Psych Matters

This episode of Psych Matters explores Psychosocial Rehabilitation within a recovery oriented service system. The esteemed panel includes A/Prof Stephen Parker, A/Prof Frances Dark, Dr Catherine Brasier, and Will McKinlay. Through their discussion they provide us the great opportunity to learn not only clinical perspectives but also from lived experience perspectives about rehabilitation and what role it plays.

A/Prof Stephen Parker is the Director, Research at Metro North Mental Health in Brisbane. He works clinically within a public Early Psychosis service. He has previously worked extensively across a broad range of rehabilitation settings, and continues to conduct research with the goal of improving the experiences and outcomes of people accessing residential rehabilitation services (Stephen Parker (0000-0002-6022-3981) (orcid.org)).

A/Prof Frances Dark is currently the Director of the Rehabilitation Academic Clinical Unit for Metro South Mental Health Services, and the Director of the state-wide Deafness and Mental Health Service. She has a strong interest in psychosocial rehabilitation for consumers with mental illness, and has pioneered innovative programs in Queensland such as social cognition and cognitive remediation groups. Dr Dark has a strong research history, including a publication in Nature genetics.  She has been actively involved in community organization’s including being an advisor to Headway, and on the boards of Open Minds and the Queensland branch of the Mental Illness Fellowship Australia. 

Dr Catherine Brasier's focus is on supporting better connections between people with Lived Experience, research and practice. She is the Lived Experience Strategic Lead of Wellways and Post-Doctoral Research Fellow in the School of Social Work and Social Policy at La Trobe University. She draws on her experience of mental distress and personal recovery, plus her experience as a mental health worker. 

Will McKinlay is a peer support worker with 13 years working experience. Will's background is working originally in NGO’s and over the last 8 years, working at QLD Health; mostly in a psychosocial rehabilitation setting. He believes recovery from mental health issues is possible for anyone and role is to guide someone through their recovery from mental health issues and most importantly, show that there is always hope, even in adversity.

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Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

In this episode of Psych Matters, A/Prof Suresh Muthukumaraswamy and Dr Chiranth Bhagavan discuss Suresh's talk 'A sceptical look at the use of psychedelic drugs in medicine'. While there is significant interest in the use of psychedelics as medicines in psychiatry the evidence base has a number of limitations and these are delved into in this discussion.

Interested listeners can read in more detail:

https://journals.sagepub.com/doi/abs/10.1177/00048674221081763?journalCode=anpa

https://www.tandfonline.com/doi/abs/10.1080/17512433.2021.1933434

A/Prof Suresh Muthukumaraswamy is an Associate Professor in The School of Pharmacy at The University of Auckland. His research Suresh’s main research interests are in understanding how therapies alter brain function and behaviour and in testing methodologies to measure these changes in both healthy individuals and patient groups – particularly in depressed patients. He has investigated over 20 different CNS drugs and began research into psychedelics in 2011.

Dr Chiranth Bhagavan is a senior psychiatry registrar and consultation-liaison advanced trainee currently in a dual clinical and academic role in Auckland, New Zealand. 

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

This episode is the final episode in a 3-part series on the History of Psychiatry. In this particular episode Dr. Kaplan speaks about the notable names in the movement of Anti-Psychiatry during the 20th Century.

Dr Robert M. Kaplan, MBChB FRANZCP MA MPhil, is a Forensic psychiatrist, lecturer and speaker with positions at the University of New South Wales, Western Sydney University and Wollongong University. His fields of expertise are sleep and pain disorders, neuropsychiatry and psychological aspects of physical disorders. He also holds the distinguished position at RANZCP, of Chair of the Binational Section Philosophy and the Humanities in Psychiatry.

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

This podcast tracks the 20 years of learning and programme development of a psychiatrist working in primary care, culminating in development, piloting, and evaluation of an “Integrated Primary MH&A programme”.  The programme integrates three new roles (a mental health clinician, a health coach, and access to NGO peer/community support) into primary care teams, seeing people on the day they present, and allowing patients’ holistic wellbeing needs to be better met.  Based on evaluation findings the NZ Government funded the programme for national rollout over the period 2019 to 2024.  As of mid-2022 the programme is now available to over 600,000 residents of Auckland, and over 50,000 people have accessed one or more of the added supports available, with 60% achieving significant improvements in wellbeing
 
Dr David Codyre is a psychiatrist with 30 years experience working in the community mental health sector in New Zealand, in a range of clinical and leadership roles.  He has spent the past 20 years leading development of primary mental health programmes, and advocating at a regional and national level for strengthening of primary mental health capacity, along with better support for primary care from secondary mental health services.  He has lead development pilots and now Auckland wide implementation, of the “Integrated primary MH&A programme”.  

David currently works with Tamaki Health, a network of clinics providing team-based primary care services to populations in high-needs areas of Auckland, NZ.  He is currently seconded half time as Clinical Director of the Auckland Wellbeing Collaborative, supporting implementation of this model integrating wellness support into all GP clinics in Auckland over the next 3-4years.  David is also Lead Psychiatrist to Whakarongorau, the National Telehealth Service – the home of 1737 “Need to Talk”, the Depression Helpline, Drug/Alcohol Helpline, and Gambling Helpline.

Dr Clive Bensemann is the Clinical Lead for the New Zealand Health Quality & Safety Commission’s Mental Health & Addiction Quality Improvement program;  and  currently works at Te Whatu Ora Counties Manukau as Clinical Head for Mental Health Services for Older People. He trained first as a General Practitioner before specialising as a Psychiatrist (FRANZCP) and Medical Administrator (FRACMA).   His interests include  Integrated Care, and service change through use of measurement and improvement science. 

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

This episode is the second in a series on the History of Psychiatry. In this particular episode Dr. Kaplan explores the development of different drugs, methodology, and diagnoses that were discovered, researched, and applied from World War 1 to the 1980's.

Dr Robert M. Kaplan, MBChB FRANZCP MA MPhil, is a Forensic psychiatrist, lecturer and speaker with positions at the University of New South Wales, Western Sydney University and Wollongong University. His fields of expertise are sleep and pain disorders, neuropsychiatry and psychological aspects of physical disorders. He also holds the distinguished position at RANZCP, of Chair of the Binational Section Philosophy and the Humanities in Psychiatry.

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

In this Episode Dr Rees Tapsell (Māori fellow) interviews Ms Moe Milne and Mr Ron Baker (Māori cultural elders and advisors for the RANZCP) to get their insights into a range of issues related to Māori mental health.  In addition to being recognised cultural experts both Moe and Ron have nursing training and are deeply ensconced within the Maori world.  They bring decades of experience to bear as they discuss issues from Colonisation and its effects non-Maori through to Māori models of care and Māori knowledge systems.  They highlight the importance of cultural competence in dealing with Māori and discuss some basic competencies required to work with Māori. Ms Moe Milne and Mr Ron Baker are currently Kaumātua at the RANZCP to provide essential mātauranga (wisdom) and leadership within the College structure.

Ms Moe Milne lives in Matawaia on whanau land with her mokopuna and children all around her. She believes knowing who you are where you belong and participation in your marae are important components of well being. This belief underpins all the work she does in mental health and addictions , Maori Health, and Education.

Mr Ron Baker hails from the Tairawhiti lives on Hoani Waititi Marae and after nearly 45 years working in Mental Health and Kaupapa Maori Services continues to be part of these services. Tikanga Maori and cultural healing practises remain a large part of daily activities and are included in the standing as Kaumatua for the college and Marae.

Dr Rees Tapsell is of Māori, heralding from the Arawa canoe and of Ngāti Whakaue descent. He is the Executive Director of the Midland Regional Forensic Service and the Director of Clinical Services for the Waikato Mental Health and Addictions services at the Waikato District Health Board. He is a clinical lecturer with the department of psychological medicine at the Auckland School of Medicine. Dr Tapsell has served as a General Council member with the Australia and New Zealand College of Psychiatrists, as a board member on two HHSs/DHBs, on several small private companies and he served as a psychiatrist Deputy Member on the Mental Health Review Tribunal for 12 years. He has been involved in the development of a number of Māori specific approaches to the provision of mental health care to Māori in both general and forensic services and in both government and NGO settings. 

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

This podcast is a brief summary of the History of Psychiatry from as early as hunter gatherer societies to the beginning of the first World War.

Dr Robert M. Kaplan, MBChB FRANZCP MA MPhil, is a Forensic psychiatrist, lecturer and speaker with positions at the University of New South Wales, Western Sydney University and Wollongong University. His fields of expertise are sleep and pain disorders, neuropsychiatry and psychological aspects of physical disorders. He also holds the distinguished position at RANZCP, of Chair of the Binational Section Philosophy and the Humanities in Psychiatry.

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

This episode of Psych Matters includes 4 child psychiatrists who have or are currently working in regional, rural or remote locations across Australia. Child and adolescent psychiatry is an important subspecialty within psychiatry and the distribution of child psychiatrists in Australia and New Zealand is disproportionately within metropolitan settings. Working in rural and remote settings brings with it unique challenges, beyond just the tyranny of distance. We here from our 4 experts as to the varied opportunities, practice and challenges they have experienced in their careers, including the benefits of considering child and adolescent training in these settings.

Associate Professor Mathew Coleman is a consultant psychiatrist with the WA Country Health Service, Clinical Director for the Great Southern and Midwest Mental Health Service and Clinical Academic with the Rural Clinical School of WA. He is a qualified child and adolescent, and addiction psychiatrist and has experience and qualifications in health service management. He was also the former Commissioner with the National Mental Health Commission.

Dr Michael Bowden is a Senior Child and Adolescent Psychiatrist with over 30 years’ experience working in various settings in mental health. He is Senior Clinical Advisor for Child and Youth Mental Health at the NSW Health Mental Health Branch.

Dr Steven Blefari is rural child and adolescent psychiatrist. Trained in the Hunter New England region with focus on rural psychiatry, he moved to Southwest WA 5 years ago and now has the role of Director of Clinical Services for Mental Health and very excited to be the inaugural Rural Director of Training for the brand new Rural WA training zone.

Dr Ria Leonard is a Perinatal psychiatrist in the Hunter New England local health district and also provides disability psychiatry input to Western, Far West and Murrumbidgee LHDs of NSW. Following undergraduate medical studies in Sydney and post-graduate studies in Melbourne, Ria Leonard has returned to the rural town she grew up in.

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

In this episode of Psych Matters, Dr Rees Tapsell, a Māori fellow of the RANZCP interviews Dr Rātahi Bell, a senior registrar in forensic specialty training about the specific challenges and opportunities that come with training as a Maori psychiatric registrar in New Zealand.  They discuss the importance of dual competence (being able to walk equally in both the Māori and Psychiatric worlds) in working in New Zealand and the value that bringing an integrated approach can have in the assessment and management of  a Māori patient within their whānau (family).  They discuss important Māori concepts and processes and their value to the range of therapeutic tasks that a psychiatrist might face in dealing not only with Māori patients and whanau but with patients of all backgrounds.  Equally they discuss the cultural demands and expectations that a Māori trainee can face and the additional supports that can make training more tolerable and successful.

Dr Rees Tapsell is of Māori, heralding from the Arawa canoe and of Ngāti Whakaue descent. He is the Executive Director of the Midland Regional Forensic Service and the Director of Clinical Services for the Waikato Mental Health and Addictions services at the Waikato District Health Board. He is a clinical lecturer with the department of psychological medicine at the Auckland School of Medicine. Dr Tapsell has served as a General Council member with the Australia and New Zealand College of Psychiatrists, as a board member on two HHSs/DHBs, on several small private companies and he served as a psychiatrist Deputy Member on the Mental Health Review Tribunal for 12 years. He has been involved in the development of a number of Māori specific approaches to the provision of mental health care to Māori in both general and forensic services and in both government and NGO settings. Dr Tapsell’s particular professional and research interests lie in the governance and leadership of health organisations, the epidemiology of mental disorders, Māori mental health service development, outcome measures in Māori mental health ‘mentally abnormal’ offenders and undergraduate and postgraduate education and training.

Dr Rātahi Bell is a Māori psychiatry trainee based in Waikato, New Zealand, and is of the Ngāti Maniapoto tribe descending from the Tainui waka (or canoe). He is a stage 3 trainee completing an advanced certificate in forensic psychiatry. Dr Bell is a current trainee representative on Te Kaunihera mo ngā kaupapa Hauora Hinengaro Māori, a constituent committee of the RANZCP informing policy and training through an equity lens.

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.

This episode will explore Aboriginal and Torres Strait Islander mental health training experiences and consideration of indigenous values, lifestyles, aspirations, family and differing needs and capacities of Indigenous people in diverse, complex economic and social circumstances. Through the firsthand stories of current trainees on their rural pathways to Fellowship, they share their experience of what are culturally appropriate mental health and social and emotional wellbeing and services for Aboriginal and/or Torres Strait Islander Peoples, and how these are best delivered by going out to the community.

This podcast series was made possible by funding from the Australian Government through the Specialist Training Program. The Specialist Training Program is an Australian Government initiative to support specialist medical training in settings beyond traditional public teaching hospitals, including rural and private facilities. 

 WARNING: Aboriginal and Torres Strait Islander listeners are warned that the following program may contain mentions of deceased persons. 

 Dr Madeleine Leung is a CL psychiatry certificate advanced trainee in the Mildura Base Public Hospital. Many of her rotations have been STP rotations, as Mildura is always an area of workforce shortage. Dr Leung loves the variety, the hands-on experiences, and the continuity of care that sub-regional psychiatry training offers. She thinks that regional Victoria is where the frontier of psychiatry is, and the most exciting place to be working, living, and learning. 

Dr Samuel Baxter (MBBS, MVitOEN, BEng (Hons), is an AT in Addiction Psychiatry based in Southern Tasmania. Dr Baxter is the current RANZCP Tasmanian BCT representative and the RANZCP Binational AT Certificate Representative on the Subcommittee for Advanced Training in Addiction psychiatry. He also sits on a few local committees including the RANZCP STP Tasmania Project. Tasmania is a beautiful and unique state to work in and due to its relative isolation from the other state training networks it relies heavily on STP funding to support trainee development.

Topic suggestion:
If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we’d love to hear from you.
Please contact us by email at: [email protected]

Disclaimer:
This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics.  The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement.  By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP’s Your Health In Mind Website.