Nicholas Procter
Biographic Data
| ID | 125060 |
|---|---|
| NAME | Nicholas Procter |
| GIVEN NAMES | Nicholas |
| FAMILY NAME | Procter |
| SIGNATURE | PROCTER N |
| AFFILIATIONS | University of South Australia |
| ORCID | 0000-0002-7289-3165 |
| VERIFIED | Yes |
| TOTAL WORKS | 31 |
| TOTAL CITATIONS | 16 |
| AUTHOR COUNT | 31 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Challenges and barriers for systems level lived experience leadership: An action research qualitative analysis
This action research project aimed at understanding the challenges and barriers that established and emerging lived experience leaders experience in their organisational and community contexts. The study reports on qualitative focus groups/online forum with 31 diverse lived experience leader participants and 14 individual interviews with mental health and community service and sector leaders. The data was thematically analysed using a systems cha…
Community-Based Crisis Care Beyond the Emergency Department: A Scoping Review
Suicide and mental ill-health remain a major global concern, reflected by rising emergency department presentations, however there is growing recognition that these settings often do not meet the needs of individuals in crisis. These settings are often experienced as crowded, traumatic, and poorly equipped for psychological distress, underscoring the need for accessible, community-based alternatives that offer safer, more supportive responses dur…
Values, qualities and skills for mental health lived experience leadership in systems change in Australia
Organisational Actions for Improving Recognition, Integration and Acceptance of Peer Support as Identified by a Current Peer Workforce
Recovery-orientated practice is crucial to mental health care services—consistently identified in policy, service delivery guidelines and national mental health action plans. An essential component to systems reform and the adoption of recovery-orientated practice is the inclusion of peer support workers as practice leaders to support shifting culture in mental health service delivery. Designated peer support roles operate as healthcare professio…
Pathways for Strengthening Lived Experience Leadership for Transformative Systems Change: Reflections on Research and Collective Change Strategies
INTRODUCTION: The Activating Lived Experience Leadership (ALEL) project was a South Australian participatory action research project that aimed to improve the ways lived experience is recognised, valued and integrated across mental health and social sector systems. ALEL was completed during 2019-2021, where it engaged 182 participants in generating community action and research knowledge. OBJECTIVE: Our paper discusses the project's processes of …
Mental health care for trans and gender diverse youth from culturally and linguistically diverse (Cald) backgrounds: Reflections from communities of practice
Introduction: Trans and gender diverse youth from culturally and linguistically diverse (CALD) backgrounds are at increased risk of experiencing poor mental health outcomes, including suicidal crisis. The aim of this clinical perspective paper is to discuss considerations from mental health practitioners and identify practical actions for enhancing mental health care delivery and reduce suicidality
Let Us Keep the Emergency Department Safe: National Disability Insurance Scheme Supports Workers’ Experiences When Supporting People with Psychosocial Disability in the Emergency Department
Internationally, community healthcare is provided by personal health budgets or personalised schemes as part of a consumer‐directed care emphasis. Although the introduction of a personalised scheme in Australia has improved the lives of many, people with psychosocial disability (PSD) and their families have experienced many challenges with service integration. Six focus groups with 17 National Disability Insurance Scheme (NDIS) support workers we…
A Mixed Methods Inquiry into How Legal Professionals Respond to Recurring Trauma and Mental Distress among Refugees and Asylum Seekers with Insecure Visa Status in Australia
The aim of this study was to investigate how legal professionals in Australia responded to the mental distress experienced by clients with insecure visa status in the Fast Track Assessment (FTA) process. This article reports on survey findings obtained from 38 legal professionals followed up by focus groups and interviews with 16 participants. The participants were all involved in providing legal assistance to refugees and asylum seekers with ins…
Mental deterioration of refugees and asylum seekers with uncertain legal status in Australia: Perceptions and responses of legal representatives
BACKGROUND: Many developed countries have introduced strict measures designed to deter people seeking asylum. Measures such as held detention, insecure visas, restrictions work and services all impact the mental health of asylum seekers. In 2014 Australia introduced a 'fast track assessment' (FTA) system of processing refugee claims for asylum seekers who arrived by boat, those found to be refugees were only eligible for temporary residence. Lega…
“And you feel like you’re suffocating … how the fuck am I going to get out of all this?” Drivers and experiences of suicidal ideation in the Australian construction industry
Findings highlight several industry and personal related challenges that may drive experiences, with many potentially mitigatable by ACI changes and focused prevention strategies. Participant suicidal thought descriptions align with previously identified constructs deemed central in suicidal trajectories. While findings highlight several observable expressions of suicidal ideation and distress, challenges associated with identifying and assisting…
Suicidal Ideation in the Australian Construction Industry: Prevalence and the Associations of Psychosocial Job Adversity and Adherence to Traditional Masculine Norms
Results suggest need for increased understanding of later stage suicidal trajectory drivers in the ACI. Findings indicate need for prevention group/industry concentration on mitigation of psychosocial job adversities, as well as a more nuanced and increased discussion of the negative role of self-reliance and risk-taking domains of traditional masculine norms may play in ACI suicidal ideation, as opposed to the construct as a whole
Suicide deaths following police contact: A review of coronial inquest findings
We analyzed 10 years of Australian coronial inquest documents on people who died by suicide or suspected suicide following recent contact with the police. We identified 149 cases of suicide or suspected suicides via coronial websites, 34 of which contained recommendations. We developed four themes from these recommendations, the most common of which was for police to change current practices or policies and modify police officer training. Coroner…
Exploring mental health clients' current medication knowledge, beliefs and experience with healthcare providers in the community in South Australia
In Australia, mental illness has been recognised as a National Health Priority area, with the coronavirus pandemic adding a layer of urgency to the need to address the multiple health problems faced by clients with mental illnesses. Whilst much has been done in efforts to support these clients, little is known about their medication knowledge and experience with health professionals. The aim of the study was to explore the knowledge and beliefs o…
The impact of screen media portrayals of suicide on viewers: A rapid review of the evidence
This rapid review aimed to review recent published literature and describe the current evidence regarding the impact, on viewers, of portrayals of suicide in screen/ moving-image fiction and non-fiction media, such as television/web series, films and documentaries. We searched various databases for research conducted within the past decade (2009-2019). A total of 16 articles were eligible for inclusion. The literature reported varying impacts of …
From the community to the emergency department: A study of hospital emergency department nursing practices from the perspective of carers of a loved one with Borderline Personality Disorder
Carers of loved ones with Borderline Personality Disorder (BPD) often present to Emergency Departments (ED) during acute crisis situations. The initial contact for the carer and consumer in distress is often an emergency nurse. By gaining a greater understanding of carers (18+) perspectives on ED nursing practices when consumers with BPD are requiring crisis support, knowledge about preferred and best practice can be gained. To obtain this knowle…
Fostering mental health and well‐being among workers who support refugees and asylum seekers in the Australian context
Therapists and counsellors who provide trauma-focussed therapy and support to refugees and asylum seekers are often exposed to distressing and confronting stories of war, violence, torture, loss and grief, and other atrocities. In addition to this, working within an immigration and detention context has been reported to further contribute to experiences of burnout, vicarious trauma, and other adverse consequences of working with traumatised popul…
Enablers of psychological well‐being for refugees and asylum seekers living in transitional countries: A systematic review
Police response to individuals displaying suicidal or self‐harming behaviours: An integrative review
Police are increasingly being called upon to respond to people experiencing suicidal crisis. Such incidents are a challenging aspect of modern policing. This paper reports on an integrative review study that aimed to investigate police responses to individuals displaying suicidal or self-harming behaviours. Six electronic databases were searched for peer-reviewed articles published between 2007 and 2017 relating to police responses to individuals…
Protective factors for older suicide attempters: Finding reasons and experiences to live
This paper describes the nature and scope of protective factors that give older people reasons and experiences to live following a suicide attempt. In order to understand more about what protective factors influenced them, we conducted a multiple-case study of seven older people who attempted suicide. The main category from the within-case analysis was the self. Between-case analysis identified four main categories: interpersonal relationships, m…
Clinician wellbeing: The impact of supporting refugee and asylum seeker survivors of torture and trauma in the Australian context
ObjectiveProviding therapy to refugees and asylum seekers who have experienced torture and trauma exposes clinicians to traumatic stories. Additionally, clinicians working with refugees and asylum seekers are often required to work in the context of immigration detention and uncertainty for clients' futures, potentially compounding the already difficult nature of trauma therapy and further impacting clinician wellbeing. There is a paucity of rese…
Perspectives of rural health and human service practitioners following suicide prevention training programme in Australia: A thematic analysis
There are well-established training programmes available to support health and human services professionals working with people vulnerable to suicide. However, little is known about involving people with lived experience in the delivery of suicide prevention training with communities with increased rates of suicide. The aim of this paper was to report on a formative dialogical evaluation that explored the views of health and human services worker…
Improving the provision of services to young people from refugee backgrounds with comorbid mental health and substance use problems: Addressing the barriers
This research highlights significant gaps in the response of MH and AOD services to refugee youth with comorbidity. Based on the findings, ways of overcoming the barriers are discussed, and are of particular relevance to policy makers, organisations and clinicians
Dietary intervention for people with mental illness in South Australia
BACKGROUND: People with serious mental illness (SMI) have a 25-30 year lower life expectancy than the general population due largely to cardiovascular disease (CVD). Mediterranean diet can reduce CVD risk and repeat events by 30-70%. We conducted a pilot feasibility study (HELFIMED) with people who have SMI residing within a Community Rehabilitation Centre in South Australia, aimed at improving participants' diets according to Mediterranean diet …
Mental health and legal representation for asylum seekers in the 'legacy caseload
This article examines the legal challenges asylum seekers arriving by boat to Australia experience when seeking assistance with their claims and its impact on their mental health. The authors outline the experiences of asylum seekers in the 'legacy caseload' group who have been waiting up to four years to have their protection claims assessed. The complex interplay between legal assistance to support refugee claims and the way those making claims…
Aetiology of Coexisting Mental Health and Alcohol and Other Drug Disorders: Perspectives of Refugee Youth and Service Providers
In the general population, people with comorbid mental health (MH) and alcohol and other drug (AOD) disorders (comorbidity) have great difficulty accessing appropriate services, and poor outcomes. Little is known about comorbidity in resettled refugees in Australia. This study was designed to identify risk factors and patterns of comorbidity development in young people from refugee backgrounds living in a disadvantaged urban region of Adelaide, S…
Aetiology of Coexisting Mental Health and Alcohol and Other Drug Disorders: Perspectives of Refugee Youth and Service Providers
In the general population, people with comorbid mental health (MH) and alcohol and other drug (AOD) disorders (comorbidity) have great difficulty accessing appropriate services, and poor outcomes. Little is known about comorbidity in resettled refugees in Australia. This study was designed to identify risk factors and patterns of comorbidity development in young people from refugee backgrounds living in a disadvantaged urban region of Adelaide, S…
Protective factors for older suicide attempters: Finding reasons and experiences to live
This paper describes the nature and scope of protective factors that give older people reasons and experiences to live following a suicide attempt. In order to understand more about what protective factors influenced them, we conducted a multiple-case study of seven older people who attempted suicide. The main category from the within-case analysis was the self. Between-case analysis identified four main categories: interpersonal relationships, m…
Clinician wellbeing: The impact of supporting refugee and asylum seeker survivors of torture and trauma in the Australian context
ObjectiveProviding therapy to refugees and asylum seekers who have experienced torture and trauma exposes clinicians to traumatic stories. Additionally, clinicians working with refugees and asylum seekers are often required to work in the context of immigration detention and uncertainty for clients' futures, potentially compounding the already difficult nature of trauma therapy and further impacting clinician wellbeing. There is a paucity of rese…
Fostering mental health and well‐being among workers who support refugees and asylum seekers in the Australian context
Therapists and counsellors who provide trauma-focussed therapy and support to refugees and asylum seekers are often exposed to distressing and confronting stories of war, violence, torture, loss and grief, and other atrocities. In addition to this, working within an immigration and detention context has been reported to further contribute to experiences of burnout, vicarious trauma, and other adverse consequences of working with traumatised popul…
Mental health and legal representation for asylum seekers in the 'legacy caseload
This article examines the legal challenges asylum seekers arriving by boat to Australia experience when seeking assistance with their claims and its impact on their mental health. The authors outline the experiences of asylum seekers in the 'legacy caseload' group who have been waiting up to four years to have their protection claims assessed. The complex interplay between legal assistance to support refugee claims and the way those making claims…
Exploring mental health clients' current medication knowledge, beliefs and experience with healthcare providers in the community in South Australia
In Australia, mental illness has been recognised as a National Health Priority area, with the coronavirus pandemic adding a layer of urgency to the need to address the multiple health problems faced by clients with mental illnesses. Whilst much has been done in efforts to support these clients, little is known about their medication knowledge and experience with health professionals. The aim of the study was to explore the knowledge and beliefs o…
From the community to the emergency department: A study of hospital emergency department nursing practices from the perspective of carers of a loved one with Borderline Personality Disorder
Carers of loved ones with Borderline Personality Disorder (BPD) often present to Emergency Departments (ED) during acute crisis situations. The initial contact for the carer and consumer in distress is often an emergency nurse. By gaining a greater understanding of carers (18+) perspectives on ED nursing practices when consumers with BPD are requiring crisis support, knowledge about preferred and best practice can be gained. To obtain this knowle…
Re-traumatisation, fear and suicidal thinking: A case study of ‘boatpeople’ from Australia
Ninety percent of “boatpeople” who make it toAustralia’s migration zone are assessed as legitimate refugees and given Temporary Protection Visas (TPV) allowing them to stay inAustraliafor three years in the first instance. The aim of this paper is to pinpoint aspects of re-traumatisation, fear mistrust as stressors for one individual living on a TPV. This paper identifies how discrete elements in the recent and distant past interact with the pres…
The Mental Health Implications of Britain's Conservative Party Immigration Plan
This paper examines mental health issues surrounding Tory Party plans to radically change Britains' immigration laws making the processes attendant upon seeking asylum tougher for those who try. By looking beyond taken-forgranted assumptions associated with refugees and asylum seeking, a number of questions emerge from the Tory Party Plans. The mental health implications of the Tory Party plan for mandatory detention and processing according to q…
Mental Health Workforce Collaboration and Partnership: Towards a response to World Health Assembly Resolution WHA 57.19
Using Australia as the main example, the aim of this paper is to consider selective aspects of the forthcoming World Health Report 2006 as it sets an agenda to create a responsive and dynamic health workforce. At the core of a culturally competent mental health workforce will be clinicians prepared to question and respond to particular health experiences and what they, managers and policy makers of all persuasions see as different perceived cause…
Help-seeking for Mental Health Problems in Young Refugees: A Review of the Literature with Implications for Policy, Practice, and Research
The large and diverse bodies of literature on refugee child and adolescent mental health have not been matched by a commensurate interest in help-seeking. Most help-seeking research has centred on Western and, to a lesser extent, non-refugee ethnic minority adult populations. An emerging child and adolescent help-seeking literature consistently reports widespread underutilization of mental health services by children in the general population. Cu…
The social and economic impacts of immigration detention facilities: A South Australian case study
The negative attitudes fostered by political rhetoric against asylum seekers create significant problems when asylum seekers are housed within communities. Much of the community's opposition focuses on the perceived economic and social impacts of large numbers of asylum seekers. However, we currently lack research on the local economic and social impacts of asylum seekers. As a contribution to this evidence base our paper outlines a South Austral…
Engaging consumers in the Australian emergency mental health context: A qualitative perspective from clinicians working in the community
Successfully engaging with consumers is seen as an essential component of mental healthcare, yet doing so can be challenging and little is understood about the unique engagement skills and attributes employed by mental health clinicians working in the emergency community context. Consequently, this qualitative study explored the engagement experiences of clinicians to identify the attributes used when engaging with consumers in this unique settin…
Aetiology of Coexisting Mental Health and Alcohol and Other Drug Disorders: Perspectives of Refugee Youth and Service Providers
In the general population, people with comorbid mental health (MH) and alcohol and other drug (AOD) disorders (comorbidity) have great difficulty accessing appropriate services, and poor outcomes. Little is known about comorbidity in resettled refugees in Australia. This study was designed to identify risk factors and patterns of comorbidity development in young people from refugee backgrounds living in a disadvantaged urban region of Adelaide, S…
Dietary intervention for people with mental illness in South Australia
BACKGROUND: People with serious mental illness (SMI) have a 25-30 year lower life expectancy than the general population due largely to cardiovascular disease (CVD). Mediterranean diet can reduce CVD risk and repeat events by 30-70%. We conducted a pilot feasibility study (HELFIMED) with people who have SMI residing within a Community Rehabilitation Centre in South Australia, aimed at improving participants' diets according to Mediterranean diet …
Mental health and legal representation for asylum seekers in the 'legacy caseload
This article examines the legal challenges asylum seekers arriving by boat to Australia experience when seeking assistance with their claims and its impact on their mental health. The authors outline the experiences of asylum seekers in the 'legacy caseload' group who have been waiting up to four years to have their protection claims assessed. The complex interplay between legal assistance to support refugee claims and the way those making claims…
Improving the provision of services to young people from refugee backgrounds with comorbid mental health and substance use problems: Addressing the barriers
This research highlights significant gaps in the response of MH and AOD services to refugee youth with comorbidity. Based on the findings, ways of overcoming the barriers are discussed, and are of particular relevance to policy makers, organisations and clinicians
Perspectives of rural health and human service practitioners following suicide prevention training programme in Australia: A thematic analysis
There are well-established training programmes available to support health and human services professionals working with people vulnerable to suicide. However, little is known about involving people with lived experience in the delivery of suicide prevention training with communities with increased rates of suicide. The aim of this paper was to report on a formative dialogical evaluation that explored the views of health and human services worker…
Enablers of psychological well‐being for refugees and asylum seekers living in transitional countries: A systematic review
Police response to individuals displaying suicidal or self‐harming behaviours: An integrative review
Police are increasingly being called upon to respond to people experiencing suicidal crisis. Such incidents are a challenging aspect of modern policing. This paper reports on an integrative review study that aimed to investigate police responses to individuals displaying suicidal or self-harming behaviours. Six electronic databases were searched for peer-reviewed articles published between 2007 and 2017 relating to police responses to individuals…
Protective factors for older suicide attempters: Finding reasons and experiences to live
This paper describes the nature and scope of protective factors that give older people reasons and experiences to live following a suicide attempt. In order to understand more about what protective factors influenced them, we conducted a multiple-case study of seven older people who attempted suicide. The main category from the within-case analysis was the self. Between-case analysis identified four main categories: interpersonal relationships, m…
Clinician wellbeing: The impact of supporting refugee and asylum seeker survivors of torture and trauma in the Australian context
ObjectiveProviding therapy to refugees and asylum seekers who have experienced torture and trauma exposes clinicians to traumatic stories. Additionally, clinicians working with refugees and asylum seekers are often required to work in the context of immigration detention and uncertainty for clients' futures, potentially compounding the already difficult nature of trauma therapy and further impacting clinician wellbeing. There is a paucity of rese…
Fostering mental health and well‐being among workers who support refugees and asylum seekers in the Australian context
Therapists and counsellors who provide trauma-focussed therapy and support to refugees and asylum seekers are often exposed to distressing and confronting stories of war, violence, torture, loss and grief, and other atrocities. In addition to this, working within an immigration and detention context has been reported to further contribute to experiences of burnout, vicarious trauma, and other adverse consequences of working with traumatised popul…
The impact of screen media portrayals of suicide on viewers: A rapid review of the evidence
This rapid review aimed to review recent published literature and describe the current evidence regarding the impact, on viewers, of portrayals of suicide in screen/ moving-image fiction and non-fiction media, such as television/web series, films and documentaries. We searched various databases for research conducted within the past decade (2009-2019). A total of 16 articles were eligible for inclusion. The literature reported varying impacts of …
From the community to the emergency department: A study of hospital emergency department nursing practices from the perspective of carers of a loved one with Borderline Personality Disorder
Carers of loved ones with Borderline Personality Disorder (BPD) often present to Emergency Departments (ED) during acute crisis situations. The initial contact for the carer and consumer in distress is often an emergency nurse. By gaining a greater understanding of carers (18+) perspectives on ED nursing practices when consumers with BPD are requiring crisis support, knowledge about preferred and best practice can be gained. To obtain this knowle…
Suicidal Ideation in the Australian Construction Industry: Prevalence and the Associations of Psychosocial Job Adversity and Adherence to Traditional Masculine Norms
Results suggest need for increased understanding of later stage suicidal trajectory drivers in the ACI. Findings indicate need for prevention group/industry concentration on mitigation of psychosocial job adversities, as well as a more nuanced and increased discussion of the negative role of self-reliance and risk-taking domains of traditional masculine norms may play in ACI suicidal ideation, as opposed to the construct as a whole
Suicide deaths following police contact: A review of coronial inquest findings
We analyzed 10 years of Australian coronial inquest documents on people who died by suicide or suspected suicide following recent contact with the police. We identified 149 cases of suicide or suspected suicides via coronial websites, 34 of which contained recommendations. We developed four themes from these recommendations, the most common of which was for police to change current practices or policies and modify police officer training. Coroner…
Exploring mental health clients' current medication knowledge, beliefs and experience with healthcare providers in the community in South Australia
In Australia, mental illness has been recognised as a National Health Priority area, with the coronavirus pandemic adding a layer of urgency to the need to address the multiple health problems faced by clients with mental illnesses. Whilst much has been done in efforts to support these clients, little is known about their medication knowledge and experience with health professionals. The aim of the study was to explore the knowledge and beliefs o…
Mental deterioration of refugees and asylum seekers with uncertain legal status in Australia: Perceptions and responses of legal representatives
BACKGROUND: Many developed countries have introduced strict measures designed to deter people seeking asylum. Measures such as held detention, insecure visas, restrictions work and services all impact the mental health of asylum seekers. In 2014 Australia introduced a 'fast track assessment' (FTA) system of processing refugee claims for asylum seekers who arrived by boat, those found to be refugees were only eligible for temporary residence. Lega…
“And you feel like you’re suffocating … how the fuck am I going to get out of all this?” Drivers and experiences of suicidal ideation in the Australian construction industry
Findings highlight several industry and personal related challenges that may drive experiences, with many potentially mitigatable by ACI changes and focused prevention strategies. Participant suicidal thought descriptions align with previously identified constructs deemed central in suicidal trajectories. While findings highlight several observable expressions of suicidal ideation and distress, challenges associated with identifying and assisting…
Organisational Actions for Improving Recognition, Integration and Acceptance of Peer Support as Identified by a Current Peer Workforce
Recovery-orientated practice is crucial to mental health care services—consistently identified in policy, service delivery guidelines and national mental health action plans. An essential component to systems reform and the adoption of recovery-orientated practice is the inclusion of peer support workers as practice leaders to support shifting culture in mental health service delivery. Designated peer support roles operate as healthcare professio…
Pathways for Strengthening Lived Experience Leadership for Transformative Systems Change: Reflections on Research and Collective Change Strategies
INTRODUCTION: The Activating Lived Experience Leadership (ALEL) project was a South Australian participatory action research project that aimed to improve the ways lived experience is recognised, valued and integrated across mental health and social sector systems. ALEL was completed during 2019-2021, where it engaged 182 participants in generating community action and research knowledge. OBJECTIVE: Our paper discusses the project's processes of …
Psychiatry (22 works) · Psychology (22 works) · Medicine (21 works) · Mental health (19 works) · Political science (19 works) · Migration, Health and Trauma (12 works) · Refugee (11 works) · Sociology (11 works) · Nursing (9 works) · Qualitative research (9 works)