ORGANISATION AND DELIVERY OF PSYCHIATRIC SERVICES  

Trainees shall demonstrate knowledge of the core aspects of service delivery. This knowledge shall include:   

 the nature and process of managing psychiatric cases, including the application of multidisciplinary approaches, the special role of the psychiatrist in treatment, and the co-ordination of the various treatment processes involved. Physical, psychological, and social treatments and their relevance to the management and treatment of psychiatric disorders   

 preventative strategies in psychiatric disorder, where these exist;   

• the provision of specific treatments  
• the indications, benefits, risks and outcomes of ECT.  
• the practical aspects of ECT administration.  
• the indications, benefits, risks and outcomes of DBS, rTMS and psychosurgery  

the assessment of the need for psychiatric services within a community and how to set up and administer such services, including some idea of the costs of major elements of such service provision;   

 the essential components of a rehabilitation service and the specific patient needs and disabilities that can be assisted by psychiatric rehabilitation.   

the relationship between psychiatric disorder and civil rights including marriage, divorce, custody of children and management of property and affairs. Ethical issues including the use of seclusion, confidentiality, and the implications of ‘duty to warn’.   

 medico-legal issues in psychiatry including abuse of vulnerable adults, management of finance and property, driving and mental disorder, and the assessment of capacity to make health, social care, and civil decisions.   

 the presentation of psychiatric disorder in a range of cultural settings, especially those likely to be encountered in the United Kingdom or the Republic of Ireland.