2 results
Mentorship Scheme at Surrey & Borders NHS Foundation Trust
- Zafrina Majid, Patrick Cremin, Jeremy Mudunkotuwe
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- Journal:
- BJPsych Open / Volume 9 / Issue S1 / July 2023
- Published online by Cambridge University Press:
- 07 July 2023, p. S30
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- Article
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Aims
To establish a mentorship programme for all grade of Psychiatrists working within Surrey and Borders Partnership Trust.
MethodsRSPsych guidance was used to establish a mentoring programme within Surrey and Borders Partnership Trust.
A core leadership team was identified and established, this included the Director of Medical Education, a Higher Specialist Trainee, and a Core Trainee.
The decision was made to structure the programme to involve all grades of doctor within the trust, with pairing of Mentor and Mentees tailored to mentee needs. Support from the core team will also be offered to both Mentees and Mentors on a regular and drop in basis, as well as support groups for each group.
The programme was then advertised using a trust email list and training days were held via Microsoft Teams and delivered by the West Midland Mentoring Team RCPsych.
The programme is due to launch in February 2023 with expected widespread engagement, followed by evaluation survey.
ResultsWe received a good response from all grades of doctors targeted in the Mentorship Scheme.
Following this a prelaunch meeting, facilitated by the core leadership team, was organised for all those involved in the scheme.
This meeting outlined the aims of the scheme and support available to both Mentors and Mentees.
The Mentors and Mentees have now been paired and the scheme will be launching in February 2023.
ConclusionBurnout is a significant and highly prevalent phenomenon within the Psychiatric community.
Mentorship is shown to reduce rates of burnout as well as improving staff well-being, productivity and retention.
Following RCPsych guidance this project aims to establish a mentorship programme for all psychiatrists within the Surrey and Borders NHS Trust.
The Surrey & Borders Mentorship Scheme will launch in February 2023.
Legal Parameters of Practice in Psychiatry
- Christina Barmpagianni, Patrick Cremin, Antonio Fialho, Afaf Qazi
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- Journal:
- BJPsych Open / Volume 8 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 20 June 2022, p. S118
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- Article
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Aims
The amended Mental Health Act (MHA) of 2007 gave Psychiatrists the right to detain, assess and treat individuals with mental health disorders, not only with a view to offer medical treatment but also to ensure their safety and that of the public, by containing them. This meant that patients diagnosed with disorders such as Antisocial Personality (APD), previously un-detainable under the MHA of 1983, would no longer be considered untreatable and could be sectioned, if appropriate. The idea was then generated, that Psychiatrists would now assume the role of custodians of potentially dangerous people and raised the concern that all persons with APD would be perceived as dangerous and find themselves at a dynamic risk of being sectioned under the revised MHA. The balance between the role of Psychiatrists as medical professionals versus this new, unpopular role as figures of public order was and still is, debatable.
MethodsWe present the case of a patient with a background of Depression and Post-traumatic Stress Disorder with aggressive features, who during a consultation revealed a powerful homicidal urge and fantasies directed to an individual he believed had wronged him. The patient had access to the individual and had attempted to confront him. He had no forensic history, nor had he expressed criminal intent before. This triggered a safeguarding response, the consensus being that advice should be sought from the Forensics team, not only to protect the potential victim but also the potential perpetrator from the consequences of a criminal act.
ResultsConsidering the lack of police involvement, plans, or weapons; the separation between patient and potential victim; and the patient's distress associated with the disclosure of the homicidal fantasies, the level of risk was deemed to not merit disclosure. Closer risk assessment with ongoing psychological and pharmacological interventions created a therapeutic alliance which allowed for open communication with regards to the dynamic nature of the risk and the potential for any further disclosure.
ConclusionWithin the definition of Duty of Care lie responsibilities beyond the strictly medical role of clinicians. Not unlike the duty to inform the DVLA about a patient's fitness to drive, breaking confidentiality for the purposes of patient or public safety is not a power that makes Psychiatrists figures of Authority, but a responsibility that is part of their role. At the same time, we should bear in mind that the license to disclose is also a license not to disclose.