Conjoint Associate Professor Richard Clancy
Conjoint Associate Professor
School of Nursing and Midwifery (Nursing)
Richard Clancy is a Conjoint Associate Professor with the School of Nursing. His substantive position is with Hunter New England Mental Health, based at the Mater Campus within the Centre for Translational Neuroscience and Mental health. As Nursing Research Fellow for Hunter New England Mental Health, Richard chairs the Mental Health Nursing Research & Practice Development Unit.
Richard began his nursing career in the Hunter in 1979, specialising in Mental Health and Substance Use between 1992 and 2012. Richard's work as a Nursing Research Fellow involves promoting a clinical culture informed by research and pursuing his current research into synthetic cannabis as part of a PhD program of study.Research Expertise
Translational research in Mental Health Clinical Practice. Nursing. Substance Use Motivational Interviewing Comorbidity (Mental Health & Substance Use)
Translational research in Mental Health Clinical Practice. Mental Health. Substance Use Motivational Interviewing Comorbidity (Mental Health & Substance Use)
Richard is currently involved in several studies exploring the use of synthetic cannabinoids by people seeking treatment for mental health conditions and people seeking treatment for other substance use issues. Tobacco Use by people with mental health problems is another area of current study. Richard is involved in several small clinical projects including the role of mental health service clinicians in addressing physical health issues for people who access mental health services, the role of clinicians in involving primary carers in treatment for people admitted to mental health services and post training supervision for clinicians learning motivational interviewing.
- Master of Medical Science (Clinical Epidemiology), University of Newcastle
- Bachelor of Social Science, University of Newcastle
- Mental Health Nursing
- Substance Use
- Translational Research T3
Fields of Research
|111799||Public Health and Health Services not elsewhere classified||65|
|170199||Psychology not elsewhere classified||35|
|Dates||Title||Organisation / Department|
|1/05/2012 -||Nursing Research Fellow||Hunter New England Health
Centre for Translational Neuroscience & Mental Health
|1/01/2002 - 1/04/2012||Clinical Nurse Consultant||Hunter New England Health
Mental Health & Substance Use
|Dates||Title||Organisation / Department|
|1/05/1979 -||Nursing||Hunter New England Health
For publications that are currently unpublished or in-press, details are shown in italics.
Book (2 outputs)
|2015||Hungerford C, Hodgson D, Clancy Richard, Monisse-Redman M, Bostwick R, Jones T, Mental Health Care:an Introduction for Health Professionals in Australia, Wiley, Milton, 608 (2015) [A4]|
|2012||Hungerford C, Hodgson D, Clancy RV, Jones T, Harrison A, Hart C, Mental Health Care: An introduction for health professionals, John Wiley & Sons, Milton, QLD, 511 (2012) [A2]|
Journal article (17 outputs)
Stockings EAL, Bowman JA, Bartlem KM, Mcelwaine KM, Baker AL, Terry M, et al., 'Implementation of a smoke-free policy in an inpatient psychiatric facility: Patient-reported adherence, support, and receipt of nicotine-dependence treatment', International Journal of Mental Health Nursing, 24 342-349 (2015) [C1]
The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependen... [more]
The implementation of smoke-free policies in inpatient psychiatric facilities, including patient adherence, mental health nursing staff support, and provision of nicotine-dependence treatment to patients, has been reported to be poor. The extent to which the quality of smoke-free policy implementation is associated with patient views of a policy is unknown. We conducted a cross-sectional survey of 181 patients (53.6%, n = 97 smokers; and 46.4%, n = 84 non-smokers) in an Australian inpatient psychiatric facility with a total smoke-free policy. Smokers' adherence to the policy was poor (83.5% smoked). Only half (53.6%) perceived staff to be supportive of the policy. Most smokers used nicotine-replacement therapy (75.3%); although few received optimal nicotine-dependence treatment (19.6%). Overall, 45.9% of patients viewed the smoke-free policy in the unit as positive (29.9% smokers; 64.3% non-smokers). For smokers, adhering to the ban, perceiving staff to be supportive, and reporting that the nicotine-replacement therapy reduced cravings to smoke were associated with a more positive view towards the smoke-free policy. These findings support the importance of patient adherence, mental health nursing staff support, and adequate provision of nicotine-dependence treatment in strengthening smoke-free policy implementation in inpatient psychiatric settings.
Metse AP, Bowman JA, Wye P, Stockings E, Adams M, Clancy R, et al., 'Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: study protocol for a randomised controlled trial.', Trials, 15 266 (2014) [C3]
Stockings EA, Bowman JA, Prochaska JJ, Baker AL, Clancy R, Knight J, et al., 'The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: A systematic review', Australian and New Zealand Journal of Psychiatry, 48 617-633 (2014) [C1]
Objective: Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may... [more]
Objective: Smoke-free policies have been introduced in inpatient psychiatric facilities in most developed nations. Such a period of supported abstinence during hospitalization may impact smoking behaviours post discharge, yet little quantitative evidence exists. The aim of this review was to provide the first synthesis of the research evidence examining the impact of a smoke-free psychiatric hospitalization on patients smoking-related behaviours, motivation, and beliefs. Methods: We conducted a systematic review of electronic databases PubMed, MEDLINE, PsycINFO, and EMBASE from inception to June 2013. Studies were included if they were conducted in an inpatient psychiatric facility with a smokefree policy and if they examined any change in patients smoking-related behaviours, motivation, or beliefs either during admission, post discharge, or both. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias Tool. Results: Fourteen studies were included in the review. Of the four studies that assessed change in smoking from admission to post discharge, two indicated a significant decline in cigarette consumption up to 3 months post discharge. Positive changes in motivation to quit and beliefs about quitting ability were identified in two studies. One study reported an increase in the rate of quit attempts and one reported a decline in nicotine dependence levels. Conclusions: A smoke-free psychiatric hospitalization may have Â© The Royal Australian and New Zealand College of Psychiatrists 2014.
Stockings EAL, Bowman JA, Baker AL, Terry M, Clancy R, Wye PM, et al., 'Impact of a postdischarge smoking cessation intervention for smokers admitted to an inpatient psychiatric facility: A randomized controlled trial', Nicotine and Tobacco Research, 16 1417-1428 (2014) [C1]
Introduction: Persons with a mental disorder smoke at higher rates and suffer disproportionate tobacco-related burden compared with the general population. The aim of this study w... [more]
Introduction: Persons with a mental disorder smoke at higher rates and suffer disproportionate tobacco-related burden compared with the general population. The aim of this study was to determine if a smoking cessation intervention initiated during a psychiatric hospitalization and continued postdischarge was effective in reducing smoking behaviors among persons with a mental disorder. Methods: A randomized controlled trial was conducted at an Australian inpatient psychiatric facility. Participants were 205 patient smokers allocated to a treatment as usual control (n = 101) or a smoking cessation intervention (n = 104) incorporating psychosocial and pharmacological support for 4 months postdischarge. Follow-up assessments were conducted at 1 week, 2, 4, and 6 months postdischarge and included abstinence from cigarettes, quit attempts, daily cigarette consumption, and nicotine dependence. Results: Rates of continuous and 7-day point prevalence abstinence did not differ between treatment conditions at the 6-month follow-up; however, point prevalence abstinence was significantly higher for intervention (11.5%) compared with control (2%) participants at 4 months (OR = 6.46, p = .01). Participants in the intervention condition reported significantly more quit attempts (F[1, 202.5] = 15.23, p = .0001), lower daily cigarette consumption (F[4, 586] = 6.5, p < .001), and lower levels of nicotine dependence (F[3, 406] = 8.5, p < .0001) compared with controls at all follow-up assessments. Conclusions: Postdischarge cessation support was effective in encouraging quit attempts and reducing cigarette consumption up to 6 months postdischarge. Additional support strategies are required to facilitate longer-term cessation benefits for smokers with a mental disorder.
Stockings E, Bowman J, McElwaine K, Baker A, Terry M, Clancy R, et al., 'Readiness to quit smoking and quit attempts among Australian mental health inpatients.', Nicotine Tob Res, 15 942-949 (2013) [C1]
Stockings EA, Clancy RV, Bowman JA, Terry MA, Wye PM, 'A randomised controlled trial linking mental health inpatients to community smoking cessation supports: Preliminary findings and discussion', HNE Handover, 5 12-17 (2012) [C3]
Stockings EA, Bowman JA, Wiggers JH, Baker AL, Terry M, Clancy R, et al., 'A randomised controlled trial linking mental health inpatients to community smoking cessation supports: A study protocol', BMC Public Health, 11 570 (2011) [C3]
Wye PM, Bowman JA, Wiggers JH, Baker AL, Carr VJ, Terry MA, et al., 'An audit of the prevalence of recorded nicotine dependence treatment in an Australian psychiatric hospital', Australian and New Zealand Journal of Public Health, 34 298-303 (2010) [C1]
Wye P, Bowman JA, Wiggers J, Baker AL, Carr V, Terry M, et al., 'Providing nicotine dependence treatment to psychiatric inpatients: the views of Australian nurse managers', Journal of Psychiatric and Mental Health Nursing, 17 319-327 (2010) [C1]
Wye PM, Bowman JA, Wiggers JH, Baker AL, Knight JJ, Carr V, et al., 'Total smoking bans in psychiatric inpatient services: a survey of perceived benefits, barriers and support among staff', BMC Public Health, 10 372-383 (2010) [C1]
Wye PM, Bowman JA, Wiggers JH, Baker AL, Knight JJ, Carr VJ, et al., 'Smoking restrictions and treatment for smoking: Policies and procedures in psychiatric inpatient units in Australia', Psychiatric Services, 60 100-107 (2009) [C1]
Cleary M, Walter G, Hunt GE, Clancy RV, Horsfall J, 'Promoting dual diagnosis awareness in everyday clinical practice', Journal of Psychosocial Nursing and Mental Health Services, 46 43-49 (2008) [C1]
Baker AL, Lewin TJ, Reichler HM, Clancy R, Carr VJ, Garrett R, et al., 'Evaluation of a motivational interview for substance use within psychiatric in-patient services', Addiction, 97(10) 1329-1337 (2002) [C1]
Baker AL, Lewin TJ, Reichler HM, Clancy R, Carr VJ, Garrett R, et al., 'Motivational interviewing among psychiatric in-patients with substance use disorders', ACTA Psychiatrica Scandinavica, 106 233-240 (2002) [C1]
|Show 14 more journal articles|
Conference (15 outputs)
|2014||Clancy R, Hodgson R, Terry M, Dadd L, Kendurkar A, Clancy D, et al., 'Old school cannabis and the shape of future cannabis', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING (2014) [E3]|
|2014||Clancy R, Taylor A, 'Improving future practice by consolidating past training in motivational interviewing', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING (2014) [E3]|
|2014||Clancy R, Than CC, Mearrick A, Steele J, Skinner S, Lymbury D, et al., 'Honouring the role of primary carers in shaping consumers' present and future', INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING (2014) [E3]|
Stockings EA, Bowman JA, Baker AL, Terry M, Clancy R, Wye PM, et al., 'IMPACT OF A POST-DISCHARGE SMOKING CESSATION INTERVENTION FOR SMOKERS ADMITTED TO A SMOKE-FREE PSYCHIATRIC HOSPITAL: A RANDOMISED CONTROLLED TRIAL', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Metse A, Bowman J, Wye P, Stockings E, Adams M, Clancy R, et al., 'EVALUATING THE EFFICACY OF AN INTEGRATED SMOKING CESSATION INTERVENTION FOR MENTAL HEALTH PATIENTS: STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL.', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Stockings EA, Bowman JA, Bartlem KM, McElwaine KM, Baker AL, Terry M, et al., 'QUALITY OF IMPLEMENTATION OF A SMOKE-FREE POLICY IN AN INPATIENT PSYCHIATRIC FACILITY: ASSOCIATION WITH PATIENT ACCEPTABILITY', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
O'Brien AP, Giles M, Parker V, Higgins I, Keatinge D, Guest E, Clancy R, 'Growing a nursing and midwifery research future in the Hunter New England Local Health District (HNELHD)', HNE Handover, Newcastle, NSW (2013) [E3]
Stockings EA, Bowman JA, McElwaine KM, Moore LH, Terry MA, Clancy RV, et al., 'Do Mental Health Inpatients Want To Quit Smoking?', 12th Annual Meeting of the SRNT Europe Programme, Bath, UK (2010) [E3]
Bowman JA, McElwaine KM, Moore LH, Terry MA, Clancy RV, Knight JJ, et al., 'Do mental health inpatients want to quit smoking?', Oceania Tobacco Control 2009, Darwin, NT (2009) [E3]
Stockings EA, Bowman JA, Wiggers JH, Baker AL, Carr VJ, Terry MA, et al., 'An integrated smoking cessation intervention for mental health inpatients: From hospital to community', Oceania Tobacco Control 2009, Darwin, NT (2009) [E3]
Wye PM, Bowman JA, Wiggers JH, Baker AL, Knight JJ, Carr VJ, et al., 'Smoking care and policies in mental health services in Australia: Healthcare provision or behaviour management?', SRNT 14th Annual Meeting. Annual Meeting Proceedings, Portland, OR (2008) [E3]
Foster C, Wye PM, Bowman JA, Baker AL, Wiggers JH, Terry M, et al., 'Using smoke free workplace policy to mediate smoking cessation care in Mental Health services (Poster)', Oceania Tobacco Control Conference: From Vision to Reality. Programme and Presentations, Auckland (2007) [E3]
Bowman JA, Baker AL, Wiggers JH, Foster C, Terry MA, Knight JJ, et al., 'Attitudes, knowledge and skills: providing smoking cessation care for mental health inpatients', Oceania Tobacco Control Conference: From Vision to Reality. Programme and Presentations, Auckland, New Zealand (2007) [E3]
Clancy RV, Clancy D, Mueser K, Carr VJ, Lewin (Ext) T, Hazelton MJ, Sly K, 'The Illness Management and Recovery Program: an international effectiveness study', Acta Neuropsychiatrica, Sydney, Australia (2006) [E3]
|Show 12 more conferences|
Grants and Funding
|Number of grants||5|
Click on a grant title below to expand the full details for that specific grant.
20151 grants / $49,400
The Excellence framework adopted by HNE Local Health District promotes consistent high quality care for every patient every time. Currently, when consumers receive interventions from a range of mental health services, it is not always easy for them to integrate the seemingly heterogeneous (yet high quality) approaches to treatment. Some consumers perceive that medication and psychosocial interventions operate at cross-purposes.
Does an overarching framework exist which can help synthesise (not replace) existing treatment models and interventions used across the area, has relevance to all disciplines, consumers, clinical streams and service settings?
Could this framework be introduced in HNEMH in a way that clinicians perceive neither an increase in their workload nor a mandated change to their practice?
This project aims to provide universal, evidence based information directly to consumers and carers (and clinicians), empowering them to ask questions of their clinicians to help them to better understand factors which may influence their recovery and promote collaborative discussions about treatment and recovery.
The framework referred to in this project is the Stress-Vulnerability (S-V) framework [1, 2].
The mode of delivery will incorporate several modalities including the installation of video screens in clinical services / waiting rooms to deliver information (education) to consumers and carers.
An evidence based model for facilitating practice change will inform the implementation and evaluation methods employed in this project .
Phase 1 - Executive sponsorship and promotion of the project and stakeholder consultation
• The project will engage stakeholders (clinical leaders in HNEMH, consumer, carer, academic, communication and management representatives) in reviewing and modifying the S-V framework for use across the service.
• Technical consultation regarding installation of hardware – video monitors and associated online or interactive modalities will be explored with appropriate personnel.
Phase 2– Content Development
• Work with a graphic design company to create engaging graphics – eg. video (modify the in-house production of the S-V video available on MyLink MH&DACS into a format similar Tonic Direct TV and Medical Channel), pamphlet, poster and web or interactive design. Periodic review from key stakeholders. Include additional content re unit information (opening hours, visiting hours, program details etc.)
• Development of brief staff information resources on stress-vulnerability, with access via MyLink and or HETI, delivered online and available face-to-face.
Phase 3- Pilot
• Installation of information screens in the reception area of the Mater Mental Health Centre and McAuley Centre to display continuous video loops of information for consumers re Stress Vulnerability framework (include additional info eg. common treatments, exercise, nutrition, managing moods, developing good sleep habits, importance of discussing health with GP etc.)
• Developing resources including consumer S-V brochures that may be accessed alone or with their clinician.
• Loading pamphlets and AV content from above onto a publicly accessible website (following HNE Communications consultation and approval in phase 1)
• Evaluate the feasibility and acceptability of the initial pilot, making necessary changes.
Phase 4- Expanded roll-out
• Install units in an additional 3 centres in HNE Mental Health
• Ongoing evaluation of penetration and impact
• Promotion of project and dissemination (including peer-reviewed publication / conference presentation)
This project provides a locally adapted framework and psychoeducation tool for HNE Mental Health comprising of a simple schema for understanding the course of mental health disorders, treatment and recovery, which also encourages consumer and carer participation in their treatment and recovery. The framework aligns with treatment approaches currently employed in HNEMH specialty and general mental health services.
This use of video screens in waiting rooms makes innovative use of available technology in consumer, carer (and staff) education, and provides a medium for the delivery of a range of healthcare messages in the future without imposing greater work demands on clinicians.
Funding body: Hunter New England Mental Health
|Funding body||Hunter New England Mental Health|
|Scheme||Hunter New England Mental Health|
|Type Of Funding||Other Public Sector - State|
20141 grants / $74,930
Funding body: NSW Health
|Funding body||NSW Health|
|Scheme||Drug and Alcohol Grants Program|
|Type Of Funding||Internal|
20101 grants / $21,300
Pilot of an intervention to increase the provision of nicotine dependence treatment in mental health inpatient settings$21,300
Funding body: Hunter Medical Research Institute
|Funding body||Hunter Medical Research Institute|
|Project Team||Doctor Paula Wye, Professor John Wiggers, Associate Professor Jennifer Bowman, Professor Amanda Baker, Doctor Megan Freund, Ms Jenny Knight, Ms Margaret Terry, Conjoint Associate Professor Richard Clancy|
|Type Of Funding||Grant - Aust Non Government|
20061 grants / $120,000
Psychiatry and Substance Use$120,000
Psychiatry & Substance Use
A resource developed for NSW clinicians working in Mental Health and Drug and Alcohol settings.
Richard Clancy & Margarett Terry (2007)
Funding body: Centre for Mental Health, NSW Health Department
|Funding body||Centre for Mental Health, NSW Health Department|
|Scheme||Resource Development Grant|
|Type Of Funding||Other Public Sector - State|
20031 grants / $83,000
Funding body: Hunter New England Local Health District
|Funding body||Hunter New England Local Health District|
|Scheme||Nursing Research & Practice Development Unit Grant|
|Type Of Funding||Internal|
Conjoint Associate Professor Richard Clancy
Conjoint Associate Professor
School of Nursing and Midwifery
Faculty of Health and Medicine
|Room||Mater Mental Health|
Callaghan, NSW 2308