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  1. Article ; Online: Models of care for gender dysphoria in young persons: How Psychiatry lost and is finding its voice.

    Ouliaris, Calina

    Psychiatry research

    2022  Volume 318, Page(s) 114923

    Abstract: Globally, models of care for young persons with gender dysphoria differ across jurisdictions. Historically, developed countries have utilised the medical approach. More recently, broader models that place a greater emphasis on psychological interventions ...

    Abstract Globally, models of care for young persons with gender dysphoria differ across jurisdictions. Historically, developed countries have utilised the medical approach. More recently, broader models that place a greater emphasis on psychological interventions are emerging. This piece utilizes the Australian experience to compare models of care for gender dysphoria. Reflecting on the relative passivity of Psychiatry to date, historical reasons for this silence are explored. As relative experts in relationship dynamics and key bearers of the history of sexual health diagnoses, it is proposed that Psychiatrists have both the requisite skills and responsibility to share reflective lessons with other medical specialties in this space. Only by doing so may they provide appropriate care and treatment for young persons suffering mental distress due to gender incongruence.
    MeSH term(s) Humans ; Gender Dysphoria/therapy ; Gender Dysphoria/psychology ; Australia ; Psychiatry ; Transgender Persons/psychology ; Gender Identity
    Language English
    Publishing date 2022-11-02
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.psychres.2022.114923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Consent for treatment of gender dysphoria in minors: evolving clinical and legal frameworks.

    Ouliaris, Calina

    The Medical journal of Australia

    2021  Volume 216, Issue 5, Page(s) 230–233

    MeSH term(s) Contraception ; Gender Dysphoria/drug therapy ; Gender Identity ; Humans ; Informed Consent ; Minors ; Parental Consent
    Language English
    Publishing date 2021-12-12
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja2.51357
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  3. Article ; Online: OPCAT: How an international treaty regarding torture is relevant to the Australian mental health system.

    Ouliaris, Calina / Gill, Neeraj / Castan, Melissa / Sundram, Suresh

    The Australian and New Zealand journal of psychiatry

    2024  , Page(s) 48674231221419

    Abstract: The United Nations Subcommittee on the Prevention of Torture visits signatory nations to the Optional Protocol to the Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment (OPCAT). Its role is to monitor and support ... ...

    Abstract The United Nations Subcommittee on the Prevention of Torture visits signatory nations to the Optional Protocol to the Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment (OPCAT). Its role is to monitor and support signatory nations in implementing and complying with the Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment (CAT). In October 2022, the United Nations Subcommittee on the Prevention of Torture visited Australia but was barred from visiting mental health wards in Queensland and all detention facilities in New South Wales leading to the termination of its visit. This breach of Australia's obligations under the OPCAT presents a significant setback for the rights of people with mental illness and other involuntarily detained populations. This piece sets out to demonstrate the relevance of OPCAT to the mental health system in Australia. Individuals who are detained for compulsory treatment in locked facilities such as acute psychiatric inpatient wards and forensic mental health facilities are deprived of their liberty, often out of public view. Thus, it highlights the ethical and professional obligations of all mental health professionals, especially psychiatrists, to safeguard the human rights of individuals being detained in mental health facilities as enshrined in Australia's international legal obligations under the OPCAT. Adhering to these obligations diminishes the risk of future human rights violations of people with mental illness.
    Language English
    Publishing date 2024-01-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 221140-3
    ISSN 1440-1614 ; 0004-8674
    ISSN (online) 1440-1614
    ISSN 0004-8674
    DOI 10.1177/00048674231221419
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  4. Article ; Online: The importance of self-awareness: musings of a medical student.

    Ouliaris, Calina

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 27, Issue 3, Page(s) 267–269

    Abstract: Objective: Self-awareness is essential for combating burnout, promoting self-care, and wellbeing in health professionals. This article examines modern day roadblocks to developing this skill in medical practice and highlights some simple solutions for ... ...

    Abstract Objective: Self-awareness is essential for combating burnout, promoting self-care, and wellbeing in health professionals. This article examines modern day roadblocks to developing this skill in medical practice and highlights some simple solutions for consideration.
    Conclusion: The capacity for self-awareness is essential to the modern-day physician seeking a long and fulfilling career. Mindfulness meditation and reflective writing are two simple, proven methods that can be easily implemented into medical training.
    MeSH term(s) Burnout, Professional/therapy ; Humans ; Mindfulness/methods ; Psychiatry/education ; Self Care/methods ; Students, Medical/psychology
    Language English
    Publishing date 2019-04-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219839479
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  5. Article ; Online: Considering context: lessons from global mental health.

    Ouliaris, Calina

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 28, Issue 2, Page(s) 210–212

    Abstract: Objective: The development of international mental health has been characterised by the globalisation of Western psychiatric nosology that is arguably ill-suited to developing countries. This piece highlights the limitations of our current ... ...

    Abstract Objective: The development of international mental health has been characterised by the globalisation of Western psychiatric nosology that is arguably ill-suited to developing countries. This piece highlights the limitations of our current classification systems and explores how we may seek to overcome these limitations by considering the context in which symptoms present.
    Conclusion: In developing a global model of psychiatric illnesses, it is important to emphasise contextual value judgements. Doing so welcomes integration of traditional models of care and encourages partnership across nations.
    MeSH term(s) Diagnostic and Statistical Manual of Mental Disorders ; Global Burden of Disease ; Global Health ; Humans ; International Classification of Diseases ; Mental Disorders/classification ; Mental Disorders/diagnosis
    Language English
    Publishing date 2019-12-22
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219889318
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  6. Article ; Online: New injectable antiretroviral therapy for HIV facilitates novel treatment pathways for persons without capacity to consent to medical treatment.

    Storrier, Kirbie / Ouliaris, Calina / George, Duncan

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2022  Volume 30, Issue 3, Page(s) 375–378

    Abstract: Objective: The development of new injectable antiretroviral therapy facilitates treatment for Human immunodeficiency virus (HIV) positive individuals who lack capacity to consent, posing a safety risk to both themselves and the wider community. We ... ...

    Abstract Objective: The development of new injectable antiretroviral therapy facilitates treatment for Human immunodeficiency virus (HIV) positive individuals who lack capacity to consent, posing a safety risk to both themselves and the wider community. We consider pathways to enforce treatment and propose an algorithm to determine the most appropriate legal instrument for application.
    Conclusion: Legislative safeguards in mental health and guardianship legislation provide oversight and protection for those who suffer from illness and require coercive treatment. These frameworks have utility in the treatment of HIV patients who lack capacity to consent to treatment.
    MeSH term(s) Antiretroviral Therapy, Highly Active/adverse effects ; Coercion ; HIV Infections/drug therapy ; Humans ; Informed Consent ; Mental Health
    Language English
    Publishing date 2022-03-13
    Publishing country England
    Document type Letter
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/10398562221077892
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  7. Article ; Online: Rocketman 2019.

    Kealy-Bateman, Warren / Ouliaris, Calina

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 28, Issue 2, Page(s) 235

    Language English
    Publishing date 2019-10-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219878653
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  8. Article ; Online: Preventing prejudice by preserving the spirit of mental health legislation during the COVID-19 national emergency.

    Ouliaris, Calina / Sheahan, Linda / George, Duncan

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2020  Volume 28, Issue 5, Page(s) 500–503

    Abstract: Objective: The COVID-19 national emergency activates legislative powers that allow a proportional infringement upon individual liberties. We canvas the complex legal landscape governing mental health consumers in this climate, highlight ethical ... ...

    Abstract Objective: The COVID-19 national emergency activates legislative powers that allow a proportional infringement upon individual liberties. We canvas the complex legal landscape governing mental health consumers in this climate, highlight ethical considerations in application of the law and offer a simple algorithm to navigate this space.
    Conclusion: In times of emergency, it is crucial that we uphold the safeguards embodied within mental health legislation to prevent prejudicial treatment of mental health consumers.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/psychology ; Humans ; Mental Health/ethics ; Mental Health/legislation & jurisprudence ; Pandemics ; Pneumonia, Viral/psychology ; Prejudice ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856220928865
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  9. Article ; Online: Psychiatric advance directives in Australian mental-health legislation.

    Ouliaris, Calina / Kealy-Bateman, Warren

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2017  Volume 25, Issue 6, Page(s) 574–577

    Abstract: Objective: Following the recent widespread reform of mental-health legislation in Australia, psychiatric advance directives (PADs) have now been incorporated in four jurisdictions. We contextualise the potential role for PADs within the Australian legal ...

    Abstract Objective: Following the recent widespread reform of mental-health legislation in Australia, psychiatric advance directives (PADs) have now been incorporated in four jurisdictions. We contextualise the potential role for PADs within the Australian legal framework and note their varying introduction across jurisdictions, with a focus on progressive legislation in the Australian Capital Territory (ACT).
    Conclusion: The formal recognition of PADs effectively shifts the trajectory of mental-health law towards a stronger recognition of consumer autonomy, albeit to varying degrees across jurisdictions. The most inspiring of these changes may be seen in the ACT Act, where an innovative framing of PAD provisions creates a safe space for clinicians and patients to engage, build therapeutic alliances and develop appropriate frameworks for further change.
    MeSH term(s) Advance Directives/legislation & jurisprudence ; Australia ; Human Rights/legislation & jurisprudence ; Humans ; Legislation, Medical ; Mental Health/legislation & jurisprudence ; Mentally Ill Persons/legislation & jurisprudence ; Personal Autonomy
    Language English
    Publishing date 2017-09-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856217726719
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  10. Article ; Online: Should we be Royal?

    Kealy-Bateman, Warren / Nash, Louise / Shields, Robyn / Ouliaris, Calina / McGorry, Patrick

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2021  Volume 29, Issue 4, Page(s) 402–405

    Abstract: Objective: Our college name The : Conclusion: As psychiatrists, it is time to modernise and reinvent the college name and Crest. We will be a healthier and more inclusive community of practice without the 'Royal' prefix, and with a new symbol for our ...

    Abstract Objective: Our college name The
    Conclusion: As psychiatrists, it is time to modernise and reinvent the college name and Crest. We will be a healthier and more inclusive community of practice without the 'Royal' prefix, and with a new symbol for our college that embodies our values and vision.
    MeSH term(s) Australia ; Cultural Diversity ; Humans ; Native Hawaiian or Other Pacific Islander
    Language English
    Publishing date 2021-02-24
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856221992648
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