The Maze Phase

Dr Bianca Forrester

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.

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Top 10 The Maze Phase Episodes

Goodpods has curated a list of the 10 best The Maze Phase episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to The Maze Phase for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite The Maze Phase episode by adding your comments to the episode page.

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

The Maze Phase

03/14/23 • 52 min

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

Anxiety in Teens - How can the GP Help?

The Maze Phase

07/02/20 • 45 min

How can we help teens who are struggling with intense or uncomfortable feelings?In this episode, GP Bianca Forrester speaks with Child and Adolescent Psychiatrist A/Professor Sandra Radovini about best practice approaches to understanding anxiety in school aged teens. They discuss important aspects of assessment and how to understand the adolescent’s problems in context. Sandra asks the key question: What are the pressures? And describes how to explore key areas of the young person’s life. Sandra also provides useful insights into creating an individualised management plan and how to work with the young person’s key supports, where possible and formal networks.This Podcast was recorded at the PodHub on the 30th May, 2019Presented by: Bianca ForresterProduced by: Bianca ForresterAudio Engineering: Chris HatzisPost-Production: Arch CuthbertsonMusic: Space Cadet LullabiesGraphics: Gaal CreativeIn this episode, Sandra describes the role of e-mental health tools for underserviced groups such as young people and those living in rural areas. Check out some of these resources.e-Mental Health toolsHead to Health supports users to navigate digital mental health services from some of Australia’s most trusted mental health organisations. Provided by the Australian Department of Health, Head to Health brings together apps, online programs, online forums, and phone services, as well as a range of digital information resources.https://headtohealth.gov.au/?utm_source=mindhealthconnect&utm_medium=301Apps and iCBT courseshttps://thiswayup.org.au/how-we-can-help/apps/https://thiswayup.org.au/how-we-can-help/courses/mixed-depression-and-anxiety/https://thiswayup.org.au/how-we-can-help/courses/social-phobia/https://thiswayup.org.au/how-we-can-help/courses/teenstrong/https://moodgym.com.au https://mindspot.org.au/anxietyWebchat supportTeens can get online to chat with professionalshttps://kidshelpline.com.au https://headspace.org.au/eheadspace/https://www.beyondblue.org.au/get-support/get-immediate-supportA piece from The Conversation about the role of e-mental Healthhttps://theconversation.com/online-therapies-can-improve-mental-health-and-there-are-no-barriers-to-accessing-them-111357A meta-Analysis of RCTs for online CBT in youth demonstrates that outcomes of online CBT are comparable to face-to-face interventions for anxiety.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0119895

Depression in Teens - How can the GP Help?

The Maze Phase

07/03/20 • 45 min

“What is the impact of depression on school aged teens?”GP, Dr Bianca Forrester, continues the conversation with Child and Adolescent Psychiatrist A/Prof Sandra Radovini about mental health problems in teens. In this episode Bianca and Sandra explore the role of the GP in assessing and managing depression in practice. “What predisposes adolescents to depression”? In seeking to understand the young persons experiences in context, for anxiety she poses the question “What are the pressures”? With depression as a presenting problem she poses a different question....tune in to find out....This Podcast was recorded at the PodHub on the 30th May, 2019Presented by: Bianca ForresterProduced by: Bianca ForresterAudio Engineering: Chris HatzisPost-Production: Arch CuthbertsonMusic: Space Cadet LullabiesGraphics: Gaal CreativeSSRIs- We discuss the indications, effects, benefits associated with SSRIs. Check out these resources for more information.About SSRIs in GP:https://www.racgp.org.au/afp/2013/september/ssris-and-adolescents/About SSRIs in adolescentshttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4791100/About optimal doseshttps://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(19)30217-2/fulltextFor more information about Assessment and management of Depression check out these reources.Orygen -National Centre of Excellence in Youth Mental HealthTreating Depression in young people.https://www.orygen.org.au/Training/Training-areas/Depression/Clinical-practice-points/Treating-depression-in-ypOther recommended Guidelineshttps://www.nice.org.ukSimply input: Depression in Children and Young PeopleGreat interactive guidelines by NICE GuidanceExerpt from NICE guidelines regarding Brief Psychological Intervetions (BPI);This intervention is based on the brief psychosocial intervention (BPI) carried out in the IMPACT trial (Goodyer et al. 2017)1. Core components of BPI include: · psychoeducation about depression and action-oriented, goal-focused, interpersonal activities as therapeutic strategies· building health habits, · planning and scheduling valued activities· advice on maintaining and improving mental and physical hygiene including sleep, diet and exercise · promoting engagement with and maintaining school work and peer relations, and diminishing solitariness. BPI does not involve cognitive or reflective analytic techniques. 1 Goodyer IM, Reynolds S, Barrett B et al. (2017) Cognitive-behavioural therapy and short-term psychoanalytic psychotherapy versus brief psychosocial intervention in adolescents with unipolar major depression (IMPACT): a multicentre, pragmatic, observer-blind, randomised controlled trial. Health technology assessment 21(12), 1–94.Finally, for patient resources and education:https://headtohealth.gov.auprovides good patient information, advice and digital health options.

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

The Maze Phase

06/20/22 • 41 min

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-carehttps://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.pdfSusan 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.pdfHEADSS 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 carehttps://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-frameworkLeaving home care plan- Victoria https://services.dffh.vic.gov.au/leaving-careThis Podcast was recorded over "zoom" in May-June 2022Presented by: Bianca ForresterGuests: Dr Susan Webster, Honorary Research Fellow, Department of General Practice, University of MelbourneDr Karen McLean, Paediatrician Royal Children's hospital and Researcher Murdoch Children's Research InstituteProduced by: Bianca ForresterMusic: Space Cadet LullabiesGraphics: Gaal CreativeThe 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.

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

The Maze Phase

08/10/22 • 44 min

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 was

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

The Maze Phase

03/04/22 • 35 min

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." ShownotesProf Lisa Gibbs’ researchhttps://findanexpert.unimelb.edu.au/profile/187995-lisa-gibbsArticle referenced: Giving Students time for recovery and learninghttps://pursuit.unimelb.edu.au/articles/giving-students-time-for-recovery-and-learningRisk resilience frameworkincluded on page 57 of theAdolescent Health GP Resource kit2nd editionBy 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 AOA collaboration between NSW CAAH and NSW Transcultural Mental Health Centre.https://www.health.nsw.gov.au/kidsfamilies/youth/Pages/gp-resource-kit.aspxPage 57 in this section:https://www.health.nsw.gov.au/kidsfamilies/youth/Documents/gp-resources-kit/gp-resource-kit-sect2-chap5.pdfPsychological First Aid (PFA)Principles of PFA:· Sense of Safety· Calming· Self-Efficacy· Connectedness· Hopehttps://www.health.vic.gov.au/worker-health-wellbeing/psychological-first-aid-for-post-incident-supportMental 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. 2011https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/conceptual-framework-for-personal-recovery-in-mental-health-systematic-review-and-narrative-synthesis/9B3B8D6EF823A1064E9683C43D70F577Kate Brady’s researchhttps://findanexpert.unimelb.edu.au/profile/877124-kate-bradyStressors and Supports in Post disaster Recovery: Experiences After the Black Saturday Bushfireshttps://findanexpert.unimelb.edu.au/scholarlywork/1504718-stressors-and-supports-in-postdisaster-recovery--experiences-after-the-black-saturday-bushfiresWhile not mentioned in this episode, we can recommend this review of the evidence:Bushfires and Pandemics: supporting student and teacher wellbeing post crisishttps://education.unimelb.edu.au/mgse-industry-reports/report-3-natural-disasters-and-pandemicsfor recommen

Working with Families

The Maze Phase

01/30/22 • 29 min

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, 2020Presented by: Dr Bianca Forrester, Department of General Practice, University of MelbourneGuest: A/Prof Sandra Radovini - Director, Mindful-Centre For Training & Research, Department of PsychiatryProduced by: Bianca ForresterMusic: Space Cadet LullabiesGraphics: Gaal CreativeThe 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.

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

The Maze Phase

06/18/21 • 42 min

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 familiesFor more information, we recommend this practical guide for GPs and nurses:Adolescent Health GP Resource Kit, 2nd editionBy 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.pdfThis Podcast was recorded "at home" in November, 2020Presented by: Dr Bianca Forrester, Department of General Practice, University of MelbourneGuests: Prof Susan Sawyer- Centre of Adolescent Health, Royal Children's Hospital, Department of PaediatricsA/Prof Sandra Radovini - Director, Mindful-Centre For Training & Research, Department of PsychiatryProduced by: Bianca ForresterMusic: Space Cadet LullabiesGraphics: Gaal CreativeThe 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.

Period pain in teens

The Maze Phase

04/21/21 • 60 min

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.caBianca 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, 2021Presented by: Bianca ForresterInterviewees: Prof Sonia Grover- Royal Children's HospitalProduced by: Bianca ForresterMusic: Space Cadet LullabiesGraphics: Gaal CreativeThe 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.

Eating Disorders in teens

The Maze Phase

03/19/21 • 77 min

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 ConwayShownotes:1)Eating disorders Queensland resource “Understanding eating disorders”https://www.eatingdisordersqueensland.org.au/wfheict/uploads/2018/12/Understanding-Eating-Disorders-Booklet-EDA-2017.pdf2) NEDC websitehttps://nedc.com.au/professional-development/health-professionals/3) Jenny mentions Mental Health screening toolsK10- 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.pdfESP- http://www.mendedwingcounseling.com/wp-content/uploads/2014/08/ESP.pdfFor for more information about identifying eating disorders in primary care:https://www1.racgp.org.au/newsgp/clinical/identifying-eating-disorders-in-general-practice4)Eating Disorders examination- QuestionnaireEDE-Q: Online version - https://insideoutinstitute.org.au/assessment?started=trueFor paper version: https://insideoutinstitute.org.au/assets/ede-q_6-scale-scoring-eating-disorder-screen.pdf5) Self-help guidesSelf help and family support: The Butterfly Foundation https://butterfly.org.auInside out institute: https://insideoutinstitute.org.au6) Maudesley model from the UKEvidence based treatment:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1414759/7)Australian psychological society- therapist finderAPS website: https://www.psyc

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FAQ

How many episodes does The Maze Phase have?

The Maze Phase currently has 15 episodes available.

What topics does The Maze Phase cover?

The podcast is about Health & Fitness, Podcasts and Education.

What is the most popular episode on The Maze Phase?

The episode title 'Neurodiversity and neurodevelopmental disorders in teens-How can the GP help?' is the most popular.

What is the average episode length on The Maze Phase?

The average episode length on The Maze Phase is 44 minutes.

How often are episodes of The Maze Phase released?

Episodes of The Maze Phase are typically released every 33 days, 2 hours.

When was the first episode of The Maze Phase?

The first episode of The Maze Phase was released on Jul 1, 2020.

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The Maze Phase

Dr Bianca Forrester

Top 10 The Maze Phase Episodes

FAQ

How many episodes does The Maze Phase have?

What topics does The Maze Phase cover?

What is the most popular episode on The Maze Phase?

What is the average episode length on The Maze Phase?

How often are episodes of The Maze Phase released?

When was the first episode of The Maze Phase?

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