|
General adult
|
Home treatment teams, inpatient units,
outpatient clinics
|
Psychosis, depression, bipolar affective
disorder, personality disorder, anxiety disorders
|
Attend ward rounds, clinics, follow the home treatment team, see
ward patients.
Attend Mental Health Act assessments and tribunals if the
opportunity arises.
Follow the specialist trainee oncall and take part in
assessments.
|
|
Old age
|
Domiciliary visits, Home treatment teams,
inpatient units, outpatient clinics
|
Dementia, functional illnesses e.g. depression
and psychosis, grief.
|
Do a domiciliary visit. Do cognitive
examinations on patients with dementia.
|
|
Child and adolescent
|
Mainly outpatient based. Some specialist
inpatient units and day units.
|
Depression, anxiety, psychosis, eating
disorders, school refusal, developmental disorders e.g. autism
and attention deficit hyperactivity disorder (ADHD).
|
Attend specialist clinics or
assessments for ADHD or emotional disorders.
|
|
Learning disabilities
|
Nursing and residential homes, day centres,
domiciliary visits and clinics.
|
Challenging behaviour, Downs syndrome, autism,
fragile X, other genetic syndromes.
|
Shadow a consultant, visit a care home, attend
a clinic.
|
|
Addictions
|
Community based with some inpatient beds and
day units.
|
Alcohol dependence (for detox), opioid use,
crack/cocaine use, cannabis use.
|
See a patient and take an alcohol
history or substance misuse history.
|
|
Forensic
|
Secure units, special hospitals, prison
in-reach and community forensic teams.
|
Agitated psychosis, personality disorder,
substance misuse.
|
Attend a ward round on a low or medium
secure unit. Speak to a forensic psychiatrist.
|
|
Eating disorders
|
Community based with some inpatient units and
day units.
|
Anorexia and bulimia nervosa.
|
Take an eating disorder history.
|
|
Early intervention services
|
Mainly community based with some inpatient
beds.
|
First episode psychosis, normally in those
aged 14-35.
|
Do community visits with the team, attend a
team meeting, see inpatients.
|
|
Liaison
|
General hospitals, often including the
emergency department.
|
Somatisation, dissociative disorders,
hypochondriasis, self-harm, medical problem with psychological
complications e.g. poststroke depression.
|
Follow a member of a liaison team, take a
patient's history and present it.
|
|
Psychotherapy
|
Psychological treatment services.
|
Complex psychological treatments, including
psychodynamic therapy and cognitive behavioural and analytic
therapies.
|
Talk to a psychologist and read up on therapy
reports of patient seen.
|
|
Neuropsychiatry
|
Clinics and inpatient specialist units.
|
Neurological conditions with psychiatric
sequelae e.g. Parkinson's disease, Huntingdon's disease.
|
Talk to psychiatrists with a special interest
in neuropsychiatry and attend a clinic.
|
|
Rehabilitation and assertive outreach
|
Inpatient units and community services.
|
Schizophrenia, often with negative
symptoms, dual diagnosis patients.
|
Do a home visit with a specialist nurse, see a
patient on a rehab ward.
|
|
Young persons service
|
Community based. In some areas this is an
under 25 year-olds service but it varies between regions.
|
Multidisciplinary to help a young person
find their feet and learn to function. Patients may have
depression, anxiety, psychoses.
|
Speak to a young person about their treatment
and background and the range of help received.
|
|
Perinatal
|
Community based. Some areas have a mother and
baby Unit for inpatients. General and psychiatric hospitals may
admit mothers with postnatal illness.
|
Postnatal depression/psychosis.
|
Attend a domiciliary visit. Attend a clinic or
ward round. See a mother with postnatal depression.
|