Externalising Behaviours In Young People: Predictors, Prevention And Treatment.
Funder
National Health and Medical Research Council
Funding Amount
$314,644.00
Summary
This Fellowship aims to reduce the burden associated with externalising behaviours (including aggression, violence, substance use, attention-deficit/hyperactivity disorder (ADHD), conduct disorder (CD), oppositional defiant disorder (ODD) and Substance Use Disorders (SUDs)) among young people in Australia. This body of work will provide a comprehensive assessment of the predictors, prevention and treatment of externalising behaviours, so as to inform resource allocation and service delivery.
Randomised Controlled Trial Of Cognitive Behaviour Therapy To Prevent Psychosis Among People With At-risk Mental States.
Funder
National Health and Medical Research Council
Funding Amount
$619,604.00
Summary
Recent advances in the accurate identification of individuals at high risk of developing a psychotic disorder, such as schizophrenia, have inspired the development of interventions designed to delay, ameliorate or even prevent the onset of such disorders. To date, the results of only three randomised controlled trials of such interventions have been published. Although these results have shown that interventions are able to delay the onset of psychosis, and may even prevent psychosis in some cas ....Recent advances in the accurate identification of individuals at high risk of developing a psychotic disorder, such as schizophrenia, have inspired the development of interventions designed to delay, ameliorate or even prevent the onset of such disorders. To date, the results of only three randomised controlled trials of such interventions have been published. Although these results have shown that interventions are able to delay the onset of psychosis, and may even prevent psychosis in some cases, it is unclear which treatment should be preferred for this population because the three trials have assessed, respectively, a combination of anti-psychotic medication and cognitive behaviour therapy (CBT), CBT alone, and anti-psychotic medication alone. Since the trial of CBT alone produced results that were at least as favourable as the two other trials, and since ethical and clinical objections have been raised concerning the use of anti-psychotic medications with young people who may never develop a psychotic disorder, CBT may be the preferred treatment. Far from posing unnecessary risks, CBT has the potential to provide important therapeutic benefits even to those not destined to develop a psychosis. The current study is significant in that it proposes a controlled trial of a form of CBT which has been specially adapted for preventing transition to psychosis among young high-risk individuals, to test whether the previous favourable results for CBT can be independently replicated. It will be compared with a control treatment. Since cannabis abuse is common among young people who are at risk, and is a known risk factor for psychosis, CBT will include elements of treatment for cannabis abuse. The trial will be run in both Newcastle and Orange, NSW, enabling us to compare the effectiveness of CBT in urban and rural settings. This study has the potential to have large impacts on the quality of life of young people at risk of psychosis.Read moreRead less
A Randomised Trial Of An Early Parenting Intervention To Reduce Maternal Mood Disorder And Infant Behavior Disturbance
Funder
National Health and Medical Research Council
Funding Amount
$390,503.00
Summary
Over 242,000 women give birth annually in Australia and up to 20% experience significant psychological distress in the baby's first year. Severe fatigue, worrying and depression interfere with the development of maternal confidence. If a baby does not sleep well or feed easily or cries for prolonged periods, mothers can feel ineffective and helpless. Assistance early in the baby's life is important to avoid long-term emotional and behavioral problems for mother and child. Nationally, health and ....Over 242,000 women give birth annually in Australia and up to 20% experience significant psychological distress in the baby's first year. Severe fatigue, worrying and depression interfere with the development of maternal confidence. If a baby does not sleep well or feed easily or cries for prolonged periods, mothers can feel ineffective and helpless. Assistance early in the baby's life is important to avoid long-term emotional and behavioral problems for mother and child. Nationally, health and social policy focuses on assisting families including those with parental mental health and early parenting problems and children at risk of developmental difficulties. Australia's residential early parenting services are unique, offering brief treatment to mothers with difficulties and infants with unsettled behaviour. Parents are educated in infant care and provided with emotional support and assistance to adjust to the demands of parenting. In past studies by CIA and CIB women reported marked improvements in emotional distress, maternal confidence and infant manageability after completing this treatment and six months later. The education and emotional support were rated as acceptable and very effective. This project is a randomized controlled trial that will evaluate whether brief admission to a residential early parenting service has sustainable benefits for mild to moderate maternal mental health problems and for infant behaviour disturbance. Mothers with a diagnosable mental health condition and with four-month-old infants reported to have unsettled infant behaviour will be randomly assigned to a residential treatment program at an early parenting service or to routine care. Mothers and infants will be assessed with standardized psychological measures one month after treatment and when the baby is one year old. An effective and acceptable intervention will provide an important alternative to available treatments for postnatal psychological disturbance.Read moreRead less
Social Well-being And Engaged Living (SWEL) Intervention For Australian Youth At Risk Of Mental Health And Other Adverse Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$1,305,236.00
Summary
Adolescence is a period of rapid physical, emotional and social growth. Many young people lack the socio-emotional skills to negotiate the transition thorough adolescence, and are at risk of disengaging from education, family and community. This is the first clinical trial to investigate the efficacy of a telephone delivered intervention for increasing social engagement, emotional health and well-being of disengaged rural and urban youth.
Increasing Engagement With Online Psychosocial Programs To Improve Mental Health In The Community
Funder
National Health and Medical Research Council
Funding Amount
$352,317.00
Summary
Online therapy programs have a strong evidence base in reducing mental health symptoms. However, take-up of these programs in the community is limited, and low adherence to these programs limits their impact. This project is a randomised controlled trial testing a novel approach to increasing uptake and adherence to psychosocial online programs, involving acceptance facilitation. Results will inform the dissemination of evidence-based psychosocial programs for a range of health conditions.
Preventing Suicide In Young People: A Public Health Approach
Funder
National Health and Medical Research Council
Funding Amount
$425,048.00
Summary
Suicide is the leading cause of death in young Australians. This fellowship aims to lower risk for suicide by testing: a) whether improving the connectedness of adolescents in schools can improve help-seeking, b) whether parents can learn to recognise risk in their children, and c) whether school screening is an appropriate and effective strategy to reduce risk. Practical outcomes will be new programs for youth, new strategies for parents and a better integrated approach for Australian schools.
What Can Parents Do To Prevent Mental Health Problems In Their Teenage Children?
Funder
National Health and Medical Research Council
Funding Amount
$424,905.00
Summary
Research shows that there are things parents can do to prevent depression, anxiety and alcohol misuse problems in their teenage child, but many parents do not know what specific actions they can take. Through the work of this fellowship, I propose to increase our understanding of how specific parenting behaviours can influence young people's risk of developing depression and anxiety problems. I will also translate research evidence into specific parenting strategies parents can use to protect th ....Research shows that there are things parents can do to prevent depression, anxiety and alcohol misuse problems in their teenage child, but many parents do not know what specific actions they can take. Through the work of this fellowship, I propose to increase our understanding of how specific parenting behaviours can influence young people's risk of developing depression and anxiety problems. I will also translate research evidence into specific parenting strategies parents can use to protect their child from these problems.Read moreRead less
PRevention & Early Intervention In Mental Illness And Substance UsE (PREMISE CRE)
Funder
National Health and Medical Research Council
Funding Amount
$2,495,969.00
Summary
Substance use and mental disorders are among the leading causes of burden of disease in young people globally. Effective prevention and early intervention can reduce disease burden by halting, interrupting or delaying the onset and development of disorder. The PREMISE CRE will build the science to move the field from crisis, acute care and containment to prevention and early intervention, achieving a critical aim of the Australian Government’s program of reform in mental health and addiction.