Clinical Research Centre Annual Report 2014 - WA · PDF fileAnnual Report 2014 . 1 . Contents...

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health.wa.gov.au Clinical Research Centre Annual Report 2014

Transcript of Clinical Research Centre Annual Report 2014 - WA · PDF fileAnnual Report 2014 . 1 . Contents...

health.wa.gov.au

Clinical Research Centre Annual Report 2014

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Contents CRC Objectives 2

2014 CRC Staff 3

2014 CRC Research Associates 4

CRC Operational Structure 5

Projects completed in 2014 7

Projects ongoing to 2015 12

2014 Clinical and Community Engagement 20

Contact Details 24

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CRC Objectives

The Clinical Research Centre (CRC) was formally initiated in 2012, and is based at Gascoyne House, Graylands Health Campus. It carries out a wide range of mental health research projects, translational research and clinical audits for North Metropolitan Health Service Mental Health (NMHS MH).

CRC comprises clinical research staff who conduct high quality mental health research across a range of disciplines. Research projects conducted at CRC contribute to improvements in the clinical management and outcomes for people with mental illness, and towards the reform of service delivery within WA. This work is underpinned by a coordinated approach to research that aligns with statewide clinical priorities.

The specific objectives of CRC are:

1) To carry out high-quality multidisciplinary projects with clinical relevance for people with mental illness, clinical management and service delivery;

2) To foster projects aligned with NMHS MH clinical priorities and working towards clinical reform;

3) To provide advice, consultation and support relating to project design, analyses and results for projects undertaken as part of NMHS MH and statewide mental health services;

4) To be actively involved in NMHS MH and statewide planning of clinical reform, interventions, management and service delivery;

5) To strengthen partnerships with consumers, carers and community managed organisations in developing research projects and protocols;

6) To undertake collaborative research with clinical, research, health and other services, and the community;

7) To provide supervision for mental health clinicians and other professionals working towards credentialing and higher degrees in mental health;

8) To share resources with other NMHS MH and statewide services to support a learning culture; and

9) To help organise training for NMHS MH staff in a range of basic and practical project-related skills.

Three sub-units currently operate within the Clinical Research Centre:

• The Clinical Research Unit (CRU) consists of NMHS MH staff who provide core research and administrative support to the Clinical Research Centre’s other sub-units.

• The Clinical Applications Unit (CAU) works with local clinicians and uses local research findings to develop care coordination packages for mental health patients with complex health care needs.

• The Service Analysis Unit (SAU) provides advanced statistical analysis to enhance mental health operational effectiveness and outputs. It undertakes data collection and analysis to benefit local and statewide projects.

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2014 CRC Staff

Badcock, Dr Johanna Senior Clinical Psychologist

Bose, Mr Avijit Neurophysiology Technologist

Chiu, Ms Vivian NMHS MH / UWA PhD Student

Coltrona, Mr Thomas Project Officer

Davison, Dr Sophie CAU – Research Psychiatrist

Dragović, Dr Milan Acting Director, CRC

Senior Scientist - Neuropsychiatry

Hall, Ms Tammy CAU – Research Officer

Harrison, Ms Carole CAU – Senior Research Nurse

Howell, Ms Sarah Coordinator of Clinical Research

Martyr, Dr Philippa Communications Officer

Mondinos, Mr Nick IT Support

Morgan, Dr Vera Operational Epidemiologist

Onley, Ms Satya Project Officer

Pedruzzi, Ms Rebecca Research Officer

Price, Dr Greg Senior Scientist – Electrophysiology

Ramankutty, Dr Padmaja SAU – Senior Information Analyst

Richards, Dr Neilson SAU – Senior Information Analyst

Rock, Dr Daniel Director, CAU

Turker, Dr Emma Psychiatry Registrar

Vohma, Ms Vaike SAU – Senior Information Analyst

Waters, Dr Flavie CAU – Principal Researcher

Zota, Ms Camelia Executive Officer, REGO, NMHS MH

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2014 CRC Research Associates Name Affiliation Collaborating with Term expires

Dr Brian Power Rockingham General Hospital

Nikos Stefanis, Milan Dragović

March 2015

Dr Thinh Nguyen Rockingham General Hospital

Milan Dragović, Jo Badcock, Rebecca Pedruzzi, Padmaja Ramankutty

March 2015

Dr Alexander John Bentley Health Service

Padmaja Ramankutty, Milan Dragović, Rebecca Pedruzzi

March 2015

Professor Sergio Starkstein

School of Psychiatry and Clinical Neurosciences, UWA

Milan Dragović, Rebecca Pedruzzi

March 2015

Professor Nikos Stefanis

National and Kapodistrian University of Athens Medical School, Greece

Milan Dragović, Brian Power March 2015

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CRC Operational Structure

NMHS MH Deputy Executive Director

NMHS MH Executive Director

Health Data Informatics Committee

Director CRC

Clinical Research Centre

Service Analysis

Unit

Clinical Applications

Unit

Neuro-physiology

Unit

Clinical Research Unit

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Acting Director’s Report

Throughout 2014 I continued to act as Director of the Clinical Research Centre while Clinical Professor Daniel Rock has been acting in the position of Deputy Area Executive Director, NMHS MH.

It has been an eventful year for CRC, in the wake of internal and external changes being announced for mental health services in Western Australia. Internally, the Neurophysiology Unit and its rTMS program will be transferred from Statewide Services to the Adult Program, and this will correspond with a planned move off the Graylands site for these services. CRC has had a long administrative and research relationship with the rTMS program, so this change will be significant for all our staff.

Externally, 2014 saw the passing of a new Mental Health Act for Western Australia, and the launch of the Mental Health, Alcohol and Other Drug Services Plan for consultation by the Minister for Mental Health, Hon Helen Morton MLC. Both of these factors, especially the Plan’s proposal to decommission Graylands Hospital over the next ten years, will have immediate and far-reaching implications for NMHS MH’s clinical service delivery, and for CRC’s future workload and focus.

In the meantime, CRC continues to contribute to NMHS MH’s ongoing clinical reform program. In 2014 our staff worked on a range of large-scale projects, including the National Mental Health Costings Project and the Western Australian Mental Health, Alcohol and Other Drug Services Plan. Staff have also contributed to developing models of care for consumers with neuropsychiatric disability, continued the audit of physical health care in mental health settings, monitored and analysed service use for a range of NMHS MH service users and stakeholders, collaborated with the NMHS SHIP project, and researched the growing problem of mental health care in WA prisons.

We look forward to continuing our productive engagement with our individual research collaborators and with NMHS MH, in future clinical planning and improvement of service delivery across all mental health settings.

Dr Milan Dragović Acting Director, CRC February 2015

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Projects completed in 2014

Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Key Project Outcomes

Antipsychotic polypharmacy among psychiatric inpatients

The purpose of this project was to estimate prevalence rates of antipsychotic polypharmacy among inpatients with schizophrenia spectrum disorder.

Alexander John, Padmaja Ramankutty, Milan Dragović

Identified substantial differences between everyday clinical practice and recommendations of practice guidelines of schizophrenia, regarding the use of APP.

Recommended prospective studies to identify the rationale behind high utilisation of APP in clinical practice.

Project input: Provided statistical advice; data screening and data analyses; writing up the result sections of the manuscripts; graphical representation of data

Publications: Australasian Psychiatry Dec 2014; Journal of Clinical Psychopharmacology, in press

Clinical Service Redesign – SCGH ED unit

This project forms part of NMHS MH’s clinical service reform program, and is examining how data can be collected more effectively in SCGH ED.

Neilson Richards, John Ellis (project sponsor), Patrick Marwick (Exec Sponsor)

Reference dataset created covering a single tax year

Exploratory analysis performed

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Key Project Outcomes

Graylands Hospital Physiotherapy database

The objective of this project was to compile & simplify existing databases & excel spreadsheets into one central database and to generate reports relating to patient activity, staff workload, budgets, and service monitoring.

Padmaja Ramankutty, Kevin Lau

Compiled & simplified existing databases & excel spreadsheets into one central database

Created reports relating to patient activity, staff workload, budgets, and service monitoring

Medical Advisory Committee (MAC) Handbook for Medical Officers and Registrars

A handbook for all new medical officers and registrars within NMHS MH Adult Program was created. This handbook was then made available as an electronic application.

Tammy Hall, Sandy Tait, Neilson Richards

Compiled a handbook for all new medical officers and registrars in NMHS MH

Distributed this handbook in hardcopy and app format

Touchscreen app created containing all the information from the mental health handbook.

NMHS MH Governance Project

This project collaborated with the executive of an external agency (Perth Central and East Metro Medicare Local) to undertake a review of NMHS MH governance.

Learne Durrington, Sarah Howell, Philippa Martyr, Dimitra Economo

Completed area-wide consultative process Produced draft Review document Fed into major decision-making process at NMHS executive level

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Key Project Outcomes

NMHS MH Older Adult Program (OAP) reporting

This project compared the OAP data set with reports produced from PSOLIS and TOPAS and identified a process whereby accurate reports can be produced from TOPAS and PSOLIS and reduce the need for local services to separately enter activity data.

Padmaja Ramankutty, Helen McGowan (Exec Sponsor)

Created reports to generate monthly stats from data entered into PSOLIS

Automated the generation of these reports

Eliminated separate data capture system

SMHS MH Older Adult Program (OAP) reporting

This project compared the OAP data set with reports produced from PSOLIS and TOPAS and identified a process whereby accurate reports can be produced from TOPAS and PSOLIS and reduce the need for local services to separately enter activity data.

Padmaja Ramankutty, Sharon Mannion, Carolyn Williams, Elisabeth Moore (Exec Sponsor)

Created reports to generate monthly stats from data entered into PSOLIS

Automated the generation of these reports

Eliminated separate data capture system

Specialist Neuropsychiatry Disability Service Model of Care

This project developed a Model of Care for mental health consumers with a co-morbid cognitive disability, and advised the development of a specialist mental health service for this group of consumers. This model has been approved by the Executive Director, NMHS MH and is awaiting further endorsement.

Tammy Hall, Daniel Rock, Patrick Marwick (Exec sponsor)

Developed a Model of Care for mental health consumers with a co-morbid cognitive disability

Approved by the Executive Director NMHS MH and awaiting further endorsement

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Key Project Outcomes

UWA and NMHS MH Research Collaboration Agreement

A research agreement between the UWA School of Psychiatry and Clinical Neurosciences and NMHS MH was developed. This research agreement will be in place for three years from February 2015.

Tammy Hall, Patrick Marwick, Daniel Rock, Sean Hood, Helen Moran

Created a research agreement between NMHS MH and the UWA School of Psychiatry and Clinical Neurosciences

Approved for three years beginning February 2015

WA Mental Health & Alcohol and Other Drug Services Plan – Forensic Plan

The Forensic Planning Group was chaired by Sophie Davison, and was set up to advise the Mental Health Commission on the content of the Forensic Plan for WA.

Sophie Davison, Edward Petch, Jannie Piercy, Ian Giles, Margaret Doherty, Ennio Cicchini, Rhianwen Beresford, Roslyn Carbon, Neil Guard, Ian Matthews, Mark Hall, John van der Giezen, Lesley Barr, Natalie Pyszora, Warwick Smith

Completed its process of advising the MHC

Ran consumer / carer workshops

Sophie Davison provided expert advice about adapting the method, numbers and service models, based on a review of the published literature.

WA Mental Health & Alcohol and Other Drug Services Plan – Stage 2

This project built on Stage 1 and incorporated the merger of the Drug and Alcohol Office (DAO) with the Mental Health Commission. Key projects outlined by Stage 1 of the Plan were developed for further consideration.

Judi Morris, Alexandra Welborn, Steve Patchett, Jillian Fimmel, Andrew Bright, Mel Shelley, Benny Sullivan, Jannie Piercy, Philippa Martyr, Gayathri Abeywardena, Avonia Donnellan

Completed major subsection of 10 year future mental health services plan for Cabinet consideration

Release of WA Mental Health, Alcohol and other Drug Services Plan for public consultation December 2015

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Key Project Outcomes

Western Australian State-Wide Physical Health Care Audit

The project undertook a single WA State-Wide Mental Health Inpatient Physical Health Care Audit, to provide an accurate representation of all physical health care assessment events of patients within Western Australian Mental Health Inpatient Services (updated from: NMHS MH) during May/June 2014. Discrepancies in the data may inform future education provision and related training package recommendations.

Carole Harrison, Rosemary Hoffman (Exec Sponsor)

262 patients admitted during the census period over the State of WA. All included in the audit.

Developed an enhanced audit tool to ensure that future physical health audits conducted within NMHS MH are contemporary and provide evidence for future care provision.

Women’s Health Survey (Sexual and Reproductive Health Needs of Women with Serious Mental Illness)

The original objective of this survey was to obtain baseline health data on Western Australian women of childbearing age (18 to 50 years) attending North Metropolitan community mental health services (2011). The study was extended to South Metropolitan community mental health services (2012). This project was a collaboration between the Clinical Applications Unit, King Edward Memorial Hospital and WA Sexual Health Services.

Yvonne Hauck, Thinh Nguyen, Padmaja Ramankutty, Milan Dragović, Rebecca Pedruzzi

Identified serious sexual health issues among this population, many of which can be addressed within current framework of care delivery

Project input: statistical advice and data analyses; preparation of graphs and tables; participating in the poster production; poster has been accepted for publication (Japan)

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Projects ongoing to 2015

Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Association between cannabis use and cognition in psychosis

This study is to describe the relationship between psychosis and cannabis use in the national SHIP sample.

Brian Power, Nikos Stefanis, Jo Badcock, Milan Dragović, Vera Morgan

Better health in the Rehabilitation Clinical Stream

Wellness depends on recognising and supporting what are called the ‘pillars of health’. These include good physical health, restorative sleep, and psychosocial functions. Clinical audits have been conducted in the Rehabilitation Clinical Stream of Graylands Hospital. These have focused on examining specific domains of enquiry; specifically sleep quality, fatigue and functional impairments.

This evidence base has also been used to develop resources (booklets 2013, 2014), and design new interventions and better services for people with severe mental illness. A new CBT for people with psychosis and insomnia has been developed in collaboration with consumers and carers and will be piloted in 2015.

A clinical trial is also currently under way which examines the relative efficacy of melatonin, CBT for insomnia and TAU for improving sleep, functioning and cognition in schizophrenia.

Screening and sleep interventions for sleep disorders in affected individuals remains available on the Graylands Campus.

Flavie Waters, Daniel Rock

Clinical Rehabilitation Audit 2010 follow up

This project is following up a cohort of 112 NMHS MH patients with severe and/or complex mental health disorders who were identified in the 2010 Clinical Rehabilitation Audit. It will measure the group’s outcomes and other factors which will help to inform and improve future care for this group.

Emma Turker, Milan Dragović, Daniel Rock, Sandy Tait

Cognitive deficits and functional capacity of schizophrenia patients

This project explores the nature and patterns of cognitive deficits in schizophrenia inpatients and their impact on quality of daily functioning.

Alexander John, Milan Dragović

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

CVD-related mortality in a Western Australian psychiatric cohort 1950-1959

This project analyses a data set of mortality in Claremont Mental Hospital from 1950-1958, the period of the introduction of first generation antipsychotics into psychiatric hospitals of WA, and looks at existing cardiovascular mortality rates in this population compared to the general WA population at the time.

Carole Harrison, Philippa Martyr, Daniel Rock

Effectiveness of cognitive remediation in the early stages of psychosis

This funded project (SHRAC) addresses several research questions:

a) Effectiveness of neuroplasticity based cognitive training program (BTP)

b) Effects of BTP on positive and negative symptoms

c) Effects of BTP on occupational functioning and re-hospitalisation rates

Alexander John, Milan Dragović

Electronic data capture system

An electronic system is being developed, particularly for use on touchscreen mobile devices, to capture, code, and generate reports for several standard mental health measures as used by the clinical rehabilitation service.

Neilson Richards, Denise Bromwell, Sandy Tait

Emergency department data

Analysis of factors affecting length of stay in the Sir Charles Gardiner Hospital Emergency Department

Neilson Richards, Milan Dragović, Daniel Rock, Patrick Marwick, David Mountain, Leanne Sultan, Garry Wallace, Sandy Tait, Helen McGowan, Kieran Byrne, John Ellis

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Family/Carer Partnership and Education Strategy

A responsive partnership between mental health services and carers/families is recognised as pivotal in improving the outcomes of people with mental illness.

A multidisciplinary Carer Partnership and Education (FACES) team have developed systems and processes to improve the quality and quantity of engagement between clinicians and carers/families.

Surveys have been conducted to identify gaps in carer engagement and determine steps to improve the quality of partnerships between NMHS MH clinicians, consumers. Families/carers’ access to information and resources have improved with information posted on the intranet, and regular newsletters. Finally, best practice guidelines and recommendations have been developed in consultation with stakeholders. As of Dec 2014, the project is almost complete. The final task is to develop an online training package, the curriculum for which is being put together.

Flavie Waters, Daniel Rock, Kerry Hawkins, Philippa Martyr, Milan Dragović

Impact of neuropsychological evaluation on hospital presentations, admission rates and length of stay in a sample of general medical patients

The objective of this project is to evaluate the impact of access to an onsite neuropsychologist for general medical patients in an acute tertiary hospital. It is hypothesised that even after accounting for the neuropsychologist’s salary, the shorter length of stay results in cost savings to the hospital.

Rachel Zombor, Neilson Richards, Milan Dragović

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Incidence of CVD and the distribution of risk factors for CVD among people with psychosis in Western Australia 1970-2011

Cardiovascular disease (CVD) is reported to be the leading cause of death for both males and females in Australia. High levels of medical co-morbidity (e.g. diabetes mellitus) and excess mortality have long been documented in people with serious mental illness. Life style related CVD-risk factors such as smoking prevalence, higher BMI and sedentary lifestyle in association with side effects of antipsychotic medication (weight gain, dyslipidemia etc) impact significantly on this cohort. The life expectancy of patients with schizophrenia is between two and three decades shorter than that of the general population, in large part due to CVD. The project uses linked data from core data sets (MHIS, HMDS, mortality) to determine rates of CVD incidence, CVD interventions and mortality in people suffering psychosis in WA. This will allow health services in WA to better understand the CVD-risk in its treatment population, assist in health promotion, therapeutic care planning and management of co-morbid medical disorders etc.

Carole Harrison, Vera Morgan, Milan Dragović, Daniel Rock, Assen Jablensky

Inter-Hospital Patient Transfer Service

The Pilot Mental Health Inter-Hospital Patient Transfer Service (IHPTS) provides inter-hospital transfers for all metropolitan hospital Emergency Departments and metropolitan Mental Health Units and Bunbury. The purpose of this project is to provide accurate statistical monitoring of the whole process and to generate automated reports.

Milan Dragović, Kieran Byrne, Philippa Martyr

KPI Project Stages 2 and 3

The purpose of this project is to provide complete technical specifications for the set of KPIs that were developed in the KPI Framework Development Working Group project. Stages 2 and 3 will continue the project by extracting the data, analysing it, and using it to creating a dashboard.

Padmaja Ramankutty, Daniel Rock, Stephen Castle, Geoff Hammond, Patrick Marwick (Executive Sponsor)

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Mental Health and Substance Use of WA Prisoners

This is a survey to describe the nature and extent of mental health, alcohol and drug problems in prisoners in WA as well as their clinical and psychosocial needs. It is a joint project between NMMHS and UWA School of Psychiatry and Clinical Neurosciences funded by the Mental Health Commission, Drug and Alcohol Office and Department of Corrective Services. Over 700 prisoners participated. The data have been analysed and are being written up as a report. The report will inform the implementation of the WA Mental Health Alcohol and Drug Services Plan and reforms within DCS.

Sophie Davison Jennifer Fleming, Tony Butler, Vera Morgan, Edward Petch, Frank Morgan, Daniel Rock, Jocelyn Jones, Michael Wright, Michael Mitchell, Aleksandar Janca

Metropolitan Hospital Bed Activity

This project will design a reliable data depository for daily monitoring of mental health bed activity across Perth metropolitan area, and develop a standardised reporting module.

Milan Dragović, Kieran Byrne

National Mental Health Costings Study

This national project is collecting a raw data set on staff, patients and interventions, and producing a new classification for all patients and activity that will feed into determining ABF/M for mental health.

Graylands Hospital only: Sarah Howell, Thomas Coltrona, Satya Onley

North Metropolitan Health Service Mental Health SHIP (Survey of High Impact Psychosis) Analysis – Main Survey & GP Questionnaires

In March 2012, a random sample of 250 patients with psychosis who received public or publicly funded mental health services through NGOs, within the North Metropolitan Health catchment, were interviewed. In the first instance the aim was to estimate the local prevalence of psychosis. A secondary aim was to provide a local evidence base to help inform mental health policy development within the catchment for consumers with psychosis. The data consists of 1920 variables and two GP questionnaires and is being analysed by topic to learn more about the catchment’s population with psychosis. Areas analysed so far include migrant groups, private health insurance, disability groups, GP service provision, GP’s perceived role and collaborative treatment.

Vaike Vohma, Milan Dragović, Vera Morgan, Daniel Rock, Patrick Marwick, Learne Durrington

Office of the Chief Psychiatrist Standards for Authorisation – SCGH Mental Health Unit

This project is compiling an evidence base to support the authorisation of the SCGH MHU according to the set of 190 standards outlined in 2007 by the OCP under the 1996 Mental Health Act.

Christina Bygrave, Jayne Pitchford, Philippa Martyr

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Older Adult Program Information Management

This project is to assist the clinical director to better understand the information management processes needed to clarify and optimise revenue for this service in preparation for ABF.

Padmaja Ramankutty, Shela Kolandasamy, David Simpson, Shirley Glasgow, Sarah Sprague, Helen McGowan (Exec Sponsor)

Prison Transition Project

In collaboration with the Statewide Forensic Mental Health Service, Department of Corrective Services co-morbidity service and Partners in Recovery we are working to develop pathways and care coordination for people with severe mental illness and complex needs on release from prison. We have set up a steering group with key stakeholders and meet regularly to develop pathways and a model of care and facilitate inter-agency working. Sophie Davison is also working to develop a project to evaluate the new service by comparing outcomes of prisoners who receive the service and those who don’t. The project will reduce the number of people with complex needs who fall through the gaps on release from prison and inform the planning and delivery of services to people with complex needs and mental illness on release from prison

Sophie Davison, Natalie Pyszora and partners from DCS, PIR, Richmond Fellowship and Outcare.

Promoting mental health nursing as a sustainable career option

Mental health nursing has an ageing workforce and as well there is a critical shortage of nursing staff in mental health facilities across the whole of Australia and more specifically Western Australia. In addition to these concerns it is apparent that mental health nursing is not the preferred career choice for many graduate nurses. Challenges with recruitment and retention are currently being experienced by NMHS MH which suggests that the existing workforce is simply not sustainable. The project has finalised data collection and analysis. The dissemination process is currently underway.

Carole Harrison, Yvonne Hauck, Rosemary Hoffman

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Suicide and self-harm

In 2012 in Australia, 2679 people took their life by suicide and an estimated 55,000 attempted suicide (Australian Bureau of Statistics).

Western Australia has the highest rates, with an average for 2002-2011 of 11.3 per 100 000 (51% above the national average of 7.5).

This project aims to develop clinical pathways aimed at improving the capacity of WA health service providers to identify individuals who show proximal vulnerabilities for a suicide act and to provide effective care. Resources will also be developed for health professionals, individuals at risk, and their families and friends.

Flavie Waters, Daniel Rock

WACHS mental health activity and Graylands Hospital

With the announcement by the State government that Graylands Hospital is earmarked for closure, a more detailed understanding of the consumers that use services at the hospital is required to reduce the risk of displacement with no suitable alternative for patients currently being admitted to Graylands. This is particularly relevant to patients transferred to the hospital from country regions due to a lack of appropriate facilities locally. The objective is to outline the country regions particularly affected and determine the magnitude of their reliance upon the hospital, as well as to identify characteristics of Graylands Hospital consumers that need to be considered in further service planning.

Vaike Vohma, Campbell Anderson, Patrick Marwick, Richard Menasse, Anne Steele

Walking intervention of psychiatric patients with constipation

Significant evidence links constipation to antipsychotic use, which impacts heavily on quality of life and can lead to a multitude of physical issues. Exercise is known to reduce the symptoms of constipation in the general population, but most studies exclude participants where medication is the cause of constipation. This study aims to explore the impact of regular walking on the symptoms of constipation in antipsychotic medication users.

Kevin Lau, Tammy Hall, Milan Dragovic

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Project Title Project Description Project Staff (CRC staff and Research Associates shown in bold)

Youth Mental Health Services

The purpose of this NMHS project is to develop clinical evaluation systems and a research platform for YMH services which can also support clinical research projects. Tasks include the creation of a dashboard for activity data and client flow based on existing data; to review, develop and implement protocols to collect additional routine clinical data; to obtain institutional and ethics approvals, data management including database creation, storage and maintenance; and to provide assistance to YMH staff with data planning, analysis and reporting.

Flavie Waters, Daniel Rock

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2014 Clinical and Community Engagement

Badcock J. Consultant, ‘Embedding research into community mental health practice.’ Project, Joondalup Catchment Community Mental Health Service, May-July 2014.

Badcock J. Member, Advisory and Liaison Committee, D/Psych Training Programme, School of Psychology, University of Western Australia.

Badcock J and Dragovic M (with Hauck Y, Kelly G, Butt J, Whittaker P). Co-authors, ‘Australian midwives knowledge, attitude and perceived learning needs around perinatal mental health.’ Midwifery, Epub 16 September 2014.

Chiu V, Harvey R, Sloan N, Ree M J, Lin A, Waters F. Authors/presenters, ‘Psychological factors contributing to the maintenance of insomnia in people with psychosis’. Poster presentation, Sleep Down Under Conference 2014, Perth Convention Centre, 11 October 2014.

Chiu V, Harvey R, Sloan N, Ree M J, Waters F. Authors, ‘Psychological factors contributing to the maintenance of insomnia in people with psychosis.’ Abstract, Sleep and Biological Rhythms, 12(Supplement 1), 74. doi: 10.1111/sbr.12082, 2014.

Chiu, V. Recipient, 2014 Daniel Beck Memorial Postgraduate Student Award, Schizophrenia Research Institute.

Waters F, Chiu V. Authors, Children and Sleep: Tips for healthy children. Resource booklet, NMHS MH and University of Western Australia, October 2014.

Davison S (with Natalie Pyszora, Linda Richardson), Presenter, ‘Improving health social criminal and community outcomes for prisoners with mental disorder on release in WA’. TheMHS Conference, Perth, 27 August 2014.

Davison S (with Siva Bala, Murray Chapman, Mary Ozies, Aleksandar Janca, Zaza Lyons). Panel, Indigenous Mental Health Symposium, Royal Australian & New Zealand College of Psychiatrists 2014 Annual Congress, Perth, 13 May 2014.

Davison S (with Hales H, Edmondson A, Maughan B, Taylor P) Co-author, ‘The impact of contact with suicide-related behaviour in prison on young offenders.’ Crisis: The Journal of Crisis Intervention and Suicide Prevention, Advance online publication. http://dx.doi.org/10.1027/0227-5910/a000292

Davison S. Chair, Royal Australian & New Zealand College of Psychiatrists Forensic Faculty, WA Branch.

Davison S. Consultant Psychiatrist, 0.2 FTE Bandyup Women’s Prison.

Davison S. Convenor, Royal Australian & New Zealand College of Psychiatrists 2014 Annual Congress, Perth, May 2014.

Davison S. Director, Certificate of Advanced Training in Forensic Psychiatry, Royal Australian & New Zealand College of Psychiatrists, Western Australia.

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Davison S. Presenter, ‘Clinical risk assessment and mental disorder and violence’. 3rd Year Psychiatry Trainees, Postgraduate Training in Psychiatry, Gascoyne House, Graylands Hospital, 10 April 2014.

Davison S. Presenter, ‘Clinical Risk Assessment.’ WA Judges Conference, Sebel Mandurah, 11 April 2014.

Davison S. Presenter, ‘Forensic Psychiatry’. Klaassen Institute for Medical Students, QEII Medical Centre, Nedlands, 11 June 2014.

Davison S. Presenter, ‘The social and emotional wellbeing of Aboriginal prisoners in WA’. Royal Australian & New Zealand College of Psychiatrists 2014 Annual Congress, Perth, 13 May 2014.

Davison S. Trainer, ‘HCR20 Version 3 Update’. One-day risk assessment training program, Forensic Community Mental Health Team, Graylands Hospital, May 2014.

Davison S. Trainer, ‘HCR20 Version 3’. Two-day risk assessment training program, START Court Team, 20 and 27 October 2014.

Dragović M and Ramankutty P (with Alexander P John, Trevor Gee, Sweeka Alexander). Co-authors, ‘Prevalence and nature of antipsychotic polypharmacy among inpatients with schizophrenia spectrum disorders at an Australian mental health service.’ Australasian Psychiatry, December 2014; vol. 22, 6: pp. 546-550.

Dragović M (with Starkstein S, Dujardin K, Marsh L, Martinez-Martin P, Pontone R, et al). Co-author, ‘Anxiety has specific syndromal profiles in Parkinson's disease: A data-driven approach.’ American Journal of Geriatric Psychiatry, 2014 22(12), 1410-1417.

Dragović M (with Starkstein S, Davis W, Cetrullo V, Davis T, Bruce, D). Co-author, ‘Diagnostic criteria for depression in type 2 diabetes: a data-driven approach.’ PLoS One, 9(11).

Dragović M (with Stefanis N, Power B, Jablensky A, Castle D, Morgan V). Co-author, ‘The effect of drug use on the age at onset of psychotic disorders in an Australian cohort.’ Schizophrenia Research, 2014 156(2-3), 211-216.

Harrison C, Hauck Y, Hoffman R. Authors, ‘Choosing and remaining in mental health nursing: perceptions of Western Australian nurses’, International Journal of Mental Health Nursing, 2014 Dec; 23(6):561-9. doi: 10.1111/inm.12094.

Harrison C. Committee member, Operational and Professions Reference Committee, WA Nursing and Midwifery Excellence Awards.

Harrison C. Presenter, ‘Mental Health Nursing: Who will replace me when I'm gone?’ Education and Research Centre - Nursing (Graylands Health Campus), 19 March 2014.

Harrison C. Recipient, Certificate of Recognition, Senior Nurses Forum, NMHS MH, 5 June 2014.

Harrison, C. Health Professional Representative, NMHS MH Human Research Ethics Committee.

Harrison, C. Presenter, ‘Project Updates’, NMHS MH Registered & Enrolled Nurses Professional Day, Floreat Forum, 7 August 2014.

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Howell S. Presenter, Mental Health Museum of WA, Inc - nursing student tours as required (1 hour; by pre-arrangement) and other tours.

Howell S. Presenter, NMHS MH REGO, ‘Applying for Ethics and Governance Approval in Health’. ECU Doctor of Health Science students, 5 Feb 2014.

Lee J, Price G. Presenters, ‘A Repetitive Transcranial Magnetic Stimulation (rTMS) service for the treatment of depressive disorders’. Royal Australian & New Zealand College of Psychiatrists 2014 Annual Congress, Perth, 11 May 2014.

Martyr P. Invited speaker, ‘Facing the past with courage and objectivity’. Keynote address, Australian College of Mental Health Nurses, Inc, 40th International Conference, Melbourne, 7 October 2014.

Martyr P. Designer, Graylands Hospital Walking Tour circuit and map, Mental Health Week, 8 October 2014.

Martyr P. Invited speaker, St Luke’s Day Address. South Metropolitan Health Service, Royal Perth Hospital Pastoral Care Services, 16 October 2014.

Martyr P. Joint book reviews editor, Health and History.

Martyr P. Lecturer, 5 x sessional lectures. School of Medicine and Pharmacology, UWA, Pharmacology 1101 'Drugs That Changed the World'.

Martyr P. Presenter, ‘‘More than ordinary care’: Martin O’Meara VC.’ Public lecture, Frederick Bell VC Memorial Lecture, Cottesloe RSL, 14 November 2014.

Martyr P. Presenter, ‘Aboriginal admissions to WA mental health services, 1903–1960’. Seminar, CRC Research Seminar Series, 25 July 2014.

Martyr P. Presenter, ‘Catholic spirituality and mental health’. Public lecture, Dawson Society for Philosophy and Culture, Perth, 2 September 2014.

Martyr P. Presenter, Mental Health Museum of WA, Inc - tours and community education; nursing student rotations as required (1 hour; by pre-arrangement) and other tours.

Martyr, P. Author, 'Bedbrook, Sir George Montario (1921–1991)'. Australian Dictionary of Biography, National Centre of Biography, Australian National University, http://adb.anu.edu.au/biography/bedbrook-sir-george-montario-14608/text25737, published online 2014.

Martyr, P. Peer reviewer, Media/Culture.

Waters F (with Thomas N, Hayward M, Peters E, van der Gaag M, Bentall RP, Jenner J, Strauss C, Sommer IE, Johns LC, Varese F, García-Montes JM, Dodgson G, McCarthy-Jones S.). Co-author, ‘Psychological therapies for voices: current status and key directions for future research’. Schizophrenia Bulletin, 40, S202-S212 (IF: 8.9), 2014.

Waters F. Presenter, ‘Carers/families and clinicians’ engagement in NMHS MH’. Mental Health Matters Too (MHM2), Perth, 11 March 2014.

Waters F. Nominee, UWA Excellence in Teaching Award (Research Supervision Award).

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Waters F. Recipient, UWA Research Excellence and Innovation Commendation (for highly cited paper Waters F, Woodward T, Allen P, Aleman A, Sommer I (2012) ‘Self-recognition deficits in schizophrenia patients with auditory hallucinations: a meta-analysis of the literature.’ Schizophrenia Bulletin 2012 38 (4): 741-750.)

Waters F, Chiu V. Authors, Children and Sleep: Tips for healthy children – A resource on common sleep problems in kids. Booklet, NMHS MH, October 2014.

Waters F, Stephane M. Authors, The Assessment of Psychosis. Routledge Taylor and Francis, 2015.

Waters F (with Collerton D, ffytche D, Jardri R, Pins D, Dudley R, Blom JD, Mosimann U, Eperjesi F, Ford S, Laroi F). Co-author, ‘Visual hallucinations in the psychosis spectrum and comparative information from neurodegenerative disorders and eye disease.’ Schizophrenia Bulletin 40 Suppl 4:S233-45, 2014.

Waters F. Recipient, UWA Fay Gale Fellowship ($2,333 for travel for clinical training in neurostimulation).

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Contact Details LOCATION / COURIER ADDRESS East Wing, Gascoyne House Graylands Health Campus Brockway Road Mt Claremont WA 6010

POSTAL ADDRESS Clinical Research Centre Graylands Health Campus Private Bag No 1 Claremont WA 6910

FAX (+61) 08 9384 5128

WEBSITE http://www.nmahsmh.health.wa.gov.au/services/statewide_crc.cfm Gascoyne House – Map Location

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© Department of Health 2014

Copyright to this material is vested in the State of Western Australia unless otherwise indicated. Apart from any fair dealing for the purposes of private study, research, criticism or review, as permitted under the provisions of the Copyright Act 1968, no part may be reproduced or re-used for any purposes whatsoever without written permission of the State of Western Australia.