PCMH Psychiatry Attachment Guide

The accompanying excel documents outline the individualised six week Galway timetables for
each student undertaking the PCMH (Primary Care & Mental Health) module in the current
academic year.

Students should locate their number (please see the separate document on Blackboard with
regards to student names and their allocated number). The corresponding number on the
timetable indicates the student’s individual timetable for their 6 week clinical placement in
PCMH (read across). We suggest you identify your activities over the 6 week period and transfer
them into your own diary located in the back of your logbook.

Please take care that you download the correct timetable intended for you (there are two per
semester)-

 If you start with PCMH(Psychiatry/GP/ENT) then you need the group 1 timetable

 If you start with WCH (ObsGynae/Paeds) then you need the group 2 timetable.

The timetables are broadly similar with some small changes to accommodate for bank holidays
etc.

The didactic teaching programme (for weeks 1 & 2 in semester 1 and week 1 in semester 2) is
outlined in the separate schedule, which can be accessed via Blackboard.

Your psychiatry tutor is Dr James Mc Loughlin (james.mcloughlin@nuigalway.ie)

General Practice:
GP Placement outlines the two week period that each student will spend on clinical general
practice placement. Further details can be found on Blackboard.

GP SGT refers to the sessions for general practice small group teaching which have been
allocated to each student. Further details can be found on Blackboard.

ORL:
ENT SGT relates to the small group teaching sessions in Otorhinolaryngology to which the
student has been allocated. Further details of locations for these sessions can be found on
Blackboard.

ENT OPD refers to allocated sessions for student attendance at ORL outpatients clinic, on the
ground floor of the main hospital outpatients department.

Psychiatry:

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Psychiatry SGT sessions are divided by the topic/nature of the session.

 Video (Students must seek out their own patient to record with)
o Video recording and feedback sessions, which are conducted in the Seminar
Room in the Dept of Psychiatry.
o Tuesday: 9am - 1pm, Wednesday: 2pm – 5pm, Friday 22 nd Sept, 1pm-4pm
o Videos are recorded at the beginning of the session (approx. 1.5 hours with a
dedicated videographer) and then the feedback session takes place (11:30am
and 3:30pm respectively). It is recommended to familiarise yourself with the
patient prior to the video session, and you must first speak to the patient to see
if they are willing to participate. Please try to discuss with your team about
finding a suitable patient, failing this speak to the nursing staff about who may
be appropriate. The purpose of the session is to work on communication skills
and style of history-taking, it is not about taking an exhaustive history from the
patient.

 Please note that patients on “level 2 observations” or involuntarily detained patients are
not permitted to leave the ward for the video. Please inform a member of nursing staff
when taking a patient off the ward.
 If you have difficulty recruiting patients from the ward to take part in their video
interview session, there is a community Day Centre for out- patients
called Danesfield House on Sea Road which has some patients who may be suitable. You
should speak with nursing staff on the in-patient ward to ask about any suitable
patients- if this isn't fruitful you can call Danesfield House on 091587841. This will
require some advance preparation (ie at least 1-2 days in advance) on your part and will
not work as a last minute measure. You may also ask a patient you have seen in OPD or
the Day Hospital if suitable.

 Case Conference:
o Consultant-led case conference, conducted in the Seminar Room in the Dept of
Psychiatry
o Wednesday: 12pm – 1pm
o The consultant will interview a patient in person and lead a discussion with the
students around the case

 Case Discussions (NB require student preparation):

o Weeks 2, 4, 6 conducted in the Seminar Room in the Dept of Psychiatry
o 30 minute discussion of two cases by two student groups who will discuss the
case via a Powerpoint presentation with a consultant
o Groups vary in number from 8-12 students, please divide yourself based on
numerical order, eg the first group in Week 2, Monday at 12pm, students 37-45,
split into two groups: 37-40 and 41-45, and so on (with uneven groups, the
“extra” student enters the second group).
o Students should ideally select a patient from the in-patient ward but an
interesting out-patient case may also be utilised
o Three students will take turns to present the case: one student will present the
complete History, another the Mental State Exam and Formulation, a third will

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 present Differential Diagnosis and Management Plan – we suggest this should
contain approximately 15 slides and take no more than 15 minutes to allow
for 15 minutes of discussion after the presentation.
o Although just three students are required to present the case, it is essential that
each student meet with the patient and participate in the preparation of the
presentation as every member of the group is expected to participate in the
discussion on the day.
o Monday: 12pm – 1pm , Thursday: 12pm – 1pm

 PBL:
o Problem Based Learning sessions
o Please look at the slides on Blackboard prior to attending the sessions and try to
answer the questions as prompted
o Wednesday and Friday morning sessions take place in the Seminar Room, Dept
of Psychiatry from 9:15am-11:15am (approx.), Wednesday afternoons 2-4pm
o Tuesday morning and Wednesday afternoon sessions take place in the Atrium,
just beside the Stem Café, next to the doors to the hospital corridor.
o The exception to this is the PBL in the afternoon of Wednesday September 20 th,
which will be on in the seminar room.

 Therapeutics Seminar:
o Case-based discussion of principles of therapeutics, conducted in the Seminar
Room in the Dept of Psychiatry
o Wednesday: 9:15am-11:15am (approx.)

 Clozapine Seminar:
Seminar delivered by Clozapine nurse manager, Seminar room, from 2-3pm.
This is repeated so all students should have a chance to attend, with the same material
presented each time.

 Mindfulness Seminar:
Seminar run by Dr Catherine O’Brien, from 1-2pm in the CAMHS in-patient unit gym
(accessible by the shuttle bus from GUH), discussing the use of mindfulness for
improving mental health. This includes a discussion of the CAMHS in patient unit and
how it operates. Again this is repeated so all students have an opportunity to attend.

General Adult Psychiatry

Clinical attachments are outlined by consultant name and team activity to which the student has
been assigned. Unless otherwise stated the ward rounds and clinics commence at 9am
(sometimes 9:30am), it is recommended to arrive at 9am, and 2pm in the afternoon.

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[WR: ward round, MDTM: multi-disciplinary team meeting, OPD: outpatient clinic, DH: Day
Hospital]

Unfortunately there is no reimbursement scheme for travel for those students who are allocated
to peripheral teams. Discuss with the NCHD on your team if they are able to assist with providing
transport.

Please note that you are not expected to attend the peripheral location every day, only on days
where you are scheduled for a clinic or team meeting that takes place in that location as per
your timetable and team schedule.

We strongly recommend that prior to travelling to a peripheral clinic (particularly Tuam,

Loughrea etc) that students confirm the clinic is taking place either with the NCHD or by calling
the clinic/secretary to save unnecessary journeys and expense, as occasionally clinics may be
cancelled. If you cannot get through to anybody to confirm please contact your tutor in good
time for assistance.

A number of teams share the Day Hospital, which is located on Beal Srutha, just off Castlepark
Road, Ballybane (near GMIT). Day Hospital tel # 091 748414

 CMCD: Prof. Colm McDonald/ Dr. Brian Hallahan

Dr Memoona Usman NCHD (086 2083568)

Based in GUH- Monday ward round takes place in Professor Mc Donald’s office, first
door on the left as you enter the psychiatry ward, meet the NCHD at station A. All out
patient clinics take place in GUH psychiatry OPD. There is a dedicated Bipolar clinic on
alternate Monday afternoons from 2-5pm. The Thursday and Friday morning MDT’s
take place in the meeting room which is located in the short corridor between the OPD
and in patient ward. The Friday OPD commences at 11:30am following the MDT.

 EW: Dr. Elizabeth Walsh

Dr Anna Mc Intyre NCHD (086 2482290)

Based primarily in GUH- assigned clinics take place in GUH Psych OPD but there are
other clinics in Carraroe/Clifden which you may ask to attend if possible. The Monday
ward round takes place in the meeting room which is located in the area between the
OPD and in patient ward at 9:30am. Talk with the team NCHD’s about possible reviews
on Monday afternoon. The Wednesday clinic begins at 9:30am. Talk with the team
again about any potential activities (home visits etc) on Wednesday afternoons.
The Thursday MDT takes place in the large meeting room in Station A, male side.
The Friday clinic begins at 9:30.

 MOG: Dr. Margaret O’ Grady

Dr Mark Mc Govern NCHD (085 1161927)

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 All ward rounds and MDT meetings take place in Dr O’Grady’s office, located on the
main corridor on your right hand side as you approach Station A. All clinics take place
in GUH psych OPD. Wednesday’s MDT starts at 9:30am.

 SOS: Dr. Sheila O’Sullivan

Dr Genevieve Crudden NCHD (086 3693434)
Monday ward round/MDT takes place in the large meeting room near Station A at
8:30am. The team attends the Day Hospital on Monday afternoons. All clinics take
place in GUH psych OPD at 9am. The Friday morning ward round begins at 8.30am and
usually takes place in the office beside Station A (male ward). Ask the team about any
other activities which may be on during the week.

 DH/McL: Dr. Deirdre Hussey/ Dr. Bridget Mc Loughlin

Dr Ali Nikkhah NCHD (083 8840503)

Meet at 9am at station A for the Monday Ward Round, the MDT takes place in the
meeting room between the in-patient ward and the OPD at approximately 11:30am.
Tuesday 9am- Day Hospital.
Wednesday clinic is in Gort from 9:30-4pm. The clinic is located on the Ennis road, the
second bungalow on your right hand side after you pass by the Lady Gregory Hotel,
opposite a playground. It is a small bungalow with no signage, call 091 630949 if lost.
Thursday morning- OPD is based in the Day Hospital, 9am. Ward round is at 2pm, meet
at Station A (male side).
Friday- Day Hospital for the MDT at 9 am.

 FB: Dr Fintan Byrne

Dr Funkebi (Ebi) (083 8716444)

Monday morning MDT at 9:30am is in Loughrea on the grounds of St Brendan’s

Community Nursing Unit (CNU) Loughrea, this can be found easily on Google Maps.
The team meet in the brown building next door to the training centre, if you get lost
you can contact Aine Caulfield (secretary) on 091 847003.
Tuesday morning ward round/MDT takes place in the psychiatry ward GUH in the large
meeting room at Station A (male side).
Wednesday OPD alternates weekly between Loughrea and Athenry, you can contact
Ruth Hynes (secretary) in Athenry on 091 737320 or Aine as above. The Athenry clinic
takes place in Athenry Primary Care Centre which again is found easily via Google
Maps.
Thursday OPD is in Loughrea starting at 9:30am. Friday ward round is at 9:30am,
meeting at Station A (male side).

 EMC: Dr. Evelyn McCabe

Dr Joan Fabiyi NCHD (0834609423)

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 Monday morning out patients in Toghermore House, Carrowpeter, Tuam (easily found
on Google Maps). There is a long driveway up to a group of buildings, look for the
middle building with the glass frontage, once inside turn right. If lost call 093 44100.
There is an SHO led ward round on Monday morning.
Tuesday – Consultant Ward round starts at 9:45am, meet in Station A.
Wednesday’s MDT is in Toghermore House at 9:30am, followed by a clinic at 12pm.
Thursday’s MDT is in the ward at 9:30am, in the office on your right hand side
immediately after walking onto the ward through the main doors. Talk with the team
about any activities in the afternoon.
Friday clinic is in Toghermore House from 10am-1pm.

 CH: Dr. Camilla Hennelly

Dr Nida Munawars NCHD (0831701227)

Ward round on Monday takes place in the nurses office at Station B (female station) at
10am. The MDT on Tuesday is in the meeting room between the in-patient ward and
the OPD. The OPD clinic and Day Hospital all take place in La Nua Day Hospital,
Ballybane, which is located on Beal Srutha, just off Castlepark Road, Ballybane (near
GMIT). Day Hospital tel # 091 748414
Thursday ward round is again at Station B.
Friday out patient clinic is in Headford at 9:30am, look for the church opposite Joyce’s
Supermarket, the clinic is in the building next door, call 091 748476 if lost (Jean
Woods-Secretary).

Students should liaise with the members of the team to which they are assigned with respect to
exact times and locations of allocated activities on the dates assigned. Details of consultant and
NCHD-led tutorials should also be clarified with respective team members.

The NCHD’s have kindly agreed for their contact numbers to be made available to the student
group. This is in the case of students being unable to locate the team or to help arrange tutorials
etc, however we recommend that students respect this courtesy and make all reasonable efforts
to familiarise themselves with the ward and take responsibility for locating the team/clinic etc.

Speciality Psychiatry:
Child & Adolescent Mental Health:
CAMHS placements start @ 9am (morning session) or @ 2pm (afternoon session).

Please make sure you go to the right place, as there are three locations- Merlin Park x 2 (in-
patient unit and South Galway out-patient building) and Ballard House Westside.

 ER: Dr. Eamon Raji

o Students should present themselves to Child & Adolescent in-patient unit,
Merlin Park Hospital (last building on the main road in Merlin Park, new
building just before the gate on right hand side, well sign posted).

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  GMcD: Dr. Gary McDonald
o Students shoud present themselves to Ballard House, adjacent to Westside
shopping centre (North Galway CAMHS Team- take a left as you enter Ballard
House). The morning clinic starts at 10am so please arrive approximately 15
minutes before this.

 AL: Dr. Alma Lydon

o Students should present themselves to Child & Adolescent in-patient unit,
Merlin Park Hospital (last building on the main road in Merlin Park, new
building just before the gate on right hand side, well sign posted).
 DC: Dr. Dermot Coen
o Students should present themselves to to the South Galway CAMHS Team,
Merlin Park Hospital – Clinical and Administration Block A (formerly the HR
building/ Not the CAMHS in patient unit) Merlin Park Hospital. This is the first
three storey building on the left hand side, as you come up the main drive, the
building opposite the church 091 775931 is the number for the reception if
you get lost.

 DMcG: Dr. Delia McGuinness

o Students should present themselves to Ballard House, adjacent to Westside
shopping centre (West Galway CAMHS Team- take a right as you enter Ballard
House).

The majority of the CAMHS clinics are focussed on ADHD, it would be very useful to
read in detail about this topic prior to attending for your CAMHS placement.

Learning Disability:
 EY: Dr. Evan Yacoub
o Students should present themselves to the Brothers of Charity Service,
Woodlands Clinic, Renmore, Galway @ 9am- across the road from Bradley
Motors, unless otherwise specified.

Psychiatry of Later Life:

 KM: Dr. Karena Meehan
o Students should present themselves to the Psychiatry of Later Life Office @
9am (office located on the corrider to the paediatrics ward – last door on the
left).

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Rehabilitation Psychiatry:
 Rehab: Dr. Leona Spellman

o Monday PM – Students should present themselves to Unit 9A/ Woodlands in

Merlin Park Hospital (second last building on the right) at 2pm.

Liaison Psychiatry:
 Liaison: Dr Anne Doherty
Dr Kezanne Tong NCHD (086 1705194)

o Students attached to Liaison should attend to the Liaison office at 9am, this
office is located in the GUH out-patient department adjacent to the front
desk. You will accompany the team on a ward round of the medical/surgical
wards.

Mentor Session:
Students will be assigned to an NCHD mentor as per the document on Blackboard.
Contact details for the NCHD will be on this list, and the highlighted student will be
asked to make an email group/Whatsapp group in which a time can be agreed between
all parties to meet once every two weeks. Students will use this opportunity to present
histories which they have taken and obtain feedback on this. This should happen twice
in a six week block.

In-Patients (IP):
When scheduled for IP students are expected to be on the ward and engaged in history taking
and mental state examinations. These histories should be discussed either with a member of
your clinical team or your mentor at an agreed time and the cases explored. This time can also
be used to obtain histories for your Semester 1 Case Report, your case discussion and to secure a
patient for the video recording session. Numbers for IP are limited as a suggestion to prevent
crowding on the ward, but do not view this as a strict limitation if there is space available to
conduct interviews.

Self-Directed Learning (SDL):

When scheduled for SDL or in the event that a scheduled clinical or learning activity being
unavailable, students should engage in appropriate self-directed learning. This may include, but
is not limited to:

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  Consultant/NCHD tutorials (details from relevant individuals during clinical
placements).
 NCHD shadowing (details from individual NCHDs during clinical placements).
 Reading of resource materials and texts as recommended in module overview.
 Review of recorded lectures and resource materials available on Blackboard.
 Preparation of learning material for small group teaching sessions/ case discussion.
 Preparation of case reports (semester 1).
 Preparing for OSCE examinations (semester 2).
Students who are interested in a certain topic (eg Liaison / Old age) are encouraged to make
contact with the relevant team/tutor to check for any availability of extra learning opportunities
which may be available.

N.B. Students should attend sessions as scheduled. In the interests of student learning
experiences and patient care, individualised timetables have been specifically drafted to tailor
the number of students scheduled to participate in a particular clinical or learning session as
indicated. The individualised timetables represent an outline of the clinical learning
programme rather than an immutable timetable. Any rescheduled or additional teaching
sessions will be announced on Blackboard. Sometimes allocated activities in the 6 week
programme will not occur due to predictable (eg semester 1 exam, bank holidays) or
unpredictable (eg unavailability of clinicians/tutors) events. Students should also liaise with
members of their allocated team to take advantage of any other opportunistic clinical learning
that may arise (eg. accompanying team members assessing patients in inpatient or community
setttings, ad hoc tutorials, shadowing NCHD on call, emergency assessments, home visits etc).

We recognise that on occasion the timetable may produce a conflict in terms of scheduling of
events, particularly for attending clinics in peripheral settings. This has been avoided as much
as possible, however where conflict arises a degree of discretion is afforded to the student, the
aim always being to maximise exposure to the field and facilitate learning. Please note the
required attendance mark of 80% which will be enforced.

Ward Guide:
The psychiatry ward is divided into three “stations”

- Station A is the male ward

- Station B is the female ward

- Station C is the high observation ward (mixed)

The psychiatry OPD for the city based teams is located at the far side of the in-patient ward
through a small corridor. The code for this door is 4564. Peripherally based teams have their
clinics located as described on pages 5 and 6 of this document (Loughrea, Tuam etc.).

The door to the ward is generally locked as some patients may not be legally allowed to leave
the ward. There is a buzzer on the door which you can press and a nurse will allow you in.
Please take when entering and exiting the ward that you do not leave the door open. Consult
with a member of staff if you are unsure about a patient asking to leave the ward.

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Nursing staff have asked that clinical notes not be taken from the ward area/chart room
without informing a member of nursing staff, clinical notes are not to be removed from the
ward.

Please be careful and ensure that the door to the chart room is closed when leaving as there
have been occasions when it has been left open, with sensitive charts open for potentially
anybody to read.

Office space can be restricted at times, please ask the nursing staff for guidance on any
available rooms to interview patients. If you ask a patient to leave the ward, eg to record your
video session, please inform a member of nursing staff.

As with any clinical placement we ask that you be respectful at all times to the patients and
ward staff.

Some students in the past have noted that due to large student numbers it can be difficult to
find patients from whom to take a history on the ward. We would encourage you to use all
opportunities during your clinical placement, for example OPD/Day Hospital, to be proactive in
seeking to engage with patients and take histories. Being active during the clinic (discussing
cases with NCHD, asking to talk to the patient separately or in front of NCHD etc) makes it a
much more valuable learning experience than simply observing. Talk with your team about
what they are doing and how you can participate.

Dress Code -

All students are reminded that they must sign the NUIG code of conduct
and also pay particular attention to the dress code. Students are required
to dress professionally during all clinical duties and may be asked to
leave clinical activities if their dress and presentation does not meet the
required standards. Please find below the dress code from the NUIG Code
of Conduct:

Dress and Presentation

Medical Students at the School of Medicine National University of Ireland Galway should:

5.1 Be aware of, and respect cultural differences in dress and presentation.

5.2 Ensure that their attire (clothes, accessories and any jewellery) is suitably
professional and is appropriate to the environment.

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5.3 Adhere to the highest standards of personal hygiene.

5.4 Wear a name/identity badge at all times.

5.5 In the interests of good communication, expose their face fully to patients, teachers
and colleagues in the (non-surgical) hospital, primary and community environment.

The following applies to the clinical environment for student-patient

interactions:

Hair Hair should be neat and if long, should be

tied back when working with patients

Beard/Moustache Must be neatly trimmed

Jewellery No facial studs, rings etc should be worn

Body adornments All visible body adornments must be
covered
Watches Hand should be free of watches/jewellery
during all direct patient contact and for
when washing hands
Nails Nails must be kept short

Nail varnish or artificial nails may not be

worn

Shoes Should be low-heeled. No flip-flops, no

sandals, no light fabric shoes

Runners etc should not be worn during

daytime hours but may be worn out of
hours when on-call

Tights/Stockings/Socks White/Navy blue/Black/Flesh coloured

Trousers Jeans/denims not to be worn

Skirts/Dresses Skirts and dresses should be knee length or

longer
Jackets/Cardigans
Should be removed when involved in direct
patient care and when examining patients
Shirts Appear professional and be fully closed

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 when involved in direct patient care.
Sleeves should be retracted to expose the
wrists and distal forearms when
undertaking hand hygiene and when
involved in direct patient care and in
particular when examining patients.
Ties
Should be worn but should be tucked in or
restrained with a clip when involved with
direct patient care and examining patients
Handbags/Briefcases/Laptops/Palmtops
Must not be carried to patient bedside or
clinical areas

Learning Objectives and Course Content for the Discipline of Psychiatry

Psychiatry, GP and ORL undergraduate training is delivered in parallel through the PCMH and ACS
modules and there is no definitive list of “learning outcomes” to be achieved for the discipline of
Psychiatry, since learning outcomes are defined at the module level. However, we appreciate
that students often seek a more detailed list of course content to help guide their studies, so
please find below a more fine grained content list of knowledge, skills and attitudes that you
should attain during your PCMH rotation relevant to the discipline Psychiatry.

This is by no means a comprehensive list but would encompass the knowledge expected of
students for examination purposes. Students who are interested are encouraged to seek deeper
learning and may discuss with their tutors about further topics to explore.

Knowledge

Students should be able to describe the clinical presentations of common mental illnesses,
including those usually found in general medical or primary care rather than specialist psychiatric

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settings. They will be able to discuss their epidemiology, aetiology, differential diagnosis and
management, including integrated biological, psychological, and socio-cultural approaches.

We recommend that students familiarise themselves with the ICD-10 diagnostic manual (and /or
the DSM-5) and its use in diagnosing mental illness with respect to illness criteria.

Mental disorders addressed in this way include:

 Depressive disorder

 Bipolar Affective disorder

 Schizophrenia and other psychotic disorders

 Substance and alcohol abuse and dependence

 Anxiety, panic and phobic disorders

 Post-traumatic stress disorder

 Abnormal grief and adjustment reactions

 Psychological problems complicating physical illness

 Acute confusional states

 Dementias

 Obsessive compulsive disorder

 Conduct and emotional disorders of childhood and adolescence

 Suicide and deliberate self-harm

 Dissociative and somatoform disorders

 Eating disorders

 Psychosexual disorders

 Disorders of personality

 Autism, pervasive and specific developmental disorders

 Attention deficit disorders

 Childhood anxiety disorders

 Childhood attachment disorders

 Learning disability

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  Psychiatric disorders of pregnancy and puerperium

In addition students are expected to:

 Be able to describe the principal mechanisms of action of, indications for, side effects of,
and appropriate use of common antidepressant, mood stabilizing, anxiolytic, hypnotic,
antipsychotic medication, and electroconvulsive therapy.

 Be able to describe the principles of main forms of psychotherapy and their

appropriateness for different patients.

 Be able to outline the indications for detaining and treating patients against their will,
and the principles of legislation underpinning such treatment.

 Be able to describe the range of services and roles of the professionals involved in the
community and hospital care of people with a mental illness.

 Outline the components and operation of a modern community based psychiatric

service.

Skills

Students should have attained the following skills:

 Communicate effectively with mentally ill patients.

 Take a full psychiatric history from, and carry out a mental state examination of, patients
of differing ages and developmental levels.

 Summarise the findings of a psychiatric history and mental state examination by

producing a biopsychosocial formulation including comments on aetiology, differential
diagnosis, management and prognosis.

 Be aware of how to adapt communication skills to effectively interact with children and
adolescents, the learning disabled, the elderly, patients in a general medical setting and
carers of patients with mental illness.

 Assess family relationships and their impact on the functioning of other family members,
and communicate with families about an ill or disabled member.

 Assess the need for physical investigations and psychometric assessment in patients
presenting with psychiatric symptoms.

 Assess and manage a patient’s potential risk to themselves and to others.

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  Be aware of the indications for referral on to specialist mental health services.

 Be able to recognize and manage common psychiatric emergencies

Attitudes

The following attitudes should be evident:

 Demonstrate an empathic understanding of the emotional problems of patients of all

ages and developmental levels and of the psychological and sociocultural dimension of
illness.

 Demonstrate a commitment to maximising the social integration of patients with mental

health problems and be sensitive to the negative impact of stigma.

 Appreciate the impact of past experience, psychological defence mechanisms, social

stressors and family dynamics on the development of mental illness.

 Understand the medicolegal and ethical dilemmas associated with working with some
patients suffering from mental illness.

 Appreciate the importance of multidisciplinary working in the field of mental health

services.

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