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  1. Article ; Online: The utility of a fidelity measure to monitor implementation of new early psychosis services across Australia.

    Williams, Georgia / Farrelly, Simone / Thompson, Andrew / Stavely, Heather / Albiston, Dianne / van der El, Kristie / McGorry, Patrick / Killackey, Eóin

    Early intervention in psychiatry

    2021  Volume 15, Issue 5, Page(s) 1382–1388

    Abstract: Aim: Early psychosis delivery models have proliferated worldwide, but there is limited research into establishing model fidelity. In this context, this article aims to describe the development and implementation of a fidelity tool in a national network ... ...

    Abstract Aim: Early psychosis delivery models have proliferated worldwide, but there is limited research into establishing model fidelity. In this context, this article aims to describe the development and implementation of a fidelity tool in a national network of early psychosis services across Australia-the headspace Early Psychosis program.
    Methods: Following a detailed consultation process, and based on the Australian Early Psychosis model, an 80-item Early Psychosis Prevention and Intervention Centre Model Integrity Tool (EMIT) was developed along with predefined thresholds for fidelity. The tool was used to assess adherence to the model in six clusters of service sites across Australia. Ratings on the EMIT were informed by interviews with site staff and young people receiving the service, routinely collected data and site policies and procedures.
    Results: All six clusters of headspace Early Psychosis programs participated in five fidelity assessments across a period of two and a half years. In the initial two visits, the average fidelity score was in the 'low' fidelity range (i.e., <75%). By the fifth fidelity visit, the network average improved to 92.35%, reflecting 'superior' fidelity.
    Conclusions: Results of the longitudinal fidelity assessments indicate the successful implementation of the Australian Early Psychosis model across the headspace Early Psychosis program. Utilisation of ongoing fidelity assessments has proved an effective method to improve and maintain adherence to the model.
    MeSH term(s) Adolescent ; Australia ; Humans ; Longitudinal Studies ; Psychotic Disorders/diagnosis ; Psychotic Disorders/therapy
    Language English
    Publishing date 2021-02-21
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2272425-4
    ISSN 1751-7893 ; 1751-7885
    ISSN (online) 1751-7893
    ISSN 1751-7885
    DOI 10.1111/eip.13074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pilot study of client outcomes from exercise physiology in a youth mental health service.

    Woodhead, Gina / Hitch, Danielle / Bolton, Kate / Albiston, Dianne / Killackey, Eoin

    Early intervention in psychiatry

    2017  Volume 12, Issue 4, Page(s) 734–739

    Abstract: The aim of this pilot study was to evaluate the utilisation and experience of an exercise physiology programme, known as Bod Squad at a youth mental health service. Individual sessions were offered in an outpatient setting, while both group and ... ...

    Abstract The aim of this pilot study was to evaluate the utilisation and experience of an exercise physiology programme, known as Bod Squad at a youth mental health service. Individual sessions were offered in an outpatient setting, while both group and individual sessions occurred in an inpatient unit. This pilot study used a mixed methodology to collect data from young people who attended Bod Squad. A database of exercise physiology records for 47 young people were analysed for attendance and physiological indicators. In addition, 7 semi-structured interviews were conducted with young people to explore their experience of Bod Squad. Young people attended a total of 169 sessions during the programmes tenure, with an overall mean of 3.6 sessions. Pre-post measures for 10 young people (who had attended at least 4 sessions) showed modest average reductions for body mass index, waist circumference, chest circumference and resting heart rate. Five themes emerged from the interviews-(1) My reasons for attending, (2) The social aspect, (3) An individualized approach, (4) Outcomes from Bod Squad and (5) My experience of the service. All of these themes included positive experiences of Bod Squad, which young people perceived as relevant to their needs and helpful to their recovery. These findings are congruent with previous studies that have concluded that exercise physiology may be an effective, acceptable and valued intervention for addressing physical and metabolic health issues for young people.
    MeSH term(s) Adolescent ; Adolescent Health Services/statistics & numerical data ; Body Mass Index ; Databases, Factual ; Exercise Therapy/statistics & numerical data ; Female ; Heart Rate/physiology ; Humans ; Inpatients/psychology ; Male ; Mental Health Services/statistics & numerical data ; Outpatients/psychology ; Patient Acceptance of Health Care/statistics & numerical data ; Patient Satisfaction ; Pilot Projects ; Thorax/physiology ; Treatment Outcome ; Waist Circumference
    Language English
    Publishing date 2017-05-16
    Publishing country Australia
    Document type Clinical Trial ; Journal Article
    ZDB-ID 2272425-4
    ISSN 1751-7893 ; 1751-7885
    ISSN (online) 1751-7893
    ISSN 1751-7885
    DOI 10.1111/eip.12436
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Group programmes in early intervention services.

    Cotton, Sue M / Luxmoore, Marni / Woodhead, Gina / Albiston, Dianne D / Gleeson, John F M / McGorry, Patrick D

    Early intervention in psychiatry

    2011  Volume 5, Issue 3, Page(s) 259–266

    Abstract: Aim: Group interventions can be a developmentally appropriate treatment option for young people with mental illness; however, there is a paucity of research into these programmes. This study had three aims: (i) to document and compare both clinicians' ... ...

    Abstract Aim: Group interventions can be a developmentally appropriate treatment option for young people with mental illness; however, there is a paucity of research into these programmes. This study had three aims: (i) to document and compare both clinicians' and clients' reasons for referral to the Orygen Youth Health Recovery Group Program (RGP); (ii) to describe demographic characteristics of patients referred to the RGP; and (iii) to delineate and differentiate characteristics of clients who do and do not engage with the RGP's activities.
    Methods: Referral and assessment data from 212 clients referred to the RGP between July 2001 and November 2003 were collated and analysed.
    Results: Main reasons for referral to the programme were relationships followed by vocational/educational issues. Similarly, the most common goals identified by clients were around relationships, followed by time use and vocational issues. Clients referred to the RGP but who did not attend were more likely to have a psychotic disorder, to be older, unemployed and have difficulties with time management and substance use.
    Conclusions: Social functioning and vocation are important considerations in facilitating young people's recovery from mental illness. Such issues can be addressed within the context of psychosocial recovery group programmes. Further research is needed not only to address problems regarding client engagement but also to evaluate outcomes from participation in such programmes.
    MeSH term(s) Adolescent ; Adult ; Demography/statistics & numerical data ; Early Medical Intervention/methods ; Educational Status ; Employment/psychology ; Female ; Humans ; Male ; Mental Disorders/diagnosis ; Mental Disorders/therapy ; Patient Acceptance of Health Care/psychology ; Patient Acceptance of Health Care/statistics & numerical data ; Psychotherapy, Group/methods ; Referral and Consultation/statistics & numerical data
    Language English
    Publishing date 2011-08
    Publishing country Australia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2272425-4
    ISSN 1751-7893 ; 1751-7885
    ISSN (online) 1751-7893
    ISSN 1751-7885
    DOI 10.1111/j.1751-7893.2011.00277.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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