1
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Therrien D, Corbière M, Collette K. Workers with severe mental illness coping with clinical symptoms: Self-directed learning of work-health balance strategies. Aust Occup Ther J 2020; 67:341-349. [PMID: 32219859 DOI: 10.1111/1440-1630.12662] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Revised: 12/23/2019] [Accepted: 03/08/2020] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Most workers with a severe mental illness (SMI) experience brief job retention, usually under 6 months. Managing their clinical symptoms to maintain employment is a constant challenge. However, little is known about the personal initiatives these workers undertake to learn to manage their clinical symptoms at work. The study presented here documented, from an emic perspective, the self-directed learning of work-health balance strategies applied in the workplace. METHODS The study was conducted with five adults with SMI employed in the competitive labour market and six support persons. Between March 2017 and May 2018, a dataset was constructed based on 21 semi-structured interviews, eight observation sessions, and photographs taken of 15 objects used by the workers to manage their clinical symptoms. The analysis was guided by Mendez's retrospective and current temporal analysis of social processes. RESULTS The workers experienced four different self-directed learning patterns (preparation, post-crisis, active self-directed learning, and identity transformation) and used five types of strategies to facilitate work-health balance: preparation for work, reassurance, validation, assertiveness, and work-rest transitions. CONCLUSION These workers with SMI, all of whom had job retention of 2 years or more in competitive employment, learned and applied work-health balance strategies. Self-directed learning was enhanced by customised pharmacological treatment, mindfulness activities, active listening by support persons and psychotherapy specific to the mental illness.
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Affiliation(s)
- Dominique Therrien
- Department of Nursing Sciences - Mental Health, Université du Québec en Outaouais (UQO), Gatineau, QC, Canada
| | - Marc Corbière
- Department of Education and Pedagogy - Career Counseling, Université du Québec à Montréal (UQAM), Montreal, QC, Canada.,Centre de recherche de l'Institut universitaire en santé mentale de Montréal (CRIUSMM), Montreal, QC, Canada
| | - Karine Collette
- Département des Lettres et communications, Université de Sherbrooke, Sherbrooke, QC, Canada
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2
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Dawson S, Muller J, Renigers V, Varona L, Kernot J. Consumer, health professional and employment specialist experiences of an individual placement and support programme. Scand J Occup Ther 2020; 28:433-445. [PMID: 31976792 DOI: 10.1080/11038128.2020.1714719] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND Individuals with severe mental illness (SMI) are under-represented in the workforce. The Individual Placement and Support (IPS) programme is an evidence-based intervention that co-locates an Employment Specialist in a community mental health team to support individuals with a SMI with their goal of finding work. Previous research predominantly explored IPS programme outcomes rather than stakeholder experiences. AIM To explore programme stakeholder perspectives and experiences during the early stages of IPS programme implementation. METHODS Qualitative descriptive methodology explored consumers (n = 11), health professionals and employment specialist (n = 11) perceptions and experiences of the IPS programme. Semi-structured interviews were conducted and thematically analysed. RESULTS Three main themes emerged: enacting core care philosophies, IPS programme process and catalyst for supportive environments and relationships. The combination of IPS programme relationships, enactment of core care philosophies, and programme process promoted development of supportive environments and relationships for consumers participating in the programme. CONCLUSION Findings suggest IPS processes promoted the enactment of person-centred and recovery-oriented care approaches and positively influenced care planning practices and service culture. SIGNIFICANCE IPS directly tackles the compounding disadvantage resulting from unemployment for people with a SMI. At a service level, IPS can foster positive changes to care practices and service culture.
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Affiliation(s)
- Suzanne Dawson
- Central Adelaide Local Health Network, Mental Health Directorate, Adelaide, Australia
| | - Jessica Muller
- Department of Rural Health, Division of Health Sciences, University of South Australia, Whyalla, Australia
| | - Vic Renigers
- Central Adelaide Local Health Network, Mental Health Directorate, Adelaide, Australia
| | - Lisa Varona
- Central Adelaide Local Health Network, Mental Health Directorate, Adelaide, Australia
| | - Jocelyn Kernot
- Occupational Therapy Program, School of Health Science, University of South Australia, Adelaide, Australia
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3
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Rakhshan Rouhakhtar P, Schiffman J. Community Rehabilitation for Youth with Psychosis Spectrum Disorders. Child Adolesc Psychiatr Clin N Am 2020; 29:225-239. [PMID: 31708049 DOI: 10.1016/j.chc.2019.08.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Recovery-oriented treatment for youth with psychosis goes beyond a symptom and deficit-amelioration model, promoting engagement and functioning within the community. Given the challenges young people with psychosis face, early psychosis treatment programs often integrate rehabilitative components targeting functional outcomes. The current article reviews 4 community rehabilitation programs in early psychosis: care coordination, cognitive rehabilitation, supported education and employment, and peer support. For each of these rehabilitative intervention programs, we discuss challenges faced by youth with psychosis, clinical intervention practices, the current state of evidence, and clinical and/or research considerations.
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Affiliation(s)
- Pamela Rakhshan Rouhakhtar
- Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA
| | - Jason Schiffman
- Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA.
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4
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Li J, Guo YB, Huang YG, Liu JW, Chen W, Zhang XY, Evans-Lacko S, Thornicroft G. Stigma and discrimination experienced by people with schizophrenia living in the community in Guangzhou, China. Psychiatry Res 2017; 255:225-231. [PMID: 28582718 DOI: 10.1016/j.psychres.2017.05.040] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Revised: 04/14/2017] [Accepted: 05/27/2017] [Indexed: 10/19/2022]
Abstract
The aims of this study were to investigate experienced stigma and discrimination and their associated factors in people with schizophrenia who live in the community in Guangzhou, China. A total of 384 people with schizophrenia were randomly recruited from four districts of Guangzhou and completed the scales and questionnaires: Internalized Stigma of Mental Illness scale (ISMI), Self-Esteem Scale (SES), Discrimination and Stigma Scale (DISC-12), Brief Psychiatric Rating Scale (BPRS), PANSS negative scale (PANSS-N), Global Assessment of Functioning (GAF) and Schizophrenia Quality of Life Scale (SQLS). Insight and medication compliance were evaluated by psychiatrists. Data were analyzed by using descriptive statistics, Pearson correlation and multivariable linear regression. We found a significant positive correlation between BPRS score and PANSS-N score, GAF score was significantly negative correlated with SQLS score, Insight score was significantly negative correlated with medication compliance score, ISMI score was significantly positive correlated with SES score and experienced discrimination score. Multivariable linear regression found SQLS, SES and experienced discrimination were the main independent variables of ISMI and experienced discrimination was the most important factor of ISMI. Our findings suggest that people with schizophrenia often experienced stigma and discrimination in this Chinese population, and more anti-stigma interventions should be provided.
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Affiliation(s)
- Jie Li
- Guangzhou Huiai Hospital, Guangzhou Medical University, Guangzhou, China.
| | - Yang-Bo Guo
- Guangzhou Huiai Hospital, Guangzhou Medical University, Guangzhou, China
| | - Yuan-Guang Huang
- Guangzhou Huiai Hospital, Guangzhou Medical University, Guangzhou, China
| | - Jing-Wen Liu
- Guangzhou Huiai Hospital, Guangzhou Medical University, Guangzhou, China
| | - Wen Chen
- Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Sun Yat-sen Center for Migrant Health Policy, Guangzhou, China
| | - Xiang-Yang Zhang
- Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at Houston, USA
| | - Sara Evans-Lacko
- Centre for Personal Social Services Research Unit, London School of Economics and Political Science, London, UK
| | - Graham Thornicroft
- Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK
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5
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Petkari E, Mayoral F, Moreno-Küstner B. Gender matters in schizophrenia-spectrum disorders: Results from a healthcare users epidemiological study in Malaga, Spain. Compr Psychiatry 2017; 72:136-143. [PMID: 27816847 DOI: 10.1016/j.comppsych.2016.09.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Revised: 09/28/2016] [Accepted: 09/30/2016] [Indexed: 10/20/2022] Open
Abstract
PURPOSE Women suffering from schizophrenia-spectrum disorders may differ from men in clinical course and outcome. Still, those differences can only be portrayed accurately by means of studies that derive information from multiple sources. One such study was performed in a well-defined area supported by a Mental Health Clinical Management Unit in Malaga, Spain. METHODS Data from 1640 patients (1048 men and 592 women) that were in contact with services during 2008 were examined for the purpose of the present analysis. Gender differences in sociodemographic and clinical characteristics and the role of gender for explaining clinical characteristics (diagnosis, disease severity and service use) beyond potential sociodemographic confounders were explored. RESULTS The chi-squared analysis results revealed that in comparison to men, women were older, married or widowed/divorced and living as housewives with their families in cities. Genders also differed across diagnoses, with men being at higher risk for suffering from paranoid schizophrenia, while women being at higher risk for persistent delusional, acute/transitory and schizoaffective disorders. Furthermore, men had greater disease severity and higher chances to visit the mental health rehabilitation unit (MHRU). Further regression analyses revealed that after controlling for confounders, gender differences remained significant across diagnoses and severity. However, they lost their significance under the influence of marital, living and occupational status when predicting the use of MHRU. CONCLUSION Results confirm the existence of gender differences and highlight the importance of other factors for designing effective psychosocial services that are tailor-made to the patients' needs.
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Affiliation(s)
- Eleni Petkari
- Department of Psychology, School of Humanities and Social Sciences, European University of Cyprus, Nicosia, Cyprus; Department of Psychology, School of Science and Technology, Middlesex University Dubai, Dubai, United Arab Emirates; International Maristan Network.
| | - Fermín Mayoral
- Regional Hospital of Malaga, Spain, Galvez Ginachero Avenue s/n, Malaga 29009, Spain; Biomedicine Institute of Malaga-IBIMA, Avda Jorge Luis Borges, 15, 3,3ª, Malaga, 29019, Spain; International Maristan Network.
| | - Berta Moreno-Küstner
- Biomedicine Institute of Malaga-IBIMA, Avda Jorge Luis Borges, 15, 3,3ª, Malaga, 29019, Spain; Department of Personality, Assessment and Psychological Treatment, University of Malaga, Campus Teatinos s/n, Malaga 18071, Spain; Andalusian Psychosocial Research Group-GAP, Malaga, Spain; International Maristan Network.
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6
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Suetani S, Waterreus A, Morgan V, Foley DL, Galletly C, Badcock JC, Watts G, McKinnon A, Castle D, Saha S, Scott JG, McGrath JJ. Correlates of physical activity in people living with psychotic illness. Acta Psychiatr Scand 2016; 134:129-37. [PMID: 27218211 DOI: 10.1111/acps.12594] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/28/2016] [Indexed: 12/29/2022]
Abstract
OBJECTIVE In the light of the high prevalence of physical comorbidities in people with psychotic illness, there is a need to explore modifiable risk factors that may contribute to this disease burden. The benefits of physical activity to both physical and mental health have been well established. We aimed to examine the prevalence and correlates of physical activity in a national sample of adults living with psychotic illness. METHODS Physical activity was assessed in 1801 people using the International Physical Activity Questionnaire. Participants were dichotomised into low and moderate-high physical activity groups and associations between physical activity and a range of sociodemographic, clinical and physical comorbidity variables were examined using logistic regression. RESULTS More than half the participants were categorised in the moderate-high physical activity group with nearly half of the sample engaged in physical activity every day. There were significant associations between low physical activity and older age, unemployment, educational non-participation, antipsychotic medication use, social dysfunction, self-reported loneliness and obesity. However, there was no significant association between physical activity and sex, psychosis type, illness duration, physical comorbidity or negative symptoms. CONCLUSION The findings from this study may inform future interventions designed to increase physical activity in people with psychotic illness.
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Affiliation(s)
- S Suetani
- School of Medicine, University of Queensland, Brisbane, QLD, Australia.,Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia.,Queensland Brain Institute, University of Queensland, St Lucia, QLD, Australia
| | - A Waterreus
- Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, WA, Australia
| | - V Morgan
- Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, WA, Australia.,Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, WA, Australia
| | - D L Foley
- Orygen, The National Centre for Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, Melbourne, Vic., Australia
| | - C Galletly
- School of Medicine, University of Adelaide, Adelaide, SA, Australia.,Ramsay Health Care (SA) Mental Health, Adelaide, SA, Australia.,Northern Adelaide Local Health Network, Adelaide, SA, Australia
| | - J C Badcock
- Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, WA, Australia.,Cooperative Research Centre - Mental Health, Carlton, Vic., Australia
| | - G Watts
- Lipid Disorders Clinic, Metabolic Research Centre, School of Medicine and Pharmacology, University of Western Australia, Crawley, WA, Australia.,Royal Perth Hospital, Perth, WA, Australia
| | - A McKinnon
- Orygen, The National Centre for Excellence in Youth Mental Health, Centre for Youth Mental Health, University of Melbourne, Melbourne, Vic., Australia
| | - D Castle
- Department of Psychiatry, University of Melbourne, Melbourne, Vic., Australia.,St Vincent's Hospital, Melbourne, Vic., Australia
| | - S Saha
- School of Medicine, University of Queensland, Brisbane, QLD, Australia.,Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia.,Queensland Brain Institute, University of Queensland, St Lucia, QLD, Australia
| | - J G Scott
- Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia.,University of Queensland Centre for Clinical Research, University of Queensland, Herston, Australia.,Royal Brisbane and Women's Hospital, Herston, QLD, Australia
| | - J J McGrath
- Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia.,Queensland Brain Institute, University of Queensland, St Lucia, QLD, Australia
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7
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Badcock JC, Shah S, Mackinnon A, Stain HJ, Galletly C, Jablensky A, Morgan VA. Loneliness in psychotic disorders and its association with cognitive function and symptom profile. Schizophr Res 2015; 169:268-273. [PMID: 26527247 DOI: 10.1016/j.schres.2015.10.027] [Citation(s) in RCA: 90] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2015] [Revised: 10/15/2015] [Accepted: 10/20/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Loneliness involves subjective, rather than objective, social isolation and has a range of negative effects on mental and physical functioning. The purpose of this study was to examine the prevalence of loneliness in psychotic disorders and its association with symptoms and cognitive performance. METHOD Data were drawn from the second Australian National Survey of Psychosis and comprised responses from 1642 participants with an International Classification of Diseases 10 diagnosis of psychotic disorder who had completed a semi-structured interview of symptoms and social functioning (including loneliness), along with standardized assessments of current (digit symbol coding; DSC) and premorbid (National Adult Reading Test) cognitive ability. We examined the prevalence of loneliness across the diagnostic categories of psychosis, and its association with psychotic and non-psychotic symptoms and digit symbol coding scores. RESULTS The prevalence of loneliness was high, ranging from 74.75% in participants with delusional disorders to 93.8% in depressive psychosis, and was significantly higher than in the general population. Loneliness was also significantly associated with anhedonia and subjective thought disorder. Participants feeling socially isolated/lonely for company had significantly lower DSC scores than those who only felt lonely occasionally. Unexpectedly, participants who reported not feeling lonely had the lowest DSC scores. CONCLUSIONS Loneliness is common across all psychotic disorders, particularly in depressive psychosis. It is specifically associated with ongoing loss of pleasure and disordered thoughts as well as impairment in current cognitive functioning. However, poor cognitive functioning is not inevitably associated with loneliness. Implications for personalized treatment of psychosis are discussed.
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Affiliation(s)
- Johanna C Badcock
- Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Medical Research Foundation Building, Rear 50 Murray Street, Perth 6000, Australia; Cooperative Research Centre - Mental Health, Barry Street, Carlton, Victoria 3052, Australia.
| | - Sonal Shah
- Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Medical Research Foundation Building, Rear 50 Murray Street, Perth 6000, Australia.
| | - Andrew Mackinnon
- Orygen, The National Centre of Excellence in Youth Mental Health, University of Melbourne, Parkville, Victoria 3052, Australia.
| | - Helen J Stain
- Mental Health Research Group, School of Medicine, Pharmacy and Health, Durham University, Stockton-On-Tees TS17 6BH, United Kingdom.
| | - Cherrie Galletly
- School of Medicine, University of Adelaide, Ramsay Health Care (SA) Mental Health, Northern Adelaide Local Health Network, 33 Park Terrace, Gilberton, South Australia 5081, Australia; Ramsay Health Care (SA) Mental Health, Australia; Northern Adelaide Local Health Network, Australia.
| | - Assen Jablensky
- Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Medical Research Foundation Building, Rear 50 Murray Street, Perth 6000, Australia.
| | - Vera A Morgan
- Centre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Medical Research Foundation Building, Rear 50 Murray Street, Perth 6000, Australia; Neuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Medical Research Foundation Building, Rear 50 Murray Street, Perth 6000, Australia.
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8
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Waghorn G, Hielscher E. The availability of evidence-based practices in supported employment for Australians with severe and persistent mental illness. Aust Occup Ther J 2014; 62:141-4. [DOI: 10.1111/1440-1630.12162] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/26/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Geoffrey Waghorn
- Queensland Centre for Mental Health Research (QCMHR); The Park Centre for Mental Health; Brisbane Queensland Australia
- Behavioural Basis of Health; Griffith University, Mount Gravatt; Brisbane Queensland Australia
- The School of Medicine; The University of Queensland; Brisbane Queensland Australia
| | - Emily Hielscher
- Queensland Centre for Mental Health Research (QCMHR); The Park Centre for Mental Health; Brisbane Queensland Australia
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9
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Waghorn G, Dias S, Gladman B, Harris M, Saha S. A multi-site randomised controlled trial of evidence-based supported employment for adults with severe and persistent mental illness. Aust Occup Ther J 2014; 61:424-36. [DOI: 10.1111/1440-1630.12148] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/14/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Geoffrey Waghorn
- Queensland Centre for Mental Health Research (QCMHR); The Park Centre for Mental Health
- Behavioural Basis of Health; Griffith Health Institute; Griffith University
- The School of Medicine; The University of Queensland
| | - Shannon Dias
- Queensland Centre for Mental Health Research (QCMHR); The Park Centre for Mental Health
| | - Beverley Gladman
- Queensland Centre for Mental Health Research (QCMHR); The Park Centre for Mental Health
| | - Meredith Harris
- The School of Population Health; The University of Queensland; Brisbane Queensland Australia
| | - Sukanta Saha
- Queensland Centre for Mental Health Research (QCMHR); The Park Centre for Mental Health
- The School of Medicine; The University of Queensland
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10
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Carr VJ. Mental health advocacy and rhetoric in our time. Aust N Z J Psychiatry 2014; 48:873-4. [PMID: 25147293 DOI: 10.1177/0004867414547987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Vaughan J Carr
- School of Psychiatry, University of New South Wales, Sydney, Australia Schizophrenia Research Institute, Sydney, Australia
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11
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Castle DJ. What should psychiatrists be doing to improve the mental health of the community? Aust N Z J Psychiatry 2014; 48:872-3. [PMID: 25147292 DOI: 10.1177/0004867414546877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- David J Castle
- Departments of Psychiatry and Behavioural Science, The University of Melbourne, Melbourne, Australia Psychiatry, St Vincent's Hospital, Melbourne, Australia
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12
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Allison S, Nance M, Bastiampillai T, Hooper J, Roeger L, Goldney R. Health advocacy and the funding of mental health services reform. Aust N Z J Psychiatry 2014; 48:802-4. [PMID: 25147290 DOI: 10.1177/0004867414546388] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Stephen Allison
- Discipline of Psychiatry, Flinders University of South Australia, Adelaide, Australia
| | - Michael Nance
- Discipline of Psychiatry, Flinders University of South Australia, Adelaide, Australia
| | - Tarun Bastiampillai
- Discipline of Psychiatry, Flinders University of South Australia, Adelaide, Australia
| | - Joe Hooper
- Australian Medical Association, North Adelaide, Australia
| | - Leigh Roeger
- Discipline of Psychiatry, Flinders University of South Australia, Adelaide, Australia
| | - Robert Goldney
- Discipline of Psychiatry, University of Adelaide, Adelaide, Australia
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13
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Jorm AF, Malhi GS. Evidence-based mental health services reform in Australia: where to next? Aust N Z J Psychiatry 2013; 47:693-5. [PMID: 23901148 DOI: 10.1177/0004867413497625] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- Anthony F Jorm
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
| | - Gin S Malhi
- Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, Australia
- CADE Clinic, Department of Psychiatry, Royal North Shore Hospital, St Leonards, Australia
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14
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Porter RJ. Mental health policy and the burden of psychosis. Aust N Z J Psychiatry 2013; 47:691-2. [PMID: 23901147 DOI: 10.1177/0004867413497624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Richard J Porter
- Department of Psychological Medicine, University of Otago, Christchurch, Christchurch, New Zealand.
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