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