People living with psychotic illness in 2010: The second Australian national survey of psychosis
Abstract
Objective:
The 2010 Survey of High Impact Psychosis (SHIP) is Australia’s second national psychosis survey. This paper provides an overview of its findings, including comparisons with the first psychosis survey and general population data.
Methods:
The survey covered 1.5 million people aged 18–64 years, approximately 10% of Australians in this age group. A two-phase design was used. In phase 1, screening for psychosis took place in public mental health services and non-government organizations supporting people with mental illness. In phase 2, 1825 of those screen-positive for psychosis were randomly selected and interviewed. Data collected included symptomatology, substance use, functioning, service utilization, medication use, education, employment, housing, and physical health including fasting blood samples.
Results:
The estimated 1-month treated prevalence of psychotic disorders in public treatment services was 3.1 people per 1000 population; the 12-month treated prevalence was 4.5 people per 1000. The majority (63.0%) of participants met ICD-10 criteria for schizophrenia/schizoaffective disorder. One-half (49.5%) reported attempting suicide in their lifetime and two-thirds (63.2%) were rated as impaired in their ability to socialize. Over half (54.8%) had metabolic syndrome. The proportion currently smoking was 66.1%. Educational achievement was low. Only 21.5% were currently employed. Key changes in the 12 years since the first survey included: a marked drop in psychiatric inpatient admissions; a large increase in the proportion attending community mental health clinics; increased use of rehabilitation services and non-government organizations supporting people with mental illness; a major shift from typical to atypical antipsychotics; and large increases in the proportions with lifetime alcohol or drug abuse/dependence.
Conclusion:
People with psychotic illness face multiple challenges. An integrated approach to service provision is needed to ensure that their living requirements and needs for social participation are met, in addition to their very considerable mental and physical health needs.
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Article first published online: June 13, 2012
Issue published: August 2012
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PubMed: 22696547
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Evaluating service delivery
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Individual Dietetic Consultations in First Episode Psychosis: A Novel ...
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A comparison of schizophrenia, schizoaffective disorder, and bipolar d...
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Parents with serious mental illness: Differences in internalised and e...
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Psychoses and Cardiovascular Disease: The Heart and Mind of the Matter
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The meaning of recovery in a regional mental health service: an action...
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From experience to action in recovery-oriented mental health practice:...
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Care Provision to Prevent Chronic Disease by Community Mental Health C...
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Estimating the population attributable fraction for schizophrenia when...
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Factors influencing cardiometabolic monitoring practices in an adult c...
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Inadequate fruit and vegetable intake in people with psychosis
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Comparing algorithms for deriving psychosis diagnoses from longitudina...
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Prevalence and impact of childhood abuse in people with a psychotic il...
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The Cardiometabolic Health Nurse: Physical Health Behaviour Outcomes f...
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The lived experience of involuntary community treatment: a qualitative...
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The Meaning of Coping for Psychiatric Patients
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A Bibliometric Study on Second-generation Antipsychotic Drugs in the A...
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Group music therapy for severe mental illness: a randomized embedded‐e...
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Consumer experience of formal crisis‐response services and preferred m...
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Fit for purpose? Validation of a conceptual framework for personal rec...
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The impact of a smoke-free psychiatric hospitalization on patient smok...
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The effect of drug use on the age at onset of psychotic disorders in a...
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Psychosis prevalence and physical, metabolic and cognitive co-morbidit...
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Predictors of type 2 diabetes in a nationally representative sample of...
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Patterns of service utilisation in psychosis: Findings of the 2010 Aus...
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Modelling the incidence and mortality of psychotic disorders: Data fro...
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The Sydney Mental Health Client Mortality Audit: what does it tell us ...
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Correlates of Competitive Versus Noncompetitive Employment Among Adult...
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What difference a decade? The costs of psychosis in Australia in 2000 ...
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Smoking and suicidality in patients with a psychotic disorder
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Costs of psychosis in 2010: Findings from the second Australian Nation...
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Do population-wide tobacco control approaches help smokers with mental...
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Cardiometabolic Health Nursing to Improve Health and Primary Care Acce...
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Age at initiation of amphetamine use and age at onset of psychosis: Th...
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Impact of care coordination on Australia's mental health service deliv...
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Cardiometabolic Risk Indicators That Distinguish Adults with Psychosis...
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Treatment gaps and knowledge gaps in mental health
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A whole-of-population study of the prevalence and patterns of criminal...
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Where to for Australian mental health services? Promoting self-efficac...
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To love and to work: The next major mental health reform goals
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Mental health policy and the burden of psychosis
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Pharmacological approaches to the management of schizophrenia: 10 year...
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The importance of investigating alcohol use among people with schizoph...
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Family psycho-education for people with schizophrenia and other psycho...
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Cognitive remediation: The foundation of psychosocial treatment of sch...
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The worst disease
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Perceived risk associated with tobacco, alcohol and cannabis use among...
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Severe mental illness and work: What can we do to maximise the employm...
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Strategies for improving employment outcomes for people with psychosis...
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Trends in pre‐existing mental health disorders among parents of infant...
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What is needed to deliver collaborative care to address comorbidity mo...
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Age at Initiation of Cannabis Use Predicts Age at Onset of Psychosis: ...
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The impact of alcohol and illicit drugs on people with psychosis: The ...
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Understanding the social costs of psychosis: The experience of adults ...
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A place to live: Housing needs for people with psychotic disorders ide...
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Tobacco smoking among people living with a psychotic illness: The seco...
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The experiences of Australian parents with psychosis: The second Austr...
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Is Australian psychiatry getting SHIP shape?
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People living with psychosis: The good news and the bad news
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Policy and service development implications of the second Australian N...
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Medication for psychosis – consumption and consequences: The second Au...
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‘Earning and learning’ in those with psychotic disorders: The second A...
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Cardiometabolic risk factors in people with psychotic disorders: The s...
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Does evidence lead to policy change?
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