Training of Mental Health Specialists for General Practice: Family Doctor, Psychologist, Social Work

1
Training of Mental Health Specialists for General
Practice Family Doctor, Psychologist, Social
Worker, Psychiatric Nurse

• Oleg Nasinnik, Assistant Professor, Department of
  Psychiatry,
• Kiev Medical Academy of Post-Graduate Training
  named after P.Shupik

2
Main Objectives of AIHA Mental Health Task Force

• Development of strategies for the integration of
  mental health care into PHC system
• Development of mental health clinical practice
  guidelines
• Development of multidisciplinary approach concept
  and identification of objectives for the training
  of adequate specialists (family doctors,
  psychologists, social workers, nurses)
• Identification of efficient strategies for the
  replication of primary mental health care model
  at other centers

3
Multidisciplinary Approach

• Family Doctor
• Psychologist
• Social Worker
• Psychiatric nurse

4
Mental Health Disorders Seen by Primary Health
Care Physicians
5
Family Doctor

• Collection and generalization of available data
• Diagnosis and case evaluation
• Development of therapy plan together with the
  patient
• Coordination of efforts among team specialists

6
Psychologist

• Prevention
• Diagnostics
• Mental health rehabilitation and psychocorrection
• Patient education
• Health personnel training

7
Social Worker

• Individual plan for social rehabilitation
• Improvement of social functioning
• Social protection and support
• Communication skills training
• Interaction with governmental, non-governmental
  and private organizations, including those
  delivering social care, mass media.

8
Nurse

• Up-to-date methods and approaches to patient care
• Knowledge of major psychiatric drug
  characteristics
• Preventive care and population mental health
  improvement activities.

9
Interaction with Specialized Psychiatric Care
Facilities

• Delivery of care by Primary Health Care Center
  specialists
• Psychiatrists consultations at PHC Center
• Referrals to psychiatrists

10
Suggested Changes in Post-Graduate Training of
PHC Specialists

• Topic-based refresher training courses in
  psychiatry for all the specialists
• More training locations
• More attention to the models of care delivery
• Generation of experience in psychopharmacology
• Use of psychotherapy
• Leadership skills building
• Training of trainers

11
Conclusions

• Comprehensive post-graduate training strategy
• Continuity of training
• Joint training of specialists (psychiatric nurse,
  psychologist, social worker)
• Specialized printed materials, guidelines,
  protocols (standards) for integrated PHC delivery
• Train-the-Trainers Centers
• Integrated mental health care system is ready to
  take the responsibility for development,
  coordination and implementation of training
  programs.