Competencies for SHOs in Psychiatry
The following list of skills and competencies is the result of a
brainstorm by senior consultants and academic staff. These are the skills and competencies
that we would expect an SHO to learn and foster over the course of their general training.
- Ability to assess a patient and produce a safe and relevant
management plan.
- Ability to assess risk of suicide.
- Ability to assess risk of dangerousness to others.
- Familiarity with, and appropriate use of, the Mental Health Act.
- Management of a case of severe depressive disorder.
- Management of a case of first episode psychosis.
- Management of a case of schizophrenia.
- Management of a case of alcohol withdrawal, delirium and /or
dependence.
- Management of a case of substance abuse, delirium and/or dependence.
- Management of a case of bipolar affective disorder.
- Safe management of the disturbed patient.
- Assessment of and management of a case of dementia.
- Familiarity with, and appropriate use of, a modern classification
system.
- Management of a case of anxiety disorder.
- Management of a case of obsessive compulsive disorder.
- Management of a case of post-traumatic stress disorder.
- Assess a patient appropriately for and referral of a patient to a
specialist psychotherapy service.
- Assess a patient appropriately for and referral of a patient to a
specialist forensic service.
- Assess a patient appropriately for and referral of a patient to a
specialist child and adolescent service.
- Assess a patient appropriately for and referral of a patient to a
specialist learning disability service.
- See a short-term patient for a supervised form of psychotherapy.
- See a long-term patient for a supervised form of psychotherapy.
- Safely and effectively administer a course of ECT.
- Familiarity with collateral legislation with relevance to psychiatric
practice such as the Children’s Act, Homicide Act, Care in the Community Act,
Criminal Procedure [Insanity and Unfitness to Plead] Act.
- Familiarity with, and appropriate use of, the leadership role in the
Multidisciplinary Team.
- Familiarity with relevant modern-day business and management
techniques.
- Familiarity with management guidelines and systems such as the Care
Program Approach
- Safely practice breakaway techniques and approved self-defence
skills.
- Devise protocols for clinical audit and also for academic research.
- Ability to liaise appropriately with statutory bodies such as the
Mental Health Act Commission.
- Ability to appear and speak at Mental Health Act Tribunals, where
appropriate.
- Ability to interview patients for, and write, satisfactory legal and
official reports.
- Satisfactorily perform cardiopulmonary resuscitation.
- Familiarity with IT systems to the benefit of patient care and
research skills.
- Ability to liaise effectively, courteously and appropriately with
professional colleagues involved in the multidisciplinary care of patients.
- Ability to introspect about and gain insight from the doctor-patient
relationship.
- Ability to communicate effectively with patients, colleagues and
groups.
- Ability to teach effectively.
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Lodge Education Ltd 1994-1999.
Last Amended: 11/02/00