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