Veidlapa Nr. M-3 (8)
Study Course Description
Psychiatry and Narcology
Course Code
RGA_029
Branch of Science
Clinical medicine
ECTS
6.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Līga Kozlovska
Residency Speciality
Speciality
General Practicioner
Supervisor of Medical Speciality
Gunta Tīcmane
Contacts
-
About Study Course
Objective
To ensure acquisition of in-depth theoretical and practical skills in psychiatry and narcology, in accordance with the competence of the specialty of family doctor (general practitioner).
Learning Outcomes
Knowledge
1.Knowledge is acquired about the prevalence of mental disorders and diseases, aetiology, pathogenesis, clinical symptoms, diagnosis and progress (according to ICD-10), treatment of psychiatric emergencies; the basic principles of mental disease prevention, drug treatment, social rehabilitation of patients and the role of psychotherapeutic treatment in primary care; legal issues in psychiatry (mental capacity, capacity to act), protection of patients’ rights, regulations for counselling and hospitalisation of patients, determination of capacity for work. Knowledge is acquired on the evaluation of the basic principles of diagnosis of alcoholism, drug addiction and addiction to toxic substances, differential diagnosis and observation at the level of primary health care.
Skills
1.Skills are acquired to perform a full assessment of psychiatric disorders, recognise, assess and describe basic psychiatric symptoms in outpatient practice; differentiate the norm from stress reactions in everyday situations and mental health pathology, assess the risk of self-harm; empathically interview patients with psychiatric disorders, understand the importance of interpersonal skills in psychiatry, diagnose and treat psychiatric disorders, treat them or organise the treatment process according to the four levels of competence defined in the specialty of family doctor (general practitioner); skills are acquired in practical care of narcological patients, ability to evaluate the basic principles of multidisciplinary teamwork.
Competences
1.Competence is acquired about the organisation and operation of the psychiatric and narcological care service, its ethical and legal principles; distribution of competences among different specialists; planning and organisation of care for mentally ill patients. To respect confidentiality and informed consent in psychiatric care; to understand and be sensitive about the stigmatisation of patients and their family members; to explain the nature of the disease to the patient and their family members; to be aware of one’s personal attitude towards mental diseases and their impact on patients and the treatment process. Ability to integrate the latest scientific developments in psychiatry and narcology into daily work and research development.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
-
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-
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Independently studies the topic in the literature and available e-resources. Prepares research paper and clinical cases for seminars. Performs patient care at the clinical learning centre.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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2.
Examination |
-
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-
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Assessment of theoretical knowledge and practical skills at the end of the study course in a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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|---|---|---|
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On site
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Other
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Topics
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Integration of mental health care in PHC. Depression, anxiety in different age groups
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Psychiatric treatment options and legal arrangements.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Drug addiction in the family doctor practice.
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Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
3
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Slimību profilakses un kontroles centrs. Psihiskās saslimšanas, to pazīmes, diagnostika un ārstēšanas metodes.
2.
Eglītis I. Psihiatrija. Zvaigzne, Rīga 1989.
3.
Klīniskais algoritms Akūtu psihotisku traucējumu un pirmās šizofrēnijas epizodes atpazīšana, vadīšana un ārstēšana. 2019.
4.
E. Tērauds, E. Rancāns, R. Andrēziņa, B. Kupča, G. Ancāne, I. Ķiece, Ņ. Bezborodovs. Latvijas psihiatru asociācija. Depresijas diagnostikas un ārstēšanas vadlīnijas. 3.izdevums. 2015.
5.
Klīniskais algoritms. Depresija primārajā aprūpē atpazīšana, vadīšana, ārstēšana un aprūpe. 2019.
6.
Klīniskais algoritms Dubultdiagnozes psihiatrijā un narkoloģijā bērnu un pusaudžu vecumā, agrīna atpazīšana, vadīšana, diferenciāldiagnostika, ārstēšana un aprūpe. 2019.
7.
Klīniskais algoritms. Demences novērtēšana un diagnostika. 2019.
8.
Klīniskais algoritms Ar alkohola lietošanu saistīto veselības traucējumu atpazīšana, vadīšana, ārstēšanas principi un aprūpe. 2020.
9.
Klīniskais algoritms Akūtas alkohola intoksikācijas un abstinences stāvokļa atpazīšana, vadīšana, ārstēšana un aprūpe. 2020.
10.
„Adolescent Substance Abuse and Mental Health: Problem Co-Occurrence and Access to Services”. J Child Adolesc Subst Abuse. 2012 Jul 1; 21(4): 310–322.
11.
Stirna A., Landsmane I., Skaida S., Stankeviča I. Narkoloģija. Astrīdas Stirnas redakcijā, Rīga, SIA Medicīnas apgāds, 2008.
12.
Kaplan & Sadocks. Synopsis of Psychiatry. 10th ed. Philadelphia; Williams & Wilkins, 2007.
13.
„Ieteikumi ģimenes ārstiem alkohola atkarības profilaksē”. Slimību profilakses un kontroles centrs, 2015.
14.
Patnode C.D., Perdue L.A., Rushkin M., O’Connor E.A. Screening for Drug Use in Primary Care in Adolescents and Adults, Including Pregnant Women: An Updated Systematic Review for the U.S. Preventive Services Task Force: Evidence Synthesis No. 186. Agency for Healthcare Research and Quality; 2020. AHRQ publication 19-05255-EF-1.
15.
Principles of Substance Use Disorder Treatment in Adolescents: A Research-Based Guide. National Institute on Drug Abuse. Published 2014. Accessed April 22 2020.
Additional Reading
1.
Andrēziņa R., Tērauds E. Šizofrēnijas diagnostikas un ārstēšanas vadlīnijas. Latvijas psihiatru asociācija. Rīga, 2008. 81 lpp.
2.
Andrēziņa R., Tērauds E. Vadlīnijas - Praktiskā psihofarmakoterapija. Rīga, 2009. 28 lpp.
3.
Semple D., Smyth R. Oxford Handbook of Psychiatry. 2nd ed., Oxford University Press, Oxford. 2009.
4.
D. Goldberg, L. Gask, R. Moriss. Psychiatry in Medical Practice. 3rd ed. Routledge, 2008.
5.
Wyszynski A.A., Wyszynski B. Manual of psychiatric care for the medically ill. Washington, DC., American Psychiatric Publishing, Inc., 2005.
6.
The American Psychiatric Publishing textbook of psychosomatic medicine /edited by James L. Levenson. Washington, DC; London: American Psychiatric Publishing, 2005, 1092 lpp
7.
AUDIT: The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care. 2nd ed. WHO, 2001.
8.
Siu A.L. US Preventive Services Task Force. Screening for depression in children and adolescents: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2016;164(5):360-366.
9.
Tomas F.Beibors, Džons K.Higins-Bidls. Īsa iejaukšanās. Riskantā un kaitīgā alkohola lietošana. Primārās aprūpes darbinieku rokasgrāmata. PVO, 2004.
10.
Brief Intervention for Hazardous and Harmful Drinking. A Manual for Use in Primary Care, WHO, 2001.
11.
LeFevre M.L. US Preventive Services Task Force. Screening for suicide risk in adolescents, adults, and older adults in primary care: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160(10):719-726.
12.
Curry S.J., Krist A.H., Owens D.K., et al. US Preventive Services Task Force. Screening and behavioral counseling interventions to reduce unhealthy alcohol use in adolescents and adults: US Preventive Services Task Force recommendation statement. JAMA. 2018;320(18):1899-1909.
13.
Cook J.L., Green C.R., de la Ronde S., et al. Epidemiology and effects of substance in pregnancy. J Obstet Gynaecol Can. 2017;39(10):906-915.
14.
Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants. Substance Abuse and Mental Health Services Administration. Published 2018. Accessed June 26, 2019.
15.
Substance Abuse and Mental Health Services Administration. A Guide to Substance Abuse Services for Primary Care Clinicians. National Center for Biotechnology Information. Published 1997. Accessed April 22 2020.
16.
Principles of Drug Addiction Treatment. A Research-Based Guide. 3rd ed. National Institute on Drug Abuse. Published 2018. Accessed April 22 2020.