2023 |
Regan C, Bartlem K, Fehily C, Campbell E, Lecathelinais C, Doherty E, et al., 'Evaluation of an implementation support package to increase community mental health clinicians' routine delivery of preventive care for multiple health behaviours: a non-randomised controlled trial.', Implement Sci Commun, 4 137 (2023) [C1]
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Nova |
2021 |
Mulchandani M, Shetty N, Conrad A, Muir P, Mah B, 'Treatment of eating disorders in older people: a systematic review', Systematic Reviews, 10 (2021) [C1]
Background: Historically, eating disorders were not identified in older populations and it is only in more recent times that there is greater recognition of the existence of eatin... [more]
Background: Historically, eating disorders were not identified in older populations and it is only in more recent times that there is greater recognition of the existence of eating disorders among the elderly. This is despite the high level of morbidity and mortality associated with these disorders. Current guidelines focus on treatment of eating disorders within the adolescent and general adult age groups, without apparent concessions made for the older age group. The aim of this study was to review existing literature on the demographics and treatment of eating disorders in older people. Methods/design: A systematic review of the literature was conducted using CINAHL, MEDLINE, EMBASE, PsycInfo, Scopus, and Web of Science to identify publications focusing on treatment of eating disorders in people over the age of 65 years, age of diagnosis, gender distribution, treatment setting, and treatment outcomes. Results: A total of 35 articles (reporting on 39 cases) were relevant to our study, with 33 of the 35 articles being either case studies or case series. The mean age of participants was 73.2 years (range 66¿94 years) with the majority (84.6%) being female. Most cases (84.6%) were diagnosed with anorexia nervosa, and 56.4% of all cases were reported as late onset (i.e., after age 40 years). The vast majority (94.8%) received treatment, of which 51.5% was hospital-based treatment. In case descriptions where improvement was reported, the majority described a multidimensional approach that included a combination of hospital admission, therapy and pharmacotherapy. Overall, 79.5% of cases who underwent treatment for an eating disorder improved, while 20.5% relapsed or died as a result of the complications from their eating disorder. There were significant inconsistencies and omissions in the way cases were described, thereby impacting on the interpretation of the results and potential conclusions. Conclusions: The information available on the treatment of eating disorders in people over the age of 65 years is limited. The quality of case reports to date makes it difficult to suggest specific assessment or treatment guidelines for this population.
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Nova |
2020 |
Sly KA, Lewin TJ, Frost BG, Tirupati S, Turrell M, Conrad AM, 'Care pathways, engagement and outcomes associated with a recovery-oriented intermediate stay mental health program', PSYCHIATRY RESEARCH, 286 (2020) [C1]
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Nova |
2019 |
Young J, Conrad A, Mah B, 'A Pilot Study to Explore the Influence of the Safety First Assessment Intervention on the Family Environment', Australian and New Zealand Journal of Family Therapy, 40 190-202 (2019) [C1]
The family environment is considered an important influence on a young person's well-being. The ¿Safety First Assessment Intervention¿ is a model of care that considers and i... [more]
The family environment is considered an important influence on a young person's well-being. The ¿Safety First Assessment Intervention¿ is a model of care that considers and incorporates the importance of family environment when assessing and managing distressed young people. This pilot study explores the influence of the ¿Safety First Assessment Intervention¿ on the family environment of young people referred to Child and Adolescent Mental Health Services. A pre- and post-design was used, with families completing the Family Survey before and after their assessment/intervention. The Family Survey was correlated with a validated measure of family function, the APGAR, and pre-intervention. Significant changes in multiple dimensions of family environment, including reduced level of distress for the adult, increased level of distress for the young person, improved sense of how the family felt the adult was managing currently, and improved confidence in family communication were found. There was no significant change in how the adult understood their role in helping the young person manage their distress. A thematic analysis showed trends in the current concerns for young people and adults as well as the difficulty young people in distress have in identifying their strengths. This pilot study demonstrates that the ¿Safety First Assessment Intervention¿ can influence the family environment in a positive way and highlights the importance of using a family-based approach for distressed young people.
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Nova |
2019 |
Clark V, Conrad AM, Lewin TJ, Baker AL, Halpin SA, Sly KA, Todd J, 'Addiction Vulnerability: Exploring Relationships Among Cigarette Smoking, Substance Misuse, and Early Psychosis', Journal of Dual Diagnosis, 14 78-88 (2019) [C1]
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Nova |
2017 |
Frost BG, Turrell M, Sly KA, Lewin TJ, Conrad AM, Johnston S, et al., 'Implementation of a recovery-oriented model in a sub-acute Intermediate Stay Mental Health Unit (ISMHU)', BMC Health Services Research, 17 1-12 (2017) [C1]
Background: An ongoing service evaluation project was initiated following the establishment of a new, purpose-built, 20-bed sub-acute Intermediate Stay Mental Health Unit (ISMHU).... [more]
Background: An ongoing service evaluation project was initiated following the establishment of a new, purpose-built, 20-bed sub-acute Intermediate Stay Mental Health Unit (ISMHU). This paper: provides an overview of the targeted 6-week program, operating within an Integrated Recovery-oriented Model (IRM); characterises the clients admitted during the first 16 months; and documents their recovery needs and any changes. Methods: A brief description of the unit¿s establishment and programs is initially provided. Client needs and priorities were identified collaboratively using the Mental Health Recovery Star (MHRS) and addressed through a range of in-situ, individual and group interventions. Extracted client and service data were analysed using descriptive statistics, paired t-tests examining change from admission to discharge, and selected correlations. Results: The initial 154 clients (165 admissions, average stay = 47.86 days) were predominately male (72.1%), transferred from acute care (75.3%), with schizophrenia or related disorders (74.0%). Readmission rates within 6-months were 16.2% for acute and 3.2% for sub-acute care. Three MHRS subscales were derived, together with stage-of-change categories. Marked improvements in MHRS Symptom management and functioning were identified (z-change = -1.15), followed by Social-connection (z-change = -0.82) and Self-belief (z-change = -0.76). This was accompanied by a mean reduction of 2.59 in the number of pre-action MHRS items from admission to discharge (z-change = 0.98). Clinician-rated Health of the Nation Outcome Scales (HoNOS) improvements were smaller (z-change = 0.41), indicative of illness chronicity. Staff valued the elements of client choice, the holistic and team approach, program quality, review processes and opportunities for client change. Addressing high-levels of need in the 6-week timeframe was raised as a concern. Conclusions: This paper demonstrates that a recovery-oriented model can be successfully implemented at the intermediate level of care. It is hoped that ongoing evaluations support the enthusiasm, commitment and feedback evident from staff, clients and carers.
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Nova |
2017 |
Frost BG, Tirupati S, Johnston S, Turrell M, Lewin TJ, Sly KA, Conrad AM, 'An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges', BMC PSYCHIATRY, 17 (2017) [C1]
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Nova |
2017 |
Conrad AM, Lewin TJ, Sly KA, Schall U, Halpin SA, Hunter M, Carr VJ, 'Utility of risk-status for predicting psychosis and related outcomes: evaluation of a 10-year cohort of presenters to a specialised early psychosis community mental health service', Psychiatry Research, 247 336-344 (2017) [C1]
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Nova |
2017 |
Conrad AM, Sankaranarayanan A, Lewin TJ, Dunbar A, 'Effectiveness of a 10-week group program based on Dialectical Behaviour Therapy skills among patients with personality and mood disorders: findings from a pilot study', Australasian Psychiatry, 25 466-470 (2017) [C1]
Objectives: Community mental health services are often required to manage people experiencing repeated crises. Personality disorders are not uncommon, accounting for up to one-thi... [more]
Objectives: Community mental health services are often required to manage people experiencing repeated crises. Personality disorders are not uncommon, accounting for up to one-third of such presentations. These patients are often difficult to treat, leading to a revolving-door phenomenon. This study evaluated the effectiveness of a pilot intervention in reducing psychological symptoms and distress, and examined the impact of the intervention on mental health service utilization. Methods: A pre- versus post-treatment evaluation was conducted of the effectiveness of a 10-week group psychological intervention based on Dialectical Behaviour Therapy skills, conducted in a regional Australian community mental health service with patients diagnosed with either Cluster B personality disorder or a mood disorder. Results: Of those who completed the program (N = 38 patients), 84% were female, with an average age of 35.13 years. Participants were active clients of the service for an average of 58.3 weeks prior to the program. They demonstrated significant improvements in quality of life and self-control, and a reduction in hopelessness, cognitive instability and dependence on mental health services. Conclusions: Limiting the Dialectical Behaviour Therapy program to a short-term skills-based group component was successful with the targeted patient group; however, more research is required to establish the generalizability of these results.
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Nova |
2017 |
O'Brien AP, McNeil K, Fletcher R, Conrad A, Wilson A, Jones D, Chan W, 'New fathers perinatal depression & anxiety - treatment options: an integrative review', American Journal of Men's Health, 11 863-876 (2017) [C1]
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Nova |
2014 |
Conrad AM, Lewin TJ, Sly KA, Schall U, Halpin SA, Hunter M, Carr VJ, 'Ten-year audit of clients presenting to a specialised service for young people experiencing or at increased risk for psychosis', BMC PSYCHIATRY, 14 (2014) [C1]
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Nova |
2014 |
Conrad A, Mulchandani M, Sankaranarayanan A, Lewin TJ, 'Inpatient aggression by mentally ill offenders: a retrospective case-control study', Journal of Forensic Psychiatry and Psychology, 25 464-479 (2014) [C1]
A retrospective case-control study was conducted examining relationships between patients' socio-demographic, clinical and admission characteristics and inpatient aggression.... [more]
A retrospective case-control study was conducted examining relationships between patients' socio-demographic, clinical and admission characteristics and inpatient aggression. Patients aged 18-64 years with a recent offence episode, who were admitted to a regional acute mental health unit, were included as cases (N = 82), while controls comprised the next available admission, matched for age and gender (N = 82). The prototypical patient was a young, single male, with a diagnosis of schizophrenia, a history of substance use and previous psychiatric admissions. The majority of cases had a history of aggression and recent offences against public order. They also revealed a higher likelihood of involvement in 'less serious' aggressive incidents (e.g. verbal threats or demands) during the index admission. Clinically, knowledge of each patient's recent offence history, arrival mode and observed characteristics on admission (including any verbal aggression) may be important in the management of subsequent inpatient aggression. © 2014 © 2014 Taylor & Francis.
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Nova |
2012 |
Lewin TJ, Carr VJ, Conrad A, Sly K, Tirupati S, Cohen M, et al., 'Shift climate profiles and correlates in acute psychiatric inpatient units', Social Psychiatry and Psychiatric Epidemiology, 47 1429-1440 (2012) [C1]
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Nova |
2010 |
Conrad A, Lewin TJ, Carr VJ, Baker AL, Terry MA, Taylor A, 'Pathways to care and community-based service contact patterns among clients with a dual diagnosis', Mental Health and Substance Use: Dual Diagnosis, 3 10-24 (2010) [C1]
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Nova |
2010 |
Carter GL, Willcox CH, Lewin TJ, Conrad A, Bendit NR, 'Hunter D. B. T Project: Randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorder', Australian and New Zealand Journal of Psychiatry, 44 162-173 (2010) [C1]
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Nova |
2010 |
Maddock GR, Carter GL, Murrell ER, Lewin TJ, Conrad A, 'Distinguishing suicidal from non-suicidal deliberate self-harm events in women with Borderline Personality Disorder', Australian and New Zealand Journal of Psychiatry, 44 574-582 (2010) [C1]
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Nova |
2010 |
Tirupati S, Conrad A, Frost B, Johnston S, 'Urban-rural differences in psychiatric rehabilitation outcomes', Australian Journal of Rural Health, 18 66-71 (2010) [C1]
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Nova |
2009 |
Sly K, Lewin TJ, Carr VJ, Conrad A, Cohen M, Tirupati S, et al., 'Measuring observed mental state in acute psychiatric inpatients', Social Psychiatry and Psychiatric Epidemiology, 44 151-161 (2009) [C1]
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Nova |
2008 |
Carr VJ, Lewin TJ, Sly K, Conrad A, Tirupati S, Cohen M, et al., 'Adverse incidents in acute psychiatric inpatient units: Rates, correlates and pressures', Australian and New Zealand Journal of Psychiatry, 42 267-282 (2008) [C1]
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Nova |
2008 |
Conrad AM, Munro D, 'RELATIONSHIPS BETWEEN COMPUTER SELF-EFFICACY, TECHNOLOGY, ATTITUDES AND ANXIETY: DEVELOPMENT OF THE COMPUTER TECHNOLOGY USE SCALE (CTUS)', JOURNAL OF EDUCATIONAL COMPUTING RESEARCH, 39 51-73 (2008)
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2004 |
Startup MJ, Mason O, Halpin S, Schall UA, Conrad A, Carr VJ, 'State and trait predictors of transition to first episode psychosis among individuals at ultra-high risk', Schizophrenia Research, 70 44 (2004) [C3]
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2004 |
Mason O, Startup MJ, Halpin SA, Schall UA, Conrad A, Carr VJ, 'Risk factors for transition to first episode psychosis among individuals with 'at-risk mental states'', Schizophrenia Research, 71 227-237 (2004) [C1]
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Nova |
2000 |
Byles JE, Higginbotham HN, Goodger BG, Tavener MA, Conrad A, Schofield P, Anthony DM, 'Development of a depression scale for veterans and war widows', International Journal of Behavioral Medicine, 7 256-270 (2000) [C1]
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1997 |
Conrad A, Bull DF, King MG, Husband AJ, 'The effects of lipopolysaccharide (LPS) on the fever response in rats at different ambient temperatures', PHYSIOLOGY & BEHAVIOR, 62 1197-1201 (1997)
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