The 30th anniversary of the code of ethics of the Royal Australian and New Zealand College of Psychiatrists–a worthy milestone

2022 ◽  
pp. 103985622110578
Author(s):  
Lim Izaak ◽  
Felicity Kenn ◽  
Sidney Bloch
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
New Zealand ◽  
Indigenous Peoples ◽  
Code Of Ethics ◽  
Relevant Literature ◽  
Well Being ◽  
Ethical Standards ◽  
Revision Procedure ◽  
Zealand College

Objective To appraise the evolution of the RANZCP’s Code of Ethics on the occasion of its 30th anniversary. Method We scrutinised its five editions, focussing on the revision procedure and changes made, and reviewed relevant literature. Results The procedure of revision has remained constant: incorporating feedback from college members, committees and faculties, and consulting professional medical bodies and mental health advocacy organisations. Seven major themes of change have emerged with respect to patient exploitation, recognition of family and carers, the special place of Indigenous Peoples, confidentiality, engaging patients in decision-making, multidisciplinary collaboration and the well-being of psychiatrists. Conclusions The code has proved to be a dynamic instrument in keeping abreast of changes in psychiatry and society, and promises to maintain a prominent role in promoting high ethical standards in the profession.

Transferring The Mauri Model Of Decision Making Framework From New Zealand To Merauke Regency In Southern Papua

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Elisabeth Veronika Wambrauw
Keyword(s):  
Decision Making ◽  
Sustainable Development ◽  
New Zealand ◽  
Indigenous Peoples ◽  
Traditional Ecological Knowledge ◽  
Agricultural Development ◽  
Sustainability Assessment ◽  
Well Being ◽  
Ecological Knowledge ◽  
Decision Making Framework

Today sustainable development is a concern around the globe. Sustainable development should include improving well-being, equitable distribution, and the integration of ecological concepts which pass from generation to generation and across time. Sustainable ways of life have actually been practised by indigenous peoples inter-generationally.  The Indigenous Peoples have similarities around the world in that they are inseparable from nature, and use their knowledge to maintain their ecosystems of origin.  This attribute reflects the potential for traditional ecological knowledge to sustain the environment and help people survive. This increases the motivation for considering including traditional ecological knowledge when making decisions and assessing the environment and development, including development in the agricultural sectors.  One of the environmental assessments which integrates traditional values is the Mauri Model Decision Making Framework (MMDMF) which was developed in and for Aotearoa New Zealand. This assessment approach uses the concept of ‘mauri’. Mauri is an important element in Māori culture. It is the essence or life force, the spark of life  and  a central concept that informs sustainability. The framework measures four dimensions of wellbeing as the basis of the sustainability assessment: the mauri of community (social), the mauri of the family unit (economic), the mauri of the ecosystem (environment), and the mauri of the tribe (culture). Merauke regency is the location of a new agricultural development scheme, called the Merauke Integrated Food and Energy Estate (MIFEE). MIFEE is a national programme to develop the regency as a national and local granary. The purposes of this paper are  to examine the feasibility to transfer this assessment in the context of Merauke and to assess the sustainability of 1.2 Million Ha Merauke Integrated Food and energy Estate .  The results show that the MMDMF  is transferable and that although the assessment shows the project benefits the economic and social dimensions, the cultural and environmental dimensions are diminished.

Psychiatric ethics and the professions

2021 ◽  
pp. 121-142
Author(s):  
Margaret M. Coady
Keyword(s):  
New Zealand ◽  
Social Factors ◽  
Critical Analysis ◽  
Code Of Ethics ◽  
Codes Of Ethics ◽  
First Century ◽  
High Status ◽  
Relative Autonomy ◽  
Rapid Communication ◽  
Zealand College

The chapter provides a critical analysis of past understandings of the characteristics of professions. Many of these characteristics have lost meaning in the twenty-first century. High status has been diminished partly by professionals’ betrayal of the values they expound, but partly also by social factors such as rapid communication of information and changed understanding of the nature of knowledge, both of which have led to general scepticism about expertise. Professionals’ previous relative autonomy is challenged by government intervention and by the fact that more professionals are employed in large organizations where managers are the power centres. The chapter argues for a ‘new professionalism’ and takes two principles from the Code of Ethics of the Royal Australian and New Zealand College of Psychiatry to demonstrate how carefully deliberated codes of ethics can enunciate the particular values which the professions contribute in a well-functioning society.

Framing School Mental Health Services Within a Dual-Factor Model of Mental Health

2020 ◽  
pp. 40-60
Author(s):  
Beth Doll ◽  
Evan H. Dart ◽  
Prerna G. Arora ◽  
Tai A. Collins
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Disorders ◽  
Field Test ◽  
Universal Screening ◽  
Progress Monitoring ◽  
Factor Model ◽  
School Mental Health ◽  
Well Being ◽  
Complete Mental Health

This chapter proposes a reimagined dual-factor, multitiered system of support (MTSS) that targets students’ complete mental health by simultaneously diminishing symptoms of mental disorders and enhancing attributes of well-being. Examples of assessments and interventions are cited to show that our existing knowledge base includes examples of universal screening, progress monitoring, and interventions that address complete mental health. An argument is made for more research to build a broader base of assessments of well-being for progress monitoring and universal screening and to develop and field test decision-making protocols to identify students’ complete mental health needs and align services with these needs. The chapter concludes that important first steps toward dual-factor MTSS have already been taken.

Recent developments in suicide prevention among the Indigenous peoples of Australia

2018 ◽  
Vol 26 (2) ◽  
pp. 166-169 ◽  
Author(s):  
Pat Dudgeon ◽  
Christopher Holland
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Suicide Prevention ◽  
Indigenous Peoples ◽  
Torres Strait Islander ◽  
Success Factors ◽  
Well Being ◽  
Increased Risk ◽  
Recent Developments ◽  
Torres Strait

Objectives: Suicide is an Aboriginal and Torres Strait Islander (hereafter ‘Indigenous’) population health issue. Over 2015–2016, the Aboriginal and Torres Strait Islander Suicide Prevention Project (ATSISPEP) aimed to identify success factors in Indigenous suicide prevention. Conclusions: For non-Indigenous practitioners working with indigenous clients at risk of suicide, ATSISPEP identified important considerations to make treatment more effective. The start is acknowledging the differences in the historical, cultural, political, social and economic experiences of Indigenous peoples, and their greater exposure to trauma, psychological distress and risks to mental health. These mental health difficulties are specific and more prevalent amongst Indigenous peoples and communities due to the ongoing impacts of colonisation in Australia including a range of social determinants impacting on the well-being of Indigenous peoples today. Working effectively with Indigenous clients also includes being able to establish culturally safe work environments, and the ability of non-Indigenous practitioners to work in a culturally competent and trauma-informed manner. There are also considerations regarding time protocols and client follow-up. Further, postvention responses might be required. Supporting selective suicide prevention activity among younger people (and other groups at increased risk) and community-level work is an important complement to working with Indigenous individuals at risk of suicide.

Owning the brand of psychiatry

2017 ◽  
Vol 41 (S1) ◽  
pp. S740-S740
Author(s):  
A. Peters
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
New Zealand ◽  
Public Space ◽  
Medical Training ◽  
The Public ◽  
Community Information ◽  
Zealand College ◽  
Competing Interest ◽  
Promotion Campaigns

In Australia and New Zealand, conversations around mental health are playing out in the public space with increasing frequency. Mental health promotion campaigns and organizations are embraced by mainstream and other forms of media, and supported by government. Whilst public knowledge of mental illness is increasing, the profile of psychiatrists as leaders and medical experts in mental illness is a more difficult brand to sell. With a somewhat tarnished history behind us, the modern evidence-based practice of psychiatry is not always at the forefront of public impression. Furthermore, in Australia, more than half of the population (56%) is unaware that psychiatrists have undertaken medical training as a doctor. This presentation will outline Royal Australian and New Zealand college of psychiatrists (RANZCP) action to improve community information about psychiatry, psychiatrists and treatment experiences.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

scholarly journals From taking to using medication: recovery-focused prescribing and medicines management

2013 ◽  
Vol 19 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Elina Baker ◽  
Jason Fee ◽  
Louise Bovingdon ◽  
Tina Campbell ◽  
Elaine Hewis ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Health Services ◽  
Health Services ◽  
Well Being ◽  
Psychiatric Services ◽  
Psychiatric Practice ◽  
Medicines Management ◽  
The Relationship ◽  
Recovery Tools

SummaryMental health services are increasingly supporting recovery-oriented practice as a basis for service delivery. There is considerable overlap between the values and approaches associated with recovery-based practice and those already endorsed as good psychiatric practice. However, these agreed principles may not be consistently applied and further steps may be needed if the reorientation of the relationship between psychiatrists and people using psychiatric services is to fully reflect recovery principles. This article describes ways in which psychiatric practice could develop, including conceptualising medication as one of many possible recovery tools that a person can actively use to support their well-being, and a range of practices available to professionals to support people in taking up an active stance in relation to medication. It also identifies recovery-supportive practices for when someone is unable to fully participate in decision-making, owing to crisis, loss of capacity or concerns about safety.

Developing a Code of Ethics for Psychiatry: The Australasian Experience

1994 ◽  
Vol 28 (2) ◽  
pp. 188-196 ◽  
Author(s):  
Russell Pargiter ◽  
Sidney Bloch
Keyword(s):  
New Zealand ◽  
Ethical Issues ◽  
Code Of Ethics ◽  
Ethics Committee ◽  
Research Practice ◽  
Professional Work ◽  
Zealand College ◽  
The Many

The first ever code of ethics of the Royal Australian and New Zealand College of Psychiatrists was promulgated in 1992. In this paper two of the four members of the College's Ethics Committee (which prepared the document) describe the code's provenance and the procedure used to determine its form and content. The code, a milestone in the College's history, reflects its maturity in confronting the many ethical issues with which psychiatrists have to wrestle in contemporary clinical (and research) practice. We hope that our account will assist them to deal effectively with this pivotal aspect of their professional work.

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