GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Online Resource
    Online Resource
    Predictors of Trauma and PTSD among Heroin Users: A Prospective Longitudinal Investigation
    SAGE Publications ; 2008
    In:  Journal of Drug Issues Vol. 38, No. 2 ( 2008-04), p. 585-599
    Details
    In: Journal of Drug Issues, SAGE Publications, Vol. 38, No. 2 ( 2008-04), p. 585-599
    Abstract: This study is the first to examine exposure to trauma and the development of PTSD prospectively among heroin users. Participants were 309 heroin users followed up over two years as part of the Australian Treatment Outcome Study. Forty-one percent reported trauma exposure, and 5.8% developed PTSD over the follow-up period. Baseline characteristics that independently predicted trauma exposure were younger age and a history of imprisonment. Those who developed PTSD did not differ from those with a history of PTSD at baseline on any characteristics. Those who developed PTSD were, however, more likely to have a history of attempted suicide compared to those with no history of PTSD. These findings suggest that there is a need for trauma prevention programs particularly targeting younger people, those with a history of imprisonment, and those with a history of attempted suicide, who may be more susceptible to trauma exposure and the development of PTSD.
    Type of Medium: Online Resource
    ISSN: 0022-0426 , 1945-1369
    URL: Article
    DOI: 10.1177/002204260803800210
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2008
    detail.hit.zdb_id: 2051257-0
    SSG: 2,1
    SSG: 15,3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 2
    Online Resource
    Online Resource
    Intensive Case Management: A Cost-Effectiveness Analysis
    SAGE Publications ; 1998
    In:  Australian & New Zealand Journal of Psychiatry Vol. 32, No. 4 ( 1998-08), p. 551-559
    Details
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 32, No. 4 ( 1998-08), p. 551-559
    Abstract: Objective: The objective of this study was to compare the outcomes and costs of intensive case management with routine case management for a group of severely disabled patients with a mental illness. Method: A cost-effectiveness analysis was conducted alongside a randomised con trolled trial. Seventy-three patients, who reside in the eastern suburbs of Sydney, were randomly allocated to either intensive or routine case management. Staff pro viding intensive case management had substantially lower caseloads than staff pro viding routine case management. The main health outcome measured was patients' level of functioning as measured by the Life Skills Profile. Costing data were collect ed from hospital services, mental health services, general health services, community services and informal carers. Results: At 12 months, outcome and costing data were analysed on 58 patients and hospitalisation data were analysed on 68 patients. Significantly more patients in the intensive case management group remained in treatment (χ 2 = 6.00, df = 1, p 〈 0.01) and showed a clinically significant improvement in functioning from base line to 12 months (χ 2 = 4.50, df = 1, p 〈 0.05). The mean cost per patient was $7745 more in the intensive group than in the routine group (t = 1.49, df = 56, p 〉 0.01) over 12 months. The cost-effectiveness ratio indicated a cost of $27 661 per year for one additional patient in the intensive case management group to make a clinically significant improvement in functioning. Conclusion: Intensive case management led to an increased rate of retention in treatment and a clinically significant improvement in functioning. Further comparative cost-effectiveness studies are required to determine whether $27 661 per year for one patient to make a clinically significant improvement in functioning is a cost-effective use of mental health resources.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    URL: Article
    DOI: 10.3109/00048679809068330
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1998
    detail.hit.zdb_id: 2003849-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 3
    Online Resource
    Online Resource
    Comorbidity in Australia: Findings of the 2007 National Survey of Mental Health and Wellbeing
    SAGE Publications ; 2009
    In:  Australian & New Zealand Journal of Psychiatry Vol. 43, No. 7 ( 2009-07), p. 606-614
    Details
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 43, No. 7 ( 2009-07), p. 606-614
    Abstract: Objective: The aim of the present study was to report the prevalence and patterns of 12 month comorbidity in the 2007 National Survey of Mental Health and Wellbeing (2007 NSMHWB). In this paper the comorbidity between common mental disorders (affective, substance use and anxiety) and between physical and mental disorders is examined. Method: The 2007 NSMHWB was a nationally representative household survey of 8841 Australian adults (16–85 years) that assessed participants for symptoms of the most prevalent ICD-10 mental disorders. Results: The common mental disorder classes (affective, anxiety and substance use disorders) often occur together and 25.4% of persons with an anxiety, affective or substance use disorder had at least one other class of mental disorder. A small proportion (3.5%, 95% confidence interval (CI) = 2.3–4.7%) had all three classes of disorder. Mental disorder and physical disorder comorbidity was also common, with 28% (95%CI = 25.1–30.9%) of those with a chronic physical disorder also having a mental disorder. Comorbidity was associated with greater severity and greater health service use. Conclusions: Comorbidity is widespread and remains a significant challenge for the delivery of effective health-care services and treatment.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    URL: Article
    DOI: 10.1080/00048670902970908
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2009
    detail.hit.zdb_id: 2003849-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 4
    Online Resource
    Online Resource
    Measuring Disability, Need and Outcome in Australian Community Mental Health Services
    SAGE Publications ; 2000
    In:  Australian & New Zealand Journal of Psychiatry Vol. 34, No. 5 ( 2000-10), p. 850-855
    Details
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 34, No. 5 ( 2000-10), p. 850-855
    Abstract: Objective: This study trialled routine measurement of disability, need and outcome in mental health services within Sydney. Method: Fifteen community mental health clinicians with a combined caseload of 283 patients participated in the study. The Health of the Nation Outcome Scales (HoNOS) was used to assess disability and outcome and the patient and staff versions of the Camberwell Assessment of Need (CAN) were used to assess need. Results: The HoNOS and CAN appear to be promising contenders for routine use. Patients receiving assertive case management were rated as having higher levels of disability and need than patients receiving standard case management. Significant change in outcome was demonstrated with the HoNOS. Conclusions: To ensure the continued measurement of consumer outcome, issues such as staff education, training, and the development of computerised information systems should be addressed.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    URL: Article
    DOI: 10.1080/j.1440-1614.2000.00815.x
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2000
    detail.hit.zdb_id: 2003849-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 5
    Online Resource
    Online Resource
    Measurement of Need for Care: A Trial of the Camberwell Assessment of Need and the Health of the Nation Outcome Scales
    SAGE Publications ; 1999
    In:  Australian & New Zealand Journal of Psychiatry Vol. 33, No. 5 ( 1999-10), p. 754-759
    Details
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 33, No. 5 ( 1999-10), p. 754-759
    Abstract: Objective: The accurate assessment of the individual needs of clients has been the focus of increasing discussion in mental health service delivery and evaluation. There is evidence to suggest that clinicians and clients differ in their perceptions of need and that staff assessments alone may not be sufficient for determining need for care. This study addresses these discrepancies in an Australian setting. Method: The Camberwell Assessment of Need (short version) and the Health of the Nation Outcome Scales (HoNOS) were completed on a sample of 78 clients of a mental health service in inner Sydney. Results: Clinicians identified a mean number of 7.3 needs per client (SD = 5.0) compared with 6.0 (SD = 2.4) identified by clients. The mean kappa coefficient for agreement between clinicians and clients in identification of the 22 need areas was 0.18 (range = 0–0.45), indicating poor to moderate agreement. Similarly, client ratings of need were only moderately correlated with clinician ratings of disability on the HoNOS (Pearson's r = 0.35). Clinician ratings of disability and unmet need were highly correlated (Pearson's r = 0.80), whereas ratings of disability and met need were moderately correlated (Pearson's r = 0.52). Conclusions: Individual needs assessments using the CAN are applicable in this Australian setting. Staff and clients differ in their assessment of need. It is important to consider both the role of the rater and the context in which they are making the ratings when applying need and disability assessments in clinical practice.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    URL: Article
    DOI: 10.1080/j.1440-1614.1999.00598.x
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1999
    detail.hit.zdb_id: 2003849-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 6
    Online Resource
    Online Resource
    Women and schizophrenia
    SAGE Publications ; 2008
    In:  Australian and New Zealand Journal of Psychiatry Vol. 35, No. 5 ( 2008-06-28), p. 698-698
    Details
    In: Australian and New Zealand Journal of Psychiatry, SAGE Publications, Vol. 35, No. 5 ( 2008-06-28), p. 698-698
    Type of Medium: Online Resource
    ISSN: 0004-8674
    URL: Article
    DOI: 10.1111/j.1440-1614.2001.0949a.pp.x
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2008
    detail.hit.zdb_id: 2003849-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 7
    Online Resource
    Online Resource
    Stakeholder perspectives on evidence for digital mental health interventions: Implications for accreditation systems
    SAGE Publications ; 2019
    In:  DIGITAL HEALTH Vol. 5 ( 2019-01), p. 205520761987806-
    Details
    In: DIGITAL HEALTH, SAGE Publications, Vol. 5 ( 2019-01), p. 205520761987806-
    Abstract: Digital mental health interventions can be effective for treating mental health problems, but uptake by consumers and clinicians is not optimal. The lack of an accreditation pathway for digital mental health interventions is a barrier to their uptake among clinicians and consumers. However, there are a number of factors that may contribute to whether a digital intervention is suitable for recommendation to the public. The aim of this study was to identify the types of evidence that would support the accreditation of digital interventions. Method An expert workshop was convened, including researcher, clinician, consumer (people with lived experience of a mental health condition) and policymaker representatives. Results Existing methods for assessing the evidence for digital mental health interventions were discussed by the stakeholders present at the workshop. Empirical evidence from randomised controlled trials was identified as a key component for evaluating digital interventions. However, information on the safety of users, data security, user ratings, and fidelity to clinical guidelines, along with data from routine care including adherence, engagement and clinical outcomes, were also identified as important considerations when evaluating an intervention. There are considerable challenges in weighing the evidence for a digital mental health intervention. Conclusions Empirical evidence should be the cornerstone of any accreditation system to identify appropriate digital mental health interventions. However, robust accreditation systems should also account for program and user safety, user engagement and experience, and fidelity to clinical treatment guidelines.
    Type of Medium: Online Resource
    ISSN: 2055-2076 , 2055-2076
    URL: Article
    DOI: 10.1177/2055207619878069
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2019
    detail.hit.zdb_id: 2819396-9
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 8
    Online Resource
    Online Resource
    Intensive case management: a cost- effectiveness analysis
    SAGE Publications ; 1998
    In:  Australian and New Zealand Journal of Psychiatry Vol. 32, No. 4 ( 1998-08), p. 551-559
    Details
    In: Australian and New Zealand Journal of Psychiatry, SAGE Publications, Vol. 32, No. 4 ( 1998-08), p. 551-559
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    URL: Article
    DOI: 10.1046/j.1440-1614.1998.00439.x
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1998
    detail.hit.zdb_id: 2003849-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 9
    Online Resource
    Online Resource
    Integrated Trauma-Focused Psychotherapy for Traumatic Stress and Substance Use: Two Adolescent Case Studies
    SAGE Publications ; 2022
    In:  Clinical Case Studies Vol. 21, No. 3 ( 2022-06), p. 192-208
    Details
    In: Clinical Case Studies, SAGE Publications, Vol. 21, No. 3 ( 2022-06), p. 192-208
    Abstract: Post-traumatic stress disorder (PTSD) and substance use disorder (SUD) occur frequently as comorbid diagnoses among adolescents. Historically, these conditions have been treated using a sequential model; however, emerging evidence suggests that an integrated treatment model may be most effective. This article presents two de-identified clinical case studies from an ongoing randomised controlled trial examining the efficacy of an integrated, exposure-based, cognitive-behavioral psychotherapy (CBT) for PTSD and SUD among adolescents (COPE-A), relative to a supportive counselling control condition (person-centred therapy). In both case studies, participants were randomised to receive the COPE-A integrated treatment, which incorporates prolonged exposure (PE) including imaginal and in vivo exposure as a core treatment component alongside CBT for PTSD and SUD. The clinical profile and treatment response of each participant is discussed. Promising results were found in both cases, with substantially reduced traumatic stress symptoms and decreased or stable levels of substance use by the end of treatment. Clinical implications of these early findings are discussed.
    Type of Medium: Online Resource
    ISSN: 1534-6501 , 1552-3802
    URL: Article
    DOI: 10.1177/15346501211046054
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2078528-8
    SSG: 5,2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 10
    Online Resource
    Online Resource
    Evaluating the differential effectiveness of social influence and personality-targeted alcohol prevention on mental health outcomes among high-risk youth: A novel cluster randomised controlled factorial design trial
    SAGE Publications ; 2020
    In:  Australian & New Zealand Journal of Psychiatry Vol. 54, No. 3 ( 2020-03), p. 259-271
    Details
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 54, No. 3 ( 2020-03), p. 259-271
    Abstract: This study examined the secondary mental health outcomes of two contrasting alcohol prevention approaches, whereby one intervention targets common underlying personality risk for alcohol use and mental health problems ( Preventure) and the other targets alcohol- and drug-related behaviours and cognitions ( Climate Schools). Methods: A 2 × 2 cluster randomised controlled factorial design trial was conducted in 26 Australian schools randomised to the following 4 conditions: Climate Schools ( n = 6), Preventure ( n = 7), combined Climate Schools and Preventure (CAP; n = 6) or treatment as usual (TAU; n = 7). Participants completed questionnaires at baseline, 6, 12, 24 and 36 months post-baseline including the Brief Symptom Inventory anxiety and depression scales and hyperactivity and conduct scales of the Strengths and Difficulties Questionnaire. Analyses focused on students who were at high-risk based on personality traits ( n = 947; M age  = 13.3). The effectiveness of each approach in reducing symptoms of internalising and externalising problems was assessed using multi-level mixed effects analysis. Results: Main effects for each intervention relative to not receiving that intervention revealed significant main effects of Preventure in reducing anxiety symptoms ( d = −0.27, 95% confidence interval [CI] = [−0.53, −0.01] , p  〈  0.05) and a marginal effect in reducing depressive symptoms ( d = −0.24, 95% CI = [−0.49, 0.01], p = 0.06) over 3 years. Interaction effects revealed that when delivered alone, Preventure significantly reduced conduct problems ( d = −0.45, 95% CI = [−0.78, −0.11] , p  〈  0.05) and hyperactivity symptoms ( d = −0.38, 95% CI = [−0.70,−0.07], p  〈  0.05) compared to TAU. Conclusion: This study is the first to report the effectiveness of personality-targeted alcohol prevention in reducing internalising and externalising symptoms relative to an active control, providing evidence in favour of its specificity in preventing concurrent substance use and mental health problems among high-risk youth.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    URL: Article
    DOI: 10.1177/0004867419877948
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2003849-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...