scholarly journals Role of the consultant psychiatrist in psychotherapy

2006 ◽  
Vol 30 (9) ◽  
pp. 356-357
Keyword(s):  
Consultant Psychiatrist

Comment: ‘Devining’ The Role of the Consultant Psychiatrist in a Public Mental Health Service

1998 ◽  
Vol 32 (5) ◽  
pp. 612-615 ◽  
Author(s):  
Alan Rosen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Public Mental Health ◽  
Consultant Psychiatrist ◽  
Persistent Mental Illness ◽  
Public Mental Health Service ◽  
Key Players ◽  
Recovery Program

We admitted to ourselves, …and to our colleagues that we cannot treat people with severe and persistent mental illness as independent practitioners, and asked to be key players on the multidisciplinary team (Extract from A 12-Step Recovery Program for Psychiatrists [1]).

scholarly journals Commissioning mental health services: role of the consultant psychiatrist

2000 ◽  
Vol 6 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Chris Simpson
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
Consultant Psychiatrist ◽  
Health Authorities ◽  
Care Groups

The current National Health Service (NHS) approach to commissioning health services is in flux. The purchasing of care from providers by general practitioner fundholders (GPFHs) and health authorities has changed with the new White Papers. GPFHs no longer exist and the commissioning role is being handed over from health authorities to primary care groups (PCGs). An understanding of the reasons for change and current arrangements will aid the consultant psychiatrist in influencing this process.

Defining the Role of the Consultant Psychiatrist in a Public Mental Health Service

1998 ◽  
Vol 32 (5) ◽  
pp. 603-611 ◽  
Author(s):  
Philip Boyce ◽  
Margaret Tobin
Keyword(s):  
Public Sector ◽  
Clinical Skills ◽  
Relevant Literature ◽  
Public Mental Health ◽  
Clinical Role ◽  
Consultant Psychiatrist ◽  
The Public ◽  
Principal Roles ◽  
Clinical Problems

Objective: The aim of this paper is to clarify elements of the role of a psychiatrist working in the public sector. Method: The relevant literature was examined to help clarify some of the reasons psychiatrists have been leaving the public sector and to help define the key roles of a psychiatrist working in the public sector. Results: Two principal roles for the consultant psychiatrist in the public sector are identified: the psychiatrist as a clinician and the psychiatrist as a manager. The management role is contrasted with the role as an administrator and important differences between these roles are identified. The management role includes planning, advocacy and managing human resources. The importance of professional development in the career path for the newly qualified psychiatrist is discussed. Conclusions: The role of the psychiatrist in public sector psychiatry is a challenging and exciting one. Psychiatrists will start to return to the public sector when they recognise this new role for the consultant psychiatrist. This will be to the advantage of public sector psychiatry in general and to the job satisfaction of psychiatrists. The key features of the clinical role are the demonstration of sophisticated clinical skills, providing clinical leadership via supervision, being accountable for patient care and providing consultant opinion on complex clinical problems.

scholarly journals The role of the consultant psychiatrist in the clinical team

1989 ◽  
Vol 13 (7) ◽  
pp. 347-350 ◽  
Author(s):  
Tom Harrison
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Royal Society ◽  
Clinical Team ◽  
Consultant Psychiatrist ◽  
The Many ◽  
Medical Audience

Many psychiatrists are deeply disturbed by the changing and challenging circumstances in which they are responsible for patient care. This became evident at a conference on the role of the consultant in the clinical team, held by the Health Services Manpower Review at the Royal Society of Medicine on 14 July 1988 and attended by an entirely medical audience. The need for the consultant to act as leader of the clinical team was emphasised without identifying the nature and extent of this task, resulting in the failure to develop any strategy to tackle the many problems identified.

The Qualities of a Good Psychiatrist

1978 ◽  
Vol 133 (2) ◽  
pp. 97-105 ◽  
Author(s):  
Denis Hill
Keyword(s):  
Postgraduate Training ◽  
Large Degree ◽  
Personal Care ◽  
Training And Education ◽  
Multiprofessional Team ◽  
Consultant Psychiatrist ◽  
Long Period ◽  
The World ◽  
Psychological Medicine

There are in the eyes of the world different sorts of ‘good’ psychiatrists. It depends who is making the judgement; it depends what is asked of the psychiatrist, what role he is expected to take and how successfully he has measured up to it. One would expect that the qualities of a doctor would be judged to a very large degree by his capacity to treat patients. This is what his long period of undergraduate and postgraduate training and education is about. Recently this concept of the doctor, and particularly that of consultant psychiatrist, has been challenged. The expectation that in the future he will continue to treat patients personally seems to be doubted. I wish to make my own attitude clear at the outset. The psychiatrist in my view is a physician in psychological medicine—a clinician—which means that his business and his professionalism are the personal care of patients. He is now called upon to do much more than this, and the reasons are several and complex. But the old view of a psychiatrist as physician may be lost if he accepts only the role of administrator, PR man, member of a multiprofessional team with far-ranging, ubiquitous responsibilities.

The Sydney Lindt café siege: The role of the consultant psychiatrist

2019 ◽  
Vol 54 (3) ◽  
pp. 244-258
Author(s):  
Russ Scott
Keyword(s):  
Terrorist Attack ◽  
Hindsight Bias ◽  
Islamic State ◽  
Extensive Experience ◽  
Consultant Psychiatrist ◽  
Other Information ◽  
Police Action ◽  
Credible Threat ◽  
Hostage Negotiations

Background: In December 2014, after a 16-hour siege of the Lindt café in Sydney, Iranian-born gunman Man Haron Monis shot dead a hostage precipitating the police action which broke the siege. Objective: This paper reviews the demographic and other factual details of Monis as documented by the NSW Coroner’s Inquest and critically analyses the published findings of the Coroner particularly in relation to the role of the psychiatrist who advised senior police and negotiators during the siege. Results: At the time of the siege, there was no formal protocol that delineated the role of a psychiatrist in hostage negotiations. Despite the psychiatrist’s credentials including his extensive experience with siege-hostage incidents and his counter-terrorist training, the Coroner was unfairly critical of the psychiatrist. Conclusion: The Coroner’s censure of the psychiatrist was clearly prejudiced by hindsight bias. During the siege, the psychiatrist properly considered and evaluated all the available intelligence and other information known about the gunman. As the psychiatrist advised, Monis was a narcissist and the siege was not an Islamic State-inspired terrorist attack. Given that he announced he was armed with a bomb, Monis represented a ‘ credible threat’ to the hostages. The psychiatrist’s endorsement of the police strategy to ‘ contain and negotiate’ was prudent in the circumstances. The Coroner’s disparagement of the senior psychiatrist may have the unintended consequence that psychiatrists may be reluctant to assist in hostage-sieges or other critical incidents.

scholarly journals Shadowing consultant psychiatrists: the need for change

2005 ◽  
Vol 29 (5) ◽  
pp. 182-185 ◽  
Author(s):  
Judi Egerton ◽  
Alan Swann ◽  
Barry Foley
Keyword(s):  
Continuing Professional Development ◽  
Clinical Activity ◽  
Clinical Implications ◽  
Referral Process ◽  
Theory Approach ◽  
Trained Observer ◽  
Consultant Psychiatrist ◽  
Grounded Theory Approach ◽  
Process Supervision

Aims and MethodTo explore the role of the consultant psychiatrist using an observational approach. Five consultant psychiatrists were shadowed by a trained observer. Observations were subjected to a qualitative analysis based on a grounded theory approach.ResultsSix themes emerged as being significant; these were administration and secretarial support; training aspects of the role; clinical activity; the referral process; supervision, support and continuing professional development; and organisational systems.Clinical ImplicationsThe results indicated significant difficulties in the role of the consultant psychiatrist and the need for change. Any change in this role would have an effect on the roles of other professionals and on the whole system in which they work.

scholarly journals The Role of the Consultant Psychiatrist in Mental Handicap: A Personal View

1986 ◽  
Vol 10 (12) ◽  
pp. 347-348
Author(s):  
Caroline Marriott
Keyword(s):  
Child Psychiatry ◽  
Full Time ◽  
Personal View ◽  
Consultant Psychiatrist ◽  
Mental Handicap ◽  
Joint Appointment

Since taking the decision to pursue a career in mental handicap, I have been increasingly aware of the debate surrounding the role of the consultant psychiatrist in this field. Nowhere else in medicine does there seem to be such uncertainty about the continued need for an already established specialty. I believe that one of the major reasons for the continued difficulty in attracting trainees into mental handicap is precisely this uncertainty about its future, which is in no way ameliorated by the College's view that a full time specialist appointment in the psychiatry of mental handicap is not superior to a joint appointment either with adult or child psychiatry.1

scholarly journals The Role of a Consultant Psychiatrist in a Residential Caring Establishment: a personal view

1978 ◽  
Vol 2 (10) ◽  
pp. 173-175
Author(s):  
D. C. Wallbridge
Keyword(s):  
Personal View ◽  
Staff Support ◽  
Consultant Psychiatrist

In this paper I have outlined a model for the role of a Consultant Psychiatrist who is appointed for the purpose of providing ‘staff support’ in a Residential Caring Establishment. Some of the issues that arise are stated and discussed. The use of the model I propose leads to some recurrent, identifiable psychosocial phenomena which warrant further study and discussion.

scholarly journals The Nodder Report—A Scottish Psychiatrist Reacts

1981 ◽  
Vol 5 (5) ◽  
pp. 85-86
Author(s):  
Robert Davidson
Keyword(s):  
Working Party ◽  
Criminal Proceedings ◽  
Difficult Patient ◽  
Consultant Psychiatrist ◽  
Worth Reading

Among reports from committees and working parties, some are crisp and stimulating, while others, the majority unfortunately, are dull and sedative. The Nodder Report falls into the latter category which is a pity because some parts of it are worth reading. It is neither as good nor as useful as it should be because it fails to tackle the problem as fully and as vigorously as required. The working party have avoided difficult but essential problems such as the difficult patient, the patient concerned in criminal proceedings, the role of the consultant psychiatrist, the role of other doctors and the role of the nursing officer. They have grasped the tulips and tiptoed through the nettles.

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