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I am a psychiatric epidemiologist with a focus on the biological, psychological and social determinants of healthy development during adolescence and the consequences of youth health problems on later health and well-being.
Alcohol,tobacco, Illicit And Prescribed Drugs: Prospective Cohorts And RCTs
Funder
National Health and Medical Research Council
Funding Amount
$714,745.00
Summary
This research addresses the important areas of infant, childhood, adolescent, adult, and family well-being and the effects of exposure to tobacco, alcohol, and illicit drug use. The impacts of these substances on psychological, cognitive, vocational, and physical well-being remain poorly researched. A related set of research projects is aimed to build the evidence base for effective intervention to prevent or manage psychological and cognitive sequelae from such exposure.
Empowering The Community To Take Action On Prevention And Early Intervention For Mental Disorders
Funder
National Health and Medical Research Council
Funding Amount
$756,030.00
Summary
The vision of this application is to make Australia the world leader in research which empowers the community to take action for prevention and early intervention with mental disorders.
Alcohol Use Disorders In Young Adults: Youthful Epidemic Or Diagnostic Bias?
Funder
National Health and Medical Research Council
Funding Amount
$198,874.00
Summary
Epidemiological studies show that 1 in 5 Australians aged 18-24 are diagnosed as having an alcohol use disorder. However, there is evidence to suggest that young adults may interpret the diagnostic criteria differently to older adults. The current study aims to validate the alcohol use disorder criteria in younger populations through the use of novel cognitive interviewing techniques.
Single-focussed Versus Integrated Cognitive Behaviour Therapy For Co-occurring Depression And Alcohol Use Problems
Funder
National Health and Medical Research Council
Funding Amount
$777,500.00
Summary
This study is significant and timely in that it proposes a large-scale randomised controlled trial of cognitive behaviour therapy (CBT) for people with co-occurring depression and alcohol use problems. To date, very few researchers have conducted research within this population, whose complex presentation makes it difficult for treatment providers to select and deliver effective treatment programs. Thus, although rates of depressive disorders and alcohol use problems are on the increase in our c ....This study is significant and timely in that it proposes a large-scale randomised controlled trial of cognitive behaviour therapy (CBT) for people with co-occurring depression and alcohol use problems. To date, very few researchers have conducted research within this population, whose complex presentation makes it difficult for treatment providers to select and deliver effective treatment programs. Thus, although rates of depressive disorders and alcohol use problems are on the increase in our community, it is still not clear how best to manage and treat this group of people. Typically, people will often receive treatment for one part of their presentation, for example their depression or alcohol use problem. However, it is uncommon for the two conditions to be treated in an integrated way. This is certainly true for psychological treatments. Research programs to date have explored effective treatments for depression and alcohol use in the absence of the co-occurring condition. Currently it is not known how well people with co-occurring alcohol use problems and depression respond to treatments with a singular focus. Furthermore, it is not known whether integrating both alcohol use and depressive treatment approaches provides any additional benefit. This study is therefore significant, as it is one of the first to explore effective treatment approaches among people with co-occurring depressive and alcohol use problems. Resolution of these issues will better inform the treatment choices of clinicians practicing in both mental health and alcohol-other drug settings. Importantly, this will potentially improve the match between treatment and people with depression and substance use problems, a clinically prevalent population encountered in community settings.Read moreRead less
Mental Disorders And The Social Transitions Of Adulthood: A 20-year Follow-up Of The Victorian Adolescent Health Cohort Study
Funder
National Health and Medical Research Council
Funding Amount
$441,224.00
Summary
This study aims to understand how transitions to parenthood, marriage and employment might be affected by the experience of a mental disorder or problems with alcohol or other drugs. It will also look at a question of whether making a good transition (e.g. a satisfying marriage) can help recovery from a mental or substance use disorder.
Implementation and evaluation of a program to reduce alcohol and related problems among farm men and women. Farming is pivotal to Australia's food production and economy; yet farm communities are under great stress. The Sustainable Farm Families program aims to strengthen rural communities across Australia, and our project will add an important component to it by producing an evidence-based strategy for encouraging farm men and women to adopt more positive alcohol-related behaviours that will l ....Implementation and evaluation of a program to reduce alcohol and related problems among farm men and women. Farming is pivotal to Australia's food production and economy; yet farm communities are under great stress. The Sustainable Farm Families program aims to strengthen rural communities across Australia, and our project will add an important component to it by producing an evidence-based strategy for encouraging farm men and women to adopt more positive alcohol-related behaviours that will lead to better physical and mental health. We expect that our project will reduce the level of dangerous alcohol consumption and enhance the economic, social and cultural fabric of rural Australia.Read moreRead less
Randomised Controlled Trial Of Cognitive Behaviour Therapy To Prevent Psychosis Among People With At-risk Mental States.
Funder
National Health and Medical Research Council
Funding Amount
$619,604.00
Summary
Recent advances in the accurate identification of individuals at high risk of developing a psychotic disorder, such as schizophrenia, have inspired the development of interventions designed to delay, ameliorate or even prevent the onset of such disorders. To date, the results of only three randomised controlled trials of such interventions have been published. Although these results have shown that interventions are able to delay the onset of psychosis, and may even prevent psychosis in some cas ....Recent advances in the accurate identification of individuals at high risk of developing a psychotic disorder, such as schizophrenia, have inspired the development of interventions designed to delay, ameliorate or even prevent the onset of such disorders. To date, the results of only three randomised controlled trials of such interventions have been published. Although these results have shown that interventions are able to delay the onset of psychosis, and may even prevent psychosis in some cases, it is unclear which treatment should be preferred for this population because the three trials have assessed, respectively, a combination of anti-psychotic medication and cognitive behaviour therapy (CBT), CBT alone, and anti-psychotic medication alone. Since the trial of CBT alone produced results that were at least as favourable as the two other trials, and since ethical and clinical objections have been raised concerning the use of anti-psychotic medications with young people who may never develop a psychotic disorder, CBT may be the preferred treatment. Far from posing unnecessary risks, CBT has the potential to provide important therapeutic benefits even to those not destined to develop a psychosis. The current study is significant in that it proposes a controlled trial of a form of CBT which has been specially adapted for preventing transition to psychosis among young high-risk individuals, to test whether the previous favourable results for CBT can be independently replicated. It will be compared with a control treatment. Since cannabis abuse is common among young people who are at risk, and is a known risk factor for psychosis, CBT will include elements of treatment for cannabis abuse. The trial will be run in both Newcastle and Orange, NSW, enabling us to compare the effectiveness of CBT in urban and rural settings. This study has the potential to have large impacts on the quality of life of young people at risk of psychosis.Read moreRead less
Improving The Health Of Indigenous And Non-Indigenous Ex-prisoners: A Multi-jurisdictional, Mixed-methods Study
Funder
National Health and Medical Research Council
Funding Amount
$1,447,978.00
Summary
More than 50,000 people are released from prison in Australia each year. Ex-prisoners experience high rates of mental illness, chronic disease, social disadvantage, drug dependence and premature death, yet we know almost nothing about how to improve their health outcomes. This project will identify key health issues for Indigenous and non-Indigenous ex-prisoners and generate evidence-based responses, simultaneously improving health and reducing reoffending among this highly marginalised group.
Integrating Treatment For Alcohol Use Problems And Comorbid PTSD
Funder
National Health and Medical Research Council
Funding Amount
$658,073.00
Summary
Comorbid alcohol use problems and posttraumatic stress disorder (PTSD) are common mental health problems that cause disability and distress. Despite this, there are few randomized controlled trials of interventions. The proposed study is the first Australian randomised controlled trial in this field to address the question of whether treating PTSD and alcohol use problems is superior to treating alcohol use problems alone. The study compares the relative efficacy of a manual guided treatment for ....Comorbid alcohol use problems and posttraumatic stress disorder (PTSD) are common mental health problems that cause disability and distress. Despite this, there are few randomized controlled trials of interventions. The proposed study is the first Australian randomised controlled trial in this field to address the question of whether treating PTSD and alcohol use problems is superior to treating alcohol use problems alone. The study compares the relative efficacy of a manual guided treatment for alcohol use disorder alone with a simultaneous treatment for alcohol use and PTSD. This study improves on the methodological limitations described in the two existing studies reported in the published literature. Two-hundred and sixty four participants will be recruited from mutiple sites (media, GPs, specialist clinics) and treated in the community at two sites in Sydney. Participants will be eligible if they consume harmful levels of alcohol (NHMRC risky or high risk levels) and have a concurrent diagnosis of PTSD based on recognised diagnostic criteria. Treatment will consist of 16 sessions of manual guided individual psychological therapy that has been found to be very efficacious with each problem alone. The efficacy of treatment will be determined on the basis of reductions in harmful drinking (above NHMRC low risk levels) and in symptoms of PTSD. Participants will be followed up by an independent, blind, clinician three and six months after treatment completion. The findings of this study have the potential to provide valuable information regarding the treatment needs of people with these complex presentations to clinicians and policy developers alike.Read moreRead less