Building workforce capacity in Australia and New Zealand: a profile of psychiatrists with an interest in intellectual and developmental disability mental health

Cvejic, Rachael C; Eagleson, Claire; Weise, Janelle; Davies, Kimberley; Hopwood, Malcolm; Jenkins, Kym; Trollor, Julian N.

doi:10.1177/1039856218781018

Cited by 3 publications

(9 citation statements)

References 12 publications

(14 reference statements)

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“…The characteristics of the sample (including age, practice location, sector, work hours, retirement plans and outreach work) were consistent with results from the RANZCP workforce survey for those working in IDD (see Cvejic et al 2018)4 for a comparison of the IDD versus broader psychiatry workforce). While Cvejic et al (2018)4 found no significant difference in the average age of IDD versus other psychiatrists overall, the smaller proportion of psychiatrists aged 30-39 years may be due in part to the shortage of public sector positions, lack of clear career pathways and absence of subspecialty training in this area. The shortage of IDD psychiatrists in locations such as Tasmania demonstrates the importance of outreach work.…”

supporting

confidence: 63%

“…However, the profile of respondents is largely consistent with the characteristics of the larger sample in Cvejic et al (2018). 4 Secondly, data on the pathways psychiatrists took to work in IDDMH was outside the scope of this report. However, this data is essential to identifying avenues for enhancing workforce capacity and is thus detailed in Eagelson et al (2019).…”

Section: Discussionmentioning

confidence: 97%

“…This raises a question about how a small workforce with relatively few hours in IDDMH can provide effective mental health support to people with IDD. Cvejic et al 2018). 4 The similar proportion of time spent engaging in IDD versus other research despite fewer clinical hours in IDD practice implies interest in developing knowledge in this area, but could also reflect research activity in IDD being concentrated to a small group of 'IDD champions'.…”

Section: Discussionmentioning

confidence: 99%

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Clinical capacity of Australian and New Zealand psychiatrists who work with people with intellectual and developmental disabilities

Davies

Eagleson

Weise

et al. 2019

Australas Psychiatry

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Objective: To describe the characteristics and clinical capacity of Australian and New Zealand psychiatrists working in intellectual and developmental disability mental health (IDDMH). Method: Consultant psychiatrists (n=71) with an interest or expertise in IDDMH completed an online survey about their roles, experience and time spent in intellectual developmental disability (IDD)-related activities. Results: Psychiatrists had worked in IDDMH for a median of 11.34 years and half (53.5%) reported expertise in the area. One-fifth of psychiatrists reported IDDMH as their main area of practice. The majority of respondents (85.1%) reported that they were working clinically with people with IDD. Respondents practicing clinically worked a median of 8 hours in clinical and 3 hours in non-clinical IDD-related work per week. Conclusions: Surveyed psychiatrists had considerable experience in IDDMH. However, their work in IDDMH represented a relatively small proportion of their overall work hours, and a minority of respondents were responsible for a large proportion of clinical work. Exploring ways to broaden capacity is crucial to ensuring the mental health needs of people with IDD are met.

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supporting

confidence: 63%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Clinical capacity of Australian and New Zealand psychiatrists who work with people with intellectual and developmental disabilities

Davies

Eagleson

Weise

et al. 2019

Australas Psychiatry

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“…Davies et al 9 reported that there was reasonable coverage of IDD psychiatrists in metropolitan areas (supporting findings from Cvejic et al 10 ), but the majority were working limited hours in IDD. The workforce is therefore unlikely to meet future needs without the development of suitable training pathways.…”

mentioning

confidence: 80%

“…8,15 Our findings indicate that psychiatrists in Australia and New Zealand strongly support subspecialty training in IDDMH and potentially have the training capacity to implement this. Given projected IDDMH workforce shortages, 10 there is an urgent need to act on calls for subspecialty training in IDDMH to improve equitable access to mental health care for people with IDD 1 and to meet the aims of national mental health policy. 4 This would help ensure that people with IDD receive quality mental health care across mainstream services, and that there are sufficient psychiatrists to provide specialist services to those with complex needs.…”

Section: Discussionmentioning

confidence: 99%

Subspecialty training pathways in intellectual and developmental disability psychiatry in Australia and New Zealand: current status and future opportunities

Eagleson

Cvejic

Weise

et al. 2019

Australas Psychiatry

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Objectives: This study aimed to examine the training experiences of and determine capacity to train future Australian and New Zealand psychiatrists working in intellectual and developmental disability mental health. Methods: Australian and New Zealand psychiatrists with expertise or interest in intellectual and developmental disability mental health completed an online survey detailing their training pathway, support for subspecialty training and capacity to provide rotations in this area. Results: Psychiatrists ( n=71) indicated the most common reasons they started practicing in intellectual and developmental disability mental health, and these included seeing people with intellectual or developmental disability in a service in which they worked, or personal experience with intellectual or developmental disability. Compared to those trained overseas, psychiatrists trained in Australia or New Zealand had lower ratings of the sufficiency of education received in intellectual and developmental disability mental health. Of the total respondents, 80% supported the development of subspecialty training. Augmentation of intellectual and developmental disability mental health content in the intermediate stage of training was also strongly supported. Participants identified 80 potential six-month training rotations in this area. Conclusions: Psychiatrists working in intellectual and developmental disability mental health strongly support enhancements to intellectual or developmental disability training, including the development of subspecialty training, and can identify potential training capacity if such subspecialty training was developed.

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Services for adults with intellectual disability in Aotearoa New Zealand

McCarthy¹,

Duff

2019

BJPsych Int.

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Aotearoa New Zealand is a country of just under 5 million people with a diverse population, the main ethnic groups being of European descent and Maori. There are well-developed public and private healthcare systems. As in other countries, Aotearoa New Zealand has closed the large institutions and developed community-based services for people with intellectual disability. Aotearoa New Zealand has specific legislation for people with intellectual disability presenting to the criminal justice system and has unusually and explicitly excluded people with intellectual disability from mental health legislation since 1992. Partly as a result, most health professional training schemes have little focus on issues for people with intellectual and developmental disabilities. Therefore, one of the main challenges over the coming decade will be to ensure there is a sufficient workforce of psychiatrists and other professionals who have the training and expertise to work with people with intellectual disability requiring mental health and forensic services.

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Building workforce capacity in Australia and New Zealand: a profile of psychiatrists with an interest in intellectual and developmental disability mental health

Abstract: While some elements of the IDDMH workforce profile suggest this workforce is tailored to the needs of the population, the potential shortage of IDDMH psychiatrists highlights the need for the development of a specific training programme and pathway in this area.

Cited by 3 publications

References 12 publications

Clinical capacity of Australian and New Zealand psychiatrists who work with people with intellectual and developmental disabilities

Clinical capacity of Australian and New Zealand psychiatrists who work with people with intellectual and developmental disabilities

Subspecialty training pathways in intellectual and developmental disability psychiatry in Australia and New Zealand: current status and future opportunities

Services for adults with intellectual disability in Aotearoa New Zealand

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