Director of Addiction Psychiatry, Royal Brisbane & Women’s Hospital Staff specialist psychiatrist, Biala opioid replacement clinic, Brisbane
The rise of prescription opioid dependence has attracted considerable public debate and the abuse of particularly “OxyContin” in the United States and Australia has raised concerns. Although the recent re-scheduling of codeine in Australia has attracted discussion, less attention has been given to the other prescribed drugs of dependence or misuse. There is also gathering data on the harms from illicit and non-medicinal use of psychotropic medications. The non-evidence-based, “off label” prescribing of medications in correctional centres accrues further risks around diversion and “onselling” of medication inside prisons.
Dr Daglish’s presentation will focus on the emerging patterns of non-medicinal use of psychotropic medications from the older benzodiazepines to the newer antipsychotics and gabapentinoids. Dr Daglish will also consider the role of the psychiatrist in the supply of these medications to those with dependence and will consider both iatrogenic dependence and harm reduction.
When: Friday May 25, pre-dinner drinks from 6.00PM
Australian and New Zealand Association of Psychiatry, Psychology and Law (ANZAPPL) (Queensland branch) and Queensland chapter, APS College of Forensic Psychologists in association with Department of Communities, Child Safety and Disabilities Services present a symposium on Fetal Alcohol Spectrum Disorder: Prevalence, features and assessment.
When: Friday October 13th, 12.00PM – 6.00PM
Where: Rydges South Bank, Brisbane, Queensland. Map.
In 1973, the term Fetal Alcohol Syndrome was first used to describe the characteristic facial anomalies and poor prenatal and/or postnatal growth and subsequent developmental and learning problems exhibited by children of mothers who had used alcohol during their pregnancy.
After it was recognised that alcohol exposure in utero may result in a constellation of neuro-developmental problems in the absence of facial and other physical features, the term Fetal Alcohol Spectrum Disorder (FASD) was introduced in 2003. Subsequently, a number of different diagnostic algorithms have been postulated to facilitate the diagnosis.
There is a disproportionate prevalence of FASD within youth justice systems. Youths with FASD in Canada have been found to be 19 times more likely to be incarcerated than youths without FASD. In 2015, the Fetal Alcohol Spectrum Disorder Research Network of Canada published diagnostic guidelines. In 2016, the Australian Guide to the Diagnosis of Fetal Alcohol Spectrum Disorder was promulgated.
Emphasising that alcohol is teratogenic and that no level of maternal consumption is ‘safe’ for the developing foetus, the National Health and Medical Research Council of Australia currently advises that the safest option for women who are pregnant or planning a pregnancy is to avoid alcohol.
The diagnosis of FASD is crucial to improving outcomes for those affected and to inform pre-pregnancy counselling. Across various jurisdictions in the world, there is considerable impetus towards identifying individuals with FASD.
Symposium Committee: Russ Scott Tamara Smith Vinesh Gupta Scott Harden
Earlier this year, Professor Mark Kebbell gave a talk for the Queensland Branch of ANZAPPL, co-hosted by the Griffith Criminology Institute, on the risk posed by people who access indecent images. You can view a recording of the talk at the following link:
In this presentation to the Queensland branch of the Australian and New Zealand Association of Psychiatry, Psychology and Law (ANZAPPL), Dr Nina Westera covers how evidence-based practice in the interviewing of adult complainants of sexual assault can be used to improve the investigation and prosecution in these types of cases.
Dr Westera, a former detective with the New Zealand police force, is a lecturer in criminology and criminal justice. She specialises in the application of psychology to law and her interests include investigative interviewing, criminal investigation and detective work, eyewitness testimony, the investigation and prosecution of sexual and violent offenders, and jury decision making.