The future role of general adult psychiatrists

Silva, Prasanna de; Sutcliffe, Alistair

doi:10.1017/s0955603600002944

Psychiatr. bull.

2003

DOI: 10.1017/s0955603600002944

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The future role of general adult psychiatrists

Prasanna de Silva¹,

Alistair Sutcliffe

Abstract: Peter Kennedy and Hugh Griffiths (2001) have convened a timely debate on the role and responsibilities of consultants in general adult psychiatry. They provide an analysis of difficulties in fulfilling this role, including inappropriate general practitioner (GP) referrals, excessive caseloads and increasing stress leading to premature retirement. They provide the jobbing consultants with two models of out-patient practice, both relative to the community mental health team (CMHT). However, they have not conside… Show more

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Integrating mental health and primary care services: a challenge for psychiatric training in Ireland

Wright¹,

Russell

2007

Ir. j. psychol. med.

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A Vision for Change, the report of the Expert Group on Mental Health Policy asserts as one of its key recommendations the enhancement and formalisation of links between specialist mental health services and primary care. As part of a higher training post in psychiatry a consultation-liaison service was provided by a senior registrar in three rural general practices. This paper describes the experience of this initiative from an educational perspective and discusses the broader implications for Irish psychiatric training. With an emerging emphasis on collaborative mental health care there needs to be an appreciation of the specific set of skills that psychiatry trainees must learn in order to be effective in primary care settings. The tandem development of the appropriate services and training in an Irish context will require dedicated funding and resources.

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Integrating mental health and primary care services: a challenge for psychiatric training in Ireland

Wright¹,

Russell

2007

Ir. j. psychol. med.

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Service innovations: The role of a consultant in old age psychiatry

Lawley¹,

Bestley

Talbot

et al. 2005

Psychiatr. bull.

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There is increased recognition that the role and function of a consultant psychiatrist is ill-defined and associated with excessive workloads, low job satisfaction, high levels of stress and high rates of premature retirement (Kennedy & Griffiths, 2001). This has led to an examination and debate about how consultants in general psychiatry could adapt models of working to address these difficulties, and also face the agenda of change facing the NHS as a whole and the mental health services in particular (Kennedy & Griffiths, 2001; De Silva & Sutcliffe, 2003). These challenges are not, of course, unique to general psychiatry, but as yet, there has been little debate about how consultants in other specialities, including old age psychiatry, could begin to try and address these difficulties. This article aims to stimulate debate, by describing an adapted model of working adopted by two consultants in old age psychiatry within the Hull and East Riding Community Health NHS Trust.

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The future role of general adult psychiatrists

Cited by 2 publications

References 1 publication

Integrating mental health and primary care services: a challenge for psychiatric training in Ireland

Integrating mental health and primary care services: a challenge for psychiatric training in Ireland

Service innovations: The role of a consultant in old age psychiatry

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