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Nuts and Bolts of Psychiatry

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Amelia Callaghan. Psychologist. Youth Dual Diagnosis Coordinator. Gold Coast Drug Council ... To assess the effectiveness of 'Nuts of Bolts of Psychiatry professional ... – PowerPoint PPT presentation

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Title: Nuts and Bolts of Psychiatry


1
Nuts and Bolts of Psychiatry
  • Professional Development For Dual Diagnosis
    Workers

2
Amelia Callaghan
  • Psychologist
  • Youth Dual Diagnosis Coordinator
  • Gold Coast Drug Council
  • Email ameliac_at_gcdrugcouncil.org.au

3
Dr Basil Buntting
  • MBChBMMed(psych)MD
  • Consultant Psychiatrist
  • Gold Coast Hospital
  • Contact Address 69 Yodelay Street, Varsity
    Lakes,4227, QLD
  • Mobile 0424270383
  • E-mail bvbunt_at_bigpond.com

4
Objective
  • To assess the effectiveness of Nuts of Bolts of
    Psychiatry professional development in Dual
    Diagnosis workers.

5
Drug and Alcohol Abuse
  • Growing Problem in Australia and internationally
  • 50 of Mentally ill people have a drug problem as
    well

6
Dual Diagnosis teamDifferent background and
trainingOften little psychiatry /\ Risk
7
Need for practical clinical psychiatry course,
that is easily learnt and applied by dual
diagnosis workers.
8
Study35 Dual Diagnosis Clnicians2- two-day
workshopsPre and Post-workshop tests of equal
difficulty on the same topicsPost Evaluation
questionnaireAnonymous
9
Results for n34Paired t-test results when
hypothesized difference0 arePre and post-test
mean difference -3.882DF33, t-Value
-17.451P-Value 0.0001 (highly significant)
10
Actual Scores out of 6
  • Multi Disciplinary N(50) Dual N(34)
  • Pre-test 48 scored 3 6 lt3
  • Post-test 98 scored 4.2 97 4
  • Improvement 50 91
  • More Benefit for Non-Psychiatric Practitioners

11
End of course evaluation
  • Multi Disciplinary (n45)
  • Dual Diagnosis (n33)
  • S/A Agree Undecided Disagree S/D
  • Mastering easy 38 6 (98)
    1
  • 27 6 (100)
  • Organized content 35 9 (98)
    1
  • 20 13
    (100)
  • Multiple teaching tools 35 9 (98)
    1
  • 19 14 (100)

12
End of Course Evaluation (continued)
  • S/A Agree Undecided Disagree S/D
  • Relevant to
  • everyday work 39 5 (98)
    1
  • 21 12 (100)
  • Stimulating
  • Atmosphere 36 8 (98)
    1
  • 26 7
    (100)
  • Positive tutor 43 1 (98)
    1
  • 30 3
    (100)

13
Nuts and Bolts of Psychiatry
  • 1 Effective in improving psychiatric knowledge
  • 2 Highly rated by Dual Diagnosis Team
  • Dr Basil Buntting

14
Nuts and Bolts of Psychiatry
  • Exists over 10 years.
  • South Africa, New-Zealand, Australia

15
Principles
  • 1 Easy everyday language
  • 2 Brief, only essential DSM IV ICD 10
  • 3 Practical and applied (like driving a car)
  • 4 Book (Psychiatry in Easy Steps)

16
Unique tools of assessment
  • (1) Shared symptoms and signs
  • i.e. single approach
  • (2) Separating criteria-gt different diagnoses

17
Training Requirements
  • Project Manager
  • 1) Right Training? What we want?
  • 2) Is it credible?

18
Right Training Credibility
  • 1) Overseas Professors (USA) may not be right
    (Students know).
  • 2) Follows standard Psychiatry
  • Academic UQ and Bond Medical Students
  • Work Based Multi Disciplinary Team

19
Funders
  • 1. Cost Effective
  • University knowledge broad and narrows to
    practical applied (process expensive)
  • No systems allows free-flow of knowledge from
    psychiatrists

20
Funders
  • 2. Does it work?
  • Measured Pre and Post tests Evaluations
  • Further at work evaluations
  • STUDENT VIDEO

21
Student self-directed course
  • Follows two-day course (five months)
  • Learn and identify each symptom from text
  • Identify each symptom from known patient
  • Identify each symptom from unknown patient
  • Examinations-All at workplace

22
Conclusion
  • Nuts and Bolts
  • 1) Right training for Dual Diagnosis workers
  • 2) Cost effective for Dual Diagnosis workers
  • Funding How to make it work?
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