Nuts and Bolts of Psychiatry

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Nuts and Bolts of Psychiatry

• Professional Development For Dual Diagnosis
  Workers

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Amelia Callaghan

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

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Dr Basil Buntting

• MBChBMMed(psych)MD
• Consultant Psychiatrist
• Gold Coast Hospital
• Contact Address 69 Yodelay Street, Varsity
  Lakes,4227, QLD
• Mobile [phone]
• E-mail bvbunt_at_bigpond.com

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Objective

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

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Drug and Alcohol Abuse

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

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Dual Diagnosis teamDifferent background and
trainingOften little psychiatry /\ Risk
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Need for practical clinical psychiatry course,
that is easily learnt and applied by dual
diagnosis workers.
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Study35 Dual Diagnosis Clnicians2- two-day
workshopsPre and Post-workshop tests of equal
difficulty on the same topicsPost Evaluation
questionnaireAnonymous
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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)
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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

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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)

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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)

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Nuts and Bolts of Psychiatry

• 1 Effective in improving psychiatric knowledge
• 2 Highly rated by Dual Diagnosis Team
• Dr Basil Buntting

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Nuts and Bolts of Psychiatry

• Exists over 10 years.
• South Africa, New-Zealand, Australia

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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)

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Unique tools of assessment

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

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Training Requirements

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

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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

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Funders

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

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Funders

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

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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

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Conclusion

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