82 results match your criteria: "Royal Australian and New Zealand College of Psychiatrists[Affiliation]"

Objective: To appraise the evolution of the RANZCP's Code of Ethics on the occasion of its 30 anniversary.

Method: We scrutinised its five editions, focussing on the revision procedure and changes made, and reviewed relevant literature.

Results: The procedure of revision has remained constant: incorporating feedback from college members, committees and faculties, and consulting professional medical bodies and mental health advocacy organisations.

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Mental disorders account for at least 18% of global disease burden, and the associated annual global costs are projected to be US$6 trillion by 2030. Evidence-based, cost-effective public mental health (PMH) interventions exist to prevent mental disorders from arising, prevent associated impacts of mental disorders (including through treatment), and promote mental wellbeing and resilience. However, only a small proportion of people with mental disorders receive minimally adequate treatment.

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Following on from the publication of the Royal Australian and New Zealand Journal of Psychiatry Mood Disorder Clinical Practice Guidelines (2020) and criticisms of how these aberrantly addressed repetitive transcranial magnetic stimulation treatment of depression, questions have continued to be raised in the journal about this treatment by a small group of authors, whose views we contend do not reflect the broad acceptance of this treatment nationally and internationally. In fact, the evidence supporting the use of repetitive transcranial magnetic stimulation treatment in depression is unambiguous and substantial, consisting of an extensive series of clinical trials supported by multiple meta-analyses, network meta-analysis and umbrella reviews. Importantly, the use of repetitive transcranial magnetic stimulation treatment in depression has also been subject to a series of health economic analyses.

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Objective: We explore the previous research and current context regarding opportunities for shared-care partnerships between public and private psychiatric practice.

Conclusions: Since the early 2000s, when there was impetus for the development of public-private psychiatric shared-care models as part of a previous National Mental Health Strategy, there has been surprisingly little research and policy development. Given an apparent exodus of psychiatrists to private practice due to current challenges facing the public health sector, it is timely to reconsider models of private and public sector shared-care that may improve the quality of public mental healthcare.

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Background: Face-to-face feedback plays an important role in health professionals' workplace learning. The literature describes guiding principles regarding effective feedback but it is not clear how to enact these. We aimed to create a Feedback Quality Instrument (FQI), underpinned by a social constructivist perspective, to assist educators in collaborating with learners to support learner-centred feedback interactions.

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Functional somatic syndromes and joint hypermobility: A systematic review and meta-analysis.

J Psychosom Res

September 2021

University of Melbourne, Department of Psychiatry, Austin Health, Heidelberg, VIC 3084, Australia; Fellow of the Royal Australian and New Zealand College of Psychiatrists, Australia; The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC 3084, Australia; King's College London, Department of Psychological Medicine, Institute of Psychiatry, Weston Education Centre, Denmark Hill, London SE5 9RJ, UK.

Objective: There have been multiple reports of increased joint hypermobility (JH) in functional somatic syndromes (FSS). We sought to evaluate the evidence for an association.

Methods: A systematic search of the databases Medline and PsycINFO was conducted to identify all controlled studies from inception to February 2020 measuring the association of an FSS and JH.

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Scaling Up Global Mental Health Services During the COVID-19 Pandemic and Beyond.

Psychiatr Serv

February 2022

Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria (Adiukwu); Department of Mental Health, University of Port Harcourt, Port Harcourt, Nigeria (Adiukwu); Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy (de Filippis); Unit of Clinical Psychiatry, Department of Neurosciences and Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy (Orsolini); Hospital and University Clinical Service of Kosovo, Prizren, Kosovo (Gashi Bytyçi); Jawahar Lal Nehru Memorial Hospital, Srinagar, India (Shoib); B.K.L. Walawalkar Rural Medical College, Sawarde, India (Ransing); National Center for Mental Health, Jordanian Ministry of Health. Amman, Jordan (Slaih); Moi Teaching and Referral Hospital, Eldoret, Kenya (Jaguga); Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia (Handuleh); Department of Psychiatry, Jos University Teaching Hospital, Jos, Nigeria (Ojeahere); Kabir Medical College, Gandhara University, and Naseer Teaching Hospital, Peshawar, Pakistan (Ullah); Elblandklinkum Radebeul, Academic Hospital at Technical University, Dresden, Germany (Karaliuniene); National Institute of Mental Health and Neurosciences, Bengaluru, India (Nagendrappa); Department of Psychology, University of Tehran, Tehran, Iran (Vahdani); Tehran University of Medical Sciences, Tehran, Iran (Ashrafi); Department of Mental Health, Heim Pal National Pediatric Institute, Bupdapest (Ori); Universitaire Libre de Bruxelles, Department of Child Psychiatry, Centre Hospitalier Universitaire, Saint Pierre, Brussels (Noël); Center for Behavioral Medicine, University of Missouri-Kansas City, Kansas City (Abbass); Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand (Jatchavala); Institute of Psychiatry, Psychology, and Neurosciences, King's College London, London (Pinto da Costa); Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal (Pinto da Costa); El Demerdash Teaching Hospital, Ain Shams University, Cairo, Egypt (Essam); Royal Australian and New Zealand College of Psychiatrists and Waikato District Health Board, Hamilton, New Zealand (Vadivel); Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran (Shalbafan). Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column.

Every health care system requires an adequate health care workforce, service delivery, financial support, and information technology. During the COVID-19 pandemic, global health systems were ill prepared to address the rising prevalence of mental health problems, especially in low- and middle-income countries (LMICs), thereby increasing treatment gaps. To close these gaps globally, task shifting and telepsychiatry should be made available and maximized, particularly in LMICs.

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Objective: To investigate associations between measured and perceived weight, and symptoms of depression in rural Australian adolescents.

Method: At baseline a prospective rural adolescent cohort study collected demographic data, measured weight and height, weight self-perception, and presence of depression (Short Mood and Feelings Questionnaire). Using World Health Organisation's (WHO) age and gender body mass index (BMI) standardisations, participants were classified into four perceptual groups: PG1 healthy/perceived healthy; PG2 overweight/perceived overweight; PG3 healthy/perceived overweight; and PG4 overweight/perceived healthy.

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Objective: To provide reflection on career opportunities, benefits and challenges, with regard to commencing private practice psychiatry in Australia.

Conclusions: There are varied opportunities for a career in private practice psychiatry. Private practice has benefits and challenges, distinct from public sector psychiatry; with moderately greater professional autonomy, facilitating the provision of expert mental healthcare for the community.

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Through the looking-glass: private and public practice psychiatry in the RANZCP.

Australas Psychiatry

June 2020

Bi-National Committee, Section of Private Practice Psychiatry (SPPP), Royal Australian and New Zealand College of Psychiatrists, Australia.

Objective: To provide reflections on the representation of and engagement with private practice psychiatrists by the Royal Australian and New Zealand College of Psychiatrists (RANZCP).

Conclusion: We consider some of the reasons for private psychiatrist disengagement with the RANZCP. We suggest approaches to better engage private psychiatrists in the RANZCP, including: involvement in mental health policy, improved committee representation, specific private practice and business training for Fellowship, broader private practice peer support networks (welfare, clinical research, leadership), tailored professional development, branch-based networks of public and private psychiatrists, and collaboration with specialist medical colleges and the Australian Medical Association.

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Introduction: In Australia, mental health conditions (MHCs) arising from workplace factors are a leading cause of long term work incapacity and absenteeism. While most patients are treated in general practice, general practitioners report several challenges associated with diagnosing and managing workplace MHCs. This guideline, approved by the National Health and Medical Research Council and endorsed by the Royal Australian College of General Practitioners and the Australian College of Rural and Remote Medicine, is the first internationally to address the clinical complexities associated with diagnosing and managing work-related MHCs in general practice.

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'Conceivably Neglected' - Are prescribers sufficiently aware of the risks of prescribing sodium valproate to women with mental illness?

Australas Psychiatry

April 2019

Consultant Psychiatrist and staff specialist, Fellow Royal Australian and New Zealand College of Psychiatrists, Redcliffe-Caboolture Mental Health Service, Metro-North Mental Health Service, Brisbane, QLD, Australia.

Objectives: To describe prescription of sodium valproate (SV) for bipolar mood disorder to potentially child-bearing women within one public mental health service and describe risks of fetal exposure, and safe prescribing practices among psychiatrists.

Methods: A 24-month retrospective chart review with descriptive analysis; narrative review of literature and guidelines.

Results: Review of 383 charts demonstrated prescription of valproate to 20% of 98 women aged 15-45, with little evidence of advice regarding risk and contraception.

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Pounamu: Te Mahi a Atua.

J Prim Health Care

March 2018

New Zealand College of Public Health Medicine, Faculty of Education, Humanities and Health Sciences, Eastern Institute of Technology, Hawke's Bay, New Zealand.

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Revising the Royal Australian and New Zealand College of Psychiatrists code of ethics.

Australas Psychiatry

October 2018

Chair, Committee for Professional Practice, Royal Australian and New Zealand College of Psychiatrists, Melbourne, VIC, and; Senior Psychiatrist, Office of the Chief Psychiatrist, Perth, WA, and; Clinical Associate Professor School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, WA, Australia.

Objectives: To describe the process adopted by the Committee for Professional Practice (CPP) of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) in devising the 5th edition of its code of ethics and to outline principal changes.

Methods: CPP members planned, scrutinised and documented the steps taken in preparing the new edition.

Results: The process, following that used in all previous updates of the code and which had proved effective and productive on each occasion, comprised consultations with RANZCP committees and relevant external stakeholders.

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Objective:: Examine knowledge, opinions and practices of psychiatrists and trainees in responding to domestic violence (DV).

Method:: Online survey including two sub-scales from PREMIS (Physician Readiness to Manage Intimate Partner Violence Survey): knowledge (10 items) and preparedness (10 items).

Results:: Of psychiatrists completing the survey (216), 47% had received less than 2 hours of training in DV.

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Building workforce capacity in Australia and New Zealand: a profile of psychiatrists with an interest in intellectual and developmental disability mental health.

Australas Psychiatry

December 2018

Chair, Intellectual Disability Mental Health and Head of Department, Department of Developmental Disability Neuropsychiatry, School of Psychiatry, UNSW Sydney, Sydney, NSW, and; Centre for Healthy Brain Ageing, School of Psychiatry, UNSW Sydney, Sydney, NSW, Australia.

Objective:: To describe the characteristics of psychiatrists working in the area of intellectual and developmental disability mental health (IDDMH) across Australia and New Zealand.

Methods:: A secondary analysis of data collected by the Royal Australian and New Zealand College of Psychiatrists 2014 workforce survey. Characteristics of the IDDMH workforce ( n=146 psychiatrists) were compared with those of the broader psychiatry workforce ( n=1050 psychiatrists).

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Community treatment orders: towards a new research agenda.

Australas Psychiatry

June 2018

Associate Professor, Graduate School of Business and Law, RMIT University, Melbourne, VIC, Australia.

Objectives: The aim of this study was to report on a half-day multi-stakeholder symposium on community treatment orders (CTOs) hosted by the Melbourne Social Equity Institute (MSEI), which identified research gaps and opportunities, and produced an agreed agenda for future CTO research.

Methods: The MSEI convened a symposium for 22 experts in CTO research to discuss research priorities in this field in Australasia. An independent moderator elicited views and recommendations and produced a report detailing possible research projects.

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Objective: The feasibility and effectiveness of concomitant use of transcranial direct current stimulation (tDCS) with electroconvulsive therapy (ECT) has not been investigated. The study principally aimed at determining whether tDCS when combined with ECT improved the speed of antidepressant response. Secondarily, the ease of generation of seizures during electroconvulsive therapy and cognitive outcomes were investigated.

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Rationale: Depressive episodes are the leading cause of mental health-related hospital admissions in Australia, and 44% of those admitted have a previous history of hospitalisations for depression (Admitted patient mental health-related care: (Australian Institute of Health and Welfare Aust Hospital Stat 2011-12, 2013). Despite numerous available antidepressant treatments, many patients do not respond to conventional therapy, having what is called 'treatment resistance' (Fava Biol Psychiatry 53:649-659, 2003). In recent years, ketamine has risen to prominence as an effective, rapidly acting antidepressant (Ketamine: a light in the darkness: Paleos and Ross 28-33, 2013).

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