Allan Shell

Allan Shell
UNSW Sydney | UNSW · School of Psychiatry

MB BS (UNSW)

About

17
Publications
4,423
Reads
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250
Citations
Citations since 2017
8 Research Items
215 Citations
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201720182019202020212022202301020304050
Additional affiliations
January 2016 - November 2021
UNSW Sydney
Position
  • Lecturer
Description
  • Dementia Research and Primary Care
January 2016 - present
La Trobe University
Position
  • Lecturer
Description
  • Dementia Training Australia educator
May 2009 - present
UNSW Sydney
Position
  • Fellow

Publications

Publications (17)
Article
Full-text available
Background: Dementia is under-diagnosed in primary care. Timely diagnosis and care management improve outcomes for patients and caregivers. This research evaluated the effectiveness of a nationwide Continuing Medical Education (CME) program to enhance dementia-related awareness, practice, knowledge and confidence of general practitioners (GPs) in...
Article
Full-text available
Objectives Use of antipsychotic drugs in long-term aged care (LTC) is prevalent and commonly exceeds the recommended duration, but contributors to this problem are not well understood. The objective of this study is to provide a snapshot of the features of and contributors to prolonged use of antipsychotic medications (>12 weeks) among a sample of...
Article
Full-text available
Background: Dementia is the second leading cause of death in Australia. Over half of patients with dementia are undiagnosed in primary care. This paper describes the development, implementation and initial evaluation of the first national continuing medical education program on the timely diagnosis and management of dementia in general practice in...
Preprint
Full-text available
Objectives: Despite limited efficacy and significant safety concerns, antipsychotic medications are frequently used to treat behavioral and psychological symptoms of dementia (BPSD) in long-term residential care. This study evaluates the sustained reduction of antipsychotic use for BPSD through a deprescribing intervention and education of health...
Conference Paper
Full-text available
Despite limited evidence for efficacy and safety concerns, antipsychotic medications are commonly prescribed to manage behavioural and psychological symptoms of dementia (BPSD). Guidelines mandating appropriate, short-term use are rarely followed in practice. The aim is to examine conditions under which antipsychotics are prescribed in long term ca...
Conference Paper
Full-text available
Background Antipsychotic medications continue to be used in the management of Behavioral and Psychological Symptoms of Dementia (BPSD) despite adverse effects and revised guidelines. The Halting Antipsychotic use in Long Term care (HALT) project aimed to deprescribe these medications and improve non-pharmacological behavior management. Method We re...
Article
Full-text available
Background Inappropriate use of antipsychotic medications to manage Behavioral and Psychological Symptoms of Dementia (BPSD) continues despite revised guidelines and evidence for the associated risks and side effects. The aim of the Halting Antipsychotic Use in Long-Term care (HALT) project is to identify residents of long-term care (LTC) facilitie...
Article
Background Recruitment rates of general practitioners (GPs) to do research vary widely. This may be related to the ability of a study to incorporate incentives for GPs and minimise barriers to participation. Method A convenience sample of 30 GPs, ten each from the Sydney intervention and control groups Ageing in General Practice 'Detection and Mana...
Article
Full-text available
Dementia is an insidious and stigmatised condition, and research indicates that GPs find communicating this diagnosis particularly problematic. Delays in diagnosis may impede optimal patient care. Little research has been published on Australian GPs' perceptions of barriers to disclosing the diagnosis of dementia. To explore GPs' perceptions of bar...
Article
A major disaster was encountered at the 1997 Maccabiah Games in Israel. As the Australian team was about to enter the main stadium for the opening ceremony, a pedestrian bridge they were crossing collapsed, killing 4 athletes and injuring many others. The aim of this paper is to establish the rates, types and anatomical locations of musculoskeletal...

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Projects

Project (1)
Project
HALT is a single-arm longitudinal intervention study in Sydney, Australia. The aim of HALT is to reduce the use of antipsychotic medication to treat behavioural and psychological symptoms of dementia in residential aged care.