1. Addiction psychiatry Dr Emily Finch, Royal College of Psychiatrists Addictions Executive and South London and Maudsley NHS Trust

2. The question?  What are recovery-orientated drug and alcohol treatment interventions and what are the competences required to deliver them?

3. Competencies of addiction psychiatrists  Assessment and referral including risk, mental health and physical health needs  Management of withdrawal, long term prescriptions, complex prescriptions, polydrug use, safety, (responsible officers), inpatient work, harm reduction approach where appropriate.  Dual diagnosis (depression, trauma etc), work with physicians (HCV etc)  Psychological interventions provision and supervsion  Overview of treatment system, clinical leadership, advice to commissioners, governance, teaching  Research and innovation. Audit. Evaluation.

4. Adapting to change  Continuing professional development Conferences on recovery (RCPsych), master classes, peer groups, emphasis on the evidence base. Revalidation demands this.  RCPsych core curriculum “Hope, agency and opportunity” a core value for psychiatrists Holistic and multi-agency approaches Commitment to re integration into society Work with users and carers fundamental.

5. Roles and competencies of doctors  Work to define roles of doctors in the treatment system  Doctors themselves, providers (employers), and commissioners all have a role  Role for specialist, intermediate doctors and generalists.  Sets out to define these and what can be expected of them  Ensure clients have access to the treatment they need in the right part of the system  Ensure quality of the service provided to clients is excellent