Managing Mental Health and Substance Use in General Practice

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Managing Mental Health and Substance Use in
General Practice

• Part 2 Clinical Education Resources for
  Training General Practitioners and
• Allied Health Professionals
• Developed by
• Dr Adam R Winstock
• MRCP MRCPsych FAChAM

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Acknowledgements

• This resource has been developed as part of the
  Australian General Practice Networks Can Do
  Initiative Managing Mental Health and Substance
  Use in General Practice
• The resource is funded by the Australian
  Government Department of Health and Ageing
• The resource has been written to accompany the
  Teams of Two national comorbidity training
  package but can also be used as stand-alone
  clinical education

Funded by the Australian Government Department of
Health and Ageingunder the National Comorbidity
Initiative (2005-2007)
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Part 2 Slides and trainer notes

• Session a Definitions and prevalence of
  coexisting mental health and substance use
  disorders.
• Session b Assessment and history taking
• Session c Common explanations for the co
  occurrence of mental health and substance use
  disorders
• Unit 1 Alcohol dependence, withdrawal,
  depression and other mental health disorders
• Unit 2 Benzodiazepines anxiety, dependence,
  withdrawal and doctor shopping
• Unit 3 Cannabis use and mental health in primary
  care
• Unit 4 Amphetamines dependence, depression,
  withdrawal and psychosis
• Unit 5 Opioids and pain depression, dependence,
  withdrawal and doctor shopping
• Unit 6 Pregnancy mental health and substance use

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Learning objectives

The overall educational goal of this accredited
Mental Health Skills Training is to give GPs
specific knowledge, skills and confidence to
undertake the whole Three Step Mental Health
Process in general practice. Learning objectives
are to

• increase awareness of the common patterns of
  substance use and mental health co morbidity in
  primary care
• increase the knowledge and aetiology of the risk
  and consequences of substance use in those with
  mental illness
• increase the knowledge and skills required to
  assess and plan treatments for patients with
  co-existing disorders
• promote a range of treatment options that may be
  offered to such patients
• improve the diagnostic abilities in both mental
  health and drug and alcohol
• improve the safety and appropriateness of
  benzodiazepine and opioid prescribing

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End of Slide Show
The Can Do Initiative Managing Mental Health
and Substance Use in General Practice
Overview Session A Definitions prevalence
Session B Assessment history taking Session
C Common explanations Unit 1 Alcohol Unit
2 Benzodiazepines Unit 3 Cannabis Unit 4
Amphetamines Unit 5 Opioids and pain Unit 6
Pregnancy