The Maze Phase

Dr Bianca Forrester
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The Maze Phase is a podcast for Primary health care professionals working with teens navigating life and the Australian Healthcare system. In this podcast, GP Dr Bianca Forrester interviews experts in the field of Adolescent Health and Social care to provide clinical updates, practice tips and best practice approaches to working with teens in Primary care. This series focuses on the school-aged teen and considers approaches to care in school-based settings. 

  1. 03/14/2023

    Neurodiversity and neurodevelopmental disorders in teens-How can the GP help?

    In this episode, GP Bianca Forrester speaks with child and adolescent psychiatrist Prof Sandra Radovini about increasing requests for neurodevelopmental disorder assessments in primary care. We talk about the issues that many young people are facing in getting back on track with school routines and why transitions have been particularly challenging for some young people. Shownotes: Best Practice Guidelines for the assessment and support of autism Australia's First National Guideline for the Assessment and Diagnosis of Autism Spectrum Disorders https://www.autismcrc.com.au/access/national-guideline Best Practice Guidelines for the assessment and support for ADHD Australian Evidence-Based Clinical Practice Guidelines for Attention Deficit Hyperactivity Disorder (ADHD)  https://adhdguideline.aadpa.com.au    Assessment Tools Autism: Social Responsiveness Scale, 2nd Edition SRS-2 Identifies the presence and severity of social impairment within the autism spectrum and differentiates it from that which occurs in other disorders https://paa.com.au/product/srs-2/  For ADHD: https://adhdguideline.aadpa.com.au/diagnosis/adhd-diagnosis/ The Conners ADHD rating scale was mentioned https://www.webmd.com/add-adhd/childhood-adhd/conners-rating-scale  Recommended article: MJA article- Andrew Whitehouse- Autism: Widely known, rarely understood   For GPs recording Continuing Professional development: This podcast (and accompanying guidelines and article review) may contribute to 1 hours of Educational Activities. GPs may self-record their completion of the activity in their MyCPD account at https://mycpd.racgp.org.au and click on “Log” from the banner at top of screen. Note that it remains the GP’s responsibility to maintain evidence of the activity for their CPD log. Please contact your local faculty if assistance is needed in logging the activity.  Training Calendar Mindful Centre  The skill development workshops are designed for professionals working with clients with autism. They focus on practical skill development for delivering a wide range of autism interventions  https://mindful.org.au/asd-training/skill-development Self-paced Training modules in assessment https://ecommerce.unimelb.edu.au/faculty-stores/mindful-centre-for-training-research-in-developmental-health This Podcast was recorded over "zoom" in February 2023 Presented by:  Dr Bianca Forrester, Senior Lecturer Primary care, Department of General practice and Primary care, University of Melbourne. Guest:  Prof Sandra Radovini, Child and Adolescent Psychiatrist and Director of Centre for Training and Research in Developmental Health Produced by: Bianca Forrester Music: Space Cadet Lullabies Graphics: Gaal Creative The Maze Phase is a production of the University of Melbourne, Australia. The Maze Phase is licenced under Creative Commons, Copyright 2017, the University of Melbourne.

    52 min
  2. Part 2 -Young people in out of home care- How can the GP help?

    08/10/2022

    Part 2 -Young people in out of home care- How can the GP help?

    In this episode, GP Bianca Forrester continues the conversation with researcher Dr Susan Webster and Paediatrician Dr Karen McLean about overcoming the barriers that young people in out-of-home care face in accessing health care and supporting their health, social and educational transitions. "The single best contribution that doctors and nurses can make, is to form that ongoing therapeutic relationship with a person who has lived with this kind of adversity. That beyond anything else, can really help." "I think anything that keeps the young person engaged at school and learning, is going to be a positive influence on them...potentially lifelong." Shownotes: Karen Mclean’s research: https://www.mcri.edu.au/news/most-children-living-out-home-care-don’t-access-health-services Australian National Standards of care- https://www.dss.gov.au/sites/default/files/documents/pac_national_standard.pdf National Framework for Protecting Australia’s Children 2009 – 2020 https://www1.health.gov.au/internet/main/publishing.nsf/Content/cyp-oohc-framework National Clinical Assessment Framework for Kids in out-of-home-care https://www1.health.gov.au/internet/main/publishing.nsf/Content/cyp-oohc-framework Trauma informed care and practice for health services https://aci.health.nsw.gov.au/networks/mental-health/trauma-informed-care SAHMSA guidelines for Health Services https://www.samhsa.gov/sites/default/files/programs_campaigns/childrens_mental_health/atc-whitepaper-040616.pdf Children and young people in care Booklet https://www.ddwmphn.com.au/uploads/publications/CYPC_Final.pdf Victorian Government Policieis on Children in Out of home care at school https://www2.education.vic.gov.au/pal/supporting-students-out-home-care/policy?Redirect=1 Leaving Plus care plan in Victoriahttps://providers.dffh.vic.gov.au/out-home-care Raising expectations University access program https://www.cfecfw.asn.au/raisingexpectations/ For GPs recording Continuing Professional development: This podcast (and accompanying guidelines and article review) may contribute to 1 hours of Educational Activities. GPs may self-record their completion of the activity in their MyCPD account at https://mycpd.racgp.org.au and click on “Log” from the banner at top of screen. Note that it remains the GP’s responsibility to maintain evidence of the activity for their CPD log. Please contact your local faculty if assistance is needed in logging the activity. This Podcast was

    45 min
  3. Kids in out of home care- How can the GP help?

    06/20/2022

    Kids in out of home care- How can the GP help?

    In this episode, GP Bianca Forrester speaks with researcher Dr Susan Webster and Paediatrician Dr Karen McLean about the health needs of kids in out of home care and how we can bridge the gaps they face in accessing health care. "One of the things to keep in mind for these young people is that when abuse or neglect has occurred, it has been in the privacy of the young person's home. Their parents may not have accessed health care....so kids may have big gaps in their health and medical care." "They do know what is most important to them and they want to be listened to and heard. Something really wonderful that GPs and nurses (and all of us) can do clinically is to respect their views and try to meet them where they are at." Shownotes: National Clinical Assessment Framework for Kids in out-of-home-care https://www1.health.gov.au/internet/main/publishing.nsf/Content/cyp-oohc-framework ·Susan recommends the following resource: https://www.ddwmphn.com.au/uploads/publications/CYPC_Final.pdf Susan mentioned the Snap that Stigma website https://create.org.au ·Karen discusses Trauma informed care and recommends: https://aifs.gov.au/cfca/sites/default/files/publication-documents/cfca37-trauma-informed-practice.pdf HEADSS screening tool: https://www.rch.org.au/clinicalguide/guideline_index/Engaging_with_and_assessing_the_adolescent_patient/ · Aboriginal and torres strait islander child and young people are over represented in out of home care https://www.dhhs.vic.gov.au/sites/default/files/documents/201804/Aboriginal%20Children%20and%20Families%20Agreement%202018_1.pdf · Karen Mclean’s research: https://www.mcri.edu.au/news/most-children-living-out-home-care-don’t-access-health-services · Australian National Standards of care- https://www.dss.gov.au/sites/default/files/documents/pac_national_standard.pdf · National Framework for Protecting Australia’s Children 2009 – 2020 https://www1.health.gov.au/internet/main/publishing.nsf/Content/cyp-oohc-framework Leaving home care plan- Victoria https://services.dffh.vic.gov.au/leaving-care This Podcast was recorded over "zoom" in May-June 2022 Presented by: Bianca Forrester Guests: Dr Susan Webster, Honorary Research Fellow, Department of General Practice, University of Melbourne Dr Karen McLean, Paediatrician Royal Children's hospital and Researcher Murdoch Children's Research Institute Produced by: Bianca Forrester Music: Space Cadet Lullabies Graphics: Gaal Creative The Maze Phase is a production of the University of Melbourne, Australia. The Maze Phase is licenced under Creative Commons, Copyright 2017, the University of Melbourne.

    42 min
  4. Recovery and resilience in teens- how can the GP help?

    03/04/2022

    Recovery and resilience in teens- how can the GP help?

    In this episode, GP Bianca Forrester speaks with Professor of Public health Professor Lisa Gibbs Melbourne School of Population and Global Health "The conversation needs to be around strengths and vulnerabilities and how do we provide opportunities for kids to demonstrate their competence and supports where it's needed and when it's needed." Shownotes Prof Lisa Gibbs’ research https://findanexpert.unimelb.edu.au/profile/187995-lisa-gibbs Article referenced: Giving Students time for recovery and learning https://pursuit.unimelb.edu.au/articles/giving-students-time-for-recovery-and-learning Risk resilience framework included on page 57 of the Adolescent Health GP Resource kit 2nd edition By Peter Chown, Dr Melissa Kang, Dr Lena Sanci, Verity Newnham and Clin Prof David Bennett AOy Peter Chown, Dr Melissa Kang, Dr Lena Sanci, Verity Newnham and Clin Prof David Bennett AO A collaboration between NSW CAAH and NSW Transcultural Mental Health Centre. https://www.health.nsw.gov.au/kidsfamilies/youth/Pages/gp-resource-kit.aspx Page 57 in this section: https://www.health.nsw.gov.au/kidsfamilies/youth/Documents/gp-resources-kit/gp-resource-kit-sect2-chap5.pdf Psychological First Aid (PFA) Principles of PFA: · Sense of Safety · Calming · Self-Efficacy · Connectedness · Hope https://www.health.vic.gov.au/worker-health-wellbeing/psychological-first-aid-for-post-incident-support Mental Health recovery: CHIME Bianca mentions the CHIME conceptual framework. Here’s the systematic review: Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Leamy M, Bird V, Le Boutillier C, Williams J, Slade M.Br J Psychiatry. 2011 https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/conceptual-framework-for-personal-recovery-in-mental-health-systematic-review-and-narrative-synthesis/9B3B8D6EF823A1064E9683C43D70F577 Kate Brady’s research https://findanexpert.unimelb.edu.au/profile/877124-kate-brady Stressors and Supports in Post disaster Recovery: Experiences After the Black Saturday Bushfires https://findanexpert.unimelb.edu.au/scholarlywork/1504718-stressors-and-supports-in-postdisaster-recovery--experiences-after-the-black-saturday-bushfires While not mentioned in this episode, we can recommend this review of the evidence: Bushfires and Pandemics: supporting student and teacher wellbeing post crisis https://education.unimelb.edu.au/mgse-industry-reports/report-3-natural-disasters-and-pandemics for recommen

    35 min
  5. Working with Families

    01/30/2022

    Working with Families

    In our last podcast, Old enough to have a medicare care but too young to vote, we discussed the rights and responsibilities of young people independently accessing health care services. This episode continues that conversation. Bianca speaks with Sandra Radovini about when it might be best practice to facilitate family involvement and how to navigate that fine balance between supporting young people's independence and choices with their best interests in supported health care. Importantly, we discuss some of the nuances such as timing and risk, some of the reasons for resistance and how to prepare parents and carers for these sensitive consultations. This Podcast was recorded "at home" in November, 2020 Presented by: Dr Bianca Forrester, Department of General Practice, University of Melbourne Guest: A/Prof Sandra Radovini - Director, Mindful-Centre For Training & Research, Department of Psychiatry Produced by: Bianca Forrester Music: Space Cadet Lullabies Graphics: Gaal Creative The Maze Phase is a production of the University of Melbourne, Australia. The Maze Phase is licenced under Creative Commons, Copyright 2017, the University of Melbourne.

    29 min
  6. Old enough for a medicare card, too young to vote - the medico legal framework

    06/18/2021

    Old enough for a medicare card, too young to vote - the medico legal framework

    Young people have the right to access health services independently; as early as they are able to access them. As health care professionals, there are a number of medico-legal and ethical considerations that may play out in any health care consultation with teens. Firstly, we have a duty of care to assess their competence and maturity as it pertains to decision making around the treatment goal proposed. We can assist them on their help seeking journey by creating opportunities to develop health literacy and to participate in making decisions appropriate to their age and developmental stage. Judgement must also be made about whether the teen can manage the health care journey independently or when parent support is required. Finally, in the case where family based care is recommended but the clinician faces resistance from the teen, how does the clinician balance these considerations so as to maintain trust in the therapeutic relationship and appropriate care for the teen? In this episode, we’ll be talking a deeper dive into the medico legal frameworks and ethical principles that we operate within when we provide care primary care services to young people independently seeking support. I'll be speaking with expert colleagues in the field of adolescent healthcare, regular contributors paediatrician Prof Susan Sawyer and child and adolescent psychiatrist, A/Prof Sandra Radovini. We’ll be discussing young peoples needs, their rights, and their responsibilities when it comes to participating in patient centred care. We'll be discussing the skills and capacities that are required and how we, as GPs and nurses, can assist young people to build these skills and support them on their journey either independently or alongside families. Including a discussion on: -the mature minor assessment in Australia -confidentiality -patient centred and transitional models of adolescent health care -the young person's rights and responsibilities in healthcare -working with and alongside families in practice -best practice approaches to working with young people either independently or with families For more information, we recommend this practical guide for GPs and nurses: Adolescent Health GP Resource Kit, 2nd edition By Peter Chown, Dr Melissa Kang, Dr Lena Sanci, Verity Newnham and Clin Prof David Bennett AOy https://www.health.nsw.gov.au/kidsfamilies/youth/Documents/gp-resources-kit/gp-resource-kit-sect2-chap6.pdf This Podcast was recorded "at home" in November, 2020 Presented by: Dr Bianca Forrester, Department of General Practice, University of Melbourne Guests: Prof Susan Sawyer- Centre of Adolescent Health, Royal Children's Hospital, Department of Paediatrics A/Prof Sandra Radovini - Director, Mindful-Centre For Training & Research, Department of Psychiatry Produced by: Bianca Forrester Music: Space Cadet Lullabies Graphics: Gaal Creative The Maze Phase is a production of the University of Melbourne, Australia. The Maze Phase is licenced under Creative Commons, Copyright 2017, the University of Melbourne.

    43 min
  7. Period pain in teens

    04/21/2021

    Period pain in teens

    Period pain is common and commonly impacts upon teens. While 90% of teens described experiencing pain, around 20-30% of teens missed out on school or other important activities due to period pain and associated symptoms. So what is the role of primary care clinicians when it comes to recognition and assessment of menstrual and cyclical pain? How can we educate and advocate for patients experiencing the impact of moderate and severe pain? What management options are available and accessible in primary care? Period Pain in teens- how can the GP help? In this episode, GP Bianca Forrester speaks with Gynaecologist (sub-specialising in Adolescents) Professor Sonia Grover. "No one should have their life messed up by period and cyclical pain." Shownotes: Sonia mentioned a validated tool for patients to use to assess their rate of menstrual bleeding: https://letstalkperiod.ca Bianca describes the UK Medical Eligibility Criteria (MEC) summary sheets to assess the relative risks of common contraception for a range of conditions and potential contraindications. https://www.fsrh.org/standards-and-guidance/documents/ukmec-2016-summary-sheets/ Sonia describes LARCs- Long Acting Reversible Contraceptives: https://www.fsrh.org/standards-and-guidance/documents/ukmec-2016-summary-sheets/ Menstrual management guidelines coming soon..... This Podcast was recorded "at home" on the 30th of March, 2021 Presented by: Bianca Forrester Interviewees: Prof Sonia Grover- Royal Children's Hospital Produced by: Bianca Forrester Music: Space Cadet Lullabies Graphics: Gaal Creative The Maze Phase is a production of the University of Melbourne, Australia. The Maze Phase is licenced under Creative Commons, Copyright 2017, the University of Melbourne.

    1h 1m
  8. Eating Disorders in teens

    03/19/2021

    Eating Disorders in teens

    Eating disorders and disordered eating exist along a spectrum. When considered together, Eating disorders and disordered eating are estimated to affect over 16% of the Australian population. The lifetime prevalence of eating disorders in women is about 8.5% and 2.2% for men and prevalence has been increasing over time. Co-morbidities are common and importantly the mortality rate for people with eating disorders is significantly higher than that of the average population and among the highest for a psychiatric illness. So what is the role of primary care clinicians when it comes to identification, assessment and management of Eating disorders and disordered eating? How can we implement a best practice approach to care along the spectrum of disorders and severity and how can we best work with available resources to achieve good outcomes over time. Eating disorders in teens- how can the GP help? In this episode, GP Bianca Forrester speaks with Paediatrician Michele Yeo and and GP expert in eating disorders Jenny Conway Shownotes: 1)Eating disorders Queensland resource “Understanding eating disorders” https://www.eatingdisordersqueensland.org.au/wfheict/uploads/2018/12/Understanding-Eating-Disorders-Booklet-EDA-2017.pdf 2) NEDC website https://nedc.com.au/professional-development/health-professionals/ 3) Jenny mentions Mental Health screening tools K10- https://www.blackdoginstitute.org.au/wp-content/uploads/2020/04/k10.pdf Dass 21, RCADS-headspace clinical toolkit https://headspace.org.au/clinical-toolkit/anxiety/ SCOFF: http://www.cedd.org.au/hne/other/scoff_questionnaire.pdf ESP- http://www.mendedwingcounseling.com/wp-content/uploads/2014/08/ESP.pdf For for more information about identifying eating disorders in primary care: https://www1.racgp.org.au/newsgp/clinical/identifying-eating-disorders-in-general-practice 4)Eating Disorders examination- Questionnaire EDE-Q: Online version - https://insideoutinstitute.org.au/assessment?started=true For paper version: https://insideoutinstitute.org.au/assets/ede-q_6-scale-scoring-eating-disorder-screen.pdf 5) Self-help guides Self help and family support: The Butterfly Foundation https://butterfly.org.au Inside out institute: https://insideoutinstitute.org.au 6) Maudesley model from the UK Evidence based treatment: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1414759/ 7)Australian psychological society- therapist finder APS website: https://www.psyc

    1h 17m
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About

The Maze Phase is a podcast for Primary health care professionals working with teens navigating life and the Australian Healthcare system. In this podcast, GP Dr Bianca Forrester interviews experts in the field of Adolescent Health and Social care to provide clinical updates, practice tips and best practice approaches to working with teens in Primary care. This series focuses on the school-aged teen and considers approaches to care in school-based settings. 

Information

  • Creator
    Dr Bianca Forrester
  • Years Active
    2020 - 2023
  • Episodes
    15
  • Rating
    Clean
  • Copyright
    © 2026 The Maze Phase
  • Show Website
    The Maze Phase