BLACK DOG INSTITUTE ANNUAL REPORT 2011 Chairman’S Report Mr Peter Joseph AM

Special Thanks

With the Black Dog Institute celebrating its 10 year anniversary in 2011, it is worth noting that it has been a shared journey achieved with the support of many individuals, organisations and Governments.

We wish to sincerely acknowledge this support that has been vital to our continued success and growth.

It is our belief that the journey has only just started.

From our modest beginnings we now have an ambitious national agenda with the aim of ensuring Black Dog Institute services and programs are available to all Australians who ﬁ ght the battle with mood disorders such as depression and bipolar disorder.

Knowing we can help others is a strong motivation, and if we question ourselves, is probably the core reason why we all give so unreservedly toward this cause.

Together, we can make a difference.

Black Dog Institute© 2011 ABN 12 115 954 197 Black Dog Institute is a company limited by guarantee postal address Hospital Road, Prince of Wales Hospital, Randwick NSW 2031 telephone 61 02 9382 4530 facsimile 61 02 9382 8208 email [email protected] website www.blackdoginstitute.org.au editors Ian Dose, Kerrie Eyers, Gordon Parker, Will Bonney compiled by Kerrie Eyers cover design Matthew Johnstone photography and graphics Matthew Johnstone, Fleur Mortimer, Ian Dose photo selection Sako Hampartzoumian, Ian Dose design Helena Brusic (UNSW Design Studio P3) print Kate Holt (UNSW Document Advisor P3) email [email protected] website www.p3.unsw.edu.au

The Black Dog Institute is based at the Prince of Wales Hospital, Randwick, NSW, and works closely with UNSW. The Institute acknowledges the ongoing assistance from the New South Wales Government, NSW Ministry of Health, South Eastern Sydney and Illawarra Area Health Service, the Commonwealth Government, and our generous supporters. Table of Contents

Chairman’s Report ...... 6 International Lecture 2011 ...... 57

The Legacy ...... 10 Visitors to the Institute 2011 ...... 58

The Vision ...... 11 Our People ...... 60

About the Institute ...... 12 UNSW School of Psychiatry...... 63

The Institute’s Business Model ...... 13 Special Acknowledgements...... 63

General Manager’s Report ...... 14 Awards, Appointments & Events ...... 64

Services & Operations Architecture ...... 15 Research Funding ...... 66

Financial Report ...... 16 Research Publicationas ...... 68 eMental Health@Black Dog Institute ...... 17 Conference Presentations & Educational Meetings ...... 71 Black Dog Institute Website ...... 20 Donations & Bequests ...... 74 Overview of work streams ...... 21 Donations & Bequests Form ...... 77 Research in 2011 ...... 22

The Institute & Pharmaceutical Companies ...... 29

Clinical Services ...... 30

Professional Services (Education & Training) ...... 33

The MAP (Mood Assessment Program) ..36

Psychological Services ...... 37

Community Programs ...... 38

Volunteering ...... 38

Rural programs ...... 39

Youth initiatives ...... 40

Support programs ...... 41

Developing Countries Program ...... 42

Corporate Relations & Development ...... 43

Public Relations and Media...... 48

Creative Development ...... 50

Writing Competitions ...... 51

Book Launches and Reviews ...... 54 page 5 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Chairman’s Report Mr Peter Joseph AM

On February 12, 2012, we celebrate our 10th anniversary as the Black Dog Institute.

From humble beginnings in a run-down building in Randwick, the Institute is now a modern mental health facility that by its mere presence demonstrates what is possible for this once undervalued area of medicine.

During this time the Institute has managed to build its reputation as a leading authority in the high prevalence (and very high cost) mood disorders of depression, anxiety and bipolar disorder.

Much of that success can be attributed to the leadership of the inaugural Executive Director, Professor Gordon Parker, driving very high standards of excellence across four related areas namely: research, clinical services, professional education and training, and community programs.

Professor Parker stepped down at the end of 2011 as Executive Director but I am pleased to advise he will be continuing his research and clinical activities within the Black Dog Institute.

The new Executive Director is Professor Helen Christensen. She has an outstanding record as a psychologist, researcher, author and mentor. She is also an expert in the use of eHealth and how individuals can beneﬁ t most effectively from modern technology. Helen is an alumnus of UNSW and has spent the last 20 years at the ANU in Canberra where she directed and developed the Centre for Mental Health Research.

page 6 BLACK DOG INSTITUTE ANNUAL REPORT 2011 The Board of the Institute sees Professor We are also thankful for the ongoing support We have built Christensen as the right person at the right time from governments, NSW Ministry of Health, these strong to pursue an ambitious national agenda. As well the Mental Health and Drug and Alcohol Offi ce foundationsmake a real difference as being a distinguished academic, our new (MHDAO), the Commonwealth Department of and it is time Health and Ageing (DoHA), the National Health Executive Director cares passionately about the now to build practical applications of research into the causes and Medical Research Council (NHMRC), and for scale and and treatment of depression. donations from individuals and corporations. The close association we have with the Prince of capacity... Our shared vision and programs align with two Wales Hospital, UNSW, and the Prince of Wales fundamental changes taking place in Australia; Medical Research Institute, enhances our mutual the benefi ts of a digital economy and the Na- reputations. tional Broadband Network’s capacity to deliver eHealth, and especially eMental Health initia- There is also our fruitful partnership with The tives; and increased investment in the wellbeing Health-Science Alliance, Australia’s fi rst Aca- of Australia’s rural and regional communities. demic Health Science Centre, based on the UNSW/Randwick public hospital campuses. Senior Victorian Liberal politician and BDI am- Comprising nine of the country’s top medical bassador, Andrew Robb, in his book Black Dog research institutes and health care providers, Daze. Public Life. Private Demons, has declared: the Alliance is working toward harnessing and “Black Dog programs would go well in other integrating the research, education, training and States”. This is a challenge that the Black Dog clinical expertise of each partner to maximise Institute is keen to take up, to ensure that all optimal health outcomes for patients and the Australians benefi t from the Institute’s innova- community. tive programs. We have built these strong foundations and it Our growth has been supported from many is time now to build scale and capacity as we quarters. The skills of a hard working and dedi- seek to make a real difference across the entire cated Board have helped forge and strengthen Australian community. relationships with both the private and public sector. The challenge will be to deliver on our Peter Joseph ambitious national agenda.

We have a remarkable team of people working at the Institute, dedicated to helping those with mood disorders. They give without stint in Peter Joseph AM order to destigmatise mood disorders, encour- Chairman age people to come forward for diagnosis and treatment, and match those battling mental illness with the best possible clinical research- based remedies.

page 7 BLACK DOG INSTITUTE ANNUAL REPORT 2011 10 years at Black Dog Institute

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a e r b The Legacy Professor Gordon Parker AO

“I believe Following 10 years as the inaugural Executive Professor Director, Professor Gordon Parker stepped Gordon Parker down from the position at the end of 2011. has contributed During that time and in the years prior at the to the wellbeing Institute’s predecessor, the Mood Disorders and ascent of Unit, Professor Parker would think a lot about Australia and hope. Australians in the 21st That hope was passed on to others – whether it Century. be patients who suffered the most severe mood disorders, their loved ones, their peers and oth- “He has, and ers around them who all desired to bring the I make no black dog to ‘heal’. qualification, In a new book, A Piece of My Mind: A Psychia- elevated the trist on the Couch, Professor Parker describes status and himself as a zealous, stubborn and tenacious standard of researcher (to clarify issues), who set about psychiatry establishing new structures to ensure that new Professor Gordon Parker and Professor Marie Bashir at the across this approaches to diagnosis and management Black Dog Institute Gala Dinner held at Darling Harbour nation.” could be put into place – and then evaluated both by professionals and community. Her Excellency, Professor Parker quotes Lin Yutang (the inﬂ uen- Governor of “His own action-orientated style, and New South tial Chinese writer): “Hope is like a road in the country: there was never a road but when many time spent considering surgery as Wales, people walk on it, the road comes into exist- a career, instilled in him a sense of Professor ence”. urgency and an attitude of ‘never give Marie Bashir up’ on people. He talks of the resilience AC CVO “The establishment of the Institute and my he observes in everyday practice and decade as Executive Director was the realisa- the honour of being ‘a privileged guest’ in tion of my hopes. I believe that our models and people’s lives.” approaches to diagnosing and managing mood disorders have brought hope to many, and I Stephanie Webster, Consumer Educator hope that if they are truly superior they will be taken up more broadly. That outcome could (from her review of Professor Parker’s be advanced by either the profession or by the book, ‘A Piece of My Mind. A community – and ideally both.” Psychiatrist on the Couch’ – see full review in this report. In stepping down, Professor Parker expressed his pleasure in being succeeded by Professor Helen Christensen. contributed to the well being

page 10 BLACK DOG INSTITUTE ANNUAL REPORT 2011 The Vision

For the past 10 years the Black Dog Institute – ...In....IIn thetht e lalastasts 1100 even longer if you take into account its pre- yeyyearsara s tettechnologychhnologyg decessor, the Mood Disorders Unit – has built hahhass chchangedanangeged solid foundations under the stewardship of its thtthehe wawayay we founding Executive Director, Professor Gordon doo rresearch,ese eaarrch,h Parker, as a leading authority in the ﬁ eld of mood disorders. anandd alalsolsos wwhathat isi ppossibleoso sis blb e in It has also beneﬁ ted from the guidance of rerresearch.esearrchc . It wilwilll other outstanding research psychiatrists since nonnoww chcchangeange the 1985, including Professors Henry Brodaty, Philip wawwayy wew services new ‘virtual’ offer Mitchell, Kay Wilhelm, Philip Boyce, Marie-Paule servicesseervvici es and the Austin, Senior Hospital Scientist, Dusan Hadzi- types of services Pavlovic and Ian Hickie, to name but a few. The ththathaat are offered... Institute is in excellent shape, with a brilliant brand and outstanding programs. Indeed, the Institute has established a remarkable platform from which we can springboard into the future.

Into the next decade, we need to be a dynamic So I see the goals of the Black Dog Institute organisation able to adapt to change in a world as those that reduce the burden of depression so strongly inﬂ uenced by new technologies that globally, expand opportunities for preven- have the potential to provide important ad- tion through community programs, build our vancements for mental health as a whole. research capacity to underpin these programs, In the last 10 years technology has changed the and thus make the Black Dog Institute nation- way we do research, and also what is possible ally and internationally recognised as a mental in research. It will now change the way we offer health centre of excellence. services and the types of services that are of- To achieve these goals, we need to embrace fered. new technologies and to participate in Looking to the future, I can see the Black Dog Australia’s national health reform agenda. Institute offering new ‘virtual’ services nation- Critically, we also need to recognise that our ally and internationally. Depression is estimated supporters, who want a better world for those to become the second leading cause of disabil- with mental illness, are key to pressuring for ity in 2030, second only to HIV/AIDs. The new new reforms and funding, and have much to virtual treatment and prevention services will offer us as active members of our organisation allow the Black Dog Institute to take its place as through their expertise, enthusiasm and an international player in lowering depression fundraising. risk and prevalence globally. Professor Helen Christensen I also see the Institute focusing on prevention BABA (Hons)(Hons) (Syd),(Syd), MPsycMPsych,h, PPhDhD ((UNSW),UNNSW),) FFASSAA as a second weapon along with treatment in the battle against depression. I would like to see depression prevention programs in every school and workplace in Australia. We will also design programs and promulgate them to Helen Christensen lower suicide risk. Executive Director, Black Dog Institute

pagepapagge 111 BLACK DOG INSTITUTE ANNUALNUAL REPORT 20201111 About the Institute

The name Black Dog has been widely adopted John Bevins, (formerly John Bevins Advertising in our community as a description for depres- Pty Ltd) developed the concept and design that sion. It has become very much part of the captured the famous Churchill symbol for the media lexicon when matters on mood disorders Institute’s logo. are raised. The Black Dog Institute is afﬁ liated with the The Black Dog Institute was launched in 2002 Prince of Wales Hospital and with UNSW at and is today recognised in Australia and inter- Randwick, in NSW. The Institute’s predecessor nationally as a leading authority in the ﬁ eld of was the Mood Disorders Unit (the MDU) which mood disorders. The Institute’s logo – the ’V’ was established in 1985 at Prince Henry Hospi- for victory gesture and the shadow of the black tal, Little Bay, NSW. dog’s head – provides a beacon for people seeking help. Our patron is Her Excellency, the Governor of New South Wales, Professor Marie Bashir AC The name ‘Black Dog’ is a term that Sir Win- CVO. ston Churchill, the former wartime British Prime Minister – noted for his courage and endurance – used to describe his own depression.

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page 12 BLACKCK DOG INSTITUTE ANNUAL REPORTREPORT 2012011 The Institute’s Business Model

The Institute’s core business model is represent- Internal Capabilities now underpins the four ed by four interactive streams: strategic pillars to focus on operational effi ciencies, culture, technology, marketing and fund-  Research raising as enablers of growth.  Clinical Services  Professional Services The Institute is an independent non-profi t com-  Community Programs pany with a distinguished Board with members drawn from many walks of life. It has close links These streams are interdependent with each to numerous other organisations, in particular other – clinical observation shapes research UNSW, and Prince of Wales Hospital, as part of hypotheses, while research fi ndings are fi ltered the South Eastern and Illawarra Health Service. back into clinical management, which in turn The Head of the UNSW School of Psychiatry, shapes the content of professional education Professor Philip Mitchell, has his principal of- and training programs as well as being dissemi- fi ce at the Institute, while many of the School’s nated to the community. teaching sessions are held at the Institute.

In addition, eMental Health activities sit cross- Funding of the wider Institute activities comes functionally across all streams, as we see a from a number of sources. These include growing trend to use electronic technologies research grants from the National Health and as a key enabler, particularly with the Institute Medical Research Council (NHMRC) via UNSW, stepping up its efforts to ensure its services are general funding from the State Government made more widely available across Australia. through the NSW Ministry of Health and the Mental Health and Drug and Alcohol Ofﬁ ce, and The environment in which the Institute operates from the Commonwealth Government via the is rapidly changing. The Institute recognises that Department of Health and Ageing, as well as the development of internal capabilities and private donations and some generous sponsor- operational efﬁ ciencies are necessary for future ships. success. To this end, the foundation stream of

RESEARCHH

professional services clinical services

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research clinical Services Professional Services (education & training) community Community Programs programs

page 13 BLACK DOG INSTITUTE ANNUAL REPORT 2011 General Manager’s Report

...our goal The mission of the Institute remains constant is to help all – to advance the understanding, diagnosis and Australians find management of the differing mood disorders peace of mind... nationwide through raising clinical standards, research, education, training and the development of cutting-edge tools for professionals and the public. In simple terms, our goal is to help all Australians ﬁ nd peace of mind.

Our online projects endeavour to leverage the expertise of the Institute by sharing our knowledge and the effective tools we develop with the broader community. The innate challenge of translating psychiatric knowledge into user- friendly and effective online tools has required the Institute to develop or acquire capabilities outside of its core competencies and draw on the support of technical experts for guidance and project management assistance. The result- ant pool of capabilities now embedded in its competencies will hold the Institute in good stead as it broadens its reach through online tools and programs in future years.

This report outlines the advances made in each work stream and the impact the Institute has been able to deliver in the past year.

Operating Plan Operations

“The Institute is going through a period of The annual external audit of the Institute’s ac- change which brings confl icting emotions of counts and Financial Report to 30 June 2011 nostalgia for its origins and excitement for its (a concise version of which is published in future. At this junction I acknowledge and praise this report) was conducted by Ernst & Young, the work of those who have built this formida- reporting all in order and with no adverse fi nd- ble institute under the leadership of Professor ings. The Institute is grateful for the ongoing Gordon Parker and my predecessor, Barry Gra- professional support provided by Ernst & Young ham. Their vision and tireless work has created a under the leadership of the Audit Partner, Mr. period of change period of signifi cant impetus upon which the next gen- Rob Lewis, and his team. eration of custodians of the Black Dog Institute will continue to build.” The Institute’s premises on the grounds of the Prince of Wales Hospital in Hospital Road, Will Bonney, General Manager Randwick, remains a critical asset. With the growth in activities and staff numbers across the different work streams, the building is fully utilised in a way to obtain maximum benefi t from having a consolidated operation in a fi rst- class facility. The openness and ambiance of the building also makes it a welcoming place for our patients and guests.

page 14 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Services & Operations Architecture

How does the Institute deliver to its different Services are carefully designed to meet the ‘markets’? speciﬁ c needs of various market segments, delivered via complementary online, face-to-face and print channels.

website mobile email Public/ emedia Carers/ brochures Community books Groups volunteers hubs website media Research mobile supporters email Participant info line Workplace facilitators Services mail Services media phone

website Academic Black books Services Dog publications Institute unsw Hub

website clinical systems email Health School website brochures Professional Students brochures books Services and volunteers facilitators Teachers supporters map report emedia publications bite back website media Youth email Services mobile media supporters

page 15 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Financial Report

The Income Statement and Balance Sheet from the Institute’s Annual Financial Report for the year ended 30 June 2011 is set out below.

Black Dog Institute 30 June 2011 Black Dog Institute 30 June 2011 Income Statement Balance Sheet

30-June-2011 30-June-2010 30-June-2011 30-June-2010 Income Statement (12 months) (12 months) Statement of Financial Position (12 months (12 months Recurring grant from NSW Ministry of Health 1,425,600 1,394,700 ASSETS Non-recurring grant from NSW Ministry of Health 664,160 120,060 Cash and cash equivalents 1,598,779 3,007,030 Non-recurring grant from Commonwealth – Mobile Tracking Trade and other receivables 749,873 749,383 System 576,403 340,400 Non-recurring grant from Total Current Assets Commonwealth – Strategic Mental 2,348,652 3,765,094 Health 500,000 1,500,000 AusAid Developing Countries Grant (1,756) 92,554 Non-current assets Donations 1,454,876 1,322,901 Property, plant and equipment 3,814,481 3,917,241 Facility fees 384,725 303,534 Education and training fees 343,033 146,752 Total Non-current Assets 3,814,481 3,917,241 Revenue from fundraising event 73,435 221,584 TOTAL ASSETS 6,163,133 7,682,335 Other revenue 125,878 208,390

Revenue 5,546,354 5,650,875 LIABILITIES Employee benefi ts expenses (2,258,892) (2,041,434) Current liabilities Depreciation and amortisation expenses (253,508) (238,967) Trade and other payables 504,182 365,794 Education and training (454,462) (288,544) Professional fees (2,962,742) (2,946,988) Total Current Liabilities 504,182 365,794 Expenses related to fundraising event (43,560) (77,507) TOTAL LIABILITIES 504,182 365,794 Other expenses (1,230,780) (1,124,772) NET ASSETS 5,658,951 7,316,541 (Defi cit)/Surplus before income tax (1,657,590) (1,067,337) Income tax expense - - EQUITY (Defi cit)/surplus for the period (1,657,590) (1,067,337) Retained earnings 5,658,951 7,316,541 Other comprehensive income - - Total comprehensive income for (1,657,590) (1,067,337) TOTAL EQUITY 5,658,951 7,316,541 the year

A copy of the complete Annual Financial Report is available on application. Requests for further information should be directed to the Institute’s General Manager. The full ﬁ nancial report is posted on the Institute’s website: www.blackdoginstitute.org.au

The information shown relates to the Institute’s company accounts and does not include additional funds made available for research through collaborative arrangements with other organisations, including UNSW. Such details are provided under ‘Research Funding’. page 16 BLACK DOG INSTITUTE ANNUAL REPORT 2011 eMental Health@Black Dog Institute

The Black Dog Institute has an extensive eMental Health program led by Associate Professor Judy Proudfoot (on left) and Jacqui Wallace

New tools break down borders to help people with mood disorders eMental Health is an umbrella term that de- The Institute welcomed the Federal Government scribes web-based interactive self-help pro- announcement, as part of the National Mental grams, online therapy, online assessments, sup- Health Reforms, that it was introducing a num- port groups, expert systems and virtual reality ber of eMental Health strategies and measures, programs. including a mental health online portal which will provide Australians with access to a suite of The technology driven programs have the online programs and services. advantage of giving access to more and more Australians to online programs and services. Both the Executive Director, Professor Helen Previously, for example, in remote communities, Christensen, and the Director of eMental Health, such resources had been beyond their reach. Associate Professor Judy Proudfoot, sit on the eMental Health Advisory Committee, which For some time now, the Black Dog Institute has assists the Department of Health and Ageing been at the forefront in offering creative and in the delivery of new initiatives as part of this leading edge solutions using electronic tech- agenda. nologies such as computers and mobile phones to help people with mood disorders like depression and bipolar disorder.

page 17 BLACK DOG INSTITUTE ANNUAL REPORT 2011 The wide variety of Institute online Some highlights of 2011 services

During 2011, our suite of online services tar-  The myCompass program, available on mo- geted the full mental health spectrum – from bile phones and computers, assists people prevention and diagnosis, through to man- with mild to moderate depression, anxiety agement. This requires tremendous expertise, and stress. The program enables users to creativity and technical and clinical oversight to track their moods, behaviours and events by ensure the resulting products are relevant and providing SMS or email reminders and the effective. ability to monitor information whenever and wherever they are. Feedback is provided in Our staff and our vendors are fuelled by passion graphical form and there are also interactive for the cause, delighted that our expertise, often self-help modules, fact sheets, tips and a di- built in other industries, can be directed to such ary. Trials are continuing. an important cause.  The Bipolar Education Program (see www. Through all of this, we are also developing a blackdoginstitute.org.au for access) provides stronger internal capability to support, main- information and education for people with tain and enhance the digital tools and online bipolar disorder and their families and car- services that have been delivered over the last ers. Topics include, diagnosis, medications, few years. Privacy, usability, relevance and secu- causes of bipolar disorder, psychological rity are fundamental to the continued success treatments and wellbeing plans. There are of these systems. We are working closely with interviews with experts as well as personal industry experts and external service providers testimonies and advice from well-known to ensure that these elements can be secured people with the disorder. long-term.  The Depression Education Program is an audiovisual guide to understanding and managing depression. It explains the different types of depression, how to get help and how to stay well. A self-test and personal stories are also available.

 Expansion of the BITE BACK youth website was undertaken to include interactive positive psychology modules. These modules encourage young people to improve their wellbeing and thus ﬂ ourish in life. The existing emphasis on sharing real personal stories and providing peer support continues to be a core part of the site.

 Redesign of the Institute’s main website has advanced the usability and navigation of our ever growing content and online tool The BITE BACK Team sets.

page 18 BLACK DOG INSTITUTE ANNUAL REPORT 2011 MyCompass Team (from left): Janine Clarke, Alexis Whitton,  A multimedia learning program for health Megan Boyd, Mary-Rose Birch (in picture being held) professionals has been created. It simulates several patient consultation sessions. This approach provides a safe and controlled environment for professionals to develop skills in patient interviewing, observation of clinical features and accurate diagnosis.

 The wider distribution of the online Mood Assessment Program (MAP) broadened its reach to health professionals and their patients across Australia.

 The online Bipolar self-test (Mood Swings Questionnaire – MSQ) aims to enable individuals to assess whether their mood swings are signiﬁ cant enough to require expert diagnosis and management.

 Continued development of our online research resources (search on ‘resources’ on www.blackdoginstitute.org.au) improves information for both our research participants and our researchers.

page 19 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Black Dog Institute Website

Makeover for website

During 2011, the Black Dog Institute revamped its website www.blackdoginstitute.org.au to give it a fresh new look and design.

The popular website was ﬁ rst launched in 2004 and had remained virtually unchanged in recent years, apart from some small cosmetic alterations.

However, with the expanding demand for online information and services by the public and health professionals, the Institute decided it was time to create a contemporary and easier to use website.

The website is the entry point to the Institute for many people across Australia, as well as internationally. With this in mind, the changes needed to speciﬁ cally ensure the new website is both welcoming and that information is easy to ﬁ nd.

The website was always meant to be a ‘living and breathing’ website that would be reﬁ ned and developed constantly. In those few short quicker to years since it started, the website was ranked ﬁ rst in the world for quality and information on bipolar disorder, scoring higher than major International bodies such as the U.S. National reach and Institute of Mental Health (NIMH).

Visually, the new website has a sleek, modern to locate and fresh looking design and presentation. From a user-experience perspective, members of the public and health professionals have information commented that they now ﬁ nd it quicker to reach and to locate information with the creation of drop-down menus and the repositioning of certain sections of the site, including direct access to the online tools and self-tests.

The Institute had approached its long-term web design partner Webqem to help develop this new contemporary and easy to use interface for the website. The Institute is particularly grateful to Webqem who provided $20,000 worth of pro bono work to implement the changes. page 20 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Overview of work streams

BLACK DOG INSTITUTE STREAMS

RESEARCH

CLINICAL SERVICES

PROFESSIONAL SERVICES

COMMUNITY PROGRAMS

page 21 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Research in 2011

As detailed from the listed publications in this “The Institute’s model of clinical Report, research output has been high, the observation shaping many research breadth of research activity is extraordinarily hypothesis and research findings, broad and we can observe an increasing pattern then these helping to ‘shape’ clinical of research studies evaluating Institute activities. management and inform professionals and the community via publications It is also apparent that Institute researchers are and our website, is a powerful and increasingly taking part in collaborative studies with researchers in Australia and, in particular, productive approach. This rich paradigm from overseas. This latter move partly reﬂ ects is likely to be further enhanced in the the nature of much psychiatric research these future by new Executive Director Helen days. For example, the paper by the psychiat- Christensen’s keen interest in eHealth ric GWAS (Genome-Wide Association Study) technologies and their application Consortium Bipolar Disorder Working Group to eMental Health via therapeutic (which included Professor Philip Mitchell from programs.” the Institute, and nearly 200 other co-authors) reﬂ ects the large number of collaborators and Gordon Parker, Research Director data bases required internationally to pursue [Resigned 31 December 2011] genetic contributions to psychiatric conditions such as the bipolar disorders.

The Institute has actively encouraged international collaborations. One manifestation of the collaborative approach in 2011 was the distinctly larger number of psychiatrists who have visited the Institute from overseas centres to spend weeks or months at the Institute and who will continue to contribute to joint research studies. page 22 BLACK DOG INSTITUTE ANNUAL REPORT 2011 ...activel y encoura g ed international collaborations

Important research studies evaluating Institute activities include publications on the usefulness of the Black Dog Institute Depression Clinic in providing a new diagnosis or paradigm and then demonstrating the subsequent beneﬁ ts at a three-month follow-up review; the impact of the Developing Countries Program to international recipients; the Institute’s online bipolar self-test; and the impact on an individual receiving a potential diagnosis of a bipolar disorder from that self-test in terms of the subsequent management changes and improvement in therapeutic outcome.

While all our granting bodies are acknowledged Above: Researchers at the BDI enjoy strong collaboration later in this Report, it should be emphasised with experts in a broad variety of relevant fields. Here Associate Professor Michael Breakspear (centre) is with here that substantive funding from an NHMRC colleagues Julian Epps and Nicholas Cummins from Electrical Program Grant, from the Commonwealth De- Engineering at UNSW, discussing the development of partment of Health and Ageing and from the algorithms to detect depression by analysing human voice NSW Ministry of Health have allowed such a broad range of research activities to be pursued Photo top: Some of the research group, including Professors Gordon Parker and Philip Mitchell, Associate Professor Vijaya and ensured high research output. Manicavasagar and Senior Hospital Scientist Dusan Hadzi- Pavlovic .

page 23 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Research Highlights

(Institute staff and afﬁ liates are in bold.)

The Antenatal Risk Questionnaire (ANRQ): A systematic review of treatments for refrac- Acceptability and use for psychosocial risk tory depression in older people assessment in the maternity setting Cooper, Brodaty, deMendonca Lima, Living- Austin, Colton, Priest, Reilly, Hadzi-Pavlovic stone, Lyketsos, Rabins, Blazer, Katona

This study aimed to assess the value of the We reviewed the management of Treatment Antenatal Risk Questionnaire (ANRQ) as a pre- Refractory Depression in older people (aged dictor of postnatal depression; to evaluate the 55+). It was found that lithium-only augmenta- questionnaire’s acceptability among pregnant tion was assessed in more than two trials, and women and midwives; and to consider its use as it had a response rate of 42 per cent. Only two part of a model for integrated psychosocial risk of the studies included comparison groups assessment in the antenatal setting. Results in- receiving no additional treatment. None of dicated that the most clinically useful cut off on the participants in these groups responded. In the ANRQ was a score of 23 or greater and that general, fi ndings indicated that half the par- the acceptability of the ANRQ was high among ticipants responded to pharmacological treat- both women and midwives. This allows the ments, indicating the importance of managing conclusion that the ANRQ is a highly acceptable treatment refractory depression actively in older self-report psychosocial assessment tool which people. The only treatment for which there was aids in the prediction of women who go on to consistent evidence of effectiveness was lithium develop postnatal depression, and may form a augmentation. In conclusion, more double blind key component in screening intervention aimed randomised controlled trials for management of at the early identifi cation of mental health risk treatment refractory depression in older people and morbidity across the perinatal period. ▬ are needed, encompassing pharmacological and non-pharmacological therapies and populations that refl ect the physical and cognitive impairment commonly present in older people with depression. ▬

page 24 BLACK DOG INSTITUTE ANNUAL REPORT 2011 d .

Objective assessment of depression using (including healthy controls), less frequent use of ..contribution of ome video and brain imaging ‘putting into perspective’ was associated with i increased stress, anxiety, and depression symp- so Breakspear, Goecke, McIntyre, Karim, Yuen, toms. The results suggest that excessive use

Powell, Boonstra, Parker of maladaptive strategies, as well as reduced r

employment of adaptive cognitive reframing de There currently exist no laboratory-based meas- techniques (e.g., putting into perspective), may ures of illness expression, course and recovery, be associated with vulnerability for mood disor-

and no such markers of end-points in both ders generally, with the latter likely active within r

clinical and research settings. We are under- the general population, regardless of biological s... taking a large multimodal research program, vulnerability to disorder. ▬ combining audio-video analysis with brain imaging technology, to underpin a new genera- Marine omega-3 fatty acids and mood disor- tion of objective laboratory-style markers of ders – linking the sea and the soul illness expression. This study involves depressed patients and matched healthy controls. Audio- Hegarty, Parker video recordings of a subject’s facial expressions whilst viewing emotionally salient ﬁ lm clips This review – in a series titled Food for Thought are analysed by computer-based algorithms to – considered the contribution of omega-3 fatty characterise facial affect, and compared with acids to mood disorders. In comparison to a clinician-census and subject-rated symptom review published in 2006 (American Journal of severity scales, placing emphasis on diagnosis, Psychiatry, Black Dog Institute researchers), the treatment response, outcome at three months evidence supporting ﬁ sh oil as a strategy for as- and social disability. Functional and structural sisting people with mood disorders is appearing imaging data are also acquired from the same less convincing, despite many studies show-

subjects. Innovative analyses of these images ing that low levels of omega-3 fatty acids are g helps characterise cortical network activity. associated with a greater chance of depressive Analysis of the brain activity in these subjects and bipolar disorders commencing. The review a-3 fatt can predict the presence or absence of a major indicated that beneﬁ ts of omega-3 fatty acids mood disorder. This project is now also adding may be very variable depending on the pre- measured brain electrical activity (EEG), heart ponderance of EPA or DHA constituents, while rate, respiration and eye movement. ▬ any beneﬁ ts appear greater for depression than for ‘high’ mood states in those with a bipolar Cognitive regulation of emotion in bipolar I disorder. ▬ disorder and unaffected biological relatives A three-week, randomised, sham-controlled Green, Lino, Hwang, Sparks, James, Mitchell trial of transcranial direct current stimula- y

tion in depression acids to mood This study examined the use of particular cognitive strategies to regulate emotion in people Loo, Mitchell, Sachdev, Alonzo, Martin, Gal- with bipolar I disorder and their unaffected vez biological relatives. These processes are relevant to mood dysregulation and may relate to cogni- This study investigated a potential new treat- tive defi cits experienced by patients and their ment for depression – transcranial Direct Current relatives. Findings indicated that people with Stimulation (tDCS) – in the largest ever trial of bipolar disorder reported more frequent use of its kind conducted in the world. tDCS involves rumination, catastrophising and self-blame, and stimulating frontal areas of the brain with very less frequent use of putting into perspective, small, barely perceptible electrical currents, while in response to negative life events, compared patients remain awake and alert. The procedure to both healthy controls and biological rela- has no known serious side effects. Participants in tives. Furthermore, frequent use of rumination the trial received a 20-minute treatment session was associated with increased mood symptoms every weekday for three weeks. Results showed (depression, anxiety and stress) and hypo- signifi cantly greater improvement for partici- manic personality traits in bipolar probands. By pants who received active treatment compared contrast, unaffected relatives of bipolar patients to a placebo. In addition, further improvement were more likely to engage in catastrophising was found over a three-week extension period. and self-blame in the face of negative experi- Recruitment is ongoing for further studies of ences, with greater use of these strategies tDCS specifi cally investigating ways to optimise associated with increased mood symptoms and its therapeutic effects. ▬ propensity for hypomania. In all participants page 25 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Mindfulness-based cognitive therapy vs cog- sive disorder sample were found, one of which nitive behaviour therapy as a treatment for demonstrated features characteristic of bipolar non-melancholic depression depression, suggesting a possible ‘genetic’ subgroup. Thus, a number of previously identi- Manicavasagar, Parker and Perich fi ed clinical differences between unipolar and bipolar depression were confi rmed among par- Mindfulness-Based Cognitive Therapy (MBCT) ticipants from within bipolar disorder pedigrees. and Cognitive Behaviour Therapy (CBT) were The major depressive disorder clusters poten- compared as treatments for non-melancholic tially refl ect genetic and sporadic subgroups depression. MBCT was found to be as effective which, if replicated independently, might enable as CBT in the treatment of current depression. an improved phenotypic defi nition of underly- However, CBT participants with four or more ing bipolarity in genetic analyses. ▬ previous episodes of depression derived greater benefi ts at eight weeks post-treatment than A high-risk study of bipolar disorder: child- those with less than four episodes. MBCT par- hood clinical phenotypes as precursors of ticipants benefi ted equally, irrespective of the major mood disorders number of prior episodes reported. ▬ Nurnberger, McInnis, Reich, Kastelic, Wilcox, Comparison of depressive episodes in bipolar Glowinski, Mitchell, Fisher, Erpe, Gershon, Ber- disorder and in major depressive disorder rettini, Laite, Schweitzer, Rhoadarmer, Coleman, within bipolar disorder pedigrees Cai, Azzouz, Liu, Kamali, Brucksch, Monahan

Mitchell, Frankland, Hadzi-Pavlovic, Roberts, As the childhood precursors of adult bipolar Corry, Wright, Loo, Breakspear disorder (BP) are still a matter of controversy, this study aimed to report the lifetime preva- This study compared clinical features of depres- lence and early clinical predictors of psychiatric sive episodes across participants with major disorders in offspring from families of probands depressive disorder and bipolar disorder from with DSM-IV BP compared with offspring of within bipolar disorder pedigrees, and assessed control subjects. Offspring aged 12 to 21 years the use of a recently proposed probabilistic ap- in families with a proband with BP and similarly proach to distinguishing bipolar from unipolar aged offspring of control parents were tested. It depression. A secondary aim was to identify was found that at a mean age of 17 years, cases subgroups within relatives with major depres- showed a 23.4 per cent lifetime prevalence of sion that were potentially indicative of ‘genetic’ major affective disorders compared with 4.4 per and ‘sporadic’ subgroups. It was found that cent in controls. The prevalence of BP in cases bipolar depression was characterised by signifi - was 8.5 per cent vs 0 per cent in controls. No cantly higher rates of psychomotor retardation, signifi cant difference was seen in the prevalence diffi culty in thinking, early morning awakening, of other affective, anxiety, disruptive behav- morning worsening of mood and psychotic iour, or substance use disorders. Among ‘case’ features. Two clusters within the major depres- subjects manifesting major affective disorders

Professor Colleen Loo, one of the team that conducted the largest ever trial of its kind in the world involving transcranial direct current stimulation (tDCS)

page 26 BLACK DOG INSTITUTE ANNUAL REPORT 2011 ca .

there was an increased risk of anxiety and exter- received an MSQ-diagnosis of bipolar disorder. .. nalising disorders compared with cases without In three months we will follow-up participants d mood disorder. In cases but not controls, a to determine the impact of this ‘diagnosis’, r d childhood diagnosis of an anxiety disorder or including whether further professional help was epression is associate an externalising disorder was predictive of later sought and changes in coping strategies over i

onset of major affective disorders. It is con- time. If we can demonstrate that alerting par- o cluded that childhood anxiety and externalis- ticipants to the possibility of a bipolar disorder ing diagnoses predict major affective illness in via online screening measures such as the MSQ v

adolescent offspring in families with probands then leads to more appropriate treatment and ascula with BP. ▬ an improved condition, the utility of the screening procedure will be supported. ▬ Large-scale genome-wide association analysis of bipolar disorder identifi es a new sus- Evaluating the fi rst 1000 patients referred ceptibility locus near ODZ4 to a specialist depression clinic: A case for tertiary referral facilities Psychiatric GWAS Consortium Bipolar Disor- r der Working Group (including Mitchell) Parker, Fletcher, Barrett, Breakspear, Rees outco The consortium conducted a combined ge- This study evaluated the fi rst 1,000 patients nome-wide association study (GWAS) of 7,481 attending the Institute’s Depression Clinic and individuals with bipolar disorder (cases) and also reviewed progress of a signifi cant percent- 9,250 controls. There was also a replication age of these patients three months later. Some study. An analysis of all 11,974 bipolar disorder 40 per cent of those with a primary mood cases and 51,792 controls confi rmed genome- disorder were diagnosed with a bipolar disorder, wide signifi cant evidence of association for with three-quarters of them receiving this diag- m gene region CACNA1C and identifi ed a new nosis for the fi rst time. The assessing clinicians intronic variant in ODZ4. We identifi ed a path-

re-diagnosed the mood disorder for two-thirds e... way comprised of subunits of calcium chan- of the patients and changed the management nels enriched in bipolar disorder association

signifi cantly for nearly 90 per cent. At review, d intervals. Finally, a combined GWAS analysis those with a bipolar disorder tended to have the of schizophrenia and bipolar disorder yielded greater improvement rate. Findings therefore wit strong association evidence for SNPs (Single support the importance of identifying bipolar Nucleotide Polymorphisms) in CACNA1C and disorder and distinguishing depressive sub- in the region of NEK4-ITIH1-ITIH3-ITIH4. Our types to shape more targeted treatments. ▬ replication results imply that increasing sample h sizes in bipolar disorder will confi rm many ad- Specifi city of depression following an acute ditional loci. ▬ coronary syndrome to an adverse outcome a worse extends over fi ve years Evaluating the utility of a bipolar self-test screening measure Parker, Hyett, Walsh, Owen, Brotchie, Hadzi- Pavlovic Parker, Blanch, Fletcher, Greenfi eld We investigated the utility of a bipolar self-test Many studies have demonstrated that depres- screening measure – the Mood Swings Ques- sion is associated with a worse cardiovascular tionnaire (MSQ) – located on the Black Dog outcome and increased risk of death in those Institute website. During the initial six-month experiencing an acute coronary syndrome study period, 125,000 people accessed the (ACS). This study reports a fi ve-year follow up study web page, with over 17,000 agreeing to of nearly 500 patients who were hospitalised for participate. Participants were asked a series ACS and who had been reviewed on three sepa- of questions about mood/treatment history, rate occasions. We found no support for either strategies used to cope with mood problems lifetime depression or depression preceding and previous help-seeking. Most (66.8 per the coronary event providing any risk. Those, cent) had previously sought help from a health however, who developed depression following professional, with 66.7 per cent having received the ACS had a distinctly poorer outcome, with a diagnosis of depression and 20.7 per cent a such ‘timing’ allowing a refi ned hypothesis that diagnosis of bipolar disorder. In terms of strate- depression commencing around the time of a gies used to help with mood problems, many heart attack may disrupt autonomic functioning (64.1 per cent) had taken medication; 63.6 per via infl uencing heart rate variability and advanc- cent had sought further information; and 61.7 ing infl ammatory processes. ▬ per cent had engaged in exercise. Over half page 27 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Community interest in predictive genetic testing for susceptibility to major depressive disorder in a large national sample

Wilde, Meiser, Mitchell, Hadzi-Pavlovic, Scho- ﬁ eld

The study investigated interest in predictive genetic testing for a reported susceptibility to Mindfulness, response styles and dysfunc- depression. It found strong interest in predictive tional attitudes in bipolar disorder genetic testing for possible susceptibility. There was signifi cantly greater interest in seeking such Perich, Manicavasagar, Mitchell, Ball a test through a doctor (63 per cent) compared to direct-to-consumer (40 per cent). Personal Of the 192 participants in this study, 90 had history of mental illness, self-estimation of be- bipolar disorder, 36 had a history of depres- ing at higher than average risk for depression, sion and 66 subjects were without a current or belief that a genetic component would increase past history of a mood disorder. ‘Mindfulness’, rather than decrease stigma, and endorse- the general tendency to be aware of experiment of benefi ts of genetic testing signifi cantly ences such as thoughts and feelings, was similar predicted interest in having such a test. Despite between the groups. However, those with fi nding attitudes that genetic links to mental bipolar disorder scored differently on a measure illness would increase rather than decrease of thinking styles associated with depression. stigma, the study found strong community ac- In particular, when compared to the other two ceptance of depression risk genotyping, even groups, they returned higher scores on sub- though a predisposition to depression may only scales measuring perceived personal achieve- manifest upon exposure to stressful life events. ment and reliance on others. ▬ The results suggest that there will be a strong interest in genetic susceptibility testing. ▬ Portrayal of psychiatric genetics in Austral- ian print news media, 1996–2009 Community attitudes to genetic susceptibility-based mental health interventions for Wilde, Bonfi glioli, Meiser, Mitchell, Schofi eld healthy people in a large national sample

This study investigated how Australian print Wilde, Meiser, Mitchell, Schofi eld news media portray psychiatric genetics. Items attributing the causation of psychiatric disorders This study investigated anticipated health to gene-environment interactions (51 per cent) behaviours in response to genetic risk informa- outnumbered items attributing only genetic tion about major depressive disorder. Intention (30 per cent) or only environmental factors (20 to start therapies or courses to learn to develop per cent). Of items that referred to heritability better strategies to cope with stress (80 per of mental illness, frames of genetic determin- cent) was signifi cantly and positively associated ism (78 per cent) occurred more frequently than with self-estimation of risk for major depressive probabilistic frames (22 per cent). Of frames disorder as higher than average; endorsement related to genetic prophesy, genetic optimism of family environment as a causal attribution; frames (78 per cent) were used more frequently and endorsement of gene–environment interac- than genetic pessimism (22 per cent). Psycho- tion as a causal mechanism of mental illness. social and ethical implications of psychiatric Intention to modify potential life stressors (84 genetics received comparatively relatively little per cent) was signifi cantly and positively as- coverage (23 per cent). The analysis identifi ed sociated with self-estimation of risk for depres- 22 predictions about psychiatric genetic dis- sion as higher than average; endorsement of coveries and the availability of molecular-based ‘abuse’ as a causal attribution and endorsement interventions in psychiatry, most of which failed of ‘gene–environment interaction’ as a causal to manifest by the predicted year. Findings mechanism. Perceptions that modifi able envi- may indicate that excessive optimism about ronmental factors strongly contribute to overall the power of genetic technology in psychiat- risk of major depressive disorder appeared to ric health care, perceived clinical benefi ts, and drive willingness to engage in risk-modifying largely unfulfi lled predictions about availability interventions in the hypothetical scenario of a of these benefi ts could encourage unrealistic genetic predisposition. The results suggest that expectations about future molecular-based screening for genetic risk in consort with envi- treatment options for mental health. ▬ ronmental risk factor assessment has potential page 28 BLACK DOG INSTITUTE ANNUAL REPORT 2011 community acceptability and clinical value as an early intervention and preventive tool for high Volunteering risk groups. ▬ for Research Comparing cognitive function in people with Studies remitted depression The online Volunteer Research Register Wilhelm, Gillis, Batchelor (VRR) is on the Black Dog Institute website. The VRR allows people to register This study used 33 years of longitudinal data their interest in participating in mental from the Sydney Teachers Study to compare health research studies. It has been cognitive function of individuals with and with- designed to securely store details such out a history of depression, upon resolution of as a person’s name, contact details and the depressive episode. The current study com- some basic information including date prised 40 participants recruited from the larger of birth, whether a person has ever been cohort of postgraduate teacher trainees recruit- diagnosed with a mental health problem, ed in 1978, matched for age and gender. Par- and if they have previously participated ticipants with a history of two or more depres- in a Black Dog Institute research study. sive episodes had lower scores on measures of When a research study starts, we will processing speed and semantic verbal fl uency, search the register for people who might compared to those without a history of depres- be suitable and email them information sion. However, contrary to existing research, about it as well as an invitation to take there were no differences between groups in part should they be interested. verbal or visual memory, or other measures of executive function, including attention, working You can visit the register at https:// memory, letter fl uency and cognitive fl exibility. www.blackdogvolunteers.org.au/ or Findings suggest the possibility of enduring via a link from the Black Dog Institute subtle cognitive changes linked to white matter homepage changes in people with a depression history. ▬

A longitudinal study examining the inde- The Institute & Pharmaceutical Companies pendence of apathy and depression after stroke: The Sydney Stroke Study The Institute’s policy concerning pharmaceutical guidelines is outlined on our website Withall, Brodaty, Altendorf, Sachdev (www.blackdoginstitute.org.au) The Black Dog Institute Board continues to endorse There is growing recognition that apathy is the Institute operating within ethical guidelines not only a symptom of depression but may formulated by Australian professional and regulatory be an independent syndrome. This is the fi rst organisations, as well as the requirements associated study to investigate the relationship of apathy when its specialists or other staff work with and depression longitudinally following stroke pharmaceutical companies. and to examine the association with dementia. The Institute lists below the national and Subjects received extensive medical, psychiatric international appointments and positions held by its and neuropsychological assessments at three to medical staff on pharmaceutical company Advisory six months (index assessment) and 15 months Boards, and seeks to maximise the diversity of these (follow-up assessment) after their stroke. A sub- appointments. A list of the Institute’s sponsorships is set of participants received magnetic resonance also available on the website. imaging (MRI) scans at index assessment. While The Black Dog Institute keeps its policy on relations there was no signifi cant overlap between apathy with pharmaceutical companies under constant and depression at index assessment, the overlap review and welcomes comment. was signifi cant a year later. Dementia at index assessment was a common risk factor for both Pharmaceutical company advisory board appointments apathy and depression at follow-up. Apathy and Professor Henry Consultant: Pfi zer, Novartis, Lundbeck, depression after stroke have a common pre- BRODATY Janssen, Merck, Baxter Sponsored travel: Pfi zer, Janssen dictor and overlap longitudinally. The overlap Investigator on drug trial for Alzheimer’s might be due to cumulative vascular pathology disease: Sanofi , Lilly and because of the relationship of each of these Professor Gordon Member of National Advisory Boards for PARKER Lundbeck. Advisor to Servier Pharmaceuti- syndromes to dementia, which was an impor- cals. Speaker for meetings sponsored by Eli tant, possibly causal, predictor for both. ▬ Lilly, AstraZeneca, Lundbeck, GlaxoSmith- Kline, Pfi zer and Servier

page 29 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Clinical Services

Two-thirds of patients had their mood disorder rediagnosed after attending the Depression Clinic, while 90 per cent of patients had their management plan significantly changed.

Black Dog Institute Research study

Depression Clinic “The Institute’s Clinical services are highly regarded by patients, their families and The Depression Clinic is the ﬂ agship of the In- friends. stitute and has an outstanding team of psychiatrists and clinical psychologists, headed by Dr Clinical Services provide high quality Paul Friend. comprehensive assessments of Patients complete questionnaires assessing patients. The patient and their family/ symptoms and past history, and the computer- friends receive a thorough explanation ised Mood Assessment Program (MAP) either of their condition. The referring doctor online or at the Black Dog Institute, prior to receives a detailed medical report being assessed by one of the Institute’s psychia- and management plan. The service is trists. available to any person referred by a medical practitioner.” The psychiatrist discusses the diagnosis and recommended treatment with the patient and Paul Friend, Clinical Director their family at the conclusion of the assessment. A detailed report is sent to the referring medical practitioner – including a comprehensive management plan.

There is a follow-up appointment at about three months, for selected patients. Individual and group treatments are provided for clients, usu- ally to a maximum of 12 sessions.

All psychiatrists have regular consensus meetings with a senior colleague to provide a more comprehensive assessment of more difﬁ cult clinical cases, and to assist calibration within the team. page 30 BLACK DOG INSTITUTE ANNUAL REPORT 2011 ...the Depression Clinic is the ﬂ agship of the Institute

Special thanks goes to our staff, Ms Isabella Wanat (on left), Ms Anne Naylor and Ms Louise Dyer, who undertake the administrative work. Their pleasant demeanor and consistent efforts ensure that the clinical services run smoothly

PATIENT ATTENDANCES – January to December 2011 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Depression Clinic 64 67 95 65 80 77 80 85 75 53 89 55 Psychology 26 57 60 24 125 119 99 142 114 144 137 58 Bipolar Clinic 3 5 1 4 4 3 5 1 4 4 1 MAPs 12 9 12 7 7 11 9 9 8 5 2 5

The clinical psychologists offer psychological The Depression Clinic has established a similar treatment for suitable patients with a primary clinical service in Tamworth with the Clinical diagnosis of a mood disorder. They are also Director providing an onsite or telepsychiatry directly involved in clinical research conducted clinic each month. at the Black Dog Institute. The Director of Psy- chological Services provides peer support to the The Clinic also offers interested general prac- clinical psychologists. titioners, psychiatrists, psychiatric trainees and medical students the opportunity to sit in on The Depression Clinic team meets as a group assessment sessions with the Clinical Director every two to three months to discuss the issues to improve their understanding and knowledge and progress of the clinical service and for a of the diagnosis and management of mood peer review session where a nominated psy- disorders. During 2011, for example, a medi- chiatrist and a psychologist each present one or cal student from Australia, a psychiatric trainee more de-identiﬁ ed challenging cases for review from Spain and a psychiatrist from Singapore and discussion. have used this service.

Our psychologist runs ‘stay well’ groups for patients with a diagnosis of bipolar disorder. These groups provide instruction in psychological techniques, address issues of self-esteem and give support with the goal of developing competence in managing the condition.

page 31 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Bipolar Clinic

The Bipolar Clinic is the second stream of clinical activity provided by the Institute. This clinic is conducted by Professor Philip Mitchell, Head of the School of Psychiatry at UNSW, and Pro- fessor Colleen Loo.

The Bipolar Clinic assesses patients with an established diagnosis of Bipolar Disorder. The team undertakes a comprehensive assessment and writes a report including management strategies to the referring doctor and other clinicians involved in the care of the patient.

Future Activities

The Depression Clinic is now exploring the use of videoconferencing to provide similar clinical services to more regional centres across Aus- tralia.

The Depression Clinic is also considering the feasibility of expanding its range of services to include assessment of adolescents from 12 years of age.

Clinical Director, Dr Paul Friend, preparing for a video conferencing session

“Everyone, from your receptionist through to the Doctor and research staff, was just amazing… and so kind, helpful and friendly. It made my visit so much easier.”

Letter of thanks

page 32 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Professional Services (Education & Training)

“Regular formal mindfulness practice has improved my peace of mind – as awareness of my obsessive worrying nature and fears of the future have become more accepted and less of a problem. I have used the four-step mindfulness- based approach in the management of difficult patients.”

GP feedback, Mindfulness Workshop attendee – 15 October, Randwick

“The Professional Services team has continued to expand and improve our scope and range of programs throughout New South Wales and nationally in 2011.

The Institute’s unique operational model, which integrates research findings, clinical activities, and consumer and carer perspectives, means our educational programs are innovative, relevant, and skills based. General practitioners (GPs) and psychologists who participated in these programs have provided encouraging feedback to say that their management of patients with mood disorders is now vastly improved.

We also value the relationships we have developed over the years with health professionals, organisations, and workplace clients as we work together to reduce stigma and improve the lives of those affected by mood disorders.

Our challenges for 2012 include the national roll-out of educational programs, addressing the needs of rural and remote communities, expansion of eMental Health initiatives and developing increased capacity for delivery of services nationwide.”

Katherine Dabich, Manager, Professional Services

...our educational programs are innovative, relevant, and skills based

page 33 BLACK DOG INSTITUTE ANNUAL REPORT 2011 “Very useful Some of our Health Professional Facilitators strategies to incorporate into day-to-day practice. More opportunities for BDI professional development locally would be good.”

Psychologist attendee at the six-hour Resilience workshop, Wagga Wagga, 16 June 2011

The Professional Services team is responsible gists and other health professionals throughout for the provision of accredited mental health Australia, this innovative program will facilitate education for: improved remote access to Black Dog Institute education, and will also complement the popu-  General Practitioners and GP registrars lar face-to-face training already offered.  Psychologists  School Counsellors New areas are being targeted in our effort to  Nurses connect with more rural and remote health  Allied health professionals practitioners and to extend our reach nation-  Clinicians working with young people ally. In 2011, the team travelled extensively,  Workplace staff, managers, and HR professionals. including visits to Darwin, Hobart, Bourke, Bega, Moree and Launceston to deliver training pro- Programs are developed by Black Dog Institute grams to GPs and psychologists. There has been clinicians, and are based on over 20 years of substantial interest from health professionals research and clinical ﬁ ndings. Generally, pro- in these regions, highlighting the demand for grams are delivered as face-to-face workshops skills-based mental health training. by experienced clinicians including psychiatrists, GPs, and psychologists throughout NSW and Wellbeing of health professionals in some other Australian capital cities. Funded by the NSW Ministry of Heath, our programs The Institute is also looking after the mental are independent of input from pharmaceutical health and wellbeing of health professionals companies. treating the community. Research shows that the incidence of stress-related disorders is far Current activities higher amongst health care professionals than the general population, affecting the quality of The Institute’s Professional Services team has their relationships, their health and ultimately been very productive in 2011, delivering more the level of care they provide. Our newly than 200 interactive workshops and presenta- developed six-hour program, An Interactive tions. Since 2006 the team has trained in excess Mindfulness Program for GPs, aims to teach GPs of 26,000 health professionals and workplace to let go of stressful thoughts and cope better staff, including 5,800 this year. with the pressures of general practice. The program was delivered to 210 GPs this year and This year the team also developed its ﬁ rst in- 93 per cent of participants rate the program as teractive online education program, which was relevant to their individual practice. added to the suite of Black Dog Institute eMen- tal Health initiatives. Available to GPs, psycholo- page 34 BLACK DOG INSTITUTE ANNUAL REPORT 2011 “I engaged the Black Dog Institute to raise awareness of depression amongst my team in relation to clients, self and fellow colleagues. My expectations were exceeded when I saw the level of engagement from the audience. Well worth it. I would recommend it to any manager wanting to do that little bit extra for their team.”

Warwick Murray, General Manager, Regional & Agribusiness Banking, Northern NSW, Commonwealth Workplace training Bank of Australia

The Professional Services team also developed Our aim is to provide health professionals with and delivered workplace training programs for the confi dence, knowledge and skills to enable human resource managers and staff to address the most effective treatment of patients suffer- the growing need for understanding the impact ing from mood disorders, expand our workplace of mood disorders in the workplace. This stream education stream and explore other tools to has experienced signifi cant growth, with 96 assist in improving mental health outcomes for programs delivered in 2011, more than double the Australian community. the number of the previous year. Thank you! Customised programs were delivered to organisations that included state and commonwealth We are most grateful for the input and support government departments, NSW Police, Defence from our expert program development and pro- Forces, legal fi rms and major banks. ject team and our team of 29 program facilitators who have made the Professional Education Professional Services: Looking ahead programs such a success. We would also like to particularly extend our appreciation to Dr The team has come a long way since its launch Penny Browne who retired as consultant for GP in late 2002 and will continue to build upon an Programs this year. Special thanks should also established reputation as a provider of high be extended to the NSW Divisions of General quality accredited mental health programs. Practice; the Royal Australian College of General Practitioners QI&CPD staff; the General Practice Rural and remote communities continue to re- Mental Health Skills Collaboration; the Austral- main a focus, and the Institute is addressing the ian College of Rural and Remote Medicine; the needs of these communities through a range of General Practice Conference and Exhibition; and programs and eMental Health initiatives. the Australian Psychological Society. page 35 BLACK DOG INSTITUTE ANNUAL REPORT 2011 The MAP (M(Mood Assessment Program)

“The end of 2011 marked 18 months since the launch of our world-leading online diagnostic program for mood disorders, the Mood Assessment Program (MAP). In that time, we have had the opportunity to see more clearly how it works in practice, particularly in the primary mental health care community.”

Jan Orman, Mood Assessment Program

Our focus has been on getting the message out about the availability and utility of the MAP. We have incorporated news of its existence into all the Institute’s professional training programs, given papers at many conferences in NSW, Queensland, the Northern Territory, Victoria and Tasmania (including an invited plenary at a conference for rural and remote GPs) and had articles accepted for publication in a number of professional journals. We have reached out to the community via the Institute’s Community Team who have distributed postcards which encouraged consumers to ask their practitioners about the MAP.

Education about the MAP always involves information about the sub-typing model as well, and feedback from participants has been universally positive.

We have also invited our MAP referrers to complete an online survey. We wanted them to tell us what was good and bad about the MAP and about how their practices beneﬁ ted from its use. A total of 188 referrers responded, and there was a resounding vote of approval. The results of that survey will be published in Australasian Psychiatry early in 2012 and will help encourage other potential referrers to adopt its use.

At present there are more than 2,500 registered referrers – including a newly approved group of accredited mental health social workers – and the rate of registration of new referrers has been steadily increasing. We are now processing between 10 and 30 MAP reports a day and around 500 per calendar month, which has lifted the total number of MAPs completed to more than 10,000.

pageppaaagege 36 BLACKBLACK DOGDOG INSTITUTE ANNUAL REPORT 2011 Psychological Services prevention, resilience and positive psychology

Associate Professor Vijaya Manicavasagar contin- During 2011, psychology services at the Insti- ues to oversee the expansion and implementa- tute have continued to deliver innovative and tion of psychological services within the various relevant programs to consumers and health project streams of the Institute. A key develop- professionals to improve the lives of people ment has been in the increased use of online living with mood disorders. Over the next few tools both for training health professionals and years our psychological services will continue to in our suite of workplace education programs. meet the challenges of educating health profes- Other developments include a range of new pro- sionals, consumers and carers in better manag- fessional education programs which use a variety ing and preventing mood disorders by utilising of educational media including video and webi- technology to complement clinical expertise. nars. In addition, this year has seen the transition Our vision is that psychological services will of our programs to fulﬁ l the requirements for the continue to provide the vital link that integrates new national accreditation standards for registra- the expert work streams within the Black Dog tion of all health care professionals. Institute.

Funding from the Department of Health and “Once again psychological services at Ageing has enabled the development of an the Institute have expanded to include online positive psychology website for young people on our youth website, BITE BACK, which a range of eMental Health initiatives is currently under evaluation. This website, the and online tools to aid consumers and ﬁ rst of its kind, introduces young people be- mental health professionals to better tween the ages of 12 to 17 years to concepts in recognise and manage mood disorders. positive psychology through the use of quizzes, Furthermore, our psychological services activities, community blogs and competitions. have ventured into the domains of prevention, resilience and positive Clinical psychology research has focused on the psychology, especially for young people development and implementation of wellbeing with and without a history of mood groups for adults and young people recently diagnosed with bipolar disorder. These groups, disorders.” groundbreaking in their clinical management of bipolar disorder, aim to help people with this Vijaya Manicavasagar, Director, disorder better manage their condition and take Psychological Services control of their lives. page 37 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Community Programs

“With fewer than 50 per cent of people with a mood disorder seeking professional help, the Community Programs team is focused on raising awareness of mood disorders in the community, reducing stigma and encouraging help-seeking. By educating the community about the warning signs of mood disorders, and sharing personal stories, we reduce stigma and lower the barriers to seeking help.”

Michael Sluis, Manager, Community Programs

Volunteering In 2011 we delivered 162 seminars, presenta- Our volunteers are a key part of the Black Dog tions and workshops that reached over 10,000 Institute family, and are active in a range of individual participants. To maximise our impact activities from supporting fundraising events and extend our reach, we have also worked through to delivering educational programs en- with a number of partner organisations across a riched by sharing their own personal experience range of activities. with mood disorders.

In 2011 we trained over 100 volunteers across our range of programs, and our volunteers delivered educational presentations to more than 2000 secondary school students and 1800 members of the public.

Our volunteers supported many events, including Mardi Gras, our Gala Dinner, the Sydney Harbour Swim Classic, the Mosman Beat the Blues Concert and the Blackmores Running Festival.

Volunteer community presenter Nyree Gale ...raising awareness of mood disorders in the community... page 38 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Rural programs

The Black Dog Institute continues to support  We also provided an information stand at rural communities, and our focus on partnering key rural ﬁ eld day events, including AgQuip with local service providers to deliver seminars Gunnedah, Primex Casino, Murrumbateman and workshops means that we are strengthen- Field Days, and Australian National Field ing local connections with health services. Days in Orange.

 This year we extended our rural seminar pro-  Our seminars and partnership model were gram to include our new hands-on practical featured in the NSW Government’s 2011 workshop Building Personal Resilience. This Showcase of Innovation in Suicide Prevention. workshop was very popular and feedback from participants has been overwhelmingly  During the Black Dog Ride to the Red Centre, positive, with over 90 per cent of participants we worked with Lions Clubs across Australia reporting they planned to apply the strate- to have volunteers deliver seminars in re- gies in their personal life. gional communities.

 We delivered rural seminars in Wollongong,  The Black Dog Institute also partnered with Mudgee, Wagga Wagga, Grafton, Albury, Hunter Institute of Mental Health to deliver Parkes, Bathurst and Cowra. the Rockin’ the Black Dog band competition in the Hunter region, raising awareness of  Our Building Personal Resilience workshops depression among young people. were conducted in Mudgee, Wagga Wagga, Grafton, Albury, Parkes, Bathurst and Taree.

page 39 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Youth initiatives

Volunteer youth presenters (left to right) Laura, Jasmine, R.E.A.C.H. support group facilitators in Tamworth Megan, Laura, Nayab and Allyssa

Young people are at an especially vulnerable Our INSIGHT program also remains extremely time in their lives, with the majority of adult popular with secondary schools. INSIGHT mental health issues ﬁ rst appearing during ado- presentations are delivered to a classroom of lescence. Through innovative and fun education students by a Black Dog Institute volunteer with programs we reduce stigma and enable earlier personal experience of a mood disorder. Dur- detection and help-seeking to lessen the impact ing the presentation the presenter shares their of mood disorders. story. Research has shown that this is a powerful way to reduce stigma, and also makes the edu- Our HeadStrong program is tailored to the cational component much more memorable. NSW teaching curriculum and has been tre- mendously successful in 2011. We have trained Our youth programs are promoted online as many teachers and the feedback has been ex- well as through events such as Mosman Coun- tremely positive, with an evaluation completed cil’s Beat the Blues concert, Hectic Youth Health by the Inspire Foundation. Forum, Newtown Festival and the Filthy Arts Festival. The HeadStrong evaluation results showed that: BITE BACK  Head Strong is relevant and engaging for Students (96 per cent of teachers agree) Our youth website, BITE BACK, has received a big upgrade this year with the addition of en-  Head Strong is easy to implement for Teach- gaging new activities for young people, based ers (98 per cent of teachers agree) on the latest positive psychology research. New sections include ‘Thank Tank’ which focuses on  Teachers planned to implement the pro- gratitude, ‘Snap That’ which deals with mindful- gram in their classes (92 per cent of teachers ness through photography, ‘Power Up’ which agree) deals with relaxation and renewal, and ‘In the Zone’ which deals with inspiration, focus and The program has been so successful that the ﬂ ow. Institute has received $500,000 from the nib Foundation to fund the national rollout of the For access to BITE BACK: www.biteback.org.au program over the next three years.

page 40 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Support programs

The R.E.A.C.H. (Responsibility, Education, Ac- In 2011, we ran R.E.A.C.H. workshops in metro- ceptance, Connection and Hope) program is politan Sydney and regional locations, includ- a free nine-week psycho-educational support ing Grafton, Rushcutters Bay, Sydney CBD, group that takes participants who have de- Merimbula, Taree, Bega, North Sydney, Milton, pression or bipolar disorder on an educational Gordon and Rozelle. This year the program was journey to a greater understanding of their supported by MLC Foundation and the Qantas mood disorder and themselves, and helps with Foundation, with Qantas Foundation support the creation of a ‘wellness plan’. Topics include extending into 2012. identifying strengths, recognising early warning signs, dealing with loss, fostering wellbeing Getting the word out through social media strategies and nurturing supportive relation- Our presence online continues to grow through ships. our active presence on Twitter and Facebook.

Clockwise: Our magnificent Mardi Gras parade volunteers; Some of our recently trained youth presenters (left to right) Philippa, Allison, Jamayaha, Julia and Michael; BDI Project Manager for Rural Initiatives, Christopher Rule, responding to inquiries at a country show

page 41 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Developing Countries Program

Project Director, Associate Professor Vijaya Manicavasagar and Project Manager, Dr Ilse Blignault Other highlights of 2011 include:

Our successful Developing Countries Program is  Participation in and presentation to the third now in its fourth year. This program is designed meeting of WHO PIMHnet, held in Sydney to share the expertise of the Black Dog Institute from 15–17 June 2011 with senior clinicians from developing countries across the Asia-Paciﬁ c region. Most of these  Presentation of a paper that described the countries have a limited specialist mental health implementation and evaluation of ongoing workforce and limited mental health training collaborative activities with Sri Lankan train- for primary care providers so mood disorders ees and partner organisations at the Third remain largely undiagnosed and untreated. The World Congress of Asian Psychiatry held in focus of our program is on building capacity Melbourne from 31 July–4 August amongst local personnel by providing education about evidence-based, high-quality treat-  Organisation of a symposium Building ments for mood disorders and by training them Expertise and Leadership in Mood Disorders th to train other health professionals. in Paciﬁ c Island Countries at the 15 World Congress of Psychiatry held in Buenos To date, 36 clinicians (psychiatrists, psychiatric Aires, Argentina, 18–22 September 2011, nurses and medical practitioners with a demon- with presentations from the Black Dog strated interest in mental health) from 10 coun- Institute, Fiji, Solomon Islands, Samoa and tries have come to Sydney for intensive training. Vanuatu representatives.

The Institute was recently awarded funding from Infrastructure support for the Developing AusAID under Round 10 of the Australian Lead- Countries Program is provided by the Profes- ership Awards (ALA) Fellowships to run another sional Services stream of the Institute. Previous training course in early 2012. Once again, we programs have been part-funded by the Chris- partnered with the Ministries of Health in Paciﬁ c topher Molnar Bequest and by the Australian Island countries and the World Health Organi- Government through AusAID’s ALA Fellowships. zation Paciﬁ c Islands Mental Health Network (WHO PIMHnet) in our application. In September 2011, the Black Dog Institute teamed with Inspired Adventures to raise funds for the Developing Countries Program by holding a charity event, the Great Wall of ...Program .. China Walk. The 11 participants included two members of staff from the Institute. The funds raised will be used in 2012 to help support in its fourth the Developing Countries Program, as well as other programs to improve the recognition and management of mood disorders in developing year... countries. page 42 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Corporate Relations & Development

What we do “I continue to be inspired by the many hundreds of supporters we attract Corporate Relations and Development covers a each year who have been touched broad range of activities at the Institute, includ- by the sadness of a mood disorder. ing fundraising and marketing initiatives. So Whether directly or indirectly, these whether you are a marathon runner wanting to individuals become a passionate participate in The Blackmores Sydney Running band of ambassadors for the Institute, Festival and raise money for the Black Dog raising awareness and fundraising to Institute, or a major corporation or foundation help us continue with our research wanting to be associated with our endeavours, you should knock on our door. The ‘welcome and education programs. mat’ is always out.

It is the personal stories that our More and more businesses are supporting the supporters share that enable us to charity sector by encouraging their employees raise awareness, destigmatise, and to participate in community fundraising events. in turn, develop new relationships and This year we welcomed our corporate partners partnerships with caring individuals from the Qantas Foundation team who ran and corporate partners. for us in the Sydney Running Festival and then helped out at our hospitality marquee. As awareness about mood disorders increases in our communities more and more individuals begin to gain confidence in seeking help. This also increases the need for us to continue expanding our research and professional education capabilities. So the more we talk, the more we need to invest in our future. The future looks bright and we thank all of our valued donors and supporters who have helped us achieve our goals throughout 2011.”

Vicki Miller, Manager, Corporate Relations and Development Qantas Foundation team members celebrate after the Blackmores Sydney Running Festival page 43 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Black Dog Institute supporters/fans at an NRL game Current activities

Exercise Your Mood has become an important Swimming is another sport that continues to part of our branding and is covered across so assist us in raising awareness about the impor- many of our community fundraising events. We tance of regular exercise for a happy mood. introduced a pedometer challenge this year We started the year with the Great Australian which saw people from all backgrounds trying Swim Series event on Australia Day. Ambassa- to reach their daily goal of 10,000 steps. We are dors Ky Hurst and Brendan Capell initiated this truly humbled by the efforts that many individ- event which saw hundreds of swimmers plunge uals make to achieve their personal challenge into Sydney Harbour at the Opera House for a and in turn raise funds for the Institute. 2.2 km swim.

The Black Dog Ride to the Red Centre This was followed by several other major swim- There were 220 motor cycle enthusiasts from all ming events including the Ord Minett Classic over Australia who took part in this year’s ride also in Sydney Harbour. The Institute is most which departed from each mainland capital city appreciative of our Ambassadors Geoff Huegill, in late August for the ﬁ ve-day trip to the Red Libby Trickett, Ky Hurst, Peter Thiel, Brendan Centre (see story and photographs on page 46). Capell, David Spindler, Andrew Johns, John Kon- rads, Bridie O’Donnell, Richard Harry, Stephanie Zoo2zoo Bike Ride Gilmore, Preston Campbell and Lara Tamsett, for Exerting a bit more energy than the motor bike their ongoing support. riders were the growing group of cyclists who participated in the annual Zoo2zoo Bike Ride. There have also been thousands of individuals Riders departed from Taronga Zoo in October who have run for the Black Dog Institute in vari- and headed for Dubbo Zoo on a strenuous ous events including the Blackmores Sydney three day ride over Mt Victoria to raise funds Running Festival, the Sun Herald City2Surf and awareness for the Black Dog Institute. and dozens of other half marathon and mara- Black Dog Ambassador David Spindler and 110 thon events across Australia. These community riders took part in this year’s ride which raised supporters raise very substantial amounts of $140,000. Andrew McKay, together with his very money for the Institute each year and we are capable team of organisers, is another wonder- extremely grateful for their support. ful supporter of the Institute and is passionate about exercise and spreading the word. A very Rugby Union and Rugby League are very big thank you to Andrew, his team, and all the popular sports within the Australian culture and riders who took part this year. we had support from both codes this year. Our page 44 BLACK DOG INSTITUTE ANNUAL REPORT 2011 ongoing partnership with the Silver Foxes saw a T nd Thank you! he us back in Mudgee again as part of the annual Mudgee Grassroots Rugby Festival, hosted by While the Institute receives some government B the Mudgee Rugby Union Club. This is a week- t

funding, we are very reliant on, and grateful for h end of rugby, friendship and lots of fun and l a

the signiﬁ cant support of the community and e

has helped us to raise signiﬁ cant awareness in c businesses to enable us to expand our research h the region as well as funds for our community and education programs. There are many busi- k i education programs. g nesses and individuals who have contributed D

to our success this year and it would ﬁ ll 10 h We also partnered with the NRL this year and o of these reports to list them all. However, we g received great exposure during their State of would like to acknowledge the Qantas Founda- v In Origin series and again during Exercise Your a

tion for their support of our R.E.A.C.H. Support l u Mood Week. Program; The Ross Trust for their support of our u stitute is passionate about two thin Wellbeing Group Program for Young People with e we place on all o Always looking for new opportunities to fund- Bipolar Disorder; the Lansdowne Foundation for raise, we decided to invite supporters to em- their support of our Kids and Sibs Bipolar Study; bark on a charity challenge to China, the Great Juniper Network Foundation for their support of Wall of China Walk, to help us raise money to our School Curriculum Project; the nib founda- support our Developing Countries Project. This tion for their support of our HeadStrong school was a fantastic personal experience for the 11 education program; The Berg Family Foundation participants and again helped us to promote the for their ongoing support of our rural commu- importance of physical exercise to maintain good nity education programs; and the Hunter Hall mental health. More treks are planned for 2012. Charitable Trust, the Neilson Foundation and Hunt Specialised Transport for their generous support of all of our programs.

Below: Some of the participants on the Great Wall of The Black Dog Institute is passionate about two China Walk who raised money to support the Developing

things – mental health and the high value we f Countries Program place on all of our supporters and donors. We and donors. our supporters Right: The Gainsford family, who supported the Black Dog Institute in the Blackmores Sydney Running Festival on refer to you all as members of the Black Dog Sunday 18 September family. So on behalf of the Black Dog Institute, thank you to everyone who has supported us in 2011. We truly value your support! g s – mental health

page 45 BLACK DOG INSTITUTE ANNUAL REPORT 2011 The Black Dog Ride to the Red Centre

During August, the the Hills Shire Council. Radio 2UE announcer Pete rumble of hundreds Graham acted as MC at the breakfast send-off. of motorbikes was heard all around It was a similar scene in other States and Ter- Australia as Black ritories. The Mayor of Coober Pedy, Councillor Dog Riders took Steve Baines, met the riders in Port Augusta and part in the Ride to rode all the way to Alice Springs. The Mayor of the Red Centre to Alice Springs, Councillor Damien Ryan, wel- raise awareness of comed riders to Alice Springs. In Queensland, depression. the Mayor of Townsville Councillor, Les Tyrell, met the Brisbane group for lunch. This was the second Pictured (left to year the ride had Joan McKain, a 60-year-old from Lake Cathie right) Peter Clarke, been conducted, and it has become a truly na- on the New South Wales North Coast, was National Chairman of Lions Australia; tional event, with riders assembling at different amongst the participants on her GSXR 1000 Steve Andrews. starting points in Adelaide, Brisbane, Darwin, Sports, and raised $2,280 by participating in Founder of the Melbourne, Perth and Sydney. the event. “It made me realise just how many Black Dog Ride; people suffer from mental illness, strengthening Bob Haywood, President of W.A. The epic ride to raise community awareness of my own awareness and pushing me to spread Herefords Inc. and depression this year also raised $161, 665 to assist the knowledge of mental health to others”, was Professor Gordon the work of the Black Dog Institute. On the way, how Joan talked about the experience. Parker, from the the riders took part in over 40 community events Black Dog Institute – most of which were hosted by Lions Clubs who The Black Dog Institute would like to sincerely contributed $11,339 to the funds raised. thank all the riders for undertaking the journey safely and for their wonderful support and we Included in the total was a further $8,000 from look forward to their participation in the 2012 the W.A. Herefords Inc. who auctioned two of Black Dog Ride. their prized steers to support the work of the Institute. “I have just returned to work from the Founder of the event is Perth-based Steve ride and would like to congratulate Andrews. He believes a lot of people don’t talk you, the other organisers and the Lions about their illness because they don’t wish to Clubs on a job well done. This was a be perceived to be weak. His hope was that the Ride would “encourage people to take the ﬁ rst joy to participate in and a life changing big step of reaching out for help by talking to experience. someone about their problem”. I have been a long-term sufferer of Scores of stories about the riders appeared in depression, with times of such lows that newspapers, on television and radio while the I have been referred to help to prevent Lions Clubs won the hearts of the riders for suicide. Between the illness and alcohol I conducting community seminars as well as the have made my family’s life hell, with little occasional meal or cup of tea along the way. insight into the problems In addition, Ministers, Mayors, Councillors and even rock legend Angry Anderson were on To mix and speak with people on the ride hand to support the riders. made me realise that I was not alone and In Perth, the West Australian Minister for Mental it has forced me to look at my situation Health, Helen Morton, wore bike leathers and and get some long-term treatment. jumped on as a pillion passenger with one of the Black Dog Riders for the start of the ride. I hope there will be another ride next ABC Radio presenter Glynn Greensmith was MC year.” for the Perth launch event. Regards In Sydney riders were ﬂ agged away by Angry Black Dog Rider Anderson, and Councillor Robyn Preston from page 46 BLACK DOG INSTITUTE ANNUAL REPORT 2011 The Black Dog Institute’s Gala Dinner

On the third of November around 600 people “In 1995, when I became shadow Minister for gathered together to celebrate the 10th anni- Health, I was passionate about mental health. At versary of the Black Dog Institute (BDI) at a Gala the time, I was discouraged. Nobody wanted to dinner held at Doltone House, Darling Island know and the media were not interested. Wharf, in Sydney. “And now… what a difference to have such distin- It was also an opportunity to farewell inaugural guished guests talk about mental health. Executive Director, Professor Gordon Parker, who stepped down from the position at the end “The Minister for Mental Health (Kevin Hum- of 2011. phries) and I both work on improving the life of people who live with mental illness. Patients are At the same time, guests warmly welcomed at the heart of our solutions.” Professor Helen Christensen, formerly Direc- tor of the Centre for Mental Health Research at The large gathering also heard messages of the Australian National University, as the new thanks to Professor Parker from Thérèse Rein; Executive Director. Mark Butler, the Federal Minister for Mental Health; Andrew Johns (Rugby League); Ky Hurst A distinguished group of friends and support- (Olympic swimmer and ironman); and Geoff ers, including Her Excellency, the Governor of Huegill (Olympic swimmer). New South Wales and Black Dog Institute Pa- tron, Marie Bashir, as well as former and current A highlight was the unveiling of a portrait of politicians, past and present Black Dog Institute Professor Parker by artist Peter Smeeth. This Board members, corporate leaders, university excellent portrait was made possible by the and health professionals, BDI staff, sporting donation from long-time supporters of the identities and many patients attended the Gala Institute, Albert Hunt and his family. Dinner. Other guests showed their enthusiastic backing While the event marked the 10th anniversary of for the Institute by participating in fundraising the Institute, New South Wales Health Minister, activities to help Black Dog Institute plans to Jillian Skinner, captured the spirit of the occa- deliver its services and programs to more and sion with these words: more people across Australia.

Photographic highlights from the Black Dog Institute Gala Dinner

page 47 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Public Relations and Media

Kerrie Eyers and Ian Dose bouncing ideas off each other when planning public relations and media campaigns

The diversity of the many activities, whether it “The public relations and media activity be campaigns such as Exercise Your Mood Week, was stepped up during 2011 to support the Black Dog Ride to the Red Centre, ground- by far the busiest period on record breaking research, our work in the community since the Black Dog Institute was and with health professionals, or the exceptional started. Our footprint is now very much service provided by our clinical team, ensures Australia-wide while we have built an widespread media interest. international reputation for being a It is not about ‘blowing our trumpet’ but media leader in the field of mood disorders. and public relations activity is central to letting The public relations and media activity the public know what is happening in this ﬁ eld underpins what is happening at the to fulﬁ l our commitment to ensuring all Austral- Institute.” ians can access our programs and embrace the Institute’s many initiatives. Ian Dose, Communications Manager Our messages are carried far and wide by an ‘army’ of supporters. This is not overstated when you think about an event such as the Black Dog Ride to the Red Centre.

In August this year, hundreds of motorbike riders embarked on an epic journey to the Red Centre from the different capital cities. They rode through scores of towns along the way and, many of the participants, with personal stories of depression, were able to raise awareness of depression in the local media.

Hundreds of stories were printed in newspapers, talked about on radio or television and raised on social media (e.g. Facebook, Twitter). page 48 BLACK DOG INSTITUTE ANNUAL REPORT 2011 This year was the ﬁ rst time we saw the full amazing extent of the coverage of the Black Dog Ride to the Red Centre and other media events. This was made possible with the engagement of Meltwater News to provide us with online monitoring of media activities (including social media) during the year.

Spreading the message

Throughout 2011, different platforms were provided for the Institute to spread its message internationally. Initially, our focus had been on Outstanding journalism A graph illustrating the the traditional ‘vehicles’ such as our website, growth of the Black Dog Institute website. journals and the many presentations to prestig- In the early years of the Institute, the interest of ious groups of leaders in our ﬁ eld who gather at the media in mental health issues was minimal. international conferences and seminars. That has changed and is reﬂ ected in the way in which journalists today report on these matters. Our writing competition, now in its eighth year, also attracted entries from different parts of It is important to acknowledge the story by the globe, although our emphasis has been Daily Telegraph reporter Paul Crawley, who principally on the Australasian region. wrote about the crippling highs and lows of bipolar disorder and the impact on a tough NRL Interestingly, the sport of swimming is providing footballer, Matt Cross. another platform for the Institute to increase its international brand awareness. The journalist’s handling of the story was skilful and sensitive and avoided causing collateral This year, an Australian Open Water swimming damage in the case of a proud man baring his team representing the Black Dog Institute was soul to try and help others overcome the stigma in Hawaii to participate in the Maui Channel of suffering from depression. Swim and the Waikiki Roughwater Swim.

The team of Trent Grimsey, Codie Grimsey, Rhys The team Mainstone, George O’Brien, Alex Studzinski, captained by Black Dog Institute Ambassador Responding to the needs of a fast-growing Peter Thiel, won the Maui event despite rough body such as the Black Dog Institute will always A photograph of conditions, and defeated a top USA team. throw up challenges. To this end, Ian Dose our Communications Manager, and Kerrie Eyers, the Australian Open Water Swimming The team followed up the win with an impres- who volunteers her time as the Publications team with Black Dog sive showing at the Waikiki Roughwater Swim, Consultant, ensure the Institute’s public profi le Institute Chairman, is in good hands. Peter Joseph (third taking out the fi rst fi ve placings in the race. from left) Black Dog Institute Chairman, Peter Joseph and sporting ambassador, Brendan Capell, were also in attendance.

Helping hands

One of our big events in 2011 was the Exercise Your Mood Campaign. To lift the proﬁ le of the campaign, we needed a commercial for television. Based on research that regular exercise could be as effective as an antidepressant medication for treating mild to moderate depression, the production company, Jungle Boys, kindly produced the commercial free of charge to demonstrate their support for the Institute.

page 49 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Creative Development Making a difference

“I feel like the Black Dog Institute is a rocket ticking down for lift off; 2012 is going to be stellar.”

Matthew Johnstone, Creative Director, and author

We celebrated our 10th understanding, meaning, purpose and, most anniversary in 2011 importantly, peace of mind. I meet people from and each year has been all walks of life who have incredibly diverse marked by signiﬁ cant stories of overcoming adversity and who live growth as we reach out with hope. to more and more people who are touched in There have been many highlights this year. some way by a mood For me, one of the greatest was creating a 3½ disorder. metre high Black Dog for the Sydney Mardi Gras parade – and with the help of more than 40 In my role at the outstanding dancers/volunteers – win best ﬂ oat Institute, I particularly in show. get pleasure from the public speaking oppor- On the other side of the spectrum, I’ve been do- tunities. It allows me to ing a tour of the NRL with our wonderful clinical see most aspects of life, facilitators, which has been truly interesting and whether it’s the board- inspiring. rooms of big corporations, a wool shed in I feared talking to these lads after reading the middle of nowhere, adverse stories in the newspapers but we’ve a lecture theatre full of been genuinely really well received and the sporting heroes, or a Parramatta Eels took us on as their charity of school hall full of teens. choice. It really goes to show how far we’ve come in talking about mental health issues right We are all different, with different stories, from across our communities. different backgrounds, but in the end we all require and seek the same things – be it love, page 50 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Writing Competitions 2011 Black Dog Institute Writing Competition

Judges in our 2011 writing competition (left to right) Julie Corkin, Dr Natalie Towers and Shirley Sneddon

Storm Clouds, Lost and Found, Vacuuming with the Black Dog, The Memory of Scars, Breaking Down the Wall of Shame and A First-Time Mother: The Rural Perspective.

This is the world of postnatal depression so An estimated nine per cent of expectant women bravely and vividly described by expectant and 16 per cent of new mothers suffer postnatal mothers, new mothers and men who have ex- depression, as well as one in 10 men. Despite perienced months of despair in what should be clinicians’ best efforts, the majority of women one of the happiest times in their lives. suffering from postnatal depression still do not come forward for treatment. Indeed, the ripple effect of a mother experiencing postnatal depression can affect partners, The Institute has been looking to provide more the children, parents and parents-in-law, friends, answers to deal with the problem of mood neighbours – all the people that rally around to disorders during a vulnerable two-year perina- help the struggling family. tal span that takes in the period of pregnancy, childbirth and the baby’s ﬁ rst year. Their personal stories were revealed in the 2011 Black Dog Institute Writing Competition. The 202 entries in this year’s writing competition, the seventh conducted by the Institute, “As we chatted with the staff and guests, were mainly from women – including a grand- we were very impressed with their mother, and six men, and came from all corners tireless work in developing the incredible of Australia and New Zealand. programs that have been established The stories contained a ‘treasure trove’ of advice to treat mental illness, as well as their and experience as well as a vivid account of amazing empathy towards the sufferers. the serious impact of postnatal depression on These guys are the true winners at the people’s lives. Black Dog Institute.” Just how serious is underlined by the winning Danielle Burns, winner of the 2011 Writing entry, Storm Clouds, written by Danielle Burns Competition from Rye in Victoria, who used the line: “This could be the story of a victim of the recent ﬂ oods page 51 BLACK DOG INSTITUTE ANNUAL REPORT 2011 but this was my experience of postnatal depression.” In the past, so much about mood disorders, A fact sheet on including perinatal depression, has been written from the outside looking in. Drawing together perceptions and personal accounts from those depression during who have experienced such mood disorders allows us to reverse this approach. ‘Inside out’ pregnancy and views offer rich information that assists in breaking down their mysteries and their management. the postnatal

Winning entrant, Danielle Burns, received a $2000 ﬁ rst prize and a trophy for her essay. period is available

An independent judging panel comprising Julie on our website... Corkin, Clinical Nurse Specialist at the Tresillian Family Care Centre; Dr Natalie Towers, General Practitioner; and Shirley Sneddon, mental health “She likes to tell me that the vacuuming, the trainer and INSIGHT presenter selected the fi rst walks, the talks all helped her through those dark three place getters and six Highly Commended moments of despair and that one day she will essays. repay the kindness. But she doesn’t need to. She already has by being the wonderful person that In their report, the Judges acknowledged she is and including me in her life,” our writer that depression for an individual was diffi cult explains. enough but when experienced with a new- born baby to care for, especially for a fi rst time Six Highly Commended certifi cates were mother, could be totally overwhelming. (The awarded for outstanding essays. These were to Judges’ full report is available on the Institute’s Carlie Daley (Tecoma, Victoria), Lynette Drum- website.) mond (Kingswood, South Australia), Bernadette Walker (Quilpie, Queensland), Shannon Weiley Another Victorian entrant from Middle Park (Wyoming, NSW), Jessica Migotto (Northcote, who asked to remain anonymous was awarded Victoria), and Susan Wilkes (St Marys, South second prize of $1000 and a trophy. Her essay Australia). was titled Lost and Found. As in the past, the Institute will be looking to in- In her essay this mother of three children paints corporate the rich material gathered during the a dark picture of postnatal depression but con- latest writing competition in a new book to help cludes with a strong message of hope. improve understanding of the impact perinatal depression has on both men and women and “You’ve lost the careless oblivion of motherhood, what can be done to help. you’ve found an insidious doubt that corrodes your belief in your parenting. The black dog The Institute itself has already put in place a dips its paintbrush and daubs your life in blues number of measures dealing with perinatal and blacks and muted greys. You know you are depression and recently started running accred- pathetic and it’s paralysing. It’s like something ited education and training for GPs and psy- has come loose from its moorings.” This is how chologists to assist them in screening, diagno- she describes postnatal depression. About her sis, assessment and risk management plans for recovery she says, “What is lost is hopelessness. expectant women and mothers. Despair. Desolation. Alienation. And what is found is hope. And me, too. Yes. Yes, I fi nd myself A fact sheet on depression during pregnancy all over again.” and the postnatal period is available on our website (www.blackdoginstitute.org.au) and Our third place getter, from Windsor Gardens in identifi es certain risk factors and ‘triggers’. South Australia, also requested anonymity. She won $500 and a trophy for her essay, titled Vacu- The internet is also very valuable: many new uming with the Black Dog. Our entrant tells the mothers found that mothers’ groups and online story of how her offer to vacuum the house of forums were powerful resources, as was cogni- a neighbour who had postnatal depression had tive behavioural therapy (CBT) and help from helped “dance a look of delight across her face.” sources such as MoodGYM. page 52 BLACK DOG INSTITUTE ANNUAL REPORT 2011 The 2011/2012 Writing Competition Launched

Caring for someone with depression or bipolar disorder The impact of depression is like the tremors of an earth- quake. While one in ﬁ ve Australians will personally experience clinical depression or a bipolar disorder over their lifetime there are the families, partners, friends and work colleagues who are also drawn into the crisis.

Often, it is these people on the perimeter that selﬂ essly reach out to assist those who are battling a mood disorder, offering their time, their acceptance, support and hope.

In searching for strategies to deal with mood disorders, the latest Black Dog Institute Writing Competition throws the spotlight on the powerful stories that come from Carers, with a particular focus on the questions of what worked best, what didn’t work and what did you learn? ...Carers While depression can be very isolating, individuals ﬁ ghting this private battle are often sur- are often rounded by those who love them, with friends, family and colleagues all looking for practical and sensitive ways to show their support. the unsung

The theme of the 2011/12 writing competition heroes in is Walking the Tightrope – Caring for Someone with Depression or Bipolar Disorder. This will helping people resonate with Carers who are often the unsung heroes in helping people with mood disorders while at the same time exposing themselves to with mood an increased risk of facing a similar fate. There are more details on our website, www.black- disorders... doginstitute.org.au page 53 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Book Launches and Reviews

depression classiﬁ cation systems, and a re- ﬂ ection on the pluralism needed in a clinical psychiatrist, and in the mental health profession in general.

He aims not to record his (many) substantive achievements or defend a personal style that, in his own words, has been described as “zealous”, “stubborn”, “tenacious”, “bloody minded”, “territorial”, or “testy”. His book really is a call to arms to those considering, or in the process of progressing in the profession, and to the community at large.

Gordon outlines his clinical and research focus that underpins the work of the Black Dog In- stitute; how best to classify clinical depression, the risk of ‘pathologising’ normal reactions to abnormal situations, identifying a disconnect between trial data and real-world clinical results, and concerns about treatments being ﬁ tted to practitioners’ treatment modality. His work across 30 years has challenged formal classi- ﬁ cations systems, called for the reinstatement A Piece of My Mind: A Psychiatrist on of melancholia, and resulted in the Black Dog the Couch Institute sub-typing model. o o Professor Gordon Parker i Gordon believes that collegiality is too highly ti ti t

a A Piece of My Mind is recommended reading valued, and pays his respects to his noisiest op- a at a ponents. However, he poignantly describes the pa p p that tells the inspiring story of a man driven u uations... uat u ‘ ‘ by the desire to advance better diagnosis and intense personal suffering that can be brought ‘ tu t it i about by misdiagnosis or a ‘meandering’ thera- f ‘p f management of mood disorders. It is an aspira- si s s peutic approach, the tragic consequences of of ‘pathologising’ normal reactions to ‘pathologising’ of o o tional and worthy aim, and consonant with the

l situ sit l aims of all who work in the profession. which really pushes his buttons. k k a a

s It is best described in the following review by His own action-oriented style, and time spent i

m considering surgery as a career, instilled in him

r Stephanie Webster, Consumer Educator. r a sense of urgency and an attitude of ‘never giv- e o Gordon Parker gives hope to late bloomers ing up’ on people. He talks of the resilience he observes in everyday practice and the honour h

n everywhere. Born on April Fool’s day, he led a

t self-contained childhood, before day-dreaming of being ‘a privileged guest’ in people’s lives. . b

. through adolescence, and repeatedly surprised . a himself at the annual medical school ‘cull’. He This book is not about setting the record tackled a range of creative endeavours, prior to straight, but about encouraging and entrusting focusing his attention on psychiatry. others with these life altering, and life preserv- ing, responsibilities. He notes that as psychiatry changes, so too do the people attracted to it, and few psychiatrists Managing Depression Growing Older. A have described the day to day satisfactions Guide for Professionals and Carers or their reasons for their profession’s appeal. Kerrie Eyers, Gordon Parker & Henry Brodaty Gordon conveys the pleasure of his intellectual challenges, noting that “psychiatric research The Institute’s next book, co-edited by Kerrie is so rich with potential” and that defeat only Eyers, Gordon Parker and Henry Brodaty, will stimulates him to “forage further”. be released in March 2012. Titled Managing Depression Growing Older. A Guide for Pro- A Piece of My Mind: A Psychiatrist on the Couch fessionals and Carers, this book is, to quote is divided into three parts; a personal memoir, Professor Lewis Wolpert CBE, “A most important a passionate exploration of the war zone of book on a very serious and common condi- page 54 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Federal MP Andrew Robb, at his book launch with There is a signed copy of Andrew Black Dog Institute Publications Consultant, Kerrie Eyers Robb’s book in the Institute’s Community library.

It is inscribed: “To the Black Dog Institute, I admire enormously all that all of you do.

My very best wishes.”

Andrew Robb, 31/8/11

tion – depression. The accounts are moving, and been to an Ashram, I can’t sit on the fl oor cross there are excellent explanations and suggested legged, I don’t know the meaning of life, but I treatments.” Professor Patrick McGorry AO do know that life is so much better when I med- says, “This timely book authored by an array of itate. The whole point of this book is a simple experts in the fi eld highlights the special risk to use guide on how to quiet the mind based factors and responses that operate later in life. around breathing and most importantly how It is a welcome contribution to building a 21st not to beat yourself up if you have thoughts. As Century approach to mental health care.” Jon Kabat-Zinn said ‘You can’t stop the waves but you can learn to surf’.” While older people face the same kinds of mental health issues as younger people, they can Black Dog Daze: Public Life, Private fi nd it more diffi cult to deal with them owing to Demons the stressors which accumulate with age. There The Hon Andrew Robb AO, MP is also a high incidence of undiagnosed depression in older age, presenting extra challenges It was a full house on the evening of 31 August for carers. Managing Depression Growing Older 2011 as the Hon Andrew Robb, surrounded by offers a systematic guide to identifying depres- friends, family and well wishers, launched his book sion in older people, supporting them at home detailing his battle with the black dog, depression. or in an aged care setting, and the importance NSW Premier Barry O’Farrell, a personal friend and of diet, exercise and attitude in recovery. State Director when Andrew Robb was Federal Director, gave a warm introduction. The message The Institute is pleased to announce that that Barry O’Farrell took away from Andrew Robb’s Routledge, a global publisher, is taking Manag- book was: “This is treatable”. ing Depression Growing Older into the United Kingdom, European and North American Andrew Robb advises “Deal with depression early. markets. This is the third title from the Institute It’s estimated that 75 per cent of depression begins that Routledge has selected for international in the teen years.” He says that once depression is publication. confronted there are lots of answers, though there is surprisingly little known about the illness. “Solu- QUIET the MIND tions are different for everyone,” he believes. Matthew Johnstone Meditation takes a cer- Black Dog is featured prominently in the book tain degree of discipline in the section ‘Where to fi nd help’, and Profes- and it can take a while sor Gordon Parker is named with gratitude in the to quiet the monkey Acknowledgements section. mind; this is why it’s called a practice. QUIET Kinds of Blue: An Anthology of Comics the MIND by Matthew about Depression Johnstone (Pan MacMil- lan) comes out in March Karen Beilharz, editor 2012. Professor Gordon Parker wrote the following in- As Matthew says: “I troduction to this book: “What does depression personally don’t know which charkras are what, look like? What does depression feel like? When I don’t really know what a Meridian is, I’ve never you’re stuck in the middle of it, is there anything that actually helps? page 55 BLACK DOG INSTITUTE ANNUAL REPORT 2011 In this collection of short, original comics, 14 The authors have collected together the ac- young Australians chronicle their close encoun- counts of numerous patients suffering from ters and experiences with depression, capturing depression and bipolar disorder, in which they snapshots of what depression is like in order to distil the wisdom of their survival in the work- illuminate what is often unexpressed and help place. fellow sufferers know they are not alone. The book provides an insight into the inner To a clinician, signs of signifi cant clinical depres- workings of minds in distress as the result of sion are just as important as symptoms… This psychological traits over which they have lim- book provides vivid images that capture the ited control, providing very sound and practical gravity of the black dog of depression, which advice on how to give the best environment to saps the vitals of those who experience its bite. I enable sufferers to fl ourish and maintain jobs commend the team for their efforts.” despite their mental distress.

BE YOUR BEST I recommend this book not only to sufferers, but also to employers, who struggle to under- Geoff Huegill stand psychiatric illness in their staff and thus to help them through difﬁ cult events in their lives.

The authors are to be commended for produc- ing this book, which is jargon-free and very accessible to the general reader. It should assist the integration of patients with depression and bipolar disorder into the wider community through greater acceptance and understanding.

The Modern Women’s Anthology

This book is the inside story of the greatest The Modern Woman’s Anthology was comeback in Australian sport… by Olympic launched in 2010, and featured the personal swimmer and Black Dog Institute Ambassador, stories of 20 remarkable women on what it Geoff Huegill. It provides a vivid account of his means to be a woman in today’s world. Leah battle with a weight problem and depression in Greengarten, the editor who was the inspira- a period he describes as “Hero to Zero”. tion and energy behind the book, pledged to donate all proceeds from sales to the Black Dog The book includes a guide to Geoff’s BE YOUR Institute. In February 2011, Leah presented a BEST principles and since being published it cheque for $7,500 to Professor Gordon Parker at has, according to Geoff’s business partner, Keith the Institute. Staggers, been a real inspiration to people.

Tackling Depression at Work. A Practical Guide for Employees and Managers This book was launched in 2010 and has been a catalyst for discussion on the subject. Fol- ... it is an lowing is a book review by Associate Professor John Dearin, published in April 2011 in Medicine eminently Today. practical guide. BOOK REVIEW

Tackling Depression at Work: A Practical Guide It should be on for Employees and Managers, Black Dog Institute, published by Allen & Unwin, Sydney the reading list 2010. Tackling Depression at Work, written by Ms Kerrie Eyers and Professor Gordon Parker from the Black Dog Institute, is an eminently of every MBA practical guide. It should be on the reading list of every MBA course because of its high level of course... relevance to corporate staff management. page 56 BLACK DOG INSTITUTE ANNUAL REPORT 2011 2011 International Lecture

Professor Goodwin (centre) with Black Dog Institute Chairman, Peter Joseph (on left) and Professor Gordon Parker (on right)

New approaches to monitoring – such as au- technology as part of their treatment program tomatic digital collection – are the way of the were saying: future to help patients with bipolar disorder, according to Professor Guy Goodwin, who deliv- “It’s brilliant… it is diffi cult to remember when I’m ered the 2011 Black Dog International Lecture, at the clinic how I felt weeks ago, whereas SMS titled: Changing the focus in managing bipolar captures it… it’s nice to feel that even when I’m disorder from episodes to mood instability. not seeing the doctor it’s being charted, he has it and I can be called in if necessary. It’s a safety Regarded as one of the world’s leaders in his net… it quantifi es how I’m feeling. Helps make fi eld, Professor Goodwin is Head of Psychiatry clinical decisions.” at Oxford University in the United Kingdom. And Speaking to a full house of health professionals and other attendees in Sydney on 4 April, Pro- “… I should like you to know how very useful fessor Goodwin said digital technology, such as I fi nd this system of monitoring – it has made text messaging, was accessible to everyone, and things a whole heap easier and better for me…” meant patients’ records were being constantly updated. The importance of this innovative technology approach cannot be overstated, with Profes- It also meant reliable measurement of outcomes sor Goodwin describing bipolar disorder as a and avoided costly and unnecessary follow-up “recurrent, severe and complex mental disorder, appointments. “It tells doctors what really is go- which takes a toll on young people’s relation- ing on,” he said. ships with family and friends.”

As part of this new approach, mood graphs “It has the grisly qualiﬁ cation of being the most were sent to patients and, if they wished, to important cause of disability worldwide in the their carer. These graphs can help to teach the 15-44 years age group.” patient how to understand and manage their mood better. Patients were largely autonomous between episodes which, in the United Kingdom, led to Professor Goodwin gave the following examples de-emphasis on services. of what some patients who were using digital page 57 BLACK DOG INSTITUTE ANNUAL REPORT 2011 ... y Visitors to the Institute 2011

Its expanding footprint and reputation as an in- April 2011 ternational authority on the diagnosis and man- Professor Guy Goodwin, FMedSci, University agement of mood disorders is demonstrated in of Oxford, Oxford, United Kingdom 2011, as the Black Dog Institute hosts visitors from different corners of the globe. They come Guy Goodwin delivered the 2011 Black Dog In- to participate in programs, as well as to com- stitute International Lecture (see previous page). plete their own studies. The Institute is involved with augmenting other studies, which fi ts with He is currently W. A. Handley Professor of Psy- its history of research informing clinical practice chiatry and Head of the Department of Psychia- which in turn further refi nes research. This year try at the University of Oxford. He completed the Institute has hosted visitors from Germany, his medical degree and DPhil in physiology United Kingdom, Thailand, the Netherlands, at that University and, following his training Spain and America. in psychiatry, became a Clinical Scientist and Consultant Psychiatrist at the MRC Brain Me- In turn, the Institute had representatives un- tabolism Unit at the Royal Edinburgh Hospital, dertake numerous overseas visits to augment Edinburgh, UK. their own studies as well as to provide the latest information to international seminars. This in- Professor Goodwin’s research interests are in cluded the visit to Argentina of the Developing the treatment of bipolar disorder and the ap- Countries team. In previous years the Institute plication of neuroscience in understanding the has hosted Pacifi c Rim countries to raise aware- neurobiology of mood disorders, with a focus ness amongst clinicians in developing countries on developing new treatments. He has been about the impact of undiagnosed mood disor- a lead investigator in clinical trials for bipolar ders on quality of life, work, family and commu- affective disorder, including the BALANCE and nity, as well as on health services. By improving CEQUEL studies. He works with industry in their understanding of mood disorders it is developing pre-clinical models of psychotropic helping to provide better diagnosis and man- drug action in man. agement of these conditions.

“I stayed from October 2010 until May 2011, my sabbatical, at the Black Dog Institute, funded by a research fellowship of the German Research Foundation. The fellowship focused primarily on subtypes of depression and there might be no better place to study this topic than at the BDI. The eight months allowed me to study depression and its peaks and pitfalls in depth, which was a pleasant experience

ootprint & reputation as an international authorit after struggling with the daily diverse

f commitments of working at the university.

And it was quite productive with three g papers already published (Baumeister & Parker, Psychotherapy and Psychosomatics, 2010; Baumeister & Parker, Journal of Affective Disorders, in press; Baumeister, Journal of Affective Disorders, in press). However, the most exciting experience at the BDI was rather to learn how smoothly research, clinical work and community work can go hand in hand: something like the Black Dog presence at the Mardi Gras parade with an oversized black dog float would definitely get a great deal of attention where I work and live!

Thanks to all the great people at the BDI and special thanks to Gordon Parker!” ...expandin Harald Baumeister page 58 BLACK DOG INSTITUTE ANNUAL REPORT 2011 . “Being a visitor “While on a ..encoura at the Black holiday in Australia Dog Institute earlier this was a wonderful year, I had the and inspiring opportunity to visit experience. the Black Dog The passion, Institute. I was very commitment, impressed with the and kindness high standard of g of everyone I met was truly impressive. both clinical work and research. I decided in As a wellbeing researcher, I have some to return, and here I am again! g knowledge of the importance of wellbeing to see in the workplace, and it was a joy to be I am a Dutch psychiatrist who works with part of a working environment where elderly inpatients, and I am in the final morale and wellbeing were so high. No stage of my PhD on the heterogeneity of wonder the BDI has such fine record of mood disorders. During my stay, I have productivity and wide-ranging impact. focused on observing your excellent clinical care and have conducted some research Long may the BDI flourish!” projects on the heterogeneity of dysthymic g disorder with Professor Parker.” reater interest from our politicians.. Felicia Huppert Didi Rhebergen

April 2011 with Professor Colleen Loo’s teams involved in ECT (Electroconvulsive Therapy) and DCS (Direct Three visitors from Thailand: Current Stimulation), and conducted her own Dr Terdsak DetKONG – Department of Mental experiment under their supervision. Health, Ministry of Public Health, THAILAND Dr Patanon KWANSANIT – Department of Men- She classes her experience as highly positive tal Health, Ministry of Public Health, THAILAND, and would recommend the Institute to other Somdetchaopraya Psychiatric Institute professionals interested in the fi eld of brain Mr Wakluck WONG-APAI – Department of Men- stimulation. tal Health, Ministry of Public Health, THAILAND, Srithanya Hospital. October 2010 to May 2011 August 2011 Dr Harald Baumeister, senior psychologist and academic from the Institute of Psychology, Uni- The distinguished Cambridge Academic, Profes- versity of Freiburg in Germany. sor Felicia Huppert, joined us at the Institute while on her sabbatical. She has written exten- October 2011 – March 2012 sively and with great rigour about wellbeing and resilience issues. Visiting academic, Dr Didi Rhebergen from the Netherlands, is at the Institute from October August 2011 2011 until March 2012. Dr Veronica Galvez is a psychiatrist from Bar- celona, Spain. Dr Galvez was here previously Involvement with Government and has returned again for a short while. Her main areas of work at the Psychiatry Depart- It has been encouraging to see greater interest ment of Bellvitge University Hospital are affec- from our politicians, both state and federal. In tive disorders and Electroconvulsive Therapy the mental health fi eld, following visits to the (ECT). Veronica came to the Institute to expand Institute, many have pledged to lobby for a her knowledge on the fi eld of brain stimula- greater share of Australia’s resources to be al- tion in depression, in particular on transcranial located to help improve people’s wellbeing.

Direct Current Stimulation (tDCS). From her visit . she expected to gain experience in research- Meetings ing on the ﬁ eld and certainly her time at the Representatives of the Black Dog Institute met Institute enabled her to be enrolled in several with a number of State and Commonwealth research projects regarding tDCS. She worked parliamentarians during the year. page 59 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Our People

BLACK DOG INSTITUTE The Hon Craig Knowles FAPI, health system. Previously, Partner CPV with DLA Phillips Fox, lawyers, BOARD OF DIRECTORS Mr Knowles holds a number working in the areas of commercial of advisory roles, statutory and corporate law. Former Mr Peter Joseph AM, BComm, appointments, and commercial Chairman of IPG Holdings Ltd and MBA and not-for-profi t directorships: International Parking Group Pty Ltd. Chairman of the Black Dog President of the Asthma Institute, St James Ethics Centre Foundation NSW; President of Mr Douglas Snedden BEc and Health-Sciences Alliance. the Children’s Medical Research Former Managing Director of Director, Advisory Council, Institute (CMRI); Trustee of the Accenture Australia. Director Emergency Architects Australia. Hoc Mai Foundation; Fellow of of, Transfi eld Services Limited, Former Chairman of Dominion the Australian Property Institute Accenture Foundation, and St Mining Limited, the GPT Group, and Chair, Murray-Darling Basin James Ethics Centre. and St Vincents and Mater Health, Authority. Previous decade, senior Sydney. Minister in the New South Wales Professor Helen Christensen Government whose portfolios BA(Hons) (Syd), MPsych, PhD Scientia Professor Gordon Parker included Health, Infrastructure (NSW), FASSA AO, MB BS, MD, PhD, DSc, and Planning, Housing, Natural Executive Director of the Black Dog FRANZCP, FASSA Resources, Forests, and Lands. Institute. Previously Director of the Executive Director of the Black Centre for Mental Health Research, Dog Institute; Scientia Professor Scientia Professor Philip Mitchell Australian National University. of Psychiatry at UNSW and AM, MB BS, MD, FRANZCP, (From January 2012) Consultant Psychiatrist at the FRCPsych Prince of Wales Hospital. (Resigned Head, of the School of Psychiatry, Public Officer & Company 31 December 2011) and Scientia Professor at UNSW; Secretary & General Manager Convenor of Brain Sciences UNSW; Will Bonney Mrs Carol Berg BMus, MM Chair of the NSW Mental Health Barry Graham (resigned 31 June 2011) Chair of The Marmalade Priority Taskforce; Consultant Foundation Inc; Member, Music Psychiatrist, Prince of Wales Council of Australia; Vice President Hospital, Sydney; Director, Bipolar SENIOR MANAGEMENT & (immediate past President), Disorders Clinic, Black Dog ADMINISTRATIVE STAFF National Choral Association (NSW/ Institute; Board member of the ACT Branch). Former Director, Anika Foundation; Guest Professor, Executive Director, 2012 Board of Bundanoon Trust. Shanghai Jiaotong University, China; Member of the NHMRC Professor Helen Christensen Mr James Blomfi eld MA, MBA Academy. (Appointed to Institute BA(Hons) (Syd), MPsych, PhD Strategy Principal at the National Board 14/2/11) (UNSW), FASSA Australia Bank, and management (Appointed August 2011, to take consultant. Associate Professor Meg Smith up position in January 2012) OAM, BA (Hons); M Psychol, PhD, Mr Nicholas Cowdery AM, QC, FAPS Scientia Professor Gordon Parker BA, LLB, LLD (Hon) Adjunct community psychologist AO, MB BS, MD, PhD, DSc, Former Director of Public in the School of Social Sciences FRANZCP, FASSA Prosecutions for New South Wales. at the University of Western (Resigned 31 December 2011) Currently a visiting Professor of Sydney. President of the Mental Law, and a consultant. Health Association, NSW. Secretary, Professor Gordon Community member of the Mental Parker Ms Melanie Kneale Health Review Tribunal and the Karlyn Greenshields BBus Sc (Hons) Guardianship Tribunal. Chief Operating and Technology Offi cer at nib Health Funds; Dr Timothy Smyth, MB BS, LLB, Finance Controller Member of the Australian Institute MBA Steven Franks of Company Directors; non- Former Deputy Director- executive director of the Hunter General, Health Systems Quality, Finance Officer United Credit Union. Previously, Performance and Innovation, NSW Maria Kinantra Board member for in2life (MBF); Health; Former Director of the Board member Hybrid Strategies; Australian Commission on Safety Communications Manager and NSW Council Member of Save and Quality in Health Care. Over 20 Ian Dose the Children, NSW. years experience across the NSW page 60 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Corporate Relations and Associate Research Clinical Administration Development Manager Investigators Administration Research Vicki Miller Scientia Professor Henry Brodaty AO Secretaries Associate Professor Brian Draper Louise Dyer Creative Consultant Scientia Professor Perminder Sach- Anne Naylor Isabella Wanat Matthew Johnstone dev AM Clinical Psychologists Publications Consultant Data Entry Clerk David Gilfi llan Kerrie Eyers Penny Sawdy Liz Sheppard COMMUNITY PROGRAMS Facilities Manager PROFESSIONAL Christine Boyd Manager, Community SERVICES (EDUCATION Receptionist Programs AND TRAINING) Pauline Trantalis Michael Sluis Director, Psychological Domestic Services Resource Officer Services, Senior Research Teresa Silva Sharnelle Cowan Fellow, Project Leader, PROJECT AREAS Volunteer Coordinator Psychologist Education, Sarah Connor Youth and Allied Health RESEARCH TEAM Associate Professor Vijaya Mani- Project Manager, cavasagar Director, Research Community Education Scientia Professor Gordon Parker Kate Hille Manager, Professional AO, MB BS, MD, PhD, DSc, Education and Training FRANZCP, FASSA Project Manager, Youth Programs (Resigned 31 December 2011) Initiatives Katherine Dabich Professor Helen Christensen Liza Culleney BA(Hons) (Syd), MPsych, PhD Mei Li Quah Mood Assessment (UNSW), FASSA Program (MAP) (Appointed August 2011, to take Project Manager, Rural Dr Jan Orman up position in January 2012) Initiatives Christopher Rule Mood Assessment Principal Research Program Administrator Investigators Project Manager, Events Louise Dyer Associate Professor Marie-Paule Fleur Mortimer Austin Education Project Officers Associate Professor Michael Breakspear CLINICAL SERVICES Nicole Cox Professor Colleen Loo Katie Denton Scientia Professor Phillip Mitchell AM Clinical Director Amiee Gayed Professor Kay Wilhelm AM Dr Paul Friend Jenny Gieng (resigned) Senior Lecturer, School of Consultant Psychiatrists Administrative Officer Psychiatry, ARC Future Scientia Professor Gordon Parker AO Chilin Gieng Fellow Scientia Professor Philip Mitchell Dr Melissa Green AM Clinical Advisory Group Professor Colleen Loo Dr Caryl Barnes (Workplace Pro- Conjoint Senior Lecturer, Dr Caryl Barnes grams) School of Psychiatry, Dr Melissa Barrett Dr Penny Browne (GP Program Dr Shulamit Futeran Consultant) (resigned) Hospital Scientist & Principal Dr Michael Hong Dr Vered Gordon (General Practi- Research Investigator Dr Anne-Marie Rees tioners) Dusan Hadzi-Pavlovic Dr Howe Synnott Dr Jan Orman (MAP)

page 61 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Program Facilitators ONLINE SERVICES Tania Perich Karen Heagney Julie Allan Michael Player Tim Heffernan Dr Caryl Barnes Systems and Tamara Powell Hamish Hill Dr Anne Camac Susan Priest Jitarth Jadega Joanna Crawford Technology Dr Gloria Roberts Stephen Janney Dr Sarah Edelman Manager Poppy Rouke Trudy Jenkins David Gilfi llan Jacqui Wallace Pulkit Singh Warren Jones Dr Guy Gordon Alexis Whitton Jin Jan Kim Dr Vered Gordon Senior Advisor Dr Alex Wilde Julia Kiss Adam Wright Cathie Knox Dr Margaret Gottlieb Peter Callaway Dr Tanya Hanstock Tamara Yuen Greg Lamphee Matthew Johnstone Paul Lamphee Technical Architect Postdoctoral fellows Natalie Lantry Dr Kristine Kafer Bruce Haefele Dr Carol Kefford (Neurosciences) Sarah L’Hullier Karina Lindsay Associate Professor Dr Tjeerd Boonstra Vijaya Manicavasagar Web and Megan Macpherson Liezl Maritz Anthony Merritt Communications PhD Students Dr Antony Milch Alison McLeod Officer Liliane Benti Dr Patrick Morris Katrina Morrow Sako Hampartzoumian Norman Fern Claire Nabke-Hatton Judith Myers Leah Greenfi eld (on Kathryn Fletcher Dr Jan Orman Janet Namey leave) Stewart Heitmann Jenny Ostick Lucinda Napper Matthew Hyett Dr Joseph Rey Tina Papilos Consultants and Muhsin Karim Dr Jaya Reddy John Polgar Angela Langdon Elizabeth Sheppard eHealth Assistants Judy Polgar Dr Julian Short (BITE BACK Suzanna Rahman Research Students Gilad Ravitz Matthew Stanton website) Vicki Stanton Megan Boyd Natalie Reilly Cesar Anonuevo Joshua Garfi eld Anne Riches Dr Howe Synnott Rowan Burckhardt Dr Barbara Tooth Mark Schira Laura Ritchie Kate Fagan Amy Sparks Rosemary Rogge Chris Tzar Deserae Horswood Angela Vrankic Mona Taouk Margherita Roser Romi Kaufman Pang Ping Wee Bjorn Rostron Dr Sarah Weaver Nic Newling Sharon Williams Charmaine Roth Daniel Pearce Volunteers Suzie Rust Marty Smilie Michelle Adams Suki Scade DEVELOPING Joshua Thomason Abigail Baker Anne Schwartz COUNTRIES Nerida Bell Kerrie Scott PROJECT Research Team Carine Bento Heather Simington and Affiliates Thomas Brinsmead Richard Simpson Lisa Smith Project Director Dr Angelo Alonzo Kate Bush Kevin Aquino Sam Bush Shirley Sneddon Associate Professor Dr Harald Baumeister Will Cadden Carly Sperring Vijaya Manicavasagar Mary-Rose Birch John Canning David Spindler Bianca Blanch Lee Catlin Georgina Stow Project Manager Dr Heather Brotchie Letitica Colautti Alice Swan Dr Ilse Blignault Dr Janine Clarke Sophie Covert Melanie Taylor Andrew Frankland Emma Cunnigham Richard Thorpe Participant Liaison Kathryn Fletcher Sarah Davis Mark Tindall Officers Inika Gillis Ingrid De Leedes-Smith Dominic Tran Jann Trosser Marguerite Pepper Dr Rebecca Graham Paul Donald Isabelle Truong Kate Cashel Virginia Harrison Louise Drum Dr Bronwyn Hegarty Megan Dunn May Tse Lucy Vaczi eMENTAL HEALTH Julie Ho Nicole Dunn Matthew Hyett Matthew Eakin Amy Watts Director, Senior Nicole Kochan Melanie Faithfull Stephanie Webster Research Fellow Dr Karen Kool Tom Farrar Jaynee Wehbe Associate Professor Judy Clare McCormack Lewis Ford Wayne Wigham Proudfoot Stacey McCraw Dianne Gaddin Erin Wilkes Dr Donel Martin Nada Gergich Joe Xu Amelia Paterson Aniela Gokiert Jessica Young Saied Mehrkanoon Roy Hazelwood page 62 BLACK DOG INSTITUTE ANNUAL REPORT 2011 UNSW School of Psychiatry

We are fortunate to have the Head of the UNSW School of Psychiatry, Professor Philip Mitchell, on site. Many of the School’s teaching sessions are located at the Institute, along with Professor Mitchell’s research teams.

Special Acknowledgements

Barry Graham Dr Penny Browne

Barry Graham stepped consult with key stake- We would like to extend down as General Man- holders such as Govern- our appreciation to Dr ager at the end of June ment and University Penny Browne, General 2011 after presiding over offi cials as well as con- Practitioner Consultant in a decade of growth at tractors and he had the the Professional Services the Black Dog Institute. great wisdom to know team. what was best for the He has been described as future of the Institute. Penny was instrumental the person who “effec- in the development of tively built the building, Barry wasn’t one for pre- the 2005-2008 Strategic ensured we had quality tension. He was the fi rst Plan for General Prac- programs and showed to pick up the BBQ tools tice (GP) education and superb management and help cook lunch for charted the direction of skills as well as great the staff at Christmas on GP programs for over fi ve wisdom.” the barbecue which he years. She retired as con- had helped assemble in sultant for GP Programs Barry was acknowledged the courtyard. in August 2011. as a consummate professional – a description Undoubtedly, he has left We will miss her guid- echoed by Board mem- the Institute in excellent ance and wisdom. bers. shape for his successor, Will Bonney. His wide skill set enabled him to negotiate and

page 63 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Awards, Appointments & Events

MAJOR AWARDS 2011

Over the years, the Black Dog Institute and its become smaller as one advances along the people has been the recipient of many major pathway. At the end of these stepping stones, awards. the individual is turned toward a calming place – analogous to the journey to recovery. They range from scholarships and fellowships to the highest awards Governments can bestow on The Institute is also proud of another major extraordinary Australians in a diverse range of award – Best Float, featuring a three-metre high fi elds and endeavours. paper machete black dog surrounded by fl ow- ers and rainbows at this year’s Sydney Mardi This year new ground was broken as the pres- Gras. The fl oat’s slogan read “Turn your dark ence of the Black Dog Institute started to be clouds into rainbows” and “Don’t Be Sad, Be interpreted in different ways and as awareness Gay” with the aim of helping to raise awareness about mood disorders became more visible about depression amongst the GLBTQ commu- across the wider community. nity.

Take for example, the story of Dean Herald, The Institute’s winning entry was chosen from whose garden design, called Refl ections, won a fi eld of 135 and was a just reward for the 40 the coveted Award of Excellence for Best in staff and volunteers who danced behind the Show at the Melbourne International Flower and fl oat as it made its way through Sydney streets Garden Show. in April this year.

Inspired by the battle many people face with Another notable instance was the 2011 Life depression and anxiety, Dean and his team from Award from Suicide Prevention Australia. The Rolling Stones Landscapes, created a beautiful award was presented to Woollahra Council to calming space composed of lush plantings and recognise a long campaign to introduce anti- other features. suicide safety measures at Gap Park, Watson’s Bay in Sydney. This project had been a joint The garden (pictured) has a stepping stone partnership between the Council, the commu- path, refl ecting the fi rst steps taken to recov- nity, government, NSW Police, the Black Dog ery. These paving stones seem large at fi rst but Institute and Lifeline. page 64 BLACK DOG INSTITUTE ANNUAL REPORT 2011 OTHER DISTINGUISHED AWARDS

The Australian Honours system this year rec- Dr Lee-Fay Low was awarded the UNSW ognised the achievements of two outstanding Faculty of Medicine Dean’s Rising Star Award people associated with the Black Dog Institute: (Post-doctoral)

 Scientia Professor Perminder Sachdev was Dr Jinnuo Han was awarded the Gordon Parker made a Member of the Order of Australia for Award for best PhD research paper published services to medical research in the ﬁ eld of in 2010 (awarded 2011), School of Psychiatry, neuropsychiatry, as a clinician and academic, UNSW and to professional associations at a national and international level Dr Nicole Kochan was awarded the UNSW Fac- ulty of Medicine Dean’s List Award 2011  Doctor Michael Dudley was made a Mem- ber of the Order of Australia for services to medicine as a clinician in the child and adolescent mental health area, to medical education, and to a range of professional associations

Scientia Professor Philip Mitchell was elected as councillor of CINP (Collegium Internation- ale Neuro-Psychopharmacologicum); and also appointed Visiting Professor, Harbin Medical University, Harbin, China

Scientia Professor Henry Brodaty was awarded the UNSW Faculty of Medicine Dean’s Award for Community Engagement 2011 (UNSW)

Professor Kay Wilhelm, as part of the UNSW Prison Research Team, was given the Mental Health Award for Excellence in Research for 2011

Professor Michael Breakspear was given the Clinical Researcher Award, Australian Society for Medical Research (ASMR, QLD)

Dr Alex Wilde was awarded a PhD for her dissertation on psychosocial and clinical implications of genetic risk information about psychiatric disorders

Dr Caryl Barnes was awarded an MD for her dissertation on the internet and its application in the management of bipolar affective disorder

Professor Colleen Loo was promoted from associate to full professor at UNSW

Scientia Professor Perminder Sachdev was awarded Australasian Society for Psychiatric Research (ASPR) Founders’ Medal 2011

Dr Melissa Green was awarded the NSW Young Tall Poppy Award, Australian Institute of Policy and Science; and invited to give the Aubrey Lewis Lecture at the Inaugural Biological Psychi- atry Conference, Melbourne, November, 2011 page 65 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Research Funding The Institute is most appreciative of the generous sup- According to Professor Mitchell, recent rapid advances port from a wide variety of sources. in brain imaging and genetic technologies places us on the brink of truly understanding the biological A highlight this year was the latest NHMRC (National causes of these common and debilitating illnesses. Health and Medical Research Council) grant of $7.1 “Understanding these causes will enable the develop- million for 2013 to 2017 which will result in signiﬁ cant ment of more targeted and effective treatments,” he research being undertaken at the Black Dog Institute. stated.

Professor Philip Mitchell, head of the UNSW School This year also saw support from the New South Wales of Psychiatry and the BDI Bipolar Clinic, was the Chief and Federal Governments; NSW Ministry of Health; Investigator in presenting the case for the grant and was the Mental Health and Drug and Alcohol Offi ce (MH- supported by Professor Peter Schofi eld (Neurosciences DAO); the NSW offi ce of Science and Medical Research Research Australia (NeuRA), Professor Gordon Parker (OSMR); the Commonwealth Department of Health (Black Dog Institute) and Michael Breakspear (Black Dog and Ageing (DoHA); and donations from individuals Institute and Queensland Institute of Medical Research. and corporations.

“A very exciting time for research into depression and Through collaboration with other organisations, the bipolar disorder,” is how Professor Mitchell described Institute undertakes a wide variety of research activi- the latest NHMRC grant. The NHMRC has been sup- ties, as outlined below. (Institute staff and afﬁ liates are porting the work of the Institute and its predecessor in bold.) since 1995 and this is the ﬁ fth occasion.

Grant Holders Austin, Reilly, Loxton, Chojenta, Milgrom Grant Holder Breakspear plus other Chief Investigators listed Granting Body Bupa Foundation Health Award Granting Body James F McDonnell Collaborative Gift Study Psychosocial assessment in the perinatal period: Chief Investigators McIntosh (Canada), Breakspear (Australia), Does it improve maternal health outcomes? Friston (UK), Ghilardi (USA), Jirsa (USA), Kötter Duration 2010-2012 ($248,075) (Germany), Lobaugh (Canada), McAndrews Grant Holders Austin (St John of God Health Care & UNSW) (Canada), Price (UK), Schiff (USA), Small Granting Body Central Sydney Division of General Practice (USA), Solodkin (USA), Sporns (USA), Strother Project Establishment of a perinatal mental health (Canada), Stuss (Canada), Tononi (USA), Zemel counselling service for women and infants in the (Canada) Sydney inner west region (dedicated perinatal Study Brain Network Recovery Group ATAPS funding) Duration 2006–2011 + 2 years subject to external review Duration 2010-2011 ($47,000) (US$1.3 million) Grant Holders Austin, Sullivan, Highet, Morgan, Mihalopoulos, Grant Holders Breakspear, Morley, Harris, Sammut, Goodhill, Croft Paxinos, Lovell, Knock, Lagopoulos, Malhi, Granting Body NHMRC Linkage grant with beyondblue Macefi eld Project The Australian perinatal mental health reforms: Granting Body Thinking Systems (Joint Australian Research Using population data to evaluate their impact Council and NHMRC special initiative) on service utilisation and related cost-effective- Study Optimising autonomous system control with ness brain-like hierarchical control Duration 2012-2014 ($1,009,140) systems Duration 2006–2011 ($3,300,00) Grant Holders Gallbally, Lewis, Buist, Austin Granting Body beyondblue National Priority Driven Research Grant Holders Clifford, Spehar, Breakspear Project Maternal and infant outcomes following antide- Granting Body National Health and Medical Research Council pressants exposure in pregnancy Project Grant Duration 2012-2014 ($216,000) Study Orientation-specifi c modulation in the human visual cortex Grant Holders King, Kildea, Austin Duration 2009-2011 ($279,250) Granting Body Canadian Institutes of Health Research Project QF2011: The effects of the Queensland Flood on Grant Holders Breakspear, McIntosh, Sporns, Jirsa et al. pregnant women, their pregnancies, and their Granting Body James S. McDonnell Foundation children's early development Study Brain Network Recovery Group Duration October 2011-2015 (1,790,000) Duration 2006–2011 ($287,000) Grant Holders McMahon, Austin, Jones, Rapee, Donald, Grant Grant Holder Brodaty, Low, Chenoweth, Fleming, Spitzer Granting Body NHMRC Project Grant Associates: Haas, Cohen-Mansfi eld, Norman, Study Maternal anxiety in pregnancy and infant King, Bell bio-behavioural regulation: Testing the foetal Granting Body NHMRC Project grant, application ID 568787 programming hypothesis Study Sydney multi-site intervention of LaughterBosses Duration 2010-2012 ($556,650) and ElderClowns (SMILE): A random controlled trial of humour therapy in residential care Grant Holders Parker, Mitchell, Malhi (Austin AI) Duration 2009-2011 ($819,938) Granting Body NHMRC Program Grant Study Perinatal mental health node: Identifying deter- Grant Holder Green minants of both the origins and the progression Granting Body ARC Future Fellowship of the depressive and bipolar (mood) disorders Study Imaging genetics in schizophrenia and bipolar Duration 2008-2012 ($158,335 for Perinatal mental disorder: Adjudicating neurocognitive endophe- health node) notypes Duration 2009-2013 ($700,000) page 66 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Grant Holder Maloney, Laurens, Green Grant Holders Parker, Mitchell, Wilhelm, Austin, Hadzi- Granting Body Rotary Mental Health Research Grant Pavlovic Study Identifying targets and timing for early interven- Granting Body NHMRC Program Grant tion: A NSW population record-linkage study Study Depressive and Bipolar Disorders: Evaluating to detect childhood indicators of risk for mental determinants of onset, recovery and treatment illness resistance Duration 2011-2012 ( $68,377) Duration 2008–2012 ($175,000) Grant Holder Green, Weickert, Mitchell, Schofi eld Grant Holders Kavanagh, Klein, Austin, Proudfoot, Kay-Lamb- Granting Body NHMRC Project Grant kin, Connor Study Imaging genetics in schizophrenia and bipolar Granting Body National Health and Medical Research Council disorder: Adjudicating neurocognitive endophe- Project Grant notypes Study A new online intervention for treating depression Duration 2010-2014 ($549,500) and alcohol misuse Duration 2009–2011 ($684,200) Grant Holder Loo Granting Body UNSW Gold Star Award Grant Holder Sachdev, Brodaty, Andrews Study A controlled trial of ketamine as an adjunctive Granting Body NHMRC Program Grant agent in ECT Study The prevention, early detection, and effective Duration 2011 ($40,000) management of neurocognitive disorders in the Grant Holder Loo elderly Granting Body UNSW Gold Star Award Duration 2010-2014 ($6,090,000) Study A comparative study of two forms of ECT: Stand- Grant Holder Sachdev, Brodaty, Andrews, Lord ard and ultrabrief pulsewidth Team Investigators: Trollor, Valenzuela, Ander- Duration 2011 ($40,000) son, Low, Withall, Menant. Grant Holders Loo, Schweitzer Granting Body NHMRC Capacity Building Grants in Population Granting Body National Health and Medical Research Council Health and Health Services Research Project Grant Study Prevention and management of mental disorders Study Improving outcomes with Electroconvulsive in older Australians Therapy Duration 2009-2013 ($2,352,525) Duration 2009-2011 ($408,600) Grant Holders Sachdev, Mather, Dusing Grant Holders Low, Brodaty, Jeon, Gresham Granting Body CSIRO Flagship Project Grant Granting Body Primary Dementia Collaborative Research Cen- Study Name SNP and CNV analysis of discordant neuropsy- tre (DCRC) Grant chiatric and brain imaging traits in twins from Study Identifying desirable outcomes and associated the Older Australians Twin Study (OATS) quality indicators in community care Duration 2011 ($100,380) Duration 2010-2011 ($35,361) Grant Holders Sachdev, Richmond, Kochan, Wen, Crawford Grant Holders Low, Todaro, Elias Granting Body NHMRC Project Grant Granting Body Department of Ageing, Disabilities & Home Study Name A cognitive and neuroimaging study of excep- Care Applied Research Grant tionally old age: Sydney Centenarian Study Study An untapped resource: Older CALD volunteers Duration 2010-2012 ($826,500) – understanding barriers and motivations to Grant Holders Sachdev, Martin, Ames, Schofi eld, Broe, volunteering in NSW Brodaty, Trollor, Wright, Wen, Halliday, Lee Duration 2010-2012 ($249,206) Granting Body NHMRC/ARC Strategic Award (AWAP Program) Grant Holders Miller, Martin, Mitchell, Berk Study Gene-environment interactions in healthy ageing Granting Body Defence Health Foundation Establishment and age-related neurodegeneration (Twin Study) Grant Duration 2007–2012 ($2,000,000) Study Investigating a visual test for bipolar disorder Grant Holders Valenzuela, Loo, Pujol, Djuric, Velakoulis, Yucel, Duration 2011 ($49,986) Dragunow Grant Holders Mitchell Granting Body NHMRC Program Grant Granting Body Lansdowne Foundation Study Role of neurogenesis in clinical recovery from de- Study Epigenetic study of young people at high-risk of pression during ECT: Application of a novel in vivo bipolar disorder magnetic resonance spectroscopy technology Duration 2011 ($66,000) Duration 2011-2013 ($505,312) Grant Holders Mitchell, Schofi eld, Parker, Breakspear Grant Holder Wilde, Mitchell, Meiser, Schofi eld Granting Body NHMRC Project Grant Granting Body beyondblue National Priority Driven Research Study Depressive and bipolar disorders: Causes, pre- Projects vention and treatment innovations Study Development of an interactive depression risk Duration 2013-2017 ($7,100,000) assessment and tailored preventive intervention for healthy young people at high genetic risk of Grant Holders Parker depression and bipolar disorder Granting Body Department of Health and Ageing Duration 2011-2013 ($200,000) Study Perinatal Omega-3 studies Duration 2009-2011 ($600,000) Grant Holder Butler, Levy, Kaldor, Al-Yaman, Wilhelm, Dod- son, Gray, Allsop Grant Holders Parker, Hadzi-Pavlovic, Manicavasagar Granting Body NHMRC Capacity Building Grant Granting Body NHMRC Project Grant Study From Broome to Berrima: Building Australia- Study A comparative clinical effi cacy trial of treatments wide research capacity in Indigenous offender for melancholia health and health care delivery Duration 2010–2012 ($374,250) Duration 2009-2014 ($2,740,728) Grant Holders Parker, Mitchell, Malhi and Associate Inves- Grant Holder Butler, Schofi eld, Greenberg, Weatherburn, tigators Wilhelm, Carr, D’Este, Mitchell Granting Body NHMRC Program Grant Granting Body NHMRC Partnership Project Grant Study Identifying determinants of both the origins and Study Reducing impulsive behaviour in repeat violent the progression of the depressive and bipolar offenders using a selective serotonin reuptake (mood) disorders inhibitor (Zoloft) Duration 2008-2012 ($5,883,133) Duration 2010-2014 ($1,033,120) page 67 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Research Publications The Institute prides itself on the quality and quantity of its research. Its research fi ndings are widely distributed to peer-reviewed professional and scientifi c publications, as well as to the general public via the media and fact sheets on our website. The Institute’s impressive research output during 2011 is listed below.

2011 Publications

Austin, M-P. & Highet, N. (2011). The beyondblue Clinical Practice Guidelines for Depression and Related Disorders — Anxiety, Bipolar Disorder and Puerperal The NHMRC grants were announced in late Psychosis — in the Perinatal Period. A December. Pictured (left to right) Professor Ehnvall, A., Mitchell, P., Hadzi-Pavlovic, Guideline for Primary Care Health Pro- Warwick Anderson (NHMRC), Professor D., Loo, C., Breakspear, M., Wright, A., fessionals Providing Care in the Peri- Peter Schofield, Professor Philip Mitchell, Roberts, G., Frankland, A. & Corry, J. natal Period, Melbourne. beyondblue: Federal Health Minister, Tanya Plibersek and (2011). Pain and rejection sensitivity in The National Depression Initiative. Professor Gordon Parker bipolar depression. Bipolar Disorders, Austin, M-P. Middleton, P. F., Highet, Cichon, S., Muhleisen, T. W., Degen- 13(1), 59-66. N. J., Middleton, P. F. & Highet, N. J. hardt, F. A., Mattheisen, M., Miro, X., Eyers, K. & Parker, G. (2011). Tackling (2011). Australian mental health reform Strohmaier, J., et al: [Mitchell 42/76 au- Depression at Work. A Practical Guide for perinatal care. Medical Journal of thors]. (2011). Genome-wide associa- for Employees and Managers. UK: Australia, 195(3), 112-113. tion study identifi es genetic variation Routledge. Baumeister, H. (2011). The importance in neurocan as a susceptibility factor Freyer, F., Roberts, J. A., Becker, R., of screening for depression in general for bipolar disorder. American Journal Robinson, P. A., Ritter, P. & Breakspear, practice. Acta Psychiatrica Scandinavi- of Human Genetics, 88(3), 372-381. M. (2011). Biophysical mechanisms of ca, 124(1), 75. Cooper, C., Katona, C., Lyketsos, K., multistability in resting-state corti- Blazer, D., Brodaty, H., Rabins, P., et al. Blignault, I., Manicavasagar, V., Chang, cal rhythms. Journal of Neuroscience, (2011). A systematic review of treat- O. A., Parker, G. (2011). Description 31(17), 6353-6361. and evaluation of a project to improve ments for refractory depression in Galvez, V., Alonzo, A., Martin, D., Mitch- the identifi cation and management of older people. American Journal of ell, P., Sachdev, P. & Loo, C. K. (2011). mood disorders in developing coun- psychiatry, 168(7), 681-688. Hypomania Induction in a patient with tries. Australasian Psychiatry, 18(5), Delmas, K., Proudfoot, J., Parker, G. & bipolar II disorder by transcranial di- 460-464. Manicavasagar, V. (2011). Recoding rect current stimulation (tDCS). Journal past experiences: A qualitative study Bonevski, B., Bowman, J., Richmond, of ECT, 27(3), 256-258. R., Bryant, J., Wye, P., Stockings, E., of how patients and family members Green, M. J., Lino, B. J., Hwang, E. J., Wilhelm, K., Butler, T., Indig, D & adjust to the diagnosis of bipolar Sparks, A., James, C. & Mitchell, P. Wodak, A. (2011). Turning of the tide: disorder. Journal of Nervous & Mental (2011). Cognitive regulation of emo- Changing systems to address smok- Disease, 199(2), 136-139. tion in bipolar I disorder and unaffect- ing for people with a mental illness. Dodd, S., Malhi, G. S., Tiller, J., Sch- ed biological relatives. Acta Psychiat- Mental Health and Substance Use, 4(2), weitzer, I., Hickie, I., Khoo, J. P., Bassett, rica Scandinavica, 124(4), 307-316. 116-129. D. L., Lyndon, B., Mitchell, P. B., Parker, Harris, M. F., Jayasinghe, U. W., Chan, Boonstra, T. W. & Breakspear, M. G., Fitzgerald, P. B., Udina, M., Singh, A., B. C., Proudfoot, J., Crookes, P., Zwar, (2011). Neural mechanisms of inter- Moylan, S., Giorlando, F., Doughty, C., N., et al. (2011). Patient and practice muscular coherence: Implications for Davey, C. G., Theodoros, M. & Berk, M. characteristics predict the frequency the rectifi cation of surface electromyo- (2011). Safety monitoring guidelines of general practice multidisciplinary graphy. Journal of Neurophysiology, for the treatments for major depres- referrals of patients with chronic dis- (online). sive disorder. Abstracts from the 2011 Australasian Society for Psychiatric eases: A multilevel study. Health Policy, Breakspear, M. & McIntosh, A. R. Research Conference, 48 101(2), 140-145. (2011). Networks, noise and models: Harrison, V., Proudfoot, J., Wee, P. P., Reconceptualizing the brain as a com- Dodd, S., Malhi, G. S., Tiller, J., Sch- Parker, G., Pavlovic, D. H. & Mani- plex, distributed system. NeuroImage, weitzer, I., Hickie, I., Khoo, J. P., Bassett, cavasagar, V. (2011). Mobile mental 58(2), 293-295. D. L., Lyndon, B., Mitchell, P. B., Parker, G., Fitzgerald, P. B., Udina, M., Singh, health: Review of the emerging fi eld Carney, S., Gazarian, M., Denholm, J., A., Moylan, S., Giorlando, F., Doughty, and proof of concept study. Journal of Reith, D., Penhall, R., Jenkins, C., Wil- C., Davey, C. G., Theodoros, M. & Berk, Mental Health, 20(6), 509-524. helm, K. A., Komesaroff, P. A., Osborn, M. (2011). A consensus statement for Hegarty, B. D. & Parker, G. (2011). M. M. & Day R.O. (2011). What’s in safety monitoring guidelines of treat- Marine omega-3 fatty acids and mood a name? Brand name confusion and ments for major depressive disorder. disorders: Linking the sea and the soul. generic medicines. Medical Journal of Australian & New Zealand Journal of ‘Food for Thought’ I. Acta Psychiatrica Australia, 195, 650-651. Psychiatry, 45(9), 712-725. Scandinavica, 124(1), 42-51. page 68 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Kay-Lambkin, F. J., White, A., Baker, A. Mallarkey, G. & Mitchell, P. B. (2011). Ngo, T. T., Mitchell, P., Martin, N. G. L., Kavanagh, D. J., Klein, B., Proudfoot, Looking at the causes of, and possible & Miller, S. M. (2011). Psychiatric and J., et al. (2011). Assessment of func- treatments for, psychiatric diseases: genetic studies of binocular rivalry: An tion and clinical utility of alcohol and Gene-environment interactions, circa- endophenotype for bipolar disorder? other drug web sites: An observational, dian rhythms and neuronal dysfunc- Acta Neuropsychiatrica, 23(1), 37-42. qualitative study. BMC Public Health, tion. Therapeutic Advances in Chronic Nurnberger, J. I., McInnis, M., Reich, 11, 277. Disease, 2(1), 5-8. W., Kastelic, E., Wilcox, H. C., Glowinski, Kochan, N. A., Breakspear, M., Valen- Manicavasagar, V., Parker, G. & Perich, A., Mitchell, P. et al. (2011). A high-risk zuela, M., Slavin, M. J., Brodaty, H., T. (2011). Mindfulness-based cognitive study of bipolar disorder childhood Wen, W., et al. (2011). Cortical re- therapy versus cognitive behaviour clinical phenotypes as precursors of sponses to a graded working memory therapy as a treatment for non-melan- major mood disorders. Archives of challenge predict functional decline in cholic depression. Journal of Affective General Psychiatry, 68(10), 1012-1020. mild cognitive impairment. Biological Disorders, 130(1-2), 138-144. Parker, G. (2011). Classifying clinical Psychiatry, 70(2), 123-130. Manicavasagar, V., Perich, T. & Parker, depression: An operational proposal. Kochan, N. A., Valenzuela, M., Slavin, G. (2011). Cognitive predictors of Acta Psychiatrica Scandinavica, 123(4), M. J., McCraw, S., Sachdev, P. S., change in cognitive behaviour therapy 314-316. Breakspear, M., et al. (2011). Impact and mindfulness-based cognitive Parker, G. (2011a). The Happy Life. of load-related neural processes on therapy for depression. Behavioural Quarterly Essay, 42, 86-90. feature binding in visuospatial working and Cognitive Psychotherapy, FirstView, Parker, G. (2011b). My favourite teacher memory. PLoS ONE, 6(8), e23960. 1-6. – Schoolyard swings and roundabouts. Langdon, A. J., Boonstra, T. W. & Martin, D. M., Alonzo, A., Mitchell, UNSW Press, 51-53. Breakspear, M. (2011). Multi-frequency P., Sachdev, P., Galvez, V. & Loo, C. K. Parker, G. (2011). Clinical differentiation phase locking in human somatosen- (2011). Fronto-extracephalic tran- of bipolar II disorder from personality- sory cortex. Progress in Biophysics & scranial direct current stimulation as based “emotional dysregulation” con- Molecular Biology, 105(1-2), 58-66. a treatment for major depression: An ditions. Journal of Affective Disorders, open-label pilot study. Journal of Affec- Loo, C., Greenberg, B. & Mitchell, P. 133(1-2), 16-21. (2011). Non-pharmacotherapeutic tive Disorders, 134(1-3), 459-463. Parker, G. (2011). Downing street blues: somatic treatments for bipolar disorder Mehrkanoon, S., Breakspear, M., A history of depression and other (ECT, DBS, rTMS) In H. Manji & C. Zarate Daffertshofer, A. & Boonstra, T. W. mental affl ictions in British prime min- (Eds.), Behavioral Neurobiology of Bipolar (2011). Generalized time-frequency isters. American Journal of Psychiatry, Disorder and Its Treatment (pp. 285-302). coherency for assessing neural interac- 168(7), 753-754. Berlin: Springer Verlag. tions in electrophysiological record- Parker, G. (2011). Bipolar II disorder- Loo, C., Katalinic, N., Mitchell, P. & ings. Nature Precedings, (online). -diagnostic and management lessons Greenberg. (2011). Physical treat- Mitchell, P. (2011). Can we predict who for health practitioners from a coronial ments for bipolar disorder: a review of will develop bipolar disorder? Abstracts inquest. Medical Journal of Australia, electroconvulsive therapy, stereotactic from the 2011 Australasion Society for 195(2), 81-83. surgery and other brain stimulation Psychiatric Research Conference, 48. Parker, G., Blanch, B. & Crawford, J. techniques. Journal of Affective Disor- Mitchell, P., Hadzi Pavlovic, D. & Loo, C. (2011). Does gender infl uence re- ders, 132(1-2), 1-13. (2011). Course and outcome of bipolar sponse to differing psychotherapies Loo, C., Kavess, R., Alonzo, A., Rendina, disorder, in H. Manji & C. Zarate (Eds.), by those with unipolar depression? N. & Trollor, J. (2011). Response to Behavioral Neurobiology of Bipolar Journal of Affective Disorders, 130(1-2), “NSW Law, ECT and DBS”. Australasian Disorder and Its Treatment (pp. 1-18). 17-20. Psychiatry, 19(1), 83. Berlin: Springer Verlag. Parker, G., Blanch, B., Fletcher, K. & Loo, C. K., Mahon, M., Katalinic, N., Mitchell, P. (2011). Ask the experts: Greenfi eld, L. (2011). Evaluating the Lyndon, B. & Hadzi-Pavlovic, D. (2011). How are we currently dealing with utility of a bipolar self-test screening Predictors of response to ultrabrief bipolar disorder and what changes measure. Australasian Psychiatry, 19(4), right unilateral electroconvulsive are occurring? Neuropsychiatry, 1(6), 317-320. therapy. Journal of Affective Disorders, 533-536. Parker, G. & Brotchie, H. (2011a). ‘D’ 130(1-2), 192-197. Mitchell, P., Frankland, A., Hadzi-Pav- for depression: Any role for vitamin D?: Loo, C. K., Martin, D. M., Alonzo, A., lovic, D., Roberts, G., Corry, J., Wright, ‘Food for Thought’ II. Acta Psychiatrica Gandevia, S., Mitchell, P. & Sachdev, P. A., Loo, C. K. & Breakspear, M. (2011). Scandinavica, 124(4), 243-249. (2011). Avoiding skin burns with tran- Comparison of depressive episodes in scranial direct current stimulation: Pre- bipolar disorder and in major depres- Parker, G. & Brotchie, H. (2011b). liminary considerations. International sive disorder within bipolar disorder Medical career selection: What is the Journal of Neuropsychopharmacology, pedigrees. British Journal of Psychiatry, psychological ‘right stuff’ for the future 14(3), 425-426. 199, 303-309. anaesthetist? CPD Anaesthesia, 12(1), 29-33. Malhi, G. S., Coulston, C. M., Parker, G., Mitchell, P., Levy, F., Hadzi-Pavlovic, D., Cashman, E., Walter, G., Lampe, L. A. & Concannon, P. E., Hutchins, P., Mulcahy, Parker, G. & Brotchie, H. (2011c). Mood Vollmer-Conna, U. (2011). Who picks D. L., et al. (2011). Practitioner charac- effects of the amino acids tryptophan psychiatry? Perceptions, preferences teristics and the treatment of children and tyrosine. Acta Psychiatrica Scandi- and personality of medical students. and adolescents with attention defi cit navica, 124(6), 417-426. Australian and New Zealand Journal of hyperactivity disorder. Journal of Paedi- Parker, G., Brotchie, H. & Hyett, M. Psychiatry, 45(10), 861-870. atrics and Child Health, (online). (2011). Tolerance to desvenlafaxine in rapid metabolizing depressed patients. International Clinical Psychopharma- cology, 26(2), 84-87. page 69 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Parker, G. & Fletcher, K. (2011). Debate: Richmond, R. L., Wilhelm, K. A., Indig, Sklar, P., Ripke, S., Scott, L. J., Andreas- What’s the evidence for the evidence- D., Butler, T. G., Archer, V. A. & Wodak, sen, O. A., Cichon, S., Craddock, N., based treatments of depression. A. D. (2011). Cardiovascular risk among [Mitchell, P.] et al. (2011). Large-scale Psychiatric Times, Sept, 14-18. Aboriginal and non-Aboriginal smok- genome-wide association analysis Parker, G., Fletcher, K., Barrett, M., ing male prisoners: Inequalities com- of bipolar disorder identifi es a new Breakspear, M. & Rees, A. M. (2011). pared to the wider community. BMC susceptibility locus near ODZ4. Nature Evaluating the fi rst 1000 patients re- Public Health, 11. Genetics, 43(10), 977-U162. ferred to a specialist depression clinic: Roberts, G., Green, M., Breakspear, M., Stewart, P., Loo, C., MacPherson, R., A case for tertiary referral facilities. McCormack, C., Frankland, A., Wright, Hadzi-Pavlovic, D. (2011). The effect of Journal of Affective Disorders, 131(1-3), A., et al. (2011). Reduced frontal brain electrode placement and pulsewidth 52-58. activation during emotion inhibition on asystole and bradycardia during Parker, G., Fletcher, K., Barrett, M., Syn- in young people at genetic risk of the electroconvulsive therapy stimulus. nott, H., Breakspear, M., Rees, A. M., developing bipolar disorder. Abstracts International Journal of Neuropsychop- Blanch, B. (2011). The impact of detect- from the 2011 Australasion Society for harmacology, 14(5), 585-594. ing bipolar disorder in previously diag- Psychiatric Researh Conference, 48. Teesson, M., Mitchell, P., Deady, M., nosed unipolar patients at a specialist Robinson A, Y. W., Verduyn C, Smith Memedovic, S., Slade, T. & Baillie, A. depression clinic. Journal of Nervous & P, Proudfoot J, Abeles P. (2011). (2011). Affective and anxiety disorders Mental Disease, 199(6), 419-422. “Stressbusters”: The development of and their relationship with chronic Parker, G., Hyett, M., Hadzi-Pavlovic, a computerised CBT programme for physical conditions in Australia: Find- D., Brotchie, H., Walsh, W. (2011). GAD adolescent depression. Association for ings of the 2007 National Survey of is good? Generalized anxiety disorder Child and Adolescent Mental Health Mental Health and Wellbeing. Aus- predicts a superior fi ve-year outcome Occasional Papers, 30, 45-50. tralian and New Zealand Journal of following an acute coronary syndrome. Rubinov, M. & Bassett, D. S. (2011). Psychiatry, 45(11), 939-946. Psychiatry Research, 188(3), 383-389. Emerging evidence of connectomic Vercammen, A., Rushby, J., Loo, C., Parker, G., Hyett, M., Walsh, W., Owen, abnormalities in schizophrenia. Journal Short, B., Weickert, C. & Weickert, C., Brotchie, H. & Hadzi-Pavlovic, D. of Neuroscience, 31(17), 6263-6265. T. (2011). Transcranial direct current (2011). Specifi city of depression fol- Rubinov, M., Sporns, O., Rubinov, M. & stimulation (TDCS) infl uences proba- lowing an acute coronary syndrome Sporns, O. (2011). Weight-conserving bilistic association learning in people to an adverse outcome extends over characterization of complex functional with schizophrenia. Schizophrenia Bul- fi ve years. Psychiatry Research, 185(3), brain networks. NeuroImage, 56(4), letin, 37, 231-232. 347-352. 2068-2079. Walter, G., Rey, J., Ghaziudding, N. Parker, G. & Hyett, M. (2011). Measure- Rubinov, M., Sporns, O., Thivierge, & Loo, C. (2011). Electroconvulsive ment of well-being in the workplace: J.-P. & Breakspear, M. (2011). Neuro- therapy, transcranial magnetic stimula- The development of the work well-be- biologically realistic determinants of tion and vagus nerve stimulation. In ing questionnaire. Journal of Nervous self-organized criticality in networks of A. Martin, L. Scahill & C. Kratcochvil and Mental Disease, 199 (6), 394-397. spiking neurons. PLoS Computational (Eds.), Pediatric Psychopharmacology: Principles and Practice (2nd ed.). New Perich, T., Manicavasagar, V., Mitchell, Biology, 7(6), e1002038. York: Oxford University Press. P. B. & Ball, J. R. (2011). Mindfulness, Rushby, J. A., Vercammen, A., Loo, C., response styles and dysfunctional at- Short, B., Weickert, C. S. & Weickert, T. Wilde, A., Meiser, B., Mitchell, P., Hadzi- titudes in bipolar disorder. Journal of W. (2011). Frontal and parietal con- Pavlovic, D. & Schofi eld, P. (2011). Affective Disorders, 134(1-3), 126-132. tributions to probabilistic association Community interest in predictive genetic testing for susceptibility to major Proudfoot, J., Doran, J., Manicavasagar, learning. Cerebral Cortex, 21(8), 1879- depressive disorder in a large national V., Parker, G. (2011). The precipitants 1888. sample. Psychological Medicine, 41(8), of manic/hypomanic episodes in the Schultze-Kraft, M., Becker, R., Break- 1605-1613. context of bipolar disorder: A review. spear, M. & Ritter, P. (2011). Exploiting Journal of Affective Disorders, 133(3), the potential of three dimensional spa- Wilde, A., Meiser, B., Mitchell, P. & 381-387. tial wavelet analysis to explore nesting Schofi eld, P. (2011). Community attitudes to genetic susceptibility-based Proudfoot, J., Klein, B., Barak, A., of temporal oscillations and spatial mental health interventions for healthy Carlbring, P., Cuijpers, P., Lange, A., et variance in simultaneous EEG-fMRI people in a large national sample. al. (2011). Establishing guidelines for data. Progress in Biophysics & Molecu- Journal of Affective Disorders, 134(1-3), executing and reporting internet inter- lar Biology, 105(1-2), 67-79. 280-287. vention research. Cognitive Behaviour Seeher, K., Low, L., Reppermund, S. & Therapy, 40(2), 82-97. Brodaty, H. (2011). Depression in carers Wilde, A., Meiser, B. Mitchell, P. & Schofi eld, P. (2011). Portrayal of psychi- Reppermund, S., Brodaty, H., Crawford, of people with mild cognitive impair- atric genetics in Australian print news J. D., Kochan, N. A., Slavin, M. J., Trollor, ment – A systematic literature review. media, 1996–2009. The Medical Journal J. N., et al. (2011). The relationship of Absracts from the 2011 Australasion of Australia, 195(7), 401-404. current depressive symptoms and past Society for Psychiatric Research, 48. depression with cognitive impairment Segan, C. J., Borland, R., Wilhelm, K. Withall, A., Brodaty, H., Altendorf, A. and instrumental activities of daily A., Bhar, S. S., Hannan, A. T., Dunt, D. & Sachdev, P. (2011). A longitudinal living in an elderly population: The R., et al. (2011). Helping smokers with study examining the independence of Sydney memory and ageing Study. depression to quit smoking: Collabora- apathy and depression after stroke: Journal of Psychiatric Research, 45(12), tive care with Quitline. Medical Journal The Sydney Stroke Study. International 1600-1607. of Australia, 195(3), S7-S11. Psychogeriatrics, 23(2), 264-273.

page 70 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Conference Presentations & Educational Meetings

Month Event Name Presentation Location Presenter International January 37th Annual Convention of the The Elephant on the Couch: The Hazards of Cebu, Philippines Parker Philippine Psychiatric association, Psychotherapy Inc and 6th Congress of the Asia-Paciﬁ c Association of Psychotherapists January 37th Annual Convention of the My Compass Program for Monitoring and Cebu, Philippines Parker Philippine Psychiatric association, Managing Mild to Moderate Depression, Anxiety Inc and 6th Congress of the and Stress: The Black Dog Institute Experience Asia-Paciﬁ c Association of Psychotherapists June Brain connectivity workshop Recovery from hypoxia Montreal, Canada Breakspear June Human Brain Mapping Annual Scale free cortical dynamics Quebec, Canada Breakspear Meeting July 16th Malaysian Conference of Six-hour Black Dog Institute Program for GPs Kuala Lumpur, Parker Psychological Medicine Malaysia

July 16th Malaysian Conference of Keynote Speaker: The Mood Disorders and Their Kuala Lumpur, Parker Psychological Medicine Management – A Model Malaysia

August Shanghai Mental Health Centre Genetic testing for depression Shanghai, China Mitchell August Harbin Medical University Hospital Can we predict who will develop bipolar Harbin, China Mitchell disorder? August Daqing Mental Health Hospital Update on the treatment of bipolar disorder Daqing, China Mitchell (afﬁ liated with Harbin Medical University) August Harbin Medical University Genetic testing for depression Harbin, China Mitchell August Tianjin Medical University Genetic testing for depression Tianjin, China Mitchell August Institute of Mental Health, Peking Can we predict who will develop bipolar Beijing, China Mitchell University disorder? September World Congress of Psychiatric Reduced inferior frontal gyrus activation Washington DC, USA Mitchell Genetics with emotional inhibition in young people at increased risk to bipolar disorder October International Conference of Affec- Diagnostic entities in depression Tokyo, Japan Parker tive Disorders December Arthur M Sackler Colloquia of the The Impact of Prenatal Experience and the Irvine, USA Austin, Grant, National Academy of Science Postnatal Caregiving Environment on Infant McMahon, Development (Poster) Reilly, Leader December Australasian Society for Psychiatric Plenary Lecture: Can we predict who will develop Dunedin, New Mitchell Research Annual Conference bipolar disorder? Zealand December Australasian Society for Psychiatric Safety Monitoring Guidelines for the Treatments Dunedin, New Mitchell, Research Annual Conference of Major Depressive Disorder Zealand Parker December Australasian Society for Psychiatric Reduced Frontal Brain Activation During Dunedin, New Breakspear, Research Annual Conference Emotion Inhibition in Young People at Genetic Zealand Hadzi- Risk of Developing Bipolar Disorder Pavlovic, Mitchell December Australasian Society for Psychiatric Depression in Carers of People with Mild Dunedin, New Brodaty Research Annual Conference Cognitive Impairment – A Systematic Literature Zealand Review National March Australian Doctor Education Greying of the Black Dog: Managing Depression Sydney Parker Seminar and Ageing March Part 0 – An Induction to Mental Health Sydney Parker Anaesthesia Conference March Part 0 – An Induction to Happiness Sydney Parker Anaesthesia Conference March UNSW Alumni Brainfood Series Navigating the Maze: Understanding Mood Sydney Parker 2011 Disorders in Adolescents and Young People (Facilitator) March UNSW Brain Sciences Symposium Brain stimulation – a tool for treating psychiatric Sydney Loo ‘Brain Stimulation’ disorders March Year 1 PCP Students (NSW Institute Modelling and Managing Mood Disorders – The Sydney Parker of Psychiatry) Importance of Classiﬁ cation April 15th Annual Conference of the Perinatal mental health policy and service Hobart Austin Perinatal Society of Australia and development in Australia: National Clinical New Zealand Practice Guidelines for Depression and Related Disorders (Anxiety, Bipolar and Puerperal Psychosis) in the Perinatal Period April 15th Annual Conference of the New mothers and depressive disorders Hobart Austin, Reilly Perinatal Society of Australia and New Zealand April First National Symposium on A high-risk longitudinal study of bipolar disorder Canberra Mitchell Translational Psychiatry

page 71 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Month Event Name Presentation Location Presenter April NSW Bipolar Disorder Support Can we predict who will develop bipolar Sydney Mitchell Group disorder? April NSW Schizophrenia Fellowship Update on bipolar disorder: treatment and Sydney Mitchell Annual Conference causes April Prince of Wales Hospital Psychiatry Can we predict who will develop bipolar Sydney Mitchell In-Service Presentation disorder? April Moderator – 2011 AstraZeneca Sydney Parker Neuroscience Symposium April School of Psychiatry Academic Differentiating Bipolar Disorder from Personality BDI – Randwick Parker Forum Disorders with Emotional Dysregulation May AstraZeneca GP Dinner Meeting In search of melancholia – and in search of Sydney Parker melancholics May Sydney GPCE Conference The signs of happiness and wellbeing Sydney Parker

June CSIRO workshop on complex Brain Networks Canberra Breakspear systems June Astra Zeneca Continuing Education Lithium: an oldie but a goodie Sydney Mitchell Meeting June Pharmacy Expo Depression through the ages Sydney Mitchell

June AstraZeneca GP Dinner Meeting The Importance of Identifying Melancholic Sydney Parker Depression June Psychiatry Clinical Controversies Lessons learned from the British Prime Minister’s Sydney Parker disease June RANZCP Congress Putting the MAP on the Clinical Psychiatrist’s Darwin Parker Diagnostic Map June CeBIT Conference mHealth: Darling Harbour, Proudfoot Innovation in Mental Health Sydney June Orygen Youth Health Research Mobile Phone Interventions for Mental Health: Melbourne Proudfoot Colloqium Overview of the Emerging Field and Preliminary Trial of a New Program July Westmead Hospital Psychiatry Recent advances in Treatments for Depression Sydney Loo Grand Rounds July Northern Rivers Psychiatry Perinatal Psychiatry: Who, when, where? Surry Hills, Sydney Austin Network July Early Childhood Clinic Nurses Perinatal Mental Health Sydney Austin Educational Meeting July Australian Society for Psychosocial Clinical Practice Guidelines for Depression and Adelaide Austin Obstetrics and Gynecology Related Disorders - Anxiety, Bipolar Disorder and Conference Puerperal Psychosis - in the Perinatal Period July Complex Case Review, POW Mood Swings – When Personality Dysregulation Randwick Parker Hospital and When Bipolar Disorder?

July UNSW School of Psychiatry Can we predict who is at risk for bipolar Sydney Mitchell Academic Meeting disorder? July Australian Neurolaw Workshop SSRI antidepressants and other physical Sydney Mitchell hosted by Macquarie University treatments for criminal behaviour Departments of Philosophy and Law July Queensland RANZCP CME Update on the treatment of bipolar disorder. Kingscliff, NSW Mitchell conference

August St George Hospital Grand Rounds New Treatments in Depression – Ketamine Sydney Loo

August The Sutherland Hospital, Grand New Treatments in Depression Sydney Loo Rounds August Pﬁ zer GP Dinner Meeting Feedback from American Psychiatric Association Sydney Parker Conference 2011

August Lundbeck Institute Alumni Meeting The role of anti-depressants in the management Melbourne Parker of Bipolar Mood Disorder II

September St John of God Burwood, Grand Update on Electroconvulsive Therapy Sydney Loo Rounds page 72 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Month Event Name Presentation Location Presenter September Australasian Medical Writers DSM-V: Are the sequels getting worse? North Sydney Parker Association 28th Annual Conference September Australian Society of Anaesthetists Invited symposium speaker: Strategies for Sydney Loo National Scientiﬁ c Congress Optimising ECT September TMF Risk Management Conference Managing mental health at work – addressing Sydney Parker & Awards the mental health needs across the generations

September Australian Society of Anaesthetists Strategies for Optimising ECT Sydney Loo National Scientiﬁ c Congress October Queensland Mental Health New Brain Stimulation Treatment and ECT Brisbane Loo Symposium: An update on ECT

October Australasian Society for Bipolar Optimising ECT: The importance of stimulus Sydney Loo Disorders Conference parameters

October Australasian Society for Bipolar Novel Brain stimulation – what is the Sydney Loo Disorders Conference therapeutic potential?

October Rotary Club of Lane Cove – Dinner An overview of mood disorders Lane Cove Parker

October ESDGP & Sydney Hospital Clinical Early detection of bipolar disorder Sydney, Parker Meeting October Woollahra Council Luncheon Depression in the Workplace: Strategies for Woollahra Parker Managers October ASBD Conference e-Mental Health Internationally and in Australia: Sydney Proudfoot Where is the Field Currently and What Lies Ahead? October Marce NHMRC Guidelines Fremantle Austin

October Perinatal Mental Health Update An Evening with Professor Marie-Paule Austin St George Leagues Austin, Club Kennedy October GP NSW Conference The Central Sydney GP Network and St John of Sydney Austin, Frost God Health Care Perinatal ATAPS Initiative - Two Approaches October Marce Validation of the Postnatal Risk Questionnaire: Fremantle Austin, A pilot study Smith, Reilly, Chavasse October Marce Perinatal Pathways: Psychosocial risk, help Fremantle (WA) Austin, seeking behavior and Service utilisation Schmied, Johnson, Mills, Matthey, Kemp, Covic October Australasian Society for Bipolar Keynote address: Can we predict who will Sydney Mitchell and Depressive Disorders develop bipolar disorder? Conference October Australasian Association for Invited symposium presentation: Can we predict Sydney Mitchell Behavioural and Cognitive who will develop bipolar disorder? Therapies Conference November NSW Mental Health Advocacy Electroconvulsive Therapy and NSW Health Sydney Loo Service Training Day Guidelines

November Complex Case Review, My day in Court was Supreme indeed Randwick, Parker POW Hospital November Perinatal Mental Health The epidemiology of severe perinatal mood Rydges Parramatta Austin Conference disorders: a data linkage study November St George GP Network Teaching Psychiatry teaching classes Sydney Austin

November NHMRC 75th Anniversary Invited presentation: Can we predict who will Canberra Mitchell Symposium develop bipolar disorder? November Clinical School, Nepean Hospital Can we predict who will develop bipolar Nepean Hospital Mitchell disorder? December Royal Australia and New Zealand Mother infant attachment Sydney Austin College of Psychiatry NSW Branch Teaching: Psychiatry registrar masterclass

page 73 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Black Dog Institute Donations & Bequests For calendar year 2011

It is estimated that there are some 600,000 community capacity across this big country requires support from sector organisations – sometimes also labelled as the many quarters such as governments, statutory bod- ‘not-for-proﬁ t’ sector – in Australia. ies, sponsors and donors, the corporate community, philanthropic individuals and other organisations. The Black Dog Institute is one such organisation in this category and for the past 10 years we have built The Institute is most appreciative of this generosity a reputation as one of the leading bodies helping and in the case of donors and sponsors will continue people with mood disorders, such as depression and to recognise donations of $100 or more in its Annual bipolar disorder. Report. It will also continue to use the Donor Board in our reception area to acknowledge particularly sig- Our ambitious goal is to make our services and pro- niﬁ cant donations, sponsorships and bequests from grams available to all Australians. Building scale and individuals and organisations.

$50,000 & above $100–$9,999 Ausgrid Bedoba Holdings Pty Ltd Australasian Association of Beer Importers & Distributors Clinical Biochemists Pty Ltd Berg Family Foundation Pty Ltd A Australian & New Zealand Bega Cheese The Qantas Foundation Mary Abbey College of Anaesthetists Bellara Physiotherapy Pty Ltd The Lansdowne Foundation Pty Ian & Carolyn Abbott Australian Society of Ltd Natalie Berney Carmel Abbott Anaesthetists Limited BHP Billiton Ablos Pty Ltd Australian Writers Guild Bingara Central School Accord Pty Ltd Emma Ayres $10,000–$49,999 Black Dog Racing Foundation Ltd Ace Events B Nicholas Blain Hunt Specialised Transport Neville Adcock Marion & Kathy Bagot Philippa Blamires Hunter Hall International Limited Adcombe Pty Ltd T/A Cornetts Valerie Balagengadaran Blanch Towers Lawyers Peter Joseph P/L Andrew Balint James Blomfi eld Keith & Maureen Kerridge Aecom Australia Pty Ltd John Balint Colin Bloomfi eld Macquarie Group Foundation AIM Training Greg Barker William Bonney Programmed Integrated Andrew Aitken Warwick Barnes David Bottomley Workforce Simone Albiston & Family Barrenjoey High School Junior Mrs Andrea Bowden & Family QBE Foundation Alceon Group Limited SRC David Bowles Roth Charitable Foundation All Phase Electrical Greg Baxter Bowra Hotel The Bluesand Foundation Apex Riverina District Bazatsea Bowral Rugby Club Inc Asset Collateralized Entity Ltd Karl Beckman page 74 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Vince Bradley Greg Davies Vera Handelsmann Kate Adams & Bart Penson Richard Brasher Ric Day Robyn Hansen-Smith Joshua Kelly Break Thru – Rockdale Glenda Dean Ian Hardiman Kelvin Grove Wind Orchestra Bribie Island Stationery & Offi ce Peter Deering K & J Hardwick Melissa Kennedy Supplies Janet Dempsey Matthew Hare Miranda Kerr Bribie Pools & Spa Centre Phillip Dernee Adam & Kate Harley Jasper Kim Raymond Bridgewater D & D Dixon Bianca Harris James Kissell Drs Ruth & Desmond Bright Elliot Doughty Catherine Harris Ms Alison Knox Brisbane Airport Corp. Pty Ltd Dowle Investments Jim Harris Troye Kyte Josh Brock Christine Dowling Hartmann & Associates L Graham Brock Mr Pat Downes Hash House Harriers Mackay John Brown Dunlop Foams Barrie & Joan Hastings Ladies at Northbridge Golf Club Lyn Buchanan E David Hastings Mr Peter Laird Budget Forklifts Matt Hayward Earth Plant Hire P/L Aaron & Robyn Lamont Brett Burridge Graham Heathcote Luke Easey Paul & Alexis Lamont Cheryl & Alfredo Bustos Vince Hebbard Employers Mutual Limited Paul Lamphee Herefords WA Inc C Entertainment Publications of Allan Lane C C’s Hotel Australia Pty Ltd Tony Hill Lauders Real Estate Lisa Calder EvansPetersen Healthcare Hilmer Family Foundation RB & CJ Leece Caltex Bribie Island F Rex Hoeben Gerry Lenihan Matt Holt Emily Calvert Grahame Feletti Graham Lennon Home Owner Mortgage Mr Peter Campbell Jenn Feray Leppington Pastoral Company Enhanced Securities Ltd Pty Ltd Campbell Hotels P/L Files Stibbe Lawyers Honeybees Choir Jeff Leyonhjelm Lliam Caulfi eld Aimee Fitch Mr Graham Horton Caryl & Paddy Lightfoot Chargrill Charlie’s Wahroonga Bruce Fitch Hotham Cruisers Bee Hua Lim Charities Aid Foundation Fleet Network Pty Ltd Caroline Hu Lions Club Castle Hill Cherrybrook Technology High Flexi-Foam Pty Ltd School Coffee Shop Daniel Hughes Lions Club of Alice River Mary & Morry Frenkel Cherrybrook Technology High Gerry & Jenny Hughes Lions Club of Balranald Simon Frenkel School SRC Lachlan & Sylvaine Hughson Lions Club of Bathurst Inc Geoff Chisholm G Humble Beginnings Money Box Lions Club of Boddington Peter Clarke Galaxy Resources Limited Greg Hunt Lions Club of Boyne Island Amanda Clarke Rita Galea Murray Hunt Lions Club of Carnamah Classic Clarinets Wes & Judith Galletly David Hutton Lions Club of Castle Hills Coffey International Ltd Geoff Gallop Hynam Pty Ltd Lions Club of Charters Towers Inc Colibri Pty Ltd Galston Garden Club I Lions Club of Clare Dawn Collins Gavagna & Aguggia Families IB Consulting Lions Club of Claremont Jan Comas George George Nedlands Inc IBM Australia Limited Ron Cook Blake Giarola Lions Club of Cloncurry IMAC Injury Management PS & HJ Cook Bert Gibson Lions Club of Coober Pedy Paul Irving Coonara Probus Girvan Waugh Lions Club of Coogee Paul Cosgrave Glen Helen Resort J Lions Club of Cowaramup J2 Recruitment Pty Ltd Michael Cowley Glennane Retail Pty Ltd Lions Club of Cowra Inc Greg Jacobs Tracey Cragg & Family Gloucester Probus Lions Club of Darwin Nightcliff Ruth James Catherine Craig Goldman Sachs Lions Club of Dubbo Macquarie James N Kirby Foundation Inc Monisha Craig Steven Goodwin Jameson & Associates Lions Club of Kalamunda Tom Cross GP Information Services Brian & Diane Jeffrey Lions Club of Kellyville Crowley & Grouch Imports Rowena & Richard Graham Johnson & Johnson Medical Pty Lions Club of Kalgoorlie Brian Cumins Graham Grayson Ltd Lions Club of Lithgow Inc Catherine Cunningham Mrs T Green Matthew Johnstone Lions Club of Mannum Greg Cuthbert Leah Greengarten Michael Jones Lions Club of Maryborough Dr James Griffi ths D Dr Robert Jones & Family Lions Club of Morgan Ann Groat Peter Dahl Jasmine Jordan Lions Club of Merredin Inc Dandenong Chapter – Harley H Caroline Jordan Lions Club of Norseman Owners Group Habib Bros Truck & Car Smash Lions Club of Parndana Western Suzanne D’Arney Repairs K Kangaroo Island P G Kaleski Phil Davies David Halligan & Family Lions Club of Penrith Jeffrey Kamins page 75 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Lions Club of Tennant Creek Mosman Municipal Council Sanwa Pty Ltd Mr Alex Thorpe Lions Club of Townsville Mudgee Rugby Union Club Garry Sargent Tims Tyres & Auto Pty Ltd Northern Suburbs Heather Muskee The Hon Linda Savage MLC John & Adorie Tink Christine Lisney N Janine & Craig Sawyer Mark Todd Living Health Chiropractic Centre Juliet Schmidt D A Tonkin Karen Napa Lodge of Euclid Olga & Emil Schwartz Touraust Corporation Emma Nathan Lodge of Euclid – United Grand Seahampton Rural Fire Brigade Paul Toussaint Lodge of Victoria Michael Neilson George & Marlene Searle True North Building Thermal Richard Longes Barrie Nesbitt Jean Searle Assessors Louder Phil & Jayne Newling Selleys Yates U I A Loveridge Ross & Diana Nielsen Mr Peter Semmler QC Ulysses Club Inc – Manning Grant Lovett Nine Design Seven Consulting Pty Ltd Valley Branch Andrew Lowe Susan North Ash Carolyn Shalhoub Ulysses Club Kalgoorlie Sue Lupton North Sydney Boys High School ShareGift Australia Ulysses Joondalup Branch Northern Interests Pty Ltd M V Sharpe V Noel MacCarthy O James Shatford M & JJ Van Doornum Michael O’Dea MacDonnell Range Holiday Park Alex Shaw The Hon Barry & Jan O’Keefe W Sarah McCloy Cameron Shephard Andrew Oliver Greg Wagner Janne & Ben McCully Anna Sildever Opera Goes Mental Pty Ltd Wakehurst Wackers Golf Group Dr Andrew McDonald MP Mrs Josephine Simelius Ord Minnett Olivia Warren Anna McDonald & Family Helen Simpson Warringah Council David McGrane P Bellinda Singh Barry Watchorn Jodie McGregor Dominic Pace Slide Lounge William Watkins James McLean Maree Paris Peter Smeeth Rebecca Waugh Magnus Investor Relations Payce Consolidated Dr Robert A Smith Lisa Welsman Vanessa Maher Mrs Elaine Perry Douglas Smith Wenona School Ltd Mallee Chapter – Harley Owners Mrs Nilkanthi Perumal Dr Tim Smyth Group Western Suburbs Leagues Club Peter Rogers Real Estate Doug Snedden Ltd Man Investments Australia Yvonne Petiot Foundation Adam Solomons Western Sydney Football Club John & Judith Polgar Ltd Sarina Mangano St Andrew’s Uniting Church Michael Poulos Longueville Westpac Group Manning Tennis Club Ian Prentice Peter Stiles Teresa White Marian College SRC Mr Simon Peter Price Dr Jonathan Stretch Gloria White Marsden’s Law Group Patricia Prichard K & S Suen Eric Whittaker Tim Marshall Putt Putt West Ryde Pty Ltd Suncorp Metway Ltd Dr Michael Williamson Paul Martin Greg & Renee Pynt Sunning Hill School Peter Wilson Stephen Martin Sydney Girls High School Wilson Foundation Peter Mason Q Sydney Technical High School Gus Wittleton Amanda Maurel Queensland Teachers Union Adele Symonds WMC Social Club Lyn Mayer R Valerie Wojtulewicz Jack Mazaraki T Damien Woods Merewether District Cricket Club Radeka Downunder Motel Dulcie Takach B & J Rathborne Woodside Energy Ltd Metso Minerals (Australia) Carol Tankard Limited Mr Stephen Reilly Tathra Amateur Fishing Club Penny Wurm Mid North Coast Ulysses John & Susie Reynolds The American Club Thomas & Ellie Wykoff Mid-Western Regional Council Julian & Prue Reynolds The Benevolent Society Wykoff Investments Pty Ltd Joan Miller Reg Richardson AM The Cleftomaniacs Choir X-Y-Z Mrs Crys Mills Clayton Rickert The Essential Detail Yarra Ranges Ulysses John Milroy Beth Rickwood The Hills Clinic Yarra Valley Chapter – Harley Graham Mirabito Benjamin Robinson The R A Gale Foundation Owners Group Chris & Gina Mitman Judith Roche The Rotary Club of Tamworth York Hotel MLC Business Super Operations Rotary Club of Holroyd Inc West Inc Veronica Yung Dr Tom Moore Rotary Club of Taree North The Spooky Men’s Chorale Lee Morgan Rowan Russell The Tarampa Hotel Michael Morgan Ryoko Sangyo Corporation The White Agency Moriah College S Greg Thompson Christopher Thompson Ms Roslyn Morris Don Sanders Joanne Thomson Vicki Mortimer Jean Sandoz page 76 BLACK DOG INSTITUTE ANNUAL REPORT 2011 Donations & Bequests Form

The Institute is a Deductible Gift Recipient. Gifts of $2 and over are tax deductible and an ofﬁ cial receipt will be issued. Donations can be made online by credit card or EFT at www.blackdoginstitute.org.au

Bequests

A bequest to the Black Dog Institute is a lasting way to assist the Institute to continue its research and other programs, and in turn, help improve the quality of life of people living with depression. If you would like more information on how to make a bequest, please contact the Institute: www.blackdoginstitute. org.au, or phone (02) 9382 9263.

Bequest Form

I (name)

of (address)

give, devise or bequeath to the Black Dog Institute or its successors, the sum of

$ for the beneﬁ t of the Black Dog Institute.

An ofﬁ cial receipt from or on behalf of the Black Dog Institute shall be sufﬁ cient discharge to my executors who shall not be bound to see the application thereof.

Postal address for donations:

Black Dog Institute Hospital Road Prince of Wales Hospital Randwick NSW 2031

Please make all cheques payable to Black Dog Institute.

Everyday Hero

Did you know that you can set up your own Everyday Hero fundraising page from the Black Dog Institute website?

Many people today choose to donate to their favourite charity to celebrate a special occasion like a significant birthday, wedding or anniversary event. You may also like to undertake your own special challenge and invite your friends and family to sponsor you online.

It’s so easy: just visit www.blackdoginstitute.org.au and click on ‘Get Involved’, then ‘Help us raise funds’, and follow the step-by-step instructions to personalise your own page.

page 77 BLACK DOG INSTITUTE ANNUAL REPORT 2011 The MAP was first developed in 2007. It is a major breakthrough set to revolutionalise the way people suffering from depression can obtain treatment.

In 2009, the Black Dog Institute website (www.blackdog.institute. “We need to unlock this greatest mystery of the human mind… org.au) was ranked ﬁ rst in the Unlock the door to that greatBob dark Carr, house then-Premier of NSW, 2002 And at last let LIGHT in.” world for quality and accurate information on bipolar disorder.

The internet is now a most The website even scored higher accessible means of providing in the rankings than major health materials, such as information on the clinical international bodies such as the characteristics and treatment of bipolar disorder. U.S. National Institute of Mental The Black Dog Health (NIMH) bipolar site. Institute’s inaugural writing competition: THE HISTORY OF ‘BLACK DOG’ The Institute has developed a youth- AS A TERM USED TO DESCRIBE DEPRESSION specific website, BITE BACK, where young people can express and The essay competition was The internet is now held to help uncover the a most accessible share their experiences, with the history of the term ‘black means of providing health materials, such ultimate aim of dispelling the stigma dog’ as a description for as information on the depression. 2004 clinical characteristics associated with mental illness. and treatment of bipolar disorder. Since 2006, the Professional Services team has trained in excess of 26,000 health The Mobile Tracker will involve professionals and workplace staff. simple screening questions, a menu of self-monitoring tools, In July 2005, Professor monitoring prompts, reports and Norman Sartorius MD, PhD self-management suggestions. (Switzerland), one of the world’s most eminent fi gures in the international mentalfi eld of Offi cial Opening of health, delivered the fi rst Black Dog Institute Black Dog Institute “It is important that, when International Lecture. Building, March 16, people seek help ( for mood 2005. disorders), they receive The Minister for sophisticated assessment Science and Medical Research, Frank Sartor, and management,” Professor today opened the new Gordon Parker, 2003 Black Dog Institute building at Prince of Wales Hospital. HeadStrong, innovative school-based Youth Program, uses illustrations and humour to build a bridge to communicate with young people on the issue of mood disorders. page 78 BLACK DOG INSTITUTE ANNUAL REPORT 2011 .