- Palliative Care and End-of-Life Issues
- Healthcare Decision-Making and Restraints
- Psychiatric care and mental health services
- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- Sport Psychology and Performance
- Traumatic Brain Injury Research
- Resilience and Mental Health
- Geriatric Care and Nursing Homes
- Employment and Welfare Studies
- Patient Dignity and Privacy
- Mental Health and Psychiatry
- Motivation and Self-Concept in Sports
- Cardiovascular Effects of Exercise
- Impact of Technology on Adolescents
- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Workplace Violence and Bullying
- Sexual Assault and Victimization Studies
- Grief, Bereavement, and Mental Health
- Workplace Health and Well-being
- Childhood Cancer Survivors' Quality of Life
- Sports injuries and prevention
- Organ Donation and Transplantation
- Occupational Health and Safety Research
Swinburne University of Technology
2022-2023
Victorian Institute of Forensic Medicine
2022-2023
Orygen Youth Health
2016-2019
Austin Health
2012-2018
The University of Melbourne
2018
Centre for Rural and Remote Mental Health
2018
Respect
2012-2013
To assess the prevalence and correlates of psychological distress in a sample remote mining construction workers Australia. Design, setting: A cross-sectional, anonymous Wellbeing Lifestyle Survey at ten sites South Australia Western Australia, administered meetings held during 2013-2015.1124 employees construction, open cut underground completed survey.General (Kessler Psychological Distress Scale, K10) self-reported overall mental health status; work, lifestyle family factors correlated...
There is growing interest in the area of elite athlete mental health, however brief, valid and reliable screening instruments designed to identify early indictors athlete-specific distress potential health symptoms are lacking. This study sought develop a brief instrument for populations – Athlete Psychological Strain Questionnaire (APSQ) examine convergent, divergent construct validity. A two-stage psychometric validation was undertaken. Self-report data collected from 1,007 currently...
Objectives To assess the feasibility and acceptability of facilitated advance care planning (ACP) discussions in elderly Italian Greek-speaking inpatients compared to English-speaking inpatients. Design, setting participants This cross-sectional study with convenience sampling was conducted Melbourne, Australia, recruited hospital medical decision-making capacity, aged 65 years or above, who spoke Greek (25 patients), (24 patients) English (63 patients). Intervention Facilitated ACP offered,...
This study examines whether Australian psychiatrists would support requests in a psychiatric advance directive (PAD) and the reasons underlying their decisions response to hypothetical vignette. An online survey was completed by 143 psychiatrists. Fewer than 3 out of 10 supported patient create PAD which requested cessation pharmacotherapy (27%) or remaining hospital not being subject an involuntary treatment order (24%) should depression condition deteriorate. A thematic analysis showed...
There is a substantial need for youth electronic mental health (e-mental health) services. In addressing this need, our team has developed novel moderated online social therapy intervention called enhanced (MOST+). MOST+ integrates real-time, clinician-delivered Web chat counseling, interactive user-directed therapy, expert and peer moderation, private secure peer-to-peer networking. been designed to give young people immediate, 24-hour access anonymous, evidence-based, short-term care.
The aim of the present study was to examine efficacy advance care planning (ACP) improve likelihood that end-stage kidney disease (ESKD) patient's preferences will be known and adhered at end-of-life.A case-control a nurse-led ACP programme in adults with ESKD from major tertiary hospital. primary outcome proportion patients whose were (by substitute decision maker and/or clinicians) by their treating doctors. Secondary measures health system resource use costs ($AUD) for intervention last...
The study is based on an innovative demonstration project which trialled the implementation of F innish ‘workability’ framework and research measures. It aimed, firstly, to test applicability W orkability I ndex ( WAI ) A ustralian residential aged care workforce, focusing personal assistants PCAs ), secondly, assess effectiveness actions aimed at improving workability. facility manager implemented multidimensional ‘actions’ according workability framework. S urvey WAS intervention...
Background Research indicates that renal patients are uninformed about care options and have limited knowledge illness prognosis trajectories. Accordingly, facilitated Advance Care Planning (ACP) was introduced to the unit at Austin Hospital in 2010. Aim To evaluate impact of introduction ACP unit. Methods Audit medical records for (1) 58 who received (2010–2012) (2) age gender matched control (2007–2009). Results The rate withdrawal from dialysis significantly higher implementation group...
Background ACDs enable individuals to document future treatment preferences. Documented wishes need be ‘clinically meaningful’ and able inform medical plans during acute hospitalisation. Aim To assess preferences indicated on for content, consistency within the concordance with orders Resuscitation Plan (RP) (hospital POLST form). Methods Retrospective analysis of completed facilitated advance care planning in 2011; including assessing between specific (CPR/Life-Prolonging Treatment (LPT))...
Background International literature suggests current Cardiopulmonary Resuscitation (CPR) policy and practice is highly variable often ad-hoc in aged care settings. At present, there no comparable published research on CPR Australian RACFs. Aim To conduct a national survey staff knowledge attitudes, policies practices regarding Methods An online was distributed to RACF managers examine the above. Results Of 541 managers, only 19% agreed that should be initiated witnessed cardiac arrest yet...
ACP improves end-of-life care and patient/family satisfaction. Nevertheless, health professionals struggle to include in their busy work schedule a university hospital environment. In response, since 2008, the Respecting Patient Choices Program has employed nurses exclusively do ACP. A prospective audit of activity these “ACP Clinicians” was conducted 1/1/2010 – 31/12/2011. The included patient demographics, reason for referral outcomes. 1866 patients (median age 76 (18-110), 51% male) were...
Background Proposed revisions to the Victorian Mental Health Act intend consider Advance Care Planning (ACP) in mental health treatment. No research has explored feasibility and benefits of Psychiatric Advanced Directives (PADs) Australia. International studies suggest that implementation PADs can be limited by clinicians' attitudes knowledge. Aim To establish Australian psychiatrists' knowledge, practice regarding PADs. Methods A national online survey psychiatrists. Results Of 165...
Background International research highlights that the successful implementation of Advance Care Planning (ACP) for mental health treatment can depend on clinicians' attitudes and knowledge Psychiatric Directives (PADs). With proposed revisions to Victorian Mental Health Act considering introduction ACP, it is vital explore clinicians in an Australian setting. Aim To establish regarding PADs. Methods A national online survey psychologists case managers. Results Of 260 respondents, 67%...
Background: Psychiatric intensive care units (PICUs) house some of the highest acuity patients within mental health system. Little is known about patient characteristics and adverse events occurring in these settings this study aimed to examine clinical, demographic offending correlates problem behaviours for admitted first forensic PICU Australia. Aims : To identify common held by one high secure Method Retrospective file review occurred between March 2019 May 2020, during which 96 male...
Introduction Psychiatric intensive care units (or PICU’s) emerged to manage high acuity patients outside the justice system. Studies have sought better understand characteristics of those admitted forensic or civilian PICU’s. Few, in contrast, explored frequency and contributors readmission. The following study was conducted on Apsley unit, a Forensic PICU based Melbourne, Australia, seeks differences which would allow early identification likely require readmission provision targeted...