Mental health

Draft proposed by Dr YK Shiu
Reviewed by Dr S P Wu

Essential Skills

Domain 1 Professional Values & Behaviour
Domain 2 Communication
Domain 4 Patient Management
Domain 5 Health promotion and Illness Prevention
Domain 9 Safeguarding

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises.

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Basic Training

Basic Principles of Emotional and Behavioural Development
  • Understand the basic theories of childhood cognitive and social development, and attachment theory.
  • Understand the genetic, psychological, familial (parental mental health problems), neurological and socio-economic factors in the mental well-being of children and young persons (CYP).
Physical illness and mental health
  • Understand the impact of physical illness on mental health
  • Determinants of mental well-being
  • Understand and being able to explain the determinants of mental well-being
Common Childhood behavioural problems
  • Understand the basic approach to common problems:
  • Feeding problems, infantile colic
  • Failure to thrive
  • Temper tantrums
  • School refusal
Drug and alcohol problems
  • Recognises the effects, common presentations and potential for harm of alcohol and other abusive drugs on CYP
  • Applies knowledge about the addictive potential of alcohol and other drugs to the management of CYP
  • Recognises the impact of alcohol and drug abuse on child’s mental health
Common mental health conditions

Understand the diagnostic criteria of common mental health conditions:

  • Attention deficit – hyperactivity disorder
  • Autistic spectrum disorder
  • Anxiety
  • Depression
  • Conduct disorder
  • Oppositional – defiant disorder
  • Eating disorder
  • Deliberate self-harm
Psychosis and Schizephrenia

Early recognition and referral.

Desirable skills

Basic counselling skills.

 

Higher Training

Dysfunctional parent-child attachment

Understand the impact of violence and abuse on the development and mental health of a CYP.

Organic psychiatric disorders

Workup for organic disorders with psychiatric presentations.

Functional physical disorders

Approach to helping CYP who present with physical symptoms that have a predominantly psychological substrate.

Physical illness and mental health
  • Offer assessment, counselling and referral when necessary for CYP whose mental health was adversely affected by their physical illness.
  • Impact of parents and family on mental health.
  • Understand the impact of parental substance abuse and parental mental illness on mental health of CYP.
  • Understand the work of Comprehensive Childhood Developmental Service.
Common mental health conditions
  • Assess and manage common mental health conditions of CYP.
  • Attention deficit – hyperactivity disorder
  • Autistic spectrum disorder
  • Depression
  • Psychosis
  • Conduct disorder
  • Oppositional – defiant disorder
  • Eating disorder
  • Deliberate self-harm
  • Suicidal ideation
  • Recognise psychiatric disorders that need referral to child psychiatrists for management
Psychosis and Schizophrenia

Assessment of possible organic causes.

Desirable skills

Motivational Interviewing.

 

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