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Maximising professionalism

Module 6

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ContentsContents

• The tasks• The roles• The collaboration between staff• The communication between staff and

patients• The physical setting

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The tasksThe tasks

• Management• Medical care• Psychosocial care• Health education• Prevention• Evaluation

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ManagementManagement

• Condition of physical environment• Staff recruitment• Professional conduct of staff• Working relationship between staff

• Regular staff meetings

• Provision of material• Finances

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Medical careMedical care

• Knowledge of pharmacology, toxicology and clinical indications

• Assessment of dependence through examination• Prescribing and dispensing

• Induction

• Monitoring

• Evaluation

• Assessment of other medical problems and treat them or refer to specialised care

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Psychosocial carePsychosocial care

• Assessment of opioid dependence• Assessment of psychological problems• Assessment of social problems• Address these or refer to specialist care• Counselling• Case management

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Health educationHealth education

• Address risk behaviours • Prevention of risk behaviours • Provide the means to do so• Overdose prevention

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Social re-integrationSocial re-integration

• Employment• Housing• Social and family relations (child-care?)• Criminal justice issues• Income support

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Administration/ReceptionAdministration/Reception

• Welcome patient• Make appointments with different staff

members• Record keeping• Appointments with external services

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The rolesThe roles

• The manager• The medical doctor/psychiatrist• The nurse• The social worker• The clinical psychologist • The counsellor• The administrator/receptionist• The pharmacist• The outreach worker

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The tasks - the rolesThe tasks - the roles

• No uniformity of professional roles• Differences across and within countries• Explicit definition of tasks and responsibilities

is vital

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Collaboration between staffCollaboration between staff

• Clear definition of respective tasks • Teamwork• Regular team meetings• Supervision• Liaison with external professionals• Record keeping• Monitoring and evaluation

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Communication between patient and Communication between patient and staffstaff

• Ethical approach:• Access to health for all at professional

standards with voluntary access• Individual human rights• No discrimination• Confidentiality• Informed consent• Choice in treatment options• Consumer involvement

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Attitudes of staffAttitudes of staff

• Professional• Respectful• Non-judgemental • Open-minded• Be aware of their personal values and moral

beliefs• Be aware of frustrations or burn-out

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Rules and regulations for patientsRules and regulations for patients

• Attendance to assessment• Keep appointments• Arrive in time• Keep to the rules of the service• No unacceptable behaviour

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AggressionAggression

• Staff must understand reasons for aggression:• Due to the effect of substances• Because of psychological or psychiatric problems• A reaction of the way the patient is treated by the

staff

• Need for policy regarding aggressive behaviour at each centre

• All staff must follow policy of centre

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Consumer involvementConsumer involvement

• In development• In practice• Enable closer communication and mutual

understanding between patients and professionals

• Complaint procedure

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The physical settingThe physical setting

• Specialised centre or primary care• Accessibility

• Safe• Clean• Central location• Adequate opening hours

• Community acceptance• Contact and involve community groups in planning

process• Collaboration with local police

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ConclusionsConclusions

• Organisational aspects are important:• Definition of different tasks and roles of staff• Teamwork and collaboration between

professionals• Clear definition of rules and regulations of

service• Physical aspects of service delivery• Community involvement