A5013380048- Digital Mental Health Interventions
- Mental Health Treatment and Access
- Mental Health Research Topics
- Child and Adolescent Psychosocial and Emotional Development
- Adolescent and Pediatric Healthcare
- Telemedicine and Telehealth Implementation
- Schizophrenia research and treatment
- Mental Health and Patient Involvement
- Suicide and Self-Harm Studies
- COVID-19 and Mental Health
- Impact of Technology on Adolescents
- Mobile Health and mHealth Applications
- Health Policy Implementation Science
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Family Support in Illness
- Early Childhood Education and Development
- Bipolar Disorder and Treatment
- Prostate Cancer Diagnosis and Treatment
- Prostate Cancer Treatment and Research
- Advanced Radiotherapy Techniques
- Primary Care and Health Outcomes
- School Health and Nursing Education
- Hematopoietic Stem Cell Transplantation
- Child and Adolescent Health
- Health Systems, Economic Evaluations, Quality of Life
Orygen
2023-2025
The University of Melbourne
2014-2025
Orygen Youth Health
2023-2025
Macquarie University
2020-2024
The University of Sydney
2003-2023
The University of Notre Dame Australia
2021
University of Newcastle Australia
2018
Newcastle University
2018
Nepean Hospital
2017
Sydney Children’s Hospitals Network
2017
Recognizing that current frameworks for classification and treatment in psychiatry are inadequate, particularly use young people early intervention services, transdiagnostic clinical staging models have gained prominence. These aim to identify where individuals lie along a continuum of illness, improve selection better understand patterns illness continuity, discontinuity aetiopathogenesis. All these factors relevant help‐seeking mental health needs experienced during the peak age range...
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...
A component of Australia's recent national reform agenda for mental health services is the directive to Primary Health Networks develop and implement stepped-care models service delivery.The current guidance proposes that interventions are aligned mild, moderate severe illness categories.Other in operation tied single disorders, such as depression.Both approaches have a number limitations when applied real-world, complex clinical practice, especially primary care.This article outlines some...
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...
Interest is growing in digital and telehealth delivery of mental health services, but data are scarce on outcomes routine care. The federally funded Australian MindSpot Clinic provides online telephone psychological assessment treatment services to adults. We aimed summarise demographic characteristics patients registered with over the first 7 years clinic operation.We used an observational design review all who for between Jan 1, 2013, Dec 31, 2019. descriptively analysed demographics,...
Trends in contact with a high volume national digital mental health service (DMHS), the MindSpot Clinic, provide unique opportunity to assess effects of COVID-19 pandemic.
Digital mental health services (DMHS) have proven effectiveness and play an important role within the broader system by reducing barriers to evidence-based care. However, improved understanding of factors associated with successful treatment uptake, completion positive clinical outcomes will facilitate efforts maximise outcomes. Previous studies demonstrated that patient age is positively associated, initial symptom severity negatively uptake rates in both DMHS other services. The current...
Abstract Background Artificial intelligence (AI) has been increasingly recognized as a potential solution to address mental health service challenges by automating tasks and providing new forms of support. Objective This study is the first in series which aims estimate current rates AI technology use well perceived benefits, harms, risks experienced community members (CMs) professionals (MHPs). Methods involved 2 web-based surveys conducted Australia. The collected data on demographics,...
Abstract Background Schoolteachers are often the first to respond when a student presents with mental health issue in classroom. This places burden on schools that impacts school staff, healthcare workers and teachers. More broadly, it responsibility education system address students’ health. study examines Australian teachers’ classroom experiences training areas identified by teachers as necessary manage these issues. Method Interviews were undertaken 18 in-service between 2020 2021 from...
Transformational reforms in mental health services are providing more young Australians who experience problems with access to high-quality care. However, the current diagnostic approach has low utility early stages of illness, causing uncertainty among clinicians regard matching clients' needs safe and effective interventions. The authors propose a clinical staging model that potential better match illness stage intervention. allows provide personalized responsive care, especially people...
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...
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...
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...
Mental health disorders affect a substantial portion of the global population. Despite preferences for psychotherapy, access remains limited due to various barriers. Digital mental interventions (DMHIs) have emerged increase accessibility, yet engagement and treatment completion rates are concerning. Evidence across healthcare where some degree self-management is required show that negatively influenced by contextual complexity. This article examines non-random factors influencing patient in...
Youth mental health (YMH) services have been established internationally to provide timely, age-appropriate, treatment and improve long-term outcomes. However, YMH face challenges including long waiting times, limited continuity of care, time-bound support. To bridge this gap, MOST was developed as a scalable, blended, multi-modal digital platform integrating real-time asynchronous clinician-delivered counselling; interactive psychotherapeutic content; vocational support; peer support,...
Abstract Aim Early intervention mental health services tailored for young people are being developed across the world, yet reports on service use patterns and short‐term clinical outcomes clinically diverse group accessing these very limited. The current study employed staging model to examine whether within two stages that precede full‐threshold disorder (stage 1a stage 1b) differed in terms of treatments received symptomatic functional outcomes. Methods Eight hundred ninety aged 12–25...
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...
The MindSpot Clinic, funded by the Australian Government, is a national digital mental health service (DMHS) providing services to people experiencing anxiety and depression. We recently reported increased use in early weeks of COVID-19 pandemic (19 March 15 April 2020), small increase symptoms. This follow-up paper examines trends symptoms, over 12 from 19 10 June 2020.Demographics, psychosocial stressors were compared for participants starting an online assessment four time-periods: A...
Approximately 2,500 pediatric hematopoietic cell transplants (HCTs), most of which are allogeneic, performed annually in the United States for life-threatening malignant and nonmalignant conditions. Although HCT is undertaken with curative intent, post-HCT complications limit successful outcomes, pulmonary dysfunction representing leading cause nonrelapse mortality. To better understand, predict, prevent, and/or treat after HCT, a multidisciplinary group 33 experts met 2-day National...
Transition from at-risk state to full syndromal mental disorders is underexplored for unipolar and bipolar compared with psychosis.Prospective, trans-diagnostic study of rates predictors early transition sub-threshold disorder.One-year outcome 243 consenting youth aged 15-25 years a sub-syndromal presentation potentially severe disorder. Survival analysis odds ratio (OR) identified baseline clinical demographic ratings.About 17% (n=36) experienced major Independent diagnosis, was...
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...
Background Health information technologies are being rapidly developed to improve the delivery of mental health care; however, a range facilitators, barriers, and contextual conditions can impact adoption sustainment these solutions. An implementation science protocol supports researchers achieve primary effectiveness goals in relation services reform aids optimization processes promote quality care, prolonging sustainability. Objective The aim this paper is describe our protocol, which...