Frank P Deane

Frank P Deane
University of Wollongong | UOW · School of Psychology

BSc., MSc., PGDipClinPsych., PhD.

About

422
Publications
161,365
Reads
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13,172
Citations
Additional affiliations
June 1998 - November 2020
University of Wollongong
Position
  • Professor (Full)
January 1992 - June 1998
Massey University
Position
  • Senior Lecturer

Publications

Publications (422)
Article
The aim was to explore the utility of Keyes’ concept of mental health in a substance addiction context. Mental health is considered the presence of emotional wellbeing in conjunction with high levels of social and psychological functioning. Using Keyes' measure, the frequency of languishing and flourishing is compared between clients who became abs...
Article
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Objective: Suicide prevention remains a challenge across communities in North America and abroad. We examine a suicide prevention effort that is widely used, termed gatekeeper training. There are 2 aims: review the state of the evidence on gatekeeper training for suicide prevention, and propose directions for further research. Method: Studies were...
Article
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This paper provides a selective review of cognitive and psychological flexibility in the context of treatment for psychological distress after traumatic brain injury, with a focus on acceptance-based therapies. Cognitive flexibility is a component of executive function that is referred to mostly in the context of neuropsychological research and pra...
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The degree to which men's current or most recent access to professional psychological help was influenced by others, and their future independent help-seeking intentions were measured. Seventy-three males currently accessing, or who had recently accessed a mental health service, completed a questionnaire that asked about their pathway to care and f...
Article
Objective: Mental health comorbidities among individuals with a substance use disorder are common. This study provides an analysis of the prevalence, risk factors, and treatment outcomes (depression, anxiety and stress, and cravings) of individuals with comorbid depression, anxiety, posttraumatic stress disorder (PTSD), obsessive compulsive disorde...
Article
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Background Antimicrobial resistance (AMR) is a problem in residential aged care facilities (RACF). There is a gap in our understanding of how psychosocial barriers such as risk perceptions shape staff attitudes towards antimicrobial stewardship (AMS). We sought to ascertain the attitudinal domains that have been identified to be of importance to AM...
Article
Objective: Postgraduate training programs are required to maintain a formal record of trainees’ placement experiences in the form of placement logbooks. There is a need to explore the perceived functions, benefits and shortcomings of placement logbooks, as well as how practicum information can be further utilised to support trainee development. Me...
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Those engaging in deliberate self-injury have low rates of help-seeking (HS) behaviour. There is a lack of a consolidated theory of HS and there has been a reliance on self-report measures rather than on behavioural data. This study aims to determine whether there are measurable thresholds for self-versus other HS using an analogue computer respons...
Article
Issues: Substance use disorders are associated with significant physical health comorbidities, necessitating an integrated treatment response. However, service fragmentation can preclude the management of physical health problems during addiction treatment. The aim of this systematic review was to synthesise the recommendations made by clinical pr...
Article
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Borderline personality disorder (BPD) is associated with paradoxical trust behaviours, specifically a faster rate of trust growth in the face of trust violations. The current study set out to understand whether attachment style, self-protective beliefs, and feelings of rejection underpin this pattern. Young adults (N=234) played a 15-round trust ga...
Article
Aim: Scientific evidence underpins dietetics practice; however, evidence of how the therapeutic relationship influences outcomes is limited. This integrative review aims to provide a comprehensive overview of the topic of the therapeutic relationship between clients and dietitians in the individual counselling context by summarising empirical lite...
Article
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The present study investigated the relationships between continuum and categorical beliefs, stigma, and help-seeking in response to vignettes depicting depression and schizophrenia. Participants were 193 adolescents aged 13-18 years. Results showed no relationships between continuum beliefs and stigma or help-seeking intentions for the depression v...
Article
Young people living in families impacted by familial mental illness are at increased risk of various negative mental and physical health outcomes. Prevention and early intervention programmes are useful in mitigating the risk of transgenerational transmission of mental illness. Therapeutic recreation camps constitute a novel approach to mental heal...
Article
Introduction: Aboriginal Community Controlled Organisations (ACCO) have an important role in the Australian health-care sector. However, there has been a lack of research evaluating ACCOs in the treatment of alcohol and other drug (AOD) use. Using a benchmarking approach, the present study examined within treatment changes on measures of wellbeing...
Article
Globally, adolescent self-harm rates remain high, while help-seeking behaviour remains low. School staff are in a position to facilitate access to appropriate care for young people who self-harm (YPS-H), but little is known about gatekeepers’ attributions of self-harm or whether these attributions influence the support they provide. This study inve...
Article
The role of a practicing psychologist often involves uncertainty and ambiguity, and individuals differ in their ability to manage or “tolerate” this uncertainty. This study investigated the relationship between tolerance of uncertainty, pluralism and confidence in case formulation in a sample of Australian psychologists. The sample consisted of 190...
Article
Objective Type 2 diabetes (T2D) risk communication may help individuals better understand their risk and motivate behavioural changes. There is a wealth of research in health risk communication which suggest the effectiveness of message framing and tailored risk feedback; however, little is known about their potential utility when used concurrently...
Article
Most research investigating the effect of continuum beliefs on stigma has used weak manipulations which may contribute to mixed findings within the experimental literature. There is also a lack of research into how continuum belief manipulations may impact help-seeking and help-provision. This study used an online manipulation of continuum and cate...
Article
Background: Mutual support groups are an important source of long-term help for people impacted by addictive behaviors. Routine outcome monitoring (ROM) and feedback are yet to be implemented in these settings. SMART Recovery mutual support groups focus on self-empowerment and use evidence-based techniques (eg, motivational and behavioral strategi...
Article
Introduction Adolescent males are at increased risk of mental illness and are reluctant to engage in treatment. This study aims to identify subgroups of help-seeking intentions among a sample of Australian male adolescents. Methods A sample of 1038 male adolescent sport participants in Australia (age M = 14.69 years, SD = 1.35) reported help-seeki...
Article
Introduction Health literacy refers to an individual’s capacity to gather, process and understand health information, make appropriate health decisions, and engage adequately with healthcare services. Inadequate health literacy has been linked to an increase in acute healthcare utilisation. Research suggests that people living with substance use di...
Article
Objectives: The objective of this multisite study was to examine failure rates across placements during clinical psychology training. Method: Placement supervisors from nine clinical psychology programmes used the Clinical Psychology Practicum Competencies Rating Scale (CΨPRS) to rate trainees’ competencies at the end of one of four placements (P1,...
Article
Objective: The capacity of healthcare professionals to tolerate uncertainty is of increasing research interest since it may reduce anxiety associated with managing complex health problems. Psychologists experience a high degree of uncertainty in their role. This longitudinal study examines changes in tolerance of uncertainty and confidence in case...
Article
Background: Traumatic brain injury (TBI) can lead to significant psychological distress, but few psychologists in Australia are trained in working with this complex clinical group. Despite government funding to provide video-consulting (VC) services in Australia, uptake before COVID-19 was limited. Objective: This mixed methods study evaluated whet...
Article
Objective Body Dysmorphic Disorder (BDD) is reportedly under diagnosed due to the significant shame that individuals experience in revealing the distress they feel regarding their perceived flaws. Despite this, it has a high prevalence rate and is associated with significantly increased risk of suicidal behaviour compared with other mental health d...
Article
Aim Children living in families impacted by parental mental illness are at increased risk of adverse mental and physical health outcomes compared with children living in families unaffected by mental illness. Considered to be a hard-to reach group, it is likely that there are unique barriers for these young people in seeking help for their difficul...
Article
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Background: Routine outcome monitoring (ROM) has been implemented across a range of addiction treatment services, settings and organisations. Mutual support groups are a notable exception. Innovative solutions are needed. SMART Track is a purpose built smartphone app designed to capture ROM data and provide tailored feedback to adults attending Aus...
Article
When a loved one is missing, those left behind need to be able to tolerate high levels of uncertainty, sometimes for sustained periods of time. This study aimed to examine the relationship between intolerance of uncertainty (IU) and psychological symptoms among people with a missing loved one, and tested the mediating role of emotion regulation dif...
Article
Purpose Individuals with substance use disorders (SUD) are at an elevated risk for suicide. Abstinence and drug-related treatment outcomes remain integral to SUD treatment, but recovery incorporates more than just the absence of substance use or mental illness and including positive mental health indices in assessment and treatment of suicidality i...
Article
Introduction Mutual support groups (e.g. SMART Recovery) are an important source of support for people experiencing addictive behaviours. Little is known about the use of mutual support groups by people who use methamphetamine, or the factors that may influence group cohesion. Methods This study uses post-group data reported by SMART Recovery faci...
Article
Objective Accreditation guidelines for professional psychology training have shifted from specifying educational inputs to emphasising attainment of core competency outputs. However, attention to both inputs and outputs are needed. Clinical practicum logs represent a neglected source of information to help guide training program development. The pr...
Article
Introduction Little is known about the experiences of continuing care workers (CCW) in the implementation of continuing care programs. The current study sought to understand CCWs and supervisor perceptions of the successes and challenges of implementing a telephone-based continuing care intervention following residential alcohol and other drug trea...
Article
Objective: Postgraduate psychology programmes are required to maintain a formal record of individual trainee placement hours in the format of placement logbooks. Anecdotal reports suggest there is substantial variability in the way practicum logbooks are configured and utilised across Australian institutions. This study aimed to provide benchmarkin...
Article
Background The current study examined correlates of cognitive insight in people enrolled in a methamphetamine pharmacotherapy trial; whether cognitive insight at the start of the trial predicted medication adherence and reductions in methamphetamine use during the trial; and, whether insight would remain stable over the trial or improve with reduct...
Article
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Background When a person goes missing, those left behind are at heightened risk of mental health difficulties. Little research has examined variables that may play a role in the development of psychopathology among this population and in particular, variables that may be amenable to change through targeted psychological intervention. One cognitive...
Article
Adolescent males are at particularly high risk of mental health problems and suicide. However, many in need are left undetected and untreated, and rates of help-seeking are low. To help explain this unmet need, the current study aimed to utilise Exploratory Factor Analysis to validate a measure of help-seeking attitudes using 16 items of the Mental...
Article
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Background: People with traumatic brain injury (TBI) face a range of mental health challenges during the adjustment process post-injury, but access to treatment can be difficult, particularly for those who live in regional and remote regions. eHealth provides the potential to improve access to evidence-based psychological therapy for people with a...
Article
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Women with substance use disorders have a greater prevalence of eating disorders which can interfere with long-term recovery. In a sample of women (N = 1099) attending treatment centres for substance use issues, this study identified three distinct classes based on substance type and eating disorder (ED) behaviours using latent class analysis. Clas...
Article
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Previous research identifies people with Borderline Personality Disorder (BPD) place high levels of importance on values across a variety of life domains but have significantly lower levels of values commitment, desire to improve and success at living in line with what is valued. The current study aims to identify the factors impeding people’s abil...
Article
Objective: The ability to tolerate uncertainty has been identified as a necessary capacity in healthcare workers. This study aims to explore experiences of uncertainty and coping among practicing psychologists. Method: Semi-structured interviews were conducted with 24 participants. A critical realist approach was employed and thematic analysis uti...
Article
Issues: Individuals with substance use problems are at greater risk of chronic diseases due to their unhealthy lifestyle behaviours (e.g. alcohol use, smoking, physical inactivity, poor nutrition). There is increasing evidence that health risk communication is crucial in improving risk perception and knowledge of chronic diseases, and both factors...
Article
Background Unhealthy lifestyle behaviours contribute to the poor health of people attending alcohol and other drug (AOD) treatment. Healthy Recovery is an 8-session group-based intervention that targets smoking, diet and physical inactivity as part of an integrated healthy lifestyle approach. The current study aimed to examine the effectiveness of...
Article
Introduction and aims Although continuing care programs have been shown to improve alcohol and other drug (AOD) treatment outcomes, uptake of continuing care has been low. The current study aimed to determine predictors of participants’ who both re-confirmed consent to engage in telephone-based continuing care and commenced continuing care once the...
Article
Aim How dietitians are trained to develop relationships with clients is not clearly articulated despite its importance being well‐documented. This study aimed to describe how this relationship is expressed and addressed in curriculum documents of Australian dietetics education programs, and to explore program coordinators' perspectives of this desc...
Article
The study explored psychologists’ experiences in delivering short‐term psychotherapy for suicidal adolescents and sought to clarify how these experiences fit with empirically supported interventions and the interpersonal psychological theory of suicide. Semi‐structured interviews were conducted with 12 psychologists’ who provided short‐term psychot...
Article
Insight refers to a person’s understanding of themselves and the world around them. Recent literature has explored people’s insight into their substance use disorder (SUD) and how this is linked to treatment adherence, abstinence rates, and comorbid mental health symptoms. The aim of this systematic review was to synthesise and critically examine t...
Article
Aim Health literacy is one's ability to use cognitive and social skills to access, understand and appraise health information. Despite poor health outcomes of people living with mental illness there is limited research assessing their health literacy. This systematic review aims to synthesise research on health literacy rates, conceptualizations, a...
Preprint
BACKGROUND Mutual support groups are an important source of long-term help for people impacted by addictive behaviors. Routine outcome monitoring (ROM) and feedback are yet to be implemented in these settings. SMART Recovery mutual support groups focus on self-empowerment and use evidence-based techniques (eg, motivational and behavioral strategies...
Article
Introduction and Aims The collection of routine outcome measurement (ROM) data provides an opportunity for service providers to conduct benchmarking to inform quality assurance practices. To conduct comparative benchmarking, it is important that services have access to comparative data. This paper aims to establish effectiveness indicators for ROM...
Article
Introduction and aims: Clinical practice guidelines recommend physical health be addressed when treating substance use disorders. Yet, the integration of alcohol and other drug (AOD) treatment and physical health care is seldom actualised. This is particularly the case in the non-government sector. Using the socio-ecological model as a framework,...
Article
Full-text available
Borderline personality disorder (BPD) is associated with paradoxical trust cognitions and behaviours. While BPD is associated with difficulty forming trust and maintaining cooperation in trust-based exchanges, design and analytical methodology best suited to reveal the temporal ebb and flow of trust have been underutilized. We used an economic game...
Article
Introduction and Aims Guided by cognitive theory of loneliness, this study sought to explore the experience of loneliness among people accessing treatment for substance use disorders. Specifically, contributors to, consequences and alleviators of loneliness were explored. Design and Methods Individual semi‐structured interviews were conducted with...
Article
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Purpose: In this study we tested the effectiveness of a multi-component sports-based program aimed at promoting early intervention, help-seeking and resilience among a sample of adolescent male sport participants. Methods: The Ahead of the Game program comprised four intervention components and a messaging campaign. Two components targeted menta...
Article
Current competency frameworks for practitioners have been derived through expert consensus but lack empirical validation. We examined the stepwise anatomy of competence using the Clinical Psychology Practicum Competencies Rating Scale with items presented in fixed (Dataset I, 195 trainees) and random order (Dataset II, 353 trainees). Cluster analys...
Article
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Introduction and Aims: Although loneliness is common among people with substance use disorders, few interventions to reduce loneliness have been developed for this population. This study aimed to determine the feasibility of delivering a 6-session group-based intervention, ‘Groups for Belonging’ (G4B) that builds social group connectedness. Design...
Preprint
Full-text available
Background Client centered care is strongly advocated as key to improving the quality of health care. However, there is a notable absence of research about the acceptability and feasibility of a client centered approach in substance dependence treatment settings. The aim of this study was to explore client and staff perspectives of a new client cen...
Article
Issues Despite the serious implications of loneliness on health and wellbeing, little is understood about this experience across people with substance use problems. This systematic review aimed to examine: (i) correlates and predictors of loneliness; (ii) theories underpinning loneliness; (iii) methods employed to measure loneliness; and (iv) lonel...
Article
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The evidence for efficacy of family‐based approaches for psychological problems is extensive, although model‐specific effects have not been established. However, implementation of family therapy approaches in tertiary mental health settings has been challenging due to factors such as negative staff attitudes and difficulties engaging families. Open...
Article
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It was highlighted that in the original article [1] author Amanda Baker was erroneously omitted from the authorship during the copy editing stage.
Article
The objectives of the research are to describe the cultural activities offered in residential drug and alcohol rehabilitation for Aboriginal Australian men, along with client perceptions of the benefits associated with these cultural activities. Participants were 101 Australian Aboriginal male clients attending five residential drug and alcohol reh...
Article
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This quasi-experimental study explores the effects of a narrative coaching board game intervention aimed at enhancing participants’ sense of self-mastery as part of facilitating narrative identity reconstruction. Three mixed analyses of variance compared differences between clinical ( n = 31) and non-clinical ( n = 31) groups over time on a measure...
Article
Mental health carers frequently report interpersonal difficulties in their caring relationship. This exploratory study aims to examine the interpersonal problems of mental health carers from the perspective of the interpersonal circumplex. A cross-sectional survey design was utilised with 147 participants. Mental health carers displayed higher mean...
Article
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Background: A priority area in the field of substance dependence treatment is reducing the rates of relapse. Previous research has demonstrated that telephone delivered continuing care interventions are both clinically and cost effective when delivered as a component of outpatient treatment. This protocol describes a NSW Health funded study that a...
Article
Objectives: Physical health conditions cause significant disability and mortality among people living with alcohol and other drug problems. There has been limited research on the prevalence of health problems among clinical samples of people with substance use disorders, particularly among those in residential treatment. Yet residential settings pr...
Article
This study aimed to explore the experiences of supervisees who completed a metacommunication intervention in supervision. Forty‐eight supervisees completed the supervisory intervention and gave post‐intervention written feedback. Their responses were thematically analysed. Overall, supervisees responded positively to the intervention, with high wil...
Article
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The strengths model (SM) is a recovery-oriented model of mental health care. Historically, training alone has been insufficient to ensure implementation of SM skills in practice. The aim of the current study was to determine whether improvements in recovery attitudes and attendance at Strength-Based Group Supervision (SBGS) following training are a...
Article
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Worldwide, more than 1 million people take their life every year. In Australia, 3027 deaths by suicide were reported in 2015, the highest rate reported in 10 years. There is an alarming disparity between suicide rates across Indigenous and non-Indigenous people documented in many countries around the world. Between 2001 and 2010, the overall suicid...
Article
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Background: Over the past decade there has been increasing attention to implementing recovery-oriented approaches within mental health service practice and enhancing fidelity to such approaches. However, as is often the case with evidence-based practices, less attention has been paid to the sustainability of recovery-oriented approaches over time....
Article
Background: To reduce smoking and improve other health behaviours of people living with severe mental illness, healthy lifestyle interventions have been recommended. One approach to improving the availability of these types of interventions is to utilise the mental health peer workforce. The current study aimed to evaluate the feasibility of peer-...
Poster
Full-text available
This poster described a systematic review which was undertaken as part of my PhD project and notably, key findings and conclusion of the paper were briefly discussed. The systematic review paper has been submitted to a peer-reviewed journal.
Article
Objective(s): Psychologists' experiences of an online training tool in metacommunication as well as an in-supervisory metacommunication exercise were examined. Method: A total of 101 participants completed a training tool in metacommunication and changes in self-efficacy (SE) to use metacommunication with clients, the proportion of metacommunica...