Fra Dikemark sykehus 6. avdeling, Møllergt. 43

Abstract

arbeidsprofil i en psykiatrisk poliklinikk i Oslo. Fra Dikemark sykehus 6. avd., Mllergt. 43. Nord Psykiatr Tidsskr 1985; 39:359-364. Oslo. ISSN 0029-1455. The function of the psychiatrist in the out-patient clinicThe authors are working at the out-patient clinic in M6llergt. 43 in Oslo, subordinated to Dikemark hospital as an independent ward. The clinic is organized in three multiprofessional teams, each lead by the chief psychiatrist and the two consultants.The field of the psychiatrists in the out-patient clinic concerns psychotherapy, supervision, administration, professional development and research. The purpose of our investigation was therefore to describe the working conditions and the role of the psychiatrist.The registration took place over a period of 6 months or 1 year either in 1983 or 1984. To describe treatment activities, the patients have been grouped according to age, diagnosis and number of treatment sessions. We think these registrations are compatible. as the number of admissions has been rather constant in the actual period.Each doctor has also made a registration of all activities not directly related to the patients. These activities were divided into two categories, supervision and administrative functions. All the results are displayed in 3 tables describing the various activities.The chief psychiatrist spends about 25 % of available working time in therapies, while the consultants and the residents use about 40 % of their working time in direct contact with the patients. A considerable amount of time is also used for various supervisory activities both within and outside the ward.The doctors usually give 5 to 10 weekly psychotherapies, giving top priority to young and middle-aged patients mostly suffering from neurotic and borderline conditions. Also psychotherapies of young schizophrenics, and group therapies with married couples and families are done.Differences in the working profiles are explained as partly caused by the different compositions and working styles of the teams. Administrative work is partly distributed between the psychiatrists. To make more time available for clinical work it would be an advantage to increase the number of doctors in the out-patient clinic.Legislation gives top priority to the care of patients with emergency conditions or violent behaviour. This reduces the capacity for psychotherapy, education and research.The out-patient clinic is considered a suitable place for psychiatric training and education of residents. This should be taken advantage of in the training of psychiatrists. 0 Psychotherapy, supervision, administration, research. , Dikemark sykehus, 6. avd. Mdlergt. 43, N-0179 Oslo 1. Ahepterr: 19.5.85 de fB stillinger som eksisterer i poliklinikkene, er tjenesten her blitt et ccnBLye~ i utdannelsen. Nye henvendelser (ccinntak*) ti1 polikli-Nord J Psychiatry Downloaded from informahealthcare.com by Osaka University on 11/20/14 Overlege Carl Severin AlbretsenFor personal use only.