Evaluation of The Practitioner Online Referral and Treatment Service (PORTS): the first 18 months of a state-wide digital service for adults with anxiety,depression, or substance use problems

ABSTRACT

The Practitioner Online Referral and Treatment Service (PORTS) is a new digital mental health service (DMHS) providing assessment, treatment, and consultation across Western Australia, for adults with anxiety, depression, or substance use problems, and experiencing financial hardship or geographical disadvantage. From July 2017 to December 2018, a total of 2,527 individuals were referred to PORTS. Of these, 150 (6%) did not give consent for their results to be analysed. Of the remaining 2,377 patients, 615 (26%) could not be contacted to confirm the referral, 596 (25%) received assessment or information from PORTS, 427 (18%) were referred to another service, and 739 (31%) commenced treatment at PORTS. Almost half (47%) of patients were from areas with significant socio-economic disadvantage. Those referred by another mental health service were more likely to engage in treatment than those referred by a General Practitioner (GP). Overall outcomes were excellent, with large effect sizes (Cohen’s d: 1.1–1.4), from assessment to post-treatment and 3-month follow-up, reliable deterioration was low, and GP and patient satisfaction was high. These results indicate that the PORTS DMHS model is a promising method for engaging primary care patients with anxiety and depression, including those experiencing financial and geographical disadvantage.     

Comprehension of algebraic expressions by experienced users of mathematics

Little is known about how people comprehend mathematical expressions. In the present study we investigate the internal representations used by experienced users of mathematics to encode algebraic expressions. Initially, a memory recognition task was conducted that examined the role of mathematical syntax in the encoding of algebraic expressions. The results indicate that participants could more readily identify those parts of a previously seen expression that were syntactically well formed than those that were not well formed, suggesting that syntax plays an important role. To determine the level of syntactic structure involved, a second recognition task was conducted. The results indicate that algebraic expressions are encoded into components that represent the phrasal constituents of the expression. However, the results of these experiments did not rule out the possibility that the visual processes of perceptual organization were used to encode the expressions, or that the data were a consequence of a mathematical “lexicon” of common mathematical “phrases”. Three further experiments were conducted to examine this, the results of which indicate that the encoding of algebraic expressions is based primarily on processes that occur beyond the level of visual or “lexical” processing. This is consistent with our finding that syntactic structure plays a key role.     

Combining Action Observation and Motor Imagery Improves Eye–Hand Coordination during Novel Visuomotor Task Performance

Abstract

In this study, we compared the effectiveness of concurrent action observation and motor imagery (AO?+?MI), observing with the intent to imitate (active observation; AO), and passive observation (PO) training interventions for improving eye–hand coordination. Fifty participants were assigned to five groups [AO?+?MI, AO, PO, physical practice (PP); control] and performed a visuomotor rotation task, whilst eye movements were recorded. Each participant then performed 20 task trials in a training intervention before repeating the visuomotor rotation task in a post-test. As expected, PP produced the greatest improvement in task performance and eye–hand coordination. However, in comparison to the control group, AO?+?MI training produced a statistically significant increase in both task performance and eye–hand coordination, but no such improvements were found following AO or PO.     

Introduction: the image of Islam in Russia

ABSTRACT

Russia has a long, complicated and, at times, contradictory relationship with Islam and Muslims. Islam is classified as one of the ‘traditional’ religions, along with Christianity, Judaism and Buddhism. Throughout Russia’s history across the centuries, the efforts by the state and Muslims to define their relationship have led to contradictory outcomes. This special issue grew out of a conference that took place in 2016, seeking to explore the complicated nature of the image of Islam in Russia from a multidisciplinary perspective. A collection of six contributions explore how Islam is viewed and projected in the public and media sphere in contemporary Russia, including state attempts to ‘manage’ the development of Islam, initiatives to transform the public image of Muslims and the charitable work of a mosque at the local level.     

Non-binary and binary transgender youth: Comparison of mental health,self-harm,suicidality, substance use and victimization experiences

ABSTRACT

?Background: Little research has compared the mental health and victimization experiences of non-binary youth depending on their sex assigned at birth (SAAB), or compared these two groups with binary transgender youth.

Aims: To compare mental health, self-harm and suicidality, substance use and victimization experiences between non-binary and binary transgender young adults, both male assigned at birth (MAAB) and female assigned at birth (FAAB).

Methods: Online survey data from 677 participants from the “Youth Chances” community study of 16 to 25 year olds in the United Kingdom was analyzed, comparing across binary participants (transgender females (n = 105) and transgender males (n = 210)) and non-binary participants (MAAB (n = 93) and FAAB (n = 269)).

Results: Female SAAB participants (binary and non-binary) were more likely to report a current mental health condition and history of self-harm than male SAAB participants (binary and non-binary). Similarly, female SAAB participants (binary and non-binary) were more likely to report childhood sexual abuse than male SAAB participants (binary and non-binary); the reverse pattern was found for lifetime physical assault relating to being LGBTQ. Non-binary MAAB participants were less likely than the other groups to report past suicide attempts and previous help-seeking for depression/anxiety. Binary participants reported lower life satisfaction than non-binary participants. For all four groups, mental health problems, self-harm, suicidality, alcohol use and victimization experiences were generally higher than that of youth in general population studies.

Conclusions: These findings highlight the importance of considering both non-binary versus binary gender identity and SAAB in relation to mental health problems, self-harm, suicidality and substance use in transgender youth. The roles of sexual abuse, other abuse and discrimination in contributing to increased rates of mental illness and self-harm in non-binary and binary transgender individuals, particularly those who were assigned female at birth, relative to those assigned male, require investigation.