Improving The Evidence Base For Suicide Prevention Initiatives
Funder
National Health and Medical Research Council
Funding Amount
$772,209.00
Summary
The burden of suicide persists partly because we don’t know what works and what doesn’t work in suicide prevention. Relatively little research effort has been invested in studies that can tell us how best to direct resources. The problem is compounded by a disconnect between researchers and decision-makers. Through this Fellowship, Jane Pirkis will develop and implement a model for working with decision-makers to generate the best possible evidence upon which to base suicide prevention policy.
A Randomised Clinical Trial Of Internet-based Treatment For Binge Drinking And Depression In Young Australians
Funder
National Health and Medical Research Council
Funding Amount
$941,787.00
Summary
This project focuses on a common clinical problem that causes substantial functional, economic and health impacts; comorbid depression and binge drinking. These conditions are under-treated and peak in young adulthood. This project offers a low cost, wide reach, youth-appropriate treatment, which will have profound implications for service design and health policy. It relates to current Commonwealth initiatives in e-health and e-Psychology.
The Evaluation of Stuctures and Processes for Effective Client, Carer and Community Outcomes: A Model for Rural Mental Health Services. The South West Healthcare Area Mental Health Service ( Warnambool) has demonstrated according to key performance indicators, an effective system of service delivery. This evaluative research project seeks to identify key components within the organisational structures and processes of a rural mental health service that contribute to these effective outcomes fo ....The Evaluation of Stuctures and Processes for Effective Client, Carer and Community Outcomes: A Model for Rural Mental Health Services. The South West Healthcare Area Mental Health Service ( Warnambool) has demonstrated according to key performance indicators, an effective system of service delivery. This evaluative research project seeks to identify key components within the organisational structures and processes of a rural mental health service that contribute to these effective outcomes for clients. The research process will test these key components against other rural and urban mental health services in Victoria and will result in the development of a model for rural mental health service delivery of both local and national significance.Read moreRead less
Catch Them When They Fall: Providing Best Evidence Care After A Suicide Attempt
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
A previous suicide attempt is the strongest predictor of death by suicide. There is a strong evidence base for the key changes required to care after a suicide attempt: implementing evidence-based care is estimated to reduce suicide attempts at the population level by approximately 12%. Yet this is an area of health services that has been difficult to reform. This project is aimed at implementing best-evidence practice in four regions of NSW, where I have established partnerships.
A Stepped Care Approach For The Management Of Childhood Anxiety Disorders: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$936,628.00
Summary
Anxiety disorders are the most common form of mental disorder in childhood. Research has led to some good treatments but these don't necessarily suit all families. Stepped care is a format that allows the least complicated treatment to be given to a child first, followed by more intense treatments only when needed. The current study aims to compare this approach against a standard, established treatment. We expect the stepped care approach to result in better outcomes at a lower overall cost.
Implementing Safewards In Victoria: Evaluating Acceptability And Outcomes For Consumers And Staff
Funder
National Health and Medical Research Council
Funding Amount
$81,802.00
Summary
Safewards is a theory and specific strategies for inpatient mental health services, intended to create a safer and more supportive environment. Safewards was trialled in Victorian wards, this project will utilise the information collected in the trial. It aims to understand the impact of the implementation of Safewards from the perspectives of consumers and staff. Ultimately my research will provide evidence about the appropriateness of Safewards in Victorian mental health inpatient services.
Depression Prevalence: Delineation Issues In 2007 National Mental Health & Wellbeing And 2008 South Australian Surveys
Funder
National Health and Medical Research Council
Funding Amount
$257,051.00
Summary
It is believed depression is increasing and Australia has many health interventions to help, but it is unknown if these are reducing depression prevalence. Two surveys have reported on depression in the past 10 years. One shows it is decreasing, the other it is increasing. This study will examine depression measurement in both surveys to find out why they disagree. The findings will have implications for future depression measurement and what health care interventions should be planned.
Evaluation Of Internet-based, Cognitive Behaviour Therapy For The Treatment Of Anxiety Disorders In Adolescents
Funder
National Health and Medical Research Council
Funding Amount
$570,750.00
Summary
Anxiety disorders affect around 5-10% of adolescents and are associated with a range of adverse consequences if left untreated. The majority of young people with anxiety disorders do not seek nor receive treatment. This may be due partly to the perceived stigma of attending a mental health clinic and logistic problems of attending therapy. A challenge is to identify ways in which treatment can be made more accessible to adolescents in need, particularly those in rural and remote areas. Contrary ....Anxiety disorders affect around 5-10% of adolescents and are associated with a range of adverse consequences if left untreated. The majority of young people with anxiety disorders do not seek nor receive treatment. This may be due partly to the perceived stigma of attending a mental health clinic and logistic problems of attending therapy. A challenge is to identify ways in which treatment can be made more accessible to adolescents in need, particularly those in rural and remote areas. Contrary to original beliefs, evidence shows that the internet can be used to deliver effective psychological therapies for a range of mental health problems, including anxiety disorders. So far this research has focused on adults, but adolescents may be in a particularly strong position to benefit from these forms of therapy, being experienced users of internet resources. This research investigates the effectiveness of internet-based cognitive-behaviour therapy (CBT) in the treatment for anxiety disorders in adolescents. Recently we have piloted CBT for anxious children that combines clinic and internet therapy, with half the therapy sessions in the clinic and half over the internet. Pilot data show that clinic + internet therapy produced significant reductions in anxiety and is almost as effective full clinic-based therapy. The proposed research builds on our pilot work by evaluating the effectiveness of a more extensive internet-based therapy in which all sessions are completed using the internet and with an older age group. The research also examines the factors that predict which young people will respond most positively to the intervention so that the treatment can be matched to those most likely to benefit from it in the future. The aim is to develop an effective internet-based treatment for adolescents with anxiety disorders that is easily accessed and suitable for use in rural and remote populations, requiring minimal face-to-face therapist contact.Read moreRead less
Priority-Setting In Australian Mental Health Services: Improving The Economic Evidence Base And Its Relevance To Decision-makers.
Funder
National Health and Medical Research Council
Funding Amount
$310,521.00
Summary
Cathrine Mihalopoulos is dually qualified in psychology and economics and has a growing international reputation for her work in mental health economics (evidenced by publication in high calibre journals, invitations to attend international meetings and collaborate on grants). Her PhD evaluated the cost-effectiveness of preventive interventions for mental disorders. Her ECR program will expand this work helping to ensure Australian mental health services are effective and cost-effective.