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Roberts R.M.,University of Adelaide | Robins T.,University of Adelaide | Gannoni A.F.,Child | Tapp H.,Oncology Unit
Journal of Psychosocial Oncology | Year: 2014

This study provides a description of psychological late effects among a heterogeneous cohort of pediatric cancer survivors (N = 70) attending the South Australian Late-effects Clinic. Survivors reported more problems on the Strengths and Difficulties Questionnaire and the Child Behavior Checklist compared to normative data but no differences in Sluggish Cognitive Tempo scores. Forty-six percent of the sample reported school difficulties, and 12% of the sample age older than 15 reported smoking. Late-effects clinics should continue to monitor psychological well-being and health behaviors. Further research is recommended to determine whether sluggish cognitive tempo is a useful concept for the assessment of survivors. © 2014 Taylor and Francis Group, LLC. Source

Dlamini N.R.,Child | Maja P.,Communication and Stakeholder Engagement
South African Medical Journal | Year: 2016

During the past two decades, immunisation has saved millions of lives and prevented countless illnesses and disabilities in South Africa (SA). However, vaccine-preventable diseases are still a threat. A vaccine-preventable disease that might lead to a 1- or 2-week illness in an adult, could prove deadly for infants, children or elderly people. Vaccination protects oneself and one’s family. For example, adults are the most common source of pertussis (whooping cough) infection in infants, which can be deadly for the latter. This article demonstrates the commitment of the SA government to immunisation, highlights key milestones of the Expanded Programme on Immunisation (EPI) and dispels the myth that the EPI in SA is in shambles. © 2016, South African Medical Association. All rights reserved. Source

Swadi H.,Child | Bobier C.,Youth Inpatient Unit
Australasian Psychiatry | Year: 2012

Objective: To determine the rate, indications and process for using seclusion for patients undergoing treatment at an older adolescent inpatient unit.Method: Data were gathered prospectively and retrospectively as part of a quality assurance initiative at the Christchurch Youth Inpatient Unit (YIU); paper, electronic and legal documentation were examined.Results: During the time period of the investigation, approximately 13% of individuals admitted to the unit were secluded. Psychosis, involuntary admission and Maori ethnicity were significantly associated with the use of seclusion with aggression being the most documented indication. The vast majority of seclusions occurred within the first seven days of admission and over half utilized pro re nata medication prior to seclusion.Conclusions: Opportunities exist for intensifying and focusing efforts to minimize the use of seclusion and restraint, particularly during the first week of hospitalization. © 2012 The Royal Australian and New Zealand College of Psychiatrists. Source

Reay R.,Academic Unit of Psychological Medicine | Matthey S.,Sydney South West Area Health Service | Matthey S.,University of Sydney | Matthey S.,University of New South Wales | Scott M.,Child
Journal of Affective Disorders | Year: 2011

Background: Long-term follow-up studies are required to better understand the extent of the effectiveness of early detection programs for perinatal depression. We followed up participants in such a program to investigate the long-term depression, treatment and relationship outcomes of mothers originally identified as 'probably depressed' (screened positive). Methods: At 2 years postpartum all participants who had 'screened positive' (N = 159) and a random sample of participants who had 'screened negative' were invited to participate in a mailed survey. Measures included: current mood; coping; access to treatment; quality of partner relationship; and mother-infant bonding. Results: Mothers originally detected as probably depressed (n = 98) fared significantly worse than 'screened negative' mothers (n = 101) both in terms of their higher mean depression scores (EPDS: Ms = 11.0 vs. 6.4) and greater proportions categorised as probably depressed at 2 years postpartum (40% vs. 11% respectively, p < .001, phi = .33). Elevated depression symptoms at 2 years postpartum were associated with poorer partner relationships and mother-infant bonding. Moreover, there appears to be a double dose effect for women who screen positive on two occasions. Thirty-seven percent of depressed mothers did not take up treatment, frequently citing a preference for using their own resources. Limitations: Limitations include the use of self-report measures to assess depression symptoms and mother-infant bonding. Treatment data was collected retrospectively. Conclusions: Despite being offered treatment options, a substantial proportion of women who screened positive had poor long-term mental health and relationship outcomes. This paper discusses some of the implications for perinatal early detection and treatment programs. © 2010 Elsevier B.V. All rights reserved. Source

Swadi H.,Child | Bobier C.,Youth Inpatient Unit | Price L.,Youth Inpatient Unit | Craig B.,Youth Inpatient Unit
Australasian Psychiatry | Year: 2010

Objectives: The aim of this paper was to determine if patients undergoing treatment at an older adolescent inpatient unit receive psychoeducation according to the unit philosophy of providing timely and pertinent information regarding illness/diagnosis, medication, diet, outpatient follow-up, and alcohol/ drug use. Methods: Data were gathered prospectively as part of a quality assurance initiative at the Christchurch Youth Inpatient Unit. Patients were interviewed by a registered nurse using a structured audit tool. Results: Participants reported receiving adequate information on medication and illness, and most received information on outpatient follow-up and alcohol and drug use. However, the majority reported a lack of information/ advice about diet. Patients' reported awareness of relapse prevention and the relationship of alcohol and other drugs use to medication and treatment was lower than expected. Conclusions: The audit highlighted areas of discrepancy between information staff believed they had delivered and information youth perceived as received. Psychiatric staff working with young people need be aware of the timing, language and mode of delivery of psychoeducation to enable their patients to 'take in' the information provided. © 2010 The Royal Australian and New Zealand College of Psychiatrists. Source

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