Ms Ketrina Sly

Ms Ketrina Sly

Conjoint Fellow

School of Medicine and Public Health

Career Summary

Biography

Ketrina Sly is a Psychologist, working as a Research and Information Officer for the Mental Health - Research Evaluation Analysis and Dissemination (MH-READ) unit, Hunter New England Mental Health (HNEMH). As part of the MH-READ unit based at the University of Newcastle Priority Research Centre (PRC) for Brain & Mental Health Research (CBMHR), her duties include brokerage, research/evaluation management and support, alongside a small team of experienced HNEMH staff. As both a researcher and clinician, Ketrina is engaged in promoting quality, strategic mental health research, translational and service evaluation projects within the Hunter New England Health region.

Ketrina holds a Conjoint Research Fellow position with the Faculty of Health and Medicine at the University of Newcastle, and is currently completing a PhD in Clinical Psychology, with the School of Psychology, at the University of Newcastle, examining the impact of psychopathy traits on facial expression processing among individuals with a psychotic disorder. Ketrina is an Honours graduate having completed her Bachelor of Science in Psychology at the University of Newcastle. Having expertise in: project development and implementation; research methodology and assessment; data management and analysis; grant, ethics and publication preparation; information collation and dissemination; and website development and design. As well as clinical expertise in: assessment; interviewing; and counselling skills including Cognitive Behaviour Therapy (CBT), Dialectical Behaviour Therapy (DBT), Motivational interviewing, Behaviour modification, and Relapse prevention.

Research Expertise

Ketrina's clinical research experience has involved both acute in-patient and community clients with a major mental illness among a diverse range of clinical populations: including, children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD), Depression, Mania or learning difficulties; Adult Suicide attempters; persons with a Major Mental illness, such as Psychosis, Depression; and Dual Diagnosis populations with a major mental illness and co-existing Substance Use. Having been actively engaged in MH research since 1995, including 6 years with the Discipline of Psychiatry at the University of Newcastle, and 15 years in her current position (HNEMH/CBMHR). Ketrina has authored and co-authored a number of peer reviewed publications, presented at national and international conferences and received grant funding as part of her research activities. Having experience in child & adolescent, suicide prevention, dual diagnosis, service evaluation, MH rehabilitation and psychosis research.

Collaborations

As part of the MH-READ team one of Ketrina's roles is to promote and foster linkages with regional health staff and CBMHR researchers with an ongoing involvement in research, translational and service evaluation projects.


Keywords

  • Mental Health Research
  • Psychosis
  • Service Evaluation
  • Translational Research

Fields of Research

Code Description Percentage
110399 Clinical Sciences not elsewhere classified 20
111799 Public Health and Health Services not elsewhere classified 40
170199 Psychology not elsewhere classified 40
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (21 outputs)

Year Citation Altmetrics Link
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]

© 2017 The Author(s). Background: An ongoing service evaluation project was initiated following the establishment of a new, purpose-built, 20-bed sub-acute Intermediate Stay Ment... [more]

© 2017 The Author(s). 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.

DOI 10.1186/s12913-016-1939-8
Co-authors Agatha Conrad, Terry Lewin, Ksly1
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]
DOI 10.1186/s12888-016-1164-3
Citations Web of Science - 1
Co-authors Terry Lewin, Ksly1, Agatha Conrad
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]
DOI 10.1016/j.psychres.2016.12.005
Citations Scopus - 3Web of Science - 3
Co-authors Ksly1, Ulrich Schall, Agatha Conrad, Sean Halpin, Terry Lewin
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]
DOI 10.1186/s12888-014-0318-4
Citations Scopus - 5Web of Science - 5
Co-authors Ksly1, Terry Lewin, Agatha Conrad, Ulrich Schall, Sean Halpin, Mick Hunter
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]
DOI 10.1007/s00127-011-0448-7
Citations Scopus - 3Web of Science - 2
Co-authors Ksly1, Agatha Conrad, Terry Lewin
2009 Sly K, Sharples J, Lewin TJ, Bench CJ, 'Court outcomes for clients referred to a community mental health court liaison service', International Journal of Law and Psychiatry, 32 92-100 (2009) [C1]
DOI 10.1016/j.ijlp.2009.01.005
Citations Scopus - 4Web of Science - 5
Co-authors Terry Lewin, Ksly1
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]
DOI 10.1007/s00127-008-0427-9
Citations Scopus - 6Web of Science - 5
Co-authors Agatha Conrad, Terry Lewin, Ksly1
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]
DOI 10.1080/00048670701881520
Citations Scopus - 50Web of Science - 48
Co-authors Terry Lewin, Agatha Conrad, Ksly1
2005 Hazell P, Lewin TJ, Sly K, 'What is a clinically important level of improvement in symptoms of attention-deficit/hyperactivity disorder', Australian and New Zealand Journal of Psychiatry, 39 354-358 (2005) [C1]
DOI 10.1111/j.1440-1614.2005.01581.x
Citations Scopus - 5Web of Science - 5
Co-authors Terry Lewin, Ksly1
2004 Carless PA, Stokes BJ, Moxey AJ, Henry DA, 'Desmopressin for minimising perioperative allogenic blood transfusion', Cochrane Database of Systematic Reviews, - CD001884 (2004) [C1]
DOI 10.1002/14651858.CD001884
Citations Scopus - 76
Co-authors Ksly1, Barrie Stokes
2003 Hazell P, Carr VJ, Lewin TJ, Sly K, 'Manic Symptoms in Young Males With ADHD Predict Functioning But Not Diagnosis After 6 Years', Journal of the American Academy of Child & Adolescent Psychiatry, 42 552-560 (2003) [C1]
DOI 10.1097/01.CHI.0000046830.95464.33
Citations Scopus - 56Web of Science - 51
Co-authors Terry Lewin, Ksly1
2003 Sharples J, Lewin TJ, Hinton RJ, Sly KA, Coles GW, Johnston PJ, Carr VJ, 'Offending behaviour and mental illness: Characteristics of a mental health court liaison service', Psychiatry, Psychology and Law, 10 300-315 (2003)

This paper begins with a brief review of recent literature about relationships between offending behaviour and mental illness, classifying studies by the settings within which the... [more]

This paper begins with a brief review of recent literature about relationships between offending behaviour and mental illness, classifying studies by the settings within which they occurred. The establishment and role of a mental health court liaison (MHCL) service is then described, together with findings from a 3-year service audit, including an examination of relationships between clients¿ characteristics and offence profiles, and comparisons with regional offence data. During the audit period, 971 clients (767 males, 204 females) were referred to the service, comprising 1139 service episodes, 35.5% of which involved a comorbid substance use diagnosis. The pattern of offences for MHCL clients was reasonably similar to the regional offence data, except that among MHCL clients there were proportionately more offences against justice procedures (e.g., breaches of apprehended violence orders [AVOs]) and fewer driving offences and ¿other offences¿. Additionally, male MHCL clients had proportionately more malicious damage and robbery offences and lower rates of offensive behaviour and drug offences. A range of service and research issues is also discussed. Overall, the new service appears to have forged more effective links between the mental health and criminal justice systems. © 2003 Taylor & Francis Group, LLC.

DOI 10.1375/pplt.2003.10.2.300
Citations Scopus - 5
Co-authors Ksly1, Terry Lewin
2002 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]
Citations Scopus - 85Web of Science - 65
Co-authors Ksly1, Terry Lewin, Richard Clancy, Amanda Baker
2002 Henry DA, Moxey AJ, Carless PA, O'Connell D, McClelland B, Henderson KM, et al., 'Desmopressin for minimising perioperative allogeneic blood transfusion', Praxis, 91 1504 (2002)
DOI 10.1024/0369-8394.91.37.1504
Co-authors Ksly1
2002 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]
Citations Scopus - 68Web of Science - 49
Co-authors Amanda Baker, Ksly1, Richard Clancy, Terry Lewin
2001 Henry DA, Moxey AJ, Carless PA, O'Connell D, McClelland B, Henderson KM, et al., 'Desmopressin for minimising perioperative allogeneic blood transfusion.', Cochrane database of systematic reviews (Online), (2001)

BACKGROUND: Public concerns regarding the safety of transfused blood have prompted re-consideration of the use of allogeneic (from an unrelated donor) red blood cell (RBC) transfu... [more]

BACKGROUND: Public concerns regarding the safety of transfused blood have prompted re-consideration of the use of allogeneic (from an unrelated donor) red blood cell (RBC) transfusion, and a range of techniques designed to minimise transfusion requirements. OBJECTIVES: To examine the evidence for the efficacy of desmopressin (1-deamino-8-D-arginine-vasopressin), in reducing perioperative blood loss and the need for red cell transfusion in patients who do not have congenital bleeding disorders. SEARCH STRATEGY: Articles were identified by: computer searches of OVID MEDLINE, EMBASE, and Current Contents (to August 2000) and web sites of international health technology assessment agencies (to May 1998). References in the identified trials and review articles were checked and authors contacted to identify additional studies. SELECTION CRITERIA: Randomised controlled parallel group trials in which adult patients, scheduled for non-urgent surgery, were randomised to DDAVP, or to a control group, who did not receive the intervention. DATA COLLECTION AND ANALYSIS: Trial quality was assessed using criteria proposed by Schulz et al. (1995) and Jadad et al. (1996). The principal outcomes were: the number of patients exposed to red cells, and the amount of blood transfused. Other clinical outcomes are detailed in the review. MAIN RESULTS: Fourteen trials of DDAVP (N=1034) reported data on the proportion of patients exposed to allogeneic RBC transfusion. In subjects treated with DDAVP the relative risk of exposure to peri-operative allogeneic blood transfusion was 0.98 (95%CI: 0.88 to 1.10) compared with control. In DDAVP-treated patients the relative risk of requiring re-operation due to bleeding was 0.56 (95%CI: 0.18 to 1.73). There was no statistically significant effect overall for mortality and non-fatal myocardial infarction in DDAVP-treated patients compared with control (RR=1.53: 95%CI: 0.58 to 4.05) and (RR=1.52: 95%CI: 0.67 to 3.49) respectively. REVIEWER'S CONCLUSIONS: There is no convincing evidence that desmopressin minimises perioperative allogeneic RBC transfusion in patients who do not have congenital bleeding disorders. These data suggest that there is no benefit of using DDAVP as a means of minimising perioperative allogeneic RBC transfusion. This meta-analysis had 90% power to detect a relative risk reduction of at least 17% for receiving a red cell transfusion at alpha = 0.05 (two-sided).

Citations Scopus - 11
Co-authors Ksly1
2001 Henry DA, Moxey AJ, Carless PA, O'Connell D, McClelland B, Henderson KM, et al., 'Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion.', Cochrane database of systematic reviews (Online), (2001)

BACKGROUND: Concerns regarding the safety of transfused blood have prompted re-consideration of the use of allogeneic (blood from an unrelated donor) blood transfusion. OBJECTIVES... [more]

BACKGROUND: Concerns regarding the safety of transfused blood have prompted re-consideration of the use of allogeneic (blood from an unrelated donor) blood transfusion. OBJECTIVES: To assess the effects of the anti-fibrinolytic drugs aprotinin, tranexamic acid, and epsilon aminocaproic acid, on peri-operative red blood cell (RBC) transfusion. SEARCH STRATEGY: We searched MEDLINE (to May 1998), EMBASE (to December 1997), web sites of international health technology assessment agencies (to May 1998). References in identified trials and review articles were checked and authors contacted to identify any additional studies. SELECTION CRITERIA: Randomised controlled trials of anti-fibrinolytic drugs in adults scheduled for non-urgent surgery. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed trial quality and extracted data. MAIN RESULTS: We found 61 trials of aprotinin (7027 participants). Aprotinin reduced the rate of RBC transfusion by a relative 30% (RR=0.70: 95%CI: 0.64 to 0.76). The average absolute risk reduction (ARR) was 20.4% (95%CI: 15.6% to 25.3%). On average, aprotinin use saved 1.1 units of RBC (95%CI: 0.69 to 1.47) in those requiring transfusion. Aprotinin also significantly reduced the need for re-operation due to bleeding (RR=0.40: 95%CI: 0.25 to 0.66). We found 18 trials of tranexamic acid (TXA) (1,342 participants). TXA reduced the rate of RBC transfusion by a relative 34% (RR=0.66: 95%CI: 0.54 to 0.81). This represented an ARR of 17.2% (95%CI: 8.7% to 25.7%). TXA use resulted in a saving of 1.03 units of RBC (95%CI: 0.67 to 1.39) in those requiring transfusion. We found four trials of epsilon aminocaproic acid (EACA) (208 participants). EACA use resulted in a statistically non-significant reduction in RBC transfusion (RR=0.48: 95%CI: 0.19 to 1.19). Comparisons between agents Eight trials made 'head-to-head' comparisons between TXA and aprotinin. There was no significant difference between the two drugs in the rate of RBC transfusion: RR=1.21 (95%CI: 0.83 to 1.76) for TXA compared to aprotinin. Adverse Effects Aprotinin did not seem to be associated with an excess risk of adverse effects, including thrombo-embolic events (thrombosis RR=0.64: 95%CI: 0.31 to 1.31) and renal failure (RR=1.19: 95%CI: 0.79 to 1.79). Fewer data were available for TXA and EACA. REVIEWER'S CONCLUSIONS: From this review it appears that aprotinin reduces the need for red cell transfusion, and the need for re-operation due to bleeding, without serious adverse effects. However, there was significant heterogeneity in trial outcomes, and some evidence of publication bias. Similar trends were seen with TXA and EACA, although the data were rather sparse. The poor evaluation of these latter drugs is unfortunate as results suggest they may be equally as effective as aprotinin, but are significantly cheaper. The evidence reviewed here supports the use of aprotinin in cardiac surgery. Further small trials of this drug are not warranted. Future trials should be large enough to compare the efficacy and cost-effectiveness of aprotinin with that of TXA and EACA.

Citations Scopus - 172
Co-authors Ksly1, Barrie Stokes
2001 Henry DA, Moxey AJ, Carless PA, O'Connell D, McClelland B, Henderson KM, et al., 'Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion.', The Cochrane database of systematic reviews, CD001886 (2001)
DOI 10.1002/14651858.cd001886
Co-authors Ksly1
2000 Hazell P, Talay-Ongan A, Hutchins P, Foreman P, Keatinge DR, Dunne A, et al., 'Best practice in diagnosis and treatment for attention deficit hyperactivity disorder: Research and guidelines', Australian Journal of Early Childhood, 25, No 4 34-40 (2000) [C1]
Co-authors Phil Foreman, Ksly1
1999 Hazell P, Hazell T, Waring T, Sly K, 'A survey of suicide prevention curricula taught in Australian univesities', Australian & New Zealand Journal of Psychiatry, 33 253-259 (1999) [C1]
Citations Scopus - 9Web of Science - 9
Co-authors Ksly1
1999 McGettigan PG, Sly K, O'Connell DL, Hill SR, Henry DA, 'The Effects of Information Framing on the Practices of Physicians', Journal of General Internal Medicine, 14 633-642 (1999) [C1]
Citations Scopus - 87Web of Science - 74
Co-authors Mddah01, Ksly1
Show 18 more journal articles

Review (1 outputs)

Year Citation Altmetrics Link
2003 Henry DA, Moxey AJ, Carless PA, O'Connell DL, McClelland B, Henderson KM, et al., 'Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion', Cochrane Database of Systematic Reviews (2003) [D2]
Citations Scopus - 204Web of Science - 8
Co-authors Ksly1, Mddah01

Conference (10 outputs)

Year Citation Altmetrics Link
2010 Conrad A, Lewin TJ, Carr VJ, Schall UA, Halpin SA, Sly K, 'Relationship between hospital admissions and different levels of risk for psychosis', Australian & New Zealand Journal of Psychiatry, Sydney, Australia (2010) [E3]
Co-authors Ksly1, Terry Lewin, Agatha Conrad, Sean Halpin, Ulrich Schall
2009 Lewin TJ, Conrad A, Carr VJ, Schall UA, Halpin SA, Sly KA, 'A layered service audit of clients presenting to a community-based service for young people at increased risk for psychosis', Schizophrenia Bulletin, San Diego, CA (2009) [E3]
DOI 10.1093/schbul/sbn173
Co-authors Agatha Conrad, Sean Halpin, Ksly1, Terry Lewin, Ulrich Schall
2008 Carr VJ, Lewin TJ, Sly K, Conrad A, Tirupati S, Cohen M, et al., 'Acute admissions by patients with schizophenia: Risk and recovery profiles, adverse incidents, and re-admission', Australian and New Zealand Journal of Psychiatry, Lorne, VIC (2008) [E3]
Co-authors Ksly1, Agatha Conrad, Terry Lewin
2008 Conrad A, Lewin TJ, Carr VJ, Schall UA, Halpin SA, Sly K, 'Preliminary findings from an audit of clients presenting to a community-based service for young people at increased risk of psychosis', Australian and New Zealand Journal of Psychiatry, Newcastle, NSW (2008) [E3]
Co-authors Ksly1, Terry Lewin, Agatha Conrad, Sean Halpin, Ulrich Schall
2008 Lewin TJ, Nunn KP, Carr VJ, Kelly BJ, Stain HJ, Coleman CE, Sly K, 'Hopes revisited: Introducing a 12-item scale for measuring personal hopefulness (HOPES-12)', Australian and New Zealand Journal of Psychiatry, Newcastle, NSW (2008) [E3]
Co-authors Brian Kelly, Helen Stain, Ksly1, Terry Lewin
2008 Sly K, Loughland CM, Lewin TJ, Hunter M, 'Facial expression processing in schizophrenia: Associations with psychopathy, syptomatology and emotion recognition', Australian and New Zealand Journal of Psychiatry, Newcastle, NSW (2008) [E3]
Co-authors Mick Hunter, Carmel Loughland, Ksly1, Terry Lewin
2006 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]
Co-authors Michael Hazelton, Richard Clancy, Terry Lewin, Ksly1
2005 Sly K, Lewin (Ext) T, Carr VJ, Conrad A, Ward PB, 'Factors Associated with Mental state change during acute psychiatric hospitalisation', Abstracts for The Royal Australian & NZ College of Psychiatrists Joint CINP/ASPR Scientific Meeting, Brisbane (2005) [E3]
Co-authors Agatha Conrad, Ksly1
2005 Carr VJ, Lewin TJ, Sly K, Conrad A, Ward P, Clark S, Coombs T, 'Mental state changes during acute psychiatric hospitalisation and associations with inpatient aggression and diagnosis', SCHIZOPHRENIA BULLETIN, Savannah, GA (2005)
Co-authors Terry Lewin, Agatha Conrad, Ksly1
2003 Lewin TJ, Carr VJ, Ward P, Clark S, Forrester D, Coombs T, et al., 'Factors associated with inpatient aggression and early re-admission to acute psychiatry units', SCHIZOPHRENIA RESEARCH, COLORADO SPINGS, COLORADO (2003)
DOI 10.1016/S0920-9964(03)80331-6
Co-authors Terry Lewin, Ksly1, Agatha Conrad
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Ms Ketrina Sly

Position

Conjoint Fellow
School of Medicine and Public Health
Faculty of Health and Medicine

Contact Details

Email to be added
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