness and Social Issues
- Family Support in Illness
- Traumatic Brain Injury Research
- Attention Deficit Hyperactivity Disorder
- Maternal Mental Health During Pregnancy and Postpartum
The University of Sydney
2016-2025
The University of Notre Dame Australia
2021
IP Australia
2019-2020
Cooperative Trials Group for Neuro-Oncology
2019
Mood and psychotic syndromes most often emerge during adolescence young adulthood, a period characterised by major physical social change. Consequently, the effects of adolescent-onset mood can have long term consequences. A key clinical challenge for youth mental health is to develop test new systems that align with current evidence comorbid presentations underlying neurobiology, are useful predicting outcomes guiding decisions regarding provision appropriate effective care. Our highly...
The large contribution of psychiatric disorders to premature death and persistent disability among young people means that earlier identification enhanced long-term care for those who are most at risk developing life-threatening or chronic is critical. Clinical staging as an adjunct diagnosis address emerging has been proposed presenting care; however, the longer-term utility this system not established.To determine rates transition from later stages anxiety, mood, psychotic, comorbid...
Mental disorders that commonly emerge during adolescence and young adulthood are associated with substantial immediate burden risks, as well potentially imparting lifetime morbidity premature mortality. While the development of health services youth focused prioritize early intervention has been a critical step forward, an ongoing challenge is heterogeneous nature symptom profiles illness trajectories. Consequently, it often difficult to provide quality mental care, at scale, addresses broad...
Globally, there are fundamental shortcomings in mental health care systems, including restricted access, siloed services, interventions that poorly matched to service users' needs, underuse of personal outcome monitoring track progress, exclusion family and carers, suboptimal experiences care. Health information technologies (HITs) hold great potential improve these aspects underpin the enhanced quality care.Project Synergy aimed co-design, implement, evaluate novel HITs, as exemplified by...
Globally, youth mental health services are evolving, with Australia's headspace presented as a leading exemplar. were designed enhanced primary care-based entities and expected to collaborate local acute, specialist clinical psychosocial services. The lack of large-scale trials necessitates understanding their impact through systematic monitoring evaluation. This paper compares data from differing sources that describe the demographic features, functional outcomes, young people presenting...
Project Synergy aims to test the potential of new and emerging technologies enhance quality mental health care provided by traditional face-to-face services. Specifically, it seeks ensure that consumers get right care, first time (delivery effective early in course illness). Using co-design with affected individuals, has built, implemented evaluated an online platform assist assessment, feedback, management monitoring people disorders. It also promotes maintenance wellbeing collating social...
New electronic health technologies are being rapidly developed to improve the delivery of mental care for both professionals and consumers better support self-management care. We a Web-based platform (the InnoWell Platform) that supports prevention, early intervention, treatment, continuous monitoring maintenance well-being in people aged 2 years older. The is customizable digital tool kit operates through existing service providers who utilize system provide their with access evidence-based...
Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection rapid response these suicidal other behaviors is a priority for suicide prevention intervention efforts internationally. Establishing how best use new emerging technologies facilitate person-centered systematic assessment suicidality crucial efforts.The aim of this study was examine the escalation protocol respond help-seeking people.A total 232 in age range 16-25...
The demand for mental health services is projected to rapidly increase as a direct and indirect result of the COVID-19 pandemic. Given that young people are disproportionately disadvantaged by illness will face further challenges related pandemic, it crucial deliver appropriate care early possible. Integrating digital solutions into service delivery pathways has potential greatly efficiencies, enabling provision “right care, first time.” We propose an innovative solution management intended...
Abstract Background Reducing suicidal behaviour (SB) is a critical public health issue globally. The complex interplay of social determinants, service system factors, population demographics, and behavioural dynamics makes it extraordinarily difficult for decision makers to determine the nature balance investments required have greatest impacts on SB. Real-world experimentation establish optimal targeting, timing, scale, frequency, intensity across determinants unfeasible. Therefore, this...
Objective To identify trajectories of social and occupational functioning in young people during the two years after presenting for early intervention mental health care; to demographic clinical factors that influence these trajectories. Design Longitudinal, observational study care. Setting Two primary care-based services at Brain Mind Centre (University Sydney), 1 June 2008 – 31 July 2018. Participants 1510 aged 12‒25 who had presented with anxiety, mood, or psychotic disorders, whom...
Mental disorders typically emerge during adolescence and young adulthood put people at risk for prolonged socioeconomic difficulties. This study describes the longitudinal course of social occupational functioning attending primary care-based, early intervention services.A receiving mental healthcare.Data were collected between January 2005 August 2017 from a designated care-based health service.554 (54% women) aged 12-32 years.A systematic medical file audit clinical functional information...
This study utilised digital technology to assess the clinical needs of young people presenting for care at headspace centres across Australia.1490 (12-25 years) who presented one 11 services from four geographical locations (urban New South Wales, urban Australia, regional and Queensland) completed a multidimensional assessment initial presentation. Characteristics were compared between locations.We identified major variation in demographics, type severity different services. Individuals...
Increased rates of mental health disorders and substance use among youth young adults have increased globally, furthering the strain on an already burdened system. Digital solutions been proposed as a potential option for provision timely services youth, with little research exploring professional views about using such innovative tools. In Alberta, Canada, we are evaluating implementation integration digital (dMH) platform into existing service pathways. Within this paper seek to explore...
Globally there is increasing recognition that new strategies are required to reduce disability due common mental health problems. As 75% of and substance use disorders emerge during the teenage or early adulthood years, these need be readily accessible young people. When considering how provide such services at scale, innovative technologies show promise in augmenting traditional clinic-based services.The aim this study was test assess clinical stage intervention youth using a prototypic...
A priority for health services is to reduce self-harm in young people. Predicting challenging due their rarity and complexity, however this does not preclude the utility of prediction models improve decision-making regarding a service response terms more detailed assessments and/or intervention. The aim study was predict within six-months after initial presentation.The included 1962 people (12-30 years) presenting youth mental Australia. Six machine learning algorithms were trained tested...
Background Prior to the COVID-19 pandemic, major shortcomings in way mental health care systems were organized impairing delivery of effective care. The impacts recession, and resulting social dislocation will depend on extent which become overwhelmed strategic investments made across system effectively respond. Objective This study aimed explore impact strengthening through technology-enabled coordination suicide outcomes. Methods A dynamics model for regional population catchment North...
An ongoing need exists for innovation in service delivery to ensure that mental health services deliver high-quality treatment and prevention the population. This Special Article proposes adoption of "staged care" as a population health–oriented model packages specialized delivered largely ambulatory care settings individuals with common affective disorders. Staged integrates measures clinical alongside stage personal choice select hierarchically arranged individuals. Packages then vary...
Highly personalized care is substantially improved by technology platforms that assess and track patient outcomes. However, evidence regarding how to successfully implement in real-world mental health settings limited.This study aimed naturalistically monitor a information (HIT) platform was used within 2 service gain practical insights into HIT can be implemented sustained improve delivery.An (The Innowell Platform) naturally youth services Sydney, Australia. Web-based surveys (n=19)...
Abstract Aims The needs of young people attending mental healthcare can be complex and often span multiple domains (e.g., social, emotional physical health factors). These factors complicate treatment approaches contribute to poorer outcomes in youth health. We aimed identify how these interact over time by modelling the temporal dependencies between transdiagnostic among presenting for healthcare. Methods Dynamic Bayesian networks were used examine relationship across (social occupational...
With mental health concerns on the rise among youth and young adults (age 12–24), increased options include virtual care, apps online tools, self-management tracking digitally-enabled coordination of care. These tools may function as alternatives or adjuncts to face-to-face models Innovative solutions in form digital (dMH) services not only provide support, resources but also decrease wait times waitlists, increase access, empower youth. However, organizational factors impact extent dMH...
Learning the structure of Bayesian networks from data provides insights into underlying processes and causal relationships that generate data, but its usefulness depends on homogeneity population, a condition often violated in real-world applications. In such cases, using single network for inference can be misleading, as it may not capture sub-population differences. To address this, we propose novel approach modelling mixture where component probabilities depend individual characteristics....