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Published byValerie Kennedy Modified over 9 years ago
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Addiction Psychiatry in NHS Lanarkshire: A 5 minute presentation
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Addiction Psychiatry Staff
Dr Adam Brodie: “North” North Lanarkshire – Airdrie, Coatbridge, and Cumbernauld areas (Monklands District General Hospital area); 18% of population in highest Scottish deprivation level Dr Yameen Qureshi: “South” North Lanarkshire –Bellshill, Motherwell, and Wishaw areas (Wishaw District General Hospital area); 25% of population in highest Scottish deprivation level Dr Ahmed Khan / Dr Donald McDonald: South Lanarkshire – Clydesdale, East Kilbride, Hamilton areas (Hairmyres District General Hospital area); 11% of population in highest Scottish deprivation level, but cover a much larger population Figures from Public Health 2009 /10 The Annual Report of the Director of Public Health, NHS Lanarkshire
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Role of Addiction Psychiatrists Role of consultants with responsibility for substance misuse (addiction psychiatrists), RCPsych Faculty of Substance Misuse, June 2001 Mental health specialist within addiction services (assessment / risk assessment / management advice and medication-based treatment – particularly psychosis / suicidality with urgent and on-call work) Non-opiate based medication review (e.g. “protective” medication), such as baclofen, disulfiram and naltrexone In-patient treatment: detoxification and route to general mental health services in-patient services Other roles:
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Role of Addiction Psychiatrists Role of consultants with responsibility for substance misuse (addiction psychiatrists), RCPsych Faculty of Substance Misuse, June 2001 Mental health specialist within addiction services (assessment / risk assessment / management advice and medication-based treatment – particularly psychosis / suicidality with urgent and on-call work) Non-opiate based medication review (e.g. “protective” medication), such as baclofen, disulfiram and naltrexone In-patient treatment: detoxification and route to general mental health services in-patient services Other roles: clinical (collaborative within hospital and community teams, staff clinical supervision, team clinical meetings)
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Role of Addiction Psychiatrists Role of consultants with responsibility for substance misuse (addiction psychiatrists), RCPsych Faculty of Substance Misuse, June 2001 Mental health specialist within addiction services (assessment / risk assessment / management advice and medication-based treatment – particularly psychosis / suicidality with urgent and on-call work) Non-opiate based medication review (e.g. “protective” medication), such as baclofen, disulfiram and naltrexone In-patient treatment: detoxification and route to general mental health services in-patient services Other roles: clinical (collaborative within hospital and community teams, staff clinical supervision, team clinical meetings) / liaison (e.g. with mental health, GPs, medical specialists)
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Role of Addiction Psychiatrists Role of consultants with responsibility for substance misuse (addiction psychiatrists), RCPsych Faculty of Substance Misuse, June 2001 Mental health specialist within addiction services (assessment / risk assessment / management advice and medication-based treatment – particularly psychosis / suicidality with urgent and on-call work) Non-opiate based medication review (e.g. “protective” medication), such as baclofen, disulfiram and naltrexone In-patient treatment: detoxification and route to general mental health services in-patient services Other roles: clinical (collaborative within hospital and community teams, staff clinical supervision, team clinical meetings) / liaison (e.g. with mental health, GPs, medical specialists) / training and education
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Role of Addiction Psychiatrists Role of consultants with responsibility for substance misuse (addiction psychiatrists), RCPsych Faculty of Substance Misuse, June 2001 Mental health specialist within addiction services (assessment / risk assessment / management advice and medication-based treatment – particularly psychosis / suicidality with urgent and on-call work) Non-opiate based medication review (e.g. “protective” medication), such as baclofen, disulfiram and naltrexone In-patient treatment: detoxification and route to general mental health services in-patient services Other roles: clinical (collaborative within hospital and community teams, staff clinical supervision, team clinical meetings) / liaison (e.g. with mental health, GPs, medical specialists) / training and education / planning, service development, prevention and policy
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Role of Addiction Psychiatrists Role of consultants with responsibility for substance misuse (addiction psychiatrists), RCPsych Faculty of Substance Misuse, June 2001 Mental health specialist within addiction services (assessment / risk assessment / management advice and medication-based treatment – particularly psychosis / suicidality with urgent and on-call work) Non-opiate based medication review (e.g. “protective” medication), such as baclofen, disulfiram and naltrexone In-patient treatment: detoxification and route to general mental health services in-patient services Other roles: clinical (collaborative within hospital and community teams, staff clinical supervision, team clinical meetings) / liaison (e.g. with mental health, GPs, medical specialists) / training and education / planning, service development, prevention and policy / research and audit
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Role of Addiction Psychiatrists Role of consultants with responsibility for substance misuse (addiction psychiatrists), RCPsych Faculty of Substance Misuse, June 2001 Mental health specialist within addiction services (assessment / risk assessment / management advice and medication-based treatment – particularly psychosis / suicidality with urgent and on-call work) Non-opiate based medication review (e.g. “protective” medication), such as baclofen, disulfiram and naltrexone In-patient treatment: detoxification and route to general mental health services in-patient services Other roles: clinical (collaborative within hospital and community teams, staff clinical supervision, team clinical meetings) / liaison (e.g. with mental health, GPs, medical specialists) / training and education / planning, service development, prevention and policy / research and audit / “advocacy”
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Statistics For example, for me 2010-11: 452 new patient appointments
(40% mental health, i.e. “dual diagnosis” and 60% protective medication) 1263 return appointments (near enough 50 / 50) Also, we currently have 4 “detox beds” at each of the 3 General Hospital sites in NHSL (i.e. 12 beds total) – with 100% (+) bed occupancy.
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