ORCID Profile
0000-0003-3383-2818
Current Organisation
Alfred Health
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Publisher: Informa UK Limited
Date: 30-07-2022
Publisher: Springer Science and Business Media LLC
Date: 22-03-2021
Publisher: SAGE Publications
Date: 28-03-2023
DOI: 10.1177/00048674221089230
Abstract: Recovery Colleges are an innovative education-based approach to support mental health recovery that, following the recent Royal Commission, will have to be established in every area mental health service within the state of Victoria. This paper describes the rationale, benefits and some of the key considerations to successfully establish Recovery Colleges. The establishment of Recovery Colleges has the potential to drive culture change within mental health services and embed recovery orientation within service provision as well as engaging service users in their own recovery journey. There are significant challenges, however, in implementing the collaborative, co-produced model within the constraints of a publicly funded mental health clinical service. This paper considers some of the practice implications for public mental health services in developing and integrating Recovery Colleges. The paper, like everything we do at the Recovery College, is co-produced and co-authored – in this case, by a lived experience expert, a medically trained expert and a research/writing expert.
Publisher: CSIRO Publishing
Date: 22-12-2021
DOI: 10.1071/AH20372
Abstract: Objective Stepped care as a model of provision of mental health services has been frequently described from clinical or health administration perspectives, but less is known about the consumer perspective of stepped models of care. Method Qualitative interviews were undertaken with 18 consumers across a range of residential mental health services in Melbourne, Australia. Interviews were designed to help understand consumers’ needs and experiences in navigating different services to meet their needs at different times in their mental health journey. Results Consumers experience fluctuations in their mental state that are best responded to by having access to a range of services, as well as to services that can respond flexibly to changing needs. Consumers do not necessarily progress through stepped care in a linear or step-up, step-down fashion. Conclusion Stepped care services need to be flexible in accommodating people along a continuum of care and responsive to where the consumer is at on their journey, rather than predetermining the trajectory of care. What is known about the topic? Stepped care has been identified as a critical component of comprehensive mental health care, bridging the gap between primary care and acute mental health services. The components of effective stepped care models have been broadly articulated, but the experience of moving through different components of care in response to changing needs has not previously been well described. What does the paper add? This paper presents consumer perspectives on a model of stepped care that is designed to respond flexibly to the changing needs of consumers, rather than representing a linear model of progress through the system. What are the implications for practitioners? Mental health services are increasingly grappling with provision of care to the ‘missing middle’: people with chronic mental illness yet not in an acute phase requiring in-patient hospital care. This paper presents a model of stepped care that responds to the fluctuating needs of consumers
Publisher: SAGE Publications
Date: 27-01-2011
Abstract: The YouthWorx project is a recently established initiative in inner urban Melbourne that enables ‘at risk’ and marginalized young people to participate in community radio and in multimedia production. YouthWorx seeks to offer direct pathways from youth arts to skill-building, and to entice disaffected young people into more socially productive pathways, through the provision of high-quality media and multimedia training. Yet the effectiveness of media education in creating active participants in democratic society is difficult to assess. This article examines some of the broader thinking behind the linkage of youth, media, identity and citizenship, and considers the difficulties of implementing a workable evaluation of causal links between those disparate fields. It also reports on the findings of the media ethnography component of the initiative, as we track the first cohort of young people through the training program.
Publisher: Informa UK Limited
Date: 08-2007
Publisher: Emerald
Date: 04-12-2020
DOI: 10.1108/JMHTEP-03-2020-0014
Abstract: The purpose of this study was to identify and understand the barriers and enablers to the implementation of youth peer support in a clinical mental health service. The development of a lived experience workforce in mental health is a key component of policy at both the state and the federal level in Australia. Implementing a peer workforce within existing clinical services, however, can be a challenging task. Furthermore, implementing peer support in a youth mental health setting involves a further degree of complexity, involving a degree of care for young people being invited to provide peer support when they may be still early in their own recovery journey. This paper reports on a formative evaluation of the beginning stages of implementation of a youth peer workforce within an existing clinical mental health service in Melbourne. The project found that it was feasible and beneficial to implement youth peer support however, significant challenges remain, including lack of appropriate training for young people, uncertainty amongst clinical staff about the boundaries of the peer role and the potential for “tokenism” in the face of slow cultural change across the whole service. Very little evaluation has yet been undertaken into the effectiveness of implementing peer support in youth mental health services. This paper offers an opportunity to investigate where services may need to identify strengths and address difficulties when undertaking future implementation efforts.
Publisher: SAGE Publications
Date: 08-11-2022
DOI: 10.1177/10398562211045086
Abstract: Managing mental health patients during the COVID-19 pandemic has been a global challenge. Current workforce arrangements tend to separate those skilled in caring for highly infectious medical patients from those whose specialism is in managing co-morbid mental health, substance misuse and/or behaviours of concern, including potential non-compliance with community or health care directives. This paper reports an innovative service development through the emergency establishment of a temporary COVID-positive mental health ward in response to a local outbreak in Melbourne. A case study of service reorientation is presented, examining barriers and enablers to effective care of co-morbid mental illness, addiction and COVID-19. Establishing a skilled multidisciplinary workforce across mental health and infectious disease is the most important consideration in optimising care. Other issues included suitable physical space, security arrangements and inter-disciplinary communication. The paper holds insights for managing mental health care during potential future infectious disease outbreaks across the country.
Publisher: Informa UK Limited
Date: 04-02-2021
Publisher: University of Illinois Libraries
Date: 07-10-2002
DOI: 10.5210/FM.V7I10.994
Abstract: This paper describes the construction of 'Reach for the Clouds', an inventive scheme to build a resident-maintained 'networked community' in Atherton Gardens, an ethnically- erse, low-income, high rise public housing estate in Melbourne, Australia. The project was developed by the InfoXchange, a not-for-profit Internet service provider with a 'social entrepreneurial' orientation. It involves a consortium of government and community groups and draws on a combination of voluntary labour, commercial enterprise, government funding and donations of equipment by local businesses. The long term goal of the project is for it to become self-funding, and owned and operated by Atherton Gardens' residents. This requires both training and skills development as well as the creation of an enterprise base to fund the operating and capital costs of the network.
Publisher: Wiley
Date: 15-06-2010
Publisher: Springer Science and Business Media LLC
Date: 27-07-2021
Publisher: Wiley
Date: 22-10-2020
DOI: 10.1111/EIP.12892
Abstract: Detecting and diagnosing youth mental health issues can be challenging for General Practitioners (GPs) who are often the first to encounter them. One aim of this study was to understand the challenges GPs faced in identifying, treating and referring young people with mental health issues in Melbourne, Australia. A second aim was to identify gaps in GP knowledge and service provision in order to design a service and training program for GPs that addresses those gaps. A representative s ling method was used to invite GPs in south-east Melbourne to complete the study survey. Seventy-seven GPs completed the questionnaire consisting of 10 questions in 3 sections. The results showed that GPs who consulted with young people more often had greater levels of confidence in identifying and treating their mental health issues but not referring. Forty-four percent identified the need for training in regards to youth mental health. GPs considered that the most effective care was provided in youth-friendly spaces but tended to primarily refer young people to private providers. GPs need access to ongoing professional development and education programs on youth mental health, in particular more severe issues such as psychosis. Specialist youth mental health services such as CYMHS/CAMHS and headspace can offer GPs support in managing mental health issues in young people. However, there is a need to strengthen the link between GPs and specialist youth mental health service. Stronger links between services will ensure young people have timely and increased access to treatment.
Publisher: JMIR Publications Inc.
Date: 06-09-2023
DOI: 10.2196/47722
Publisher: Informa UK Limited
Date: 03-2011
Publisher: JMIR Publications Inc.
Date: 03-04-2023
Abstract: amily carers of youth recovering from early psychosis experience significant stress however, access to effective family interventions is poor. Digital interventions provide a promising solution. ur objective was to evaluate across multiple Australian early psychosis services the effectiveness of a novel online early psychosis intervention for carers. n this cluster RCT conducted across multiple Australian early psychosis services, our digital moderated online social therapy for carers (Altitudes) plus enhanced family treatment as usual (TAU) was compared with TAU alone on the primary outcome of perceived stress and secondary outcomes including mental health symptoms and family variables at 6 months follow-up. 6 caregivers were randomized and data was available for 74 young people in their care. Our primary hypothesis that carers randomized to Altitudes+TAU would report greater improvements in perceived stress at follow-up compared with carers randomized to TAU alone was not supported with the TAU alone group showing more improvement. For secondary outcomes, the TAU alone group showed improved mindfulness over time. Regardless of group assignment, we observed improvements in satisfaction with life, quality of life, emotional over-involvement and burden of care . In contrast, hair cortisol concentration increased. Post hoc analyses revealed more contact with early psychosis services in the intervention group compared to TAU alone and that improvements in perceived stress and social support were associated with use of the intervention in the Altitudes+TAU group. 80% reported a positive experience with Altitudes and 93% would recommend it to others. ur trial did not show a treatment effect for Altitudes in perceived stress. However, our post hoc analysis indicated that amount of use of Altitudes related to improvements in stress and social support. Additional design work is indicated to sustain users’ engagement and to significantly improve outcomes in problem solving, communication, and self-care. CTRN12617000942358
Publisher: SAGE Publications
Date: 28-07-2017
Abstract: The objective of this study was to assess the effectiveness of single session therapy in meeting the needs of young people and their families on first presentation to a mental health service. We conducted a quantitative analysis of routinely collected data using self- and family member-reported session and outcome rating scales. Both young people and their family members rate single session therapy sessions highly. In addition, both young people and their families rate the young person’s mental health and well-being to have improved after the single session therapy intervention, with mothers rating the young person’s improvement most highly. Single session therapy is an effective tool in improving both self- and parent-rated in idual, interpersonal, social and overall well-being for young people presenting to a mental health service.
Publisher: Informa UK Limited
Date: 02-01-2015
Publisher: Informa UK Limited
Date: 07-10-2021
Publisher: Informa UK Limited
Date: 20-02-2014
Publisher: Informa UK Limited
Date: 11-2005
Publisher: SensePublishers
Date: 2015
Publisher: Emerald
Date: 13-08-2018
DOI: 10.1108/MHSI-07-2018-0023
Abstract: The purpose of this paper is to understand and inform the development and implementation of a newly established Discovery College (a youth-focused Recovery College). It also aims to contribute to a broader understanding of the benefits and barriers to establishing Recovery Colleges. The overall study took a mixed-methods approach to the evaluation of Discovery College, including a qualitative process evaluation component as well as a mixed-methods outcomes evaluation. This paper reports on the findings of the process evaluation, which undertook key informant interviews with a range of stakeholders in the implementation process. A total of 16 themes emerged from the qualitative data, which were then clustered into four main areas: establishing Discovery College, organisational context, nature of Discovery College and service transformation. Implementation was reported as both feasible and effective. Initial tension between fidelity to the model and a pragmatic approach to action was negotiated during implementation and through an ability of staff to tolerate uncertainty, enabled by the efforts and support of senior service management and college staff. Recovery Colleges co-designed and implemented in youth mental health services are a recent development in the field of mental health care and very little has previously been published regarding the feasibility, effectiveness and acceptability of youth-focused Recovery Colleges. This paper is one of the first to assess the barriers and enablers to the implementation of Discovery College within a clinical youth mental health service.
Publisher: Informa UK Limited
Date: 02-01-2022
Publisher: Informa UK Limited
Date: 05-2011
Publisher: Elsevier BV
Date: 08-2014
Publisher: Springer Science and Business Media LLC
Date: 09-10-2020
Publisher: Emerald
Date: 13-08-2018
DOI: 10.1108/MHSI-07-2018-0024
Abstract: The purpose of this paper is to understand why young people and adults enrolled in co-produced, co-received Discovery College (a youth-focused Recovery College) courses, what their experience of participating was, and whether attitudes towards education changed as a result of course participation. The study used a pre- and post-participation survey to assess both the qualitative experience of participants in Discovery College courses, along with a quantitative component measuring change in attitudes to education and learning opportunities. The project found that participating in Discovery College benefitted young people through: an improved attitude towards education and greater likelihood of participating in future study after completing a Discovery College course. People who participated in Discovery College courses, both young people and adults were positive about their experiences with the college and experienced positive attitude change. This work demonstrates the importance of Discovery College as part of a holistic approach to the care of young people with mental illness. This paper reports on one of the first evaluations of youth-focused Recovery Colleges globally. It provides evidence of the effectiveness of the Recovery College model for a youth cohort.
Publisher: Informa UK Limited
Date: 28-12-2020
Publisher: Frontiers Media SA
Date: 02-07-2020
Publisher: IGI Global
Date: 2004
DOI: 10.4018/978-1-59140-132-2.CH013
Abstract: The chapter poses questions about the goal of building community through the creation of local networks, using the ex le of an entrepreneurial scheme to create a resident-run computer network in the Atherton Gardens high-rise housing estate in inner Melbourne, Australia. The scheme stems from a social partnership between a not-for-profit organisation, government and community groups the aim is to enable residents to re-enter training, employment and community activities. The first stage of the paper places the scheme in the context of broader debates on the digital ide, information poverty and social capital, drawing out existing problems in the field. The authors discuss the problems of tracking the social impact of computer networks on ‘communities’, especially where there is a great ersity of interest and allegiance. The Atherton Gardens Reach for the Clouds initiative exemplifies such difficulties. The chapter argues that enthusiasm for this innovative scheme should be balanced by caution in using the vocabulary of social capital and community building. It cannot be assumed that online communication will build social connection off-line, given the ersity of interests, groups and allegiances within groups. This argument is made drawing on the initial stage of survey-based research on Atherton Gardens residents’ patterns of computer and media use, of employment and training, social connectedness, use of social services and experience of living on the estate. The authors conclude by reflecting on the broader implications of the case study for research on the social impact of computer networks on multiethnic populations with erse needs, interests and allegiances.
Publisher: SAGE Publications
Date: 25-10-2022
DOI: 10.1177/10398562211051247
Abstract: Current competencies required for fellowship of the RANZCP require psychiatry registrars to have experience in working with clients across all age groups, as well as working with families and the client’s wider network, however gaining this experience is not always easy for trainees. This paper reports on the experience of participating in Single Session Family Therapy (SSFT) during registrar training as a different modality for learning. An online survey was conducted with fourteen registrars who had participated in SSFT during their child and adolescent rotation. Qualitative and simple quantitative data were collected and analysed. Participating in SSFT during training was initially daunting, but had a positive effect on trainees, including influencing some towards focussing their future sub-specialisation in the child and youth area. Experience came through learning by doing, and seeing change. Registrars learnt about: understanding the role of the family teamwork technical skills and gained confidence. Opportunities for trainees to participate in SSFT enables powerful learning beyond what can be taught in the classroom. Such opportunities may enhance registrars’ perceptions of family work, and may positively influence decision about future sub-specialisation.
Publisher: Springer Science and Business Media LLC
Date: 25-04-2013
Publisher: Wiley
Date: 12-2020
DOI: 10.1002/ANZF.1432
Publisher: Informa UK Limited
Date: 02-2009
Publisher: Emerald
Date: 12-03-2014
DOI: 10.1108/JPMH-07-2013-0050
Abstract: – The issue of mental health amongst students in the senior years of secondary schooling is one which has recently gained traction in mainstream media and public discourse across Australia. The purpose of this paper is to uncover the ways in which schools and other education providers are responding to mental health issues amongst their students both proactively (for prevention) and reactively (for referral and treatment). – The project took a qualitative research approach to gathering data from student support staff based in schools and out-of-school learning settings, through a focus group methodology. – The project found that despite policy rhetoric and research evidence supporting pro-active, curriculum integrated, early intervention to prevent and avoid mental illness and mental distress amongst secondary school students, most schools still take a reactive, piecemeal approach to prevention of mental illness and provision of mental health care. In idual schools and learning providers are responding to issues in a variety of ways, along a continuum of care. – The project had a small s le size and restricted geographic area. The ergence in findings between staff from schools in this area and staff from other education providers suggests much more work needs to be done in establishing the implications of bureaucratic sector and school governance on health and wellbeing outcomes. – This paper begins to explore an under-researched area of school and other education provider responses to rising concern about student mental health.
No related grants have been discovered for Liza Hopkins.