::Schizophrenia Research Institute::participate in research::

PARTICIPATE IN RESEARCH

HOW YOU CAN HELP TO FIND A CURE FOR SCHIZOPHRENIA

How to Enrol

To see the TV advertisement featuring the voice of Russell Crowe, click here.

There are a number of methods you can use to enrol in one or more of our research programs:

- Use the on-line enrolment form below.

- Contact the Australian Schizophrenia Research Bank / Schizophrenia Register toll-free on 1800 639 295 or (02) 4924 6660.

- Contact the 'Gift of Hope' Brain Donor Program on (02) 9295 8398.

Important Information

Please consider enrolling to help more than one program, so that your investment in schizophrenia research achieves its maximum value for the future. The more diverse types of information we have about an individual, the more powerful the information becomes for research into schizophrenia. The cross-referencing of demographic, diagnostic and research data with family history, genetic and brain tissue data will greatly assist researchers to better understand the causes of schizophrenia.

Please note that the three programs have geographic and demographic limitations.

Australian Schizophrenia Research Bank

This program can only recruit volunteers from NSW, ACT, VIC, WA and QLD.
This program is only recruiting people with schizophrenia or healthy controls (with no personal or family history of mental illness).

Schizophrenia Research Register

This program can only recruit volunteers from NSW and ACT.
This program is only recruiting people with schizophrenia.

'Gift of Hope' Brain Donor Program

This program can only recruit volunteers from NSW and ACT.
This program is recruiting people with schizophrenia, first-degree relatives and healthy controls (with no family history of schizophrenia).

On-Line Enrolment Form

I would like to enrol on the following program(s): please choose one, two or all three programs	Australian Schizophrenia Research Bank (NSW, QLD, WA, VIC only) Schizophrenia Research Register (NSW only) 'Gift of Hope' Brain Donor Program (NSW only)
family name:
first name:
date of birth:
address:

state:
postcode:
email address:
telephone home:
telephone work:
telephone mobile:
classification:	diagnosed with schizophrenia / schizoaffective disorder diagnosed with affective disorder no history of schizophrenia
do you have any family members with schizophrenia?	Yes No if yes, how many?
what sex are you?	male female
how did you hear about these programs?	tv advertisement, (station? ) radio advertisement, (station? ) internet press (e.g. newspaper) doctor / case worker family / friend other
how did you hear about these programs?
preferred method of contact	email work phone home phone mobile phone post
contact person We will try to keep in contact with you but in case we lose touch, please supply a name and contact address of a close relative or friend
name
address:

postcode:
telephone home:
telephone work:
keep informed The Schizophrenia Research Institute publishes a free quarterly newsletter.
would you like to be added to the mailing list?	Yes No

What will Happen After I Enrol?

Once you have enrolled, you will be contacted by a representative from the research program(s) you have volunteered to help. As each program is unique, the requirements of the relevant program(s) will then be discussed in detail and you will have the opportunity to ask any questions you might have.

Whichever research program(s) you enrol in, you will be requested to participate in an informal interview with a qualified representative. Everyone will be asked to provide details of medical, psychiatric and personal history, as every aspect of your background affects how your brain functions. This information is vital for maximising the value of your contribution, because our research proceeds by comparing behavioural, anatomical, biological and genetic differences between groups of people to identify the particular differences which may underlie schizophrenia.