Addiction psychiatryAddiction psychiatry

Dr Emily Finch, Dr Emily Finch, Royal College of Psychiatrists Royal College of Psychiatrists

Addictions Executive and Addictions Executive and South London and Maudsley South London and Maudsley

NHS TrustNHS Trust

The question? The question?

What are recovery-orientated drug What are recovery-orientated drug and alcohol treatment interventions and alcohol treatment interventions and what are the competences and what are the competences required to deliver them? required to deliver them?

Competencies of Competencies of addiction addiction

psychiatristspsychiatrists Assessment and referral including risk, mental Assessment and referral including risk, mental

health and physical health needshealth and physical health needs Management of withdrawal, long term Management of withdrawal, long term

prescriptions, complex prescriptions, polydrug prescriptions, complex prescriptions, polydrug use, safety, (responsible officers), inpatient use, safety, (responsible officers), inpatient work, harm reduction approach where work, harm reduction approach where appropriate. appropriate.

Dual diagnosis (depression, trauma etc), work Dual diagnosis (depression, trauma etc), work with physicians (HCV etc) with physicians (HCV etc)

Psychological interventions provision and Psychological interventions provision and supervsionsupervsion

Overview of treatment system, clinical Overview of treatment system, clinical leadership, advice to commissioners, leadership, advice to commissioners, governance, teachinggovernance, teaching

Research and innovation. Audit. Evaluation.Research and innovation. Audit. Evaluation.

Adapting to changeAdapting to change

Continuing professional developmentContinuing professional developmentConferences on recovery (RCPsych), master Conferences on recovery (RCPsych), master classes, peer groups, emphasis on the classes, peer groups, emphasis on the evidence base. Revalidation demands this.evidence base. Revalidation demands this.

RCPsych core curriculumRCPsych core curriculum““Hope, agency and opportunity” a core Hope, agency and opportunity” a core value for psychiatristsvalue for psychiatristsHolistic and multi-agency approaches Holistic and multi-agency approaches Commitment to re integration into societyCommitment to re integration into societyWork with users and carers fundamental. Work with users and carers fundamental.

Roles and Roles and competencies of competencies of

doctorsdoctors Work to define roles of doctors in the Work to define roles of doctors in the

treatment systemtreatment system Doctors themselves, providers (employers), Doctors themselves, providers (employers),

and commissioners all have a roleand commissioners all have a role Role for specialist, intermediate doctors and Role for specialist, intermediate doctors and

generalists.generalists. Sets out to define these and what can be Sets out to define these and what can be

expected of themexpected of them Ensure clients have access to the treatment Ensure clients have access to the treatment

they need in the right part of the systemthey need in the right part of the system Ensure quality of the service provided to Ensure quality of the service provided to

clients is excellentclients is excellent