Journal articles: 'Psychotherapy (Australia)'

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Martin, Louise, Bonita Lloyd, Paul Cammell, and Frank Yeomans. "Transference-Focused Psychotherapy in Australian psychiatric training and practice." Australasian Psychiatry 25, no. 3 (September 27, 2016): 233–35. http://dx.doi.org/10.1177/1039856216671661.

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Objective: This article discusses Transference-Focused Psychotherapy, a contemporary evidence-based and manualised form of psychoanalytic psychotherapy for borderline personality disorder. Transference focused psychotherapy has evolved from decades of research in the object-relations approach developed by Professor Otto Kernberg and his collaborators. It is being adopted increasingly throughout North and South America and Europe, and this article explores the role its adoption might play in psychiatric training as well as public and private service provision contexts in Australia. Conclusions: Transference focused psychotherapy is readily applicable in a range of training, research and public and private service provision contexts in Australia. A numbers of aspects of current Australian psychiatric training and practice, such as the Royal Australian and New Zealand College of Psychiatrists advanced training certificate, and the Australian medicare schedule, make it especially relevant for this purpose.

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Hicks, Richard E., Victoria Alexander, and Clive M. Jones. "Counselling and Psychotherapy Orientations in Australia: Responses from 24 Australian Psychotherapists." Psychology 07, no. 08 (2016): 1146–53. http://dx.doi.org/10.4236/psych.2016.78115.

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Riordan, Daniel. "Forensic psychotherapy." Australasian Psychiatry 25, no. 3 (January 26, 2017): 227–29. http://dx.doi.org/10.1177/1039856216689532.

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Objectives: This paper describes the role forensic psychotherapy has in the assessment and treatment of mentally disordered offender patients, and its role in the supervision of individual therapists, staff groups or whole organisations which contain and manage this patient population. Conclusions: Forensic psychotherapy has a valuable role to play in the management of mentally disordered forensic patients. As forensic services continue to develop in Australia and New Zealand and interest in this field continues to grow, then the future of forensic psychotherapy looks bright.

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Thomas-Anttila, Kerry. "[Review of the Sixth International Conference on the Work of Frances Tustin: On Bringing Patients to Life.]." Ata: Journal of Psychotherapy Aotearoa New Zealand 16, no. 1 (October 22, 2012): 113–17. http://dx.doi.org/10.9791/ajpanz.2012.12.

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Frances Tustin (1913-1994) was a British child psychotherapist who trained at the Tavistock Clinic in London and who was an analysand of Wilfred Bion. She is internationally recognised for her work with autistic children and wrote around thirty articles and four books: Autism and Childhood Psychosis (Tustin, 1972), Autistic States in Children (Tustin, 1981), Autistic Barriers in Neurotic Patients (Tustin, 1986), and The Protective Shell in Children and Adults (Tustin, 1990). In 1995, a year after Tustin’s death, the Frances Tustin Memorial Trust was established by Dr Judith Mitrani (see the Frances Tustin Memorial Trust, 2012). The Trust is dedicated to the teaching, expansion and extension of Frances Tustin’s work on the understanding and treatment of autistic spectrum disorders in children, adolescents and adults. This includes the sponsorship of international conferences on Tustin’s work, which have been held in London, UK (2004); Caen, France (2005); Venice, Italy (2006); Berlin, Germany (2007); Tel-Aviv, Israel (2008); and, this year in Sydney, Australia. This Sixth International Conference, entitled On Bringing Patients to Life, was organized by the Trust, in conjunction with the Australian Psychoanalytical Society, the New South Wales Institute of Psychoanalytic Psychotherapy, The Institute of Child and Adolescent Psychoanalytic Psychotherapy, and the Couples and Family Psychoanalytic Psychotherapy Association of Australasia.

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Aroche, Jorge, Sejla Tukelija, and Mirjana Askovic. "Neurofeedback in Work With Refugee Trauma: Rebuilding Fragile Foundations." Biofeedback 37, no. 2 (June 1, 2009): 53–55. http://dx.doi.org/10.5298/1081-5937-37.2.53.

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Abstract The authors describe the Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS), established by the Australian government to provide specialized services for the many torture and trauma survivors accepted as refugees in Australia. Of the clients served by STARTTS, 30% present with post traumatic stress disorder. The authors report on the integration of neurofeedback into the psychotherapy provided to these individuals.

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Thomson Salo, Frances. "Developments in child psychotherapy in Australia: an introduction." Journal of Child Psychotherapy 26, no. 2 (January 2000): 153–58. http://dx.doi.org/10.1080/00754170050082786.

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Hooker, Leesa, Emma Toone, Vibhay Raykar, Cathy Humphreys, Anita Morris, Elizabeth Westrupp, and Angela Taft. "Reconnecting mothers and children after violence (RECOVER): a feasibility study protocol of child–parent psychotherapy in Australia." BMJ Open 9, no. 5 (May 2019): e023653. http://dx.doi.org/10.1136/bmjopen-2018-023653.

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IntroductionIntimate partner violence detrimentally affects the social and emotional well-being of children and mothers. These two populations are impacted both individually and within the context of their relationship with one another. Child mental health, maternal mental health and the mother–child relationship may be impaired as a consequence. Early intervention to prevent or arrest impaired mother–child attachment and child development is needed. Dyadic or relational mental health interventions that include mothers with their children, such as child–parent psychotherapy, are effective in improving the mental health of both children and mothers and also strengthening their relationship. While child–parent psychotherapy has been trialled overseas in several populations, Australian research on relational interventions for children and women recovering from violence is limited. This study aims to assess the acceptability and feasibility of implementing child–parent psychotherapy in Australian families.Methods and analysisUsing a mixed methods, prepost design this feasibility study will examine the acceptability of the intervention to women with preschool aged children (3–5 years, n=15 dyads) and providers, and identify process issues including recruitment, retention and barriers to implementation and sustainability. In addition, intervention efficacy will be assessed using maternal and child health outcomes and functioning, and mother–child attachment measures. Young children’s mental health needs are underserviced in Australia. More research is needed to fully understand parenting in the context of intimate partner violence and what works to help women and children recover. If the intervention is found to be feasible, findings will inform future trials and expansion of child–parent psychotherapy in Australia.Ethics and disseminationEthics approval obtained from clinical sites and the La Trobe University Human Research Ethics Committee (ID: HEC17-108). Results will be disseminated through conference proceedings and academic publications.

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Diminic, Sandra, and Mary Bartram. "Does Introducing Public Funding for Allied Health Psychotherapy Lead to Reductions in Private Insurance Claims? Lessons for Canada from the Australian Experience." Canadian Journal of Psychiatry 64, no. 1 (June 20, 2018): 68–76. http://dx.doi.org/10.1177/0706743718784941.

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Objective: Provincial and territorial governments are considering how best to improve access to psychotherapy from the current patchwork of programmes. To achieve the best value for money, new funding needs to reach a wider population rather than simply replacing services funded through insurance benefits. We considered lessons for Canada from the relative uptake of private insurance and public funding for allied health psychotherapy in Australia. Method: We analysed published administrative claims data from 2003–2004 to 2014–2015 on Australian privately insured psychologist services, publicly insured psychotherapy under the ‘Better Access’ initiative, and public grant funding for psychotherapy through the ‘Access to Allied Psychological Services’ programme. Utilisation was compared to the prevalence of mental disorders and treatment rates in the 2007 National Survey of Mental Health and Wellbeing. Results: The introduction of public funding for psychotherapy led to a 52.1% reduction in private insurance claims. Costs per session were more than double under private insurance and likely contributed to individuals with private coverage choosing to instead access public programmes. However, despite substantial community unmet need, we estimate just 0.4% of the population made private insurance claims in the 2006–2007 period. By contrast, from its introduction, growth in the utilisation of Better Access quickly dwarfed other programmes and led to significantly increased community access to treatment. Conclusions: Although insurance in Canada is sponsored by employers, psychology claims also appear surprisingly low, and unmet need similarly high. Careful consideration will be needed in designing publicly funded psychotherapy programmes to prepare for the high demand while minimizing reductions in private insurance claims.

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Boltivets, Sergii. "Ukrainian school of clinical psychotherapy and hypnotherapy in Australia." PSIHOLOGÌÂ Ì SUSPÌLʹSTVO 71-72, no. 1-2 (March 1, 2018): 127–30. http://dx.doi.org/10.35774/pis2018.01.127.

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Bartram, Mary. "Expanding access to psychotherapy in Canada: Building on achievements in Australia and the United Kingdom." Healthcare Management Forum 32, no. 2 (January 30, 2019): 63–67. http://dx.doi.org/10.1177/0840470418818581.

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Australia and the United Kingdom have significantly expanded access to psychotherapy over the past decade. With this international experience to draw upon and a new $5 billion federal mental health transfer, Canada is well positioned to address long-standing gaps and inequities in access to psychotherapy. In Canada’s more decentralized context, a concerted effort from health leaders at all levels of government and across multiple sectors and professions is needed to make the most of this opportunity for reform. Key priorities for health leaders include using the full range of provincial and territorial policy levers for either a grants-based or insurance-based approach; implementing a strong approach to performance monitoring, with equity targets built in from the outset; addressing gaps in workforce planning; and forming a pan-Canadian coalition for expanding access to psychotherapy.

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Bartram, Mary. "Government Structure, Service System Design, and Equity in Access to Psychotherapy in Australia, the United Kingdom, and Canada." Canadian Journal of Community Mental Health 39, no. 2 (July 1, 2020): 11–23. http://dx.doi.org/10.7870/cjcmh-2020-010.

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This article reports the results from 22 interviews regarding the relationship among government structure, service system design, and equity in access to psychotherapy in Australia, the United Kingdom and Canada. Key themes focused on the strong relationship between government structure and at least one other factor in shaping psychotherapy reforms in each country, as well the persistence of inequities despite the introduction of universal reforms. These findings suggest that improving equity in access will require explicit focus regardless of government structure or service system design.

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Parkinson AM, Patrick, and Philip Morris AM. "Psychiatry, psychotherapy and the criminalisation of ‘conversion therapy’ in Australia." Australasian Psychiatry 29, no. 4 (August 2021): 409–11. http://dx.doi.org/10.1177/10398562211014220.

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Objective: To examine laws in three Australian jurisdictions that prohibit therapy to change or suppress a person’s sexual orientation or gender identity. Conclusions: The laws in Victoria and the ACT provide inadequate protection for clinically appropriate psychiatric practice and may deprive patients of mental health care.

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Allen, Kenneth W., Barry Tolchard, and Malcolm Battersby. "Behavioural psychotherapy training for nurses in Australia: A pilot program." Australian and New Zealand Journal of Mental Health Nursing 9, no. 2 (June 2000): 75–81. http://dx.doi.org/10.1046/j.1440-0979.2000.00161.x.

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Oakes, Jane, Barry Tolchard, Lyndall Thomas, and Malcolm Battersby. "Behavioural psychotherapy training for nurses in Australia: A trainee's view." International Journal of Mental Health Nursing 11, no. 2 (June 2002): 139–41. http://dx.doi.org/10.1046/j.1440-0979.2002.00238.x.

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Kavanagh, David J., Lyn Littlefield, Roger Dooley, and Analise O'Donovan. "Psychotherapy in Australia: Clinical psychology and its approach to depression." Journal of Clinical Psychology 63, no. 8 (2007): 725–33. http://dx.doi.org/10.1002/jclp.20387.

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O’Brien, Tom. "Working at the Periphery: a View of Group Psychotherapy in Australia." International Journal of Group Psychotherapy 65, no. 4 (October 2015): 617–25. http://dx.doi.org/10.1521/ijgp.2015.65.4.617.

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Bennett, Bindi, and Elise Woodman. "The Potential of Equine-Assisted Psychotherapy for Treating Trauma in Australian Aboriginal Peoples." British Journal of Social Work 49, no. 4 (June 1, 2019): 1041–58. http://dx.doi.org/10.1093/bjsw/bcz053.

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AbstractColonisation and subsequent policies targeting Aboriginal peoples in Australia have had devastating consequences, including trauma, disadvantage and marginalisation. These effects have passed from generation to generation and continue to manifest in poor health and well-being outcomes, particularly mental health disorders. Innovative and culturally relevant techniques are needed to remedy inequality and address intergenerational trauma. Equine-assisted psychotherapy (EAP)—an experiential therapy involving horses—is a new and increasingly evidence-based treatment approach, which offers potential for working with Aboriginal peoples. This article reviews the literature on outcomes of EAP to consider its potential as a culturally responsive therapy to treat trauma and increase well-being for Aboriginal people in Australia.

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Schoen, Linda G. "In Search of a Professional Identity." Counseling Psychologist 17, no. 2 (April 1989): 332–43. http://dx.doi.org/10.1177/0011000089172011.

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This study examined the professional identity of counseling psychologists in Australia. Subjects were 114 members of the Board of Counselling Psychologists within the Australian Psychological Society who responded to a survey questionnaire that tapped demographic and professional activity information. Respondents rated the importance of activities to their present and ideal positions as counseling psychologists. Factor analysis of ratings showed a structure of activities of which consultation and education, goal-directed counseling, depth psychotherapy, and program development and evaluation were most important. Research and assessment activities were seen as least important. Differences in importance ratings were found as a function of respondent employment setting. Results show similarities to earlier studies and suggest that the professional identity of counseling psychologists based on activities extends across national boundaries.

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Saha, Shanthi, Claire McCarthy, and Rohan Dhillon. "Psychodynamic therapy for non-compliance: a case report." Australasian Psychiatry 27, no. 3 (February 14, 2019): 288–90. http://dx.doi.org/10.1177/1039856219828168.

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Objectives: This paper outlines the use of psychodynamic psychotherapy as an adjunct to treatment as usual for addressing challenging behaviours in a patient with schizophrenia under the care of a community mental health team (CMHT) in South Australia. Methods: Ms P suffered from schizophrenia and demonstrated challenging behaviours in the context of being administered depot medication under a community treatment order (CTO). Multiple attempts at addressing non-compliance and consistently disruptive behaviour through conventional methods had failed. Consequently, the novel approach of fortnightly psychodynamic psychotherapy sessions was trialled for 5 months, augmenting treatment as usual. Results: Psychodynamic psychotherapy proved effective for this patient. With treatment, she showed an improved compliance and overall engagement. Additionally, consequent to regularly receiving medication, her mental state improved and hospitalisations decreased. Conclusions: Further research could lead to a better understanding of how and in what contexts, psychodynamic therapy and psychodynamic thinking can be utilised in the public health system.

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Kisely, Stephen R., and Judy Jones. "An Integrated Treatment Algorithm for Pharmacotherapy and Psychotherapy." Australian & New Zealand Journal of Psychiatry 33, no. 2 (April 1999): 207–16. http://dx.doi.org/10.1046/j.1440-1614.1999.00548.x.

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Objective: As in Australia, demand for psychotherapy is rising in Britain, and the wide variety of psychological treatments available within the National Health Service (NHS), the independent sector, and voluntary agencies leads to uncertainty about which patients are most suitable for which type of psychotherapy, as well as the appropriate balance between psychological and pharmacological interventions. This paper describes how Birmingham Health Authority (HA), the largest HA in England and Wales with a population of just under one million, developed and implemented an evidence-based strategy for the use of psychotherapy services. Method: A literature search and health needs assessment for psychotherapy in Birmingham was performed. Results: It was possible to estimate the need for evidence-based psychotherapy services using routinely available epidemiological data. By matching specific techniques to individual diagnosis and estimating the size of the population for whom this was appropriate, demand for psychotherapy exceeded service provision by a factor of four. Conclusions: The following steps were undertaken: (i) setting priorities for the commissioning of psychotherapy on the basis of the scientific literature including greater use of brief and focused forms of integrative therapy from a variety of psychotherapeutic schools; (ii) targeting interventions on the basis of objective criteria to ensure that patients were referred for the appropriate level and intensity of psychological intervention using the full range of available services within the NHS, the independent sector, and voluntary agencies; (iii) agreeing on an integrated treatment algorithm (ITA) for the use of the most cost-effective treatments while ensuring that a range of alternative interventions was available for patients for whom a first line therapy was not suitable. Such an ITA could be adapted to assist general practitioners in their management and referral decisions; (iv) sharing skills between specialist psychotherapy services and members of primary and mental health teams through training, supervision and consultation–liaison.

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Hurley, John, Richard Lakeman, Andrew Cashin, and Tom Ryan. "Mental health nurse psychotherapists are well situated to improve service shortfalls in Australia: findings from a qualitative study." Australasian Psychiatry 28, no. 4 (June 8, 2020): 423–25. http://dx.doi.org/10.1177/1039856220924326.

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Objective: This paper reports the capabilities of mental health nurse (MHN) psychotherapists in Australia and their perceptions on how to best utilize their skills. Method: An MHN is a registered nurse with recognized specialist qualifications in mental health nursing. One hundred and fifty three MHNs completed an online survey; 12 were interviewed. Results: Three themes were derived from a qualitative analysis of the aggregated data: psychotherapy skills of MHN psychotherapists are under-utilized; these nurses bridge gaps between biomedical and psychosocial service provision; and equitable access to rebates in the primary care sector is an obstacle to enabling access to services. Conclusions: MHN psychotherapists are a potentially valuable resource to patients in tertiary and primary health care. They offer capacity to increase access to specialist psychotherapy services for complex and high risk groups, while being additionally capable of meeting patients’ physical and social needs. Equitable access to current funding streams including Medicare rebates can enable these outcomes.

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Coombe, Paul D. "The Expression and Experience of Ambivalence in a Melbourne Large Group." Group Analysis 26, no. 2 (June 1993): 199–202. http://dx.doi.org/10.1177/0533316493262011.

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In 1989, along with twenty-five other individuals interested in group dynamics, I participated in a large group experience in Melbourne, Australia. This was initiated by Dr Peter McCallum and myself following our experience in a Group-Analytic Society (London) Winter Workshop. Dr Stanley Gold and Dr Ann Morgan were the conductors. The group met for one-and-a-half hours at night on a weekly basis for five months. The following represents some of my reflections about four months after the large group experience ceased. I was invited to contribute comments at an Australian Association of Group Psychotherapy meeting. I had neither made notes during the large group sessions nor since it ended. In addition there was no communication between the conductors and myself on the topic prior to our joint formal presentation. To what degree repression plays a part in what I said I am uncertain.

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Rodrigo, Asiri, Jennifer Majoor, Frances Minson, and Kaushadh Jayakody. "Recent trends in psychotherapy training among psychiatrists in the UK, Australia and New Zealand." Australasian Psychiatry 21, no. 2 (April 2013): 182–83. http://dx.doi.org/10.1177/1039856212475326.

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Schofield, Margot J., Jan Grant, Sophie Holmes, and John Barletta. "The Psychotherapy and Counselling Federation of Australia: How the federation model contributes to the field." International Journal of Psychology 41, no. 3 (June 2006): 163–69. http://dx.doi.org/10.1080/00207590544000149.

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W. Battersby, Malcolm, Alex Ask, Marion M. Reece, Mignon J. Markwick, and James P. Collins. "A Case Study Using the "Problems and Goals Approach" in a Coordinated Care Trial: SA HealthPlus." Australian Journal of Primary Health 7, no. 3 (2001): 45. http://dx.doi.org/10.1071/py01045.

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The problems and goals approach (P&G) is a therapeutic assessment and intervention used in the behavioural psychotherapy field. P&G is a patient-centred, pragmatic technique in which the patient and health professional determine the patient?s problems and formulate realistic medium term goals based on measurable outcomes. P&G was utilised in the SA HealthPlus first round Coordinated Care Trial in South Australia with intervention patients who had chronic medical conditions. This article presents a case study from SA HealthPlus. The aim of this article is to introduce the practical workings of P&G and provide some observations about this technique.

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Broadbear, Jillian H., Parvaneh Heidari, Nitin P. Dharwadkar, Lukas Cheney, and Sathya Rao. "Telehealth Psychotherapy for Severe Personality Disorder during COVID-19: Experience of Australian Clinicians." Global Journal of Health Science 13, no. 12 (November 5, 2021): 61. http://dx.doi.org/10.5539/gjhs.v13n12p61.

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OBJECTIVE: Restrictions on social interaction during the COVID-19 pandemic necessitated a rapid transition to telehealth to continue providing psychotherapy to people diagnosed with personality disorder. This naturalistic cross-sectional study evaluated the experiences of clinicians using telehealth for the first time to treat clients diagnosed with a severe personality disorder (complex and/or high risk presentation). METHODS: Thirty clinicians working at a specialist clinic for personality disorders completed an online survey during May-June 2020 in Melbourne, Australia. RESULTS: Despite having some initial technical issues, most participants rapidly and successfully connected with clients via phone and/or video-conference, recommencing individual and group evidence-based psychotherapies. Appointments were kept more reliably than when in-person treatment was offered. Issues around privacy, confidentiality, risk, quality of interaction, and treatment boundaries were raised, highlighting the need for specific guidelines and formal processes. However, clinicians’ awareness of some of the benefits of telehealth was evident, with most looking forward to using telehealth for some aspects of their work with clients and more generally into the future. CONCLUSIONS: This experience with delivering psychotherapy using telehealth during COVID restrictions suggests that it is an acceptable platform that can be managed safely for treating patients with severe mental illness in the short term at least. This outcome encourages the pursuit of efficacy studies to evaluate telehealth as a more equitable and accessible treatment modality.

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Bartram, Mary, and Jennifer M. Stewart. "Income-based inequities in access to psychotherapy and other mental health services in Canada and Australia." Health Policy 123, no. 1 (January 2019): 45–50. http://dx.doi.org/10.1016/j.healthpol.2018.10.011.

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Jorm, Anthony F., Helen Christensen, and Kathleen M. Griffiths. "The Public's Ability to Recognize Mental Disorders and their Beliefs about Treatment: Changes in Australia Over 8 Years." Australian & New Zealand Journal of Psychiatry 40, no. 1 (January 2006): 36–41. http://dx.doi.org/10.1080/j.1440-1614.2006.01738.x.

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Objective: A national survey of Australian adults in 1995 showed a low level of recognition of mental disorders and beliefs about treatment that were often discordant with those of professionals. The present study aimed to find out whether recognition and treatment beliefs have changed over 8 years. Method: A national survey of 2001 adults in 2003–2004 included the same questions as the 1995 survey. These interview questions were based on a vignette of a person with either depression or schizophrenia. Results: Over the 8 years, the public showed better recognition of depression and schizophrenia and gave more positive ratings to a range of interventions, including help from mental health professionals, medications, psychotherapy and psychiatric ward admission. Conclusions: The Australian public's beliefs have changed over 8 years to be more like those of mental health professionals. This change may have positive implications for helpseeking and treatment concordance.

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Neven, Ruth Schmidt. "Developing a psychotherapy clinic for children, parents and young people at a large paediatric hospital in Australia." Journal of Child Psychotherapy 21, no. 1 (April 1995): 91–120. http://dx.doi.org/10.1080/00754179508254909.

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Pachana, Nancy A., Erin Emery, Candace A. Konnert, Erin Woodhead, and Barry A. Edelstein. "Geropsychology content in clinical training programs: a comparison of Australian, Canadian and U.S. data." International Psychogeriatrics 22, no. 6 (June 4, 2010): 909–18. http://dx.doi.org/10.1017/s1041610210000803.

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ABSTRACTBackground: There is a worldwide shortage of mental health professionals trained in the provision of mental health services to older adults. This shortage in many countries is most acutely felt in the discipline of psychology. Examining training programs in clinical psychology with respect to training content may shed light on ways to increase interest among students and improve practical experiences in working with older adults.Methods: A large multinational survey of geropsychology content in university-based clinical and counselling psychology training programs was conducted in 2007 in the U.S.A., Australia, and Canada. Both clinical/counseling programs and internship/practicum placements were surveyed as to staffing, didactic content and training opportunities with respect to geropsychology.Results: Survey response rates varied from 15% in the U.S.A. (n = 46), 70% in Australia (n = 25) to 91.5% in Canada (n = 22). The U.S.A. and Australia reported specialist concentrations in geropsychology within graduate clinical psychology training programs. More assessment and psychopathology courses in the three countries were cited as having ageing content than psychotherapy courses. Many non-specialist programs in all three countries offered course work in geropsychology, and many had staff who specialized in working clinically with an older population. Interest in expanding aging courses and placements was cited by several training sites. Recruiting staff and finding appropriate placement opportunities with older adult populations were cited as barriers to expanding geropsychology offerings.Conclusions: In light of our results, we conclude with a discussion of innovative means of engaging students with ageing content/populations, and suggestions for overcoming staffing and placement shortcomings.

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Clark, MCounsPsychthrpy, DipRemMassage, Timothy. "The Psychotherapeutic Relationship in Massage Therapy." International Journal of Therapeutic Massage & Bodywork: Research, Education, & Practice 12, no. 3 (September 2, 2019): 22–35. http://dx.doi.org/10.3822/ijtmb.v12i3.447.

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Background: Psychotherapy and massage therapy (MT) are effective treatments for depression and anxiety. Little is certain about the mechanisms behind these effects in MT, but in psychotherapy they are attributed to a combination of common and specific factors, at the heart of which lies the therapeutic relationship. Research into the psychotherapeutic relationship in MT, therefore, may advance understanding of its impact on depression and anxiety.Purpose: This research seeks to elucidate the components of the psychotherapeutic relationship in MT to inform training, research, and practice.Participants & Setting: Two participants—a therapist and a client—from Melbourne, Australia. Research Design: A qualitative methodology was employed whereby one therapeutic relationship was observed over the course of three massage treatments. After each treatment, the participants commentated recordings of the sessions. The recordings were transcribed and analyzed using Interpretative Phenomenological Analysis (IPA) and Conversation Analysis (CA). Themes and subthemes were extracted from the analysis.Results: Four overarching themes emerged: Separateness, Pleasure, Merging, and Internalization. Separateness is associated with the subthemes of Boundaries, Performance of Roles, and Power. Pleasure is associated with the subthemes of Safety, Comfort and Communication. Merging is associated with the subthemes of Contact and Empathy. Internalization has no subthemes.Conclusions: The results suggest that a clearer conceptualization of the therapeutic relationship in MT may help massage therapists more pur-posefully treat depressed and anxious clients. A greater emphasis on self-awareness in the professional development of massage therapists may also foster this. Additionally, the role of pleasure in the therapeutic relationship in MT warrants closer examination.

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Rigney, Louise, Alexis Selby, Lily Chen, Tejas Patel, Yun T. Hwang, Anthony ED Mobbs, and Rowena EA Mobbs. "117 Employment-activity status and multidisciplinary care engagement in patients with newly diagnosed dementia: a 16-month audit study within an inner sydney community neurology clinic." Journal of Neurology, Neurosurgery & Psychiatry 90, e7 (July 2019): A38.1—A38. http://dx.doi.org/10.1136/jnnp-2019-anzan.104.

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IntroductionDementia is one of the leading causes of mortality and morbidity in Australia. Attitudes towards dementia in the workplace, tailored adjustments for disability, and patient-centred ‘exit with dignity’ strategies are of objective and subjective importance to patient wellbeing. This study aimed to assess employment characteristics in those with newly diagnosed dementia, and engagement with multidisciplinary supports.MethodsAn audit of patients with diagnosis of dementia (n=136,age51–96 yrs,M:F1.1:1) and mild cognitive impairment (MCI)(n=28,age56–83M:F0.6:1) over a 16 month period in 2017–18 was performed using online server data collection and retrospective analysis of general and employment demographic characteristics, presenting clinical information, and care across clinical psychology, psychotherapy, occupational therapy, speech pathology, and dietetics.ResultsYounger onset dementia was present in 14(10%). Of the 122 dementia cases aged above 65 years, 24(20%) were employed-active, 98(80%) were retired, and none were unemployed. Approximately 5% had a background in healthcare. Allied health support was provided in 106 cases (78%) with ≥3 supports in 28(21%) and was more common in those who were retired(76%) versus employed-active (21%). Clinical psychology or psychotherapy support was provided in 50(37%) cases of dementia. ConclusionsThe onset of dementia often co-exists with active employment. Community perception of employment status in dementia would be of future research interest. Provision of multidisciplinary allied health supports in dementia may facilitate coping, adjustment and cooperative strategies for exit with dignity but further studies are required in this cohort.

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Draper, Brian, Stephanie Winfield, and Georgina Luscombe. "The Senior Psychiatrist Survey I: Age and Psychiatric Practice." Australian & New Zealand Journal of Psychiatry 33, no. 5 (October 1999): 701–8. http://dx.doi.org/10.1080/j.1440-1614.1999.00622.x.

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Objective: The aim of this study is to determine the effects of age on the practice, roles, status and attitudes of psychiatrists within the Royal Australian and New Zealand College of Psychiatrists (RANZCP). Method: A postal survey of Fellows of the RANZCP resident in Australia or New Zealand was conducted. The main outcome measures were: age; location and type of psychiatric practice; hours of work; attitudes towards re-accreditation; changes in work practices over the career; and the perceived benefits and drawbacks of age to psychiatric practice and case selection. Results: Of 1086 eligible subjects, 629 participated. The mean age of the sample was 52.7 years (SD = 13.5). Those psychiatrists favouring re-accreditation were younger. Psychiatrists practising psychotherapy, forensic psychiatry or general psychiatry; working in psychiatric hospitals and private practice were more likely to be older. Older psychiatrists worked shorter hours. There was largely no association between case selection and age. Psychiatrists reporting increased credibility and respect as a benefit of their current age upon their psychiatric practice were older, as were those identifying fatigue and an inability to keep up to date as a drawback of age. Psychiatrists reporting a lack of credibility and respect were younger, as were those who reported increased enthusiasm and optimism. Conclusions: Age is associated with benefits and drawbacks to the practice of psychiatry and this may be reflected in the different practice profiles of older and younger psychiatrists.

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Draper, Brian, Georgina Luscombe, and Stephanie Winfield. "The Senior Psychiatrist Survey II: Experience and Psychiatric Practice." Australian & New Zealand Journal of Psychiatry 33, no. 5 (October 1999): 709–16. http://dx.doi.org/10.1080/j.1440-1614.1999.00623.x.

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Objective: The aim of this study is to determine the effects of experience on the practice, roles, status and attitudes of psychiatrists within the Royal Australian and New Zealand College of Psychiatrists (RANZCP). Method: A postal survey of Fellows of the RANZCP resident in Australia or New Zealand was conducted. The main outcome measures were: years of psychiatric experience; higher medical qualifications; location and type of psychiatric practice; attitudes about senior psychiatrists and mentorship; changes in work practices over the career; and the perceived benefits and drawbacks of experience on psychiatric practice and case selection. Results: Of 1086 eligible subjects, 629 participated. Over 96% of respondents, particularly the younger and less experienced, believed that senior psychiatrists have wisdom to offer to junior colleagues. This wisdom principally related to mentor-ship/supervision. Increased ‘respect and tolerance’ of patients as a benefit of experience was more likely to be reported by respondents who were more experienced. Respondents more confident about treating younger patients and treating functional psychoses were more likely to be less experienced, as were those reluctant to take on psychotherapy cases. Those respondents reluctant to take on ‘dangerous or acting-out patients’ were more experienced. The field of psychiatric practice significantly influenced case selection. Conclusions: Senior psychiatrists have accumulated wisdom through experience that is sought by junior colleagues via mentorship. It is recommended that the RANZCP should specifically address the needs of early career and senior psychiatrists.

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Dharwadkar, Nitin P., Jillian H. Broadbear, Parvaneh Heidari, Lukas Cheney, and Sathya Rao. "Psychotherapy via Telehealth during the COVID-19 Pandemic in Australia–Experience of Clients with a Diagnosis of Borderline Personality Disorder." Global Journal of Health Science 14, no. 1 (November 24, 2021): 29. http://dx.doi.org/10.5539/gjhs.v14n1p29.

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OBJECTIVE: To investigate the transition to, and experience of, telehealth in people with a diagnosis of borderline personality disorder (BPD). METHOD: A cross-sectional study using an online survey was conducted in a specialist clinic for personality disorders in March-May 2020. RESULTS: Thirty-seven clients (48% response rate) completed the survey. Two participants (5.4%) were decided not to receive treatment via telehealth. Transitioning from in-person to telehealth, the majority of participants had few or no technical issues (51.4%). Telephone, video-conferencing and a mix of telephone and video-conferencing were used. Positive and negative experiences were endorsed asking about the effectiveness of telehealth. While some participants were whether unsure (32%) or not (19%) interested in telehealth following pandemic, half acknowledged the presence of telehealth (54.8%) and wanted to have the option of telehealth following pandemic (48.6%). CONCLUSIONS: Despite some shortcomings associated with telehealth, almost every client continued to attend appointments and half of the study participants wanted to have the option of telehealth in the future. Healthcare policymakers and mental health managers should consider the challenges described in this study while developing telehealth guidelines to best support people experiencing problems living with the psychiatric diagnoses of BPD.

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Mills, Katherine L., Emma Barrett, Sudie E. Back, Vanessa E. Cobham, Sarah Bendall, Sean Perrin, Kathleen T. Brady, et al. "Randomised controlled trial of integrated trauma-focused psychotherapy for traumatic stress and substance use among adolescents: trial protocol." BMJ Open 10, no. 11 (November 2020): e043742. http://dx.doi.org/10.1136/bmjopen-2020-043742.

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IntroductionPost-traumatic stress disorder (PTSD) and substance use disorder frequently co-occur and tend to have their onset during adolescence. Although research has highlighted the importance of treating these disorders in an integrated fashion, there is a dearth of empirically validated integrated treatment options for adolescents with this comorbidity. This paper describes the study protocol for a randomised controlled trial (RCT) examining the efficacy of an integrated trauma-focused cognitive–behavioural treatment for traumatic stress and substance use among adolescents (Concurrent Treatment of PTSD and Substance Use Using Prolonged Exposure - Adolescent (COPE-A)), relative to a supportive counselling control condition (Person-Centred Therapy (PCT)).Methods and analysisA two-arm, parallel, single-blind RCT with blinded follow-up at 4 and 12 months poststudy entry will be conducted in Sydney, Australia. Participants (n~100 adolescents aged 12–18 years) and their caregivers (caregiver participation is optional) will be allocated to undergo either COPE-A or PCT (allocation ratio 1:1) using minimisation. Both therapies will be delivered individually by project psychologists over a maximum of 16 sessions of 60–90 min duration and will include provision of up to four 30 min optional caregiver sessions. The primary outcome will be between-group differences in change in the severity of PTSD symptoms from baseline to 4-month follow-up, as measured by the Clinician-Administered PTSD Scale for Children and Adolescents for DSM-5.Ethics and disseminationEthical approval has been obtained from the human research ethics committees of the Sydney Children’s Hospital Network (HREC/17/SCHN/306) and the University of Sydney (HREC 2018/863). Findings will be published in peer-reviewed journals and presented at scientific conferences.Trial registration numberACTRN12618000785202; Pre-reults.Protocol versionVersion 1, 31 July 2017.

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San roque, Craig. "Aranke, or In the Long Line: Reflections on the 2011 Sigmund Freud Award for Psychotherapy and the Lineage of Traditional Indigenous Therapy in Australia." Psychotherapy and Politics International 10, no. 2 (June 2012): 93–104. http://dx.doi.org/10.1002/ppi.1262.

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Jorm, Anthony F., Stephen J. Rosenman, and Patricia A. Jacomb. "Inequalities in the Regional Distribution of Private Psychiatric Services Provided under Medicare." Australian & New Zealand Journal of Psychiatry 27, no. 4 (December 1993): 630–37. http://dx.doi.org/10.3109/00048679309075826.

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An analysis was carried out on Medicare data to find out if there are inequalities in the geographical distribution of private psychiatric services in Australia. The number of psychiatric services and persons becoming patients per 100,000 population was calculated for each federal electorate for the year 1985/86 and related to social indicators derived from the 1986 census. As a comparison, services provided by consultant physicians were analyzed as well. The data were based on the electorate of the patient rather than the electorate of the practitioner. Consultant psychiatrist services were found to be received more often in high socio-economic status electorates and those with older populations, and less often in rural areas. A similar pattern was found for consultant physician services, although the relationship with socio-economic status was not as strong. Frequent psychiatric consultations of longer duration, which are an indicator of insight psychotherapy, were more common in higher socioeconomic status electorates. A limitation of the Medicare data is that they cover only private services. To overcome this limitation, a supplementary analysis was carried out on the distribution of consultations for mental disorders using data from the National Health Survey. These data confirmed that individuals of high socio-economic status with a mental disorder are more likely to receive specialist treatment.

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Meadows, Graham N., Ante Prodan, Scott Patten, Frances Shawyer, Sarah Francis, Joanne Enticott, Sebastian Rosenberg, Jo-An Atkinson, Ellie Fossey, and Ritsuko Kakuma. "Resolving the paradox of increased mental health expenditure and stable prevalence." Australian & New Zealand Journal of Psychiatry 53, no. 9 (June 25, 2019): 844–50. http://dx.doi.org/10.1177/0004867419857821.

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A doubling of Australian expenditure on mental health services over two decades, inflation-adjusted, has reduced prevalence of neither psychological distress nor mental disorders. Low rates of help-seeking, and inadequate and inequitable delivery of effective care may explain this partially, but not fully. Focusing on depressive disorders, drawing initially on ideas from the work of philosopher and socio-cultural critic Ivan Illich, we use evidence-based medicine statistics and simulation modelling approaches to develop testable hypotheses as to how iatrogenic influences on the course of depression may help explain this seeming paradox. Combined psychological treatment and antidepressant medication may be available, and beneficial, for depressed people in socioeconomically advantaged areas. But more Australians with depression live in disadvantaged areas where antidepressant medication provision without formal psychotherapy is more typical; there also are urban/non-urban disparities. Depressed people often engage in self-help strategies consistent with psychological treatments, probably often with some benefit to these people. We propose then, if people are encouraged to rely heavily on antidepressant medication only, and if they consequently reduce spontaneous self-help activity, that the benefits of the antidepressant medication may be more than offset by reductions in beneficial effects as a consequence of reduced self-help activity. While in advantaged areas, more comprehensive service delivery may result in observed prevalence lower than it would be without services, in less well-serviced areas, observed prevalence may be higher than it would otherwise be. Overall, then, we see no change. If the hypotheses receive support from the proposed research, then implications for service prioritisation and delivery could include a case for wider application of recovery-oriented practice. Critically, it would strengthen the case for action to correct inequities in the delivery of psychological treatments for depression in Australia so that combined psychological therapy and antidepressant medication, accessible and administered within an empowering framework, should be a nationally implemented standard.

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Boltivets, Sergii. "EDUCATION AS HARMONY INTELLIGENCE AND HEALTH." Problems of Psychology in the 21st Century 12, no. 2 (December 25, 2018): 60–62. http://dx.doi.org/10.33225/ppc/18.12.60.

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The emergence of a public request for the realization of special abilities of a person, focused on children, is typical for countries where awareness of their own intellectual backwardness has become a consequence of comparison with others. This is the so-called post-totalitarian or, more specifically, post-communist countries, different from the free world, as thoroughly proved by the study "Psychotherapy in the Western World and in the USSR" (1973) by one of the most prominent hypnotherapists and psychotherapists of the world Dr. Eugene Hlywa (Sydney, Australia). In particular, a definite stature, inherent in every human population, the aggregate of the capacities of people's abilities is roughly equal in each country. However, the countries of the free world, by their freedom of expression and respect for this individual self-expression, create conditions for the implementation of any capacities of abilities, while totalitarian - only conditions for a relatively small number of able people, sufficient to serve the interests of the ruling elite. Everyone else, as it was already in the history of Ukraine at the beginning of the 20th century, was destroyed: most Ukrainian kobzars were shot at Kharkiv, Ukrainian poets, writers and playwrights - shot in the Sandarmokh Karelian tract, etc. Comparison of ancient Greek cities confirms the vitality of Athens as a city of free prosperity of human abilities and the decline of Sparta, which served as an example of a state organization for future communist and national-socialist leaders of the USSR and the Third Reich.

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Biffi, Giuseppe, Giuseppe Cuttitta, Roberto Bezzi, Germana Magnani, Daniele Piacentini, Maurizio Ramonda, Luigina Ferrigno, and Pierluigi Morosini. "Variability of clinical and managerial decisions in mental health services of Region Lombardia: the vignette method." Epidemiologia e Psichiatria Sociale 6, no. 1 (April 1997): 48–58. http://dx.doi.org/10.1017/s1121189x00008630.

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SUMMARYThis paper concerns one of the four research projects developed during a training course in clinical epidemiology managed by the Lombardy training centers IREF. Objectives — To compare the recommandations for treatment concerning 9 vignettes derived from the Australian Quality Assurance Project. Setting — Six Mental Health Services of Regione Lombardia. Design and Participants — For each vignette, all psychiatrists working in the 6 Mental Health Services were asked to fill in a questionnaire about treatment location, psychopharmacology, psychotheraphy, priority between psychotherapy and psychopharmacology and degree of difficulty in answering. Results — 44 out of 52 target psychiatrists took part to the study. Remarkable variability for treatment location and psychotherapies; moderate variation for psychodrugs prescriptions and a good agreement for diagnoses were observed. In drugs prescription an eccess of association was observed. The most prevalent model of psychotherapy was the psychodynamic, followed by the cognitivebehavioural and the family-systemic. There was a tendency toward a flexible approach, as suggested by recommendations of different psychotherapeutic models according to the nature of the disorder. No case were judged very difficult; only in 3 cases a judgement of «somewhat difficult» was expressed by more than 20% (but less than 30%) of the psychiatrists. Conclusions — Studies of this type are very easy to carry out and give useful information for continuous training programs and Continuous Quality Improvement projects.

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Boman, Bruce. "Psychotherapy with Australian Vietnam Veterans." Australian Social Work 38, no. 3 (January 1985): 19–25. http://dx.doi.org/10.1080/03124078508549867.

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Forster, Benjamin C., Helen Proskurin, Brian Kelly, Melanie R. Lovell, Ralf Ilchef, and Josephine M. Clayton. "Psychiatry trainees’ views and educational needs regarding the care of patients with a life-limiting illness." Palliative and Supportive Care 15, no. 2 (June 20, 2016): 231–41. http://dx.doi.org/10.1017/s1478951516000365.

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AbstractObjective:People with a life-limiting physical illness experience high rates of significant psychological and psychiatric morbidity. Nevertheless, psychiatrists often report feeling ill-equipped to respond to the psychiatric needs of this population. Our aim was to explore psychiatry trainees’ views and educational needs regarding the care of patients with a life-limiting physical illness.Method:Using semistructured interviews, participants’ opinions were sought on the role of psychiatrists in the care of patients with a life-limiting illness and their caregivers, the challenges faced within the role, and the educational needs involved in providing care for these patients. Interviews were audiotaped, fully transcribed, and then subjected to thematic analysis.Results:A total of 17 psychiatry trainees were recruited through two large psychiatry training networks in New South Wales, Australia. There were contrasting views on the role of psychiatry in life-limiting illness. Some reported that a humanistic, supportive approach including elements of psychotherapy was helpful, even in the absence of a recognizable mental disorder. Those who reported a more biological and clinical stance (with a reliance on pharmacotherapy) tended to have a nihilistic view of psychiatric intervention in this setting. Trainees generally felt ill-prepared to talk to dying patients and felt there was an educational “famine” in this area of psychiatry. They expressed a desire for more training and thought that increased mentorship and case-based learning, including input from palliative care clinicians, would be most helpful.Significance of Results:Participants generally feel unprepared to care for patients with a life-limiting physical illness and have contrasting views on the role of psychiatry in this setting. Targeted education is required for psychiatry trainees in order to equip them to care for these patients.

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Whitton, Alexis E., Rebecca Hardy, Kate Cope, Chilin Gieng, Leanne Gow, Andrew MacKinnon, Nyree Gale, et al. "Mental Health Screening in General Practices as a Means for Enhancing Uptake of Digital Mental Health Interventions: Observational Cohort Study." Journal of Medical Internet Research 23, no. 9 (September 16, 2021): e28369. http://dx.doi.org/10.2196/28369.

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Background Digital mental health interventions stand to play a critical role in managing the mental health impact of the COVID-19 pandemic. Thus, enhancing their uptake is a key priority. General practitioners (GPs) are well positioned to facilitate access to digital interventions, but tools that assist GPs in identifying suitable patients are lacking. Objective This study aims to evaluate the suitability of a web-based mental health screening and treatment recommendation tool (StepCare) for improving the identification of anxiety and depression in general practice and, subsequently, uptake of digital mental health interventions. Methods StepCare screens patients for symptoms of depression (9-item Patient Health Questionnaire) and anxiety (7-item Generalized Anxiety Disorder scale) in the GP waiting room. It provides GPs with stepped treatment recommendations that include digital mental health interventions for patients with mild to moderate symptoms. Patients (N=5138) from 85 general practices across Australia were invited to participate in screening. Results Screening identified depressive or anxious symptoms in 43.09% (1428/3314) of patients (one-quarter were previously unidentified or untreated). The majority (300/335, 89.6%) of previously unidentified or untreated patients had mild to moderate symptoms and were candidates for digital mental health interventions. Although less than half were prescribed a digital intervention by their GP, when a digital intervention was prescribed, more than two-thirds of patients reported using it. Conclusions Implementing web-based mental health screening in general practices can provide important opportunities for GPs to improve the identification of symptoms of mental illness and increase patient access to digital mental health interventions. Although GPs prescribed digital interventions less frequently than in-person psychotherapy or medication, the promising rates of uptake by GP-referred patients suggest that GPs can play a critical role in championing digital interventions and maximizing the associated benefits.

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Jackson, Melissa A., Amanda L. Brown, Amanda L. Baker, Gillian S. Gould, and Adrian J. Dunlop. "The Incentives to Quit tobacco in Pregnancy (IQuiP) protocol: piloting a financial incentive-based smoking treatment for women attending substance use in pregnancy antenatal services." BMJ Open 9, no. 11 (November 2019): e032330. http://dx.doi.org/10.1136/bmjopen-2019-032330.

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IntroductionWhile tobacco smoking prevalence is falling in many western societies, it remains elevated among high-priority cohorts. Rates up to 95% have been reported in women whose pregnancy is complicated by other substance use. In this group, the potential for poor pregnancy outcomes and adverse physical and neurobiological fetal development are elevated by tobacco smoking. Unfortunately, few targeted and effective tobacco dependence treatments exist to assist cessation in this population. The study will trial an evidence-based, multicomponent tobacco smoking treatment tailored to pregnant women who use other substances. The intervention comprises financial incentives for biochemically verified abstinence, psychotherapy delivered by drug and alcohol counsellors, and nicotine replacement therapy. It will be piloted at three government-based, primary healthcare facilities in New South Wales (NSW) and Victoria, Australia. The study will assess the feasibility and acceptability of the treatment when integrated into routine antenatal care offered by substance use in pregnancy antenatal services.Methods and analysisThe study will use a single-arm design with pre–post comparisons. One hundred clients will be recruited from antenatal clinics with a substance use in pregnancy service. Women must be <33 weeks’ gestation, ≥16 years old and a current tobacco smoker. The primary outcomes are feasibility, assessed by recruitment and retention and the acceptability of addressing smoking among this population. Secondary outcomes include changes in smoking behaviours, the comparison of adverse maternal outcomes and neonatal characteristics to those of a historical control group, and a cost-consequence analysis of the intervention implementation.Ethics and disseminationProtocol approval was granted by Hunter New England Human Research Ethics Committee (Reference 17/04/12/4.05), with additional ethical approval sought from the Aboriginal Health and Medical Research Council of NSW (Reference 1249/17). Findings will be disseminated via academic conferences, peer-reviewed publications and social media.Trial registration numberAustralia New Zealand Clinical Trial Registry (Ref: ACTRN12618000576224).

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Lakeman, Richard, Andrew Cashin, John Hurley, and Tom Ryan. "The psychotherapeutic practice and potential of mental health nurses: an Australian survey." Australian Health Review 44, no. 6 (2020): 916. http://dx.doi.org/10.1071/ah19208.

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ObjectiveMental health nurses (MHNs) have a long, under-recognised, history of engaging in psychotherapeutic practice across the spectrum of mental illness and mental health problems. There is a need for a psychotherapeutic response for people with complex or serious mental health problems within the stepped care model and in response to increased need for psychotherapeutic responses to COVID-19 and natural disasters. This project sought to identify the educational preparation and self-reported competency of MHNs to clinically undertake psychotherapy across the continuum of care. MethodsSituated within a larger mixed-methods study exploring how MHNs practice psychotherapy, adapt it to routine care and envisage the future, this paper reports the findings from a survey of MHNs regarding their educational preparation, experience and competence in modalities of psychotherapy and the application of psychotherapy with specific clinical groups. ResultsIn all, 153 MHNs responded to a request to participate in the study. In this cohort, 86% of nurses had postgraduate qualifications specific to psychotherapy and 95% had worked for over 10 years in the mental health field and had hundreds of hours of training in psychotherapy. There was a high level of self-reported competence in working with people with serious mental health problems and at-risk or vulnerable groups. ConclusionsCurrently, MHNs are not recognised in federal funding arrangements to procure psychotherapeutic intervention for members of the Australian population who require it. MHNs ought to be recognised as independent providers based on both the psychotherapeutic skills they possess and their specialist clinical skills of working with people across the spectrum of mental health problems. Appropriately qualified MHNs need to be funded to use their skills in psychotherapy via access to appropriate funding arrangements, such as Better Access and the National Disability Insurance Scheme. What is known about the topic?MHNs do not appear to be recognised as having postgraduate knowledge and skills in psychotherapy and other psychotherapeutic interventions. This lack of recognition has resulted in the Australian public being unable to access subsidised specialist psychotherapeutic services by this highly experienced group. Most published commentary has been around the Mental Health Nurse Incentive Program, but, to date, scholarly work related to this program has not influenced public views and policy formation despite multiple favourable evaluations. What does this paper add?This study highlights that MHNs possess a largely unrecognised and valuable skill set in psychotherapy practice that they can adapt to work with people with complex needs. What are the implications to practitioners?MHNs possess skills and experience that, if recognised and funded, could be rapidly mobilised to improve consumer outcomes across the continuum of stepped care and in response to increased need during COVID-19.

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Feiler, Gabriel, Denis O’Loughlin, Eugen Koh, Josephine Beatson, and Ed Harari. "The value of a registrar psychotherapy post to psychiatry training." Australasian Psychiatry 25, no. 3 (January 31, 2017): 300–303. http://dx.doi.org/10.1177/1039856217689915.

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Objectives: This paper describes the psychotherapy registrar position developed at St Vincent’s Hospital Melbourne in response to the Australian Government’s Specialist Training Position initiative of 2009. This impressionistic piece outlines features of the registrar’s clinical work, supervision and professional development. This paper will focus on: 1) the history of the position; 2) its developmental function embedded within the clinical responsibilities of the role; 3) how this position is different from the existing Royal and Australian and New Zealand College of Psychiatry psychotherapy training requirements; and 4) infrastructure issues of the position. Conclusions: This psychotherapy registrar position is a novel role that provides an opportunity to work in an intensive and sustained way with patients and within multidisciplinary teams whilst being supported by supervision and a rich teaching milieu. It offers experience of psychotherapeutic work not usually available in public mental health services. It thus assists the development of psychotherapeutic skills that are likely to enhance the future practice of those undertaking the role.

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Andrews, Gavin, and Dusan Hadzi-Pavlovic. "The Work of Australian Psychatrists, Circa 1986." Australian & New Zealand Journal of Psychiatry 22, no. 2 (June 1988): 153–65. http://dx.doi.org/10.3109/00048678809158955.

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A random sample of psychiatrists was asked to supply details about their last 20 patients. Sixty percent responded. The median patient in treatment was aged 36 and saw a psychiatrist in office practice once a month over a three year period. Forty-one percent of the patient case load suffered from a psychotic disorder, 39% from a neurosis, and 6% from a personality disorder. Marital problems, problems in living and drug or alcohol dependence were infrequent reasons for consultation. Two positive conclusions were drawn: that the case load reflected the morbidity in the community, and that the prognosis for patients with personality disorders was better than usually expected. There were two areas of concern that may need attention: that insight and group psychotherapy require substantial numbers of treatment hours, and that behavioural psychotherapy is rarely used for patients whith neurotic conditions.

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Petchkovksy, Leon, Philip Morris, and Paul Rushton. "Choosing a Psychodynamic Psychotherapy Model for an Australian Public Sector Mental Health Service." Australasian Psychiatry 10, no. 4 (August 2002): 330–34. http://dx.doi.org/10.1046/j.1440-1665.2002.00491.x.

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Objective: To choose models of psychodynamic psychotherapy that will work within the characteristics and constraints of Public Sector mental health practice without compromising nuancing and depth. Conclusions: The authors briefly describe the development of the Gold Coast Integrated Mental Health Services Psychotherapy Programme, and the processes which have informed their selection of suitable psycho-dynamic models. They recommend IPT (Interpersonal Therapy) and the Conversational Model.

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Vine, Peg Le. "Morita Psychotherapy: A Theoretical Overview for Australian Consideration." Australian Psychologist 26, no. 2 (July 1991): 103–6. http://dx.doi.org/10.1080/00050069108258844.

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Journal articles on the topic 'Psychotherapy (Australia)'

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