Rachael Fullam - Academia.edu (original) (raw)

Papers by Rachael Fullam

Research paper thumbnail of An Exploratory Evaluation of the Impact and Acceptability of a Structured Reflective Practice Program Piloted with Staff in a Forensic Mental Health Setting

International Journal of Forensic Mental Health

Research paper thumbnail of Can advance care planing offer an alternative to people contemplating euthanasia?

BMJ Supportive & Palliative Care, 2011

Research paper thumbnail of Australian Psychiatrists' Support for Psychiatric Advance Directives: Responses to a Hypothetical Vignette

Psychiatry, Psychology and Law, 2016

This study examines whether Australian psychiatrists would support requests in a psychiatric adva... more This study examines whether Australian psychiatrists would support requests in a psychiatric advance directive (PAD) and the reasons underlying their decisions in response to a hypothetical vignette. An online survey was completed by 143 psychiatrists. Fewer than 3 out of 10 psychiatrists supported the patient to create a PAD which requested cessation of pharmacotherapy (27%) or remaining out of hospital and not being subject to an involuntary treatment order (24%) should their depression condition deteriorate. A thematic analysis showed that patient autonomy was the strongest theme among those who supported the patient to create a PAD, whereas the clinical profile of and risk to the patient and the professional or ethical imperative of the psychiatrist were strongest among those who were unsure about supporting the patient or who did not support the patient. These findings provide a challenge about how to fulfil obligations under the United Nations Convention on the Rights of Persons with Disabilities (2006).

Research paper thumbnail of Making health choices: advance care planning in aged care. Perception versus reality

BMJ Supportive & Palliative Care, 2011

Research paper thumbnail of Making health choices; Part 1. Advance Care planning in aged care project. Setting the scene

BMJ Supportive & Palliative Care, 2011

Research paper thumbnail of Final evaluation of the "Making Health Choices" advance care planning in aged care project

BMJ Supportive & Palliative Care, 2012

Published literature suggests that advance care planning (ACP) activity in aged-care homes is inc... more Published literature suggests that advance care planning (ACP) activity in aged-care homes is inconsistent and often of poor quality. There are few published reports of the effectiveness of formal training and implementation of ACP in aged-care homes. The Respecting Patient Choices Program piloted a training and implementation model in 19 aged-care homes in Victoria, Australia in 2010-11. The model required Measurement Pre-training (%) Post-training (%) P value % of staff reporting the existence of written policies on ACP in aged-care homes. 53 100 0.008 % of aged-care homes. which discuss medical treatment options with resident/family 42 100 0.016 % of aged-care homes which discuss "things that matter most about life and living" with resident 8 9 2 0. 0 0 9 % of aged-care homes reporting that ACP information is used effectively within the facility. 33 100 0.013 % of staff reporting that ACP is carried out "well/very well" within their aged-care home.

Research paper thumbnail of Teaching general practitioners and doctors-in-training to discuss advance care planning: evaluation of a brief multimodality education programme

BMJ supportive & palliative care, 2014

To develop and evaluate an interactive advance care planning (ACP) educational programme for gene... more To develop and evaluate an interactive advance care planning (ACP) educational programme for general practitioners and doctors-in-training. Development of training materials was overseen by a committee; informed by literature and previous teaching experience. The evaluation assessed participant confidence, knowledge and attitude toward ACP before and after training. Training provided to metropolitan and rural settings in Victoria, Australia. 148 doctors participated in training. The majority were aged at least 40 years with more than 10 years work experience; 63% had not trained in Australia. The programme included prereading, a DVD, interactive patient e-simulation workshop and a training manual. All educational materials followed an evidence-based stepwise approach to ACP: Introducing the topic, exploring concepts, introducing solutions and summarising the conversation. The primary outcome was the change in doctors' self-reported confidence to undertake ACP conversations. Seco...

Research paper thumbnail of Quality of advance care planning policy and practice in residential aged care facilities in Australia

BMJ supportive & palliative care, 2013

To assess existing advance care planning (ACP) practices in residential aged care facilities (RAC... more To assess existing advance care planning (ACP) practices in residential aged care facilities (RACFs) in Victoria, Australia before a systematic intervention; to assess RACF staff experience, understanding of and attitudes towards ACP. Surveys of participating organisations concerning ACP-related policies and procedures, review of existing ACP-related documentation, and pre-intervention survey of RACF staff covering their role, experiences and attitudes towards ACP-related procedures. 19 selected RACFs in Victoria. 12 aged care organisations (representing 19 RACFs) who provided existing ACP-related documentation for review, 12 RACFs who completed an organisational survey and 45 staff (from 19 RACFs) who completed a pre-intervention survey of knowledge, attitudes and behaviour. Findings suggested that some ACP-related practices were already occurring in RACFs; however, these activities were inconsistent and variable in quality. Six of the 12 responding RACFs had written policies and p...

Research paper thumbnail of Development and evaluation of an aged care specific Advance Care Plan

BMJ supportive & palliative care, 2013

To report on the quality of advance care planning (ACP) documents in use in residential aged care... more To report on the quality of advance care planning (ACP) documents in use in residential aged care facilities (RACF) in areas of Victoria Australia prior to a systematic intervention; to report on the development and performance of an aged care specific Advance Care Plan template used during the intervention. An audit of the quality of pre-existing documentation used to record resident treatment preferences and end-of-life wishes at participating RACFs; development and pilot of an aged care specific Advance Care Plan template; an audit of the completeness and quality of Advance Care Plans completed on the new template during a systematic ACP intervention. 19 selected RACFs (managed by 12 aged care organisations) in metropolitan and regional areas of Victoria. Documentation in use at facilities prior to the ACP intervention most commonly recorded preferences regarding hospital transfer, life prolonging treatment and personal/cultural/religious wishes. However, 7 of 12 document sets fa...

Research paper thumbnail of POLST forms within an acute care setting

BMJ Supportive & Palliative Care, 2012

Research paper thumbnail of Advance Care Planning for Mental Health Treatment: The Perspectives of Australian Mental Health Clinicians

BMJ Supportive & Palliative Care, 2013

Research paper thumbnail of Australian Psychiatrists' Knowledge, Attitudes, and Practice in Relation to Advance Care Planning for Mental Health Treatment

BMJ Supportive & Palliative Care, 2013

Research paper thumbnail of CPR Policy and Practice in Australian Residential Aged Care Facilities (Racfs)

BMJ Supportive & Palliative Care, 2013

Research paper thumbnail of Enhancing psychological treatment for violent offenders: A narrative review of treatment approaches to target aggressive script rehearsal

Aggression and Violent Behavior

Research paper thumbnail of Results From a Non-Randomized Pilot Study Evaluating the Impact of a Novel Group Treatment Program Targeting Aggressive Script Rehearsal and Emotion Regulation in a Sample of Incarcerated Males

International Journal of Offender Therapy and Comparative Criminology

This study compared the efficacy of a novel group-based aggressive script rehearsal treatment pro... more This study compared the efficacy of a novel group-based aggressive script rehearsal treatment program with an emotion regulation program. Participants were 48 incarcerated adult males (28 in the script rehearsal program and 20 in the emotion regulation program). Outcomes, including the frequency of aggressive script rehearsal, aggressive behavior, and emotion regulation difficulties, were measured pre-and post-treatment and at 46 days (on average) after treatment completion, and 104 days (on average) following treatment completion. Linear Mixed Model analyses revealed no significant difference in the frequency of script rehearsal overtime for either program. There was a significant reduction in aggressive behavior associated with the script rehearsal program and a reduction in emotion regulation difficulties for both programs. Future iterations of this aggressive script rehearsal treatment program may benefit from greater intensity and incorporation of strategies that address the ma...

Research paper thumbnail of An Exploratory Evaluation of the Impact and Acceptability of a Structured Reflective Practice Program Piloted with Staff in a Forensic Mental Health Setting

International Journal of Forensic Mental Health

Research paper thumbnail of Can advance care planing offer an alternative to people contemplating euthanasia?

BMJ Supportive & Palliative Care, 2011

Research paper thumbnail of Australian Psychiatrists' Support for Psychiatric Advance Directives: Responses to a Hypothetical Vignette

Psychiatry, Psychology and Law, 2016

This study examines whether Australian psychiatrists would support requests in a psychiatric adva... more This study examines whether Australian psychiatrists would support requests in a psychiatric advance directive (PAD) and the reasons underlying their decisions in response to a hypothetical vignette. An online survey was completed by 143 psychiatrists. Fewer than 3 out of 10 psychiatrists supported the patient to create a PAD which requested cessation of pharmacotherapy (27%) or remaining out of hospital and not being subject to an involuntary treatment order (24%) should their depression condition deteriorate. A thematic analysis showed that patient autonomy was the strongest theme among those who supported the patient to create a PAD, whereas the clinical profile of and risk to the patient and the professional or ethical imperative of the psychiatrist were strongest among those who were unsure about supporting the patient or who did not support the patient. These findings provide a challenge about how to fulfil obligations under the United Nations Convention on the Rights of Persons with Disabilities (2006).

Research paper thumbnail of Making health choices: advance care planning in aged care. Perception versus reality

BMJ Supportive & Palliative Care, 2011

Research paper thumbnail of Making health choices; Part 1. Advance Care planning in aged care project. Setting the scene

BMJ Supportive & Palliative Care, 2011

Research paper thumbnail of Final evaluation of the "Making Health Choices" advance care planning in aged care project

BMJ Supportive & Palliative Care, 2012

Published literature suggests that advance care planning (ACP) activity in aged-care homes is inc... more Published literature suggests that advance care planning (ACP) activity in aged-care homes is inconsistent and often of poor quality. There are few published reports of the effectiveness of formal training and implementation of ACP in aged-care homes. The Respecting Patient Choices Program piloted a training and implementation model in 19 aged-care homes in Victoria, Australia in 2010-11. The model required Measurement Pre-training (%) Post-training (%) P value % of staff reporting the existence of written policies on ACP in aged-care homes. 53 100 0.008 % of aged-care homes. which discuss medical treatment options with resident/family 42 100 0.016 % of aged-care homes which discuss "things that matter most about life and living" with resident 8 9 2 0. 0 0 9 % of aged-care homes reporting that ACP information is used effectively within the facility. 33 100 0.013 % of staff reporting that ACP is carried out "well/very well" within their aged-care home.

Research paper thumbnail of Teaching general practitioners and doctors-in-training to discuss advance care planning: evaluation of a brief multimodality education programme

BMJ supportive & palliative care, 2014

To develop and evaluate an interactive advance care planning (ACP) educational programme for gene... more To develop and evaluate an interactive advance care planning (ACP) educational programme for general practitioners and doctors-in-training. Development of training materials was overseen by a committee; informed by literature and previous teaching experience. The evaluation assessed participant confidence, knowledge and attitude toward ACP before and after training. Training provided to metropolitan and rural settings in Victoria, Australia. 148 doctors participated in training. The majority were aged at least 40 years with more than 10 years work experience; 63% had not trained in Australia. The programme included prereading, a DVD, interactive patient e-simulation workshop and a training manual. All educational materials followed an evidence-based stepwise approach to ACP: Introducing the topic, exploring concepts, introducing solutions and summarising the conversation. The primary outcome was the change in doctors' self-reported confidence to undertake ACP conversations. Seco...

Research paper thumbnail of Quality of advance care planning policy and practice in residential aged care facilities in Australia

BMJ supportive & palliative care, 2013

To assess existing advance care planning (ACP) practices in residential aged care facilities (RAC... more To assess existing advance care planning (ACP) practices in residential aged care facilities (RACFs) in Victoria, Australia before a systematic intervention; to assess RACF staff experience, understanding of and attitudes towards ACP. Surveys of participating organisations concerning ACP-related policies and procedures, review of existing ACP-related documentation, and pre-intervention survey of RACF staff covering their role, experiences and attitudes towards ACP-related procedures. 19 selected RACFs in Victoria. 12 aged care organisations (representing 19 RACFs) who provided existing ACP-related documentation for review, 12 RACFs who completed an organisational survey and 45 staff (from 19 RACFs) who completed a pre-intervention survey of knowledge, attitudes and behaviour. Findings suggested that some ACP-related practices were already occurring in RACFs; however, these activities were inconsistent and variable in quality. Six of the 12 responding RACFs had written policies and p...

Research paper thumbnail of Development and evaluation of an aged care specific Advance Care Plan

BMJ supportive & palliative care, 2013

To report on the quality of advance care planning (ACP) documents in use in residential aged care... more To report on the quality of advance care planning (ACP) documents in use in residential aged care facilities (RACF) in areas of Victoria Australia prior to a systematic intervention; to report on the development and performance of an aged care specific Advance Care Plan template used during the intervention. An audit of the quality of pre-existing documentation used to record resident treatment preferences and end-of-life wishes at participating RACFs; development and pilot of an aged care specific Advance Care Plan template; an audit of the completeness and quality of Advance Care Plans completed on the new template during a systematic ACP intervention. 19 selected RACFs (managed by 12 aged care organisations) in metropolitan and regional areas of Victoria. Documentation in use at facilities prior to the ACP intervention most commonly recorded preferences regarding hospital transfer, life prolonging treatment and personal/cultural/religious wishes. However, 7 of 12 document sets fa...

Research paper thumbnail of POLST forms within an acute care setting

BMJ Supportive & Palliative Care, 2012

Research paper thumbnail of Advance Care Planning for Mental Health Treatment: The Perspectives of Australian Mental Health Clinicians

BMJ Supportive & Palliative Care, 2013

Research paper thumbnail of Australian Psychiatrists' Knowledge, Attitudes, and Practice in Relation to Advance Care Planning for Mental Health Treatment

BMJ Supportive & Palliative Care, 2013

Research paper thumbnail of CPR Policy and Practice in Australian Residential Aged Care Facilities (Racfs)

BMJ Supportive & Palliative Care, 2013

Research paper thumbnail of Enhancing psychological treatment for violent offenders: A narrative review of treatment approaches to target aggressive script rehearsal

Aggression and Violent Behavior

Research paper thumbnail of Results From a Non-Randomized Pilot Study Evaluating the Impact of a Novel Group Treatment Program Targeting Aggressive Script Rehearsal and Emotion Regulation in a Sample of Incarcerated Males

International Journal of Offender Therapy and Comparative Criminology

This study compared the efficacy of a novel group-based aggressive script rehearsal treatment pro... more This study compared the efficacy of a novel group-based aggressive script rehearsal treatment program with an emotion regulation program. Participants were 48 incarcerated adult males (28 in the script rehearsal program and 20 in the emotion regulation program). Outcomes, including the frequency of aggressive script rehearsal, aggressive behavior, and emotion regulation difficulties, were measured pre-and post-treatment and at 46 days (on average) after treatment completion, and 104 days (on average) following treatment completion. Linear Mixed Model analyses revealed no significant difference in the frequency of script rehearsal overtime for either program. There was a significant reduction in aggressive behavior associated with the script rehearsal program and a reduction in emotion regulation difficulties for both programs. Future iterations of this aggressive script rehearsal treatment program may benefit from greater intensity and incorporation of strategies that address the ma...