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Molina-Ruiz R, Nakagami Y, Mörkl S, Vargas M, Shalbafan M, Chang JPC, Rai Y, Seun-Fadipe CT, Erzin G, Kazhungil F, Vidal P, Brihastami S, Yıldızhan E, Maiti T, Fedotov I, Rojnic-Palavra I, Horinouchi T, Renganathan V, Pinto da Costa M. Training in neuropsychiatry: views of early career psychiatrists from across the world. BJPsych Bull 2024; 48:78-84. [PMID: 37395121 PMCID: PMC10985715 DOI: 10.1192/bjb.2023.32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 02/01/2023] [Accepted: 04/16/2023] [Indexed: 07/04/2023] Open
Abstract
BACKGROUND Training and practice in neuropsychiatry varies across the world. However, little is known about the experiences and opinions of early career psychiatrists (ECPs) across different countries regarding neuropsychiatry. AIMS AND METHOD To investigate neuropsychiatry training experiences, practices and opinions among ECPs across different countries. An online survey was distributed to ECPs in 35 countries across the world. RESULTS A total of 522 participants took part in this study. Responses show that neuropsychiatry is integrated to a variable extent in psychiatric training curricula across the world. Most respondents were not aware of the existence of neuropsychiatric training or of neuropsychiatric units. Most agreed that training in neuropsychiatry should be done during or after the psychiatry training period. Lack of interest among specialty societies, lack of time during training, and political and economic reasons are regarded as the main barriers. CLINICAL IMPLICATIONS These findings call for an improvement in the extent and in the quality of neuropsychiatry training across the world.
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Affiliation(s)
| | | | | | | | - Mohammadreza Shalbafan
- Iran University of Medical Sciences, Tehran, Iran
- Institute for Cognitive Sciences Studies, Tehran, Iran
| | | | - Yugesh Rai
- Essex Partnership University NHS Foundation Trust, Colchester, UK
| | | | - Gamze Erzin
- Diskapi Training and Research Hospital, Ankara, Turkey
| | | | - Pablo Vidal
- Hospitalario Universitario A Coruña, A Coruña, Spain
| | | | - Eren Yıldızhan
- Bakirkoy Mazhar Osman Research and Training Hospital for Psychiatry, Istanbul, Turkey
| | - Tanay Maiti
- South Yorkshire NHS Foundation Trust, Dewsbury, UK
| | | | | | - Toru Horinouchi
- Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | | | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
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Dawood S, Poole N, Fung R, Agrawal N. Neurologists' detection and recognition of mental disorder in a tertiary in-patient neurological unit. BJPsych Bull 2018; 42:19-23. [PMID: 29388525 PMCID: PMC6001869 DOI: 10.1192/bjb.2017.7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
UNLABELLED Aims and method Psychiatric disorders are common in neurological in-patients, but they are under-recognised and undertreated. We investigated the frequency of detection of mental disorder and referral to psychiatric services in a regional neuroscience centre. The results were compared with the expected prevalence. All in-patient referrals received in 2014 from the in-patient wards of the regional neuroscience centre and acute neurological unit were reviewed. RESULTS A total of 129 ward referrals were identified; of these, 78 were from the regional in-patient neurological unit, which comprised 11.4% of the total of 679 admissions to that unit. Clinical implications A spectrum of neuropsychiatric conditions were recognised by neurologists, but overall rates of recognition were low. To address the problem of under-recognition, routine screening with validated assessment tools can represent a cost-effective and acceptable method to detect psychiatric disorders in an in-patient neurological setting. Declaration of Interest None.
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Affiliation(s)
- Samr Dawood
- Springfield University Hospital,South West London and St George's Mental Health NHS Trust,London
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Abstract
Aims and method Previous studies have shown variations in commissioning of neuropsychiatry services and this makes access to neuropsychiatric services a post-code lottery. In this survey, we approached all mental health and neuropsychiatric service commissioners within London to map current funding and commissioning arrangements, and explored perceived barriers to neuropsychiatric service commissioning. Results 83% of commissioners within London responded. There was significant variability between neuropsychiatric services commissioned through the mental health stream. Contracting arrangements were variable. Lack of earmarked fund for neuropsychiatry and disjointed funding stream for such services were identified by commissioners as a barrier, as was the critical mass of neuropsychiatric cases. Clinical implications Neuropsychiatric service development continues to be hindered by lack of clear commissioning process. Strategic drive is needed to promote more equitable neuropsychiatric services. National or regional commissioning covering a large population will provide a better model for neuropsychiatric services to be commissioned.
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