Abstract
KEYNOTE SPEAKER ABSTRACTS
TOUGH TIMES FOR AUSTRALIANS WITH SEVERE AND PERSISTING MENTAL ILLNESSES: IS HOPE ON THE WAY?
D Copolov
Monash University, Victoria, Australia
Australia, one of the world’s 10 wealthiest countries on a per capita basis, has addressed mental health policy at a cross-government level over nearly 30 years, initially culminating in in the first National Mental Health Plan (1993–1998), which was adopted by Commonwealth, State and Territory governments, and with four subsequent National Mental Health Plans. Why then, does Australia’s second wealthiest state currently have a mental health system that, according to the Chair of the Royal Commission into Victoria’s Mental Health System, Penny Armytage, is “. . . woefully unprepared to live up to current and future mental health challenges”? In response to scathing assessments such as these and to its Terms of Reference, the Royal Commission has handed down a set of 74 recommendations in its Interim and Final Reports, which the Victorian Government has unconditionally accepted in toto and will implement over the coming years. The Royal Commission’s Final Report is oceanic in scope and radical in its aspirations. In my presentation, I will reflect on recent indices that show that Australian adults with severe and persisting mental illness continue to face the same wide range of harsh disadvantages that were documented in our country’s two landmark national psychosis surveys (1997–1998 and 2010). I will then consider the extent to which the lives of Australian adults with severe mental illness are likely to be substantially improved by the major mental health reforms that (1) will be introduced as a result of the Victorian Royal Commission’s recommendations; (2) have been mooted at the national level as a result of the recommendations of the Productivity Commission’s Inquiry into Mental Health; and (3) are slated to be delivered by enhancements in the supports and services funded by the National Disability Insurance Scheme. My conclusion will be one of optimism, leavened by a recognition that constant vigilance and unusually strong political willpower will be required in order to ensure that the soon-to-commence surges of service improvement are not undermined in the longer term by “reform fatigue.”
IF THE DOORS OF PERCEPTION WERE CLEANSED . . . IS SCHIZOPHRENIA A DISORDER OF CELLULAR CLEANLINESS OR HOMEOSTASIS
I Everall1,2
1Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
2South London and Maudsley NHS Foundation Trust, London, UK
All cells need a mechanism to keep their internal state stable. This is homeostasis, which involves many different processes. The need to regulate cellular protein content, which includes detecting and removing defective proteins past their useful life such as misfolded proteins, hormones or even foreign proteins occurring in viral infections, is called proteostasis. Proteostasis is regulated by the ubiquitin–proteasome system (UPS). UPS is involved in many cellular functions including mediating the inflammatory response. In recent years, there has been a significant interest in the role of inflammation in the brain in schizophrenia. In my presentation, I will discuss and explain several issues including the nature of homeostasis; examples of changes in glial cell and neuronal homoeostasis; alterations in a number of inflammatory components and pathways that we have examined and their relationship to neurodevelopmental pathways; the original genetic work that we undertook implicating abnormalities in UPS including the changes in the UPS gene and protein selenium-binding protein-1; explanation of the components of UPS and UPS abnormalities that we have recently found in the brain and blood in individuals with schizophrenia. I will conclude with current work on assessing the role of metals that regulate UPS.
HATE SPEECH AND ITS CONSEQUENCES
K Gelber
The University of Queensland, Brisbane, Australia
THE ROLE OF THE IMMUNE SYSTEM IN PSYCHIATRIC DISORDERS AND THEIR THERAPY
H Himmerich1, B Dalton1, U Schmidt1, N Lichtblau2, H Steinberg3, GD Willmund4, KC Kirkby5
1Department of Psychological Medicine, King's College London, London, UK
2St George’s University Hospitals NHS Foundation Trust, London, UK
3Archives for the History of Psychiatry, Department of Psychiatry, Leipzig University, Leipzig, Germany
4Bundeswehr Centre for Military Mental Health, Bundeswehr Hospital Berlin, Berlin, Germany
5School of Medicine, The University of Tasmania, Hobart, Australia
Dalton B, Bartholdy S, Robinson L, et al. (2018) A meta-analysis of cytokine concentrations in eating disorders. The Journal of Psychiatric Research 103: 252–264.
Himmerich H, Willmund GD, Zimmermann P, et al. (2019) Cytokine research in depression: principles, challenges, and open questions. Front Psychiatry 10: 30.
Schmidt FM, Lichtblau N, Minkwitz J, et al. (2014) Cytokine levels in depressed and non-depressed subjects, and masking effects of obesity. The Journal of Psychiatric Research 55: 29–34.
Steinberg H, Kirkby KC and Himmerich H. (2015) The historical development of immunoendocrine concepts of psychiatric disorders and their therapy. The International Journal of Molecular Sciences 16: 28841–28869.
Wesemann U (2016) Serum concentrations of TNF-α and its soluble receptors during psychotherapy in German soldiers suffering from combat-related PTSD. Psychiatria Danubina 28: 293–298
SCOTLAND’S APPROACH TO QUALITY: LESSONS FROM A SMALL COUNTRY
J Leitch
St Andrews House, Scottish Government, Scotland, UK
Public services face many challenges ranging from increasing demands for services and funding cuts to inefficient or, at times, even ineffective processes. Quality improvement can be considered as part of a solution to such challenges, as the approach focuses on doing things better at the system level rather than just having people working more or working even harder. Building on a long history of quality services, driven by staff and professional bodies, Scotland’s ambition is to make the country the best place to live in. To achieve this goal, the Scottish Government recognises the need for quality improvement in public services and is, therefore, putting a great effort into building an integrated landscape of quality improvement in public services. Professor Leitch will share the story of the Scottish Improvement Journey, starting with its innovative beginnings, focusing on the introduction of the world’s first national patient safety programme and exploring the spread of quality improvement into new social policy areas beyond healthcare. Based on Scotland’s experience, he will illustrate how a systematic application of a quality improvement methodology can lead to dramatic changes and significant improvement on a national scale.
THINKING ABOUT DOMESTIC VIOLENCE IN THE CONTEXT OF MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT: CRITICAL ISSUES FOR PSYCHIATRIC PRACTICE
C Warshaw
National Center on Domestic Violence, Trauma & Mental Health, Chicago, IL, USA
Research has consistently documented that abuse by an intimate partner increases a person’s risk for developing a range of health and mental health conditions including depression, post-traumatic stress disorder (PTSD), suicidality, chronic pain and substance use. Some are the direct result of interpersonal violence; others are related to the traumatic psychophysiological effects of ongoing abuse. Research has also documented high rates of domestic violence among people seen in mental health and substance use disorder treatment settings, underscoring the need for more integrated approaches. Less well recognized are the ways that people who abuse their partners engage in coercive tactics targeted towards a partner’s mental health or use of substances as part of a broader pattern of control – tactics referred to as mental health and substance use coercion. These include efforts to intentionally undermine a partner’s sanity and sobriety, control their access to treatment, sabotage their recovery and discredit them with sources of protection and support. Pervasive societal stigma contributes to the effectiveness of these tactics. While there are numerous evidence-based treatments for PTSD, most address trauma that occurred in the past. For survivors of domestic violence, the trauma is often unremitting and symptoms may reflect a response to ongoing danger and coercive control. This talk will provide an overview of research and a conceptual framework for thinking about psychiatric treatment in the context of domestic violence. It will also provide practical clinical guidance for psychiatrists working with survivors of domestic violence along with a discussion of implications for policy, research and practice.
AWARD WINNERS
MARGARET TOBIN ORATION – LEADERSHIP IN PSYCHIATRY: LESSONS LEARNED AND RECOMMENDATIONS FOR THE FORTHCOMING ERA OF ANTICIPATED MAJOR REFORM
T Bastiampillai1,2,3
1Flinders University, College of Medicine and Public Health, Bedford Park, Australia
2Southern Adelaide Local Health Network, Margaret Tobin Centre, Flinders Medical Centre, Adelaide, Australia
3South Australian Health and Medical Research Institute, Adelaide, Australia
Professor Bastiampillai is the recipient of the Royal Australian and New Zealand College of Psychiatrists’ Margaret Tobin award which recognises significant achievement and contribution to administrative psychiatry. In this oration, he will provide a personal overview of the key challenges and lessons learned while serving as a clinical director of a regional mental health service (2010–2014) and as the South Australian Department of Health, Executive Director of Mental Health strategy (2015–2017). His presentation will specifically focus on his research in three broad areas: mental health service planning for patients with severe and persistent mental illness, expert leadership models and the role of health informatics in improving mental health service delivery. He will outline key proposed solutions to specifically address the needs of patients with severe and persistent mental illness in Australia.
SENIOR RESEARCH AWARD – HOW CAN WE DEVELOP NOVEL THERAPIES FOR PSYCHIATRIC DISORDERS?
M Berk1,2
1Deakin University, School of Medicine, IMPACT Strategic Research Centre, Geelong, Victoria, Australia
2Orygen Youth Health Research Centre and the Centre of Youth Mental Health, The Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, University of Melbourne, Parkville, Victoria, Australia
THE RANZCP EARLY CAREER PSYCHIATRIST AWARD – NEUROFILAMENT LIGHT CHAIN IN NEURODEGENERATIVE AND PSYCHIATRIC DISORDERS: A SIMPLE DIAGNOSTIC TEST LIKE A ‘C-REACTIVE PROTEIN’ FOR THE BRAIN
D Eratne1,2, S M Loi1,2, A Santillo3, QX Li4,5, M Walterfang1,2, C Chadunow1,2, C Cadwallader1,2, C Stehmann4,5, O Hansson3, S Janelidze3, C L Masters4,5, C Pantelis6, W Kelso1,2, A Evans1,2, S Farrand1,2, N Yassi7, R Watson7, A J Walker8, O Dean8, C Kaylor-Hughes9, J Gunn9, L Vivash10, R Ali10, T O’Brien10, P Kwan10, S F Berkovic11, S Collins4,5, D Velakoulis1,2, The MiND Study Group
1Neuropsychiatry Royal Melbourne Hospital, Melbourne, Australia
2Melbourne Neuropsychiatry Centre, University of Melbourne and Melbourne Health, Melbourne, Australia
3Clinical Memory Research Unit, Department of Clinical Sciences, Malmö, Lund University, Lund, Sweden
4University of Melbourne, Melbourne, Australia
5The Florey Institute for Neuroscience and Mental Health, Melbourne, Australia
6Melbourne Neuropsychiatry Centre, University of Melbourne and Melbourne Health, Melbourne, Australia
7Walter and Eliza Hall Institute of Medical Research, Melbourne, Australia
8Deakin University, Melbourne, Australia
9Department of General Practice, University of Melbourne, Melbourne, Australia
10Monash University, Melbourne, Australia
11University of Melbourne, Melbourne, Australia
SENIOR RESEARCH AWARD – EATING DISORDERS IN THE 21ST CENTURY: ‘THE TIMES THEY ARE A-CHANGIN’
PJ Hay1,2
1Translational Health Research Institute, Western Sydney University, Sydney, Australia
2Camden and Campbelltown Hospitals, SWSLHD, Sydney, Australia
INVITED SPEAKERS
WHY IS PHILLIP SUCH A FIDGET AND JOHNNY AN AIR HEAD? RECOGNISING AND MANAGING ADHD IN A MENTAL HEALTH SETTING
D Coghill1,2,3
1University of Melbourne, Melbourne, Australia
2Royal Children’s Hospital, Melbourne, Australia
3Murdoch Children’s Research Institute, Melbourne, Australia
THE EARLY PREDICTORS OF DEPRESSION AND ANXIETY DISORDERS: FACTORS THAT INFLUENCE AND ARE INFLUENCED BY THE EARLY LIFE ENVIRONMENT
M Galbally1,2,3, S Watson1,2, A Lewis1
1College of Science, Health, Education and Engineering, Murdoch University, Perth, Australia
2School of Medicine, The University of Notre Dame, Perth, Australia
3King Edward Memorial Hospital, Perth, Australia
REAPPRAISING THE ROLE OF REHABILITATION IN PSYCHIATRY: CONTEMPORARY EVIDENCE, PRACTICE AND POLICY
C Harvey1,2
1Department of Psychiatry, University of Melbourne, Melbourne, Australia
2NorthWestern Mental Health, Melbourne, Australia
Harvey C, Lewis J and Farhall J (2019) Receipt and targeting of evidence-based psychosocial interventions for people living with psychoses: findings from the second Australian national survey of psychosis, Epidemiology and Psychiatric Sciences 28: 613–629.
THE CURRENT STATE OF PLAY IN YOUNGER-ONSET DEMENTIA AND FUTURE RESEARCH DIRECTIONS
SM Loi1,2, D Eratne1,2, M Walterfang1,2,3, S Farrand1, M Kelso1, A Evans4, R Watson4, I Pachi1, C Chadunow1, P Ravenfar2, Q Lin3, C Masters3, D Velakoulis1,2, the Neuropsychiatry team
1Neuropsychiatry Unit, Royal Melbourne Hospital, Melbourne, Australia
2Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne, Melbourne, Australia
3The Florey Institute of Mental Health and Neurosciences, University of Melbourne, Melbourne, Australia
4Department of Medicine, Royal Melbourne Hospital, Melbourne, Australia
THE HISTORY OF COMMUNITY PSYCHIATRY IN AUSTRALIA
H Pols
The University of Sydney, Sydney, Australia
AN INTERNATIONAL COMPARISON OF CHILD AND ADOLESCENT PSYCHIATRY TRAINING: HOW IS AUSTRALIA AND NEW ZEALAND DOING?
P Robertson1,2
1Faculty of Child and Adolescent Psychiatry, RANZCP, Melbourne, Australia
2Department of Psychiatry, University of Melbourne, Melbourne, Australia
DRAT THE DISTRACTIBLE BRAIN!
S Romans
University of Otago, Dunedin, New Zealand
PRE-CONGRESS WORKSHOPS
CO-OCCURRING SUBSTANCE USE DISORDERS AND OTHER MENTAL HEALTH DISORDERS: A PRACTICAL UPDATE
S Padayachee1, A Pascoe2, J Reilly3, K McNamara4
1Metro South Hospital and Health Service (HHS), Brisbane, Australia
2Darling Downs HHS, Toowoomba, Australia
3Mental Health Alcohol and Other Drugs Branch, Clinical Excellence Queensland, Brisbane, Australia
4Gold Coast HHS, Gold Coast, Australia
LEARNING ACCEPTANCE AND COMMITMENT THERAPY FOR PSYCHIATRISTS – IN ALL WORK CONTEXTS!
R Purssey1,2
1Brisbane Acceptance and Commitment Therapy Centre, Brisbane, Australia
2The University of Queensland, Brisbane, Australia
UNDERSTANDING AND MANAGING PATIENT SELF-HATRED IN PSYCHOTHERAPY
N Bendit
Hunter New England Area Health, Newcastle, Australia
Self-hatred in patients is one of the most difficult problems faced by psychotherapists. When self-hatred is pervasive and strongly held by the patient, the therapist often finds themselves in the difficult position of trying to talk the patient out of it, which never works. This clinical difficulty is frequently found in patients with borderline personality disorder and dissociative disorders and compounds an already difficult treatment journey. This workshop will look at the origins and aetiology of self-hatred, its relationship to shame and some of the clinical difficulties that self-hatred presents during psychotherapy. We will examine how to manage and treat chronic and pervasive self-hatred, mainly from a psychodynamic point of view, but also including other treatment models. We will discuss clinical vignettes and invite the audience to offer their own clinical scenarios and discuss how to manage them.
APPROACHIG THE RANZCP OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) ASSESSMENT
G Robinson, A Kataria1
1OSCE Subcommittee, Member, Committee for Examinations, Melbourne, Australia
This workshop will also introduce candidates, supervisors and DOTs to processes for developing an OSCE examination, 2012 Competency-Based Fellowship Program marking schema, format of the OSCE examination, approaches to the ‘medicine as related to psychiatry’ station, approaches to the ‘core clinical assessment skills’ station, assessment/marking of the OSCE and tips for passing the OSCE examination.
HOW PSYCHIATRISTS LEARN IN THE WORKPLACE: ACHIEVING OUR CONTINUING PROFESSIONAL DEVELOPMENT
W de Beer, R Harvey, L Salmon, R Dotson, M Patton, B Lloyd, J Topp, G Young, N Jeyasingam, M O’Connor, S Sinha, S Byrne, J Pettigrew, S Sahoo
Committee for Continuing Professional Development, RANZCP, Melbourne, Australia
MAKE ART. FEEL BETTER: THE ROLE OF THE ARTS IN MENTAL HEALTH AND WELL-BEING
M Kalucy1,2, K Boydell1,3, M Bryan4, D Clark Coleman5, F Fitzpatrick6, K Innocente7,8, R Neild9
1School of Psychiatry, UNSW Sydney, Australia
2Prince of Wales Hospital, Sydney, Australia
3Black Dog Institute, Sydney, Australia
4Ashburn Clinic, Dunedin, New Zealand
5Psychiatrist, Bundaberg, Australia
6Kinghorn Cancer Centre, Sydney, Australia
7Innate Child, Paediatric Occupational Therapy Services, Sydney, Australia
8NSW Institute of Psychoanalytic Psychotherapy, Sydney, Australia
9Women’s and Children’s Hospital, Adelaide, Australia
APPROACHING THE CRITICAL ESSAY QUESTION AND THE MODIFIED ESSAY QUESTIONS IN THE RANZCP ESSAY-STYLE EXAMINATION
S Patel, N Gibson
Written Examination Subcommittee, Committee for Examinations, RANZCP, Melbourne, Australia
The essay-style paper includes two components: the critical essay question (CEQ) and a number of modified essay questions (MEQ). The CEQ focuses on the capacity to critically examine a proposition in the context of the practice of psychiatry. MEQs are more clinically focused and aim to test the application of knowledge relevant to clinical practice. Candidates are required to pass the CEQ to be awarded an overall pass in the essay-style paper.
SUBSTANTIAL COMPARABILITY ASSESSOR ACCREDITATION/REACCREDITATION WORKSHOP
D Riordan, D Fenn
RANZCP Substantial Comparability Assessment Review Panel – Presenters
PSYCHODYNAMIC PSYCHOTHERAPY FOR THE TRAINEE
L Diana
VMO Psychiatrist, Shellharbour Hospital, Shellharbour, Australia
Private Practice, Psychotherapist, Wollongong, Australia
Psychotherapy Educator, Illawarra Shoalhaven Local Health District, New South Wales, Australia
RANZCP Case History Subcommittee, Melbourne, Australia
OFFICE-BASED MANAGEMENT OF BORDERLINE PERSONALITY DISORDER
S Rao1,2, L Cheney1
1Spectrum, Personality Disorder Service, Melbourne, Australia
2Monash University, Melbourne, Australia
AUDIT AND PRACTICE IMPROVEMENT
W de Beer, R Harvey, L Salmon, R Dotson, M Patton, B Lloyd, J Topp, G Young, N Jeyasingam, M O’Connor, S Sinha, S Byrne, J Pettigrew, S Sahoo
Committee for Continuing Professional Development, RANZCP, Melbourne, Australia
CLINICAL UPDATE
ASSESSMENT AND MANAGEMENT OF DEMENTIA: A CLINICAL UPDATE
A Ford
WA Centre for Health and Ageing, Medical School, The University of Western Australia, Perth, Australia
UPDATE ON THE TREATMENT OF ANOREXIA NERVOSA
H Himmerich, J Treasure
Department of Psychological Medicine, King’s College London, London, UK
In inpatients with AN, listening to classical music seems to improve food intake; and singing in a group has been reported to reduce post-prandial anxiety. Watching music videos, however, seems to reinforce body dissatisfaction and the drive for thinness in young people.
Himmerich H, Hotopf M, Shetty H, et al. (2019) Psychiatric comorbidity as a risk factor for mortality in people with anorexia nervosa. European Archives of Psychiatry and Clinical Neuroscience 269: 351–359.
Himmerich H and Treasure J (2018) Psychopharmacological advances in eating disorders. Expert Review of Clinical Pharmacology 11: 95–108.
KETAMINE: NEW POTENTIAL FOR THE TREATMENT OF DEPRESSION
CK Loo
UNSW, Sydney, Australia
UPDATE FROM THE ROYAL COMMISSION INTO QUALITY AND SAFETY IN AGED CARE
SR Macfarlane1,2
1Monash University, Melbourne, Australia
2Dementia Support Australia, Australia
The Royal Commission into Aged Care Quality and Safety handed down its interim report on 31 October 2019, with the final report due in November 2020. Interim recommendations have been made, one of which relates to an urgent need to reduce inappropriate psychotropic prescribing within aged care, particularly to those living with dementia. Associate Professor Macfarlane testified before the Royal Commission in May 2019 in his capacity as Head of Clinical Services for Dementia Support Australia. This Clinical Update on Aged Psychiatry for general psychiatrists will review the background to the Royal Commission, examine the implications of the interim recommendations, speculate on systemic changes that might be recommended in any final report and examine whether the Royal Commission offers opportunities or threats for the practice of psychiatry within aged care settings.
VIEWING MOOD DISORDERS WITH 2020 VISION: A CRITICAL UPDATE OF RECENT FINDINGS, ADVANCES AND FUTURE TRENDS IN DIAGNOSIS AND MANAGEMENT
GS Malhi1,2,3, M Berk4,5,6
1The University of Sydney, Faculty of Medicine and Health, Northern Clinical School, Department of Psychiatry, Sydney, Australia
2Academic Department of Psychiatry, Royal North Shore Hospital, Northern Sydney Local Health District, Sydney, Australia
3CADE Clinic, Royal North Shore Hospital, Northern Sydney Local Health District, Sydney, Australia
4Deakin University, IMPACT, The Institute for Mental and Physical Health and Clinical Translation Strategic Research Centre, School of Medicine, Geelong, Australia
5Department of Psychiatry, Orygen – The National Centre of Excellence in Youth Mental Health – Centre for Youth Mental Health, Melbourne, Australia
6Florey Institute for Neuroscience and Mental Health, University of Melbourne, Melbourne, Australia
CANNABIS-BASED MEDICINES AS NOVEL INTERVENTIONS FOR PSYCHIATRIC DISORDERS
I McGregor
The Lambert Initiative for Cannabinoid Therapeutics, Brain and Mind Centre, The University of Sydney, Sydney, Australia
COMBINED SYMPOSIUM ABSTRACTS
THE PRODUCTIVITY COMMISSION INQUIRY INTO MENTAL HEALTH
H Whiteford
1School of Public Health, The University of Queensland, Brisbane, Australia
2Associate Commissioner, The Productivity Commission, Canberra, Australia
MINDFULNESS AND MENTAL HEALTH
M Anand1, S Heble2, S Sardinha3, S Roy4
1Northern New South Wales Local Health District, Lismore, Australia
2Stirling Adult Program and Graylands Hospital, Northern Metropolitan Mental Health Service, Perth, Australia
3Metro South Mental Health Services, Brisbane, Australia
4Gold Coast University Hospital, Gold Coast, Australia
CRITICAL THINKING ON CONTROVERSIES IN PSYCHIATRIC PRACTICE
T Bastiampillai1,2, SR Kisely3,4, JCL Looi5
1Discipline of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, Australia
2South Australian Health and Medical Research Institute, Adelaide, Australia
3School of Medicine, The University of Queensland, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane, Australia
4Dalhouise University, Departments of Psychiatry, Community Health and Epidemiology, Halifax, Canada
5Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, Australia
PRESENTER 1
EMERGENCY MENTAL HEALTH PRESENTATIONS AND ACCESS BLOCK: WHY THE RISING TIDE?
T Bastiampillai1,2
1Discipline of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, Australia
2South Australian Health and Medical Research Institute, Adelaide, Australia
PRESENTER 2
SMOKE-FREE PSYCHIATRIC WARDS: HOW CAN WE SLEEP WHEN THE BEDS ARE BURNING?
SR Kisely1,2
1School of Medicine, The University of Queensland, Princess Alexandra Hospital, Brisbane, Australia
2Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Halifax, Canada
PRESENTER 3
RE-DISORGANISATION OF PUBLIC MENTAL HEALTH SERVICES: CHARON STEERING ACROSS THE STYX?
JCL Looi1,2
1Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, Australia
2Section of Private Practice Psychiatry, RANZCP, Melbourne, Australia
ADHD IN AUSTRALIA: FROM BENCH TO BEDSIDE
CM Middeldorp1,2, E Sciberras3,4,5, M Bisset3,4, N Zendarski3,4,5, D Coghill4,5,6
1Child Health Research Centre, The University of Queensland, Brisbane, Australia
2Child and Youth Mental Health Service, Children’s Health Queensland Hospital and Health Service, Brisbane, Australia
3Deakin University, Burwood, Australia
4Murdoch Children’s Research Institute, Melbourne, Australia
5Department of Paediatrics, University of Melbourne, Melbourne, Australia
6Department of Psychiatry, University of Melbourne, Melbourne, Australia
PRESENTER 1
THE SOCIAL AND ECONOMIC COSTS OF ADHD IN AUSTRALIA
D Coghill1,2,3, E Sciberras1,3,4, J Streatfield5, N Zendarski1, CM Middeldorp6,7, M Bellgrove8
1Department of Paediatrics, University of Melbourne, Melbourne, Australia
2Department of Psychiatry, University of Melbourne, Melbourne, Australia
3Murdoch Children’s Research Institute, Melbourne, Australia
4Deakin University, Burwood, Australia
5Deloitte Access Economics, Canberra, Australia
6Child Health Research Centre, The University of Queensland, Brisbane, Australia
7Child and Youth Mental Health Service, Children’s Health Queensland Hospital and Health Service, Brisbane, Australia
8School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
PRESENTER 2
ESTABLISHING KEY PERFORMANCE INDICATORS TO MEASURE AND TRACK THE EDUCATIONAL OUTCOMES OF STUDENTS WITH ADHD
N Zendarski1,2,3, E Sciberras1,2,3, D Coghill1,3,4
1Department of Paediatrics, University of Melbourne, Melbourne, Australia
2Deakin University, Burwood, Australia
3Murdoch Children’s Research Institute, Melbourne, Australia
4Department of Psychiatry, University of Melbourne, Melbourne, Australia
PRESENTER 3
EATING DISORDER RISK FACTORS AND SYMPTOMS IN CHILDREN WITH ADHD: A POPULATION-BASED STUDY
M Bisset1,2, N Rinehart1, E Sciberras1,2,3
1Deakin University, Burwood, Australia
2Murdoch Children’s Research Institute, Melbourne, Australia
3University of Melbourne, Melbourne, Australia
PRESENTER 4
WHAT ARE THE OUTCOMES FOR CHILDREN WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER IN CHILD AND YOUTH MENTAL HEALTH COMMUNITY CLINICS?
CM Middeldorp1,2, L Winter1,3, S Roest, ZQ Lu4, D Coghill5, E Sciberras6, M Bellgrove7
1Child Health Research Centre, The University of Queensland, Brisbane, Australia
2Child and Youth Mental Health Service, Children’s Health Queensland Hospital and Health Service, Brisbane, Australia
3Australian ADHD Professionals Association, Melbourne, Australia
4Bundaberg Base Hospital, Bundaberg, Australia
5Departments of Paediatrics and Psychiatry, University of Melbourne, Melbourne, Australia
6Deakin University, Melbourne, Australia
7School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
PRESENTER 5
TREATING ANXIETY IN CHILDREN WITH ADHD USING COGNITIVE BEHAVIOURAL THERAPY: A RANDOMISED CONTROLLED TRIAL
E Sciberras1,2,3, D Efron2,3,4, P Patel2, M Mulraney2,3, KJ Lee2,3, C Mihalopoulos1, L Engel1, RM Rapee5, V Anderson2,3,4, JM Nicholson6, R Schembri2, H Hiscock2,3,4
1Deakin University, Melbourne, Australia
2Murdoch Children’s Research Institute, Melbourne, Australia
3University of Melbourne, Melbourne, Australia
4The Royal Children’s Hospital, Melbourne, Australia
5Centre for Emotional Health, Macquarie University, Sydney, Australia
6Judith Lumley Centre, La Trobe University, Melbourne, Australia
PRESIDENTIAL SYMPOSIUM: PSYCHIATRIC WORKFORCE
J Allan1, H Whiteford2, Invited guests
1The Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
2University of Queensland, Brisbane, Australia
FROM CRISIS TO TREATMENT: UPSKILLING THE WORKFORCE TO ENABLE SUICIDE PREVENTION EFFORTS FOR PEOPLE DIAGNOSED WITH BORDERLINE PERSONALITY DISORDER
JH Broadbear, S Rao, M Nithianandan
Spectrum, Personality Disorder Service for Victoria, Melbourne, Australia
PRESENTER 1
PREVALENCE OF PERSONALITY DISORDER IN VICTORIAN AMBULANCE ATTENDANCES
JH Broadbear1, F Moayeri2, D Scott2, S Matthews2, K Smith3, D Lubman2, S Rao1
1Spectrum, Personality Disorder Service, Melbourne, Australia
2Turning Point, Melbourne, Australia
3Centre for Research and Evaluation, Ambulance Victoria, Melbourne, Australia
PRESENTER 2
A QUALITATIVE ANALYSIS OF PUBLIC MENTAL HEALTH SERVICE RISK PROTOCOLS IN THE CONTEXT OF BORDERLINE PERSONALITY DISORDER
S Rao1, J Wheeler2, JH Broadbear1, H Mildred2,3
1Spectrum Personality Disorder Service, Melbourne, Australia
2Deakin University, Melbourne, Australia
3Child and Youth Mental Health Service, Eastern Health, Melbourne, Australia
PRESENTER 3
CONFIDENCE OF PSYCHIATRY TRAINEES IN MEETING THE NEEDS OF PEOPLE WITH BORDERLINE PERSONALITY DISORDER
M Nithianandan, P Heidari, JH Broadbear, S Rao
Spectrum Personality Disorder Service, Melbourne, Australia
PRESENTER 4
CAPACITY BUILDING FOR SUICIDE PREVENTION IN THE SOUTH EASTERN MELBOURNE PRIMARY HEALTH NETWORK
S Rao, J Becker, P Heidari, JH Broadbear, P Bradley
Spectrum Personality Disorder Service, Melbourne, Australia
BALANCING PRIVATE PRACTICE: PRAGMATIC ADVICE AND CONTINUING PROFESSIONAL DEVELOPMENT
M Atchison1,2, G Galambos2,3, JCL Looi2,4, E Moore5
1Private Psychiatrist, Adelaide, Australia
2Section of Private Practice Psychiatry, RANZCP, Melbourne, Australia
3Private Psychiatrist, Sydney, Australia
4Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, Australia
5Office for Mental Health and Wellbeing, Canberra, Australia
PRESENTER 1
OFFICE-BASED PRIVATE PRACTICE
M Atchison1,2
1Private Psychiatrist, Adelaide, Australia
2Section of Private Practice Psychiatry, RANZCP, Melbourne, Australia
PRESENTER 2
PRIVATE HOSPITAL PRACTICE
G Galambos1,2,3
1Private Psychiatrist, Sydney, Australia
2Section of Private Practice Psychiatry, RANZCP, Melbourne, Australia
3Young Adult Mental Health Unit, St Vincent’s Private Hospital, Sydney, Australia
PRESENTER 3
BALANCING PART-TIME PRIVATE PRACTICE
JCL Looi1,2
1Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, Australia
2Section of Private Practice Psychiatry, RANZCP, Melbourne, Australia
PRESENTER 4
HOW TO MAKE CONTINUING PROFESSIONAL DEVELOPMENT WORK FOR YOU IN PRIVATE PRACTICE
E Moore
Office for Mental Health and Wellbeing, Canberra, Australia
THE VALUE OF CONNECTEDNESS: A CONTINUED DISCUSSION ON LONELINESS, JOURNEYS OF DISCONNECTION, INTERVENTIONS AND MULTIDIMENSIONAL SOLUTIONS
S Stafrace1,3, D Backman-Hoyle1, W Grylls1, D Hastings1, M Kaur1, E Lavranos1, S Lawn1,5, L Salmon1, B Vickers1,2, S Byrne1, A Robinson1, N Kowalenko1, J Liggins1
1Community Collaboration Committee, Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
2Northland DHD, Whangarei, New Zealand
3The Alfred Hospital, Melbourne, Australia
4Inspired Workforce Performers, Peregian Beach, Australia
5Flinders University, Adelaide, Australia
6WA Mental Health Network, Department of Health, Perth, Australia
7Armadale Mental Health Service, Mount Nasura, Australia
The Royal Australian and New Zealand College of Psychiatrists partners with people who have a lived or family experience of mental illness through our Community Collaboration Committee (CCC). The CCC is made up of six psychiatrists and eight community members from Australia and New Zealand.
Following its symposium at Congress 2019 on the topic, in which the experience of loneliness and social isolation was explored, the CCC will delve into the issue further to explore the journey of healing and the effectiveness of peer- and community-led services and interventions, providing both clinical and consumer/carer perspectives.
Liggins J (2018) Healing the heart of recovery. International Journal of Social Psychiatry 64(7): 660–667.
PRESENTER 1
JOURNEY OF EXPLORATION IN HEALING
Community Collaboration Committee, Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
PRESENTER 2
REFLECTIONS ON PEER-LED SERVICES
1Flinders University, Adelaide, Australia
2Community Collaboration Committee, Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
PRESENTER 3
COMMUNITY-LED INITIATIVES (A CLINICAL PERSPECTIVE)
S Stafrace1,2
1Community Collaboration Committee, Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
2The Alfred Hospital, Melbourne, Australia
PRESENTER 4
PRESERVING RELATIONSHIPS
Community Collaboration Committee, Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
PRESENTER 5
LIVED EXPERIENCE AND INTERVENTIONS
L Salmon, E Lavranos
Committee for Continuing Professional Development, RANZCP, Melbourne, Australia
RANZCP MILITARY AND VETERANS’ MENTAL HEALTH NETWORK SYMPOSIUM ONE: CURRENT ISSUES AND RESEARCH IN MILITARY AND VETERANS MENTAL HEALTH
D Wallace1,2, M Van Hooff3,4, E Lawrence-Wood3,5, E Heffernan6,7
1Australian Defence Force Centre for Mental Health, Sydney, Australia
2UNSW, Sydney, Australia
3Centre for Traumatic Stress Studies, The University of Adelaide, Adelaide, Australia
4Australian Centre of Excellence for Post-Traumatic Stress, Adelaide, Australia
5Centre for Posttraumatic Mental Health, University of Melbourne, Melbourne, Australia.
6Queensland Forensic Mental Health Service, Queensland Health, Brisbane, Australia
7Forensic Mental Health Group, Queensland Centre for Mental Health Research, Waco, Australia
PRESENTER 1
MENTAL HEALTH IN AUSTRALIAN DEFENCE FORCE UNMANNED AERIAL VEHICLE OPERATORS IN AFGHANISTAN
D Wallace1,2, A Moss1, C Chesney3, M Dowling1, S Hodges4, J Costello5
1Australian Defence Force Centre for Mental Health, Sydney, Australia
2UNSW, Sydney, Australia
3Directorate of Mental Health Strategy and Research, Department of Defence, Canberra, Australia
4Australian Defence Force School of Intelligence, Canungra, Australia
5Australian Army, Forces Command, Victoria Barracks, Sydney, Australia
PRESENTER 2
THE PREVALENCE OF HOMELESSNESS AMONG AUSTRALIAN VETERANS
M Van Hooff1,2, E Lawrence-Wood1,3, A Searle1, I Katz4, F Hilferty4, F Zmudski4, G Evans5, A Talbot5, B Challinor6
1Centre for Traumatic Stress Studies, The University of Adelaide, Adelaide, Australia
2Australian Centre of Excellence for Post-Traumatic Stress, Adelaide, Australia
3Centre for Posttraumatic Mental Health, University of Melbourne, Melbourne, Australia
4Social Policy Research Centre, UNSW, Sydney, Australia
5Homes for Heroes, RSL Lifecare, Sydney, Australia
6Andrew Russell Veteran Living, RSL Care SA, Adelaide, Australia
PRESENTER 3
THE LONGITUDINAL MENTAL, PHYSICAL AND NEUROCOGNITIVE IMPACTS OF DEPLOYMENT TO THE MEAO: RESULTS FROM THE IMPACT OF COMBAT STUDY
E Lawrence-Wood1,2, A McFarlane1, A Lawrence1, N Sadler2, S Hodson3, H Benassi4, R Bryant5, M Korgaoknar5, J Rosenfeld6, M Sim6, H Kelsall6, M Abraham1, J Baur1, S Howell1, C Hansen1, M Iannos1, A Searle1, M Van Hooff1,7
1Centre for Traumatic Stress Studies, The University of Adelaide, Adelaide, Australia
2Centre for Posttraumatic Mental Health, University of Melbourne, Melbourne, Australia
3Veterans and Veterans Families Counselling Service, Victoria, Australia
4 Joint Health Command, Department of Defence, Canberra, Australia
5NSW, Sydney, Australia
6Monash University, Melbourne, Australia
7Australian Centre of Excellence for Post-Traumatic Stress, Adelaide, Australia
PRESENTER 4
UNDERSTANDING SUICIDE CRISIS AMONG CURRENT OR EX-SERVING ADF MEMBERS: EVIDENCE AND OPPORTUNITIES FOR INTERVENTION
E Heffernan1,2, C Meurk2, L Wittenhagen1
1Queensland Forensic Mental Health Service, Queensland Health, Brisbane, Australia
2Forensic Mental Health Group, Queensland Centre for Mental Health Research, Wacol, Australia
PANEL ON CONTROVERSIES IN THE DIAGNOSIS AND TREATMENT OF PERSONALITY DISORDERS
B Grenyer1, G Pace2, M Daubney3, L McLean4, P Cammell5
1Project Air Strategy for Personality Disorders, Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia
2Touchstone Community CAMHS; School of Psychiatry, University of Western Australia; WA Mental Health Network, Personality Disorders Sub-network
3Statewide Adolescent Extended Treatment Program Community, Children’s Health Queensland, South Brisbane, Australia
4Brain and Mind Centre, Discipline of Psychiatry, Faculty of Medicine and Health, The University of Sydney; Westmead Psychotherapy Program for Complex Traumatic Disorders, WSLHD; Consultation-Liaison Psychiatry, RNSH
5Royal Melbourne Hospital, Melbourne, Australia
RANZCP MILITARY AND VETERANS’ MENTAL HEALTH NETWORK SYMPOSIUM TWO: CLINICAL PRACTICE IN MILITARY, VETERANS AND EMERGENCY SERVICES PERSONNEL
C Nas Jones1, G Angus-Leppan2, A Khoo3,4, Z Steel5,6
1Royal Australian Navy, c/o Australian Defence Force Centre for Mental Health, Sydney, Australia
2National Centre for Veterans’ Health, Sydney, Australia
3Toowong Private Hospital, Brisbane, Australia
4Gallipoli Medical Research Foundation, Brisbane, Australia
5School of Psychiatry, UNSW, Sydney, Australia
6St John of God Health Care, Richmond Hospital, Melbourne, Australia
PRESENTER 1
UNIFORMED PSYCHIATRISTS IN THE AUSTRALIAN DEFENCE FORCE: THE INITIAL EXPERIENCE
C Nas Jones
Royal Australian Navy, c/o Australian Defence Force Centre for Mental Health, Sydney, Australia
PRESENTER 2
THE NATIONAL CENTRE FOR VETERANS HEALTH: HOLISTIC AND MULTIDISCIPLINARY CARE FOR VETERANS
G Angus-Leppan
National Centre for Veterans’ Health, Sydney, Australia
PRESENTER 3
THE PHARMACOLOGICAL MANAGEMENT OF POST-TRAUMATIC STRESS DISORDER
A Khoo1,2
1Toowong Private Hospital, Brisbane, Australia
2Gallipoli Medical Research Foundation, Brisbane, Australia
PRESENTER 4
USING OUTCOME EFFECTIVENESS MONITORING TO INFORM TREATMENT PLANNING FOR VETERANS AND FIRST RESPONDERS PRESENTING WITH COMPLEX PTSD
Z Steel1,2, D Berle3, D Hilbrink2
1School of Psychiatry, UNSW, Sydney, Australia
2St John of God Health Care, Richmond Hospital, Melbourne, Australia
3Discipline of Clinical Psychology, University of Technology, Sydney, Australia
INSTITUTIONAL ABUSE, CHEMICAL RESTRAINT, FUNCTIONAL NEUROLOGICAL DISORDER AND THE NDIS: AN ARRAY OF CONTROVERSIAL TOPICS IN AUTISM AND INTELLECTUAL DISABILITY
C McLorinan1, C Franklin2,3, D Harley4, V Grote3,5, C Franklin2,3, A Shek3
1Metro South Mental Health Service, Logan, Australia
2Mater Research Institute–University of Queensland, The University of Queensland, Brisbane, Australia
3Mater Intellectual Disability and Autism Service, Mater Misericordiae Limited, Brisbane, Australia
4Queensland Centre for Intellectual and Developmental Disability, Mater Research Institute–University of Queensland, The University of Queensland, Brisbane, Australia
5Faculty of Medicine, The University of Queensland, Brisbane, Australia
PRESENTER 1
INSTITUTIONAL ABUSE OF PEOPLE WITH DEVELOPMENTAL DISABILITY: HOW DO CARERS BECOME ABUSERS?
C McLorinan1, C Franklin2,3
1Metro South Mental Health Service, Logan, Australia
2Mater Research Institute–University of Queensland, The University of Queensland, Brisbane, Australia
3Mater Intellectual Disability and Autism Service, Mater Misericordiae Limited, Brisbane, Australia
PRESENTER 2
PSYCHOTROPIC MEDICATIONS FOR CHALLENGING BEHAVIOUR IN ADULTS WITH INTELLECTUAL DISABILITY: PRESCRIBING AND DE-PRESCRIBING
D Harley
Queensland Centre for Intellectual and Developmental Disability, Mater Research Institute–University of Queensland, The University of Queensland, Brisbane, Australia
PRESENTER 3
FUNCTIONAL NEUROLOGICAL DISORDER IN INTELLECTUAL DISABILITY AND AUTISM
V Grote1,2
1Faculty of Medicine, The University of Queensland, Brisbane, Australia
2Mater Intellectual Disability and Autism Service, Mater Misericordiae Limited, Brisbane, Australia
PRESENTER 4
THE NATIONAL DISABILITY INSURANCE SCHEME AND DEVELOPMENTAL DISABILITY IN MAINSTREAM MENTAL HEALTH SERVICES: THE QUEENSLAND EXPERIENCE
C Franklin1,2, A Shek2
1Mater Research Institute–University of Queensland, The University of Queensland, Brisbane, Australia
2Mater Intellectual Disability and Autism Service, Mater Misericordiae Limited, Brisbane, Australia
THE COMPLEX INTERPLAY OF DOMESTIC VIOLENCE, SUBSTANCE ABUSE, TRAUMA AND MENTAL HEALTH: LOCAL AND INTERNATIONAL INITIATIVES
M O’Connor1, S Rao2, L Newman3,4, C Warshaw5
1University of Melbourne, Melbourne, Australia
2Monash University, Melbourne, Australia
3University of Melbourne, Australia
4Centre for Women's Mental Health, Royal Women’s Hospital, Melbourne, Australia
5National Center on Domestic Violence, Trauma and Mental Health, Chicago, IL, USA
The symposium addresses domestic violence as a key mediator of adversity and a substantial but often covert vector in mental illness. A trauma-informed approach to care assists in minimising the risk of further traumatisation in vulnerable individuals. These topics are brought into focus by three presentations followed by a commentary by our international discussant, Dr Carole Warshaw, Director of the National Center on Domestic Violence, Trauma and Mental Health, Chicago, IL, USA. The session concludes with a panel discussion with audience questions and answers (‘Q&A’).
PRESENTER 1
DOMESTIC VIOLENCE AND PATHWAYS TO TRAUMA: THE CONCEPTUAL FRAMEWORK
M O’Connor
University of Melbourne, Melbourne, Australia
PRESENTER 2
IS THERE A LINK BETWEEN BORDERLINE PERSONALITY DISORDER AND FAMILY VIOLENCE?
S Rao1,2
1Spectrum, Personality Disorder Service, Melbourne, Australia
2Monash University, Melbourne, Australia
Zanarini MC, Frankenburg FR, Reich DB, et al. (2015) Treatment rates for patients with borderline personality disorder and other personality disorders: a 16-year study. Psychiatric Services 66: 15–20.
PRESENTER 3
THE ROLE OF TRAUMA-FOCUSED INTERVENTIONS
L Newman1,2
1University of Melbourne, Melbourne, Australia
2Centre for Women's Mental Health, Royal Women’s Hospital, Melbourne, Australia
THE WOMEN WHO HAVE SHAPED US: BECAUSE OF HER, WE CAN
S Balaratnasingam, D Hellsten, D Jans, E McEntyre, K Mulholland, S Schuh, J King
Aboriginal and Torres Strait Islander Mental Health Committee, RANZCP, Melbourne, Australia
PRESENTER 1
INFLUENCE OF INDIGENOUS KNOWLEDGE: MEN’S AND WOMEN’S BUSINESS
S Balaratnasingam, D Hellsten, D Jans, E McEntyre, K Mulholland, S Schuh, J King
Aboriginal and Torres Strait Islander Mental Health Committee, RANZCP, Melbourne, Australia
PRESENTER 2
TALES OF INFLUENCE: HOW INDIGENOUS KNOWLEDGE INFORMS THE PRACTICE OF PSYCHIATRY AND MENTAL HEALTH
S Balaratnasingam, D Hellsten, D Jans, E McEntyre, K Mulholland, S Schuh, J King
Aboriginal and Torres Strait Islander Mental Health Committee, RANZCP, Melbourne, Australia
PRESENTER 3
AUDIENCE ENGAGEMENT
S Balaratnasingam, D Hellsten, D Jans, E McEntyre, K Mulholland, S Schuh, J King
Aboriginal and Torres Strait Islander Mental Health Committee, RANZCP, Melbourne, Australia
CREATING SUCCESSFUL AND SUSTAINABLE MENTORING PARTNERSHIPS
S Mackersey1, B Kotze2
1Chair, RANZCP Membership Engagement Committee; Psychiatrist Head of Department/DAMHS Hauora Tairawhiti and private consulting
2Member, RANZCP Membership Engagement Committee
You D and Kealy-Bateman W (2019) Outcomes of mentoring programs in psychiatry training: a literature review. Australasian Psychiatry 27(3): 234–240, 240; definition originally cited in Standing Committee on Postgraduate Medical and Dental Education: Supporting doctors and dentists at work: An enquiry into mentoring. London: SCOPME, 1998
TRANSFORMING CHALLENGING PATIENTS INTO INTERESTING PEOPLE WITH THE MAGIC OF REFLECTIVE WRITING: AN INTERACTIVE TWO-PART SYMPOSIUM
H Koppe1,2
1North Coast GP Training, Ballina, Australia
2North Coast Primary Health Network, Ballina, Australia
The first session will focus on the use of reflective writing techniques that can transform life’s persistent nagging mild irritations into works of beauty, as an oyster transforms a grain of sand into a pearl. The second session will focus on using imaginative and expressive writing techniques to allow participants to have fun and play with immersion in a challenging clinical scenario. Participants are welcome to attend either, or both sessions.
JOINT JSPN/RANZCP SYMPOSIUM: PATIENTS’ RIGHTS
J Allan1, Regional guests2, Lived experience expert
1The Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
2Japanese Society of Psychiatry and Neurology, Tokyo, Japan
DISTINGUISHING CULTURAL EXPERIENCES FROM PSYCHOTIC SYMPTOMS IN MĀORI, ABORIGINAL AND TORRES STRAIT ISLANDER PEOPLES AND FAMILIES: A CASE-BASED SYMPOSIUM FOCUSED ON PRACTICAL GUIDANCE FOR PSYCHIATRIC ASSESSMENT
H Milroy1, A Bush2, W NiaNia3
1The University of Western Australia, Perth, Australia
2Te Whare Mārie, Māori Mental Health Service, Capital Coast District Health Board, Porirua, New Zealand
3Tuhoe, Ngati Tuwharetoa, Ngati Kahungunu. Tohunga, Tātaihono Consultants, Turangi, New Zealand
PSYCHOPHARMACOLOGY UPDATE: RECENT ADVANCES FOR CHILDREN AND ADOLESCENTS AND IMPLICATIONS FOR PRACTICE
M Turner1, B Kotze2,3, N Mills1
1The University of Adelaide, Adelaide, Australia
2University of Technology Sydney, Sydney, Australia
3UNSW, Sydney, Australia
RANZCP MILITARY AND VETERANS’ MENTAL HEALTH NETWORK SYMPOSIUM THREE: THE MENTAL HEALTH OF FIRST RESPONDERS. WHAT HAVE WE LEARNT AND WHAT DOES THIS TELL US ABOUT HOW WE SHOULD LOOK AFTER OTHER WORKERS . . . INCLUDING JUNIOR DOCTORS?
S Harvey1,2, L Tan1, R Bryant3, A Gayed1, A Phelps4
1Black Dog Institute, Sydney, Australia
2Faculty of Medicine, UNSW, Sydney, Australia
3School of Psychology, Faculty of Science, UNSW, Sydney, Australia
4Phoenix Australia, Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne, Australia
PRESENTER 1
DOES MENTAL HEALTH EDUCATION REALLY HELP? A RANDOMISED CONTROLLED TRIAL OF MENTAL HEALTH AWARENESS TRAINING AMONG FIRST RESPONDERS
SB Harvey1,2, L Tan1, M Deady1,2, C Suk3, H Paterson3, R Bryant4
1Black Dog Institute, Sydney, Australia
2Faculty of Medicine, UNSW, Sydney, Australia
3School of Psychology, Faculty of Science, The University of Sydney, Sydney, Australia
4School of Psychology, Faculty of Science, UNSW, Sydney, Australia
PRESENTER 2
POST-TRAUMA INTERVENTIONS TO PREVENT THE DEVELOPMENT OF TRAUMA-RELATED MENTAL DISORDERS IN FIRST RESPONDERS: A SYSTEMATIC REVIEW AND META-ANALYSIS
L Tan1, K Petrie1,2, M Deady1,2, SB Harvey1,2, R Bryant3
1Black Dog Institute, Sydney, Australia
2Faculty of Medicine, UNSW, Sydney, Australia
3School of Psychology, Faculty of Science, UNSW, Sydney, Australia
PRESENTER 3
COGNITIVE BEHAVIOUR THERAPY FOR PTSD IN POLICE OFFICERS: A RANDOMISED CONTROLLED TRIAL
R Bryant, L Kenny, A Joscelyne, N Rawson, K Dawson, F Maccallum, C Cahill, S Hopwood, A Nickerson
School of Psychology, Faculty of Science, UNSW, Sydney, Australia
PRESENTER 4
MANAGER MENTAL HEALTH TRAINING FOR SUPERVISING PHYSICIANS
A Gayed1, N Kugenthiran1, AD LaMontagne2,3, A Milner3, M Deady1, H Christensen1, N Glozier4, SB Harvey1
1Black Dog Institute, Faculty of Medicine, UNSW, Sydney, Australia
2Centre for Population Health Research, Deakin University, Geelong, Australia
3School of Population and Global Health, University of Melbourne, Melbourne, Australia
4Brain and Mind Centre and Central Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
PRESENTER 5
MORAL INJURY: DEVELOPMENT OF A SCALE TO MEASURE THE PSYCHOLOGICAL, BEHAVIOURAL, SPIRITUAL AND SOCIAL CONSEQUENCES OF MORALLY INJURIOUS EVENTS
L Dell, K Murray, A Phelps
Phoenix Australia, Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Melbourne, Australia
UNIQUE OPPORTUNITIES THROUGH THE SPECIALIST TRAINING PROGRAMME: A RURAL JOURNEY TO RANZCP FELLOWSHIP
M Coleman1, H Sandhu2,3, M Kayal4, H Goh5, J King6
1Rural Clinical School of WA (University of Western Australia) and Country Health Service [Great Southern], Albany, Western Australia, Australia
2Hunter New England Mental Health, Mater Hospital, Waratah, Australia
3School of Medicine and Public Health, University of Newcastle, Newcastle, Australia
4Cairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia
5Millbrook Rise Centre, Tasmania, Australia
6Top End Mental Health Service, Darwin, Northern Territory, Australia
AUTISM IN CLINICAL PRACTICE
C McLorinan1, K Brooker2,3, D Harley2, C Franklin4,5, J McAuliffe5
1Metro South Mental Health Service, Logan, Australia
2Queensland Centre for Intellectual and Developmental Disability (QCIDD), Mater Research Institute–University of Queensland, The University of Queensland, Brisbane, Australia
3The Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Australia
4Mater Research Institute–University of Queensland, The University of Queensland, Brisbane, Australia
5Mater Intellectual Disability and Autism Service, Mater Misericordiae, Brisbane, Australia
PRESENTER 1
AUTISM AND DEVELOPMENTAL TRAUMA
CP McLorinan
Child and Youth Mental Health Service, Metro South Health, Brisbane, Australia
PRESENTER 2
PSYCHOLOGICAL THERAPIES IN AUTISM
K Brooker1,2, D Harley1
1Queensland Centre for Intellectual and Developmental Disability, Mater Research Institute-University of Queensland, The University of Queensland, Brisbane, Australia
2The Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Australia
PRESENTER 3
PRACTICE CHANGING LITERATURE IN AUTISM
C Franklin1,2, J McAuliffe2
1Mater Research Institute–University of Queensland, The University of Queensland, Brisbane, Australia
2Mater Intellectual Disability and Autism Service, Mater Misericordiae, Brisbane, Australia
INFLUENCING AND BEING INFLUENCED BY THE WORLD AROUND US THROUGH PSYCHIATRY TRAINING
J Devlin1, K King2,3, J Obed4, A Paul5, N Kowalenko6
1RANZCP, University of Hong Kong, Hong Kong, China
2RANZCP Trainee, Northern Sydney, Australia
3University of Alberta, Edmonton, Canada
4Ministry of Health, Port Vila, Vanuatu
5Child and Adolescent Psychiatrist, Canberra, Australia
6RANZCP Pacific Steering Group, IACAPAP
Australian Bureau of Statistics [internet] (2017). Available at: https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/2071.0~2016~Main%20Features~Cultural%20Diversity%20Data%20Summary~30 (accessed 3 October 2019).
Becker AE and Kleinman A (2013) Mental health and the global agenda. New England Journal of Medicine 369(1): 66–73.
Burgess G and Melluish S (2019) Global mental health: training in an international context. International Journal of Mental Health 48: 253–256.
Casanova Dias M and Ryland H (2018) Core competencies for health professionals in global health. European Psychiatry 41: S58.
Chetwood J (2015) Foundation training overseas: how to apply and the pitfalls to avoid. British Journal of Medicine: 350.
Department of global health and social medicine, Harvard University [internet] (2019) Available at: http://ghsm.hms.harvard.edu/research/mental-health (accessed 5 October 2019).
Eaton J (2019) Rebalancing power in global mental health. International Journal of Mental Health 48: 288–298.
Parker J, Mitchell R, Mansfield S, et al. (2011) A guide to working abroad for Australian medical students and junior doctors. Medical Journal of Australia 194: S1–S95.
World Health Organization [internet] (2013), Mental Health Action Plan 2013–2020. Available at: https://www.who.int/mental_health/publications/action_plan/en/ (accessed 8 October 2019).
PRESENTER 1
TRAINING IN CANADA AND FULFILLING THE RANZCP TRAINING REQUIREMENTS
K King1,2
1RANZCP Trainee, Northern Sydney, Australia
2University of Alberta, Edmonton, Canada
PRESENTER 2
PSYCHIATRY TRAINING IN HONG KONG WITH THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF PSYCHIATRISTS
J Devlin
RANZCP, University of Hong Kong, Hong Kong, China
Hong Kong Mental Health Conference 2017: Highlights. [internet] (2017), Mental health matters. Available at: https://www.youtube.com/watch?v=RlbQJmZFhcw (accessed 8 October 2019).
Ng K-c (2018, October 29) Mental health in Hong Kong at worst level in seven years. South China Morning Post.
Wai-Tong C (2015, June 1) We should stop neglecting mental health issues in Hong Kong. South China Morning Post.
World Psychiatric Association [internet]. Available at: http://www.wpanet.org/world-congress (accessed 12 October 2019).
PRESENTER 3
PSYCHIATRY TRAINING: EXPERIENCES FROM A PACIFIC ISLANDER
J Obed
Ministry of Health, Port Vila, Vanuatu
For Pacific Island Countries, there may be only one mental health doctor and few nurses, and factors like the duration, type and location of any training play an important role when deciding further training. Formal psychiatry training within the Pacific is offered in Fiji and Papua New Guinea from 12 months to 4 years.
PRESENTER 4
HOW TO DEVELOP NETWORKS AND FIND OPPORTUNITIES IN GLOBAL MENTAL HEALTH
A Paul
Child and Adolescent Psychiatrist, Canberra, Australia
PRESENTER 5
INFLUENCING AND BEING INFLUENCED: BUILDING A BRIDGE FOR PSYCHIATRY TRAINING IN THE PACIFIC
N Kowalenko1, P Robertson2,3, A Bush4,5
1RANZCP Pacific Steering Group, IACAPAP
2Faculty of Child and Adolescent Psychiatry, RANZCP
3University of Melbourne, Melbourne, Australia
4Te Kakano o Te Aroha Māori and Pasifika CAMHS, Capital Coast District Health Board, New Zealand
5World Psychiatric Association, Oceania
MODIFIABLE FACTORS IN NEUROPSYCHIATRY: BEING INFLUENCED BY THE WORLD AROUND US
K Ashe1, W Kelso1, S Farrand1, J Panetta2, T Fazio2,3, G De Jong2,3, D Velakoulis1,4 M Walterfang1,4,5
1Neuropsychiatry Unit, Royal Melbourne Hospital, Melbourne, Australia
2Statewide Adult Metabolic Service, Royal Melbourne Hospital, Melbourne, Australia
3Melbourne Medical School, University of Melbourne, Melbourne, Australia
4Melbourne Neuropsychiatry Centre, University of Melbourne and North-Western Mental Health, Melbourne, Australia
5Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Australia
OCD: MECHANISMS AND MANAGEMENT
IE Perkes1, V Brakoulias2,3, J Lam-Po-Tang4, LF Fontanelle5, D Castle6,7
1School of Psychiatry and School of Psychology, UNSW, Sydney, Australia
2Blacktown Mental Health Services, Western Sydney Local Health District, Sydney, Australia
3Western Sydney University, Sydney, Australia
4Red Tree Practice, Sydney, Australia
5Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
6Department of Psychiatry, St Vincent’s Health, Melbourne, Australia
7University of Melbourne, Melbourne, Australia
PRESENTER 1
OCD: A META-REVIEW OF PATHOPHYSIOLOGY
IE Perkes1,2,3, MS Kassem4,5, PL Hazell3, G Paxinos4,5, PB Mitchell1, BW Balleine2, V Eapen1
1School of Psychiatry, UNSW, Sydney, Australia
2School of Psychology, UNSW, Sydney, Australia
3Discipline of Psychiatry, The University of Sydney School of Medicine, Sydney, Australia
4Neuroscience Research Australia, Sydney, Australia
5School of Medical Sciences, UNSW, Sydney, Australia
PRESENTER 2
INTERNATIONAL TRENDS IN THE TREATMENT OF OCD
V Brakoulias1,2
1Blacktown Mental Health Services, Western Sydney Local Health District, Sydney, Australia
2Western Sydney University, Sydney, Australia
PRESENTER 3
OCD: THE COGNITIVE BEHAVIOUR THERAPY OUTLIER
J Lam-Po-Tang
Red Tree Practice, Sydney, Australia
PRESENTER 4
LESSONS FROM A CONSORTIUM ON OCD PHENOTYPE
LF Fontenelle, AR Torres, MC do Rosário, RG Shavitt, Y Ferrão, K Petribú, AV Cordioli, EC Miguel
Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
TWO SEASONS IN ONE DAY: TALKING ABOUT PSYCHIATRISTS’ WELFARE IN DIFFERENT STAGES OF OUR PROFESSIONAL LIVES
S Suetani1, M Forbes2, S Moylan3, D Nguyen4, W Ward5, P Brown1
1Metro South Addiction and Mental Health Services, Brisbane, Australia
2Royal Melbourne Hospital and NorthWestern Mental Health, Melbourne, Australia
3Mental Health, Drugs and Alcohol Services, Barwon Health, Victoria, Australia
4Toowong Specialist Clinic, Toowong, Australia
5Metro North Mental Health, Royal Brisbane and Women’s Hospital, Brisbane, Australia
EXPLORING THE VALUE OF PEER INCLUSION IN THE MANAGEMENT AND TREATMENT OF BORDERLINE PERSONALITY DISORDER
R Brown1,2, K Barr3, A Jewell4
1Spectrum Personality Disorder Service, Melbourne, Australia
2Australian Borderline Personality Disorder Foundation, Melbourne, Australia
3Project Air Strategy for Personality Disorders, Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia
4Graphics for Good
PRESENTER 1
LEARNING MORE ABOUT BPD: A WORKSHOP FOR CARERS SUPPORTING SOMEONE WITH BPD
R Brown1,2, J Veltkamp1
1Spectrum Personality Disorder Service, Melbourne, Australia
2Australian Borderline Personality Disorder Foundation, Melbourne, Australia
The single session model was adopted that includes scheduled breaks, which aid the processing of information and emotions that may have been evoked and encourage networking among participants and private consultation with the facilitators. The workshop’s title, ‘Learning more about BPD: Workshop for Carers’, acknowledges the experience that carers have. The role of the facilitators is to provide structure and enable sharing rather than simply impart information. Carer participants completed the e-KALM# questionnaire pre- and post-workshop. This questionnaire, adapted from the Personality Disorder Knowledge, Attitudes and Skills Questionnaire (Bolton et al., 2010), measures empathy, knowledge, attitudes, learning and management around BPD. Carers were also asked to rate how relevant the various aspects of the workshop were to them.
Bolton LR, Becker LK and Barber LK (2010). Big Five trait predictors of differential counterproductive work behavior dimensions. Personality and Individual Differences 49(5): 537–541.
PRESENTER 2
‘THE PENCIL THAT SAVED MY LIFE’
M Jewell
Graphics for Good
Mahlie’s featured work ‘Warpaint’ tells the story of a life within the public mental health system. Her journey through the confines of the systemic medical model of care defied every statistic and prognosis and found recovery. Her aim is to show the ways that health services can use art as a powerful and engaging tool, no matter what the diagnosis, setting or restrictions.
PRESENTER 3
TWO MODELS OF PEER SUPPORT FOR BORDERLINE PERSONALITY DISORDER: A QUALITATIVE STUDY
KR Barr, ML Townsend, BFS Grenyer, Project Air Strategy Team
Project Air Strategy for Personality Disorders, Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia
DEVELOPMENTAL PSYCHOPATHOLOGY ACROSS THE LIFESPAN: THE NEED FOR PSYCHIATRY TO URGENTLY ADOPT THE PRINCIPLES OF TRAUMA-INFORMED CARE AND PRACTICE
J Haliburn1,2, R Benjamin3, J Stevenson1,4
1The University of Sydney, Sydney, Australia
2Consultant Psychiatrist, Private Practice, Sydney, Australia
3Public Sector Psychiatrist, Hobart, Australia
4Consultant Psychogeriatrician, Director Riverglen Unit, Greenwich Hospital, Sydney, Australia
SECTION OF EARLY CAREER PSYCHIATRISTS: WHERE TO FROM HERE? THE VARIED CAREER PATHWAYS FOR THE EARLY CAREER PSYCHIATRIST
E Mullen1, V Lakra2,3, S Loi4,5, R Graham6, S Sahoo7
1Orygen Youth Health, Melbourne, Australia
2North West Area Mental Health Service, Melbourne, Australia
3Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
4Neuropsychiatry Unit, The Royal Melbourne Hospital, Melbourne, Australia
5University of Melbourne, Melbourne, Australia
6University of Tasmania, Hobart, Australia
7The University of Queensland, Brisbane, Australia
PRESENTER 1
CHOICES AND OPPORTUNITIES: DEVELOPING A SATISFYING SPECIALIST CAREER
V Lakra1,2
1North West Area Mental Health Service, Melbourne, Australia
2Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
PRESENTER 2
THE ROAD LESS TRAVELLED: THE PATH OF THE ACADEMIC PSYCHIATRIST
S Loi1,2
1Neuropsychiatry Unit, The Royal Melbourne Hospital, Melbourne, Australia
2University of Melbourne, Melbourne, Australia
PRESENTER 3
FINDING YOUR FEET: A STEP-BY-STEP GUIDE TO ENTERING PRIVATE PRACTICE AS AN EARLY CAREER PSYCHIATRIST
R Graham
The University of Tasmania, Hobart, Australia
PRESENTER 4
DOING THE BALANCING ACT: HOW TO HAVE A DUAL STREAM CAREER – RESEARCH/ACADEMIC AND CLINICAL PRACTICE AS AN EARLY CAREER PSYCHIATRIST
S Sahoo
The University of Queensland, Brisbane, Australia
CLINICAL ETHICS AND IMMIGRATION DETENTION
M Dudley1, P Young2, G Newhouse3, R Stoddart4
1UNSW, Sydney, Australia
2Private practice, Sydney, Australia
3National Justice Project, Sydney, Australia
4UNSW, Sydney, Australia
DOWN AND OUT IN MELBOURNE AND SYDNEY: TWO MODELS OF CARE FOR THE HOMELESS MENTALLY ILL
S Jones1,2, A Holmes1,2, J Freidin3, D Burton1, T Carlisle1, H Shin1, V Luk3, N Burns4,5, N Jones4,6, T Marchant7, O Nielssen8,9
1Melbourne Health, Melbourne, Australia
2University of Melbourne, Melbourne, Australia
3Alfred Health, Melbourne, Australia
4Matthew Talbot Hostel Clinic, Woolloomooloo, Australia
5Bloomfield Hospital, Orange, Australia
6University of Sydney, Sydney, Australia
7Hunter New England Area Health Service, Newcastle, Australia
8Macquarie University, Sydney, Australia
9St Vincents Hospital, Sydney, Australia
PRESENTER 1
AN ASSERTIVE OUTREACH HOMELESS TEAM – MODEL OF CARE
S Jones1, A Holmes1,2
1Melbourne Health, Melbourne, Australia
2University of Melbourne, Melbourne, Australia
PRESENTER 2
THE MODEL OF CARE AND CHARACTERISTICS OF ATTENDERS AT THE MATTHEW TALBOT HOSTEL CLINIC – A WALK UP NURSE LED CLINIC PROVIDING COMPREHENSIVE PHYSICAL AND MENTAL HEALTHCARE
N Burns1, N Jones1,2
1Bloomfield Hospital, Orange, Australia
2Matthew Talbot Hostel Clinic, Woolloomooloo, Australia
PRESENTER 3
SUBMISSION TO THE ROYAL COMMISSION INTO VICTORIA’S MENTAL HEALTH SYSTEM
A Holmes1,2, D Burton1
1Melbourne Health, Melbourne, Australia
2University of Melbourne, Melbourne, Australia
PRESENTER 4
MODELS OF SUPPORTED HOUSING FOR THE HOMELESS MENTALLY ILL
Olav Nielssen1,2
1Macquarie University, Sydney, Australia
2St Vincents Hospital, Sydney, Australia
THE RETURN OF THE BREAKFAST CLUB: ON BEING INFLUENCED AND STARTING TO INFLUENCE OTHERS
S Suetani1, A White2, J Down3, J Teo1, N Korman1, S Parker1
1Metro South Addiction and Mental Health Services, Brisbane, Australia
2Metro North Mental Health, Royal Brisbane and Women’s Hospital, Brisbane, Australia
3Queensland Children’s Hospital, Brisbane, Australia
PRESENTER 1
FAHR’S DISEASE: A RARE BUT IMPORTANT DIFFERENTIAL IN PATIENTS WITH PSYCHOTIC ILLNESS – A CASE REPORT FROM ROYAL BRISBANE AND WOMEN’S HOSPITAL
A White1, S White2
1Metro North Mental Health, Royal Brisbane and Women’s Hospital, Brisbane, Australia
2Royal Brisbane and Women’s Hospital, Brisbane, Australia
PRESENTER 2
PAEDIATRIC NEUROPSYCHIATRY: AN EVOLVING FIELD
J Down
Queensland Children’s Hospital, Brisbane, Australia
PRESENTER 3
RESEARCH OPPORTUNITIES IN A COMMUNITY-BASED PSYCHOSIS-SPECIFIC ADULT MENTAL HEALTH SERVICE
J Teo1,2
1Metro South Addiction and Mental Health Services, Brisbane, Australia
2The University of Queensland, Brisbane, Australia
A gap in the metabolic monitoring of patients on atypical antipsychotics was identified. An audit of cardiovascular and behavioural risk factors within the patient population was thus performed. Key findings included that 80.2% of the study population were overweight and only 31.3% of patients returned blood tests, suggesting patient non-adherence to blood testing may hinder effective metabolic monitoring in this at-risk population.
PRESENTER 4
ADDRESSING INTRINSIC MOTIVATION FOR PHYSICAL ACTIVITY FOR PEOPLE WITH SEVERE MENTAL ILLNESS LIVING WITHIN RESIDENTIAL REHABILITATIONS
N Korman1,2, T Skinner3, J Firth4, D Siskind1,2, J Chapman1,5
1Addiction and Mental Health Services, Metro South Health Services, Brisbane, Australia
2School of Medicine, The University of Queensland, Brisbane, Australia
3School of Human Movement, The University of Queensland, Brisbane, Australia
4NICM, Western Sydney University, Sydney, Australia
5Queensland Institute of Medical Research, Brisbane, Australia
PRESENTER 5
QUETIAPINE WITHDRAWAL: A SYSTEMATIC REVIEW
K Monahan1,2, J Cuzens-Sutton3, S Kisely1,2,4
1Metro South Addiction and Mental Health Services, Woolloongabba, Australia
2School of Medicine, The University of Queensland, Woolloongabba, Australia
3School of, Midwifery and Social Work, The University of Queensland, Woolloongabba, Australia
4West Moreton Health Service, Ipswich, Australia
PRESENTER 6
A CLUSTER ANALYSIS SOLUTION TO SEGMENTATION OF CONSUMERS ADMITTED TO COMMUNITY-BASED RESIDENTIAL MENTAL HEALTH REHABILITATION UNITS
S Parker1,2
1Metro South Addiction and Mental Health Services, Brisbane, Australia
2School of Public Health, The University of Queensland, Herston, Australia
TELLING OUR STORIES
S Mackersey1, P McEvoy2, T Rohde3, N Beamish4
1Membership Engagement Committee and Current Board Member, RANZCP
2Membership Engagement Committee, RANZCP
3Cairns and Hinterland Mental Health and ATODS Service, Cairns, Australia
4Past Member of Membership Welfare Sub-Committee, RANZCP
DEBATE: SUICIDE PREVENTION, ‘ZERO SUICIDE IS A REASONABLE AND ACHIEVABLE GOAL FOR SOCIETY’
N O’Connor1, S Pridmore2, C Ryan3,4,5, K Turner6, A Groves7, K Drew8, S Clark9,10
1NSW Clinical Excellence Commission, Sydney, Australia
2The University of Tasmania, Hobart, Australia
3Discipline of Psychiatry, The University of Sydney, Sydney, Australia,
4Sydney Health Ethics, The University of Sydney, Sydney, Australia
5Westmead Hospital, Sydney, Australia
6Gold Coast Health, Gold Coast, Australia
7Tasmania Health, Australia
8Northern Sydney Local Health District, Sydney, Australia
9Western NSW Local Health District, Orange, Australia
10Faculty of Health and Medicine, The University of Newcastle, Newcastle, Australia
World Health Organization (2018) National Suicide Prevention Strategies: Progress, Examples and Indicators. Geneva: WHO. Contract No.: Licence: CC BY-NC-SA 3.0 IGO.
HOW SHOULD WE BE WORKING TOWARDS VALUING PSYCHIATRISTS WITH LIVED EXPERIENCE?
R McKay1,2, K Allen3, S Rotstein4, G Roper5
1Health Education and Training Institute, Higher Education, NSW, Australia
2UNSW, Sydney, Australia
3 Monash Health, Melbourne, Australia
4 Monash University, Melbourne, Australia
5Psychological First Aid Limited, Otago, New Zealand
PRESENTER 1
VALUING LIVED EXPERIENCE IS COMPLEX BUT ESSENTIAL
R McKay1,2
1Health Education and Training Institute (HETI), Higher Education, NSW, Australia
2UNSW, Sydney, Australia
PRESENTER 2
THE VOICE OF LIVED EXPERIENCE
K Allen
Monash Health, Melbourne, Australia
PRESENTER 3
LEARNING FROM HISTORY AND THE PRESENT
S Rotstein
Monash University, Melbourne, Australia
PRESENTER 4
BEING INFLUENCED BY PEOPLE WITH THE LIVED EXPERIENCE – HOW FAR HAVE WE COME?
G Roper
Psychological First Aid Limited, Otago, New Zealand
TOWARDS TRANSFORMATION: THE TRAINEE AS SUBJECT OF, AND AGENT FOR, CHANGE
B Clark, J King, I Lim, I Navin
Trainee Representative Committee, RANZCP
RANZCP ALCOHOL HARM AND MENTAL HEALTH ADVOCACY CAMPAIGN
RANZCP Alcohol Harm and Mental Health Working Group
PSILOCYBIN-ASSISTED THERAPY FOR MENTAL HEALTH: HOW DO WE ADVANCE THE FIELD?
S Meikle1, P Liknaitzky2, S Rossell3, MRoss4, N Strauss5, N Thomas2, G Murray2, M Williams6, D Castle7,8
1Melbourne School of Psychological Science, University of Melbourne, Melbourne, Australia
2School of Psychology, Deakin University, Geelong, Australia
3Centre for Mental Health, Swinburne University, Melbourne, Australia
4Department of Palliative Care, St Vincent’s Hospital, Melbourne, Australia
5Millswyn Psychiatric Clinic, South Yarra, Australia
6Medicinal Chemistry and Drug Action, Monash Institute of Pharmaceutical Sciences, Parkville, Australia
7Department of Psychiatry, St Vincent’s Hospital, Australia
8Department of Psychiatry, University of Melbourne, Melbourne, Australia
“THE BODY KEEPS THE SCORE” – HOW DO WE PLAY THE SAME GAME? WORKING WITH CHRONIC PAIN IN CULTURALLY AND LINGUISTICALLY DIVERSE POPULATIONS
T Davis1, C Chesterman2, A Amritha3, M Milne4
1Royal Adelaide Hospital, Adelaide, Australia
2Modbury Hospital, Adelaide, Australia
3Survivors of Torture and Trauma Assistance and Rehabilitation Service, Adelaide, Australia
4Kuia, Te Kaunihera
This symposium, presented on behalf of the Section for Social, Cultural and Rehabilitation Psychiatry, explores our current understanding of the role of trauma in symptoms of chronic pain and somatization. We examine common challenges to the provision of evidence-based care, particularly within culturally and linguistically diverse patient groups. We present a model of group intervention for chronic pain which incorporates movement, socialization and psychoeducation within a trauma-informed and culturally sensitive, community-led framework. The symposium will also include a practical component of therapeutic yoga for optional attendee participation.
ORALS
THE INFLUENCE OF CHILD MALTREATMENT ON SUBSTANCE OR ALCOHOL USE IN 30-YEAR-OLD ADULTS: A BIRTH COHORT STUDY
S Kisely1,2, J Najman3
1School of Medicine, The University of Queensland, Brisbane, Australia
2Princess Alexandra Hospital, Brisbane, Australia
3School of Public Health, The University of Queensland, Brisbane, Australia
PROPORTION AND FACTORS ASSOCIATED WITH BODY DYSMORPHIC DISORDER AMONG PATIENTS ATTENDING A STATE SECTOR PLASTIC SURGERY CLINIC AT A TERTIARY CARE SETTING IN A LOW RESOURCE SETTING
VP Palihawadana1, SA Hewage2, M Ganesan1, C Arambepola3
1National Institute of Mental Health, Angoda, Sri Lanka
2Ministry of Health, Nutrition and Indigenous Medicine, Sri Lanka
3Department of Community Medicine, University of Colombo, Sri Lanka
SHORT-TERM PSYCHODYNAMIC PSYCHOTHERAPY FOR SOMATIC SYMPTOM DISORDERS: A SYSTEMATIC REVIEW AND META-ANALYSIS
S Kisely1,2,3, A Abbass3, J Town3, H Holmes4, A Cooper3, L Russell5, J Allinson6, D Bernier3
1School of Medicine, The University of Queensland, Brisbane, Australia
2Princess Alexandra Hospital, Brisbane, Australia
3Dalhousie University, Halifax, Canada
4Wayne State University, Detroit, USA
5Devon Partnership NHS Trust, UK
6Babylon Health, General Practice, UK
MINDFULNESS-BASED COGNITIVE THERAPY EXPERIENCES IN ADOLESCENTS AND YOUNG ADULTS WITH INFLAMMATORY BOWEL DISEASE
T Ewais1,2,3, M Tefay2
1The University of Queensland, Brisbane, Australia
2Mater Health, Brisbane, Australia
3Griffith University, Gold Coast, Australia
EXAMINING ANTIDEPRESSANT USE IN PALLIATIVE CARE PATIENTS BY RISK OF ANTIDEPRESSANT DISCONTINUATION SYNDROME
M Glanger
Tasmanian Health Service, Hobart, Australia
Antidepressant drugs, which are widely used in palliative care patients both for management of psychiatric disorders and non-psychiatric symptoms, may cause a cluster of distressing symptoms on discontinuation. In dying patients, cessation of oral intake may occur either temporarily or permanently for reasons related to disease or its treatment, as well as in the days before death. We examined antidepressant use in palliative care patients by risk of antidepressant discontinuation syndrome (ADDS). Strategies for reducing the risk of ADDS, and for managing it should it occur, are discussed.
We gratefully acknowledge the SPCS-NWT for access to their files and facilities and Yelena Fridgant for RedCap/data support.
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THE PREFRONTAL CORTEX AND PSYCHIATRIC DISORDERS: A TEMPLATE FOR CLINICIANS
B St George
Private Practice, Sydney, Australia
THE COMPLETED FUNCTIONAL NEUROLOGICAL DISORDER PILOT STUDY: LOOKING BACK AND LOOKING FORWARD
M Gutkin1,2,3
1Royal North Shore Hospital, Sydney, Australia
2University of Melbourne, Melbourne, Australia
3The University of Sydney, Sydney, Australia
BIOMARKER CORRELATES OF PSYCHOTHERAPY OUTCOMES IN BPD
EM Marceau, D Meuldijk, ML Townsend, N Solowij, BFS Grenyer
University of Wollongong, Wollongong, Australia
EXTERNAL LOCUS OF CONTROL: HOW IMAGE PROCESSING TECHNIQUES CAN INFORM DEEP BRAIN STIMULATION IN PSYCHIATRY
S Farrand1,2, M Di Biase3, A Zalesky3, A Evans1, E Lui4, P Desmond4, P Fitzgerald5, D Velakoulis1,2,3
1Neuropsychiatry Unit, Royal Melbourne Hospital, Melbourne, Australia
2Department of Psychiatry, University of Melbourne, Melbourne, Australia
3Melbourne Neuropsychiatry Centre, University of Melbourne, Melbourne, Australia
4Department of Radiology and Medicine, University of Melbourne, Royal Melbourne Hospital, Melbourne, Australia
5Monash University, Melbourne, Australia
DO LARGE AND SMALL STATES NEED DIFFERENT TRAINING SYSTEMS?
R McKay1,2
1Health Education and Training Institute, Higher Education
2UNSW, Sydney, Australia
SUPPORTING THE QUALITY OF CARE IN THE DIGITAL ERA: THE DEVELOPMENT OF NATIONAL SAFETY AND QUALITY STANDARDS FOR DIGITAL MENTAL HEALTH SERVICES
P Brown, B Prest
Australian Commission on Safety and Quality in Health Care, Sydney, Australia
BEING INFLUENCED BY PEOPLE WITH THE LIVED EXPERIENCE: HOW FAR HAVE WE COME?
G Roper1,2,3,4
1Former Community Collaboration Committee, RANZCP
2Therapeutic and Evidenced Based Practice Committee (What Works Committee)
3Overseas Trained Doctors, SCARP
4Psychological First Aid Limited, Otago, New Zealand
It is timely that the Congress is exploring influencing and being influenced at this Congress. What is not clear in the Congress information and speakers’ briefs is what the priorities of influence are. People with the lived experience are defined in this presentation and individuals, family/whānau members and carers. Research outcomes are certainly a major factor in influencing practice; however, the ‘patient’ experience and outcomes must be the basis of influence and/or of being influenced. Not so many years ago (2016) the Royal Australian and New Zealand College of Psychiatrists (RANZCP) finally acknowledged the role and value of Clinician with the lived experience should or could have on influencing positive outcomes by way of a position statement. A recent literature search has failed to find any key research or references to the influencing by peers or the RANZCP preparedness to further develop a process that would enable the organisation to be influenced by people with the lived experience. At the conclusion of the presentation, it is hoped that participants feel challenged and open to exploring further development regarding being influenced by those with the lived experience.
DID SRI LANKAN PSYCHIATRY ACHIEVE THE GOALS?: A RETROSPECTIVE REVIEW OF MENTAL HEALTH POLICY 2005–2015
L Akuratiyage1, S Dias2
1Ministry of Health, Colombo, Sri Lanka
2University of Peradeniya, Peradeniya, Sri Lanka
MARKED DIFFERENCES IN COMMUNITY TREATMENT ORDER OUTCOMES BETWEEN STATES WITH LOW AND HIGH RATES OF USE: A COMPARISON OF STATEWIDE ADMINISTRATIVE DATA FROM WESTERN AUSTRALIA AND QUEENSLAND
S Kisely1,2
1School of Medicine, The University of Queensland, Brisbane, Australia
2Princess Alexandra Hospital, Brisbane, Australia
THE COLLEGE AND THE MEDIA: REPRESENTING THE VOICE OF PSYCHIATRY
J Allan1,2
1President, RANZCP, Victoria, Australia
2RANZCP Board, Victoria, Australia
POLICY MATTERS
P Jenkins
Practice, Policy and Partnerships Committee, RANZCP, Melbourne, Australia
PITUITARY VOLUME IN VIOLENT MEN WITH SCHIZOPHRENIA OR ANTISOCIAL PERSONALITY DISORDER: RELATIONSHIP WITH CHILDHOOD PSYCHOSOCIAL DEPRIVATION
M Das1,2, M Bipin3, P Premkumar4, A Sumich4, V Kumari3
1Top End Mental Health Service, Darwin, Australia
2Flinders University, Adelaide, Australia
3Division of Psychology, Department of Life Sciences and Centre for Cognitive Neuroscience, College of Health and Life Sciences, Brunel University, London, UK
4Nottingham Trent University, Nottingham, UK
CHILDREN WITH EMOTIONAL AND BEHAVIOURAL PROBLEMS AT SCHOOL ENTRY AND EARLY CONTACT WITH POLICE: A RECORD LINKAGE STUDY
K Dean1,2, T Whitten1, S Tzoumakis3,4, KR Laurens1,5, F Harris1, VJ Carr1,6,7, MJ Green1,6
1School of Psychiatry, UNSW, Sydney, Australia
2Justice Health and Forensic Mental Health Network, Sydney, Australia
3School of Social Sciences, UNSW, Sydney, Australia
4School of Criminology and Criminal Justice, Griffith University, Southport, Australia
5School of Psychology and Counselling, and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
6Neuroscience Research Australia, Sydney, Australia
7Department of Psychiatry, Monash University, Melbourne, Australia
PREVALENCE OF PSYCHIATRIC DISORDERS AND ASSOCIATED CHARACTERISTICS FOR RECIDIVISM: A STUDY AMONG PRISONERS IN GHANA
G Donnir1,2,3, W Asare-Doku1
1School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Newcastle, Australia
2Hunter New England Mental Health, Mater Mental Health, Waratah, Australia
3Ghana College of Physicians and Surgeons, Accra, Ghana
UNDERSTANDING PREFERENCES OF PEOPLE LIVING WITH SCHIZOPHRENIA IN AUSTRALIA
S Fifer1, B Keen1, R Newton2, A Puig3, M McGeachie3
1Community and Patient Preference Research, Sydney, Australia
2Peninsula Mental Health Service, Melbourne, Australia
3Janssen Australia, Sydney, Australia
TICP WORKSHOP EXPERIENCES: AIMS, OBJECTIVES AND EVALUATION FOLLOW-UP
J Porter1, R Benjamin1, G Halasz2
1Tasmanian Health Service, Hobart, Australia
2Monash University, Melbourne, Australia
EVALUATING THE EFFECTS OF BRIEF, REGULAR MINDFULNESS-BASED INTERVENTION TO ACUTE HOSPITAL WARD STAFF TO IMPROVE MINDFULNESS, COMMUNICATION AND TEAMWORK
M Kang1, H Gibbs2, R Selzer1,3, A Hudaib3, AK Aung2,4, J Gibbs5, J Smith2
1Department of Mental and Addiction Health, Alfred Health, Melbourne, Australia
2Department of General Medicine, Alfred Health, Melbourne, Australia
3Monash Alfred Psychiatry Research Centre (MAPRc), Melbourne, Australia
4School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
5TREAT Healthcare, Melbourne, Australia
LEARNING BY DOING: DEVELOPMENT OF A CBT TEACHING CLINIC
L Lampe1,2,3, H Sandhu1,2,3, B Flynn1,2,3
1The University of Newcastle, Australia
2Hunter New England Psychiatry Training Network, Australia
3Hunter New England Local Health District, Australia
DEVELOPING LEARNING OUTCOMES FOR FORMAL EDUCATION
R McKay1,2
1Health Education and Training Institute, Higher Education
2UNSW, Sydney, Australia
ROAD TO RESILIENCE IS PAVED WITH GOOD INTENTIONS
T Ewais1,2,3, A Teodorczuk1,4
1Griffith University, Gold Coast, Australia
2Mater Health, Brisbane, Australia,
3The University of Queensland, Brisbane, Australia
4Prince Charles Hospital, Brisbane, Australia
Balme E, Gerada C and Page L (2015) Doctors need to be supported, not trained in resilience. British Medical Journal (Online) 351: 1–6.
Epstein MR and Krasner SM (2013) Physician resilience: What it means, why it matters, and how to promote it. Academic Medicine 88(3): 301–303.
Joyce S, Shand F, Tighe J, et al. (2018) Road to resilience: a systematic review and meta-analysis of resilience training programmes and interventions. BMJ Open 8(6): 1–9.
Launer J (2015) Resilience: for and against. Postgraduate Medical Journal 91(1082): 721.
Teodorczuk A, Thomson R, Chan K, et al. (2017) When I say . . . resilience. Medical Education 51(12): 1206–1208.
Thistlethwaite J (2018). Be positive: resilience is all you need . . . The Clinical Teacher 15(5): 359–360.
PHONES AND PERSONAL ELECTRONIC DEVICES ON AN ACUTE INPATIENT UNIT: PRACTICING LEAST RESTRICTIVE CARE IN THE AGE OF SOCIAL MEDIA AND THE SMART PHONE
A Vakili2, A Padhi1, S Joseph1, J Norcott2, S Antognelli2, L Moloney2, B Lino2, A Georges2, K Walsh2, and L Hand1
1Perinatal, Child and Youth Mental Health Service, Westmead Hospital, Sydney, Australia
2Redbank House Acute Adolescent Unit, Westmead Hospital, Sydney Australia
O’Connor N, Zantos K and Sepulveda-Flores V (2018) Use of personal electronic devices by psychiatric inpatients: benefits, risks and attitudes of patients and staff. Australasian Psychiatry 26(3): 263.
HELP-SEEKING AND EARLY INTERVENTIONS IN AUSTRALIAN YOUTH: A COMPARISON BETWEEN INDIGENOUS AND NON-INDIGENOUS AUSTRALIAN YOUTH
S Sardinha1, A Estebeiro2, M Anand3, M Hume4
1Metro South Addiction and Mental Health Services, Logan, Queensland, Australia.
2Manning MHS, Taree, New South Wales, Australia
3Gold Coast Mental Health Services, Gold Coast, Australia
4Torrens University Australia, Melbourne, Australia
Australian Bureau of Statistics (2019) Age-specific rates for intentional self-harm, by Indigenous status, 2013-2017 (a)(b)(c)(d)-Age-specific rates for intentional self-harm, by Indigenous status, 2013-2017.
Cheng H-L, Wang C, McDermott RC, et al. (2018) Self-stigma, mental health literacy, and attitudes toward seeking psychological help. Journal of Counseling & Development 96(1): 64–74.
Price M and Dalgleish H (2013, 2013/03//) Help-seeking among Indigenous Australian adolescents: exploring attitudes, behaviours and barriers. Youth Studies Australia 32: 10+.
Rouen C, Clough AR and West C (2019). Non-fatal deliberate self-harm in three remote indigenous communities in Far North Queensland, Australia. Crisis: The Journal of Crisis Intervention and Suicide Prevention 40(6): 422–428.
PERSONALITY DISORDERS IN THE YOUNG
J Haliburn
The University of Sydney, Chiswick, Australia
OUTCOMES OF AN INTEGRATED APPROACH FOR METABOLIC HEALTHCARE FOR PEOPLE WITH SCHIZOPHRENIA
B Motamarri1,2, W Yen3,4, M Thuzar3,4, D Siskind1,4, A Russell3,4
1Metro South Addiction and Mental Health Service, Brisbane, Australia
2School of Medicine, Griffith University, Brisbane, Australia
3Department of Endocrinology and Diabetes, Princess Alexandra Hospital, Brisbane, Australia
4Faculty of Medicine, The University of Queensland, Brisbane, Australia
A COMPARISON STUDY OF THREE PHYSICAL ACTIVITY MEASUREMENT TOOLS EXAMINING ACCEPTABILITY IN PEOPLE WITH PSYCHOTIC DISORDERS
S Suetani1,2,3, J Chapman3, N Korman3, C Chapman3, F Dark3, C Dodd3, S Parker2,3, D Siskind1,3
1Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, Australia
2Queensland Brain Institute, The University of Queensland, Brisbane, Australia
3Metro South Addiction and Mental Health Services, Brisbane, Australia
VARENICLINE, BUPROPION AND NICOTINE REPLACEMENT THERAPY FOR SMOKING CESSATION AMONG PEOPLE WITH SCHIZOPHRENIA: A SYSTEMATIC REVIEW AND META-ANALYSIS
BT Wu1,2, TT Wong1,3, D Siskind1,4, S Kisely1,4
1Faculty of Medicine, The University of Queensland, Brisbane, Australia
2The Townsville Hospital, Townsville, Australia
3The Prince Charles Hospital, Brisbane, Australia
4Princess Alexandra Hospital Southside Clinical Unit, Brisbane, Australia
de Leon J and Diaz FJ (2005) A meta-analysis of worldwide studies demonstrates an association between schizophrenia and tobacco smoking behaviors. Schizophrenia Research 76: 135–157.
THE PLASTICITY OF THE PSYCH REPORT AS REQUIRED BY PERSONAL INJURY LAW AND POLICY ADMINISTRATION: AN INFLUENCE FROM THE WORLD AROUND US
P Anderson
Berry Rd Forensic Practice, Sydney, Australia
CAUSES OF SECONDARY PSYCHOTIC SYMPTOMS AND WHEN TO SUSPECT THEM
O D’Souza1,2
1Headspace Early Psychosis, Sydney, Australia
2Blacktown Hospital Consultation–Liaison Service, Sydney, Australia
CONSUMER AND GP EXPERIENCES OF MEDICARE ITEM 291 TELE-PSYCHIATRY EVALUATION IN RURAL AND REMOTE AUSTRALIA
M Anand1, S Sardinha2, A Estibeiro3
1Northern NSW Local Health District, Lismore, Australia
2Metro South Mental Health Services, Australia
3Hunter New England Mental Health Services, New South Wales, Australia
Item 291 (MBS) is a GP referral to a psychiatrist for ‘an opinion and report’ that includes a comprehensive 12 month management plan. The authors explored the real world experiences and views of the primary care sector and consumers re: item 291 evaluations and follow-up.
Meadows GN, Enticott JC, Inder B, et al. (2015) Better access to mental health care and failure of the Medicare principle of universality. Medical Journal of Australia 202(4): 190–194.
RANZCP (2013) Opinion and Report (MBS item 291) 5 key Facts for GPs. GPs and Psychiatrists.
RANZCP (2013) Professional Practice Guideline: Best Practice Referral, Communication and Shared Care Arrangements between GPs, Psychiatrists and Psychologists. PPG Best Practice referral and communication.
‘SEIZED WITH UNCERTAINTY’: PSYCHOGENIC NON-EPILEPTIC SEIZURES IN PREGNANCY
A Kothari1, F Ng2, G Bruxner2
1The University of Queensland, Redcliffe Hospital, Australia
2Caboolture-Redcliffe Mental Health Service, Australia
WHATEVER HAPPENED TO BASKET MAKING? THE ROLE OF THE ARTS IN MENTAL HEALTH
M Kalucy1,2, K Boydell1,3, M Bryan4, DC Coleman5, F Fitzpatrick6, K Innocente7,8, R Neild9
1UNSW School of Psychiatry, Sydney, Australia
2Prince of Wales Hospital, Sydney, Australia
3Black Dog Institute, Randwick, Australia
4Ashburn Clinic, Dunedin, NZ
5Psychiatrist, Bundaberg, Australia
6Kinghorn Cancer Centre, Sydney, Australia
7Innate Child, Paediatric Occupational Therapy Services, Sydney, Australia
8NSW Institute of Psychoanalytic Psychotherapy, Sydney, Australia
9Womens and Children’s Hospital, Adelaide, Australia
All-Party Parliamentary Group on Arts, Health and Wellbeing – Inquiry Report (2017, July) The Arts for Health and Wellbeing Report. 2nd edn. Creative Health.
Peruzza N and Kinsella EA (2010) Creative arts occupations in therapeutic practice: a review of the literature. British Journal of Occupational Therapy 73(6): 261–268.
Thompson M and Blair SEE (1998) Creative arts in occupational therapy: Ancient history or contemporary practise? Occupational Therapy International 5(1): 48–64.
SHARED DECISION-MAKING IN SCHIZOPHRENIA SPECTRUM DISORDERS: A MIXED METHODS STUDY
E Carrotte1, M Hartup1, B Lee-Bates1, M Blanchard1,2
1Anne Deveson Research Centre, SANE Australia, Melbourne, Australia
2Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia
A HUMAN RIGHTS-BASED ETHICAL FRAMEWORK FOR IMPLEMENTATION OF ‘DIGITAL PILLS’
M Ellis
Deakin University, Melbourne, Australia
Gostin LO and Gable L (2004) The human rights of persons with mental disabilities: a global perspective on the application of human rights principles to mental health. Maryland Law Review 63: 20–121.
Hurtado-de-Mendoza A, Cabling ML and Sheppard VB (2015) Rethinking agency and medical adherence technology: applying actor network theory to the case study of Digital Pills. Nursing Inquiry 22(4): 326–335.
THE CARER APPRAISAL 2.0: A NOVEL CARER-BASED OUTCOME MEASURE
N Jeyasingam1,2, V Ip1,2
1The University of Sydney, New South Wales, Australia
2Northern Sydney Local Health District, New South Wales, Australia
Carers are known to have valuable information regarding patient functioning. It has been repeatedly cited that failure of communication between mental health services and the carers of patients is related to critical incidents and failures in patient care. Despite this, there are no structured interventions for carers to participate in patient care, let alone assist with measuring patient progress. This study builds upon and expands on a previous pilot study of a similar measure that was developed for a specific old-age population to create one suitable for general adult use. Development of the Carer Appraisal Scale was based on a grounded theory approach, beginning with semi-structured interviews with staff members working in the mental health service of a major tertiary referral centre, with intent on refinement by focus groups, carer feedback and eventual reduction in total number of items via factor analysis to create an accessible and brief measure suitable for regular clinical use. It is proposed that this measure provides additional value for services in engaging the carers of patients in a clinically meaningful way that will greatly impact on patient care.
IMPACT OF CLIMATE CHANGE ON MENTAL HEALTH
J Topp
Doctors for the Environment, Australia
CHANGING PATTERNS IN HOMELESSNESS AND MENTAL ILLNESS IN AUSTRALIA
A Holmes1,2
1University of Melbourne, Melbourne, Australia
2Royal Melbourne Hospital, Melbourne, Australia
THE PSYCHOLOGICAL HEALTH OF NEAR-CENTENARIANS (95+) AND CENTENARIANS: THE PARADOX OF INCREASED DISTRESS AND YET HIGHER SATISFACTION WITH LIFE
A Cheng1,2, Y Leung1,3, J Crawford1, F Harrison1,2, P Sachdev1,4, H Brodaty1,2,5
1Centre for Healthy Brain Ageing, School of Psychiatry, UNSW, Sydney, Australia
2Dementia Collaborative Research Centre – Assessment and Better Care, School of Psychiatry, UNSW, Sydney, Australia
3School of Psychology, University of Nottingham Malaysia, Malaysia
4Neuropsychiatric Institute, Prince of Wales Hospital, Sydney, Australia
SEXUAL MISCONDUCT BY HEALTH PRACTITIONERS: A RETROSPECTIVE NATIONAL COHORT STUDY OF 6 YEARS OF NOTIFICATIONS TO HEALTH REGULATORS IN AUSTRALIA
M Bismark1, D Studdert2, M Spittal1, R Paterson3, K Morton4, Y Taouk1
1University of Melbourne, Melbourne, Australia
2Stanford University, Palo Alto, USA
3Auckland University, Auckland, New Zealand
4Perth Children’s Hospital, Perth, Australia
SCHIZOPHRENIA MANAGEMENT: REAL-WORLD EXPERIENCE FROM NEW ZEALAND USING THREE-MONTHLY PALIPERIDONE PALMITATE
C Cassidy1, W Miles2,3
1Lakes District Health Board, Bay of Plenty, New Zealand
2Waitemata District Health Board Research and Knowledge Centre, New Zealand
3Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand
This study was funded by Janssen Australia. Medical writing services provided by Rachelle Steele, BPharm, of WriteSource Medical Pty Ltd Australia.
CC and WM were treating psychiatrists in the New Zealand PFP, who have received an honorarium for attending an Invega Trinza® advisory board meeting in 2018.
PALIPERIDONE THREE-MONTHLY INJECTION: EXPERIENCE IN A REAL WORLD SETTING
A Wisdom1, S Cole1, A Ingole2
1Northern Adelaide Local Health Network, Adelaide, Australia
2The Queen Elizabeth Hospital, Adelaide, Australia
MEDICINAL CANNABIS IN PSYCHIATRY: WHERE ARE WE IN 2020?
MS Turner
The University of Adelaide, Adelaide, Australia
SODIUM BENZOATE AS AN ADJUNCTIVE TREATMENT IN EARLY PSYCHOSIS: A RANDOMISED CLINICAL TRIAL
JG Scott1,2, A Baker2, C Lim2,3, SFoley4, F Dark5, A Gordon6, D Ward6, D Richardson7, G Bruxner6, K Beckmann8,9, S Hatherill10, S Stathis11,12, K Dixon13,14, A Ryan2,15, B McWhinney16, J Ungerer16,17, M Berk18, O Dean18, S Saha2, JJ McGrath2,3,19
1QIMR Berghofer Medical Research Institute, Brisbane, Australia
2Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Brisbane Australia.
3Queensland Brain Institute, University of Queensland, Brisbane, Australia
4Emotional health Unit, Salmon Building, Mater Hospital, Brisbane, Australia.
5Metro South Mental Health, Brisbane, Australia.
6Metro North Mental Health, Royal Brisbane and Women’s Hospital, Brisbane, Australia.
7West Moreton Mental Health Service, Brisbane, Australia
8Griffith University, School of Medicine, Logan Campus, Logan, Australia
9CYMHS ACU, Metro South Mental Health, Logan Hospital, Logan, Australia
10Metro South Addiction and Mental Health Services, Logan Hospital, Logan, Australia.
11Queensland Children’s Hospital, Brisbane, Australia
12Child Health Research Centre, University of Queensland, Brisbane, Australia.
13Mental Health and Addiction Services, Sunshine Coast Hospital and Health Service, Sunshine Coast Australia
14Griffith University, School of Medicine, Sunshine Coast Campus, Sunshine Australia
15University of Queensland Centre for Clinical Research, Brisbane, Australia
16Department of Chemical Pathology, Pathology Queensland, Brisbane, Australia
17School of Biomedical Sciences, University of Queensland, Brisbane, Australia
18Deakin University, IMPACT – the Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health, Geelong, Australia,
19National Centre for Register-based Research, Department of Economics and Business Economics, Aarhus University, Aarhus, Denmark
THE AUSTRALIAN TMS DEBATE
S Pridmore1,2
1The University of Tasmania, Hobart, Australia
2Saint Helen’s Hospital, Hobart, Australia
THE ROLE OF TRANSCRANIAL MAGNETIC STIMULATION IN ANXIETY DISORDERS: A REVIEW OF THE LITERATURE
S Gill1,2,3
1Ramsay Healthcare Neurostimulation Service, Adelaide, Australia
2South Australian Psychiatry Training Committee, Adelaide, Australia
3Glenside Health Service, Central Adelaide Local Health Network, Adelaide, Australia
DOES CONCOMITANT BENZODIAZEPINE USE REDUCE THE EFFICACY OF REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION FOR TREATMENT-RESISTANT MAJOR DEPRESSIVE DISORDER
L Tran1, P Clarke2,3, S Gill2,3, T Paterson2,3, L Hahn2, C Galletly2,3,4
1The University of Adelaide, Adelaide, Australia
2The Adelaide Clinic, Ramsay Health Care (SA) Mental Health Services, Adelaide, Australia
3Discipline of Psychiatry, School of Medicine, The University of Adelaide, Adelaide, Australia
4Northern Adelaide Local Health Network, Adelaide, Australia
EFFICACY OF REPETITIVE TRANSCRANIAL STIMULATION AS AN OUTPATIENT PROCEDURE FOR MAJOR DEPRESSIVE DISORDER: AN UPDATE ON CLINICAL OUTCOMES IN A REAL-WORLD, DECENTRALISED, MULTI-CLINIC AUSTRALIAN TMS SERVICE
T Cassidy1, PB Fitzgerald1,2,3
1TMS Australia, Sydney, Australia
2The Epworth Clinic, Melbourne, Australia
3Monash Alfred Psychiatry Research Centre, Melbourne, Australia
EFFICACY OF BILATERAL REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION AS AN OUTPATIENT PROCEDURE FOR POST-TRAUMATIC STRESS DISORDER: A DESCRIPTION OF CLINICAL OUTCOMES IN A REAL-WORLD, DECENTRALISED, MULTI-CLINIC AUSTRALIAN TMS SERVICE
T Cassidy1, PB Fitzgerald1,2,3
1TMS Australia, Sydney, Australia
2The Epworth Clinic, Melbourne, Australia
3Monash Alfred Psychiatry Research Centre, Melbourne, Australia
EVALUATION OF AN EXERCISE PHYSIOLOGY SERVICE IN A YOUTH MENTAL HEALTH SERVICE
M Pearce1, L Foote1, E Brown1,2, B O’Donoghue1,2
1Orygen, Parkville, Melbourne, Australia
2Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia
International Diabetes Federation (2006) IDF consensus worldwide definition of the metabolic syndrome. https://www.idf.org/our-activities/advocacy-awareness/resources-and-tools/60:idfconsensus-worldwide-definitionof-the-metabolic-syndrome.html
Lederman O, Grainger K, Stanton R, et al. (2015) Consensus statement on the role of Accredited Exercise Physiologists within the treatment of mental disorders: a guide for mental health professionals. Australasian Psychiatry 24: 347–351.
Rosenbaum S, Tiedemann A, Ward PB, et al. (2015) Physical activity interventions: an essential component in recovery from mental illness. British Journal of Sports Medicine 49(24): 1544.
DOES GUIDELINE-CONCORDANT CARE INFLUENCE 18-MONTH OUTCOMES IN YOUTH WITH BIPOLAR DISORDER?
P Sunder1,2, M-F Chia1,2, K Filia1,3, C Davey1,3,4, P McGorry1,3, M Berk1,3,5,6, S Cotton1,3, A Ratheesh1,3,4
1Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Australia
2Melbourne Medical School, University of Melbourne, Melbourne, Australia
3Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia
4Orygen Youth Health, Melbourne, Australia
5Deakin University IMPACT Strategic Research Centre, Geelong, Australia
6Florey Institute of Neuroscience and Mental Health, Melbourne, Australia
WHY IS SO MUCH PSYCHIATRY THEORY AND RESEARCH SO FRUITLESS?
S Rosenman
St John of God Health Care, Sydney, Australia
THE CHARACTERISTICS OF PEOPLE REFERRED TO A HOSPITAL OUTREACH POST-SUICIDE ATTEMPT ENGAGEMENT SERVICE
P Williamson, J Segal, L Gill
Eastern Health Mental Health Program, Melbourne, Australia
THE PREVALENCE AND CORRELATES OF SUBSTANCE USE DISORDERS IN ADULTS WITH SUBCLINICAL PSYCHIATRIC SYMPTOMS
J Johnson1,2, G Byrne1,3, A Pelecanos4
1Discipline of Psychiatry, School of Clinical Medicine, The University of Queensland, Brisbane, Australia
2Royal Brisbane and Women’s Hospital, Brisbane, Australia
3Older Persons’ Mental Health Service, Royal Brisbane and Women’s Hospital, Brisbane, Australia
4QIMR Berghofer Medical Research Institute, Brisbane, Australia
LIVED EXPERIENCE AND ITS SCIENTIFIC VALIDATION – AA IN THE 21ST CENTURY
S Jurd
Clinical Associate Professor, University of Sydney, Australia
Board Chair, The Sydney Retreat, Australia
SHRINKING THE POTUS: THE RISKS FOR PSYCHIATRY IN DIAGNOSING A PUBLIC FIGURE
RM Kaplan
Graduate School of Medicine, University of Wollongong, Wollongong, Australia
The present incumbent of the White House has caused controversy by his attitude, behaviour and comments, leading a number of psychiatrists to make public their diagnoses of his condition. These psychiatrists are aware of the Goldwater rule but say the situation is too serious for it to apply. The Goldwater rule was set up after the 1964 election when some psychiatrists declared that the presidential runner, Barry Goldwater, was mentally unfit. It states that it is unethical to express a public opinion about a political figure who has not been examined – and then unacceptable to breach confidentiality in any event. History has insights to offer in dealing with this situation. Neurologist-turned-politician David Owen has come up with the concept of Hubris syndrome. This is a disorder of the possession of power which has been associated with overwhelming success and with minimal constraints on the leader. Hubris syndrome is not a diagnosis, but rather a pattern of behaviour that takes over politicians in power. Its connection with psychiatric disorder remains to be tested. That President Trump may be a highly unpleasant man, and all that goes with it, is a matter between him and his constituents – all 300 million of them. But using his behaviour to slap a diagnosis on Trump, who has not been examined or given his consent to a psychiatric assessment, only does damage to the psychiatry (which has enough issues to deal with) and risks bringing the profession into disrepute.
COMMUNITY-BASED RESIDENTIAL REHABILITATION: DO CONSUMERS IMPROVE, WHO COMPLETES CARE AND HOW DO CONSUMERS REFLECT ON THE EXPERIENCE?
S Parker1,2
1The University of Queensland, Brisbane, Australia
2Metro South Addiction and Mental Health Service, Brisbane, Australia
ONLINE INTERVENTIONS FOR SUICIDAL BEHAVIOURS IN THE EMERGENCY DEPARTMENT
J Lappin1,2, G Campbell1, S Darke1, E Zahra1, B Dear3, N Titov3
1National Drug and Alcohol Centre, University of New South Wales, Sydney, Australia
2School of Psychiatry, University of New South Wales, Sydney, Australia
3eCentre Clinic and MindSpot Clinic, Department of Psychology, Macquarie University, Sydney, Australia
LITHIUM AND THE SUICIDE SWITCH: TWO-AND-A-HALF CASES
S Rosenman
St John of God Health Care, Sydney, Australia
SUICIDE-RELATED CALLS TO EMERGENCY SERVICES: ENHANCING THE EVIDENCE AND OUTCOMES USING LINKED DATA
E Heffernan1, C Meurk1, ML Steele1, L Wittenhagen1
1Queensland Centre for Mental Health Research, Brisbane, Australia
DEVELOPMENT AND EVALUATION OF A STEPPED MODEL OF CARE FOR PEOPLE WITH PERSONALITY DISORDER: FINDINGS FROM A CLUSTER RANDOMISED CONTROLLED TRIAL
BFS Grenyer1, KL Lewis1, M Fanaian2, B Kotze3, the Project Air Strategy Team1
1Project Air Strategy for Personality Disorders, Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, Australia
2Australian Catholic University, School of Nursing, Canberra, Australia
3NSW Ministry of Health and Western Sydney Local Health District, Sydney, Australia
PRELIMINARY FINDINGS OF A QUASI-EXPERIMENTAL STUDY TO TEST EFFICACY OF A NEW MODIFIED INSIGHT AND MOTIVATION-ORIENTED COGNITIVE THERAPY BASED ON NEUROCIRCUITRY OF OBSESSIVE–COMPULSIVE DISORDER (OCD) FOR OCD
WFI Perera1, VA de Silva2, HWSR Rambukwella3, PLN Fernando4
1Army Hospital, Colombo, Sri Lanka
2Department of Psychiatry, Faculty of Medicine, University of Colombo, Sri Lanka
3Faculty of Medicine, University of Peradeniya, Sri Lanka
4 North Colombo Teaching Hospital, Ragama, Sri Lanka
EVALUATING THE EVIDENCE FOR THE EFFICACY AND SAFETY OF NALTREXONE FOR THE TREATMENT OF SELF-INJURIOUS BEHAVIOUR IN CHILDREN AND ADOLESCENTS: A SYSTEMATIC REVIEW WITH A NARRATIVE ACCOUNT
V Bansal, D Dossetor, K Nunn
The Children’s Hospital at Westmead, Sydney, Australia
Holden B and Gitlesen JP (2006) A total population study of challenging behaviour in the county of Hedmark, Norway: prevalence, and risk markers. Research in Developmental Disabilities 27(4): 456–465.
Kahng S, Iwata BA and Lewin AB (2002) Behavioral treatment of self-injury, 1964 to 2000. American Journal of Mental Retardation 107(3): 212–221.
Roy A, Roy M, Deb S, et al. (2015) Are opioid antagonists effective in reducing self-injury in adults with intellectual disability? A systematic review. Journal of Intellectual Disability Research 59(1): 55–67.
Symons FJ, Thompson A and Rodriguez MC (2004) Self-injurious behavior and the efficacy of naltrexone treatment: a quantitative synthesis. Mental Retardation & Developmental Disabilities Research Reviews 10(3): 193–200.
A COMMUNITY-BASED PARENTING INTERVENTION FOR PARENTS OF CHILDREN WITH A DISABILITY: OUTCOMES IN THE AUSTRALIAN STEPPING STONES TRIPLE P PROJECT
B Tonge1,2, K Gray1,2, N Hu1, M Sanders3, K Sofronoff3, S Einfeld4, the MHYPeDD team
1Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia
2Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, UK
3School of Psychology, The University of Queensland, Brisbane, Australia
4The University of Sydney and Brain Mind Research Institute, Sydney, Australia
MONITORING OF METABOLIC SIDE EFFECTS IN CHILDREN AND ADOLESCENTS PRESCRIBED ANTIPSYCHOTIC MEDICATION: A SYSTEMATIC REVIEW
L Mead1,2, A Ayres1,2, AB Blake3, J Scott2,3,4
1Children’s Health Queensland, Brisbane, Australia
2Faculty of Medicine, University of Queensland, Brisbane, Australia
3Metro North Mental Health, Metro North Hospital and Health Service, Brisbane, Australia
4Centre for Mental Health Research, Wacol, Queensland, Australia
RESTRICTED DIET DRIVES AUTISM-GUT MICROBIOTA ASSOCIATIONS
CX Yap1,2, NR Wray2,3, J Gratten1,2
1Mater Research Institute, The University of Queensland, Brisbane, Australia
2Program in Complex Trait Genomics, Institute for Molecular Bioscience, The University of Queensland, Brisbane, Australia
3Queensland Brain Institute, The University of Queensland, Brisbane, Australia
COMMUNITY PSYCHIATRY FROM PAST TO FUTURE: FROM AFTERMATH PSYCHIATRY TO LATTERMATH PSYCHIATRY
A Rosen1,2,3
1Illawarra Institute of Mental Health, University of Wollongong, New South Wales, Australia
2Brain and Mind Centre, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
3Far West NSW LHD Mental Health Services, Sydney, New South Wales, Australia
Dedicated to the memories of Richard Warner (United States), Anne Deveson (Australia), Len Stein (United States), Dennis Scott (United Kingdom) Franco and Franca Basaglia (Italy) and Paula Goering (Canada). The phases of development of community psychiatry, and its evidence base, both in North America and internationally, will be reviewed (1–5). The World Psychiatric Association and Lancet Commission on the Future of Psychiatry recently issued its final report (6), which will be considered and a much bolder envisioning of the future and of the pivotal role of community psychiatry will be offered than the Report provides (7). The argument advanced by Terry Smith (8) about ‘Aftermath Architecture’ argues that architecture has been reeling since 9/11 from a widespread concern that its conceit of constructing nationalistic icons to promote ‘perpetual empires’ has been transformed in the public mind into building impermanent soft targets. Smith argues that architecture has lost its way from its roots in creating homes and communities for all (8, 9). Psychiatry may have lost its way in the face of the market, and since the loss of its iconic massive institutions, retreating from engaging with whole communities to improve their well-being and mental health, and from promoting full membership of the community while dealing with mental disability. Instead psychiatry has continued to build clinical edifices, fortress hospitals and academic empires, with overreliance on meds, injections, ECT, incarceration, involuntary control, alienation and neglect, which have become its dysfunctional public icons. More recently, Terry Smith has invoked a related concept: the ‘lattermath’, a late 15th century term for new shoots of grass growing after harvest, to make the case that a renewal of psychiatry, especially community psychiatry, is imaginable (9). Our profession does not have to be left perpetually trapped in the rubble and debris of our old practices and approaches. Instead it can be demonstrated that, if examined closely, there is ‘lattermath’ growth occurring in psychiatry leading to new life, new growth and new hope for the profession (5, 6, 9). Can psychiatry revive itself with a new growth of practice innovation and evidence-based community mental health services for all, situated in the complexities and contexts of their own lives, and on their own turf? Can community psychiatry encompass both the necessary technical interventions and service delivery systems, while also facilitating human rights, humane relationships and purposes fostering healing and recovery? This also entails developing proxies for the culturally universal collective tasks of healing trauma; drawing on the person’s extended kinship system, peers and social movements; and enabling people to complete their rites of passage, rather than getting stuck in a timeless psychiatric limbo.
Byrne P and Rosen A, eds (2014) Early Intervention in Psychiatry: EI of Nearly Everything for Better Mental Health. Oxford: Wiley-Blackwell.
Mezzina R, Rosen A, Amering M, et al. (2018) The Practice of freedom: human rights and the global mental health Agenda. In: Javed A and Fontoulakis KN (eds) Advances in Psychiatry. WPA: Springer.
Rosen A (2006) The community psychiatrist of the future. Current Opinion in Psychiatry 19(4): 380–388. Update forthcoming 2020
Rosen A, Byrne P, Goldstone S, et al. (2016) Early intervention for better mental health services, Chapter 99. In: Tasman A, Kay J, Lieberman JA, First MB and Riba MB (eds) Psychiatry. 4th edn. New York, NY: John Wiley & Sons, Ltd.
Rosen A, Killaspy H and Harvey C (2013) Specialisation and marginalisation: how the assertive community treatment debate impacts on individuals with complex mental health needs. The Psychiatrist 37: 345–348.
Rosen A, Mezzina R and Shiers D (9 Jan 2018) Why so few specific recommendations for psychiatry’s future? Response to D Bhugra et al, Lancet Psychiatry Commission on the Future of Psychiatry, Lancet Psychiatry, Oct 2017.
Rosen A, O’Halloran P and Mezzina R. (2012) International trends in community mental health services. In: McQuiston H, Sowers W, Ranz J and Feldman J (eds) Handbook on Community Psychiatry. New York: Springer.
Rosen A, O’Halloran P, Mezzina R, et al. (2014) International trends in community oriented mental health services. In Mpofu E (ed.) Community Oriented Health Services: Practices Across Disciplines. New York, NY: Springer.
Smith T (2006) The Architecture of Aftermath. Chicago, IL: University of Chicago Press.
Smith T (2018) Art to Come: Histories of Contemporary Art. Durham, NC: Duke University Press.
DEVELOPMENT OF A RELIABLE EEG RATING SCALE FOR ECT FOR ROUTINE CLINICAL USE
S Gill1,2, S Yeap3, N Gupta3, A Dinesh3
1South Australian Psychiatry Training Committee, Adelaide, Australia
2Glenside Health Service, Central Adelaide Local Health Network, Adelaide, Australia
3Glenside Health Service, Rural and Remote Mental Health Service, Adelaide, Australia
UNDERSTANDING PREFERENCES OF PEOPLE LIVING WITH TREATMENT-RESISTANT DEPRESSION IN AUSTRALIA: A DISCRETE CHOICE EXPERIMENT
S Fifer1, A Puig2, M Acar2, V Sequeira2, C Ng3, M Blanchard4, J Freemantle5, J Grunfeld6
1Community and Patient Preference Research, Sydney, Australia
2Janssen Australia, Sydney, Australia
3University of Melbourne, Melbourne, Australia
4SANE Australia, Melbourne, Australia
5Red Gum Communications, Melbourne, Australia
6Peninsula Therapeutic and Research Group, Melbourne, Australia
MENTAL HEALTH LITERACY CONSTRUCT IN INDIGENOUS AND NON-INDIGENOUS POPULATIONS: IS IT THE SAME LANGUAGE?
A Estibeiro1, S Sardinha2, M Anand3
1Hunter New England LHD, Taree, Australia
2Metro South Mental Health, Brisbane, Australia
3Northern NSW LHD, Australia
RETROSPECTIVE COHORT STUDY OF DISCHARGE DATA TO IDENTIFY THE RATE AND FACTORS ASSOCIATED WITH READMISSION TO AN AUSTRALIAN, PUBLIC, MOTHER–BABY MENTAL HEALTH UNIT
N Soni, S Roberts, G Branjerdporn
Gold Coast University Hospital, Queensland Health, Gold Coast, Australia
‘DADS IN DISTRESS’: PERSISTING DEPRESSIVE AND TRAUMATIC SYMPTOMS IN FATHERS FOLLOWING POOR FETAL, NEONATAL AND MATERNAL OUTCOMES
A Kothari1,2, G Bruxner1,2, L Callaway2,3, J Dulhunty1,2
1Redcliffe Hospital, Redcliffe, Australia
2The University of Queensland, Brisbane, Australia
3The Royal Brisbane and Women’s Hospital, Brisbane, Australia
SCREAMS, TEARS AND A BUNDLE OF JOY BUT NO CIGAR! THE FATHERS AND CHILDBIRTH STUDY
A Kothari1,2, A Khuu2, G Bruxner1,2, J Dulhunty1,2,3, L Callaway2,3
1Redcliffe Hospital, Redcliffe, Australia
2The University of Queensland, St Lucia, Australia,
3Royal Brisbane and Women’s Hospital, Brisbane, Australia
CELEBRITY DOCTORS AND THEIR DISCONTENTS: THE CASE OF MAX JACOBSON
RM Kaplan
Graduate School of Medicine, University of Wollongong, Wollongong, Australia
There has been much publicity over the role of celebrity doctors providing their patients with huge doses of addictive drugs that cause serious problems, if not death. Well-known examples are the doctors who treated Howard Hughes, Elvis Presley and Michael Jackson and were responsible to a varying extent for their premature deaths. These doctors pale into shade compared with Max Jacobson, a German Jewish refugee who settled in New York and supplied amphetamines to his patients. The list of US celebrities, notably actors and musicians, is extraordinary but the most important patient was John Kennedy, the President. Jacobson’s reckless prescribing affected his performance at the Vienna Summit with Soviet Union Premier Nikita Krushchev and made the Russians believe that the president was vulnerable. Fortunately, Jacobson’s access to Kennedy was then removed. Jacobson, who had no insight into the dangers of his practice, was addicted himself and was eventually struck off. His story is a singular example of the dangers of celebrity doctors who go to any lengths to give their patients what they demand, regardless of the risks and, in doing so, suborn their medical oath.
THE BIZARRE CAREER OF AUBREY LEVIN: FROM ABUSER OF HOMOSEXUAL CONSCRIPTS TO MOLESTER OF MALE PRISONERS
RM Kaplan
Graduate School of Medicine, University of Wollongong, Wollongong, Australia
The conviction on three charges for sexual assault of male prisoners under his care has led to South African-born psychiatrist Dr Aubrey Levin being sentenced to 5 years in jail in Calgary, Canada. Unknown to the jury or the Canadian public was Levin’s history as the chief of psychiatry in the South African Defence Force during the apartheid years, something he had managed to keep from public exposure by threatening to sue under Canada’s defamation laws. Levin’s conviction brings to an end a career that can only be described as bizarre. After the fall of apartheid, Levin achieved notoriety when it was learned that he had subjected homosexuals, drug addicts, conscientious objectors and other conscripts to brutal therapy involving severe electric shocks and injection of drugs. This became known as the Aversion Project. From 1969 to 1974, aided by a team of psychiatrists and psychologists, he carried out his work in Ward 22 at 1 Military Hospital in Voortrekkerhoogte, Pretoria. After he left the military, Levin treated conscripts in Bloemfontein while professor of psychiatry at the University of the Orange Free State. Aubrey Levin’s long career of abuse arose in a dysfunctional personality who ascended to a position of power in a repressive military system where homosexuals were viewed as a threat to the state. He was not only at odds with his own profession in this regard but driven by inner conflicts that, in retrospect, are all too obvious. That the trail of abuse continued to the inmates of Calgary prisons that he cared for shows he cannot be given the exemption of just another functionary in a repressive system following orders. Levin’s career deserves study as an example of a dysfunctional doctor exploiting human rights in a repressive military system.
DROWNING IN DATA, STARVING FOR KNOWLEDGE: A PSYCHIATRY REGISTRAR’S TALES FROM AN EPISTEMIC WASTELAND
B Vialle
Toowoomba Hospital and University of Queensland Rural Clinical School, Toowoomba, Australia
IT’S EVERYONE’S BUSINESS: THE NEW SOUTH WALES EATING DISORDERS OUTREACH SERVICE
L Chiem
Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, Australia
PROFESSIONAL IDENTITY, POWER AND PATIENT CARE
LP Vrklevski1,2, K Eljiz2, D Greenfield2
1Department of Psychology, Concord Centre for Mental Health, Sydney Local Health District Mental Health Service
2Australian Institute of Health Service Management, School of Business and Economics, The University of Tasmania, Australia
CONTEMPORARY AND FUTURISTIC DESIGN OF ACUTE ADULT MENTAL HEALTH WARDS
G Jenkin1, D Peterson1, J McIntosh2, S Ever-Palmer1, S Collings1
1The University of Otago, Wellington, New Zealand
2School of Architecture, Victoria University, Wellington, New Zealand
ONE SIZE DOES NOT FIT ALL: WHY WE NEED TO BE CULTURALLY RESPONSIVE PSYCHIATRISTS
K Jenkins1, R Das2, J ChiaYu2
1RANZCP, Melbourne, Australia
2Mental Health Australia, Canberra, Australia
EFFICACY OF LURASIDONE IN ANTIPSYCHOTIC-NAÏVE VS. PREVIOUSLY TREATED ADOLESCENTS WITH SCHIZOPHRENIA: POST-HOC ANALYSIS OF A TWO YEAR, OPEN-LABEL STUDY
CU Correll1, M Tocco2, A Pikalov2, R Goldman2
1The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, USA; Hofstra Northwell School of Medicine, Department of Psychiatry and Molecular Medicine, NY, USA; and Charité Universitätsmedizin, Department of Child and Adolescent Psychiatry, Berlin, Germany
2Sunovion Pharmaceuticals Inc., Marlborough, MA, and Fort Lee, NJ, USA
Supported by Sunovion Pharmaceuticals Inc and Servier Australia.
INITIATING CLOZAPINE IN THE OUTPATIENT SETTING: A RETROSPECTIVE STUDY EXAMINING THE SERVICE UTILIZATION, TOLERABILITY AND COST EFFECTIVENESS
J Paul1, G Stannard2, G Shymko1
1Peel and Rockingham Kwinana Mental Health Service, Perth, Australia
2Rockingham General Hospital, Perth, Australia
Forrester T, Siskind D, Winckel K, et al. (2015) Increasing clozapine dispensing trends in Queensland, Australia 2004–2013. Pharmacopsychiatry 48(4-5): 164–169.
Gören JL, Rose AJ, Smith EG, et al. (2016) The business case for expanded clozapine utilization. Psychiatric Services 67(11): 1197–1205.
Idanpaan-Heikkila J, Alhava E, Olkinuora M, et al. (1977) Agranulocytosis during treatment with clozapine. European Journal of Clinical Pharmacology 11(3): 193–198.
Luchins DJ, Hanrahan P, Shinderman M, et al. (1998) Initiating clozapine treatment in the outpatient clinic: Service utilization and cost trends. Psychiatry Services 49(8): 1034–1038.
Siskind D, McCartney L, Goldschlager R, et al. (2016) Clozapine v. first- and second-generation antipsychotics in treatment-refractory schizophrenia: Systematic review and meta-analysis. The British Journal of Psychiatry 209(5): 285–392.
EFFICACY OF LURASIDONE IN ANTIPSYCHOTIC-NAÏVE VS. PREVIOUSLY TREATED ADOLESCENTS WITH SCHIZOPHRENIA: POST-HOC ANALYSIS OF A 6-WEEK, RANDOMIZED, PLACEBO-CONTROLLED STUDY
CU Correll1,2,3, M Tocco4, A Pikalov4, R Goldman4
1The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, USA
2Hofstra Northwell School of Medicine, Department of Psychiatry and Molecular Medicine, NY, USA
3Charité Universitätsmedizin, Department of Child and Adolescent Psychiatry, Berlin, Germany
4Sunovion Pharmaceuticals Inc., Marlborough, MA, and Fort Lee, NJ, USA
EFFECTIVENESS AND SAFETY OF LURASIDONE IN ADOLESCENTS WITH SCHIZOPHRENIA: ANALYSIS OF A 2-YEAR, OPEN-LABEL EXTENSION STUDY
CU Correll1,2,3, M Tocco4, A Pikalov4, R Goldman4
1The Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY, USA
2Hofstra Northwell School of Medicine, Department of Psychiatry and Molecular Medicine, NY, USA
3Charité Universitätsmedizin, Department of Child and Adolescent Psychiatry, Berlin, Germany
4Sunovion Pharmaceuticals Inc., Marlborough, MA, and Fort Lee, NJ, USA
Supported by Sunovion Pharmaceuticals Inc and Servier Australia.
LURASIDONE IN ADOLESCENTS WITH SCHIZOPHRENIA: REMISSION AND RECOVERY DURING 2 YEARS OF OPEN-LABEL TREATMENT
M Tocco, A Pikalov, L Deng, R Goldman
1Sunovion Pharmaceuticals Inc., Marlborough, MA, and Fort Lee, NJ, USA
Andreasen NC, Carpenter WT, Kane JM, et al. (2005) Remission in schizophrenia: proposed criteria and rationale for consensus. The American Journal of Psychiatry 162: 441–449.
BENEFITS AND HARMS OF ATYPICAL ANTIPSYCHOTICS IN THE TREATMENT OF BIPOLAR DEPRESSION: A SYSTEMATIC REVIEW AND META-ANALYSIS OF PLACEBO-CONTROLLED MONOTHERAPY AND ADJUNCTIVE THERAPY TRIALS
K Hagi1, T Nosaka1, A Pikalov2, A Loebel2
1Medical Affairs, Sumitomo Dainippon Pharma, Tokyo, Japan
2Sunovion Pharmaceuticals Inc., Marlborough, MA, and Fort Lee, NJ, USA
REDUCING METABOLIC SYNDROME IN AUSTRALIAN PATIENTS: METABOLIC MANAGEMENT DURING ANTIPSYCHOTIC PRESCRIBING PROGRAMME
D Castle1,2, M Hopwood1, S Rege3
1Department of Psychiatry, University of Melbourne, Melbourne, Australia
2St Vincent’s Hospital, Melbourne, Australia
3Vita Health Care and Psych Scene, Mount Eliza, Australia
Sponsored by Servier Laboratories.
Alberti KG, Eckel RH, Grundy SM, et al. (2009) Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 120: 1640–1645.
Galletly CA, Castle D, Dark F, et al. (2016) Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the management of schizophrenia and related disorders. Australian and New Zealand Journal of Psychiatry 50(5): 410–472.
Galletly CA, Foley DL, Waterreus A, et al. (2015) Cardiometabolic risk factors in people with psychotic disorders: the second Australian national survey of psychosis. Australian and New Zealand Journal of Psychiatry 46(8): 753–761.
Laugharne J, Waterreus AJ, Castle DJ, et al. (2015) Screening for the metabolic syndrome in Australia: a national survey of psychiatrists' attitudes and reported practice in patients prescribed antipsychotic drugs. Australasian Psychiatry 24(1): 62–66.
BORDERLINE PERSONALITY DISORDER COLLABORATIVE, THE SOUTH AUSTRALIAN CENTRE OF EXCELLENCE FOR BPD
M Kent OAM1, B McKenny2
1Borderline Personality Disorder Collaborative, Adelaide, Australia
2Rural and Remote Mental Health Service, Adelaide, Australia
DIFFERENCES IN ATTITUDES BETWEEN GENERAL PRACTITIONERS, PSYCHIATRISTS AND PHYSICIANS CONCERNING MEDICINAL CANNABIS: A SYSTEMATIC REVIEW
L Hegarty, C Krejany, M Jiwa
The University of Notre Dame Australia, Sydney, Australia
OUTCOMES OF AN ADHD SURVEY IN PRIVATE PRACTICE TO SCOPE ‘OPTIMAL TREATMENT SUCCESS’ PARAMETERS
S Guha, M Costigan
Marsai Clinic, Belmont Private Hospital, Brisbane, Australia
MENTAL HEALTH SERVICE DEVELOPMENT IN A LOWER MIDDLE INCOME COUNTRY: A RETROSPECTIVE ANALYSIS IN SRI LANKA FROM 2000 TO 2016
L Akuratiyage1, S Dias2
1Ministry of Health, Colombo, Sri Lanka
2University of Peradeniya, Peradeniya, Sri Lanka
CHANGE, COMPLEXITY AND ANTARCTICA: THE ROLE OF PSYCHIATRY IN A LEADERSHIP PROGRAMME
S Adams1,2, A Radovini1,2
1Orygen, The National Centre for Excellence in Youth Mental Health, Melbourne, Australia
2University of Melbourne, Melbourne, Australia
AN ANALYSIS OF THE EFFECTIVENESS OF RECOMMENDATIONS FROM INCIDENT REVIEWS
V Lakra, K Jagadheesan, K Varnava
North West Area Mental Health Service, Melbourne, Australia
THE PSYCHOLOGY OF CLINICAL PRACTICE CHANGE
G Smith1,2
1Office of Chief Psychiatrist, Perth, Australia
2Division of Psychiatry, The University of Western Australia, Crawley, Australia
PSYCHIATRISTS AS INFLUENCERS OF CLINICAL MODELS, POLICY AND SERVICE DESIGN
E Moore
Office for Mental Health and Wellbeing, ACT Government, Canberra, Australia
POSTER
AN EVALUATION OF ‘WELLNESS WEDNESDAY PROGRAMME’ FOR MENTAL HEALTH CLINICIANS IN GRAFTON, NSW
M Anand, N Mann, R Brewer
Northern NSW Local Health District, Lismore, Australia
CLINICAL GLOBAL IMPRESSION OF IMPROVEMENT AFTER ARIPIPRAZOLE ONCE-MONTHLY VERSUS PALIPERIDONE PALMITATE ONCE-MONTHLY AND THE EFFECTS OBSERVED IN PATIENTS WITH SCHIZOPHRENIA STRATIFIED BY DISEASE SEVERITY: A POST-HOC ANALYSIS OF QUALIFY
RA Baker1, S Nitschky Schmidt2, P Such2, P Hertel2, J Madera1
1Otsuka Pharmaceutical Development & Commercialization, Princeton, NJ, USA
2H. Lundbeck A/S, Valby, Denmark
PATIENT AND STAFF ATTITUDES ON SMOKING IN A PSYCHIATRIC INPATIENT SETTING
L Hand1, R Ganapathy2
1Western Sydney University, Sydney, Australia
2Western Sydney Local Health District, Sydney, Australia
Cancer Council (n.d.) Smoking. Available at: https://www.cancer.org.au/preventing-cancer/smoking-and-tobacco/smoking.html
Lawrence D, Mitrou F and Zubrick SR (2009) Smoking and mental illness: Results from population surveys in Australia and the United States. BMC Public Health 9: 285.
Lawrence D, Lawn S, Kisely S, et al. (2011) The potential impact of smoke-free facilities on smoking cessation in people with mental illness. Australian and New Zealand Journal of Psychiatry 45: 1053–1060.
National Mental Health Consumer and Carer Forum (2014) Smoking and mental health. Available at: https://nmhccf.org.au/sites/default/files/docs/nmhccf_-_advoacy_brief_-_smoking_-_february_2014.pdf
AIR POLLUTION AND SCHIZOPHRENIA: A REVIEW OF THE LITERATURE
V Grote1,2, C Franklin2,3, D Schweitzer4, S Karatela3
1Faculty of Medicine, The University of Queensland, Brisbane, Australia
2Mater Intellectual Disability and Autism Service, Mater Misericordiae Limited, Brisbane, Australia
3Mater Research Institute-University of Queensland, The University of Queensland, Brisbane, Australia
4Mater Centre for Neurosciences, Mater Misericordiae Limited, Brisbane, Australia
SELF STIGMA AMONG CAREGIVERS OF PEOPLE WITH SCHIZOPHRENIA
RB Hapuarachchi, JC Herath, PK Ranasinghe
National Institute of Mental Health, Angoda, Sri Lanka
THE SPECIALIST TRAINING PROGRAMME
The Specialist Training Program Project Team, RANZCP
Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
A CASE OF CATATONIA – A DIAGNOSTIC DILEMMA
S Hossain
Central Queensland Mental Health and Other Drugs Services, Rockhampton, Australia
Catatonia is defined as a motor dysregulation syndrome with patients unable to move normally despite full physical capacity. Movements cannot be initiated or stopped and become repetitive, posture is frozen or oddly positioned and actions become contrary to intent (Fink and Taylor, 2009). Catatonia can be caused by metabolic, toxic, psychiatric or neurologic conditions. When catatonia is caused by epilepsy, it usually resolves when seizure is treated effectively with anticonvulsive medication. In this case report, we discuss a patient with no known mental illness and developing catatonia that was not responsive to lorazepam or anticonvulsive.
Fink M and Taylor MA (2009) The catatonia syndrome: forgotten but not gone. Archives of General Psychiatry 66(11): 1173–1177. Available at: http://jamanetwork.com.ezp.lib.unimelb.edu.au/journals/jamapsychiatry/fullarticle/210437?resultClick=1 ISSN: 0003-990X
EVALUATION OF PERSISTENCE AND TRANSITIONS TO GENERAL PRACTITIONER CARE AMONG PARTICIPANTS OF A PATIENT SUPPORT PROGRAMME FOR LONG-ACTING TREATED PATIENTS WITH SCHIZOPHRENIA IN AUSTRALIA
M Acar1, A Puig1, M McGeachie2
1Real World Evidence, Janssen-Cilag, Sydney, Australia
2Medical and Scientific Affairs, Janssen-Cilag, Sydney, Australia
ADJUNCTIVE BREXPIPRAZOLE IN PATIENTS WITH MDD AND ANXIETY SYMPTOMS: RESULTS FROM POST-HOC ANALYSES OF THREE PLACEBO-CONTROLLED STUDIES
SR Meehan1, A Nylander1, C Weiss2, P Zhang2, M Hobart2
1H. Lundbeck A/S, Valby, Denmark
2Otsuka Pharmaceutical Development & Commercialization, Princeton, NJ, USA
RANZCP FOUNDATION: A FRESH OPPORTUNITY TO REALISE PSYCHIATRY’S POTENTIAL
E O’Brien
Chair, RANZCP Foundation
The Foundation is a fresh avenue for us to now drive this ambition.
PSYCHIATRIC ADMISSION BLOOD TESTS: A GENERAL HOSPITAL SINGLE-CENTRE REVIEW
T Richards, S Varghese
Rockingham General Hospital, Perth, Australia
Anfinson T and Kathol R (1992) Screening laboratory evaluation in psychiatric patients: a review. General Hospital Psychiatry 14(4): 248–257. Available at: https://www.ncbi.nlm.nih.gov/pubmed/1505746
Malhi G, Bassett D, Boyce P, et al. (2015) Royal Australian and New Zealand college of psychiatrists clinical practice guidelines for mood disorders. Australian and New Zealand Journal of Psychiatry 49(12): 1–185.
LONG-TERM EFFICACY OF BREXPIPRAZOLE IN PATIENTS WITH SCHIZOPHRENIA WITH CLINICALLY RELEVANT LEVELS OF NEGATIVE SYMPTOMS
C Weiss1, P Zhang1, RA Baker1, M Hobart1, N Hefting2, SR Meehan2
1Otsuka Pharmaceutical Development and Commercialization, Princeton, NJ, USA
2H. Lundbeck A/S, Valby, Denmark
RANZCP ANNUAL EDUCATION REPORT 2019: A SNAPSHOT
C-S Yong1, A Willis1, D Backman-Hoyle1,2, V Pascu1, T Yadav1, L Cheng1, R Dotson1, G Garg1, R McPherson1, A Lyubomirsky2, A Hill2, C Ortegon2
1Royal Australian and New Zealand College of Psychiatrists, Committee for Education Evaluation, Monitoring and Reporting, Melbourne, Australia
2Royal Australian and New Zealand College of Psychiatrists, Community Collaboration Committee, Melbourne, Australia
RANZCP EVALUATION AND MONITORING FRAMEWORK
C-S Yong1, A Willis1, D Backman-Hoyle1,2, V Pascu1, T Yadav1, L Cheng1, R Dotson1, G Garg1, R McPherson1, A Lyubomirsky2, A Hill2, C Ortegon2
1Committee for Education Evaluation, Monitoring and Reporting, RANZCP, Melbourne, Australia
2Community Collaboration Committee, RANZCP, Melbourne, Australia
HOW PSYCHIATRISTS LEARN IN THE WORKPLACE
W de Beer1, R Harvey1, L Salmon1,2, R Dotson1, M.Patton1, B Lloyd1, J Topp1, G Young1, N Jeyasingam1, M O’Connor1, S Sinha1, S Byrne1, J Pettigrew1, S Sahoo1, A Hill3, C Ortegon3, Anna Lyubomirsky3
1Committee for Continuing Professional Development, RANZCP, Melbourne, Australia
2Consumer Representative, Committee for Continuing Professional Development, RANZCP, Melbourne, Australia
3RANZCP, Melbourne, Australia
RANZCP: INFORMING AND INFLUENCING MENTAL HEALTH POLICY
Practice, Policy and Partnerships Department, RANZCP
Royal Australian and New Zealand College of Psychiatrists, Melbourne, Australia
In addition to submissions, the College maintains and continues to strengthen its own suite of policy documentation, which is increasingly used as a basis for advocacy on priority topics with governments and other key stakeholders.