ORCID Profile
0000-0001-9908-773X
Current Organisations
Central Queensland University
,
University of Southern Queensland Faculty of Sciences
,
Charles Sturt University - Wagga Wagga Campus
,
James Cook University
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Publisher: Springer Science and Business Media LLC
Date: 17-07-2017
DOI: 10.1038/NG.3916
Publisher: Wiley
Date: 23-03-2023
Abstract: In Queensland, where a person experiences a major disturbance in their mental capacity, and is at risk of serious harm to self and others, an emergency examination authority (EEA) authorises Queensland Police Service (QPS) and Queensland Ambulance Service (QAS) to detain and transport the person to an ED. In the ED, further detention for up to 12 h is authorised to allow the examination to be completed. Little published information describes these critical patient encounters. Queensland's Public Health Act (2005) , amended in 2017, mandates the use of the approved EEA form. Data were extracted from a convenience s le of 942 EEAs including: (i) patient age, sex, address (ii) free text descriptions by QPS and QAS officers of the person's behaviour and any serious risk of harm requiring urgent care (iii) time examination period commenced and (iv) outcome upon examination. Of 942 EEA forms, 640 (68%) were retrieved at three ‘larger central’ hospitals and 302 (32%) at two ‘smaller regional’ hospitals in non‐metropolitan Queensland. QPS initiated 342 (36%) and QAS 600 (64%) EEAs for 486 (52%) males, 453 (48%) females and two intersexes ( %), aged from 9 to 85 years (median 29 years, 17% aged years). EEAs commonly occurred on weekends (32%) and between 2300 and midnight (8%), characterised by ‘drug and/or alcohol issues’ (53%), ‘self‐harm’ (40%), ‘patient aggression’ (25%) and multiple prior EEAs (23%). Although information was incomplete, most patients (78%, n = 419/534) required no inpatient admission. EEAs furnish unique records for evaluating the impacts of Queensland's novel legislative reforms.
Publisher: Cold Spring Harbor Laboratory
Date: 08-11-2022
DOI: 10.1101/2022.11.07.22282051
Abstract: This study examined arrays offered by commercial pharmacogenomic (PGx) testing services for mental health care in Australia and the United States, with a focus on utility for non-European populations. Seven of the 14 testing services we identified provided the manifests of their arrays. We examined allele frequencies for each variant using data from the Allele Frequency Aggregator 1 (ALFA), genome Aggregation Database 2 (gnomAD), Exome Aggregation Consortium 2 (ExAC), and Japanese Multi Omics Reference Panel 3 , and examined genetic heterogeneity. We also analyzed meta-data from the Pharmacogenomic Knowledge Base 4 (PharmGKB) and explored the biogeographical origin of supporting evidence for clinical annotations. Most arrays included the minimum allele set recommended by Bousman et al 5 . However, few arrays included HLA-A or HLA-B . The most erse allele frequencies were seen for variants in CYP3A5, ADRA2A and GNB3 , with European and African populations showing the largest differences. Most evidence listed in PharmGKB originated from European or unknown ancestry s les.
Publisher: SAGE Publications
Date: 02-2007
DOI: 10.1080/10398560701701205
Abstract: Objective: Therapy in the form of counselling for Indigenous Australians is much debated. Effective engagement is the key to productive therapy. This paper notes some of the constraints of mainstream therapeutic methodologies and makes suggestions to ensure a therapeutic setting for both the person and therapist born from my experience as a counsellor working in government and community settings, with adults, young people and children, and in mental health, substance use and social/emotional wellbeing. What follows is an iteration of the importance of engagement and adopting a whole of life view to counselling. Findings: The “whole of life view to mental health” as described in the 1989 National Aboriginal Health Strategy is used as a reference from which to elaborate on various counselling principles. Five key elements are discussed in relation to engagement and therapy for Indigenous Australians. To focus on the specifics of task-oriented therapy can be detrimental to the relationship between therapist and person. The role of the person in the determination of their therapeutic goals and the mannerisms of the therapist strongly influence the counselling process and its outcomes. Indigenous Australia has long emphasized the significance of the person as a part of a wider world influenced primarily by their relationships with people (specifically family and community), culture, spirituality and the environment. Conclusion: An Indigenous Australian view of the world influences the way in which Indigenous Australians interact with the world and avail themselves to it. Effective therapy is dependent on the relationship between the therapist and the person, a relationship which must be based on respect, reciprocity, accountability, humility and an appreciation of the significance of how a holistic view of the world influences one's sense of self.
Publisher: American Psychiatric Association Publishing
Date: 03-2017
DOI: 10.1176/APPI.AJP.2016.16030319
Abstract: Hippoc al volume is commonly decreased in late-life depression. According to the depression-as-late-life-neuropsychiatric-disorder model, lower hippoc al volume in late-life depression is associated with neurodegenerative changes. The purpose of this prospective study was to examine whether lower hippoc al volume in late-life depression is associated with Alzheimer's disease pathology. Of 108 subjects who participated, complete, good-quality data sets were available for 100: 48 currently depressed older adults and 52 age- and gender-matched healthy comparison subjects who underwent structural MRI, [ A significant difference was observed in mean normalized total hippoc al volume between patients and comparison subjects, but there were no group differences in cortical amyloid uptake or proportion of amyloid-positive subjects. The difference in hippoc al volume remained significant after the amyloid-positive subjects were excluded. There was no association between hippoc al volume and amyloid uptake in either patients or comparison subjects. Lower hippoc al volume was not related to amyloid pathology in this s le of patients with late-life depression. These data counter the common belief that changes in hippoc al volume in late-life depression are due to prodromal Alzheimer's disease.
Publisher: Wiley
Date: 12-10-2022
Abstract: The Queensland Police Service (QPS) and Queensland Ambulance Service may detain and transport persons experiencing major disturbances in their mental capacity to an ED for urgent care. Queensland's new mental health legislation (March 2017) makes this legal intervention difficult to scrutinise. For a large non‐metropolitan region, QPS records for emergency examination orders (EEOs) and emergency examination authorities (EEAs) were compared with annual reports of Queensland's Director of Mental Health and Chief Psychiatrist. From 2009–2010 to March 2017, QPS‐registered EEOs totalled 12 903 while annual reports attributed 9441 to QPS (27% fewer). From March 2017 to 2019–2020, QPS‐registered EEAs totalled 6887. Annual reports declared 1803 EEAs in total for this period, without distinguishing those registered by QPS from the Queensland Ambulance Service. Past year proportions of EEOs, however, indicate perhaps ~1100 originated with QPS (84% fewer). Information crucial for considered emergency mental healthcare responses for thousands of people is no longer readily available.
Publisher: Hindawi Limited
Date: 06-10-2021
DOI: 10.1111/HSC.13588
Abstract: Exercise has erse benefits for physical and mental health in people with mental illness however, it is unclear how to effectively promote exercise motivation in this group. The aim of this study is to evaluate the effectiveness of interventions utilising exercise instruction or behavioural counselling with people with mental illness to improve self-determined motivation for exercise, and physical and mental health. Participants were adults (aged 18+ years) receiving mental health services. Participants could choose from two 8-week programs comprising weekly group-based sessions delivered by an exercise physiologist: (a) exercise instruction in a gym (GYM) or (b) behavioural counselling (MOT). Self-determined motivation was measured using the Behaviour Regulations for Exercise Questionnaire (BREQ3). Physical health indicators included waist circumference, blood pressure, leg strength (sit-to-stand test), physical capacity (six-minute walk test) and self-reported exercise. Mental health was assessed using the Kessler-6 scale of psychological distress. Most of the 95 participants chose exercise instruction (GYM = 60 MOT = 35). At baseline, participants who chose MOT had higher external motivation, body mass index, waist circumference and psychological distress, and a higher proportion had multiple physical comorbidities than those who chose GYM. More self-determined motivation was associated with meeting physical activity guidelines. Post-intervention, GYM participants had significant improvements in self-determined motivation, psychological distress and sit-to-stand test MOT participants had significant improvements in integrated regulation, self-reported exercise and physical functioning. In conclusion, exercise instruction can improve self-determined motivation however, more intensive behavioural counselling support may be needed to improve self-determined motivation. Counselling programs can increase exercise behaviour and may appeal more to people with poorer health and more external motivation. Findings have high ecological validity and applicability to real-world implementation of exercise interventions. To accommodate people with erse conditions and motivations, motivational counselling should be combined with practical exercise support, and participants afforded the autonomy to decide their level of involvement.
Location: Australia
Location: Australia
No related grants have been discovered for Gregory Pratt.