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Northwood K, Eggleston K, Every-Palmer S, Galbally M, Warren N, Berk M, Gill N, Siskind D, Suetani S. Research Letter: The state of academic psychiatry in Aotearoa New Zealand and Australia: Data from a survey of the Royal Australian and New Zealand College of Psychiatrists membership. Aust N Z J Psychiatry 2024; 58:537-539. [PMID: 38516914 DOI: 10.1177/00048674241240592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Affiliation(s)
- Korinne Northwood
- Queensland Centre for Mental Health Research, Brisbane, QLD, Australia
- Addiction and Mental Health Services, Metro South Health, Brisbane, QLD, Australia
- Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Katherine Eggleston
- Department of Psychological Medicine, University of Otago, Christchurch, New Zealand
- Specialist Mental Health Services, Te Whatu Ora Waitaha, Christchurch, New Zealand
| | - Susanna Every-Palmer
- Department of Psychological Medicine, University of Otago, Wellington, New Zealand
- Mental Health, Addiction and Intellectual Disability Service, 3DHB, Wellington, New Zealand
| | - Megan Galbally
- School of Clinical Sciences, Monash University, Melbourne, VIC, Australia
- Health Futures Institute, Murdoch University, Perth, WA, Australia
| | - Nicola Warren
- Queensland Centre for Mental Health Research, Brisbane, QLD, Australia
- Addiction and Mental Health Services, Metro South Health, Brisbane, QLD, Australia
- Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Michael Berk
- Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia
- IMPACT Strategic Research Centre, Barwon Health, Deakin University, Geelong, VIC, Australia
- Orygen Youth Health Research Centre, Centre for Youth Mental Health, The University of Melbourne, Melbourne, VIC, Australia
- Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Melbourne, VIC, Australia
| | - Neeraj Gill
- School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia
- Health Research Institute, University of Canberra, Canberra, ACT, Australia
- Mental Health and Specialist Services, Gold Coast Health, Gold Coast, QLD, Australia
| | - Dan Siskind
- Queensland Centre for Mental Health Research, Brisbane, QLD, Australia
- Addiction and Mental Health Services, Metro South Health, Brisbane, QLD, Australia
- Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Shuichi Suetani
- Queensland Centre for Mental Health Research, Brisbane, QLD, Australia
- School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia
- Institute for Urban Indigenous Health, Windsor, QLD, Australia
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2
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Galbally M, Eggleston K, Northwood K, Siskind D, Berk M, Suetani S, Gill N, O'Connor N, Harvey SB, Every-Palmer S. Renewal of academic psychiatry without addressing gender equity will render it Jurassic rather than endangered. Aust N Z J Psychiatry 2023; 57:315-321. [PMID: 36086800 DOI: 10.1177/00048674221123494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
While two editorials have raised concerns about the decline in Australian academic psychiatry, for a genuine rejuvenation to ever occur, we will need to re-examine how women can be better included in this important endeavour. While attainment of fellowship has reached gender parity, academic psychiatry has disappointingly lagged, with 80% of its senior leadership roles across Australia and New Zealand still held by men, with a similar situation in the United Kingdom and the United States as well as many other countries. Encouraging women into academic psychiatry is not only critical to progress as a profession but also will help address the current blindness to sex differences in biological psychiatry, as well the social impact of restrictive gender norms and the effects of gender-based violence on mental health. This potentially creates opportunities for significant gains and insights into mental disorders. However, addressing the barriers for women in academia requires tackling the entrenched disparities across salaries, grant funding, publications, teaching responsibilities, keynote invitations and academic promotions alongside the gender-based microaggressions, harassment and tokenism reported by many of our female academics. Many women must grapple with not just a 'second shift' but a 'third shift', making the burden of an academic career unreasonable and burnout more likely. Addressing this is no easy task. The varied research in academic medicine reveals no quick fixes, although promoting gender equity brings significant potential benefits. Areas such as academic psychiatry need to recognise our community's growing discomfort with workplaces that choose to maintain status quo. Gender equity must be a critical part of any quest to revive this important area of practice for our profession.
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Affiliation(s)
- Megan Galbally
- Department of Psychiatry, School of Clinical Sciences, Monash University, Clayton, VIC, Australia
- Health Futures Institute, Murdoch University, Perth, WA, Australia
| | - Katherine Eggleston
- Department of Psychological Medicine, University of Otago, Christchurch, New Zealand
- Specialist Mental Health Services, Canterbury District Health Board, Christchurch, New Zealand
| | - Korinne Northwood
- Metro South Addiction and Mental Health Service, Metro South Health, Brisbane, QLD, Australia
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
| | - Dan Siskind
- Metro South Addiction and Mental Health Service, Metro South Health, Brisbane, QLD, Australia
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
| | - Michael Berk
- IMPACT - The Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health, Deakin University, Geelong, VIC, Australia
- Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia
| | - Shuichi Suetani
- Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia
- Institute for Urban Indigenous Health, Windsor, QLD, Australia
- Queensland Centre for Mental Health Research, Wacol, QLD, Australia
- School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia
| | - Neeraj Gill
- School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia
- Health Research Institute, University of Canberra, Canberra, ACT, Australia
- Mental Health and Specialist Services, Gold Coast Health, Gold Coast, QLD, Australia
| | - Nick O'Connor
- NSW Clinical Excellence Commission, St Leonards, NSW, Australia
| | - Samuel B Harvey
- Black Dog Institute, University of New South Wales Sydney, Sydney, NSW, Australia
| | - Susanna Every-Palmer
- Department of Psychological Medicine, University of Otago, Wellington, New Zealand
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3
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Suetani S, Every-Palmer S, Galbally M, Berk M, Gill N, Siskind D. Reviving academic psychiatry in Australia and New Zealand. Aust N Z J Psychiatry 2022; 56:425-427. [PMID: 35393887 DOI: 10.1177/00048674221091927] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Shuichi Suetani
- Institute for Urban Indigenous Health, Windsor, ON, Australia.,Queensland Centre for Mental Health Research, Wacol, QLD, Australia.,Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.,School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia
| | - Susanna Every-Palmer
- Department of Psychological Medicine, University of Otago, Wellington, New Zealand.,Mental Health Addictions and Intellectual Disability Service, 3DHB, Wellington, New Zealand
| | - Megan Galbally
- School of Clinical Sciences, Monash University, Clayton, VIC, Australia.,Health Future Institute, Murdoch University, Perth, WA, Australia
| | - Michael Berk
- Department of Psychiatry, The University of Melbourne, Parkville, VIC, Australia.,IMPACT Strategic Research Centre, Barwon Health, Deakin University, Geelong, VIC, Australia.,Orygen Youth Health Research Centre, Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia.,Florey Institute for Neuroscience and Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Neeraj Gill
- School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia.,Health Research Institute, University of Canberra, Canberra, ACT, Australia.,Mental Health and Specialist Service, Gold Coast Health, Gold Coast, QLD, Australia
| | - Dan Siskind
- Queensland Centre for Mental Health Research, Wacol, QLD, Australia.,Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.,Metro South Addiction and Mental Health Services, Brisbane, QLD, Australia
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4
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Suetani S, Burgher B, Mosley P, Parker S. Welcome to the Breakfast Club: Building academic psychiatry capacity in Queensland. Aust N Z J Psychiatry 2021; 55:1031-1032. [PMID: 34219475 DOI: 10.1177/00048674211025630] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Shuichi Suetani
- Physical Health and Mental Health Stream, Queensland Centre for Mental Health Research, Wacol, QLD, Australia.,Brisbane, QLD, Australia.,Metro South Addiction and Mental Health Services, Woolloongabba, QLD, Australia.,School of Medicine, Griffith University, Nathan, QLD, Australia
| | - Bjorn Burgher
- The Prince Charles Hospital, Metro North Addiction and Mental Health Services, Chermside, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia
| | - Phil Mosley
- Brisbane, QLD, Australia.,QIMR Berghofer Medical Research Institute, Herston, QLD, Australia.,Neurosciences Queensland, St Andrew's War Memorial Hospital, Spring Hill, QLD, Australia.,Queensland Brain Institute, University of Queensland, St Lucia, Queensland, Australia.,Biomedical Informatics Group, CSIRO, Herston, Queensland, Australia
| | - Stephen Parker
- Brisbane, QLD, Australia.,School of Medicine, Griffith University, Nathan, QLD, Australia.,The Prince Charles Hospital, Metro North Addiction and Mental Health Services, Chermside, QLD, Australia
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5
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Coleman M, Collins N. Opportunities in Rural Psychiatry: beyond city limits. Australas Psychiatry 2021; 29:115-116. [PMID: 33380158 DOI: 10.1177/1039856220984953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Mathew Coleman
- Great Southern Mental Health Service, WA Country Health Service, Albany, WA, and The Rural Clinical School of WA, University of Western Australia, Albany, WA
| | - Noel Collins
- Great Southern Mental Health Service, WA Country Health Service, Albany, WA, and The Rural Clinical School of WA, University of Western Australia, Albany, WA
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6
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Eggleston K, Myles H. Advice to potential academics from researchers who have seen 'et al.'. Aust N Z J Psychiatry 2021; 55:235-238. [PMID: 33267630 DOI: 10.1177/0004867420972757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Kate Eggleston
- Department of Psychological Medicine, University of Otago, Christchurch, Christchurch, New Zealand.,Canterbury District Health Board, Christchurch, New Zealand
| | - Hannah Myles
- Department of Psychiatry, Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia.,Department of Mental Health, Northern Adelaide Local Health Network, Adelaide, SA, Australia
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7
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Thabrew H, Moor S, Eggleston M. Same proof, different pudding: comparative views of New Zealand child psychiatrists, child psychologists and child psychotherapists regarding a proposed national child and adolescent research network. Australas Psychiatry 2020; 28:573-577. [PMID: 32174123 DOI: 10.1177/1039856220908178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES This study was undertaken to evaluate the views of New Zealand clinicians regarding a proposed national child and adolescent mental health research network. METHODS Child psychiatrists, child psychologists and child psychotherapists were invited to participate in an electronic survey describing their previous experience of research, current interest in research, barriers to undertaking research and interest in a national research network. RESULTS Responses were received from child psychiatrists (N = 33), child psychologists (N = 58) and child psychotherapists (N = 8), many of whom were clinicians and few of whom were researchers. Although most clinicians were interested in participating in future research, areas of interest differed between clinical groups. Clinician barriers to research included lack of time, lack of confidence and lack of research skills. Researcher barriers included lack of funding, time and administrative support. All groups were supportive of the development of a national research network. CONCLUSIONS Despite some different areas of interest, there appears to be sufficient combined support from New Zealand child psychiatrists, child psychologists and child psychotherapists to pursue the establishment of a national child and adolescent mental health research network.
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Affiliation(s)
- Hiran Thabrew
- Department of Psychological Medicine, University of Auckland, New Zealand.,Child and Family Specialty Service, New Zealand
| | - Stephanie Moor
- Department of Psychological Medicine, University of Otago, New Zealand.,Child and Family Specialty Service, New Zealand
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8
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Agalawatta N, Kaufmann C, Malhi GS. Transitioning to consultancy: From caterpillar to butterfly! Aust N Z J Psychiatry 2020; 54:780-782. [PMID: 32686461 DOI: 10.1177/0004867420943945] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Neelya Agalawatta
- Mental Health Service, Hornsby Ku-ring-gai Hospital, Hornsby, NSW, Australia.,Department of Psychiatry, Faculty of Medicine and Health, Northern Clinical School, The University of Sydney, Sydney, NSW, Australia
| | - Cornelia Kaufmann
- Department of Psychiatry, Faculty of Medicine and Health, Northern Clinical School, The University of Sydney, Sydney, NSW, Australia.,Ramsay Health, Northside Group St Leonards Clinic, St Leonards, NSW, Australia
| | - Gin S Malhi
- Department of Psychiatry, Faculty of Medicine and Health, Northern Clinical School, The University of Sydney, Sydney, NSW, Australia.,Academic Department of Psychiatry, Northern NSW Local Health District, St Leonards, NSW, Australia.,CADE Clinic, Department of Psychiatry, Royal North Shore Hospital, Northern Sydney Local Health District, St Leonards, NSW, Australia
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9
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Looi JC, Velakoulis D. The vacant chair: headless psychiatry departments in the Group of Eight universities of Australia. Australas Psychiatry 2019; 27:622-624. [PMID: 31241344 DOI: 10.1177/1039856219859276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE This paper considers reasons that may be contributing to the unusual synchronicity of five vacancies for Chairs/Heads of Department of Psychiatry in the Group of Eight University Medical Schools in March 2019. CONCLUSION University psychiatric departmental head vacancies arise from a number of factors: challenges and limitations in public sector psychiatry and universities; structural problems with such appointments; lack of a developmental pipeline for academic psychiatry; and other attractive alternative options, such as private practice.
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Affiliation(s)
- Jeffrey Cl Looi
- Associate Professor and Acting Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra Hospital, ACT, and; Clinical Associate Professor, Neuropsychiatry Unit, Royal Melbourne Hospital, Department of Psychiatry, Melbourne Medical School, Melbourne, VIC, Australia
| | - Dennis Velakoulis
- Professor, Neuropsychiatry Unit, Royal Melbourne Hospital, Department of Psychiatry, Melbourne Medical School, Melbourne, VIC, Australia
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10
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Mohan A, Bayes A, Sachdev PS, Parker G, Mitchell PB. Junior clinical academic psychiatrists in Australia: The University of New South Wales initiative. Australas Psychiatry 2019; 27:241-244. [PMID: 30570347 DOI: 10.1177/1039856218819135] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE We examined current pathways of training for junior clinical academic psychiatrists in Australia. An initiative of the School of Psychiatry, University of New South Wales, is described from the perspective of two junior clinical academics. CONCLUSIONS Australia has limited defined clinical academic pathways for psychiatrists when compared internationally. Numerous challenges for junior psychiatrists entering academia include tensions between clinical and academic roles, reduced remuneration, difficulty building a competitive track record and a scarcity of funding. Potential solutions lie with universities and local health districts partnering to fund clinical academic roles and offering flexible entry points across specialty training. Fostering research engagement in junior psychiatrists will develop the next generation of clinical academics with benefit for clinical and academic domains.
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Affiliation(s)
- Adith Mohan
- Senior Lecturer, Centre for Healthy Brain Ageing, University of New South Wales, Sydney, NSW, and; School of Psychiatry, University of New South Wales, Sydney, NSW, and; Neuropsychiatric Institute, Prince of Wales Hospital, Randwick, Australia
| | - Adam Bayes
- Senior Lecturer, School of Psychiatry, University of New South Wales, Sydney, NSW, and; Black Dog Institute, Randwick, NSW, Australia
| | - Perminder S Sachdev
- Scientia Professor, Centre for Healthy Brain Ageing, University of New South Wales, Sydney, NSW, and; School of Psychiatry, University of New South Wales, Sydney, NSW, and; Neuropsychiatric Institute, Prince of Wales Hospital, Randwick, NSW, Australia
| | - Gordon Parker
- Scientia Professor, School of Psychiatry, University of New South Wales, Sydney, NSW, and; Black Dog Institute, Randwick, NSW, Australia
| | - Philip B Mitchell
- Scientia Professor, School of Psychiatry, University of New South Wales, Sydney, NSW, and; Black Dog Institute, Randwick, NSW, Australia
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11
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Affiliation(s)
- Scott Henderson
- 1 Centre for Mental Health Research, The Australian National University, Canberra, ACT, Australia
| | - Philip Boyce
- 2 Discipline of Psychiatry and Westmead Clinical School, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
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12
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Keightley P, Maguire P, Reay RE, Cubis JC, Craigie P, Looi JC. Clinical research in an academic psychiatry department: some general principles and case studies. Australas Psychiatry 2017; 25:596-599. [PMID: 28990407 DOI: 10.1177/1039856217734675] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE This paper gives guidance for developing collaborative clinical research within an academic psychiatry department. METHODS We describe the experience at the Australian National University Medical School, and present three case studies. RESULTS The results reveal that general principles include, but are not limited to, intellectual curiosity, mentorship, collaboration and protected time. CONCLUSIONS We conclude that a particular strength of a new research department at a medical school may be close collaborative research within clinical settings.
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Affiliation(s)
- Philip Keightley
- Clinical Lecturer in Adult Psychiatry, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Staff Specialist, ACT Health, Canberra, ACT, Australia.,Associate Professor Psychiatry, Psychiatry of Old Age & Neuropsychiatry, & Acting Discipline Lead & Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia
| | - Paul Maguire
- Lecturer in Adult Psychiatry and Acting Co-Deputy Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Staff Specialist, ACT Health, Canberra, ACT, Australia.,Associate Professor Psychiatry, Psychiatry of Old Age & Neuropsychiatry, & Acting Discipline Lead & Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia
| | - Rebecca E Reay
- Lecturer and Senior Research Coordinator, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; ACT Health, Canberra, ACT, Australia.,Associate Professor Psychiatry, Psychiatry of Old Age & Neuropsychiatry, & Acting Discipline Lead & Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia
| | - Jeffrey C Cubis
- Senior Lecturer in Child and Adolescent Psychiatry, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia.,Associate Professor Psychiatry, Psychiatry of Old Age & Neuropsychiatry, & Acting Discipline Lead & Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia
| | - Peggy Craigie
- Student Coordinator and Departmental Administrator, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; ACT Health, Canberra, ACT, Australia.,Associate Professor Psychiatry, Psychiatry of Old Age & Neuropsychiatry, & Acting Discipline Lead & Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia
| | - Jeffrey Cl Looi
- Associate Professor Psychiatry, Psychiatry of Old Age & Neuropsychiatry, & Acting Discipline Lead & Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia
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13
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Allison S, Bastiampillai T, Battersby M. Divided we fall: clinicians and academic psychiatrists need to stand together. Australas Psychiatry 2017; 25:437-439. [PMID: 28699776 DOI: 10.1177/1039856217716296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Psychiatry faces urgent problems requiring united action. These problems affect academic psychiatrists in the universities, and clinicians in publicly funded mental health services. Academic units are isolated and endangered, finding it difficult to recruit. They could benefit from closer relationships with public mental health services, in terms of recruitment, shared teaching and clinical research. However, mental health services are preoccupied with their own problems, particularly in relation to acute clinical demand. How can we stand together to improve academic units and clinical psychiatry? CONCLUSIONS Clinicians and academic psychiatrists can stand together on important matters, but it takes initiatives from local leaders to overcome the structural barriers between health services and the universities. An example is given of united action by clinicians and academic psychiatrists to address a crisis within a state mental health system. First, psychiatrists undertook independent health services research that compared the state system with those in other Australian and international jurisdictions. The comparative data was used to generate solutions, which were presented at every level from ministerial offices through to service managers. Finally, psychiatrists took up joint academic and clinical leadership roles in the university and the mental health system. This united research-led approach turned around the crisis in the state mental health system.
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Affiliation(s)
- Stephen Allison
- Associate Professor of Psychiatry, Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, SA, and; Discipline of General Practice, School of Medicine, Flinders University, Adelaide, SA, Australia
| | - Tarun Bastiampillai
- Executive Director, Mental Health Strategy, Department of Health, Adelaide, SA, and; Professor of Psychiatry, Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, SA, and; Research Fellow, Mind and Brain Theme, South Australian Health and Medical Research Institute, Adelaide, SA, Australia
| | - Malcolm Battersby
- Clinical Director, Mental Health Services, Southern Adelaide Local Health Network, Adelaide, SA, and; Professor and Head of Psychiatry, Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, SA, and; Flinders Human Behaviour and Health Research Unit, Flinders University, Adelaide, SA, Australia
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14
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Nielssen O, McGorry P, Castle D, Galletly C. The RANZCP guidelines for Schizophrenia: Why is our practice so far short of our recommendations, and what can we do about it? Aust N Z J Psychiatry 2017; 51:670-674. [PMID: 28511581 DOI: 10.1177/0004867417708868] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The new RANZCP guidelines for the treatment of schizophrenia and related disorders highlights what we know works. In this paper, we examine why patients so often fail to benefit from this knowledge and why clinical practice falls so far short of the recommended standard. Instead of the continuous improvement that we expect of health care in general, in psychiatry we face an accelerating decline in systems of care. There has been a sustained underinvestment in public mental health care and a shared failure by State and Federal governments to construct and commit to a governance and funding model that can deliver the standard of care that is available in other major non-communicable diseases, and which we know is equally possible for severe mental illness. This paper sets out some of the reasons for the poor quality of care received by many people with schizophrenia and related disorders in Australia, and describes ways that care could be improved. In particular, we recommend an explicit statement of what constitutes an adequate standard of care, for people at all stages of these illnesses. This would help provide transparency about whether the care provided by mental health services achieves these benchmarks, and enable publication of results comparing the performance of different states and regional services. Patients and families, as well as professional, consumer and carer organizations would then be able to see clearly where the deficits are and demand resources and care that match the recommendations.
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Affiliation(s)
- Olav Nielssen
- 1 Faculty of Medicine and Health Sciences, Macquarie University, Sydney, NSW, Australia
| | - Patrick McGorry
- 2 Orygen, the National Centre of Excellence in Youth Mental Health, Parkville, VIC, Australia
- 3 Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia
| | - David Castle
- 4 Department of Psychiatry, St Vincent's Health and The University of Melbourne, Melbourne, VIC, Australia
| | - Cherrie Galletly
- 5 Discipline of Psychiatry, School of Medicine, The University of Adelaide, Adelaide, SA, Australia
- 6 Ramsay Health Care (SA) Mental Health, Gilberton, SA, Australia
- 7 Northern Adelaide Local Health Network, Adelaide, SA, Australia
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15
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Henderson S. Retrospective: Australian and New Zealand psychiatry: What 50 years have brought. Aust N Z J Psychiatry 2017; 51:115-116. [PMID: 28183209 DOI: 10.1177/0004867416685623] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Scott Henderson
- Centre for Mental Health Research, The Australian National University, Canberra, ACT, Australia
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16
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Windsor J, Searle J, Hanney R, Chapman A, Grigg M, Choong P, Mackay A, Smithers BM, Churchill JA, Carney S, Smith JA, Wainer Z, Talley NJ, Gladman MA. Building a sustainable clinical academic workforce to meet the future healthcare needs of Australia and New Zealand: report from the first summit meeting. Intern Med J 2016; 45:965-71. [PMID: 26332622 DOI: 10.1111/imj.12854] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2015] [Accepted: 06/04/2015] [Indexed: 11/27/2022]
Abstract
The delivery of healthcare that meets the requirements for quality, safety and cost-effectiveness relies on a well-trained medical workforce, including clinical academics whose career includes a specific commitment to research, education and/or leadership. In 2011, the Medical Deans of Australia and New Zealand published a review on the clinical academic workforce and recommended the development of an integrated training pathway for clinical academics. A bi-national Summit on Clinical Academic Training was recently convened to bring together all relevant stakeholders to determine how best to do this. An important part understood the lessons learnt from the UK experience after 10 years since the introduction of an integrated training pathway. The outcome of the summit was to endorse strongly the recommendations of the medical deans. A steering committee has been established to identify further stakeholders, solicit more information from stakeholder organisations, convene a follow-up summit meeting in late 2015, recruit pilot host institutions and engage the government and future funders.
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Affiliation(s)
- J Windsor
- Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - J Searle
- School of Medicine, Griffith University, Gold Coast, Queensland, Australia
| | - R Hanney
- Department of Surgery, University of Sydney, Sydney, New South Wales, Australia
| | - A Chapman
- New South Wales Office, Royal Australasian College of Surgeons, Sydney, New South Wales, Australia
| | - M Grigg
- Melbourne Office, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.,Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia
| | - P Choong
- Department of Surgery, The University of Melbourne, Melbourne, Victoria, Australia
| | - A Mackay
- Australian Academy of Health and Medical Sciences, Melbourne, Victoria, Australia
| | - B M Smithers
- Discipline of Surgery, University of Queensland, Princess Alexandra Hospital, Brisbane, Queensland, Australia
| | - J A Churchill
- Australian Medical Association Council of Doctors-in-Training, Melbourne, Victoria, Australia.,Austin Health, Melbourne, Victoria, Australia
| | - S Carney
- Faculty of Life Sciences and Medicine, King's College London, London, UK
| | - J A Smith
- Department of Surgery, Monash Medical Centre, Monash University, Melbourne, Victoria, Australia
| | - Z Wainer
- Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | - N J Talley
- The Royal Australasian College of Physicians, Sydney, New South Wales, Australia.,University of Newcastle, Newcastle, New South Wales, Australia
| | - M A Gladman
- Academic Colorectal Unit, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
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17
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Lyons Z, Janca A. Psychiatry and the global recruitment crisis. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2015. [DOI: 10.12968/ijtr.2015.22.8.356] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Zaza Lyons
- Assistant professor, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia
| | - Aleksandar Janca
- Winthrop Professor, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia
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18
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Affiliation(s)
- Jeffrey C L Looi
- Research Centre for the Neurosciences of Ageing, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Canberra Hospital, Canberra, ACT, Australia
| | - Benny Liberg
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia Division of Medical Imaging and Technology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden
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19
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Allison S, Bastiampillai T, Baune BT. Enabling the success of academic health science centres in Australia: where is the leadership? Med J Aust 2015; 202:475. [PMID: 25971564 DOI: 10.5694/mja15.00099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Accepted: 02/12/2015] [Indexed: 11/17/2022]
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20
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Suetani S, Burgher B, McLean D, Breakspear M, McGrath J. Building capacity in academic psychiatry: The Queensland Mental Health Research Alliance. Aust N Z J Psychiatry 2015; 49:482-3. [PMID: 25801661 DOI: 10.1177/0004867415577980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Shuichi Suetani
- Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia
| | - Bjorn Burgher
- Royal Brisbane and Women's Hospital, Herston, QLD, Australia
| | - Duncan McLean
- Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia
| | - Michael Breakspear
- Royal Brisbane and Women's Hospital, Herston, QLD, Australia QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia
| | - John McGrath
- Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wacol, QLD, Australia The University of Queensland, Queensland Brain Institute, Brisbane, QLD, Australia
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21
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Affiliation(s)
- Zaza Lyons
- School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia
| | - Aleksandar Janca
- School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia
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22
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Henderson S. Surprises? Aust N Z J Psychiatry 2015; 49:311-2. [PMID: 25802179 DOI: 10.1177/0004867415576437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Scott Henderson
- National Institute for Mental Health Research, The Australian National University, Canberra, Australia
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23
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Allison S, Bastiampillai T, Nance M, Roeger L. Where is the clinical professor within the structure of regional mental health services? Aust N Z J Psychiatry 2015; 49:294. [PMID: 25622612 DOI: 10.1177/0004867415570712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Stephen Allison
- Discipline of Psychiatry, Flinders University, Adelaide, Australia
| | - Tarun Bastiampillai
- Discipline of Psychiatry, Flinders University, Adelaide, Australia South Australian Health and Medical Research Institute
| | - Michael Nance
- Discipline of Psychiatry, Flinders University, Adelaide, Australia
| | - Leigh Roeger
- Discipline of Psychiatry, Flinders University, Adelaide, Australia
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24
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Porter RJ. Evaluating service delivery. Aust N Z J Psychiatry 2015; 49:97-8. [PMID: 25604514 DOI: 10.1177/0004867414567807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Richard J Porter
- Department of Psychological Medicine, University of Otago - Christchurch, Christchurch, New Zealand
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25
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Lewis AJ, Jorm AF. Academic psychiatry - extinction or adaptation to a changing world: a view from clinical psychology. Aust N Z J Psychiatry 2015; 49:99-101. [PMID: 25604515 DOI: 10.1177/0004867414563991] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Andrew J Lewis
- School of Psychology, Faculty of Health, Deakin University, Melbourne, Australia
| | - Anthony F Jorm
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Australia
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