http://nova.newcastle.edu.au/vital/access/services/Feed ${session.getAttribute("locale")} 5 http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:12872 Professional Doctorate - Doctor of Clinical Psychology (DCP) 2013-05-10T05:27:28.882Z ]]> http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:11436 In this age of technological competence and efficiency, the knowledge and skills embedded in caring practices are often overlooked. Phillips and Benner (1994) identified a 'crisis in caring' across our society, especially involving members of the helping professions, such as nursing. Caring is central to all helping professions and enables people to create meaning in their lives. Caring means that people, relationships and things matter (Benner & Wrubel 1989). 2012-09-04T03:06:55.553Z ]]> http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:2748 Research Doctorate - Doctor of Philosophy (PhD) 2011-12-19T04:50:10.692Z ]]> http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:7523 Review of: Jayakumar G, Retneswari M, eds. Occupational Health for Health Care Professionals: Caring for the Carers. 1st ed. Kuala Lumpur, Malaysia: Malaysian Medical Association; 2008. 2011-04-07T03:00:14.312Z ]]> http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:7492 In the first 2 articles of this series, we reviewed the basic genetics concepts necessary to understand genetic association studies, and we enumerated the major issues in judging the validity of these studies. In this third article, we review the issues relating to the applicability of the results in the clinical situation. How large and precise are the associations? Many genetic effects are expected to be smaller in magnitude than traditional risk factors. Does the genetic association improve predictive power beyond easily measured clinical variables? In some cases, the additional genetic information adds only a small increment in the predictive ability of a diagnostic or prognostic test. What are the absolute vs relative effects? Even if the genetic risk is high in relative terms, the baseline risk may be very low in absolute terms. Is the risk-associated allele likely to be present in my patient? A risk allele may have a strong effect but be rare in a particular ethnic group. Is the patient likely better off knowing the genetic information? Given that genes cannot be modified, one must weigh whether the genetic information is likely to be helpful in planning other health interventions or initiating behavior change. 2011-04-06T06:10:15.376Z ]]> http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:1543 This paper examines the perceived service needs of families of Hunter region preschool aged children with disruptive behaviour problems, attending centre-based child care services. Families were recruited via clinics and child care services, using defined eligibility criteria. Respondents ranked their service needs in clinical early education, and community-based categories, as well as strategies for cost reduction. Respondents also provided service utilisation, family stress, and socio-demographic details. The highest clinical service priorities entailed expansion of mainstream community treatment services. In the early education sector, highest priority was given to extending the behaviour management skills of existing child care staff, ahead of the need to recruit specialist staff. Priority was given to support groups and an information and referral service, ahead of respite services. Exceptional levels of family stress and burden of care were detected for this group. The findings provide a consumer's perspective on the provision of services for preschool-aged children with disruptive behaviour. 2010-04-27T06:29:29.018Z ]]> http://nova.newcastle.edu.au/vital/access/manager/Repository/uon:629 Objective: To examine the needs and practices of rural GPs and their relationships with local acute mental health services, particularly in the provision of care to depressed patients. Design: Postal survey. Setting: Rural general practices. Subjects: Ninety-nine GPs (63 males, 36 females) from the Hunter Valley region of NSW, Australia. Main Outcome Measures: GPs' self-reported contact rates, confidence, needs and beliefs. Results: Depression was the most commonly seen mental disorder, with an average of 1.44 patients per GP per month referred to local acute mental health services, most commonly for suicidality. The preferred form of feedback after the referral of a depressed patient was a follow-up letter, while the most requested type of patient management support was cognitive behavioural therapy (CBT) groups. GPs were most confident in recognising depression, compared to other mental disorders except anxiety, and they were most confident in treating depression, compared to all other mental disorders. The most common barrier to providing care for depressed patients was reported to be 'time constraints' on GPs. Conclusions: The challenge for mental health services is to develop ways to collaborate more effectively with GPs in the provision of psychological services for depressed patients in rural communities. 2010-04-27T05:37:41.918Z ]]>