
Dr Dominiek Coates
Conjoint Senior Lecturer
School of Humanities and Social Science
Career Summary
Biography
Career summary: Dr Dominiek Coates is a counsellor and social scientist with expertise in working with vulnerable populations, mental health services, women’s health and safety, trauma-informed practice, evidence-based care, research methods, knowledge translation and behaviour change. She has extensive experience leading large research projects across a range of settings, including universities, hospitals, government and community managed organisations. Over the previous 15 years, Dominiek has led a number of research teams, led 25 studies as the principal investigator, and mentored in excess of 150 students and multidisciplinary healthcare professionals undertaking research.
Dominiek is currently the Research Director for ANROWS, Australian’s National Research Organisation for Women’s Safety. She is also a Senior Research Fellow with the Faculty of Health at the University of Technology Sydney, a Conjoint Senior Lecturer with the Faculty of Health and Medicine, University of Newcastle, and UNSW Medicine, Women 's and Children's Health.
Leadership and capacity building: From 2017 to 2020 she co-led the Maternal, Newborn and Women’s Clinical Academic Group (CAG) of SPHERE – the Sydney Partnership for Health, Education, Research and Enterprise. In this role Dominiek provided strategic direction in terms of the management of the CAG and played a key leadership role in building capacity in clinicians and students to translate evidence into practice. This CAG is one of 16 SPHERE CAGs that undertake translational research and aims to build implementation science knowledge and capacity in the workforce of two Sydney Local Health Districts (LHDs) and University research communities.
Between 2012 and 2017, Dominiek worked as a translational researcher as part of the senior management team of the Central Coast Local Health District, where she collaborated with senior managers and clinicians to translate evidence into routine care and develop the District’s research capacity. She supported the District to embed research and service evaluation into ‘business as usual’ through a number of practices; the application of a translational research framework to service improvement initiatives; practices of continuous service evaluation and improvement; and collaboration with academics to enhance research rigour and dissemination.
Between 2008 and 2012 she was the Research and Program Manager for Blue Knot Foundation. In this capacity, she developed a number of psycho-educational workshops for adult survivors of childhood abuse pertaining to the impacts of stress and trauma on child developing and related mental health impacts. These workshops provide survivors and those supporting them with a safe space in which to learn about the impacts of childhood trauma, and possibilities for the process of recovery. These workshops are now delivered to survivors throughout Australia, and have been a great success.
Knowledge translation and implementation science: Dominiek has expertise in knowledge translation and implementation science, in particular with an aim to improve the health and wellbeing of vulnerable populations, particular women and children and people with mental illness. While Dominiek is a mixed method researcher, she has particular expertise as a qualitative researcher, using participatory action research methodologies to help embed health care improvements into routine care.
Publications and awards: Over the last ten years Dominiek has authored over 65 peer reviewed publications. She also won the Australian Council on Health Care Standards Quality Improvement Baxter Award in 2014 for a project titled “The Keep Them Safe Whole Family Team Gosford Pilot Project”, which she led in terms of implementation and evaluation.
Teaching: Dr Dominiek Coates is a conjoint senior lecturer with the University of Newcastle, where she has taught a range of methods, policy and public health related courses, including Primary Health Care; Culture and Health; Health, Social Disadvantage and Substance Abuse; Psychology and Sociology for Health Professionals; and Applied Social Research. As a Lecturer at the Australian College of Applied Psychology between 2009 and 2013, she taught a number of counselling and applied research courses; including Contextualised Self; Research Practices and Methodologies; Applied Social Research; Introduction to Contemporary Society; Counselling Skills and Interpersonal Skills. She takes a student-centred approach to learning and encourages students to regard her as a facilitator of their learning rather than a repository of knowledge. As a qualified and experienced counsellor she has a keen eye for identifying, and breaking down, possible barriers that prevent learning.Qualifications
- Doctor of Philosophy, University of Newcastle
- Bachelor of Social Science (Honours), University of Newcastle
Keywords
- identity
- implementation science
- knowledge translation
- mental health
- new religious movements
- service development
- service evaluation
- violence againts women and children
- women's health
- women's safety
- youth mental health
Awards
Recognition
Year | Award |
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2014 |
Quality & Innovation Awards 2014 Central Coast Local Health District. Caring for the Coast |
2014 |
ACHS Quality Improvement Awards 2014 Australian Council on Healthcare Standards (ACHS) |
Invitations
Speaker
Year | Title / Rationale |
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2014 |
Balancing personal autonomy and social connectedness: the role of New Religious Movements or 'Cult' membership from the perspectives of former members Organisation: PACFA, CAPA and AARC Conference - Complexity and Connectedness in Life and Love: Working with Trauma, Mental Health and Identity Description: Invited Speaker |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Chapter (2 outputs)
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2013 |
Coates DD, 'New religious movements as avenues for self-change and the development of increased emotional connectedness', 40th Anniversary of Studies in Symbolic Interaction, Emerald, Bingley 271-305 (2013) [B1]
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2013 |
Coates D, 'Tensions Between Self and "Others" in the Making of the Self: The Role of Childhood Experiences in the Development of Reflexivity', Social Theories of History and Histories of Social Theory, Emerald, London 277-295 (2013) [B1]
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Journal article (62 outputs)
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2021 |
Coates D, Donnolley N, Thirukumar P, Lainchbury A, Spear V, Henry A, 'Women s experiences of decision-making and beliefs in relation to planned caesarean section: A survey study', Australian and New Zealand Journal of Obstetrics and Gynaecology, 61 106-115 (2021) © 2020 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists Background: The caesarean section (CS) rate is over 25% in many high-income countries, with... [more] © 2020 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists Background: The caesarean section (CS) rate is over 25% in many high-income countries, with a substantial minority of CSs occurring in women with low-risk pregnancies. CS decision-making is influenced by clinician and patient beliefs and preferences, and clinical guidelines increasingly stipulate the importance of shared decision-making (SDM). To what extent SDM occurs in practice is unclear. Aims: To identify women¿s birth preferences and SDM experience regarding planned CS. Material and Methods: Survey of women at eight Sydney hospitals booked for planned CS. Demographic data, initial mode of birth preferences, reason for CS, and experiences of SDM were elicited using questions with multiple choice lists, Likert scales, and open-ended responses. Quantitative data were analysed using descriptive statistics and qualitative data using content analysis. Responses of women who perceived their CS as 'requested' vs 'recommended' were compared. Results: Of 151 respondents, repeat CS (48%) and breech presentation (14%) were the most common indications. Only 32% stated that at the beginning of pregnancy they had a definite preference for spontaneous labour and birth. Key reasons for wanting planned CS were to avoid another emergency CS, prior positive CS experience, and logistical planning. Although 15% of women felt pressured (or were unsure) about their CS decision, the majority reported positive experiences, with over 90% indicating they were informed about CS benefits and risks, had adequate information, and understood information provided. Conclusions: The majority (85%) of women appeared satisfied with the decision-making process, regardless of whether they perceived their CS as requested or recommended.
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2021 |
Coates D, Coppleson D, Travaglia J, 'Factors supporting the implementation of integrated care between physical and mental health services: an integrative review', Journal of Interprofessional Care, (2021) © 2021 Taylor & Francis Group, LLC. In Australia and internationally there is a strong policy commitment to the redesign of health services toward integrated physical and me... [more] © 2021 Taylor & Francis Group, LLC. In Australia and internationally there is a strong policy commitment to the redesign of health services toward integrated physical and mental health care. When executed well, integrated care has been demonstrated to improve the access to, clinical outcomes from, and quality of care while reducing overtreatment and duplication. Despite the demonstrated effectiveness and promise of integrated care, exactly how integrated care is best achieved remains less clear. The aim of this review study was to identify factors that support the implementation of integrated care between physical and mental health services. An integrative review was conducted following the framework developed by Whittemore and Knafl, with quantitative and qualitative evidence systematically considered. To identify studies, Medline, PubMed, PsychINFO, CINAHL were searched for the period from 2003 to 2018, and reference lists of included studies and review articles were examined. Nineteen studies were included. Synthesis of study findings identified seven key factors supporting the implementation of integrated care between physical and mental health services: (a) adequate resourcing, (b) shared values, (c) effective communication, (d) information technology (IT) infrastructure, (e) flexible administrative organizations, (f) role clarity and accountability, and (g) staff engagement and training. There was little theoretical development in included studies, with little insight into the contextual factors or underlying mechanism required to support the implementation of integrated care initiatives. This review identified a set of inter-related barriers and facilitators which, if addressed, can improve the implementation and sustainability of truly integrated care.
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2020 |
Coates D, Homer C, Wilson A, Deady L, Mason E, Foureur M, Henry A, 'Indications for, and timing of, planned caesarean section: A systematic analysis of clinical guidelines', Women and Birth, 33 22-34 (2020) [C1] © 2019 Australian College of Midwives Background: There has been a worldwide rise in planned caesarean sections over recent decades, with significant variations in practice betwee... [more] © 2019 Australian College of Midwives Background: There has been a worldwide rise in planned caesarean sections over recent decades, with significant variations in practice between hospitals and countries. Guidelines are known to influence clinical decision-making and, potentially, unwarranted clinical variation. The aim of this study was to review guidelines for recommendations in relation to the timing and indications for planned caesarean section as well as recommendations around the process of decision-making. Method: A systematic search of national and international English-language guidelines published between 2008 and 2018 was undertaken. Guidelines were reviewed, assessed in terms of quality and extracted independently by two reviewers. Findings: In total, 49 guidelines of varying quality were included. There was consistency between the guidelines in potential indications for caesarean section, although guidelines vary in terms of the level of detail. There was substantial variation in timing of birth, for example recommended timing of caesarean section for women with uncomplicated placenta praevia is between 36 and 39 weeks depending on the guideline. Only 11 guidelines provided detailed guidance on shared decision-making. In general, national-level guidelines from Australia, and overseas, received higher quality ratings than regional guidelines. Conclusion: The majority of guidelines, regardless of their quality, provide very limited information to guide shared decision-making or the timing of planned caesarean section, two of the most vital aspects of guidance. National guidelines were generally of better quality than regional ones, suggesting these should be used as a template where possible and emphasis placed on improving national guidelines and minimising intra-country, regional, variability of guidelines.
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2020 |
Coates D, Donnolley N, Foureur M, Spear V, Henry A, 'Exploring unwarranted clinical variation: The attitudes of midwives and obstetric medical staff regarding induction of labour and planned caesarean section', Women and Birth, (2020) © 2020 Australian College of Midwives Background: Unexplained clinical variation is a major issue in planned birth i.e. induction of labour and planned caesarean section. Aim: To ... [more] © 2020 Australian College of Midwives Background: Unexplained clinical variation is a major issue in planned birth i.e. induction of labour and planned caesarean section. Aim: To map attitudes and knowledge of maternity care professionals regarding indications for planned birth, and assess inter-professional (midwifery versus medical) and intra-professional variation. Methods: A custom-created survey of medical and midwifery staff at eight Sydney hospitals. Staff were asked to rate their level of agreement with 45 ¿evidence-based¿ statements regarding caesareans and inductions on a five-point Likert scale. Responses were grouped by profession, and comparisons made of inter- and intra-professional responses. Findings: Total 275 respondents, 78% midwifery and 21% medical. Considerable inter- and intra-professional variation was noted, with midwives generally less likely to consider any of the planned birth indications ¿valid¿ compared to medical staff. Indications for induction with most variation in midwifery responses included maternal characteristics (age=40, obesity, ethnicity) and fetal macrosomia; and for medical personnel in-vitro fertilisation, maternal request, and routine induction at 39 weeks gestation. Indications for caesarean with most variation in midwifery responses included previous lower segment caesarean section, previous shoulder dystocia, and uncomplicated breech; and for medical personnel uncomplicated dichorionic twins. Indications with most inter-professional variation were induction at 41+ weeks versus 42+ weeks and cesarean for previous lower segment caesarean section. Discussion: Both inter- and intra-professional variation in what were considered valid indications reflected inconsistency in underlying evidence and/or guidelines. Conclusion: Greater focus on interdisciplinary education and consensus, as well as on shared decision-making with women, may be helpful in resolving these tensions.
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2020 |
Coates D, Homer C, Wilson A, Deady L, Mason E, Foureur M, Henry A, 'Induction of labour indications and timing: A systematic analysis of clinical guidelines', Women and Birth, 33 219-230 (2020) [C1] © 2019 Australian College of Midwives Background: There is widespread and some unexplained variation in induction of labour rates between hospitals. Some practice variation may st... [more] © 2019 Australian College of Midwives Background: There is widespread and some unexplained variation in induction of labour rates between hospitals. Some practice variation may stem from variability in clinical guidelines. This review aimed to identify to what extent induction of labour guidelines provide consistent recommendations in relation to reasons for, and timing of, induction of labour and ascertain whether inconsistencies can be explained by variability guideline quality. Method: We conducted a systematic search of national and international English-language guidelines published between 2008 and 2018. General induction of labour guidelines and condition-specific guidelines containing induction of labour recommendations were searched. Guidelines were reviewed and extracted independently by two reviewers. Guideline quality was assessed using the Appraisal of Guidelines for Research and Evaluation II Instrument. Findings: Forty nine guidelines of varying quality were included. Indications where guidelines had mostly consistent advice included prolonged pregnancy (induction between 41 and 42 weeks), preterm premature rupture of membranes, and term preeclampsia (induction when preeclampsia diagnosed =37 weeks). Guidelines were also consistent in agreeing on decreased fetal movements and oligohydramnios as valid indications for induction, although timing recommendations were absent or inconsistent. Common indications where there was little consensus on validity and/or timing of induction included gestational diabetes, fetal macrosomia, elevated maternal body mass index, and twin pregnancy. Conclusion: Substantial variation in clinical practice guidelines for indications for induction exists. As guidelines rated of similar quality presented conflicting recommendations, guideline variability was not explained by guideline quality. Guideline variability may partly account for unexplained variation in induction of labour rates.
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2020 |
Coates D, Donnolley N, Henry A, 'The Attitudes and Beliefs of Australian Midwives and Obstetricians About Birth Options and Labor Interventions', Journal of Midwifery and Women's Health, (2020) © 2020 by the American College of Nurse-Midwives Introduction: The global rise in the rate of induction of labor and cesarean birth shows considerable unexplained variation both w... [more] © 2020 by the American College of Nurse-Midwives Introduction: The global rise in the rate of induction of labor and cesarean birth shows considerable unexplained variation both within and between countries. Prior research suggests that the extent to which women are engaged in the decision-making process about birth options, such as elective cesarean, induction of labor, or use of fetal monitoring, is heavily influenced by clinician beliefs and preferences. The aim of this study was to investigate the beliefs about labor interventions and birth options held by midwives and obstetric medical staff from 8 Sydney hospitals and assess how the health care providers¿ beliefs were associated with discipline or years of experience. Methods: This is a survey study of midwives and obstetric staff that was distributed between November 2018 and July 2019. Modified from the previously validated birth attitudes survey for the Australian context, survey domains include (1) maternal choice and woman's role in birth, (2) safety by mode or place of birth, (3) attitudes toward cesarean birth for preventing urinary incontinence, (4) approaches to decrease cesarean birth rates, and (5) fears of birth mode. Responses were compared between professions and within professions by years of experience using Mann-Whitney U testing. Results: A total of 217 midwives and 58 medical staff completed the survey (response rate, 30.5%). Midwifery staff responses generally favored a physiologic approach to birth, versus beliefs more in favor of intervention (particularly cesarean birth) among medical staff. There was interprofessional discrepancy on most items, particularly regarding safety of mode or place of birth and approaches to decrease cesarean birth rates. Within disciplines, there was more variation in medical staff attitudes than within the midwifery staff. No clinically important differences in beliefs by years of experience were noted. Discussion: Clinicians need to be aware of their own beliefs and preferences about birth as a potential source of bias when counselling women, particularly when there are a range of treatment options and the evidence may not strongly favor one option over another. As both groups had similar perceptions about the importance of women's autonomy, shared decision-making training could help bridge belief gaps and improve care around birth decisions.
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2020 |
Coates D, Donnolley N, Foureur M, Henry A, 'Women's experiences of decision-making and attitudes in relation to induction of labour: A survey study', Women and Birth, (2020) © 2020 Background: Rates of induction of labour have been increasing globally to up to one in three pregnancies in many high-income countries. Although guidelines around induction... [more] © 2020 Background: Rates of induction of labour have been increasing globally to up to one in three pregnancies in many high-income countries. Although guidelines around induction, and strength of the underlying evidence, vary considerably by indication, shared decision-making is increasingly recognised as key. The aim of this study was to identify women's mode of birth preferences and experiences of shared decision-making for induction of labour. Method: An antenatal survey of women booked for an induction at eight Sydney hospitals was conducted. A bespoke questionnaire was created assessing women's demographics, indication for induction, pregnancy model of care, initial birth preferences, and their experience of the decision-making process. Results: Of 189 survey respondents (58% nulliparous), major reported reasons for induction included prolonged pregnancy (38%), diabetes (25%), and suspected fetal growth restriction (8%). Most respondents (72%) had hoped to labour spontaneously. Major findings included 19% of women not feeling like they had a choice about induction of labour, 26% not feeling adequately informed (or uncertain if informed), 17% not being given alternatives, and 30% not receiving any written information on induction of labour. Qualitative responses highlight a desire of women to be more actively involved in decision-making. Conclusion: A substantial minority of women did not feel adequately informed or prepared, and indicated they were not given alternatives to induction. Suggested improvements include for face-to-face discussions to be supplemented with written information, and for shared decision-making interventions, such as the introduction of decision aids and training, to be implemented and evaluated.
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2019 |
Coates D, David M, Roberts B, Duerden D, 'An examination of the profile and journey of patients with mental illness in the emergency department', International Emergency Nursing, 43 15-22 (2019) [C1]
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2019 |
Coates D, Foureur M, 'The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review', Health and Social Care in the Community, 27 e389-e405 (2019) [C1] © 2019 John Wiley & Sons Ltd Perinatal mental health problems are linked to poor outcomes for mothers, babies and families. Despite a recognition of the significance of this... [more] © 2019 John Wiley & Sons Ltd Perinatal mental health problems are linked to poor outcomes for mothers, babies and families. Despite a recognition of the significance of this issue, women often do not receive the care they need and fall between the gap of maternity and mental health services. To address this, there is a call for reform in the way in which perinatal mental healthcare is delivered. This paper responds to this by exploring the role and competence of midwives in delivering mental healthcare. Using a scoping review methodology, quantitative and qualitative evidence were considered to answer the research question ¿what is the nature of the evidence relevant to the provision of mental health interventions by midwives?¿ To identify studies, the databases PubMed, Maternity and Infant Care, Science Citation Index, Social Sciences Citation Index, Medline, Science Direct and CINAHL were searched from 2011 to 2018, and reference lists of included studies were examined. Studies relevant to the role of midwives in the management and treatment of perinatal mental health issues were included; studies focussed on screening and referral were excluded. Thirty papers met inclusion criteria, including studies about the knowledge, skills, and attitudes of midwives and student midwives; the effectiveness of educational interventions in improving knowledge and skills; the delivery of counselling or psychosocial interventions by midwives; and barriers and enablers to embedding midwife-led mental healthcare in practice. Synthesis of the included studies indicates that midwives are interested in providing mental health support, but lack the confidence, knowledge and training to do so. This deficit can be addressed with appropriate training and organisational support, and there is some evidence that midwife-led counselling interventions are effective. Further research is needed to test midwife-led interventions for women with perinatal mental health problems, and to develop and evaluate models of integrated perinatal mental healthcare.
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2018 |
Coates D, Saleeba C, Howe D, 'Profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia', Health and Social Care in the Community, 26 e154-e163 (2018) [C1] © 2017 John Wiley & Sons Ltd The perinatal period is a time of great vulnerability for many women, in particular those with a range of psychosocial vulnerabilities and menta... [more] © 2017 John Wiley & Sons Ltd The perinatal period is a time of great vulnerability for many women, in particular those with a range of psychosocial vulnerabilities and mental health risk factors. This paper outlines the psychosocial and mental health profile of consumers and their partners of a perinatal and infant mental health (PIMH) service in Australia. To establish the consumer profile, we analysed client vulnerabilities and demographical information maintained over a 6-year period for 406 consumers. Consumer information, including mental health problems, psychosocial vulnerabilities and demographical information, was entered into a standalone database by the allocated clinicians upon service allocation and throughout treatment. The women accepted by PIMH presented with an average of nine different vulnerabilities. Frequently endorsed risk factors included depression (72.66%), anxiety (71.43%), comorbid depression and anxiety (58.13%), self-harm (past, 7.88%, present, 16.26%), a history of family mental health issues (39.66%), childhood trauma (57.88%), limited support (68.84%), relationship conflict with partners (38.92%) and financial stress (47.29%). The women's partners also presented with a range of vulnerabilities, in particular childhood trauma (34.11%) and mental health issues (30.81%). This study contributes to our understanding of the profile of vulnerable women in the perinatal period, and in particular contributes to the literature by highlighting that in addition to depression, anxiety, self-harm and trauma are also significant in PIMH service delivery.
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2018 |
Coates D, Livermore P, Green R, 'The development and implementation of a peer support model for a specialist mental health service for older people: lessons learned', Mental Health Review Journal, 23 73-85 (2018) [C1] © 2018, Emerald Publishing Limited. Purpose: There has been a significant growth in the employment of peer workers over the past decade in youth and adult mental health settings. ... [more] © 2018, Emerald Publishing Limited. Purpose: There has been a significant growth in the employment of peer workers over the past decade in youth and adult mental health settings. Peer work in mental health services for older people is less developed, and there are no existing peer work models for specialist mental health services for older people in Australia. The authors developed and implemented a peer work model for older consumers and carers of a specialist mental health service. The purpose of this paper is to describe the model, outline the implementation barriers experienced and lesson learned and comment on the acceptability of the model from the perspective of stakeholders. Design/methodology/approach: To ensure the development of the peer work model met the needs of key stakeholders, the authors adopted an evaluation process that occurred alongside the development of the model, informed by action research principles. To identify stakeholder preferences, implementation barriers and potential solutions, and gain insight into the acceptability and perceived effectiveness of the model, a range of methods were used, including focus groups with the peer workers, clinicians and steering committee, consumer and carer surveys, field notes and examination of project documentation. Findings: While the model was overall well received by stakeholders, the authors experienced a range of challenges and implementation barriers, in particular around governance, integrating the model into existing systems, and initial resistance to peer work from clinical staff. Originality/value: Older peer workers provide a valuable contribution to the mental health sector through the unique combination of lived experience and ageing. The authors recommend that models of care are developed prior to implementation so that there is clarity around governance, management, reporting lines and management of confidentiality issues.
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2017 |
Coates D, Davis E, Campbell L, 'The experiences of women who have accessed a perinatal and infant mental health service: a qualitative investigation', ADVANCES IN MENTAL HEALTH, 15 88-100 (2017) [C1]
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2017 |
Coates D, Phelan R, Heap J, Howe D, '"Being in a group with others who have mental illness makes all the difference": The views and experiences of parents who attended a mental health parenting program', CHILDREN AND YOUTH SERVICES REVIEW, 78 104-111 (2017) [C1]
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2017 |
Coates D, 'Working with families with parental mental health and/or drug and alcohol issues where there are child protection concerns: Inter-agency collaboration', Child and Family Social Work, 22 1-10 (2017) [C1]
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2017 |
Howe D, Batchelor S, Coates DD, 'Young Australians with moderate to severe mental health problems: client data and outcomes at Children and Young People's Mental Health', Early Intervention in Psychiatry, 11 334-341 (2017) [C1] © 2015 Wiley Publishing Asia Pty Ltd Aim: Almost a quarter of young Australians experience a mental health issue that may become chronic if left untreated. Children and Young Peop... [more] © 2015 Wiley Publishing Asia Pty Ltd Aim: Almost a quarter of young Australians experience a mental health issue that may become chronic if left untreated. Children and Young People's Mental Health (CYPMH) is a specialist tertiary service for young people with moderate to severe mental health problems on the Central Coast in Australia. This paper presents an overview of client data and service use collected over a 1 year period specific to the Youth Mental Health (YMH) component of the service. Method: Client data, including demographic characteristics, service usage, presenting issues and standardized outcome measures, were analysed using SPSS. Clinicians routinely collect MH-OAT (Mental Health Outcomes and Assessment Tools) measures at different points in a client's episode of care, and each of these measures was analysed separately. Wilcoxon Z and a series of McNemar's tests were used to report on the difference between admission and discharge scores. Results: During a designated 1 year period, 830 referrals to YMH were received. The most prevalent presenting issue was suicidal ideation followed by deliberate self-harm and depression. A comparison of admission and discharge outcome scores shows significant improvement by discharge on a range of measures. Specifically, analysis identified significant differences between admission and discharge HoNOSCA (Health of the Nation Outcomes Scales for Children and Adolescents) and CGAS (Children's Global Assessment Scale) scores for young people aged 12¿17 and HONOS (Health of the Nation Outcomes Scale) scores for young people aged 18¿24. Conclusion: The clinical outcomes for young people are positive with improvements seen on a range of measures.
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2016 |
Coates D, Howe D, 'An evaluation of a service to keep children safe in families with mental health and/or substance abuse issues.', Australas Psychiatry, 24 483-488 (2016) [C1]
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2016 |
Coates D, 'Client and parent feedback on a Youth Mental Health Service: The importance of family inclusive practice and working with client preferences.', Int J Ment Health Nurs, 25 526-535 (2016) [C1]
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2016 |
Coates D, Howe D, 'Integrating a youth participation model in a youth mental health service: Challenges and lessons learned', Child and Youth Services, 37 287-300 (2016) [C1] © 2016 Crown copyright. Youth participation in mental health settings is fundamental to service design and delivery, and is beneficial for the young people involved as well as the... [more] © 2016 Crown copyright. Youth participation in mental health settings is fundamental to service design and delivery, and is beneficial for the young people involved as well as the organisation. This paper presents the findings of an evaluation of a youth participation model where tiered participation was attempted in a clinical youth mental health setting. To inform the ongoing development and improvement of a youth participation model, an evaluation was conducted consisting of three focus groups with the youth consultants, consultations with management about the implementation of the tiered participation model, and a review of records. The purpose of this evaluation was to identify possible barriers to implementation early on so these could be addressed and a youth participation model that meets the needs of all key stakeholders could be developed. The findings of this evaluation and the way in which these findings informed the model's development are discussed.
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2016 |
Coates DD, 'Life inside a deviant "religious" group: Conformity and commitment as ensured through 'brainwashing' or as the result of normal processes of socialisation', International Journal of Law, Crime and Justice, 44 103-121 (2016) [C1] © 2015 Elsevier Ltd. The 'dependency inducing practices', sometimes called 'brainwashing', that are commonly alleged to occur in deviant "religious" ... [more] © 2015 Elsevier Ltd. The 'dependency inducing practices', sometimes called 'brainwashing', that are commonly alleged to occur in deviant "religious" groups such as a cult movements or new religious movements are not well understood and have promoted considerable debate. There is a general agreement that many of these groups are controlled environments in which conformity to behavioural, emotive, cognitive and social expectations as determined by leadership is expected and enforced; however, whether conformity is the result of normal processes of socialisation or deviant practices such as brainwashing that cause harm continues to be disputed. To gain an increased understanding of the conformity and commitment inducing practices that occur in 'cult movements', the accounts of group life of 23 former members of 11 different groups were analysed. A conceptualisation of 'brainwashing' as on a continuum of social influence is proposed, and some legal implications are discussed.
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2015 |
Coates D, Howe D, 'Combatting staff burnout in mental health: key managerial and leadership tasks that are fundamental to staff wellbeing and retention', Asia Pacific Journal of Health Management, 10 24-32 (2015) [C1]
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2015 |
Coates DD, Howe D, 'The design and development of staff wellbeing initiatives: Staff stressors, burnout and emotional exhaustion at Children and Young People s Mental Health in Australia', Administration and Policy in Mental Health and Mental Health Services Research, 42 655-663 (2015) [C1]
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2015 |
Coates D, Howe D, 'Working with families who experience parental mental health and/or drug and alcohol problems in the context of child protection concerns: Recommendations for service improvement.', Australian and New Zealand Journal of Family Therapy, 36 325-341 (2015) [C1]
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2014 |
Coates D, Howe D, 'The importance and benefits of youth participation in mental health settings from the perspective of the headspace Gosford Youth Alliance in Australia', Children and Youth Services Review, 46 294-299 (2014) [C1] © 2014 Published by Elsevier Ltd. Objectives: Young people's participation in decision making that affects them is increasingly recognised and valued as a right. Youth partic... [more] © 2014 Published by Elsevier Ltd. Objectives: Young people's participation in decision making that affects them is increasingly recognised and valued as a right. Youth participation in mental health settings is fundamental to service design and delivery, and is beneficial for the young people as well as the organisation. Headspace recognises the many benefits of youth participation with its national and local youth participation initiatives. In 2013, headspace Gosford in Australia established its current youth participation model, called the Youth Alliance (YA), consisting of 12 young people. These young people contribute ideas and opinions around service design and delivery, and participate in a range of activities. Method: This paper presents the findings of a focus group conducted with the YA immediately following recruitment. All 12 young people participated in a two hour focus group which sought to identify the key reasons these young people joined the YA, and what they hope to achieve in their capacity of YA consultants. Results: The two main reasons participants joined the YA are to help 'overcome barriers to help seeking and ensure young people get the support they need' and 'to build confidence, social skills and make new friends'. The barriers to help seeking identified by the participants are consistent with those outlined in the literature. Conclusion: Youth participation in youth mental health settings is beneficial to young people as well as organisations and the community, and it is crucial that strategies are put in place to increase youth participation. The ways in which these young people perceive their participation as beneficial to themselves as well as the organisation and the community is the focus of this paper.
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2014 |
Coates DD, 'New Religious Movement Membership and the Importance of Stable 'Others' for the Making of Selves', JOURNAL OF RELIGION & HEALTH, 53 1300-1316 (2014) [C1]
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2014 |
Howe D, Coates D, Batchelor S, 'Headspace Gosford data: The local application of a National model', Australasian Psychiatry, 22 374-377 (2014) [C1] Objectives: Despite the high prevalence of mental health problems for young Australians, many do not have ready access to treatment or are reluctant to seek help. Until recently t... [more] Objectives: Despite the high prevalence of mental health problems for young Australians, many do not have ready access to treatment or are reluctant to seek help. Until recently there was a tendency for young Australians to fall between the gap of Child and Adolescent Mental Health Services and Adult Mental Health Services, and this has contributed to low rates of service use for young people. In 2006, the Australian Government sought to redress this gap in service delivery with its establishment of the Australian National Youth Mental Health Foundation, headspace. This paper presents demographic data collected at headspace Gosford over a 5.5-year period. Conclusions: The data presented indicates that headspace Gosford has been successful in improving early access to mental health treatment for young people on the Central Coast, in particular for young people aged 14-18. Headspace Gosford has attracted young people of both sexes, with a higher proportion of females. The majority of young people access headspace for mental health problems, predominantly depression and anxiety; however, a significant proportion report physical health or alcohol and drug-related reasons. The likelihood of these referral reasons is informed by gender and age. © The Royal Australian and New Zealand College of Psychiatrists 2014.
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2014 |
Coates DD, 'New religious movement membership and the importance of stable 'others' for the making of selves', Journal of religion and health, 53 1300-1316 (2014) Challenging the view that people join New Religious Movements because they have fallen victim to powerful brainwashing techniques, the analysis of in-depth life history interviews... [more] Challenging the view that people join New Religious Movements because they have fallen victim to powerful brainwashing techniques, the analysis of in-depth life history interviews of 23 former members from 11 different Australian 'cults' suggests that membership was personally negotiated and motivated by a desire for stronger social connections, albeit for different reasons. While for some participants, a desire for social connectedness was related to a strong need for guidance and direction from 'stable' others, for others it reflected a desire for self-change or self-enhancement. To make sense of the participant narratives, symbolic interactionist understandings of the self are applied.
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2014 |
Howe D, Batchelor S, Coates D, Cashman E, 'Nine key principles to guide youth mental health: development of service models in New South Wales', EARLY INTERVENTION IN PSYCHIATRY, 8 190-197 (2014) [C1]
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2013 |
Coates D, 'The Effect of New Religious Movement Affiliation and Disaffiliation on Reflexivity and Sense of Self', JOURNAL FOR THE SCIENTIFIC STUDY OF RELIGION, 52 793-809 (2013) [C1]
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2013 |
Coates DD, 'Disaffiliation from a New Religious Movement: The Importance of Self and Others in Exit', Symbolic Interaction, 36 314-334 (2013) [C1]
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2013 | Coates D, 'Balancing Personal Autonomy and Social Connectedness: the Role of New Religious Movements or 'Cult' Membership from the Perspective of Former Members', Psychotherapy in Australia, 19 56-64 (2013) [C1] | ||||||||||
2013 |
Coates DD, 'A symbolic interactionist understanding of the selves of former members of New Religious Movements', Mental Health, Religion and Culture, 16 1066-1079 (2013) [C1] The current study investigates the construction of self in New Religious Movement (NRM) membership and argues that there is significant variation in the way in which members const... [more] The current study investigates the construction of self in New Religious Movement (NRM) membership and argues that there is significant variation in the way in which members construct their sense of self. While the majority of the literature suggests that differences in the way in which former members describe and experience NRM membership can be attributed to gender and the nature of the group, analysis of the life histories of 23 former members identified variations in the way in which these participants construct their sense of self as significant to understanding NRM membership. While some participants describe selves that are high in conformity or social connectedness, and depict NRM membership as motivated by a need for guidance and direction, others describe selves that appear high in individuality and personal autonomy and depict membership as motivated by a desire to overcome isolation and develop social connectedness. Even though these two narratives are conceptualised as distinct, they are not viewed as dichotomous but understood as on a continuum. To make sense of the selves of the participants in this study symbolic interactionist understandings of the self as to varying degrees informed by both "self" and "others" are applied. © 2013 Taylor & Francis.
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2012 |
Coates D, ''Cult commitment' from the perspective of former members: Direct rewards of membership versus dependency inducing practices', Deviant Behavior, 33 168-184 (2012) [C1]
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2012 |
Coates D, ''I'm now far healthier and better able to manage the challenges of life': The mediating role of new religious movement membership and exit', Journal of Spirituality in Mental Health, 14 181-208 (2012) [C1]
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2012 | Coates D, 'The significance and purpose of the 'anti-cult movement' in facilitating disaffiliation from a new religious movement: Resources for self-construction or a justificatory account', International Journal for the Study of New Religions, 3 213-244 (2012) [C1] | ||||||||||
2011 |
Coates D, 'Counselling former members of charismatic groups: Considering pre-involvement variables, reasons for joining the group and corresponding values', Mental Health, Religion and Culture, 14 191-207 (2011) [C1]
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2010 |
Coates D, 'Post-involvement difficulties experienced by former members of charismatic groups', Journal of Religion and Health, 49 296-310 (2010) [C1]
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2009 | Coates D, 'Former members of charismatic groups: Modalities of adjustment', Psychotherapy in Australia, 16 24-31 (2009) [C1] | ||||||||||
2008 |
Kennedy DJ, Coates D, 'Retirement village resident satisfaction in Australia: A qualitative enquiry', Journal of Housing for the Elderly, 22 311-334 (2008) [C1] There has been limited research into the types of customer satisfaction experienced by residents in leisure-oriented retirement communities, particularly in Australia and the Unit... [more] There has been limited research into the types of customer satisfaction experienced by residents in leisure-oriented retirement communities, particularly in Australia and the United Kingdom. Focus groups were conducted at a series of retirement communities. Results have lead to the development of a typology of retirement community resident satisfaction containing five different domains, including the Built Environment, the Financial Environment, the Service Delivery Environment, the Social Environment, and the Spiritual Environment. Furthermore, these five satisfaction domains encompass up to 24 distinct types or facets of customer satisfaction experienced by residents. This proposed typology of leisure-oriented retirement communities' resident satisfaction is the most comprehensive investigation of retirement village customer satisfaction to date. Implications for both researchers and practitioners are discussed, including recommendations for the measuring, managing, and marketing of customer satisfaction with retirement community living. © 2008 by The Haworth Press. All rights reserved.
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Show 59 more journal articles |
Conference (3 outputs)
Year | Citation | Altmetrics | Link | ||
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2018 |
Hanlon MC, O'Brien AP, MacIsaac P, Fogarty M, Bjorksten C, Hunt M, et al., 'Quality clozapine care (QC2): Using the patient journey to understand the lived experience of taking clozapine, to improve value-based person-centered care', EUROPEAN PSYCHIATRY (2018)
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2018 | Dharni A, Coates D, Padencheri S, 'PSYCHOTROPIC MEDICATION PROFILE IN YOUTH MENTAL HEALTH SETTINGS IN AUSTRALIA', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY (2018) | ||||
2007 | Kennedy D, Coates D, 'Costumer satisfaction in senior living resorts: A qualitative investigation' (2007) [E1] |
Dr Dominiek Coates
Positions
Conjoint Senior Lecturer
School of Humanities and Social Science
College of Human and Social Futures
Conjoint Senior Lecturer
School of Medicine and Public Health
College of Health, Medicine and Wellbeing
Contact Details
dominiek.coates@newcastle.edu.au |