Chair: Dr Ahmed Khan
Vice Chair: Donncha Mullin
Scottish Addiction Specialist Committee
The Scottish Addiction Specialist Committee meets every three months for an all day meeting with a teaching and business component.
It's a place to discuss ideas and trends within the field in Scotland. If you're interested in attending, please contact our Chair, Dr Ahmed Khan.
All meetings are held at the Golden Lion hotel in Stirling.
Opioids Aware: A resource for patients and healthcare professionals to support prescribing of opioid medicines for pain
A new opioid prescribing resource has been launched by the Faculty of Pain Medicine, Royal College of Anaesthestists; funded by Public Health England.
Advisory Council on the Misuse of Drugs - Recovery Committee Report
How can opioid substitution therapy (and drug treatment and recovery systems) be optimised to maximise recovery outcomes for service users?Read the full report.
Presentations from Annual Faculty Meeting in Dunkeld 2015
- ' Tobacco, Alcohol and opioid dependence' - Sheila Duffy, Chief Executive, Ash Scotland
- 'Gambling in substance misuse patients' - Dr Mike Kehoe, NHS Lothian and Borders
- The myth of addiction as a disease and other drug contentions' Dr Phil Dalgarno, Glasgow Caledonian University
The DoH in England has set up a group to identify the outcomes that should be used in mental health.
Your views on these points would be appreciated.
- We need to agree that all outcome measures should include the ICD10 diagnosis. Would there be support for this?
- HoNOS is embedded in the information systems of all Trusts. This was a measure developed by the College. It is a general measure that can be widely used across clinical groups
- We need to agree on a patient rated scale (the shortened Warwick-Edinburgh scale has been piloted in this way).
- To assist the discussion, please see below some relevant papers identified by Mike Crawford from CCQI and an excellent Faculty report drawn up by the Liaison Faculty.
- Crawford M J et al. Selecting outcome measures in mental health: the views of service users.Journal of Mental Health, Aug 2011; 20(4): 336–346
- Mental Health Outcomes Compendium - National Institute for Mental Health in England
- Editorial. Routine outcome assessment in mental health services. Psychological Medicine, 2002, 32, 1339-1343
- Dr Peter Trigwell et al. Framework for Routine Outcome Measurement in Liaison Psychiatry. Faculty Report
- Ash Scotland briefing on Smoking, alcohol and opioid dependence
- Winhusen T M et al. A Randomized Trial of Concurrent Smoking-Cessation and Substance Use Disorder Treatment in Stimulant-Dependent Smokers. Journal of Clinical Psychiatry 2014;75(4):336–343. Conclusion: These results suggest that providing smoking-cessation treatment to illicit stimulant-dependent patients in outpatient substance use disorder treatment will not worsen, and may enhance, abstinence from non nicotine substance use.
- For methadone maintenance, ‘Discussion’ from Nahvi et al. Addiction Science & Clinical Practice 2014,9:9. ‘Multiple studies suggest that smoking cessation medication adherence is an important determinant of cessation success, including among methadone-maintained smoker. In a retrospective cohort study in which methadone maintenance patients were prescribed varenicline during routine clinical care, varenicline treatment duration was significantly associated with smoking cessation. In two large smoking cessation trials among methadone maintenance patients, adherence to nicotine patch treatment was also shown to be associated with improved smoking cessation outcomes. Methadone-maintained smokers had fewer cigarettes per day and a 7.1x increased odds of abstinence on days in which they used patches compared to days they did not.’
- Overview of Alcohol and Tobacco from America’s National Institute for Alcohol Abuse and Alcoholism:
- Cookson C et al. Smoking and its treatment in addiction services: Clients’ and staff behaviour and attitudes.
- BMC Health Services Research 2014, 14:304. ‘A large unmet clinical need is evident with a widespread failure to deliver smoking cessation interventions to an extraordinarily high prevalence population of smokers in addiction services. This is despite the majority of smokers reporting motivation to quit. Staff smoking and attitudes may be a contributory factor in these findings.’
The Child and Adolescent psychiatry faculty has a membership of around 230 child and adolescent psychiatrists throughout Scotland.
Our executive meets four or five times per year. We also hold an AGM in association with an Academic Conference in November.
Current issues under discussion include:
- Resourcing and Manpower
- Inpatient Adolescent Services
- Transitions to Adult Services
Scientific seminar on child and adolescent psychiatry
On 29 September 2017, a scientific seminar was held in Glasgow to remember and celebrate our colleague, Dr. Anne-Marie Discombe, who died in 2016.
She worked as a Consultant Child & Adolescent Psychiatrist in the Adolescent Unit in Glasgow and was highly regarded by patients and colleagues.
- The Importance of multidisciplinary working in CAMHS (Dr Graham Bryce)
- Drug Treatment in Child Psychiatry - a recent history (Dr Michael Morton)
- The development of CAMHS IPU; Day services in Scotland (Robert McCabe)
CAPSS update by Dr Michael Morton
As you know, Scottish Child and Adolescent Psychiatrists have achieved high rates of return for CAPSS surveillance studies and should be proud of their record, surpassing other UK results.
Recently some questions were raised about the process for ethical approval and data sharing in CAPSS studies and passed on by Anne McFadyen on behalf of the Faculty.
At that time there was also a need for clarification of process in view of the new requirement for approval from the Public Benefits and Privacy Panel (PBPP) of Scottish Government.
Tamsin Ford came to Edinburgh last week as Chair of CAPSS and together we attended the PBPP to clarify their view. As a result, I am at last able to put together the current position regarding surveillance studies in Scotland run by CAPSS and also BPSU (British Paediatric Surveillance System).
If a CAPSS or BPSU study based in England gets ethical approval the HRA informs Scottish NRES permissions office that a study has been given site specific R&D approval in England.
The NRES permissions office will then get someone from one of the Scottish Health boards to review the paper and approve.
The permissions office then inform the research team that they have approval to collect data from Scottish trusts and there’s no more to do.
All current and past CAPSS studies (including CATCh-us: Children and adolescents in transition from children’s services to adult , Cost-ED: Cost-effectiveness of models of care for young people with Eating Disorders and CDD: Childhood Disintegrative Disorder) have PBPP approval and both CATCH-us and Cost-ED are keen to complete data collection ASAP.
Any new CAPSS study will require approval from PBPP, which will be obtained before questionnaire responses are sought.
This agreement is robust and there is no need for CAPSS research teams to have contact the with individual Scottish Health boards or Caldicott Guardians.
Thus no Consultant Child and Adolescent Psychiatrist in Scotland should have any concern about completing and returning CAPSS forms or questionnaires on-line or by post.
I know that some colleagues may not be getting CAPSS mailings and if so please ask them to contact me.
Also if there are any further questions I am happy to advise and am best contacted via Michael Morton.
Survey of the Mental Health of Children and Young People 2016
NatCen Social Research and the Office for National Statistics (ONS) were commissioned by the Health and Social Care Information Centre (HSCIC) to carry out the Survey of the Mental Health of Children and Young People (MHCYP) 2016.
Read the report summarising all the responses to their consultation.
Values Based CAMHS - A Summary of the Scottish Journey
If you are a Child and Adolescent Psychiatrist and would like to raise any issue please do not hesitate to contact the current Chair or Vice Chair
Chair: Dr Elaine Lockhart
Phone: 0141 451 6529
Vice Chair: Dr Aileen Blower
Phone: 01563 521133
Our faculty is open to consultants, associate specialists, staff grades and higher trainees in psychiatry throughout Scotland.
We also encourage CORE Trainees to attend our Meetings. We meet two or three times a year to discuss relevant issues.
ScotFED conference resources
- Family based training as a model of realistic medicine- Charlotte Oakley, Clinical Lead Connect-Eating Disorders, Specialist Children's Services, NHS Greater Glasgow & Clyde
- Patient perspectives on compulsion and treatment of eating disorders - Zoe Johnston, Year 5 Medical Student, University of Edinburgh
- Systematic review into the efficacy and acceptability of computerised CBT in the treatment of bulimia nervosa and binge eating disorder - Alistair Thompson, Psychological Therapist, Cullen Centre Outpatient Team, Royal Edinburgh Hospital
- The impact of social media in triggering and maintaining eating disorders- Amritha Sastry, Year 5 Medical Student, University of Aberdeen
Dr Jane Morris Faculty Chair, Consultant Psychiatrist, Eden Unit, Royal Cornhill Hospital, Aberdeen firstname.lastname@example.org or Linda Keenan, Manager – MCN for Eating Disorders North Scotland
- Minutes of Meetings
- Reports to RCPsych in Scotland
- Management of Eating Disorders in Scotland – Briefing paper
- Royal College of Psychiatrists – Faculty of Eating Disorders
- Managed Clinical Network for Eating Disorders - North Scotland
- Eating Disorders in South East Scotland Scottish Eating Disorders Interest Group
- Eating Disorders Education and Training Scotland
Memories of Chris Freeman
Chris Freeman was born and brought up in York, where he particularly hero-worshiped his father.
He was one of two children but sadly lost his younger sister to asthma. He was open about his own life and experiences and warmly curious about other people - colleagues, patients or others.
He originally came up to Edinburgh University to read Veterinary Medicine, but could not identify with the ‘tweed-jacketed’ fellow vet students and switched to medicine, and particularly Psychiatry.
However, he surrounded himself with animals all his life. He had a special propensity to adopt abandoned, damaged or sick animals. Despite a tolerant and positive attitude to disturbed people, he was unable to tolerate the notion of anyone who was cruel to animals.
His generosity characterised his professional practice too – he gathered around himself a staff group including many of us who had unusual career paths, medical or mental health problems of our own, or family commitments preventing us from working full-time.
He enjoyed a thoroughly multidisciplinary environment and was extraordinarily successful in forming loyal and enthusiastic teams which transcended the common professional rivalries of those days.
As a young psychiatrist, Chris won awards such as the 1979 Royal College of Psychiatrists Gaskell Gold Medal for research, published extensively, and appeared on TV for the Open University discussing ECT – one of his lifelong specialties.
The field of Eating Disorders was only one of his many interests, but it was one he particularly relished because it exercised his medical, pharmacological and psychosocial virtuosity all at the same time.
He was fascinated by Borderline Personality Disorder, which he insisted on calling ‘Borderline Disorder’ as he believed it was not a lasting personality diagnosis.
In 1984 he was appointed as the first Consultant Psychotherapist in cognitive behavioral psychotherapy in Scotland having trained in Philadelphia with Tim Beck.
In 1989 he set up the Cullen Centre (named after William Cullen, the Edinburgh Physician who first coined the term neurosis) and this became a nationally recognised centre for training and teaching in psychotherapies.
The Centre provided outpatient treatment for people with Eating Disorders (who had previously been routinely admitted to hospital wards) but was also a service offering new structured psychological therapies to people with OCD, trauma, and a range of other difficulties.
At this time, he also set up SEDIG (the Scottish Eating Disorders Interest Group) and was its first chair. This unique group united clinicians of all professions with former patients and carers, and has continued to meet to the present day. In 2005 Chris and Aberdeen’s Harry Millar co-chaired the QIS Recommendations on the management of Guidelines on eating disorders.
These became the accepted standards of care for eating disorders nationally in Scotland.
By this time he had already established a local cognitive therapy training programme together with Professor Ivy Blackburn.
When Ivy Blackburn left, Kate Davidson joined the project and they developed the South of Scotland CBT course as a two year Diploma course affiliated to Queen Margaret University.
The course was incredibly popular with trainees, and even more so with the teachers and supervisors involved, for whom Chris organised annual ‘winter retreats’ in the Highlands.
Not content with a single model of Psychological Therapy, Chris trained in Canada in IPT, the Interpersonal Psychotherapy model of Klerman and Weissman, and delivered IPT training in Edinburgh and elsewhere, as well as conducting a head to head research trial of CBT versus IPT for depressed patients in Primary Care.
He also fostered practice in Cognitive Analytic Therapy (CAT) and Dialectical Behavioural Therapy (DBT), and explored several other therapies without always introducing them into our service.
The Lockerbie Disaster sparked another new interest for Chris, and in 1997 he set up the first Scottish specialist treatment centre for traumatic stress in Edinburgh.
The Rivers Centre was named after W H R Rivers the Psychiatrist who worked at Craiglockhart Hospital in World War I and treated Siegfried Sassoon and Wilfred Owen. Chris had discovered their original medical records in a disused storeroom and become fascinated by their story.
He arranged a premier of the film ‘Regeneration’ as a launch of the Rivers Centre. He remained active in Trauma work into his retirement as a founding president of UKPTS (United Kingdom Psychological Trauma Society).
Chris will be remembered as a charismatic presenter, capable of improvising impressive performances at the drop of a hat. He was an excellent teacher in workshop formats.
As a supervisor and mentor – or simply a brilliant conversationalist – he was inspiring, although not entirely reliable. Senior trainees would sometimes find he had triple-booked. A patient would appear for their appointment at the same time as the booked supervision, only for the secretary to reveal that Chris was presenting in Australia.
The patient was invariably a most interesting person. Some of the best teaching happened when we would gather as a small group in the Victorian villa that the Cullen Centre occupied in Morningside on Wednesday evenings over pizza, to discuss different
models of psychotherapy and ethical conundrums.
Jane Morris, September 2017
Contact the committee
The John Hamilton Travelling Fellowship 2017
This travelling fellowship is awarded from funds bequeathed by Dr John Hamilton, past Honorary Secretary of the then Forensic Section, and College Fellow.
It is intended to encourage psychiatrists working in the field of forensic psychiatry to broaden their knowledge and experience through travel to recognised forensic centres.
Proposals to visit developing forensic services in order to support, advise and teach will also be considered. Visits are expected to last about two to four weeks and would normally be to centre (s) overseas.
Who can enter?
The fellowship is open to UK higher trainees in Forensic Psychiatry and to consultants in Forensic Psychiatry in the UK in substantive posts.
Regulations and submission instructions can be found on the Faculty of Forensic Psychiatry website.
This guidance is for doctors, mental health officers, approved medical practitioners and other professionals exercising statutory functions under the Mental Health (Care and Treatment) (Scotland) Act 2003.
Building a Framework for Risk Assessment, Management and Evaluation : FRAME
The publication of this paper lays the foundations for a shared, consistent multi agency approach to risk practice. It marks an important milestone in an ambitious initiative on which the Scottish agencies led by the RMA and Scottish Government have embarked.
The Mental Health (Detention in Conditions of Excessive Security) (Scotland) Regulations 2015
Draft regulations setting out the test to determine whether a patient detained in a medium secure hospital / unit in Scotland is being detained in conditions of excessive security are being considered.
New Multi Agency Public Protection Guidance
MSc Forensic Mental HealthThe School of Forensic Mental Health (SoFMH) has developed the first MSc Forensic Mental Health Programme in Scotland.
Further information regarding the course can be found on the or by contacting Deborah Walker, SoFMH Administrator at email@example.com or on 01555 842212.
Welcome to the General Adult Faculty in Scotland which has a membership of over 700 Psychiatrists throughout Scotland.
If you're a General Adult Psychiatrist and would like any issues raised, do feel free to contact the current Chair or Vice Chair:
Chair: Dr Jim Crabb
Vice Chair: Dr Pavan Srireddy Email: firstname.lastname@example.org
2018 poster prize winner - Dr Carla Schmoll for her poster "Clinical simulation to increase staff confidence in assessment and management of medical emergencies arising in a psychiatric inpatient setting: review of evaluation data".
2017 poster prize winner - Dr Carla Schmoll for her poster “Audit to assess whether the use of metformin in the management of antipsychotic-induced weight gain for inpatients in the Rehabilitation department at the Royal Edinburgh Hospital is complying with current best practice”.
2016 poster prize winner - Olga McGowan for her poster "Lifestyle interventions for people with psychoses".
2015 poster prize winner - Dr Angela Liaros with her poster ""Physical health monitoring of patients receiving antipsychotics in acute mental health wards in Hairmyres hospital“
Our membership includes all consultants, Speciality Trainees and Speciality Doctors working in LD in Scotland. We welcome any other junior grades joining our meetings e.g core trainees, Foundation year doctors and GP Trainees.
We have an academic meeting once a year which we endeavour to rotate around the country and anyone interested should contact the Chair or Vice Chair.
Contact detailsChair: Dr Eleanor Brewster
Vice Chair: Dr Jana De Villiers
If you would like to contact the Faculty, please email Andrew Fraser.
2. People with Learning Disabilities and the Scottish Criminal Justice System':
Seven “easy read” guides for people with learning difficulties and their families and carers.
- People with Learning Disabilities and the Scottish Criminal Justice System - Introduction
- Information about the Police
- Information about Prosecution and Defence
- Information about Court
- Information about Criminal Justice Social Work Services
- Information about Prison Services
- Information about health and social work services supporting people with a learning disability
Other useful sites
- Turning Point Scotland
- Key housing
- GMC guidance Tomorrow’s Doctors expects graduates to
understand and accept the legal, moral and ethical responsibilities involved in protecting and promoting the health of individual patients, including vulnerable groups such as people with learning disabilities.
Medical educators and trainers can use the website to highlight the needs of people with a learning disability, as highlighted in Good Medical Practice which applies to all patients.
The Scottish Liaison Psychiatry Faculty Group is the official Scottish Faculty of the Royal College of Psychiatrists Faculty of Liaison Psychiatry.
Chair Stephen Potts: Stephen.email@example.com
- Generic all-age services by health providers will damage services and could threaten the quality of care provided to elderly patients
- Alzheimer Scotland - Responding to stress and distress in people with dementia
Scottish Dementia Clinical Research Network
The Scottish Dementia Clinical Research Network (SDCRN) has been set up with the intention of spreading a culture of clinical research in dementia across Scotland and improving recruitment from both urban and rural areas.
Their most current newsletter is now available.
Publication of Care of Older People in Hospital Standards
Healthcare Improvement Scotland have published revised standards for Care of Older People in Hospital.
The standards are available for download and includes the consultation report, with every comment submitted during their consultation along with comments from the project group.
Chair: Dr Adam Daly Email: firstname.lastname@example.org
Vice Chair: Dr Vivek Pattan
RCPsych in Scotland Faculty Constitution
Mental health and incapacity organisations
- Mental Welfare Commission for Scotland
- Office of the Public Guardian
- Scottish Commission for Regulation of Care (Care Commission)
- Dementia Services Development Centre
- Scottish Intercollegiate Guidelines Network (SIGN)
- National Institute for Clinical Excellence (NICE)
- Scotland's Health On the Web
Service user and carer organisations
Membership is open to consultants, associate specialists, staff grades and higher trainees in Psychotherapy throughout Scotland.
Colleagues from other specialties are also welcome to join. In addition, we encourage interested core trainees to attend our academic meetings.
Our executive meets three or four times a year to discuss matters of training and education, implications of government policy, developments in the provision of psychotherapy in Scotland and other relevant issues.
Close links are maintained with the psychotherapy faculty of the RCPsych UK and the executive of the Scottish Division of the RCPsych.
Current issues under discussion include:
- Resourcing and manpower (including succession planning)
- Management of the HEAT target for access to psychological therapies
- Developments in external trainings – Human Development Scotland and the Institute of Group Analysis.
We hold an academic meeting on an annual basis and this provides a forum for education and debate, but also a place to connect with like minded colleagues.
The meeting is held over two days at a central location.
Annual Conference 2018
This year's conference will be held at the Atholl Palace Hotel, Pitlochry on Thursday 15 and Friday 16 November 2018.
A draft programme will be available shortly.
Useful links to other organisations
- Human Development Scotland - for information on psychoanalytic training in Scotland.
- The Institute of Group Analysis – at present, only the introductory level of training is available in Scotland.
- The Balint Society – Promotes the Balint group format in health service. Also holds an annual conference (with subsidised places for medical students)
- British Association for Behavioural and Cognitive Psychotherapies – Promotes the development of the theory and practice of Behavioural and Cognitive Psychotherapies.
- Scottish Personality Disorder Network – Commissioned and established by the Mental Health Division of the Scottish Executive, the network aims to foster interest in the treatment of personality disorder in Scotland .
Chair: Dr Marina McLoughlin
Phone: 01224 557398
Vice Chair: Dr Lucie Colvin
Phone: 0141 232 9280 (Lansdowne Psychotherapy Service)
Secretary: Dr Adam Polnay
The rehabilitation and community care faculty of RCPsych in Scotland meets three to four times a year.
The section is open to interested consultants, associate specialists, staff grades and higher trainees.
We would also like to encourage interested core trainees to attend our meetings.
- Sharing information
- Peer Support
- Professional development
- Promotion of Rehabilitation and Recovery focussed services
- Case and Journal presentations
Vice Chair: Caroline Mitchell Phone: 01698 540 182 Email: Caroline.Mitchell2@lanarkshire.scot.nhs.uk
RCPsych in Scotland has a Retired Psychiatrists Group who meet three times a year for informal presentations and lunches.
For information on upcoming meetings, please visit our meetings and events page.
Working retired psychiatrists groupThis is a group for those members who are retired from full-time NHS posts but are still working in some capacity. Dr Tom Brown is the elected Chair of this group, and Dr Neill Simpson is Vice-Chair.
The group meet twice a year, providing CPD for the members and keeping them in touch with the work of the College.
If you would like to know more about either Group please get in touch with Andrew Fraser.
Any specialty doctor or associate specialist working in psychiatry in Scotland can join the group - there is a one-off joining fee of £30 (payable to SSASPA, please send to Treasurer).
This group has an educational and business meeting (which qualifies for CPD points) once a year, providing an ideal opportunity to share information and ideas relevant to those working in a non-consultant career grade role.
Please contact the chair or RCPsych in Scotland for more information.
Chair: Dr David MacLean, email@example.com
Treasurer: Dr Walter Forbes, Royal Cornhill Hospital, Aberdeen, AB25 2ZF, firstname.lastname@example.org
Secretarial support: Mrs Gail Kidd, 01382 647245, email@example.com
RCPsych in Scotland executive committee non-consultant career grade representatives and specialty doctors committee:
RCPsych Affiliates Committee Representative:
Dr Harry Boddy, firstname.lastname@example.org
Meet the groupChair: Dr Rhiannon Pugh
Dr Daniel Bennett
Dr Angela Cogan
Dr Robby Steel
Dr Richard Day
Dr Jackie Pickett
Dr Neil Masson
Dr Rob Embry
Dr Jo Brown
Dr Gordon Barclay
Dr Alasdair Forrest
Dr David Kenicer
Dr Jim Crabb
Dr Jane Murdoch
Dr Vikki Argent
Dr Alan Mackenzie
Dr Cara McDonald
Dr Audrey Morrison
Medical student representatives from the four Student Psychiatry Interest Groups in Aberdeen, Dundee, Glasgow and Edinburgh are also invited to attend.
Secretariat provided by Susan Richardson.
A career in psychiatry
A new recruitment leaflet aimed at school students to promote, and advise about, a career in psychiatry has been published. Available to download here, it is also available in hard copy on request. It has been circulated to all Senior Schools in Scotland, in addition to other career outlets (i.e. Skills Development Scotland).
This group has been active in Scotland for a number of years. Previous achievements include:-
- a book on how to teach psychiatry (published in the Summer of 2011)
- a course on Teaching Skills for Trainee Psychiatrists
- several contributions to The Psychiatrist
- several sessions delivered at Academic Meetings of the College in Scotland.
The composition of the group seeks to be representative of NHS and academic psychiatrists, the psychiatric specialties and the different areas of Scotland, but the main criterion for membership is an interest in teaching and/or recruitment.
It meets in Edinburgh at RCPsych in Scotland's offices three times a year.
Message from Dr Tom Brown
What can I do?
It has always been my view that every single member of the college needs to take responsibility for recruitment.
We need to regard every contact we have with school students, medical students and young doctors as important. In each such contact we are in effect an “advert for psychiatry” either for good or for ill. Specifically, consider doing one or
even all of the following:
1. Make yourself aware of the Student Associate grade and promote it amongst your students.
2. Support your local Psychiatry Society - offer to speak or help them find speakers.
3. Consider supporting your PTC reps to start a Buddy Scheme in your area if none exist. The PTC has guidance on the setting up and running of buddy schemes and will be able to identify trainees happy to take part.
4. Consider providing workplace based experience for school students. The College position statement on providing work experience placements can be found on the College website.
5. Consider running a Psychiatry Student Selected Module.
6. Support the development of Summer and Autumn Schools.
7. Be a Foundation trainer or even provide a Taster.
8. Encourage Foundation doctors to continue to engage with the College and promote the forthcoming FD membership grade.
9. Remember that “every moment counts” in nurturing future psychiatrists, whether they are school students, medical students or Foundation doctors.
As ever we welcome input and suggestions from the membership on what we can do differently. Please feel free to contact me.
Dr Tom Brown
Associate Registrar (Recruitment into Psychiatry)