Stephen D Parker

Stephen D Parker
Queensland Health · Metro South Addiction and Mental Health Services

PhD

About

80
Publications
12,474
Reads
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336
Citations
Additional affiliations
July 2013 - present
The University of Queensland
Position
  • Professor (Associate)

Publications

Publications (80)
Article
Full-text available
Objective This paper describes the implementation of training in trauma-informed care (TIC) across a mental health rehabilitation service. Method A mixed-methods approach was applied incorporating baseline measures of staff attitudes toward TIC, quantitative description of staff training participation, and semi-structured interviews of Team Leader...
Article
Objective To present a practical, easy-to-implement clinical framework designed to support evidence-based quality prescribing for people with early psychosis. Method Identification and explanation of key principles relating to evidence-based pharmacotherapy for people with early psychosis. These were derived from the literature, practice guideline...
Article
With ongoing interest in the relationship between videogame and mental health alongside recent focus on gaming's role in coping with stressful life events, we sought to explore the relationship between videogame play and wellbeing among people experiencing their first episode of psychosis. Specifically, we aimed to explore the associations between...
Article
Full-text available
In Queensland (Australia), community-based residential mental health rehabilitation services have three distinct staffing profiles. The traditional ‘clinical’ staffing model has nursing staff occupying most staff roles. The ‘partnership’ approach involves collaboration between the health service and a Non-Government Organisation. Under the ‘integra...
Article
Objective To describe an approach to support Royal Australian and New Zealand College of Psychiatrists (RANZCP) trainees achieve success in the Modified Essay Question (MEQ) examination. Method Synthesis of the opinion of the authorship encompassing a range of relevant stakeholders, supported by a qualitative content analysis of published examinat...
Article
Objective: Existing evidence on factors associated with community treatment order placement is largely restricted to administrative data. We utilised the data from a large nationally representative sample to compare the demographic, clinical, social functioning, substance use and service utilisation profiles of people living with psychosis under c...
Article
The Queensland Government issued a policy directive to lock all acute adult public mental health inpatient wards in 2013. Despite criticism from professional bodies and advocacy for an alternative, the policy has been retained to this day. A blanket directive to treat all psychiatric inpatients in a locked environment without individualised conside...
Article
Objective To describe an online essay-style examination preparation group. Methods The process of the establishment – including recruitment, rules and characteristics – of ‘Stranger than Fiction’ is outlined. Results Over the 10-week period, 66 essays were submitted, and 40 essays were marked. Sixteen out of 30 registered candidates submitted at...
Article
The primary aim was to systematically review the empirical evidence relating to models and guidance for providing effective feedback in clinical supervision occurring in postgraduate medical education contexts. A secondary aim was to identify the common and differentiating components of models and guidance for providing effective feedback in this c...
Article
Semi-structured interviews were used to explore the consumer experience of community-based residential mental health rehabilitation support at Community Care Units in Australia. These clinical services provide recovery-oriented residential rehabilitation to people affected by severe and persistent mental illness. Typically, nurses occupy the majori...
Article
Objectives Demand for places in postgraduate psychiatry training programmes has increased over recent years. All systems have capacity limits, and concerns have been raised regarding the sustainability of the current intake. This paper presents a modelling exercise to exploring the presence and strategies to resolve bottleneck in the Queensland tra...
Article
Full-text available
Introduction: The importance of peer support workers in mental health care delivery has been extensively advocated for in mental health policy frameworks. However, there has been limited research examining the implementation of paid peer workers in clinical settings. This study explores the experience of paid peer support workers integrated within...
Article
To compare the post-discharge outcomes of people admitted to community-based residential mental health rehabilitation facilities subject to a Community Treatment Order (CTO) who do and do not have this order discontinued prior to discharge. People subject to a CTO who were admitted across five Community Care Units (CCUs) in Queensland, Australia b...
Article
Objective: The authors examined patients' perceptions of the factors affecting their recovery from anti-N-methyl-d-aspartate receptor (anti-NMDAR) encephalitis, which is a rare, severe immune-mediated neurological disorder. Methods: Seven patients completed semistructured interviews exploring their experience of recovery. Participants were inter...
Article
Objective Evaluation of a blended learning adaptation of the accreditation process for supervisors in the Royal Australian and New Zealand College of Psychiatrists’ (RANZCP) Competency-Based Fellowship Program. Method The adaption of the accreditation process is described, and a mixed-methods approach was taken in its evaluation. Descriptive stati...
Article
Full-text available
Background Deficits in social cognition are common in people with schizophrenia and are associated with impaired functioning. Finding effective interventions to address these deficits is a priority. Social Cognition Interaction Training (SCIT) is a psychosocial intervention that has demonstrated acceptability and feasibility in various health care...
Article
Full-text available
Purpose: People with severe mental illness (SMI) experience poor physical health and premature mortality, contributed significantly by modifiable lifestyle risk factors such as poor nutrition, low cardiorespiratory fitness, and physical inactivity. Lifestyle interventions can reduce cardiometabolic risk and confer a range of other positive mental...
Article
Background: Little is known about what predicts disengagement from rehabilitation treatment for people affected by severe and persistent mental illness (SPMI). Aims: To identify predictors of unplanned discharge among consumers admitted to community-based residential rehabilitation units in Australia. Method: Secondary analysis of data from a prosp...
Article
Full-text available
Aims Community care units (CCUs) are a model of residential psychiatric rehabilitation aiming to improve the independence and community functioning of people with severe and persistent mental illness. This study examined factors predicting improvement in outcomes among CCU consumers. Methods Hierarchical regression using data from a retrospective...
Article
Objective Undergraduate and postgraduate medical education providers are increasingly looking to online options for lecture delivery, training and resources. This trend has been encouraged by arguments of flexibility, accessibility and the ability to individualise content. A narrative review of the literature was completed, aiming to consider the o...
Article
Full-text available
Background: Community Care Units (CCUs) are a model of community-based residential rehabilitation support available in Australia that assists people affected by severe and persistent mental illness to enhance their independent living skills and community involvement. These services have been subject to limited evaluation, and available descriptions...
Article
Objective To compare the acceptability of three distinct physical activity measurement tools in people with psychosis: an objective measurement tool, a self-report measure, and an exercise capacity test. Methods We measured the completion rate for each measurement tool. Participants rated the ease/difficulty of each measure using a 7-point Likert...
Article
Full-text available
Mental health services increasingly involve peer support workers. Staff expectations of working in these services are important because they frame processes and cultures that develop within services, and influence work satisfaction, staff retention, and consumer experience. We examined staff expectations at two new community-based residential rehab...
Article
Objective: This paper discusses the ongoing relevance of concepts derived from transactional analysis to understanding the challenges that can emerge in clinical supervision under the Competency Based Fellowship Program. Conclusions: Defensive game playing has face validity as a framework for understanding dysfunctional processes in clinical sup...
Article
Objective: The use of formal supervision contracts has been strongly advocated across non-medical mental health professions. However, the use of such agreements is not a feature of the RANZCP Competency-Based Fellowship Program. This paper critically examines the evidence to support the use of formal supervision contracts. Method: A systematic r...
Article
Full-text available
Background Clinically operated community-based residential rehabilitation units (Community Rehabilitation Units) are resource intensive services supporting a small proportion of the people with severe and persisting mental illness who experience difficulties living in the community. Most consumers who engage with these services will be diagnosed wi...
Article
Objectives:: The Scholarly Project is a relevant task to support building a culture of research in psychiatry across Australia and New Zealand. However, there are several impediments to trainees' confident completion of this project. The authors review recent literature on the challenges voiced by trainees, as well as solutions posed by clinician-...
Article
Full-text available
Background Enthusiasm for the importance of social cognition in schizophrenia has grown as research has revealed that it is more strongly related to functional outcomes than neurocognition. A promising therapy developed by Roberts and Penn is Social Cognitive Intervention Training (SCIT). This therapy is comprised of three phases (i.e., Introductio...
Article
This study explores how consumers expect community‐based residential mental health rehabilitation to compare with previous experiences of care. Understanding what consumers hope to receive from mental health services, and listening to their perspectives about what has and has not worked in previous care settings, may illuminate pathways to improved...
Article
Aims Incorporating consumer perspectives into mental health services design is important in working to deliver recovery-oriented care. One of the challenges faced in mental health rehabilitation services is limited consumer engagement with the available support. Listening to consumers’ expectations of mental health services, and what they hope to a...
Article
Objective: The importance of clinical supervision is emphasised in psychiatric training programs. Despite this, the purpose and processes of supervision are often poorly defined. There is limited guidance available for trainees about their role in making supervision work. This paper considers the nature of supervision in psychiatric training and p...
Conference Paper
Understanding consumer expectations of rehabilitation services is important given the emphasis made on working with their own goals and priorities in realising recovery-oriented care. The expectations of consumers on commencement at three recovery-oriented community-based residential rehabilitation units in Brisbane, Australia, were explored using...
Article
In the present study, we explored the experiences of staff working at a recovery-oriented, community-based residential mental health rehabilitation unit in Brisbane, Australia, called a 'community care unit' (CCU). A pragmatic approach to grounded theory was taken in the analysis of the transcripts of semistructured interviews with eight staff. Con...
Article
Objective: Eosinophilia has been associated with the use of clozapine. Where clozapine associated eosinophilia develops, and is associated with organ specific damage, clozapine is usually ceased. In cases of treatment associated eosinophilia without evidence of organ specific damage, clozapine would also typically be withdrawn. There are small num...
Article
Full-text available
Background A novel staffing model integrating peer support workers and clinical staff within a unified team is being trialled at community based residential rehabilitation units in Australia. A mixed-methods protocol for the longitudinal evaluation of the outcomes, expectations and experiences of care by consumers and staff under this staffing mode...
Conference Paper
D Siskind1,2,3, S Parker1,2,3, S Kisely1,2,3 1RANZCP Committee for Research, Melbourne, VIC, Australia 2Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia 3School of Medicine, The University of Queensland, Brisbane, QLD, Australia Background: Evidence-based practice means there is an increasing role for the clinician scie...
Article
Purpose – A novel integrated staffing model for community-based residential rehabilitation services is described. The purpose of this paper is to achieve synergistic gains through meaningful integration of peer support and clinical workers within rehabilitation teams. Key features include the majority of roles within the team being held by persons...
Conference Paper
S Parker1,2, F Dark1,2, G Vilic1, C Doyle1, B Lendich1, K McCann1, R O’Sullivan1 1Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia 2School of Public Health, The University of Queensland, Brisbane, QLD, Australia Background: Mental health policy and emerging evidence creates an imperative for the availability of peer supp...
Conference Paper
S Parker1,2, F Dark1,2, E Newman1, N Korman1, C Meurk2 1Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia 2School of Public Health, The University of Queensland, Brisbane, QLD, Australia Background: Australian mental health plans and policy emphasize the central role of recovery principles in the delivery of mental health...
Conference Paper
S Parker1,2, N Korman1, Z Rasmussen1, C Doyle1, F Dark1,2, E Newman1, C Meurk2 1Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia 2School of Public Health, The University of Queensland, Brisbane, QLD, Australia Background: National and state-based mental health plans and policy emphasize the central role of recovery princ...
Conference Paper
S Parker1,2, F Dark1 1Metro South Addiction and Mental Health Service, Brisbane, QLD, Australia 2School of Public Health, The University of Queensland, Brisbane, QLD, Australia Background: Community care units (CCUs) provide community-based residential mental health rehabilitation in Queensland and Victoria. These services were introduced in the...
Article
Objective The aim of the present study was to examine care pathways and characteristics of mental health consumers participating in both hospital- and community-based residential rehabilitation programs.Methods An audit of consumers (n = 240) in all publicly funded residential rehabilitation units in Queensland was performed on the same day in 2013...
Article
A medical therapist’s journey learning to use Cognitive Behaviour Therapy for Psychosis is described. This experience provided a potential pathway to improved engagement through the provision of optimism, hope and respect for the others’ personhood. However, risks associated with such therapeutic engagement and the capacity of mental health service...
Article
This paper, written by the RANZCP Committee for Research, provides an outline for how to survive in research, considering the ingredients likely to contribute to success, the role of supportive structures and the expected challenges. Learning how to survive in research is relevant for both trainees and for Fellows undertaking research at any stage...
Article
Systematic reviews are one of the major building blocks of evidence-based medicine. This overview is an introduction to conducting systematic reviews and meta-analyses. Systematic reviews and meta-analyses of randomised controlled trials (RCTs) represent the most robust form of design in the hierarchy of research evidence. In addition, primary data...
Article
To discuss common pitfalls and useful tips in designing a quantitative research study, the importance and process of ethical approval, and consideration of funding. Through careful planning, based on formulation of a research question, early career researchers can design and conduct quantitative research projects within the framework of the Scholar...
Article
Objectives: Research can seem daunting, especially for trainees and early career researchers. This paper focuses on how to formulate and begin a research project such as the RANZCP Scholarly Project. Methods: We outline an approach to framing a research question, developing theses and hypotheses, choosing a supervisor and conducting a literature...
Article
Full-text available
This paper qualitatively evaluates a one-year trial of Balint clinical reflection groups for medical students in psychiatry at a large Australian tertiary referral hospital. The trial considered whether clinical reflection groups following the Balint process would be perceived as useful and relevant to the learning needs of the student participants...
Chapter
The term refrigerator mother refers to the hypothesis that emphasizes the role of parental factors in the etiology of autistic disorders. This hypothesis has been criticized for its lack of empirical support and for placing blame and guilt on the parents of children with autism. Autism is a developmental disorder initially described independently b...
Article
Full-text available
Objective: Social Cognition and Interaction Training (SCIT) is a Cognitive and Behavioural Therapy (CBT) informed group therapy with an emerging evidence base in addressing the social cognitive deficits associated with schizophrenia. This paper evaluates the application of this therapy within a community public mental health setting in Australia....
Article
Full-text available
Objective: Misuse of centrally acting antihistamines is potentially a significant under-recognised issue contributing to problems of abuse and dependence, with the potential to complicate management of other mental disorders. This article considers this problem with the aim of increasing practitioner awareness. Method: This article considers the li...
Article
Objective: This paper explores the challenges that trainees of the Royal Australian and New Zealand College of Psychiatrists face as they work towards competency in psychotherapy during basic training. Method: The state of training programs in other countries including the trainee and supervisor perspectives on the outcomes of the shift to compe...
Article
Balint groups are being trialled as a method to facilitate understanding of the relational aspects of student encounters with psychiatric patients. This paper reports on the establishment, processes and trends in the student evaluations of these groups. The groups have been introduced as part of the medical student curriculum at a tertiary referral...

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