Psychiatric Bulletin (2006) 30: 356-357. doi: 10.1192/pb.30.9.356-a
© 2006 The Royal College of Psychiatrists
Psychiatric Bulletin (2006) 30: 356-357
© 2006 The Royal College of Psychiatrists
Role of the consultant psychiatrist in psychotherapy
Council Report CR139, May 2006, Royal College of Psychiatrists,
£5.00, 15 pp
This report reviews the range of roles and responsibilities that are
undertaken by consultant psychiatrists in psychotherapy. It sets out three
core principles.
- Consultant psychiatrists in psychotherapy have a range of roles.
- Consultant psychiatrists in psychotherapy bring to multidisciplinary teams
the knowledge, responsibility and ethos associated with the medical
profession.
- Consultant psychiatrists in psychotherapy bring specific psychotherapeutic
expertise to multidisciplinary teams.
In clinical work these principles mean that consultant psychiatrists in
psychotherapy assess and manage complex cases, deal with issues of risk and
take special responsibility for patients with a combination of medical and
psychological issues. Supervision and management of clinical teams are also
important clinical tasks.
The important teaching role is discussed in relation to both undergraduate
and postgraduate medical education and the education of professions allied to
medicine. Strategic advisory and clinical governance responsibilities are
discussed and the particular remit to bring a psychologically minded approach
to these discussions is highlighted.
Finally, the report highlights the future development of the role in
relation to the changing role of medical consultants within he health service.
It stresses the importance of developing a capacity for flexible ways of
working, employing a range of therapeutic modalities, learning new
evidence-based therapies and participating in the research base for and
development of new treatments. In addition, the changing structure of adult
psychiatry is discussed in relation to developing therapeutic roles for
consultant psychiatrists in psychotherapy more generally, including
involvement in developments such as assertive outreach, crisis intervention
and home treatment teams.