Alex C N Holmes

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OBJECTIVE The purpose of the present study was to determine if interpersonal counselling (IPC) was effective in reducing psychological morbidity after major physical trauma. METHODS One hundred and seventeen subjects were recruited from two major trauma centres and randomized to treatment as usual or IPC in the first 3 months following trauma. Measures of(More)
This study aimed to provide a comparative index of the performance impairment associated with the fatigue levels frequently experienced in workplaces that require night work. To do this, we equated fatigue-related impairment with the impairment resulting from varying levels of alcohol intoxication. Fifteen young individuals participated in two(More)
OBJECTIVE Despite delirium being common in older hospitalized people, little is known about its management. The aims of this study are (1) to describe the pharmacological management of delirium in an acute care setting as a baseline measure prior to the implementation of newly developed Australian guidelines; and (2) to determine what areas of delirium(More)
OBJECTIVE The objective of this study was to determine if homeless men with psychosis using emergency accommodation services are spending more time homeless. METHOD A 12-month accommodation history was collected from all men with psychosis referred to mental health services using two emergency accommodation services in inner Melbourne over a 5-year(More)
OBJECTIVES The objective of this study was to determine the relationship between accommodation history and management outcome in patients with psychosis. METHOD Demographic information, diagnosis and an accommodation history were taken from patients with psychosis accepted for case management by the Inner West Area Mental Health Service over a 12-month(More)
OBJECTIVES The aim is to describe the development, principles and practices of the Waratah Area Homeless Outreach Psychiatric Service (WAHOPS) and place these in the context of international developments in homeless psychiatric services. METHODS Information on the development of the service was collected from current and past staff. Reference is made to(More)
OBJECTIVES The objective of this study was to determine whether a 'housing first' permanent supported accommodation was effective in improving housing stability, continuity of care and reducing mental health admissions for persons experiencing chronic homelessness with psychosis. METHODS A quasi prospective cohort study of 42 chronic homeless persons with(More)
BACKGROUND To examine the effectiveness and acceptability of an 8-week individual tailored cognitive behavioural therapy (CBT) intervention for the treatment of depressive symptoms in those newly diagnosed with multiple sclerosis. METHODS The current study presents a pilot, parallel group randomized controlled trial (RCT) with an allocation ratio of 1:1(More)
BACKGROUND Most of what we know about the psychiatric consequences of injury is limited to the first year. Determining the prevalence of and risk factors for psychiatric morbidity beyond one year will aid service development and facilitate timely diagnosis and treatment. The aim of this prognostic study was to determine the prevalence of mental disorders in(More)
OBJECTIVE Australian public mental health services have seen a rapid adoption of risk assessment into clinical practice over the past decade. It is timely to review the role of risk assessment in clinical practice, evidence for its validity and to explore its role in clinical decision-making. CONCLUSION There is little evidence to support the current form(More)