Patrick D Mcgorry
Dados Biográficos
| ID | 3472017 |
|---|---|
| NOME | Patrick D Mcgorry |
| PRENOMES | Patrick D |
| SOBRENOME | Mcgorry |
| ASSINATURA | MCGORRY P D |
| AFILIAÇÕES | The University of Melbourne |
| ORCID | 0000-0002-3789-6168 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 28 |
| TOTAL DE CITAÇÕES | 13 |
| TOTAL COMO AUTOR | 28 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1998 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2024 |
| ÍNDICE H | 2 |
The Lancet Psychiatry Commission on youth mental health
Inequitable access to mental healthcare for socially excluded adolescents
Background: Adolescence is a critical period for mental health and social exclusion, a key social determinant of mental health. Early intervention approaches are key to mitigating the impact of mental ill-health during adolescence, however social exclusion can create additional barriers to accessing care. Aim: We aimed to better understand help-seeking experiences of adolescents facing co-occurring social exclusion and mental ill-health, includin…
The changing impacts of social determinants on youth mental health in Australia
Aims: Most lifetime mental health disorders begin by age 25 years, and the prevalence among young people has been increasing over recent years. We sought to understand what impact, if any, social determinants have had on this increase through the analysis of an Australian longitudinal dataset (with data from 2007 to 2021). Methods: The analysis focused on five social determinants: loneliness and lack of social support, family relationships, parti…
The association between social deprivation and the rate of identification of individuals at Ultra-High Risk for psychosis and transition to psychosis
Background: There is a higher incidence of psychotic disorders in neighbourhoods of greater social deprivation. However, it is not known whether this represents a causal relationship, as the stage at which social deprivation exerts its influence on the development of psychotic disorders is yet to be elucidated. We aimed to investigate the association between neighbourhood-level social deprivation and the rate of identification of individuals at U…
Designing and scaling up integrated youth mental health care
Mental ill‐health represents the main threat to the health, survival and future potential of young people around the world. There are indications that this is a rising tide of vulnerability and need for care, a trend that has been augmented by the COVID‐19 pandemic. It represents a global public health crisis, which not only demands a deep and sophisticated understanding of possible targets for prevention, but also urgent reform and investment in…
Heschl’s gyrus duplication pattern and clinical characteristics in borderline personality disorder
Inter-individual variations in the sulco-gyral pattern of Heschl's gyrus (HG) might contribute to emotional processing. However, it remains largely unknown whether borderline personality disorder (BPD) patients exhibit an altered HG gyrification pattern, compared with healthy individuals, and whether such a brain morphological feature, if present, might contribute to their clinical characteristics. The present study used magnetic resonance imagin…
Intervention précoce pour les premiers épisodes psychotiques d’hier à demain
Objectifs L’émergence de l’intervention précoce pour les premiers épisodes psychotiques (PEP), dans les années 90, représente une avancée majeure en santé mentale. On a démontré qu’en offrant des interventions intensives adaptées aux besoins spécifiques des jeunes dès le début du PEP, il devenait possible de durablement améliorer leur évolution ultérieure. Ce modèle d’intervention précoce pour la psychose (IPP) s’accompagne d’une révision en prof…
Pluripotential Risk and Clinical Staging
Most psychiatric disorders develop during adolescence and young adulthood and are preceded by a phase during which attenuated or episodic symptoms and functional decline are apparent. The introduction of the ultra-high risk (UHR) criteria two decades ago created a new framework for identification of risk and for pre-emptive psychiatry, focusing on first episode psychosis as an outcome. Research in this paradigm demonstrated the comorbid, diffuse …
The neurophenomenology of early psychosis
Commentary
GENERAL COMMENTARY article Front. Psychiatry, 27 May 2020 | https://doi.org/10.3389/fpsyt.2020.00488
The Lancet Psychiatry Commission
Sex differences in psychological distress, behavioural and emotional problems, and substance use in young people in out‐of‐home care
The aim of the study was to examine sex differences in self‐reported psychological distress, behavioural and emotional problems, and substance use in young people living in out‐of‐home care (OoHC). One hundred seventy‐six young people aged 12–17 years (females 53.4%) in OoHC in metropolitan Melbourne, Australia, were interviewed. Participants completed self‐report measures: Kessler Psychological Distress Scale, Strengths and Difficulties Question…
Early Intervention in Psychosis in Young People
Over the past two decades or more, the creation of early intervention services (EIS) for psychoses has been regarded as one of the most significant developments in the reform of mental health services. The development of EIS is based on evidence of their superior effectiveness on multiple domains compared with regular care and the well-established relationship between delay in treatment of psychosis and outcome. The benefits of EIS may, however, …
Preventive strategies for mental health
Early intervention in youth mental health
Early intervention is a fundamental principle in health care and the past two decades have seen it belatedly introduced into the field of mental health. This began in psychotic disorders, arguably the least promising place to start. The steady accumulation of scientific evidence for early intervention has eventually overwhelmed the sceptics, transformed thinking in psychotic disorders and created an international wave of service reform. This para…
Recent Meta-Analyses in the Clinical High Risk for Psychosis Population
OPINION article Front. Psychiatry, 12 October 2018 | https://doi.org/10.3389/fpsyt.2018.00502
The Mental Health of Elite Athletes
Designing youth mental health services for the 21st century
Despite the evidence showing that young people aged 12-25 years have the highest incidence and prevalence of mental illness across the lifespan, and bear a disproportionate share of the burden of disease associated with mental disorder, their access to mental health services is the poorest of all age groups. A major factor contributing to this poor access is the current design of our mental healthcare system, which is manifestly inadequate for th…
Age of onset of mental disorders and use of mental health services
Purpose of review. In this review, we provide an update of recent studies on the age of onset (AOO) of the major mental disorders, with a special focus on the availability and use of services providing prevention and early intervention. Recent findings. The studies reviewed here confirm previous reports on the AOO of the major mental disorders. Although the behaviour disorders and specific anxiety disorders emerge during childhood, most of the hi…
Referrers' Perceived Utility and Outcomes of Clinical Neuropsychological Assessment in an Adolescent and Young Adult Public Mental Health Service
This survey‐based study evaluated referring clinicians’ (n = 35) perceptions of the usefulness and outcomes associated with the provision of clinical neuropsychological assessment and feedback within an adolescent and young adult public mental health service in Melbourne, Australia. The results suggest that referrers perceive the neuropsychological service, including formal neuropsychological assessment report and verbal and written feedbacks, as…
Mental health of young people
Influence of Gender on Mental Health Literacy in Young Australians
Objectives: To determine the effects of gender on mental health literacy in young people between 12 and 25 years of age. Design: Computer-Assisted Telephone Interviewing was employed to conduct a crosssectional structured interview focusing on young people's awareness of depression and psychosis. Participants: The sample comprised 1207 young Australians (539 males and 668 females) between the ages of 12-25 recruited from two metropolitan and two …
Development and evaluation of a youth mental health community awareness campaign – The Compass Strategy
We believe this is the first study to apply the rigorous standards of a health promotion model including the use of a control region to a mental health population intervention. The program achieved many of its aims despite the relatively short duration and moderate intensity of the campaign
Mapping the Onset of Psychosis
Objective: Recognizing the prodrome of a first psychotic episode prospectively creates the opportunity of intervention, which could delay, ameliorate or even prevent onset. Valid criteria and a reliable methodology for identifying possible prodromes are needed. This paper describes an instrument, the Comprehensive Assessment of At-Risk Mental States (CAARMS), which has been designed for such a purpose. It has two functions: (i) to assess psychopa…
Determinants of Duration of Untreated Psychosis and the Pathway to Care in Singapore
Introduction: Delays in providing effective treatment for a patient with psychosis has significant negative effects on the outcome. This includes more hospitalizations, longer periods of inpatient care, slower and less complete recovery, and more frequent relapses. In this study, we established the Duration of Psychosis (DUP) in a sample of patients with first-episode psychosis and examined the pathways to care. Methods: The sample comprised pati…
Problems Tamil asylum seekers encounter in accessing health and welfare services in Australia
Sex differences in psychological distress, behavioural and emotional problems, and substance use in young people in out‐of‐home care
The aim of the study was to examine sex differences in self‐reported psychological distress, behavioural and emotional problems, and substance use in young people living in out‐of‐home care (OoHC). One hundred seventy‐six young people aged 12–17 years (females 53.4%) in OoHC in metropolitan Melbourne, Australia, were interviewed. Participants completed self‐report measures: Kessler Psychological Distress Scale, Strengths and Difficulties Question…
Referrers' Perceived Utility and Outcomes of Clinical Neuropsychological Assessment in an Adolescent and Young Adult Public Mental Health Service
This survey‐based study evaluated referring clinicians’ (n = 35) perceptions of the usefulness and outcomes associated with the provision of clinical neuropsychological assessment and feedback within an adolescent and young adult public mental health service in Melbourne, Australia. The results suggest that referrers perceive the neuropsychological service, including formal neuropsychological assessment report and verbal and written feedbacks, as…
Trauma exposure, postmigration stressors, and symptoms of anxiety, depression and post‐traumatic stress in Tamil asylum‐seekers
Compared to research on displaced persons whose refugee status has been endorsed prior to arriving in Western countries, there is little systematic information available about levels of past trauma, postmigration living difficulties and psychiatric symptoms amongst asylum‐seekers who claim refugee status only after arrival. Asylum‐seekers, authorized refugees and immigrants of Tamil background were recruited by personal contact and mail‐out in Sy…
Pathways from war trauma to posttraumatic stress symptoms among Tamil asylum seekers, refugees, and immigrants
Path analysis was used to examine the antecedents of posttraumatic stress (PTS) symptoms in Tamil asylum‐seekers, refugees, and immigrants in Australia. The Harvard Trauma Questionnaire and a postmigration living difficulties questionnaire were completed by 62 asylum‐seekers, 30 refugees, and 104 immigrants who responded to a mail‐out. Demographic characteristics, residency status, and measures of trauma and postmigration stress were fitted to a …
Problems Tamil asylum seekers encounter in accessing health and welfare services in Australia
Mapping the Onset of Psychosis
Objective: Recognizing the prodrome of a first psychotic episode prospectively creates the opportunity of intervention, which could delay, ameliorate or even prevent onset. Valid criteria and a reliable methodology for identifying possible prodromes are needed. This paper describes an instrument, the Comprehensive Assessment of At-Risk Mental States (CAARMS), which has been designed for such a purpose. It has two functions: (i) to assess psychopa…
Determinants of Duration of Untreated Psychosis and the Pathway to Care in Singapore
Introduction: Delays in providing effective treatment for a patient with psychosis has significant negative effects on the outcome. This includes more hospitalizations, longer periods of inpatient care, slower and less complete recovery, and more frequent relapses. In this study, we established the Duration of Psychosis (DUP) in a sample of patients with first-episode psychosis and examined the pathways to care. Methods: The sample comprised pati…
Influence of Gender on Mental Health Literacy in Young Australians
Objectives: To determine the effects of gender on mental health literacy in young people between 12 and 25 years of age. Design: Computer-Assisted Telephone Interviewing was employed to conduct a crosssectional structured interview focusing on young people's awareness of depression and psychosis. Participants: The sample comprised 1207 young Australians (539 males and 668 females) between the ages of 12-25 recruited from two metropolitan and two …
Development and evaluation of a youth mental health community awareness campaign – The Compass Strategy
We believe this is the first study to apply the rigorous standards of a health promotion model including the use of a control region to a mental health population intervention. The program achieved many of its aims despite the relatively short duration and moderate intensity of the campaign
Mental health of young people
Referrers' Perceived Utility and Outcomes of Clinical Neuropsychological Assessment in an Adolescent and Young Adult Public Mental Health Service
This survey‐based study evaluated referring clinicians’ (n = 35) perceptions of the usefulness and outcomes associated with the provision of clinical neuropsychological assessment and feedback within an adolescent and young adult public mental health service in Melbourne, Australia. The results suggest that referrers perceive the neuropsychological service, including formal neuropsychological assessment report and verbal and written feedbacks, as…
Age of onset of mental disorders and use of mental health services
Purpose of review. In this review, we provide an update of recent studies on the age of onset (AOO) of the major mental disorders, with a special focus on the availability and use of services providing prevention and early intervention. Recent findings. The studies reviewed here confirm previous reports on the AOO of the major mental disorders. Although the behaviour disorders and specific anxiety disorders emerge during childhood, most of the hi…
Designing youth mental health services for the 21st century
Despite the evidence showing that young people aged 12-25 years have the highest incidence and prevalence of mental illness across the lifespan, and bear a disproportionate share of the burden of disease associated with mental disorder, their access to mental health services is the poorest of all age groups. A major factor contributing to this poor access is the current design of our mental healthcare system, which is manifestly inadequate for th…
The Mental Health of Elite Athletes
Preventive strategies for mental health
Early intervention in youth mental health
Early intervention is a fundamental principle in health care and the past two decades have seen it belatedly introduced into the field of mental health. This began in psychotic disorders, arguably the least promising place to start. The steady accumulation of scientific evidence for early intervention has eventually overwhelmed the sceptics, transformed thinking in psychotic disorders and created an international wave of service reform. This para…
Recent Meta-Analyses in the Clinical High Risk for Psychosis Population
OPINION article Front. Psychiatry, 12 October 2018 | https://doi.org/10.3389/fpsyt.2018.00502
The Lancet Psychiatry Commission
Sex differences in psychological distress, behavioural and emotional problems, and substance use in young people in out‐of‐home care
The aim of the study was to examine sex differences in self‐reported psychological distress, behavioural and emotional problems, and substance use in young people living in out‐of‐home care (OoHC). One hundred seventy‐six young people aged 12–17 years (females 53.4%) in OoHC in metropolitan Melbourne, Australia, were interviewed. Participants completed self‐report measures: Kessler Psychological Distress Scale, Strengths and Difficulties Question…
Early Intervention in Psychosis in Young People
Over the past two decades or more, the creation of early intervention services (EIS) for psychoses has been regarded as one of the most significant developments in the reform of mental health services. The development of EIS is based on evidence of their superior effectiveness on multiple domains compared with regular care and the well-established relationship between delay in treatment of psychosis and outcome. The benefits of EIS may, however, …
The neurophenomenology of early psychosis
Commentary
GENERAL COMMENTARY article Front. Psychiatry, 27 May 2020 | https://doi.org/10.3389/fpsyt.2020.00488
Intervention précoce pour les premiers épisodes psychotiques d’hier à demain
Objectifs L’émergence de l’intervention précoce pour les premiers épisodes psychotiques (PEP), dans les années 90, représente une avancée majeure en santé mentale. On a démontré qu’en offrant des interventions intensives adaptées aux besoins spécifiques des jeunes dès le début du PEP, il devenait possible de durablement améliorer leur évolution ultérieure. Ce modèle d’intervention précoce pour la psychose (IPP) s’accompagne d’une révision en prof…
Pluripotential Risk and Clinical Staging
Most psychiatric disorders develop during adolescence and young adulthood and are preceded by a phase during which attenuated or episodic symptoms and functional decline are apparent. The introduction of the ultra-high risk (UHR) criteria two decades ago created a new framework for identification of risk and for pre-emptive psychiatry, focusing on first episode psychosis as an outcome. Research in this paradigm demonstrated the comorbid, diffuse …
Designing and scaling up integrated youth mental health care
Mental ill‐health represents the main threat to the health, survival and future potential of young people around the world. There are indications that this is a rising tide of vulnerability and need for care, a trend that has been augmented by the COVID‐19 pandemic. It represents a global public health crisis, which not only demands a deep and sophisticated understanding of possible targets for prevention, but also urgent reform and investment in…
Heschl’s gyrus duplication pattern and clinical characteristics in borderline personality disorder
Inter-individual variations in the sulco-gyral pattern of Heschl's gyrus (HG) might contribute to emotional processing. However, it remains largely unknown whether borderline personality disorder (BPD) patients exhibit an altered HG gyrification pattern, compared with healthy individuals, and whether such a brain morphological feature, if present, might contribute to their clinical characteristics. The present study used magnetic resonance imagin…
The association between social deprivation and the rate of identification of individuals at Ultra-High Risk for psychosis and transition to psychosis
Background: There is a higher incidence of psychotic disorders in neighbourhoods of greater social deprivation. However, it is not known whether this represents a causal relationship, as the stage at which social deprivation exerts its influence on the development of psychotic disorders is yet to be elucidated. We aimed to investigate the association between neighbourhood-level social deprivation and the rate of identification of individuals at U…
Psychiatry (26 obras) · Medicine (22 obras) · Psychology (22 obras) · Mental health (16 obras) · Mental Health Treatment and Access (12 obras) · Schizophrenia research and treatment (12 obras) · Child and Adolescent Psychosocial and Emotional Development (10 obras) · Clinical Psychology (9 obras) · Psychosis (9 obras) · Political science (8 obras)