ORCID Profile
0000-0002-7289-3165
Current Organisation
University of South Australia
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Research Topics
In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Public Health and Health Services | Organisational, Interpersonal and Intercultural Communication | Mental Health | Multicultural, Intercultural And Cross-Cultural Studies | Health And Community Services | Health Care Administration | Mental Health | Aboriginal and Torres Strait Islander Health | Health Information Systems (incl. Surveillance) | Mental Health Nursing |
ANZSRC Socio-Economic Objective (SEO)
Ethnicity and multiculturalism | Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) | Substance Abuse | Health and Support Services not elsewhere classified | Mental Health | Child health | Communication Across Languages and Culture | Health related to specific ethnic groups | Health Inequalities | Health Policy Economic Outcomes | Mental Health Services
Related Links
Publications
Mental health and drug and alcohol comorbidity in young people of refugee background: A review of the literature
Publisher: Informa UK Limited
Date: 27-02-2014
CSAPHN national suicide prevention trial evaluation: final report
Publisher: University of South Australia
Date: 2021
DOI: 10.25954/TG3W-K849
A culturally competent approach to suicide research with Aboriginal and Torres Strait Islander peoples
Publisher: Springer Singapore
Date: 2019
Suicide and self-harm in immigration detention
Publisher: AMPCo
Date: 09-2011
DOI: 10.5694/MJA11.10993
Emergency mental health: Crisis and response
Publisher: Elsevier BV
Date: 05-2008
Mental health crisis intervention for asylum seekers in the emergency department
Publisher: Elsevier BV
Date: 09-2006
Conclusions: Leadership and mentoring for mental health practice
Publisher: Cambridge University Press
Date: 2017
Re: Suicide and self-harm in immigration detention
Publisher: AMPCo
Date: 11-2011
DOI: 10.5694/MJA11.11291
Mental Health
Publisher: Cambridge University Press
Date: 06-08-2018
Providing mental health support for protection visa applicants in Australian immigration detention: Partnering mental health support and migration law consultation
Publisher: Informa UK Limited
Date: 15-02-2011
Refugee child and adolescent help-seeking for social, behavioural and mental health problems
Publisher: Informa UK Limited
Date: 27-08-2008
Evaluation toolkit for South Australian Suicide Prevention Networks
Publisher: University of South Australia
Date: 2017
DOI: 10.25954/SY0A-ME06
Disentangling Rates, Risk, and Drivers of Suicide in the Construction Industry
Publisher: Hogrefe Publishing Group
Date: 08-11-2022
DOI: 10.1027/0227-5910/A000885
Abstract: Abstract. Background: Research suggests construction industry workers (CIWs) face increased suicide vulnerability. Aims: The current study synthesizes international evidence examining rates, risk, and drivers of CIW suicide. Method: Comprehensive searches of MEDLINE, PsycInfo, Embase, Emcare, Web of Science, Scopus, and gray literature were undertaken, identifying studies that discussed, theorized about, or demonstrated risks and/or rates and/or drivers of CIW suicide, without inclusion of other industries. Results: A number of included studies statistically analyzed suicide outcomes in a variety of CIW populations, with the majority reporting increased rate and/or risk, however significant heterogeneity limited comparisons. Twenty-five potential drivers were identified and classified as personal- or industry-related. Disentanglement highlighted the relevance of previously understood personal drivers, need for future focus on industry drivers, and potential interplay between drivers. Limitations: Exclusion of non-English articles as well as inability to extend analysis to fully understand rates and/or risk of CIW suicide and tenuous links between suggested drivers and suicide outcomes. Conclusion: Despite limitations, this paper aids understanding in relation to the suggestion that CIWs are at increased suicide vulnerability. Disentanglement of potential drivers demonstrates the importance of future research focused on industry drivers to assist in prevention strategies.
Attempted suicide in older people: a review of the evidence
Publisher: University of Oslo Library
Date: 21-12-2015
Improving the provision of services to young people from refugee backgrounds with comorbid mental health and substance use problems: addressing the barriers
Publisher: Springer Science and Business Media LLC
Date: 24-03-2017
Face to face, person to person: skills and attributes deployed by rural mental health clinicians when engaging with consumers
Publisher: Wiley
Date: 12-2015
DOI: 10.1111/AJR.12204
Abstract: The purpose of this study was to identify the skills and attributes deployed by rural mental health clinicians when engaging with consumers in the community mental health context. Reflecting the exploratory nature of this research, a semi-structured focus group was conducted. One community mental health service in regional South Australia (catchment area = approximately 60 000 people). Nine mental health clinicians. Not applicable. Participants' focus group comments were explored qualitatively using thematic analysis. Three major themes were identified: (i) limitations to providing mental health care in the rural environment (increased consumer vulnerability, limited services, increased risk, and stigma) (ii) universal engagement approaches (being consumer-focused, appropriate communication, facilitating a connection and normalising the experience) (iii) indicated and targeted strategies for engagement (flexible and creative delivery of care, a whole of community approach, being multiskilled and technology use). Although engaging with consumers involves many skills and attributes employed universally across mental health settings, the rural clinician's ability to navigate the environment and utilise this to provide consumer care is equally important to the engagement process. Specifically, these findings highlight the preference of rural mental health clinicians towards a person-centred approach, networking with others in the community when providing care. Understanding how best to maximise the nature of a rural environment, such as facilitating relationships between clinicians and others in the community, will contribute to optimised care.
Nursing and the ethnographic accomplishment
Publisher: RCN Publishing Ltd.
Date: 22-03-2017
DOI: 10.7748/NR.24.4.6.S2
Abstract: This issue of Nurse Researcher focuses on ethnographic research in nursing. The three themed papers provide an overview of the ethnographic accomplishment dealing with methodological issues in the conduct of ethnographic work and how nursing and nurses' work is represented. The authors take account of how contemporary approaches to ethnography are shaped by understandings of and approaches to nursing.
Seeking asylum in Australia : immigration detention, human rights and mental health care
Publisher: SAGE Publications
Date: 26-06-2013
Abstract: The article aims to discuss the impact of mandatory detention and human rights violations on the mental health of asylum seekers and the implications for psychiatrists and health professionals. Advocacy for human rights and engagement in social debate are core ethical and professional responsibilities. Clinicians need to maintain a focus on ethical obligations.
Suicide and self-harm prevention for people in immigration detention
Publisher: AMPCo
Date: 12-2013
DOI: 10.5694/MJA13.10804
Introduction to mental health and mental illness: human connectedness and the collaborative consumer narrative
Publisher: Cambridge University Press
Date: 2017
A unified call to action from Australian nursing and midwifery leaders: ensuring that Black lives matter
Publisher: Informa UK Limited
Date: 03-07-2020
The Effectiveness of the Safety Planning Intervention for Adults Experiencing Suicide-Related Distress: A Systematic Review
Publisher: Informa UK Limited
Date: 29-04-2022
DOI: 10.1080/13811118.2021.1915217
Abstract: The safety planning intervention (SPI) is gaining momentum in suicide prevention practice and research. This systematic review sought to determine the effectiveness of the SPI for adults experiencing suicide-related distress. Systematic searches of international, peer-reviewed literature were conducted in six databases (Cochrane Trials, Embase, Emcare, Medline, PsycINFO and Web of Science), including terms for safety planning, suicide, and suicide-related outcomes. A total of 565 results were included for screening. Result screening (title/abstract and full-text), data extraction and critical appraisal were conducted in duplicate. Twenty-six studies met the inclusion criteria. Studies were primarily quantitative (
The Prevalence of Transfusion-Transmitted Infection Markers among Blood Donors at Saudi Hospital, Makkah
Publisher: Clinical Laboratory Publications
Date: 2023
Conclusions: Looking to practice
Publisher: Cambridge University Press
A trauma informed response to COVID 19 and the deteriorating mental health of refugees and asylum seekers with insecure status in Australia
Publisher: Wiley
Date: 10-09-2021
DOI: 10.1111/INM.12932
Abstract: COVID‐19 brings increased risk to the mental health of asylum seekers and refugees in Australia on temporary visas. Rapid government changes due to the COVID‐19 pandemic are resulting in significant and sustained hardship on this already vulnerable group. This discursive paper is both an explainer and a resource for mental health nurses and health professionals with scope of practice in primary care and emergency departments responding to this population. The aim of this paper is to alert clinicians to the drivers of mental and suicide related distress and to provide recommendations as to how to therapeutically engage and support this group. Drivers include complex intersections between legal uncertainty, economic, social and mental health stress as drivers of entrapment, acute mental distress and suicidal ideation. Information about the COVID‐19 related factors as drivers contributing to worsening states of distress may help guide clinicians to consider protective factors designed to mitigate the onset or worsening of mental distress, plus aid in the development of health policy and service‐delivery arrangements of support and therapeutic engagement.
Use of psychotropic medicines in mental health care
Publisher: Cambridge University Press
Date: 2017
Risk assessment of imminent violence in acute psychiatry: a step towards an extended model
Publisher: Informa UK Limited
Date: 05-09-2019
Suicidal ideation in the Australian construction industry: prevalence and the associations of psychosocial job adversity and adherence to traditional masculine norms
Publisher: MDPI AG
Date: 26-11-2022
Abstract: Background: Suicide in the Australian Construction Industry (ACI) is a significant issue, however minimal understanding of suicidal ideation prevalence, as well as the potential role psychosocial job adversity and increased adherence to traditional masculine norms may play in its presence, is apparent. Method: A representative s le of Australian men (n = 11,132) were used to create initial understandings of prevalence of suicidal ideation (past two weeks), psychosocial job adversities and level of adherence to traditional masculine norms for the ACI (n = 1721) in comparison to a general population comprised of the remaining employed males from Other Industries (n = 9411). Additionally, due to their reported increased suicide vulnerability investigation of associations between suicidal ideation, psychosocial job adversities and adherence to traditional masculine norms for the ACI were undertaken. Results: No difference in suicidal ideation prevalence was reported between the ACI and those employed in Other Industries (p 0.05), however, increased prevalence of psychosocial job adversities (p ≤ 0.001) and adherence to traditional masculine norms (p ≤ 0.001) for the ACI was seen. Significant multivariate associations between suicidal ideation, psychosocial job adversities (OR = 1.79, 95%CI [1.12–2.85]) and two domains of traditional masculine norms, self-reliance (OR = 1.29, 95%CI [1.09–1.51]) and risk-taking (OR = 1.20, 95%CI [1.01–1.41]), were reported. Conclusion: Results suggest need for increased understanding of later stage suicidal trajectory drivers in the ACI. Findings indicate need for prevention group/industry concentration on mitigation of psychosocial job adversities, as well as a more nuanced and increased discussion of the negative role of self-reliance and risk-taking domains of traditional masculine norms may play in ACI suicidal ideation, as opposed to the construct as a whole.
Screening for risk of violence using service users’ self‐perceptions: A prospective study from an acute mental health unit
Publisher: Wiley
Date: 24-11-2017
DOI: 10.1111/INM.12413
Abstract: Service users' self-perception of risk has rarely been emphasized in violence risk assessments. A recent review pointed to the importance of a multidisciplinary approach, because different perspectives may provide a deeper and improved understanding of risk assessment. The aim of this study was to investigate service users' perceptions of their own risk of committing violence, using a self-report risk scale, to determine the feasibility and efficacy of this potential violence risk marker during acute mental health hospitalization. All service users admitted to a psychiatric emergency hospital in Norway during one calendar year were included (N = 512). Nearly 80% self-reported no risk or low risk only seven (1.4%) reported moderate risk or high risk. Service users who reported moderate risk, high risk, don't know, or won't answer were more likely to be violent (OR = 4.65, 95% CI = 2.79-7.74) compared with those who reported no risk or low risk. There was a significant gender interaction with higher OR for women on both univariate and multivariate analyses. Although the OR was higher for women, women's violence rate (11.0%) was almost half that of men (21.8%). For women, sensitivity and specificity were 0.55 and 0.88, respectively corresponding values for men were 0.40 and 0.80. Inclusion of self-perception of violence risk is the first step towards service users' collaborative involvement in violence prediction these results indicate that self-perception can contribute to violence risk assessments in acute mental health settings. Findings also indicate that there are gender differences in these assessments.
'They first killed his heart (then) he took his own life'. part 2: Practice implications
Publisher: Wiley
Date: 10-01-2006
Mental health of people of immigrant and refugee backgrounds
Publisher: Cambridge University Press
Date: 2017
Qualitative evaluation of country mental health inpatient units
Publisher: Wiley
Date: 22-07-2005
Help-seeking for Mental Health Problems in Young Refugees: A Review of the Literature with Implications for Policy, Practice, and Research
Publisher: SAGE Publications
Date: 12-2009
Abstract: The large and erse bodies of literature on refugee child and adolescent mental health have not been matched by a commensurate interest in help-seeking. Most help-seeking research has centred on Western and, to a lesser extent, non-refugee ethnic minority adult populations. An emerging child and adolescent help-seeking literature consistently reports widespread underutilization of mental health services by children in the general population. Current research and opinion suggest a similar trend for refugee and other ethnic minority children. While service underutilization appears to be an issue for all children, those from refugee backgrounds may be at increased risk of mental health problems and have greater difficulty accessing mental health care. From a policy and practice perspective, the most important explanation for low uptake of services by refugee families concerns an overall failure of Western mental health systems to accommodate the needs of ethnically erse populations in general and refugees in particular. In order to effectively plan for the mental health needs of refugee children and adolescents, Western host country governments need a clear understanding of help-seeking behaviour.
The impact of MATES in construction: a mixed-methods study of GAT and connector training in the South Australian construction industry
Publisher: University of South Australia
Date: 2017
DOI: 10.25954/BE1G-SN52
Mental health research and evaluation in multicultural australia: Developing a culture of inclusion
Publisher: Springer Science and Business Media LLC
Date: 2013
Preventing mental illness: Closing the evidence-practice gap through workforce and services planning
Publisher: Springer Science and Business Media LLC
Date: 24-07-2015
Development of an evidence-based Evaluation Toolkit for suicide prevention networks in regional Australia
Publisher: Wiley
Date: 04-2020
DOI: 10.1111/AJR.12618
Engaging consumers in the Australian emergency mental health context: a qualitative perspective from clinicians working in the community
Publisher: Hindawi Limited
Date: 04-12-2014
DOI: 10.1111/HSC.12156
Abstract: Successfully engaging with consumers is seen as an essential component of mental healthcare, yet doing so can be challenging and little is understood about the unique engagement skills and attributes employed by mental health clinicians working in the emergency community context. Consequently, this qualitative study explored the engagement experiences of clinicians to identify the attributes used when engaging with consumers in this unique setting. We conducted two semi-structured focus groups in July and August 2011 with 16 clinicians employed at one metropolitan mental health organisation in South Australia. Using thematic analysis, we identified two key themes pertaining to the skills and attributes used for successful consumer engagement: (i) building trust, through communication style, an honest approach, facilitating choice and locating trust networks and (ii) portraying genuine care, through showing respect, offering practical assistance and taking the least restrictive pathway. These findings highlight the unique nature of engagement in the emergency community mental health setting, as well as the flexibility and resourcefulness required to facilitate it.
Correction: National Disability Insurance Scheme and Lived Experience of People Presenting to the Emergency Department: Protocol for a Mixed Methods Study
Publisher: JMIR Publications Inc.
Date: 25-11-2021
DOI: 10.2196/34866
Factors influencing suicidal ideation among Chinese patients with stomach cancer: qualitative study
Publisher: Wiley
Date: 20-12-2017
DOI: 10.1111/INR.12344
Abstract: The aim of this qualitative descriptive study was to explore the influencing factors of suicidal ideation in Chinese patients diagnosed with stomach cancer. More recently, links have been made between suicide and cancer. For inpatients with cancer, nurses are at the front line to cope with suicidal issues in clinical settings. This study was part of a larger study that investigated psychological strains and related factors associated with suicidal ideation. Thirty-two patients with stomach cancer participated in a face-to-face interview. Thematic analysis was used to analyse the qualitative data. Four themes were identified as protective factors against suicidal ideation: suicidal denial and fears of stigmatization positive coping skills family connectedness and desire to live well and longer. Consistent with previous research, these four protective factors may encourage participants to think more positively about life and cancer. Our findings suggest four protective factors for targeted suicide prevention, which may play an important role in future suicide-prevention programmes for Chinese patients diagnosed with stomach cancer. Nurses may help reduce patients' risk for suicidal ideation more effectively by discussing beliefs, family and meaning in life perspectives, as well as offering health education about positive coping skills. Clinical nurses, hospitals and the government should work collaboratively with each other. It is suggested that Chinese national guidelines for working with the high-risk suicide populations should be considered within a future mental health working plan.
Losses related to everyday occupations for adults affected by mental illness
Publisher: Informa UK Limited
Date: 25-03-2014
DOI: 10.3109/11038128.2014.894571
Abstract: This paper presents findings from a larger study that explored losses from mental illness. Losses associated with occupations--a key theme from this participatory action research study--are the focus of this paper. Semi-structured in-depth interviews were carried out with 16 people who had been diagnosed with a mental illness and attended a community mental health centre. Interviews were transcribed verbatim and thematically analysed, guided by processes proposed by Dey. Numerous losses influenced participants' ability to initiate or engage in daily occupations. Some losses perpetuated further loss, at times with profound consequences, such as the loss of a house following a loss of work. Engaging in chosen occupations was often described as a longer-term goal or something participants did infrequently, due to losses such as motivation, energy, or normal sleeping patterns. The desire to work and participate in everyday occupations was emphasized and its benefits highlighted, despite previous difficulties. Implications for occupational therapists include the importance of exploring, validating, and responding to losses when these are shared, and being aware of and striving to support people experiencing losses in the areas of work, motivation, sleep patterns, and energy, which were perceived as especially challenging for participants in this study.
National Disability Insurance Scheme and the Lived Experience of Psychosocial Disability for People Presenting to the Emergency Department: Protocol for a Mixed Methods Study (Preprint)
Publisher: JMIR Publications Inc.
Date: 31-08-2021
Abstract: urrently, within Australia, 3.6% of all emergency department (ED) presentations are mental health–related. Information about the context of the person presenting to the ED (beyond immediate needs), including their psychosocial disability (PSD) National Disability Insurance Scheme (NDIS) plan, is reported as incomplete and fragmented. There are missed opportunities for early intervention and care continuity that could potentially inform ED practitioners to revise current practices. he aims of this study are: (1) to obtain original data from the lived experience voice of those with the PSD NDIS plan and their experience when presenting to an ED, (2) to gather information from NDIS service providers to reveal communication pathways between the ED and NDIS services, and (3) to gain knowledge from ED clinicians around processes for continuity of care with this population group. his inductive, mixed methods phenomenological study will involve data collection analyzed sequentially, with each stage informing future stages of the research. Interviews will focus on the lived experience voice exploring potential indicators that have led to an ED presentation, alongside an analysis of associated clinical and administrative documentation and communications. Focus groups with NDIS support workers and support coordinators will provide phenomenological data around the experience from their perspective. National quantitative surveys among those with a PSD NDIS plan and emergency services clinicians will provide insight into current practices within community care and ED presentations. The research project design includes a lived experience advisory group who are assisting with the design of the interview and focus group schedules and national surveys, as well as in shaping the interpretation of qualitative information. All transcripts will be subject to thematic analysis to understand in iduals’ meaning-making of these complex and particular phenomena. The research team includes a lived experience researcher and a lived experience carer (PhD candidate). his study is funded by MIND Australia as a PhD industry scholarship, which commenced in April 2020. A systematic review as a preresearch activity has been completed and is currently under review. The Human Research Ethics Committee of the University of South Australia has approved this project. An advisory group has been selected, and interview, focus group, and survey schedules are currently being codesigned. Recruitment will commence in November 2021. It is envisaged that data collection will be completed by June 2022. nderstanding the lived experience of the precare, during care, and postcare stages of ED presentations from the perspective of those with a PSD NDIS plan will inform the research team around current practices and provide information about improvement for pathways of care for this vulnerable group of people, while also informing health policy. RR1-10.2196/33268
Current issues in mental health service provision in Australia.
Publisher: Elsevier BV
Date: 2007
Involving mental health service users in suicide-related research: a qualitative inquiry model
Publisher: RCN Publishing Ltd.
Date: 21-03-2016
Abstract: To describe the research model developed and successfully deployed as part of a multi-method qualitative study investigating suicidal service-users' experiences of mental health nursing care. Quality mental health care is essential to limiting the occurrence and burden of suicide, however there is a lack of relevant research informing practice in this context. Research utilising first-person accounts of suicidality is of particular importance to expanding the existing evidence base. However, conducting ethical research to support this imperative is challenging. The model discussed here illustrates specific and more generally applicable principles for qualitative research regarding sensitive topics and involving potentially vulnerable service-users. Researching into mental health service users with first-person experience of suicidality requires stakeholder and institutional support, researcher competency, and participant recruitment, consent, confidentiality, support and protection. Research with service users into their experiences of sensitive issues such as suicidality can result in rich and valuable data, and may also provide positive experiences of collaboration and inclusivity. If challenges are not met, objectification and marginalisation of service-users may be reinforced, and limitations in the evidence base and service provision may be perpetuated.
Lethal hopelessness: Understanding and responding to asylum seeker distress and mental deterioration
Publisher: Wiley
Date: 21-03-2018
DOI: 10.1111/INM.12325
Abstract: The mental deterioration of the so called 'legacy caseload' (asylum seekers who arrived in Australia by boat between August 2012-December 2013) has become a national concern and is garnering international attention. Prolonged uncertainty is contributing to mental deterioration and despair. There have been at least 11 deaths by suicide since June 2014. Social support services have been limited and legal assistance in short supply this is associated with lengthy delays with visa applications. Thwarted belongingness, purpose and identity, a shortage of available services, and barriers to legal support for processes attendant upon Refugee Status Determination increase the likelihood that the mental health of asylum seekers will deteriorate further, potentially developing into worsening decline, which will lead to increased self-harm and suicide. This article summarises recent suicide deaths in Australia, positing practical assistance and support for asylum seekers living in the community. Therapeutic engagement should be trauma-informed wherever possible, helping asylum seekers to reframe their sense of lethal hopelessness.
Rapid review of evidence to advance a mental health nursing workforce strategy
Publisher: University of South Australia
Date: 2019
DOI: 10.25954/J37P-RC58
Fatal poisonings involving clozapine: A 16-year review of Australian coronial investigations
Publisher: SAGE Publications
Date: 18-03-2021
Abstract: Concerns about intentional and unintentional poisoning present a barrier to wider use of clozapine in treatment-resistant schizophrenia. The objective of this study was to investigate decedent demographics and trends in fatal poisonings in Australia involving clozapine. This was a retrospective case series of all fatal drug toxicity reported to an Australian coroner between 1 May 2000 and 31 December 2016 where toxicological analysis detected clozapine. Cases were identified using the National Coronial Information System. Demographics extracted included age and gender of the decedent, year and location of death, cause and manner of death and drugs detected in post-mortem s les. There were 278 poisoning deaths where clozapine was detected in toxicological analyses. Three-quarters of all cases ( n = 207) involved men and the median age at death was 38.5 years (interquartile range: 16 years). Three-quarters of the deaths occurred in the home. Overall, 15.8% of deaths were deemed intentional, 57.5% unintentional and 24.5% of unknown intent. While the annual number of intentional self-poisonings remained constant with per year, the overall number of fatalities increased due to an increase in unintentional poisonings. Multiple drug toxicity was reported in 55.0% of cases and clozapine alone in 45.0% of cases. The most common co-reported medications were antidepressants, benzodiazepines and opioids detected in 47.1%, 44.4% and 41.2% of multiple drug toxicities, respectively. This was the first Australia-wide review of all fatal drug poisonings reported to a coroner involving clozapine. Fatalities were most common in men and occurred at home. Multiple drug toxicity generally involved psychotropic, sedative or opioid analgesic medications. Despite increasing clozapine use, rates of intentional poisoning have remained constant and low. Developing a better knowledge of unintentional fatalities presents an opportunity to minimise harm.
Trauma‐informed mental health practice during COVID ‐19: Reflections from a Community of Practice initiative
Publisher: Wiley
Date: 16-05-2022
DOI: 10.1111/INM.13013
Abstract: This article discusses insights arising from a Community of Practice (CoP) initiative within a mental health short stay inpatient unit adjacent to a major Emergency Department to explore how COVID‐19 has influenced engagement and support of people in mental distress. The present initiative was designed as a collaboration between the University of South Australia and SA Health. Community of Practice (CoP) is combined with a narrative review of current evidence to explain specific nursing care responses within an operating environment of pandemic‐induced fear and uncertainty. Meetings discussed the challenges associated with delivering mental health care for people experiencing mental health distress in the COVID‐19 context. Applying trauma‐informed principles to mental health care delivery was identified to be of relevance in the context of an ongoing pandemic. Humanizing nursing care and increasing people's sense of predictability and safety contributed to therapeutic engagement and support during COVID‐19. Factors discussed to mitigate the effects of safety measures include, for ex le, nuanced verbal and non‐verbal engagement of health workers with people in mental distress when wearing personal protective equipment (PPE). We highlight the need to ‘humanise’ nursing and openly communicating that both practitioners and people in distress are navigating special circumstances. The CoP participants additionally acknowledged that the experience of moral distress among frontline health workers needs to be addressed in future policy responses to COVID‐19. Person‐centred and trauma‐informed responses at the point of care might help to mitigate the pandemic short‐ and long‐term effects for both service users and frontline health workers.
A mental health trauma response to the Japanese earthquake and Tsunami
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2011
Police response to individuals displaying suicidal or self‐harming behaviours: An integrative review
Publisher: Hindawi Limited
Date: 16-10-2018
DOI: 10.1111/HSC.12668
Abstract: Police are increasingly being called upon to respond to people experiencing suicidal crisis. Such incidents are a challenging aspect of modern policing. This paper reports on an integrative review study that aimed to investigate police responses to in iduals displaying suicidal or self-harming behaviours. Six electronic databases were searched for peer-reviewed articles published between 2007 and 2017 relating to police responses to in iduals in suicidal crisis. The review identified 12 studies that met the inclusion criteria. A content analysis was conducted to identify and describe the key characteristics emerging from the literature, which identified four themes: "characteristics of in iduals" "the use of violence and weapons" "contact with police prior to suicide" and, "police officer training". Findings from this study indicate that in iduals involved in incidents of suicidal and self-harm crisis with police are often male, aged between 35 and 40 years, single and/or having relationship issues, with a history of mental health issues and in recent contact with police prior to the incident of suicidal crisis-either as a victim or a perpetrator. The results highlight that large proportions of in iduals in suicidal crisis within a community located incident are likely to present with violent or aggressive behaviour and in many situations are armed with a weapon used to either threaten or injure police and/or bystanders or self-harm. Training and education can have a positive impact from the perspective of police responding to in iduals in suicidal crisis. Limitations in the current evidence are identified and implications for future research are outlined.
Strengthening lived experience leadership for transformative systems change: a South Australian consensus statement
Publisher: SA Lived Experience Leadership and Advocacy Network and University of South Australia
Date: 2021
DOI: 10.25954/HW0S-YA11
Person-centred care for people of refugee background
Publisher: Wiley
Date: 06-2016
DOI: 10.1002/JPPR.1222
The effects of cognitive behaviour therapy for major depression in older adults: a systematic review
Publisher: Global Science & Technology Forum (GSTF)
Date: 29-06-2015
It all happened quite quickly really: Emergency de-escalation in mental health crisis and violence
Publisher: Elsevier BV
Date: 08-2011
Comorbidity action in the north - a study of services for people with comorbid mental health and drug and alcohol disorders in the northern suburbs of Adelaide
Publisher: SAGE Publications
Date: 26-09-2016
Abstract: This study identified barriers to and facilitators of mental health (MH) and alcohol and drug (AOD) comorbidity services, in order to drive service improvement. Participatory action research enabled strong engagement with community services, including Aboriginal and refugee groups. Surveys, interviews and consultations were undertaken with clinicians and managers of MH, AOD and support services, consumers, families, community advocates and key service providers. Community participation occurred through consultation, advisory and working party meetings, focus groups and workshops. Barriers included inadequate staff training and poor community and workforce knowledge about where to find help. Services for Aboriginal people, refugees, the elderly and youth were inadequate. Service fragmentation (‘siloes’) occurred through competitive short-term funding and frequent re-structuring. Reliance on the local hospital emergency department was concerning. Consumer trust, an important element in engagement, was often lacking. Comorbidity should be core business of both MH and AOD services by providing consistent ‘no wrong door’ care. Non-governmental organisations (NGOs) need longer funding cycles to promote stability and retain skilled workers. Comorbidity workforce training for government and NGO staff is required. Culturally appropriate comorbidity services are urgently needed. Despite the barriers, collaboration between clinicians/workers was valued.
Enablers of psychological well‐being for refugees and asylum seekers living in transitional countries: A systematic review
Publisher: Hindawi Limited
Date: 11-11-2019
DOI: 10.1111/HSC.12680
A model of lived experience leadership for transformative systems change: Activating Lived Experience Leadership (ALEL) project
Publisher: Emerald
Date: 11-08-2022
Abstract: This discursive paper presents a lived experience leadership model as developed as part of the Activating Lived Experience Leadership (ALEL) project to increase the recognition and understanding of lived experience leadership in mental health and social sectors. The model of lived experience leadership was formulated through a collaboration between the South Australian Lived Experience Leadership & Advocacy Network and the Mental Health and Suicide Prevention Research and Education Group. As one of the outcomes of the ALEL research project, this model incorporates findings from a two-year research project in South Australia using participatory action research methodology and cocreation methodology. Focus groups with lived experience leaders, interviews with sector leaders and a national survey of lived experience leaders provided the basis of qualitative data, which was interpreted via an iterative and shared analysis. This work identified intersecting lived experience values, actions, qualities and skills as characteristics of effective lived experience leadership and was visioned and led by lived experience leaders. The resulting model frames lived experience leadership as a social movement for recognition, inclusion and justice and is composed of six leadership actions: centres lived experience stands up and speaks out ch ions justice nurtures connected and collective spaces mobilises strategically and leads change. Leadership is also guided by the values of integrity, authenticity, mutuality and intersectionality, and the key positionings of staying peer and sharing power. This model is based on innovative primary research, which has been developed to encourage understanding across mental health and social sectors on the work of lived experience leaders in seeking change and the value that they offer for systems transformation. It also offers unique insights to guide reflective learning for the lived experience and consumer movement, workers, clinicians, policymakers and communities.
Stopping the run-around? A study of services for people with comorbid mental health and substance use disorders in northern Adelaide
Publisher: SAGE Publications
Date: 17-03-2015
Abstract: Comorbidity between mental health and alcohol and other drug (AOD) disorders is common. This study aimed to identify and describe all of the local government and non-government (NGO) mental health and AOD services in a socially disadvantaged urban region in Adelaide, South Australia. Services were identified using telephone directories and the internet, and via information from workers employed by a wide range of mental health and AOD services. Local mental health and AOD services were difficult to locate, but eventually we identified a total of 70 services. Soon after this, reorganisation of the mental health services and a new NGO funding round changed the service configuration, with a decrease in the number of services. The available services were fragmented, and rarely addressed comorbidity specifically. Our real-world study demonstrates the lack of a clear pathway for people to access existing services. Further, changes occur frequently as government funded services generally reorganise every couple of years, and NGO services come and go according to funding. There is a need for a central, widely available database for mental health and AOD services. More services addressing comorbid mental health and AOD disorders are required.
Mental health nursing: daring to be different, special and leading recovery-focused care?
Publisher: Wiley
Date: 03-02-2018
DOI: 10.1111/INM.12316
Abstract: How mental health nursing is differentiated from other disciplines and professions, and what special contribution mental health nurses make to health services, is a question at the heart of contemporary practice. One of the significant challenges for mental health nurses is identifying, developing and advancing those aspects of their practice that they consider differentiate them in the multi-disciplinary mental health care team and to articulate clearly what a mental health nurse is and does. This paper draws on data from interviews with 36 mental health nurses in Australia who identified their practice as autonomous. Participants were asked the question, "What's special about mental health nursing?" Constructivist grounded theory techniques were applied to the research process. Findings were formulated and expressed as the 'Ten P's of the professional profile that is mental health nursing', which are 'present', 'personal', 'participant partnering', 'professional', 'phenomenological', 'pragmatic', 'power-sharing', 'psycho-therapeutic', 'proud' and 'profound'. The combined elements of the findings present a theoretical construct of mental health nursing practice as something distinctive and special. It provides a model and exemplar for contemporary practice in mental health nursing, embracing the role of mental health nurses in the health care workforce as being well placed as providers of productive and effective care.
Seeking and defining the 'special' in specialist mental health nursing: a theoretical construct
Publisher: Wiley
Date: 03-02-2018
DOI: 10.1111/INM.12317
Abstract: In the context of an enduring debate about the distinct identity of mental health nursing, this qualitative study explored the nature, scope and consequences of mental health nursing practice. Data for interpretation were generated through interviews with 36 mental health nurses, five of their clients and one health care colleague, each of whom were asked to speak in as much detail as possible about what they believe is special about mental health nursing and what had influenced them to arrive at this understanding. Using a constructivist grounded theory approach, the study generated a substantive theory of recovery-focused mental health nursing expressed as 'Being in the here and now, side by side, co-constructing care'. The study revealed that the distinct nature and identity of mental health nursing provides the foundation that primes and drives practice scope and consequences. Conceptual interpretations of the data emphasized the mental health nursing perspective of care as an acquired lens founded in nursing as a profession and enhanced by the relational interplay between the nurse and the client that facilitates the nurse to adopt recovery-focused practices. This theoretical construct holds the potential to be the mediating connection between client and mental health nurse. By situating mental health nursing and its central role in practice as something co-constructed, findings from this study can be expanded beyond the Australian context, particularly in terms of mental health nursing's distinct professional identity and practice.
'And you feel like you're suffocating...how the fuck am I going to get out of all this?' Drivers and experiences of suicidal ideation in the Australian construction industry
Publisher: Frontiers Media SA
Date: 12-05-2023
DOI: 10.3389/FPSYT.2023.1144314
Abstract: This research was designed to generate understandings of drivers and experiences of suicidal ideation and distress among Australian Construction Industry (ACI) workers, as well as what helped during these experiences. Fifteen participants, from a variety of ACI or closely associated roles, with an average age of 45 years (29–66), engaged in in idual, semi-structured interviews. Interviews were audio-recorded with consent and analyzed using descriptive thematic analysis. Eight themes relating to what may drive the presence of suicidal ideation and distress were identified 1) challenges of working within the ACI, 2) relationship and family issues, 3) social disconnection, 4) personal financial hardship, 5) perceived lack of support, 6) alcohol and drug use, 7) child custody/access and legal issues, and 8) experience of mental health challenges, trauma, or a significant adverse life event. Four themes relating to experience and expression of suicidal ideation and distress were identified: 1) suicidal thoughts, 2) impaired thinking, 3) observable expressions of suicidal distress, and 4) lack of observable expressions of suicidal distress. Six themes relating to what helped during experiences and well as what can be done by the ACI to help mitigate experiences, were identified: 1) presence of colleague and managerial support, 2) MATES in Construction, 3) engagement with non-work activities and social support, 4) personal skills and knowledge relating to suicide and mental health, 5) high level industry integration and engagement with support programs, and 6) work hours and expectations changes. Findings highlight several industry and personal related challenges that may drive experiences, with many potentially mitigatable by ACI changes and focused prevention strategies. Participant suicidal thought descriptions align with previously identified constructs deemed central in suicidal trajectories. While findings highlight several observable expressions of suicidal ideation and distress, challenges associated with identifying and assisting in iduals in the ACI who may be struggling were also reported. Several factors that helped ACI workers during their experiences, as well as what the ACI can do to mitigate future experiences, were identified. Recommendations are made based on these findings, encouraging a more supportive work environment, as well as continued development and increased awareness of support and education systems.
Suicide deaths following police contact: A review of coronial inquest findings
Publisher: Informa UK Limited
Date: 02-05-2020
DOI: 10.1080/07481187.2020.1758243
Abstract: We analyzed 10 years of Australian coronial inquest documents on people who died by suicide or suspected suicide following recent contact with the police. We identified 149 cases of suicide or suspected suicides via coronial websites, 34 of which contained recommendations. We developed four themes from these recommendations, the most common of which was for police to change current practices or policies and modify police officer training. Coroners considered effective working relationships with external stakeholders able to assist police an important means of reducing risk of suicide.
Please talk to me. Please include me. I want nurses to understand
Publisher: University of South Australia
Date: 2019
DOI: 10.25954/FK9Q-TQ55
Ethics overload: Impact of excessive ethical review on comorbidity research
Publisher: Informa UK Limited
Date: 05-02-2014
Organisational Actions for Improving Recognition, Integration and Acceptance of Peer Support as Identified by a Current Peer Workforce
Publisher: Springer Science and Business Media LLC
Date: 18-08-2023
DOI: 10.1007/S10597-023-01179-X
Abstract: Recovery-orientated practice is crucial to mental health care services—consistently identified in policy, service delivery guidelines and national mental health action plans. An essential component to systems reform and the adoption of recovery-orientated practice is the inclusion of peer support workers as practice leaders to support shifting culture in mental health service delivery. Designated peer support roles operate as healthcare professionals who utilise their lived and living experience of mental health difficulty to support those on their recovery journey through mutual understanding of shared experience. This research sought to explore the experiences of peer support workers integrating into mental health teams and identify organisational actions to facilitate successful recognition, integration and acceptance by colleagues therefore, promoting sustainability of the peer support role. Qualitative interviews were undertaken with 18 peer support workers employed across four Australian states within 12 different government and non-government organisations. Study findings reveal three key areas for organisational change with seven main themes to assist organisations to better facilitate the successful integration of peer support workers into mental health service teams. These included robust induction, training for existing staff, clear referral pathways into the service, consistent supervision and debriefing, leadership support, professional development pathways and involving peer workers through change processes. These themes were grouped into three key areas for change including preparation, process and structural changes, and cultural change actions for sustainability. This article makes recommendations for organisations to consider when implementing peer support roles into mental health services.
Suicide prevention gatekeeper training for those supporting refugees and asylum seekers: perspectives of participants
Publisher: Informa UK Limited
Date: 07-07-2021
Clinician wellbeing: The impact of supporting refugee and asylum seeker survivors of torture and trauma in the Australian context
Publisher: Informa UK Limited
Date: 10-2019
DOI: 10.1111/AP.12397
When I say … situation awareness
Publisher: Wiley
Date: 30-01-2017
DOI: 10.1111/MEDU.13226
Is the higher incidence of clozapine induced myocarditis in Australia due to awareness and monitoring?
Publisher: Elsevier BV
Date: 11-2018
Perspectives of rural health and human service practitioners following suicide prevention training programme in Australia: A thematic analysis
Publisher: Hindawi Limited
Date: 08-01-2018
DOI: 10.1111/HSC.12532
Abstract: There are well-established training programmes available to support health and human services professionals working with people vulnerable to suicide. However, little is known about involving people with lived experience in the delivery of suicide prevention training with communities with increased rates of suicide. The aim of this paper was to report on a formative dialogical evaluation that explored the views of health and human services workers with regard to a suicide prevention training programme in regional (including rural and remote areas) South Australia which included meaningful involvement of a person with lived experience in the development and delivery of the training. In 2015, eight suicide prevention training workshops were conducted with health and human services workers. All 248 participants lived and worked in South Australian regional communities. We interviewed a subs le of 24 participants across eight sites. A thematic analysis of the interviews identified five themes: Coproduction is key, It is okay to ask the question, Caring for my community, I can make a difference and Learning for future training. The overall meta-theme was "Involvement of a person with lived experience in suicide prevention training supports regional communities to look out for people at risk of suicide." This paper highlights the need for suicide prevention training and other workforce development programmes to include lived experience participation as a core component in development and delivery.
Hematological and Other Cancers in People Using Clozapine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2023
Clozapine, mRNA COVID-19 vaccination and drug-induced myocarditis
Publisher: SAGE Publications
Date: 30-11-2021
The impact of a trauma-informed approach intervention or strategies for suicide prevention across the lifespan: a rapid review of the evidence
Publisher: University of South Australia
Date: 2022
DOI: 10.25954/E2AY-K016
People with schizophrenia and depression have a low omega-3 index
Publisher: Elsevier BV
Date: 07-2016
DOI: 10.1016/J.PLEFA.2016.05.007
Abstract: Cardiovascular disease (CVD) is higher in people with mental illness and is associated with a 30 year higher mortality rate in this population. Erythrocyte docosahexaenoic acid (DHA) plus eicosapentaenoic acid (EPA) (omega-3 index)≤4% is a marker for increased mortality risk from CVD while >8% is protective. Omega-3 polyunsaturated fatty acids are also important for brain function and may ameliorate symptoms of mental illness. We investigated the erythrocyte omega-3 index in people with mental illness. One hundred and thirty adults aged 18-65 years (32.6% male) with schizophrenia (n=14) and depression (n=116) provided blood s les and completed physiological assessments and questionnaires. Both populations had risk factors for metabolic syndrome and CVD. The average omega-3 index was 3.95% (SD=1.06), compared to an estimated 5% in the Australian population. These data indicate an unfavourable omega-3 profile in people with mental illness that could contribute to higher CVD risk.
Parasuicide, self-harm and suicide in Aboriginal people in rural Australia: A review of the literature with implications for mental health nursing practice
Publisher: Wiley
Date: 16-08-2005
The cardiopulmonary effects of etorphine, azaperone, detomidine, and butorphanol in field-anesthetized white rhinoceroses (Ceratotherium simum)
Publisher: American Association of Zoo Veterinarians
Date: 09-2007
DOI: 10.1638/2006-0038R.1
‘You Just Lose the People You Know’: Relationship Loss and Mental Illness
Publisher: Elsevier BV
Date: 04-2015
DOI: 10.1016/J.APNU.2014.11.007
Abstract: The purpose of this qualitative study was to explore the nature, scope and consequences of losses resulting from mental illness. This paper presents findings from a key theme of this study-the loss of relationships. Thematic analysis revealed two categories: loss of intimate relationships, which included subcategories of (i) spouses artners, (ii) children arenthood, (iii) family, and (iv) friends and (2) people within the community, such as people at church and support groups. Relationships are seen as one of the most crucial yet challenging elements to recovery and wellbeing for people affected by mental illness.
Suicide in older people: Revisioning new approaches
Publisher: Wiley
Date: 13-01-2016
DOI: 10.1111/INM.12182
Abstract: This discussion paper identifies and examines several tensions inherent in traditional approaches to understanding older people's suicide. Predicted future increases in the absolute number of elderly suicides are subject to careful interpretation due to the underreporting of suicides in older age groups. Furthermore, a significant number of studies of older people's death by suicide examine risk factors or a combination of risk factors in retrospect only, while current approaches to suicide prevention in the elderly place disproportionate emphasis on the identification and treatment of depression. Taken together, such tensions give rise to a monologic view of research and practice, ultimately limiting our potential for understanding older people's experience of suicide and suicidal behaviour. New approaches are necessary if we are to move beyond the current narrow focus that prevails. Fresh thinking, which draws on older people's experience of attempting to die by suicide, might offer critical insight into socially-constructed meanings attributed to suicide and suicidal behaviour by older people. Specifically, identification through research into the protective mechanisms that are relevant and available to older people who have been suicidal is urgently needed to effectively guide mental health nurses and health-care professionals in therapeutic engagement and intervention.
The impact of screen media portrayals of suicide on viewers: A rapid review of the evidence
Publisher: Hindawi Limited
Date: 27-07-2021
DOI: 10.1111/HSC.13112
The mental health status of asylum seekers in middle- to high-income countries: a synthesis of current global evidence
Publisher: Oxford University Press (OUP)
Date: 14-05-2020
DOI: 10.1093/BMB/LDAA010
Abstract: The last 5 years have witnessed a significant increase in the number of people fleeing their countries of origin and seeking refuge in host countries. By the end of 2018, there were 3.5 million asylum seekers awaiting outcomes on their applications, the majority of whom were hosted by middle- to high-income countries. This review aimed to identify and synthesize current knowledge regarding the mental health status of asylum seekers in middle- to high-income countries. A search was conducted across various databases for research literature published within the last 5 years (2014–2019). The final review and synthesis included 25 articles. Findings highlighted significant differences in the mental health status of asylum seekers compared to those with refugee status and permanent residence. Guidelines from the World Health Organization and the United Nations High Commissioner for Refugees emphasize the need to understand and address mental health issues. Instead, there have been policy changes in many host countries regarding asylum applications, and the associated effects of these changes have been shown to negatively impact mental health. The synthesized findings from the present review provide information regarding the current mental health status of asylum seekers hosted by middle- to high-income countries. Areas of intervention and resource allocation were also identified. Future research should consider the impact of large-scale, low-cost interventions to support the mental health of those seeking asylum.
Suicide prevention citizenship - nurturing future research leaders in suicide prevention through effective mentorship
Publisher: Hogrefe Publishing Group
Date: 11-2020
Portrayal of suicide in fiction and non-fiction moving-image media: a rapid review of the evidence
Publisher: University of South Australia
Date: 2019
DOI: 10.25954/52TV-JS72
Suicide in the Construction Industry: A Targeted Meta-analysis.
Publisher: Informa UK Limited
Date: 13-10-2022
DOI: 10.1080/13811118.2022.2131488
Abstract: With research suggesting an increased risk of suicide for those employed in the construction industry the present review aimed to provide an updated, targeted, and rigorous estimate of the relative risk of suicide for this population. Comprehensive searches of Medline, Psycinfo, Embase, Emcare, Web of Science, and Scopus databases, as well as grey literature and reference lists, were undertaken to identify studies which reported the rate or risk of construction industry workers' suicide. Only s les that did not incorporate other industries and utilized reference groups deemed representative of the general or employed populations, were included. Eleven studies were included in the review. Primary analysis was undertaken on seven studies deemed to have wholly s les wholly representative of the construction industry. Despite a high level of heterogeneity ( Despite limitations, this paper suggests that construction industry employees may have an elevated risk of suicide. Additionally, this review highlights the need for further research, using standardized methodologies, to generate more robust understandings. Future research will benefit by accounting for locale-specific cultural and socio-political factors and attempting to quantify more specific drivers of suicide risk for this population.
Correction: National Disability Insurance Scheme and Lived Experience of People Presenting to the Emergency Department: Protocol for a Mixed Methods Study (Preprint)
Publisher: JMIR Publications Inc.
Date: 11-11-2021
Abstract: n ‘National Disability Insurance Scheme and the Lived Experience of Psychosocial Disability for People Presenting to the Emergency Department: Protocol for a Mixed Methods Study’ some errors were noted after publication. One author has requested a revision of the text although the article was signed off the author’s contribution was not contained in the article.
Aetiology of Coexisting Mental Health and Alcohol and Other Drug Disorders: Perspectives of Refugee Youth and Service Providers
Publisher: Informa UK Limited
Date: 04-2015
DOI: 10.1111/AP.12096
The model of lived experience leadership
Publisher: SA Lived Experience Leadership and Advocacy Network and University of South Australia
Date: 2021
DOI: 10.25954/5E76-DE29
National disability insurance scheme and the lived experience of psychosocial disability for people presenting to the emergency department: Protocol for a mixed methods study
Publisher: JMIR Publications Inc.
Date: 04-11-2021
DOI: 10.2196/33268
Abstract: Currently, within Australia, 3.6% of all emergency department (ED) presentations are mental health–related. Information about the context of the person presenting to the ED (beyond immediate needs), including their psychosocial disability (PSD) National Disability Insurance Scheme (NDIS) plan, is reported as incomplete and fragmented. There are missed opportunities for early support and care continuity that could potentially inform ED practitioners to revise current practices. The aims of this study are: (1) to obtain original data from the lived experience voice of those with the PSD NDIS plan and their experience when presenting to an ED, (2) to gather information from NDIS service providers to reveal communication pathways between the ED and NDIS services, and (3) to gain knowledge from ED clinicians around processes for improving continuity of care and consumer experience. This inductive, mixed methods phenomenological study will involve data collection analyzed sequentially, with each stage informing future stages of the research. Interviews will focus on the lived experience voice exploring concerns that have led to an ED presentation, alongside an analysis of associated clinical and administrative documentation and communications. Focus groups with NDIS support workers and support coordinators will provide phenomenological data around the experience from their perspective. National quantitative surveys among those with a PSD NDIS plan and emergency services clinicians will provide insight into current practices within community care and ED presentations. The research project design includes a lived experience advisory group who are assisting with the design of the interview and focus group schedules and national surveys, as well as in shaping the interpretation of qualitative information. All transcripts will be subject to thematic analysis to understand in iduals’ meaning-making of these complex and particular phenomena. The research team includes a lived experience researcher and a lived experience carer (PhD candidate). This study is funded by MIND Australia as a PhD industry scholarship, which commenced in April 2020. A systematic review as a preresearch activity has been completed and is currently under review. The Human Research Ethics Committee of the University of South Australia has approved this project. An advisory group has been selected, and interview, focus group, and survey schedules are currently being codesigned. Recruitment will commence in November 2021. It is envisaged that data collection will be completed by June 2022. Understanding the lived experience of the precare, during care, and postcare stages of ED presentations from the perspective of those with a PSD NDIS plan will inform the research team around current practices and provide information about improvement for pathways of care for consumers and carers, while also informing health policy. PRR1-10.2196/33268
'They first killed his heart (then) he took his own life'. part 1: A review of the context and literature on mental health issues for refugees and asylum seekers
Publisher: Wiley
Date: 27-10-2005
'We're so lucky'
Publisher: Springer Science and Business Media LLC
Date: 08-11-2014
Mental health promotion and suicide prevention in Iraq after regime change
Publisher: Wiley
Date: 21-07-2003
Protective factors for older suicide attempters: Finding reasons and experiences to live
Publisher: Informa UK Limited
Date: 08-03-2019
DOI: 10.1080/07481187.2019.1578303
Abstract: This paper describes the nature and scope of protective factors that give older people reasons and experiences to live following a suicide attempt. In order to understand more about what protective factors influenced them, we conducted a multiple-case study of seven older people who attempted suicide. The main category from the within-case analysis was the self. Between-case analysis identified four main categories: interpersonal relationships, meaningful activities and interests, community engagement, and involvement of mental health services staff. These findings offer valuable insight into the meanings behind the reasons and experiences that promote survival of older people following a suicide attempt.
Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory
Publisher: Informa UK Limited
Date: 02-2010
DOI: 10.5172/CONU.2010.34.2.158
Abstract: This paper examines the mental health consultation-liaison nursing (MHCLN) role and links this to the interpersonal relations theory of nurse theorist Hildegard Peplau. The paper argues that, as mental health nursing care around the world is increasingly focused upon meaningful therapeutic engagement, the role of the MHCLN is important in helping to reduce distressing symptoms, reduce the stigma for seeking help for mental health problems and enhancing mental health literacy among generalist nurses. The paper presents a small case exemplar to demonstrate interpersonal relations theory as an engagement process, providing patients with methodologies which allow them to work through the internal dissonance that exists in relation to their adjustment to changes in life roles precipitated by physical illness. This dissonance can be seen in the emergence of anxiety, depression and abnormal sychogenic illness behaviours. This paper concludes arguing for considerable effort being given to the nurse-patient relationship that allows for the patient having freedom to use strategies that may help resolve the dissonance that exists.
Communication pathways from the emergency department to community mental health services: A systematic review.
Publisher: Wiley
Date: 22-05-2022
DOI: 10.1111/INM.13024
Abstract: This systematic review synthesizes existing peer reviewed evidence reporting on evaluated strategies used for enhancing communication pathways for continuity of care between the emergency department and mental health community supports. Following the PRISMA guidelines and the PICO framework, this review was conducted between January and July 2021. Included articles needed to evaluate communication pathway interventions for continuity of care between the emergency department and mental health community services which support service users with mental health and/or suicidal crisis. The seven included studies identified three support coordination interventions, two motivational interviewing interventions, an electronic record enhanced strategy and results from a phone follow-up study. This review demonstrates that support coordination, motivational interviewing, education, or an enhanced electronic record strategy can improve continuity of care, and in some cases, reduce the need for people to re-present to ED when they are experiencing mental health concerns or suicidal crisis. Results of this review reveal that a multipronged approach of communication pathways for continuity of care would enable more effective connections with mental health community supports and enable better outcomes for people requiring services.
Mental health and legal representation for asylum seekers in the ‘legacy caseload’
Publisher: University of Technology, Sydney (UTS)
Date: 26-07-2016
Abstract: This article examines the legal challenges asylum seekers arriving by boat to Australia experience when seeking assistance with their claims and its impact on their mental health. The authors outline the experiences of asylum seekers in the “legacy caseload” group who have been waiting up to four years to have their protection claims assessed. The complex interplay between legal assistance to support refugee claims and the way those making claims inevitably struggle to understand, engage and participate in the process is analysed. It is argued that provision of legal assistance for this group will be essential to ensuring that the refugee status determination process is fair and allows asylum seekers to understand and participate more fully in the process. Recent changes to the assessment of claims combined with a reduction in funding for legal assistance create significant hurdles and combine to compound existing stress and emotional trauma leading to detrimental outcomes on the mental health of asylum seekers.
A roadmap for strengthening lived experience leadership for transformative systems change in South Australia: activating lived experience leadership
Publisher: SA Lived Experience Leadership and Advocacy Network and University of South Australia
Date: 2021
DOI: 10.25954/J621-ER83
Cognitive behavioural therapy for older adults with depression: a review
Publisher: Informa UK Limited
Date: 30-10-2014
DOI: 10.3109/09638237.2014.971143
Abstract: Depression is a major public health concern of global significance. The illness diminishes overall quality of life and has been associated with significant distress and disability in physical, interpersonal, and social role functioning. Over the past few decades, a consensus has evolved that cognitive behavioural therapy (CBT) can be an effective treatment for depression in older adults however, little attention has been given to its effect on them. The purpose of this review was to examine the current use of CBT and its effect on older adults with depression. A web-based literature search was performed to identify original research articles published from 2000 to 2013 using a three-step search strategy. Evidence indicates that cognitive behavioural therapies are likely to be efficacious in older people when compared with treatment as usual. This is consistent with the findings of several systematic reviews and meta-analyses undertaken across a wider age range. Given that many older adults with depression are reluctant to accept antidepressant medication or unable to tolerate their side effects, CBT can be used as an option in treating depression in older adults.
On postdoctoral research fellowships in mental health nursing.
Publisher: Wiley
Date: 06-2001
Role of the pharmacist in suicide prevention: primely positioned to intervene
Publisher: Wiley
Date: 10-07-2019
DOI: 10.1002/JPPR.1552
Support to heal the scars of war
Publisher: Wiley
Date: 22-07-2003
Mental health of people of immigrant and refugee backgrounds
Publisher: Cambridge University Press
Fostering mental health and well-being among workers who support refugees and asylum seekers in the Australian context
Publisher: Hindawi Limited
Date: 20-04-2020
DOI: 10.1111/HSC.12991
The Fast Track Refugee Assessment Process and the Mental Health of Vulnerable Asylum Seekers
Publisher: Informa UK Limited
Date: 15-05-2015
Cognitive Behavioral Therapy for Depression in Older Adults: Clinician and Consumer Views and Perspectives
Publisher: Global Science & Technology Forum (GSTF)
Date: 23-06-2014
A model of succession planning for mental health nurse practitioners
Publisher: Wiley
Date: 07-2010
'The chicken or the egg': barriers and facilitators to collaborative care for people with comorbidity in a metropolitan region of South Australia
Publisher: Informa UK Limited
Date: 14-10-2016
DOI: 10.1080/01612840.2016.1233596
Abstract: Mental health disorder and alcohol and other drug comorbidity is prevalent in Australia. This qualitative study used semistructured interviews (N = 20) to elicit clinicians' and workers' knowledge, experiences, and opinions regarding issues pertaining to service needs of people with comorbidity in a metropolitan region of South Australia. The study revealed barriers to effective access and delivery of comorbidity care by MH and AOD services. Participants reported difficulties with identification, access, suitability, policy, funding, and collaboration between sectors and services responding to comorbidity. Results suggest that these models of practice were inadequate influencing the delivery, consistency, and reliability of comorbidity care.
Dietary intervention for people with mental illness in South Australia
Publisher: Oxford University Press (OUP)
Date: 31-07-2016
Abstract: People with serious mental illness (SMI) have a 25-30 year lower life expectancy than the general population due largely to cardiovascular disease (CVD). Mediterranean diet can reduce CVD risk and repeat events by 30-70%. We conducted a pilot feasibility study (HELFIMED) with people who have SMI residing within a Community Rehabilitation Centre in South Australia, aimed at improving participants' diets according to Mediterranean diet principles. During a 3-month intervention, participants were provided with nutrition education, food h ers, and twice-weekly cooking workshops and guided shopping trips. This report presents the results of a mixed method evaluation of the programme using thorough in-depth interviews with participants and support staff (n = 20), contextualized by changes in dietary biomarkers and CVD risk factors. The framework thematic analysis revealed evidence of improvements in participants' knowledge of and intake of the key elements of a Mediterranean-style diet (fruit and vegetables, olive oil, fish, legumes), reduction in poor nutrition habits (soft drinks, energy drinks, take away meals) and development of independent living skills-culinary skills such as food preparation and cooking based on simple recipes, food shopping and budgeting, healthy meal planning and social interaction. These changes were supported by dietary biomarkers, and were associated with reduced CVD risk factors. A Mediterranean diet-based pilot study achieved positive change in dietary behaviours associated with CVD risk for participants with SMI. This supports a need to include dietary education and cooking skills into rehabilitation programmes for people with SMI.
Serbian Australians in the Shadow of the Balkan War
Publisher: Routledge
Date: 12-01-2018
Community educators as supporters in ethnographic research
Publisher: Wiley
Date: 15-11-2005
Services and supports for refugees and asylum seekers
Publisher: Routledge
Date: 07-04-2017
Carer perspectives of people diagnosed with borderline personality disorder: A scoping review of emergency care responses
Publisher: Elsevier BV
Date: 03-2019
DOI: 10.1016/J.AUEC.2018.12.001
Abstract: Caring for a person with borderline personality disorder remains largely stigmatised and misunderstood. When a crisis arises, carers often seek help with the person they care for in emergency care settings such as the emergency department. The aim of this review was to explore, locate and compile the literature regarding the perspectives of family carers for a person with borderline personality disorder in an emergency care setting with a focus on nursing practices. This review advances understandings of carer perspectives in emergency care settings. The Joanna Briggs Institute (2015) [1], methodology for scoping reviews guided this review. A search of Emcare, Medline and Ovid Nursing was performed during April 2018, to identify literature where carer views and perspectives on engaging with emergency care services were reported. A grey literature search was also conducted. A total of ten articles and reports were included in this review. Consultation with a carer support group precipitated this review, which assisted in the formulation of the research questions. Papers found via the study focused on health professional responses, rather than on nursing practice. Findings indicate that carers often perceive emergency departments as the only option for emergency care in a crisis. Carers require information about how to effectively manage a crisis with their loved one more effectively. This scoping review identified that carers are often not consulted or engaged with by health professionals. Carers often perceive that nurses and health professionals have a lack understanding about the consumer's conceptualisation of distress and the nature of BPD, which becomes a barrier to effective crisis support and management. The literature often reported that a trusting and collaborative relationship between carers, nurses and health professionals demonstrated improved outcomes for the carer and consumer.
The Experience of Long Distance Devastation: Globalisation of Worry
Publisher: Routledge
Date: 12-01-2018
Mental Health
Publisher: Cambridge University Press
Date: 20-12-2013
A qualitative inquiry into consumer beliefs about the causes of mental illness
Publisher: Wiley
Date: 19-07-2012
DOI: 10.1111/J.1365-2850.2012.01952.X
Abstract: This paper examines consumer or service user beliefs about the causes of mental illness. It presents a qualitative, participatory action research study involving semi-structured in-depth interviews with 16 people who had been diagnosed with a mental illness and attended a community mental health centre in metropolitan South Australia. Inductive thematic analysis was undertaken, with a range of beliefs about the possible cause of mental illness identified. Findings are organized within two key areas: social or environmental factors and physical or biological factors. The social or environmental category included varied situations, clustered under the subcategories of: stress during childhood, events in adulthood and religious beliefs. Physical or biological factors included beliefs that mental illness was inherited, caused by brain malfunction or chemical imbalance. Of note, one-third of consumer participants who discussed possible causes of mental illness identified multiple potential causes. Implications for service delivery, specifically related to therapeutic trust and engagement, are also considered.
Prevalence of multiple antipsychotic use and associated adverse effects in Australians with mental illness.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2016
Exploring mental health clients' current medication knowledge, beliefs and experience with healthcare providers in the community in South Australia
Publisher: Hindawi Limited
Date: 23-09-2022
DOI: 10.1111/HSC.14029
Abstract: In Australia, mental illness has been recognised as a National Health Priority area, with the coronavirus pandemic adding a layer of urgency to the need to address the multiple health problems faced by clients with mental illnesses. Whilst much has been done in efforts to support these clients, little is known about their medication knowledge and experience with health professionals. The aim of the study was to explore the knowledge and beliefs of clients on the use of psychotropic medications and study their experiences with healthcare providers. Adult participants at a not-for-profit community-managed specialist mental health service provider in Adelaide, South Australia were recruited. Four focus group sessions were conducted between February 2020 and March 2021. All sessions were co-facilitated by a peer practitioner with lived experience. Sessions were audio recorded and transcribed verbatim. Participants (n = 27) reported that provision of medication education was inadequate and, in some cases, non-existent. There was an apparent lack of support for monitoring and managing common side effects, such as weight gain. Participants described not being involved in any decision-making processes and that establishing and maintaining a therapeutic relationship with their healthcare providers was challenging. Perceived stigma remains a barrier in accessing healthcare. Despite participants regularly interacting with a range of healthcare providers, findings highlight key gaps in care, particularly medication education and establishing a therapeutic relationship with their healthcare providers. Future mental health reforms should consider the provision of additional medication education in community settings, such as at not-for-profit organisations. Moreover, healthcare providers should take a proactive approach in establishing therapeutic relationships.
The Emergency Telephone Conversation in the Context of the Older Person in Suicidal Crisis: A Qualitative Study
Publisher: Hogrefe Publishing Group
Date: 07-2013
DOI: 10.1027/0227-5910/A000189
Abstract: Background: Suicide in older people is a significant public health issue with a predicted future increase. Contemporary research directs considerable attention toward physical, mental, and social risk factors that contribute to suicidality in older people still, little is understood about the fundamental meanings that older people in suicidal crisis attribute to these factors. Aims: The aim of this qualitative study was to describe, analyze, and compare counselors’ and older peoples’ perceptions of the suicidal crisis during an emergency telephone conversation. Methods: Data collection consisted of in idual interviews with telephone counselors (N = 7) working within an emergency mental health triage service, and listening to telephone calls (N = 14) received by the service responding to people aged 65 years and over in suicidal crisis. Triangulation of the two data sets resulted in the emergence of three key themes. Results: We found (1) congruence in the way risk factors were perceived by counselors and communicated during telephone conversations, (2) dissension between counselors’ perceptions of end-of-life issues and older people’s feelings of ambivalence about wanting to die and not knowing what to do and (3) the need for working side-by-side with the older person, exploring acute changes and immediate capacity for change. Conclusions: An explicit focus on risk factors alone may preclude counselors from gaining a deeper understanding of suicidal crisis in an older person’s life. This research has begun to capture and illuminate how telephone counselors can deliver effective crisis intervention as older people struggle and make meaning through their suffering.
COVID-19 and mental health mental health and suicide prevention in South Australia as we enter the next stage of pandemic [10-01-2022]
Publisher: University of South Australia
Date: 2022
DOI: 10.25954/X9S9-8592
A systematic review of personality disorder amongst people with intellectual disability with implications for the mental health nurse practitioner
Publisher: Wiley
Date: 13-10-2008
From the community to the emergency department: A study of hospital emergency department nursing practices from the perspective of carers of a loved one with Borderline Personality Disorder
Publisher: Hindawi Limited
Date: 09-2021
DOI: 10.1111/HSC.13558
Abstract: Carers of loved ones with Borderline Personality Disorder (BPD) often present to Emergency Departments (ED) during acute crisis situations. The initial contact for the carer and consumer in distress is often an emergency nurse. By gaining a greater understanding of carers (18+) perspectives on ED nursing practices when consumers with BPD are requiring crisis support, knowledge about preferred and best practice can be gained. To obtain this knowledge, four semi-structured focus group interviews were undertaken with a purposive s le of 13 carers through existing carer networks. Transcripts were analysed thematically to identify shared experiences and perspectives across interviews. Four key themes emerged: challenges in accessing crisis support, the need for communication, stigmatising practices, and different levels of care. Findings highlight the ED is viewed as a frontline service which has the capacity to link with another specialist supports when in crisis. Despite this Communication, confidentiality issues and stigmatising practices continue. The results of this study have implications for nursing practice in the ED, providing important insights that can potentially benefit the carer, consumer and the ED to improve the quality of care offered for people in crisis.
Lived experience leadership for organisational and systems change: a scoping review of concepts and evidence
Publisher: University of South Australia
Date: 2020
DOI: 10.25954/HX8Z-GE09
Service provider barriers to treatment and care for people with mental health and alcohol and other drug comorbidity in a metropolitan region of South Australia
Publisher: Emerald
Date: 17-08-2015
Abstract: – The purpose of this paper is to elicit clinicians’ and workers’ knowledge, experiences and opinions of key issues pertaining to comorbidity service needs of people aged 12 years and over in a metropolitan region of South Australia. – As one component of a participatory action research project, this qualitative study used semi-structured interviews with mental health (MH) and alcohol and other drug (AOD) clinicians and workers ( n =20). – The participants expressed concerns involving stigma towards their clients. They highlighted lack of adequate MH and AOD comorbidity service accessibility and models, regularly available clinical comorbidity workforce development, and practice supervision and skills training. These factors influenced participants’ and their colleagues’ capacity and ability to access and provide appropriate help for people needing integrated treatment and care of their co-existing comorbid conditions. – Findings highlight the need for coordinated and integrated, in idualised holistic comorbidity services, including treatment and care best suited to Aboriginal people and refugees. – This study emphasises the importance of government and non-government MH and AOD services ensuring that comorbidity is responded to collaboratively and systemically. It also demonstrates the importance of professional development.
The extent of antipsychotic use in Australian residential aged care facilities and interventions shown to be effective in reducing antipsychotic use: A literature review
Publisher: SAGE Publications
Date: 28-08-2020
Abstract: At least half of all residents of Australian residential aged care facilities have dementia. Most residents living with dementia will at some stage experience behavioural and psychological symptoms of dementia (BPSD), which can be challenging to manage and distressing for the resident, their family and carers. This literature review examined the prevalence of antipsychotic use in Australian residential aged care facilities, which may be used to manage BPSD only after non-pharmacological treatments have failed. Sixteen studies assessing care between 2000 and 2017 were identified and reviewed. The proportion of residents prescribed an antipsychotic ranged from 13% to 42%. Evidence from six Australian interventions showed that the antipsychotic use can be reduced, especially when non-pharmacological interventions that are in idualised to the person and the behaviour are implemented. Research has shown that antipsychotics can be tapered and ceased without re-emergence of behavioural symptoms in many instances. Multidisciplinary, multi-strategic approaches have demonstrated effectiveness in reducing antipsychotic use by up to 3% (absolute reduction) in the aged-care setting.
Suicidal Ideation and Psychological Strain Among Patients Diagnosed With Stomach Cancer
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2017
Merging perspectives: obstacles to recovery for youth from refugee backgrounds with comorbidity
Publisher: SAGE Publications
Date: 05-05-2015
Abstract: This research aimed to identify challenges encountered by young people from refugee backgrounds with co-existing mental health (MH) and alcohol and other drug (AOD) problems (comorbidity) and sought to compare the perspectives of refugee youth and service providers in a metropolitan region of Adelaide, South Australia. Semi-structured interviews were conducted with two groups of participants: young people from refugee backgrounds (African, Afghan, Bhutanese) and workers from MH, AOD and refugee support services. The refugee youth reported that the biggest difficulty they face once they develop MH and AOD problems is social disconnectedness. They lacked awareness that services are available to support them. In contrast, clinicians rated difficulty accessing and receiving culturally competent comorbidity care as the greatest challenge. Other reported challenges were relatively consistent across both groups. This study has implications for how we engage these young people in services, prioritise areas of care and effectively treat and support refugee youth experiencing comorbidity. These findings emphasise the need for a combined therapeutic casework approach, addressing needs such as social connectedness, housing, education and employment.
Engaging with culturally and linguistically diverse communities to reduce the impact of depression and anxiety: a narrative review
Publisher: Hindawi Limited
Date: 04-05-2016
DOI: 10.1111/HSC.12241
Abstract: Culturally and linguistically erse (CALD) communities in Australia face significant challenges in terms of reducing barriers to information and support for depression and anxiety. Increased stigma surrounding mental ill-health in some cultures and related concerns about trust and confidentiality all impact upon timely access to information, services and support for consumers and carers from CALD backgrounds. For health services, there is a need to understand how to better engage CALD communities in mental healthcare. The objective of this narrative review was to identify ex les of evidence-based, best practice for what works effectively for engaging with CALD communities to reduce the impact of depression and anxiety. In January 2014, we searched Academic Search Premier, CINAHL, Health-Source Consumer Edition, PsycARTICLES, PsycINFO (all databases within the EbscoHost platform) and PubMed for peer-reviewed articles published between 1994 and 2014. The search revealed a total of 706 records contained within the EbscoHost platform and 689 records in PubMed 15 matched the inclusion criteria. Six key themes were identified: (i) setting the scene for engagement (ii) cultural values and preferences (iii) language considerations (iv) 'engagers' in the therapeutic process (v) opening out engagement to include others and (vi) engaging through the use of technology and alternative mediums. The literature obtained provides a small body of evidence regarding approaches to engaging CALD communities, with findings highlighting the importance of processes which are tailored to the CALD community of interest and which take into account different cultural explanatory models of mental ill-health. Review findings are also discussed within the framework of intersectionality, in which broader structural inequalities and power imbalances - in areas such as gender and social class - collectively impact on help-seeking and mental health outcomes. This review supports further enquiry into how such societal issues influence engagement - and disengagement - in mental health services for CALD communities.
The developing role of Transition to Practice programs for newly graduated mental health nurses
Publisher: Wiley
Date: 24-05-2011
A state-wide quality improvement system utilising nurse-led clinics for clozapine management
Publisher: SAGE Publications
Date: 08-05-2014
Abstract: This paper describes the implementation of a state-wide clozapine management system to improve the quality of care for those with treatment-resistant schizophrenia. This intervention includes standardised forms, computer-based monitoring and alerting and nurse-led clinics for stable consumers. Methods used during system development included medical record and clinical information system audit, consensus review of available evidence and qualitative review of existing forms, systems and stakeholder opinion. Nurse-led monitoring safely reduced medical outpatient appointments by 119 per week in metropolitan public clinics. In the 15 months following the implementation of all interventions, mortality associated with physical illness not related to malignancy was reduced from an average of 5 deaths per year to one. Differing interpretations of clozapine guidelines have contributed to confusion around monitoring. Standardised documentation has helped to increase understanding and improve protocol adherence. A regular training programme has increased basic knowledge of risks and protocols. Computer-based documentation and alerting systems have improved communication between hospital and community-based teams and prompted early intervention reducing the risk of adverse events. These factors have combined to help improve outcomes in clozapine management. Nurse-led clinics are a safe and efficient alternative for monitoring clozapine treatment.
The impact of trauma‐informed suicide prevention approaches: A systematic review of evidence across the lifespan
Publisher: Wiley
Date: 08-08-2023
DOI: 10.1111/INM.13048
Abstract: Trauma is associated with an increased likelihood of experiencing suicidality, indicating the need for and potential value of trauma‐informed suicide prevention strategies. The aim of this study is to systematically review published literature regarding trauma‐informed approaches for suicide prevention, and the impact on suicide outcomes. Systematic searches were conducted in eight databases (Medline, Embase, PsycInfo, Emcare, Nursing, and JBI in the Ovid platform as well as ProQuest Psychology Database and The Cochrane Library) in March 2022, with no publication date limit. Four studies met the inclusion criteria: two randomized controlled trials and two quasi‐experimental studies. Two studies reported reductions in ideation, intent, and behaviour among youth and a cultural minority group. Few studies directly reporting suicide outcomes were identified, all were quantitative, and heterogeneity prevents generalizability across population groups. Currently, there is limited evidence focusing specifically on trauma‐informed suicide prevention across the lifespan. Additional research, incorporating lived experience voices, is needed to understand the potential of this approach, as well as how mental health nurses can incorporate these approaches into their practice.
Review: Exploring the role of mental health nurse-practitioner in the treatment of early psychosis
Publisher: Wiley
Date: 25-03-2011
DOI: 10.1111/J.1365-2702.2010.03574.X
Abstract: Aims and objectives. The aim of this paper is to examine high‐level evidence in early intervention in psychosis and scope the potential role of the mental health nurse‐practitioner in the treatment of management of early psychosis. Background. Psychosis imposes complex symptoms that impact on the in idual and their social network, often resulting in long‐term disability. As specialised early intervention in psychosis is emerging, the nurse‐practitioner role in mental health is also gaining momentum. The background literature highlights several critical synergies between nurse‐practitioners’ scope of practice and needs of patients with early psychosis. Design. Literature review. Method. Electronic databases including Cochrane Library, CINAHL, Medline, TRIP and EMBASE. Searching was limited to articles published between 1988–2009. Eligible studies were limited to systematic reviews and randomised controlled trials. Results. Two systematic reviews and five randomised controlled trials met the inclusion criteria. No studies were located which specifically addressed the nurse‐practitioner role in early psychosis. Conclusions. Specific interventions require further research but there is emerging evidence that specialised intervention for people in the early phase of psychotic illness is achievable and possibly essential. It is within the scope of practice of mental health nurse‐practitioners to ensure patient and carer education and support, adherence to medication and other treatments, promotion of social inclusion and social connectedness. Relevance to clinical practice. Mental health nurse‐practitioners have the potential to provide specialist support to meet the needs of this complex group. Central to this is an ability to build an evidence‐base around the treatment and management of people with early psychosis and deliver effective education and leadership across clinical, inter‐professional and organisational domains. The paper concludes by positing a set of recommendations for nurse‐practitioners in the field of early psychosis in the Australian mental health setting.
The impact of suicide prevention education programmes for nursing students: A systematic review
Publisher: Wiley
Date: 22-06-2020
DOI: 10.1111/INM.12753
A brief survey of emerging issues in Australian mental health care
Publisher: Elsevier BV
Date: 08-2008
Management of a complex wound in a person with a spinal cord injury and mental illness
Publisher: Mark Allen Group
Date: 09-2010
DOI: 10.12968/JOWC.2010.19.9.78236
Abstract: This paper highlights the important nexus between physical and mental health by examining a case concerning a patient with a lower spinal cord injury andmental illness who subsequently developed two pressure ulcers. It examines how clinicians can benefit from looking beyond typical assumptions when caring for an in idual with complex needs in the community setting. In such circumstances, the need for a holistic and collaborative approach to wound care is vital. This involves taking into account the in idual's mental health care needs, which can be overlooked in the first instance. Recommendations for clinical practice centre on involving the patient in his or her dietary, psychological and physical care, thereby helping to build resilience to any mental health problems and promoting a positive physical recovery
The effectiveness of suicide prevention education programs for nurses: A Systematic Review
Publisher: Hogrefe Publishing Group
Date: 03-2018
DOI: 10.1027/0227-5910/A000479
Abstract: Abstract. Background: Education to improve health professionals' responses to suicide is considered an important suicide prevention strategy. However, the effectiveness of this approach for nurses is unclear. Aim: To systematically review the peer-reviewed literature regarding the effectiveness of suicide prevention education programs for nurses. Method: Nine academic databases (CINAHL, Cochrane Reviews & Trials, Embase, Informit Health Collection, Joanna Briggs Institute, Medline, PsycINFO, Scopus, and Web of Science) were searched in November 2016, utilizing search terms related to suicide, education, and nurses, with no limits placed on publication date or study design. Results: The search yielded 5,456 identified articles, 11 of which met the inclusion criteria. Studies were primarily quantitative (RCTs n = 3 quasi-experimental n = 6 qualitative n = 2), and involved nurses (range = 16–561) working in a ersity of settings, particularly hospitals (n = 9). Studies revealed positive changes in nurses' competence, knowledge, and attitudes associated with training over the short term. Limitations: The heterogeneity of education programs and methodological weaknesses of included studies limit the conclusions drawn. Conclusion: There is a moderate body of evidence to support the effectiveness of suicide prevention education programs for nurses. Future research should examine longer-term changes in clinical practice and strategies for continuing education, with more rigorous study designs.
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