Pathways to community living in practice: Local development and adaptation within an older peoples mental health service
CONCLUSIONS: Adaptation of the PCLI program for OPMH consumers required consideration of specific older adult needs to develop a bespoke plan for assessment and partnership with the PCLI-funded RACF. The development phase and ongoing processes for review facilitated engagement of key stakeholders across health and RACF sectors, highlighting issues with consumer engagement. Similar models could be used by other health services to implement the PCLI in their local context.PMID:37950838 | DOI:10.1177/10398562231211140 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 11, 2023 Category: Psychiatry Authors: Lillian Findlay Rowena Kellett Sean Lubbe Anne Pf Wand Source Type: research

Pathways to community living in practice: Local development and adaptation within an older peoples mental health service
CONCLUSIONS: Adaptation of the PCLI program for OPMH consumers required consideration of specific older adult needs to develop a bespoke plan for assessment and partnership with the PCLI-funded RACF. The development phase and ongoing processes for review facilitated engagement of key stakeholders across health and RACF sectors, highlighting issues with consumer engagement. Similar models could be used by other health services to implement the PCLI in their local context.PMID:37950838 | DOI:10.1177/10398562231211140 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 11, 2023 Category: Psychiatry Authors: Lillian Findlay Rowena Kellett Sean Lubbe Anne Pf Wand Source Type: research

Gender dysphoria: Reconsidering ethical and iatrogenic factors in clinical practice
CONCLUSIONS: Consistent with other western centres, in the 2010s, the Tavistock began treating patients with gender dysphoria under the 'Dutch protocol' for gender affirming care. Bell reveals concerning lapses of clinical governance influenced by activists and linked to patient harm. The recent suspension of a senior child psychiatrist from an Australian public hospital service after questioning the evidence base and ethical foundation of gender affirming care underlines the need to resolve these uncertainties to address the crisis in the treatment of gender dysphoria.PMID:37943613 | DOI:10.1177/10398562231211130 (Source:...
Source: Australasian Psychiatry - November 9, 2023 Category: Psychiatry Authors: George Halasz Andrew Amos Source Type: research

Attitudes of South Australian psychiatrists towards attention deficit hyperactivity disorder in adults
CONCLUSION: ADHD service provision is complex and relates to many systemic factors such as public versus private, funding, and service organisation. More psychiatrists need to become involved in treating ADHD so that the work is more widely spread. Increased training in ADHD is also needed to increase confidence in managing the condition.PMID:37943992 | DOI:10.1177/10398562231211132 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 9, 2023 Category: Psychiatry Authors: Claudia Cao Callum Deakin Shane Gill Source Type: research

Gender dysphoria: Reconsidering ethical and iatrogenic factors in clinical practice
CONCLUSIONS: Consistent with other western centres, in the 2010s, the Tavistock began treating patients with gender dysphoria under the 'Dutch protocol' for gender affirming care. Bell reveals concerning lapses of clinical governance influenced by activists and linked to patient harm. The recent suspension of a senior child psychiatrist from an Australian public hospital service after questioning the evidence base and ethical foundation of gender affirming care underlines the need to resolve these uncertainties to address the crisis in the treatment of gender dysphoria.PMID:37943613 | DOI:10.1177/10398562231211130 (Source:...
Source: Australasian Psychiatry - November 9, 2023 Category: Psychiatry Authors: George Halasz Andrew Amos Source Type: research

Attitudes of South Australian psychiatrists towards attention deficit hyperactivity disorder in adults
CONCLUSION: ADHD service provision is complex and relates to many systemic factors such as public versus private, funding, and service organisation. More psychiatrists need to become involved in treating ADHD so that the work is more widely spread. Increased training in ADHD is also needed to increase confidence in managing the condition.PMID:37943992 | DOI:10.1177/10398562231211132 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 9, 2023 Category: Psychiatry Authors: Claudia Cao Callum Deakin Shane Gill Source Type: research

Gender dysphoria: Reconsidering ethical and iatrogenic factors in clinical practice
CONCLUSIONS: Consistent with other western centres, in the 2010s, the Tavistock began treating patients with gender dysphoria under the 'Dutch protocol' for gender affirming care. Bell reveals concerning lapses of clinical governance influenced by activists and linked to patient harm. The recent suspension of a senior child psychiatrist from an Australian public hospital service after questioning the evidence base and ethical foundation of gender affirming care underlines the need to resolve these uncertainties to address the crisis in the treatment of gender dysphoria.PMID:37943613 | DOI:10.1177/10398562231211130 (Source:...
Source: Australasian Psychiatry - November 9, 2023 Category: Psychiatry Authors: George Halasz Andrew Amos Source Type: research

Attitudes of South Australian psychiatrists towards attention deficit hyperactivity disorder in adults
CONCLUSION: ADHD service provision is complex and relates to many systemic factors such as public versus private, funding, and service organisation. More psychiatrists need to become involved in treating ADHD so that the work is more widely spread. Increased training in ADHD is also needed to increase confidence in managing the condition.PMID:37943992 | DOI:10.1177/10398562231211132 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 9, 2023 Category: Psychiatry Authors: Claudia Cao Callum Deakin Shane Gill Source Type: research

General practitioners' attitudes and knowledge about attention-deficit hyperactivity disorder (ADHD): Insights from a survey
CONCLUSIONS: There was willingness amongst respondents take on a greater role in managing individuals with ADHD. However, a need for further training and education was highlighted. The Australian Evidence-Based Clinical Practice Guideline for ADHD may resolve an identified need for clinical guidance.PMID:37936255 | DOI:10.1177/10398562231211156 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 8, 2023 Category: Psychiatry Authors: Susie Kwon Habib Bhurawala Anita Munoz John Kramer Alison Poulton Source Type: research

General practitioners' attitudes and knowledge about attention-deficit hyperactivity disorder (ADHD): Insights from a survey
CONCLUSIONS: There was willingness amongst respondents take on a greater role in managing individuals with ADHD. However, a need for further training and education was highlighted. The Australian Evidence-Based Clinical Practice Guideline for ADHD may resolve an identified need for clinical guidance.PMID:37936255 | DOI:10.1177/10398562231211156 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 8, 2023 Category: Psychiatry Authors: Susie Kwon Habib Bhurawala Anita Munoz John Kramer Alison Poulton Source Type: research

Cosmetic psychiatry: A concept in urgent need of consideration
CONCLUSIONS: Cosmetic psychiatry may be defined as the science and practice of interventions that subjectively enhance the mental states of healthy people. Cosmetic medicine (including surgery) is a professionally and socially accepted part of contemporary medical practice; cosmetic psychiatry is not. Like cosmetic medicine, there are significant risks associated with cosmetic psychiatry. There is an urgent need for a broader conversation about this emerging clinical reality.PMID:37929851 | DOI:10.1177/10398562231211136 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 6, 2023 Category: Psychiatry Authors: William Lugg Source Type: research

Position statements of the Royal Australian and New Zealand College of Psychiatrists: An historical perspective
CONCLUSION: Position Statements have proved to be a dynamic vehicle to keep abreast of significant changes in psychiatry. Methodical appraisal is required to optimise their objective in conveying College policies to members and relevant stakeholders.PMID:37931129 | DOI:10.1177/10398562231211113 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 6, 2023 Category: Psychiatry Authors: Sidney Bloch Felicity Kenn Laura Bajurny Morgan Griffiths Izaak Lim Jennifer Smith Nicola Wright Source Type: research

Cosmetic psychiatry: A concept in urgent need of consideration
CONCLUSIONS: Cosmetic psychiatry may be defined as the science and practice of interventions that subjectively enhance the mental states of healthy people. Cosmetic medicine (including surgery) is a professionally and socially accepted part of contemporary medical practice; cosmetic psychiatry is not. Like cosmetic medicine, there are significant risks associated with cosmetic psychiatry. There is an urgent need for a broader conversation about this emerging clinical reality.PMID:37929851 | DOI:10.1177/10398562231211136 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 6, 2023 Category: Psychiatry Authors: William Lugg Source Type: research

Position statements of the Royal Australian and New Zealand College of Psychiatrists: An historical perspective
CONCLUSION: Position Statements have proved to be a dynamic vehicle to keep abreast of significant changes in psychiatry. Methodical appraisal is required to optimise their objective in conveying College policies to members and relevant stakeholders.PMID:37931129 | DOI:10.1177/10398562231211113 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 6, 2023 Category: Psychiatry Authors: Sidney Bloch Felicity Kenn Laura Bajurny Morgan Griffiths Izaak Lim Jennifer Smith Nicola Wright Source Type: research

Experiences of transition from hospital to community living via the Pathways to Community Living Initiative: A qualitative evaluation study of service users and family members
CONCLUSIONS: Participants regarded community living as preferable to hospital settings, and highly valued their freedom. They reported that clinical, aged care and disability supports helped them. Additional support may be required to improve physical health and social connectedness, and families appear to have unmet needs for psychosocial support.PMID:37919951 | DOI:10.1177/10398562231211126 (Source: Australasian Psychiatry)
Source: Australasian Psychiatry - November 3, 2023 Category: Psychiatry Authors: Peri O'Shea Kathryn E Williams Source Type: research