Senior Registrar Training in Old Age Psychiatry in the United Kingdom

1988 ◽  
Vol 12 (6) ◽  
pp. 233-234 ◽  
Author(s):  
J. P. Wattis
1988 ◽  
Vol 12 (6) ◽  
pp. 233-234
Author(s):  
J. P. Wattis

The Joint Committee on Higher Psychiatric Training (JCHPT) requires senior registrars (SRs) training for special responsibility posts in old age psychiatry to spend between one year and 18 months in higher training posts in which psychiatry of old age forms the major part of the work. Although only about a third of consultants in a recent survey had such training, there was strong evidence that more recently appointed consultants were likely to have recommended training. The availability of suitable training ‘slots’ seems likely to play a major role in how quickly specialised psychiatric services for old people can develop in response to the rising challenge posed by demographic changes. Jolley has already demonstrated how developments have been delayed by a shortage of properly trained candidates. Despite this the situation has now been reached where over two-thirds of the elderly population of the UK are served by specialised consultants albeit sometimes at inadequate manpower levels.


2011 ◽  
Vol 24 (2) ◽  
pp. 185-196 ◽  
Author(s):  
Susan Mary Benbow

ABSTRACTBackground: There are a number of models of patient and carer participation. Their usefulness and applicability to old age psychiatry is considered.Methods: Models of participation are reviewed and related to examples of participation initiatives drawn from the author's work in the context of the National Health Service in the United Kingdom.Results: Models of participation which emphasize collaboration and partnership are found to be useful. Simple interventions such as copying letters to patients and/or carers can lead to change in the balance of power between staff and patients/carers. Initiatives which draw on the experiences of patients and carers can facilitate organizational learning and development. Involving patients and carers in education offers a way to influence services and the staff working in them.Conclusion: Participation is better understood as a spectrum rather than a hierarchy. Old age psychiatry services would benefit from developing greater patient and carer participation at all levels.


1992 ◽  
Vol 16 (10) ◽  
pp. 612-613
Author(s):  
Stephen Dover ◽  
Christopher McWilliam

The co-existence of physical and psychiatric illness in so much of the elderly population poses diagnostic and therapeutic problems for psychiatrists, geriatricians and general practitioners alike, with the presence of physical illness strongly influencing and sometimes limiting the options for treatment of the psychiatric illness. Recognition of this has resulted in the Section of Old Age Psychiatry of the Royal College of Psychiatrists recommending that senior registrar training in old age psychiatry should include a one month attachment to an approved geriatric medicine unit.


2008 ◽  
Vol 11 (3) ◽  
pp. 273-286 ◽  
Author(s):  
Robert M. Lawrence ◽  
Julia Head ◽  
Georgina Christodoulou ◽  
Biljana Andonovska ◽  
Samina Karamat ◽  
...  

1993 ◽  
Vol 17 (4) ◽  
pp. 209-211 ◽  
Author(s):  
Gabrielle M. Faire ◽  
Cornelius L. E. Katona

Old age psychiatry has been steadily developing as a specialty in the United Kingdom. In 1978 the Royal College of Psychiatrists established a specialist section for old age psychiatry, and since October 1989 it has been formally recognised as a sub-specialty of psychiatry. In 1989 the Royal College of Physicians and the Royal College of Psychiatrists published a joint report entitled ‘Care of Elderly People with Mental Illness’ in which recommendations were made about both postgraduate and undergraduate training.


1991 ◽  
Vol 15 (10) ◽  
pp. 612-613
Author(s):  
Brian R. Ballinger ◽  
Jenny Eastwood ◽  
Grace Hodge ◽  
Ronald McIlwaine ◽  
Paul Morrison ◽  
...  

The psychiatry of old age has come to occupy an increasingly prominent role in psychiatry, because of demographic trends, and also because of service developments. About a third of referrals to most psychiatric services are for the over-65s and a high proportion of beds are occupied by this age group. Recently the training recommendations for senior registrars in the psychiatry of old age have been revised and clarified (Royal College of Psychiatrists, 1989) and old age psychiatry is now recognised as a specialty within psychiatry. Nevertheless there is continued concern about the training opportunities available in this field (Wattis, 1988), reports of difficulties in filling consultant posts, and evidence that the present guidelines for consultant staffing levels are inadequate (Ballinger et al, 1989). It has recently been recommended that one-third of senior registrar posts in general and old age psychiatry should be assigned to the psychiatry of old age (Sims, 1990).


1989 ◽  
Vol 16 (4) ◽  
pp. 285-288
Author(s):  
H. S. Orton

To be appointed as a consultant orthodontist in the British National Health Service requires a period of 3 + years in a higher training post as a senior registrar in orthodontics. Educational approval of these training posts is controlled by the Joint Committee for Higher Training in Dentistry. The detailed monitoring and requirements of senior registrar training posts are controlled by the Specialist Advisory Committee in Orthodontics and Paediatric Dentistry. Revised criteria for the approval of training programmes have recently been issued and are appended for the guidance of aspirant trainees, trainers and for the reader seeking an understanding of the UK title of ‘Consultant Orthodontist’.


2020 ◽  
Vol 32 (2) ◽  
pp. 201-223
Author(s):  
Ryan Woolrych ◽  
Jamuna Duvurru ◽  
Adriana Portella ◽  
Judith Sixsmith ◽  
Deborah Menezes ◽  
...  

The ageing in place agenda emphasises the importance of supporting older adults to age in their communities surrounded by the personal resources to age well. In exploring the relationship between older people and their environment, the concept of place insideness is seen as central to constructing feelings of identity, belonging and attachment in old age. Yet there has been little research exploring how older adults experience place insideness across different urban, social and cultural contexts which is an impediment to identifying effective interventions for age-friendly cities and communities. This article explores how place insideness is experienced amongst older adults across India, Brazil and the United Kingdom. The article presents qualitative findings from 294 semi-structured interviews collected across 9 cities and 27 neighbourhoods. The findings reveal that older adults cultivate their sense of place insideness in old age through dimensions of physical insideness (i.e., environmental competence in navigating and engaging in the community), social insideness (i.e., knowing others) and autobiographical insideness (i.e., shared place histories). In drawing on older people’s understanding of their communities, this article explores the opportunities and challenges in developing a sense of place insideness to support ageing well. We identify implications for policy and practice in terms of how we can better design urban environments as age-friendly communities which support a greater sense of place for older people.


2006 ◽  
Vol 19 (5) ◽  
pp. 962-973 ◽  
Author(s):  
Robert M. Lawrence ◽  
Julia Head ◽  
Georgina Christodoulou ◽  
Biljana Andonovska ◽  
Samina Karamat ◽  
...  

Background: The aim of this survey is to investigate professional attitudes to the presence and value of spiritual care from Old Age Psychiatrists.Method: All registered members of the Faculty of the Psychiatry of Old Age in the United Kingdom were asked to complete a 21-question semi-structured questionnaire. The first mail shot took place in 2002 and the second mail shot to non-respondents in 2003. Quantitative and qualitative analyses were carried out on the answers received.Results: The response rate was 46%. The majority of respondents (92%) recognize the importance of spiritual dimensions of care for older people with mental health needs and about a quarter of respondents appear to consider referring patients to the chaplaincy service. In contrast, integration of spiritual advisors within the assessment and management of individual cases is rare.Conclusions: Opinions vary as to whether provision of spiritual care should become widely available to older people with mental health needs who are admitted to hospital. Old age psychiatrists recognize that awareness of spiritual dimensions may be important for their patients. They seem less clear about the role of spiritual advisors and how NHS multidisciplinary clinical teams and spiritual and pastoral care services can be best integrated. Much work needs to be done on developing effective training and operational policies in this area.


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