Medical leadership and management in the United Kingdom.
CONCLUSIONS: With increasing involvement of medical professionals in top managerial roles in the UK over the last 30 years, leadership development initiatives have been growing steadily and there is increasing recognition of the need for leadership and management skills for doctors. Such skills can help to greatly improve patient care as well as enhance organisational effectiveness and productivity. The central involvement of professional bodies such as the UK Faculty of Medical Leadership and Management, and the establishment of medical fellowship schemes, have provided a solid foundation for a new generation of aspiring ...
Source: Australasian Psychiatry - March 4, 2016 Category: Psychiatry Authors: Kyratsis Y, Armit K, Zyada A, Lees P Tags: Australas Psychiatry Source Type: research

How can psychiatrists offer psychotherapeutic leadership in the public sector?
CONCLUSIONS: Psychiatrists need to play an increasing role in clinical, administrative and academic settings to advance service provision, resource allocation, training and research directed at psychotherapies in the public health sector. PMID: 26917853 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 25, 2016 Category: Psychiatry Authors: Cammell P, Amos J, Baigent M Tags: Australas Psychiatry Source Type: research

Physician leadership development at Cleveland Clinic: a brief review.
CONCLUSIONS: Developing leaders is a universal priority to sustain organizational success. In health care, significant challenges of ensuring quality and access and making care affordable are widely shared internationally and demand effective physician leadership. Yet, leadership competencies differ from clinical and scientific competencies and features of selecting and training physicians-who have been called "heroic lone healers" -often conspire against physicians being effective leaders or followers. Thus, developing leadership competencies in physicians is critical.Leadership development programs have been si...
Source: Australasian Psychiatry - February 25, 2016 Category: Psychiatry Authors: Christensen T, Stoller JK Tags: Australas Psychiatry Source Type: research

MAOIs - does the evidence warrant their resurrection?
CONCLUSIONS: Sufficient evidence supports consideration of MAOIs in treatment-refractory and atypical depressive disorders, and in social anxiety disorder. Psychiatrists in training need to gain experience in using these agents. PMID: 26917855 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 25, 2016 Category: Psychiatry Authors: Menkes DB, Bosanac P, Castle DJ Tags: Australas Psychiatry Source Type: research

An evaluation of a service to keep children safe in families with mental health and/or substance abuse issues.
The objective of this study was to evaluate a specialised service designed to improve parenting capacity, child safety and family functioning in the context of parental mental health, drug and alcohol and child protection concerns. METHOD: Client data was collected over a period of 3 years and 3 months, including demographic characteristics, service usage, presenting issues and pre and post revised North Carolina Family Assessment Scale (NCFAS-G) scores. RESULTS: A significant improvement between intake and discharge occurred on the majority of the 58 NCFAS-G subscale items (32/58). In particular, most significan...
Source: Australasian Psychiatry - February 24, 2016 Category: Psychiatry Authors: Coates D, Howe D Tags: Australas Psychiatry Source Type: research

The need for educating patients with schizophrenia about the adverse effects of medications.
CONCLUSIONS: Adverse effects are a common risk factor for discontinuation of medication, so early detection and reporting of such effects may result in them being addressed sooner. Considering the risks of relapse caused by discontinuation of medication, healthcare professionals should actively educate patients with schizophrenia about dysphoria and manage adverse effects. PMID: 26912469 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 24, 2016 Category: Psychiatry Authors: Hashimoto Y, Tensho M Tags: Australas Psychiatry Source Type: research

The aging psychiatrist: lessons from our colleagues in surgery and anaesthesia.
CONCLUSIONS: The Senior Surgeons' Group, which conducts annual 'Building Towards Retirement' workshops, has been the driving force behind these initiatives. The group has a regular program in the RACS Annual Scientific Congress, including the multidisciplinary session 'The ageing specialist - challenges for regulators: hypothetical' which took place in 2014, and some of its members are part of a multidisciplinary team with an approach to adapting to ageing that encourages self-reflection and self-monitoring. It has also influenced the RACS Council to change the continuing professional development (CPD) regulations to inclu...
Source: Australasian Psychiatry - February 24, 2016 Category: Psychiatry Authors: Waxman BP Tags: Australas Psychiatry Source Type: research

Consensus statement on the role of Accredited Exercise Physiologists within the treatment of mental disorders: a guide for mental health professionals.
Abstract OBJECTIVE: The aim is to identify the role and scope of Accredited Exercise Physiologist (AEP) services in the mental health sector and to provide insight as to how AEPs can contribute to the multidisciplinary mental health team. METHODS: A modified Delphi approach was utilised. Thirteen AEPs with experience in mental health contributed to the iterative development of a national consensus statement. Six mental health professionals with expertise in psychiatry, mental health nursing, general practice and mental health research participated in the review process. Reviewers were provided with a template...
Source: Australasian Psychiatry - February 24, 2016 Category: Psychiatry Authors: Lederman O, Grainger K, Stanton R, Douglas A, Gould K, Perram A, Baldeo R, Fokas T, Nauman F, Semaan A, Hewavasam J, Pontin L, Rosenbaum S Tags: Australas Psychiatry Source Type: research

Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan.
CONCLUSION: While the literature supports performance concerns in aging practitioners, health independent of age, appears to be an important contributing factor. A screening process considering biopsychosocial reserve and professional load while applicable to older clinicians would optimally be implemented for physicians across their careerspan. PMID: 26906436 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 23, 2016 Category: Psychiatry Authors: Williams BW, Flanders P Tags: Australas Psychiatry Source Type: research

Aripiprazole long-acting injection: promising but more evidence needed.
CONCLUSION: Aripiprazole is a partial dopamine agonist with low sedation, relatively favourable metabolic profile and a tendency to lower, rather than raise, prolactin. Available for over a decade, aripiprazole has been increasingly recognised by many clinicians as a useful option in the treatment of psychoses. ALAI is a suspension of crystalline aripiprazole in water which takes 5-7 days to reach steady state after an initial intramuscular injection. Monthly injections achieve steady state in four months. Studies have demonstrated that ALAI is effective in aripiprazole-responsive patients. ALAI was generally well tolerate...
Source: Australasian Psychiatry - February 23, 2016 Category: Psychiatry Authors: Keks NA, Hope J, Culhane C Tags: Australas Psychiatry Source Type: research

Psychiatrist-determined suitability of patients on long-acting injectable antipsychotics to be discharged from specialist to primary care.
CONCLUSIONS: Treating psychiatrists consider only a minority of patients on long-acting injection antipsychotics as suitable for discharge to primary care. PMID: 26906438 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 23, 2016 Category: Psychiatry Authors: Castelino AM, Ramakrishnan JK Tags: Australas Psychiatry Source Type: research

A retrospective chart audit of electroconvulsive therapy at a regional Australian hospital.
CONCLUSIONS: Further research is needed across Australia to determine whether the findings of the current study represent changes in Australian ECT practice. PMID: 26906439 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 23, 2016 Category: Psychiatry Authors: Stormont B, Diedricks AA, Kidd G Tags: Australas Psychiatry Source Type: research

Later life transitions and changes in psychiatry.
CONCLUSIONS: When changes associated with ageing begin to make their presence felt, there is a need to come to terms with them. For many psychiatrists this may generate a surprising creativity. Psychiatrists also need to come to terms with a paradigm change that has taken place in psychiatric practice. This paper, one of a series that captures a broad perspective on ageing, was solicited (by the Members Engagement Committee) to specifically capture the psychotherapist's view of later life transitions. PMID: 26906440 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 23, 2016 Category: Psychiatry Authors: Randles JA Tags: Australas Psychiatry Source Type: research

Correlates of rehospitalisation in schizophrenia.
CONCLUSIONS: Rehospitalisation rates were higher for patients under the age of 50 and those with shorter index admissions; the latter finding requires further study. Other than the beneficial effect of clozapine, the type and route of prescribed antipsychotics did not significantly affect rehospitalisation rates. PMID: 26906441 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 23, 2016 Category: Psychiatry Authors: Dey S, Menkes DB, Obertova Z, Chaudhuri S, Mellsop G Tags: Australas Psychiatry Source Type: research

Medical student teaching in the private sector - An overlooked opportunity?
CONCLUSIONS: Our experience demonstrates that clinical teaching in private hospitals is sustainable and well accepted by students, patients and clinicians. The private sector has the capacity to make a much greater contribution to medical student training in psychiatry. PMID: 26906442 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 23, 2016 Category: Psychiatry Authors: Galletly CA, Turnbull C, Goldney R Tags: Australas Psychiatry Source Type: research

Expert leadership of eating disorder services in South Australia.
CONCLUSIONS: The history reveals a foundation of early expert academic clinical leadership changing into a centralised managerial bureaucracy correlating with a diminution of services. A threat to the survival of the service led to a solution involving reinvigoration of expert clinical and academic leadership. Expert leadership was shown to be an important part of an eating disorder service. PMID: 26906443 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 23, 2016 Category: Psychiatry Authors: Long R, Allison S Tags: Australas Psychiatry Source Type: research

Psychiatric risk factors predicting post-liver transplant physical and psychiatric complications: a literature review.
CONCLUSIONS: Based on the strength of the evidence available, our review identified four risk factors: mood disorders; social supports; substance misuse; and alcohol dependence. These factors could potentially provide a framework to guide the evaluation and prediction of psychological and physical complications post-liver transplantation. PMID: 26879076 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 15, 2016 Category: Psychiatry Authors: Eftekar M, Pun P Tags: Australas Psychiatry Source Type: research

Trends in hospital admissions involving suicidal behaviour in the Northern Territory, 2001-2013.
CONCLUSIONS: There have been substantial increases in hospital admissions involving suicidal behaviour in the NT, most markedly for Indigenous residents. Indigenous females and youth appear to be at increasing risk. The steep increase in suicidal ideation across all groups warrants further investigation. PMID: 26858241 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 8, 2016 Category: Psychiatry Authors: Leckning BA, Li SQ, Cunningham T, Guthridge S, Robinson G, Nagel T, Silburn S Tags: Australas Psychiatry Source Type: research

An evidence-based scale for the antecedents of depressive symptoms in Australian adults.
CONCLUSIONS: This simple self-administered scale has proven to provide a reliable measure for the antecedent factors of depression in the SMILE Tai Chi cohort; further validation of the scale in different settings is encouraged. PMID: 26858242 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 8, 2016 Category: Psychiatry Authors: Liu X, Furuya-Kanamori L, Siskind D, Crompton D, Williams GM, Kostner K, Vitetta L, Doi SA Tags: Australas Psychiatry Source Type: research

Should ketamine be used for the clinical treatment of depression?
CONCLUSIONS: Clinical trials have investigated the use of intravenous ketamine for the treatment of depressive symptoms over the past 15 years. However, there remain many unanswered questions regarding its effectiveness, safety, and the route, dose and regimen for repeated administration. Experts have also raised concerns regarding ketamine's adverse effects, abuse potential and the risk of addiction. At this stage, the use of ketamine in the treatment of depression remains in the realm of research settings. PMID: 26849894 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 5, 2016 Category: Psychiatry Authors: Arunogiri S, Keks NA, Hope J Tags: Australas Psychiatry Source Type: research

Rate of community treatment orders and readmission orders following reconfiguration of community mental health services.
CONCLUSIONS: Rates of CTOs and readmissions varied across services and further research is warranted to identify factors associated with these increased rates. Additionally, the very high rate of CTOs in the catchment areas warrants further examination. PMID: 26849895 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 5, 2016 Category: Psychiatry Authors: O'Donoghue B, Brophy L, Owens N, Rasic M, McCullough B, Huang B, Vine R, McKenna B Tags: Australas Psychiatry Source Type: research

Asylum seekers and refugees - how should psychiatry respond?
PMID: 26850944 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Authors: Newman L Tags: Australas Psychiatry Source Type: research

Psychiatry and Australian Asylum.
PMID: 26850945 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Authors: Amos A Tags: Australas Psychiatry Source Type: research

Thank you to our reviewers.
Authors: PMID: 26850946 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Ethics.
Authors: PMID: 26850947 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Book Review: Experiences of Depression.
PMID: 26850948 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Authors: McCarthy C, Nance M Tags: Australas Psychiatry Source Type: research

Book review: The biology of desire. Why addiction is not a disease.
PMID: 26850949 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Authors: Pridmore S, Auchincloss S Tags: Australas Psychiatry Source Type: research

Book review: Admirable evasions: how psychology undermines morality.
PMID: 26850950 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Authors: Kaplan RM Tags: Australas Psychiatry Source Type: research

Constipation associated with clozapine: need for closer monitoring.
PMID: 26850951 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Authors: Mohan I, Wendelborn K Tags: Australas Psychiatry Source Type: research

Hallucinations not psychotic?
PMID: 26850952 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Authors: Dignam P Tags: Australas Psychiatry Source Type: research

Failure to thrive potentially secondary to maternal venlafaxine use.
PMID: 26850953 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Authors: Tran MM, Fancourt N, Ging JM, Tantsis EM, Nelson TY, Sharma R Tags: Australas Psychiatry Source Type: research

From the President.
Authors: PMID: 26850954 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

From the CEO.
Authors: PMID: 26850955 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Talking with Dr Carolyn Little.
Authors: PMID: 26850956 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Obituary: Dr Alston Melvyn Unwin (1939-2015).
Authors: PMID: 26850957 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Ensuring quality in psychiatry training.
Authors: PMID: 26850958 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Continued Expansion of the College Training Program.
Authors: PMID: 26850959 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Reflections on the impacts of the College's pre-budget submission in 2015.
Authors: PMID: 26850960 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Psychiatry: Art or science? Questioning the question to see things as they are.
Authors: PMID: 26850961 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Updated College guidance on the use of benzodiazepines in psychiatric practice.
Authors: PMID: 26850962 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Updated College position statement on mental healthcare for older people.
Authors: PMID: 26850963 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Updated College position statement on the abolition of torture.
Authors: PMID: 26850964 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Updated College guidance on the use of stimulant medications in adults.
Authors: PMID: 26850965 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

New Fellows.
Authors: PMID: 26850966 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Upcoming RANZCP conferences and events.
Authors: PMID: 26850967 [PubMed - in process] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - February 1, 2016 Category: Psychiatry Tags: Australas Psychiatry Source Type: research

Clinical assessment of the late-career medical practitioner.
CONCLUSIONS: Late career is a specific developmental stage in medical practitioners, a time of transition towards retirement. The treating psychiatrist should be mindful of the welfare of the practitioner, the public and the profession during the assessment, which is conducted from a complex therapeutic and regulatory viewpoint. It is important to assess the physical, psychological and cognitive health of the LCP. Although rates of burnout, depression and suicidal ideation are lowest in Australian doctors over 60, only a small minority of LCPs over 75 are likely to perform at a cognitive level similar to that of younger co...
Source: Australasian Psychiatry - January 28, 2016 Category: Psychiatry Authors: Wijeratne C Tags: Australas Psychiatry Source Type: research

'Nurse specialling': Direct nursing observation in the emergency department compared to other wards of an urban teaching hospital in Sydney.
This study examined the patterns of direct observation of patients by nursing staff ('nurse specials') and compared those required for mental health/drug health (MH/DH)-related presentations to other patient groups in different care settings. METHODS: A retrospective review of nurse special shifts requested during the 2014 calendar year at an urban teaching hospital. RESULTS: Hospital-wide 14,021 8-hour nursing shifts were ordered for special observation of patients, an average of 39 per day. Of these, 30% were requested for MH/DH-related presentations, with the majority (70%) required for medically unstable pati...
Source: Australasian Psychiatry - January 28, 2016 Category: Psychiatry Authors: Portelli M, White B, Wand T, Haber PS, Glozier N Tags: Australas Psychiatry Source Type: research

Helping professionals and Border Force secrecy: effective asylum-seeker healthcare requires independence from callous policies.
CONCLUSIONS: Prolonged immigration detention and policies aiming to deter irregular migration cause maritime asylum-seekers undeniable, well-publicised harms and (notwithstanding claims about preventing drownings) show reckless indifference and calculated cruelty. Service personnel may be harmed. Such policies misuse helping professionals to underwrite state abuses and promote public numbing and indifference, resembling other state abuses in the 'war on terror' and (with qualification) historical counterparts, e.g. Nazi Germany. Human service practitioners and organisations recently denounced the BFA that forbids disclosur...
Source: Australasian Psychiatry - January 27, 2016 Category: Psychiatry Authors: Dudley M Tags: Australas Psychiatry Source Type: research

A critical interpretive synthesis of the most commonly used self-report measures in Australian mental health research.
CONCLUSIONS: Results indicate that many of the measures most often used in Australian mental health research may not align with the current contemporary philosophy of mental health clinical practice in Australia. PMID: 26819403 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - January 27, 2016 Category: Psychiatry Authors: Bibb J, Baker FA, Skewes McFerran K Tags: Australas Psychiatry Source Type: research

First episode mania following cessation of varenicline (Champix).
CONCLUSIONS: In reviewing causes of mood states, including mania, seeking information on any exposure to varenicline would appear to be relevant. PMID: 26819404 [PubMed - as supplied by publisher] (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - January 27, 2016 Category: Psychiatry Authors: Baker R, Gill N, Parker G Tags: Australas Psychiatry Source Type: research