Transcript Slide 1
Addiction psychiatry
Dr Emily Finch,
Royal College of Psychiatrists
Addictions Executive and
South London and Maudsley
NHS Trust
The question?
What are recovery-orientated drug
and alcohol treatment interventions
and what are the competences
required to deliver them?
Competencies of
addiction psychiatrists
Assessment and referral including risk, mental
health and physical health needs
Management of withdrawal, long term
prescriptions, complex prescriptions, polydrug
use, safety, (responsible officers), inpatient
work, harm reduction approach where
appropriate.
Dual diagnosis (depression, trauma etc), work
with physicians (HCV etc)
Psychological interventions provision and
supervsion
Overview of treatment system, clinical
leadership, advice to commissioners,
governance, teaching
Research and innovation. Audit. Evaluation.
Adapting to change
Continuing professional development
Conferences on recovery (RCPsych), master
classes, peer groups, emphasis on the
evidence base. Revalidation demands this.
RCPsych core curriculum
“Hope, agency and opportunity” a core
value for psychiatrists
Holistic and multi-agency approaches
Commitment to re integration into society
Work with users and carers fundamental.
Roles and
competencies of
doctors
Work to define roles of doctors in the
treatment system
Doctors themselves, providers (employers),
and commissioners all have a role
Role for specialist, intermediate doctors and
generalists.
Sets out to define these and what can be
expected of them
Ensure clients have access to the treatment
they need in the right part of the system
Ensure quality of the service provided to
clients is excellent