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Trainees' Forum: Conflict and Consensus in the Multi-disciplinary Team

  • Cherrie A. Coghlan (a1)
Extract

During my training I have had the relatively unusual experience of two placements in community psychiatry—one at registrar, the other at senior registrar level. These placements were in many respects quite different. One was in an Emergency Psychiatric Service based in a London teaching hospital and the other was in a domiciliary-based Crisis Intervention Service in a district general hospital. A feature shared by both services was a multi-disciplinary team. The move towards community psychiatry is going hand in hand with the multi-disciplinary approach, and this leads inevitably to some re-evaluation of the role of the psychiatrist as other disciplines contribute more to clinical assessment and management. From my own experience as a member of these teams I have noted the relevance of two overlapping issues; these concern attitudes to the practice of psychiatry and the distribution of responsibility within the team.

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This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 Department of Health & Social Security (1975) Better Services for the Mentally Ill. London: HMSO.
2 Birley, J. L. T. & Flett, S. (1987) Psychiatrists and psychologists working together for planning services in the post-Griffiths era. Bulletin of the Royal College of Psychiatrists, 11, 210212.
3 Department of Health & Social Security (1985) Second Report from the Social Services Committee Session 1984–85. Community Care with Special Reference to Adult Mentally Ill and Mentally Handicapped People. Vol. 1. London: HMSO.
4 Rawnsley, K. (1984) The responsibilities of consultants in psychiatry within the National Health Service. Bulletin of the Royal College of Psychiatrists, 8, 123126.
5 Furnell, J., Flett, S. & Clark, D. (1987) Multidisciplinary clinical teams: Some issues in establishment and function. Hospital and Health Services Review,January, 1518.
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BJPsych Bulletin
  • ISSN: 0140-0789
  • EISSN: 2514-9954
  • URL: /core/journals/bjpsych-bulletin
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Trainees' Forum: Conflict and Consensus in the Multi-disciplinary Team

  • Cherrie A. Coghlan (a1)
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