Abstract
Freeman pointed out that in 1968 the Royal Commission on Medical Education suggested that “every psychiatrist should be familiar with the conduct of community psychiatry”. In 1987, we still seem to be no nearer achieving this recommendation despite the fact that 60,000 patients have since been discharged into the community, most mental hospitals are being reduced in size and 32% are due to be closed. Whilst doubts have been expressed about the wisdom of these changes, it is unlikely that the process will be reversed. Progress towards adequate training in community psychiatry has been both sluggish and sporadic.
Highlights
Freeman' pointed out that in 1968the Royal Commission on Medical Education suggested that "every psychiatrist should be familiar with the conduct of community psy chiatry"
In 1987,we still seem to be no nearer achieving this recommendation despite the fact that 60,000 patients have since been discharged into the community, most mental hospitals are being reduced in size and 32% are due to be closed
Sourcesof information (a) Literature search: including College documents, pub lished studies and reviews relating to community psychiatry and training, and relevant Social Services reports
Summary
To our knowledge there are only five substantive general adult senior registrar posts in com munity psychiatry in England and Wales, many others (including those in other subspecialities) offer some community-based experience. In a survey by Peter Brook in 1974,5two thirds of senior registrars and the same number of newly appointed consult ants had no experience of any community-based work. The term community psy chiatry remains undefined and many models of community care exist, feedback from trainees gave a broad measure of agreement over the types of experience that would give appropriate training in community-orientated psychiatry. BULLETIN OF THE ROYAL COLLEGE OF PSYCHIATRISTS, VOL 12, Al'RIL 1988 use of given types of setting: The patient's home; health centres and GPs' surgeries; hostels and other residential facilities in the community; day hospitals and local of these trainees may be destined for a career in general practice.
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