{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:38:09Z","timestamp":1793039889702,"version":"4.5.0"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare demographic characteristics, diagnostic patterns, and discharge outcomes between an Aotearoa (Ng\u0101 Taiohi) and an Australian (Austinmer) secure youth forensic inpatient mental health service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective exploratory cross-sectional study of routinely collected service-level data for the first 98 and 113 consecutive admissions to Austinmer and Ng\u0101 Taiohi, respectively. De-identified data were compared with descriptive statistics and differences statistically examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was no statistical difference in median age. Ng\u0101 Taiohi had a greater proportion of females. There was no significant difference in the rate of personality disorders (18% vs 11%) or psychotic disorders (62% vs 73%) between Ng\u0101 Taiohi and Austinmer, respectively. M\u0101ori were more likely to have a primary diagnosis of psychotic disorders (71%) compared to NZ Europeans (43%).<\/jats:p>\n                    <jats:p>Median lengths of stay were not significantly different. Ng\u0101 Taiohi patients were more likely to discharge to community care (59%) compared to Austinmer (43%). Readmission rates did not significantly differ between units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is the first study comparing youth forensic inpatient mental health services between Aotearoa and Australia, utilising service-level data. Similarities highlighted included age, primary diagnosis and Indigenous overrepresentation. Differences highlighted may reflect variation in terms of clinical service pressures between locations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261502228","type":"journal-article","created":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:51:52Z","timestamp":1792821112000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A retrospective exploratory cross-sectional comparison of service evaluation outcomes between an Aotearoa and Australian secure youth forensic inpatient mental health service"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3165-7739","authenticated-orcid":false,"given":"Tom","family":"Judd","sequence":"first","affiliation":[{"name":"Parkville Youth Mental Health and Wellbeing Service, Melbourne, VIC, Australia"},{"name":"Mental Health, Addiction and Intellectual Disability Service, Capital & Coast District Health Board"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enys","family":"Delmage","sequence":"additional","affiliation":[{"name":"Mental Health, Addiction and Intellectual Disability Service, Capital & Coast District Health Board"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5159-7204","authenticated-orcid":false,"given":"John","family":"Kasinathan","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-020-01909-6"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1039856214563845"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_3_6_5_2","volume-title":"R: a language and environment for statistical computing","author":"R Core Team","year":"2023","unstructured":"R Core Team. 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(2024, accessed 1 April 2025).https:\/\/www.orangatamariki.govt.nz\/about-us\/research\/our-research\/youth-justice-custody-updated-trends-and-outlook-2024\/"},{"key":"e_1_3_6_9_2","volume-title":"Criminal justice system: aboriginal overrepresentation quarterly update \u2013 march 2024","author":"NSW Bureau of Crime Statistics and Research","year":"2024","unstructured":"NSW Bureau of Crime Statistics and Research. Criminal justice system: aboriginal overrepresentation quarterly update \u2013 march 2024. NSW BOCSAR, 2024. (2024, accessed 1 April 2025).https:\/\/bocsar.nsw.gov.au\/research-evaluations\/2024\/cjs-aboriginal-over-representation-quarterly-mar-2024.html"},{"key":"e_1_3_6_10_2","unstructured":"NSW Government. Young people in custody. 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Comorbidity and coincidence in the Christchurch and Dunedin longitudinal studies: a report for the ministry of social development, the ministry of education and the treasury. Ministry of Social Development, 2003. (2003, accessed 1 April 2025).https:\/\/ourarchive.otago.ac.nz\/esploro\/outputs\/report\/Comorbidity-and-coincidence-in-the-Christchurch\/9926478922501891"},{"key":"e_1_3_6_14_2","first-page":"61","article-title":"Taniwha in the room: eradicating disparities for M\u0101ori in criminal justice \u2013 is the legal system up for the challenge?","volume":"24","author":"Fernando I","year":"2018","unstructured":"Fernando I. Taniwha in the room: eradicating disparities for M\u0101ori in criminal justice \u2013 is the legal system up for the challenge? 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