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St John of God Cluain Mhuire

Lucena
Tutor
Dr Paul Moran
Location
Newtownpark Avenue
Blackrock, Co. Dublin

Phone

Email

01 2172100

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General Information

Cluain Mhuire is the rotation’s main centre for training in community psychiatry (6 BST posts) as well as having 1 post in liaison psychiatry based at St. Colmcille’s Hospital Loughlinstown. This centre has a long established reputation as one of the premier psychiatry training facilities in the country and the career achievements of its trainees nationally are second to none.

The Cluain Mhuire Community Psychiatry service is one of the leading, innovative mental health services in the country. It provides comprehensive mental health services to a catchment of 180,000 people in South Dublin with three fully multidisciplinary teams each with two consultants, a senior registrar, psychologist, social worker as well as community psychiatric nurses.  Cluain Mhuire has a fully integrated Electronic Patient Record computer network (MHIS) and is the only mental health service in Ireland operating a state of the art medical informatics system.
The service also has specialised out-patient services run by the multidisciplinary mental health professionals including:

  • Acute day hospital.
  • Crisis assessment team.
  • DETECT; an early intervention in psychosis program.
  • Residential rehabilitation unit.
  • Dialectic Behaviour therapy.
  • Outpatient rehabilitation programs.
  • Nurse prescribing clinics.
  • Therapeutic and educational groups.
  • Residential rehabilitation unit.

The inpatient beds are at St John of God hospital Stillorgan, however, due the high degree of development of community based therapies; the service has succeeded in shifting patient care away from the traditional hospital based model resulting in a very low admission rate.  The on-call rota is one in eight with trainees doing call from home after nine pm.  An encyrpted  laptop containing  access to the MHIS facilitates  clinical  decision  making when on call.

The liaison psychiatry service covers St Colmcille’s and St Michael’s hospitals and comprises of a MDT: Consultant; Senior Registrar; Psychologist; Social Worker and Clinical Nurse Specialist. The service provides a generic liaison service to the two DGHs as well as specialist clinics in Chronic Pain, Somatisation and Gender Identity Disorder.

Training

The training model is a combination of experiential training in clinical settings as well as formal academic training in weekly joint academic meetings at St. John Of God Hospital. Trainees generally spend one year at the centre with their designated MDT. The first six months is based at the hospital and day hospital, switching to their second consultant trainer in a more autonomous outpatient role for the second six months. The scope for trainees to experience domiciliary assessments, group therapy and supervised CBT is enormous considerable and based on training objectives identified in their weekly educational supervision with their trainer.

The formal training includes comprehensive induction, a weekly three hour training program each Thursdays, including case presentation; critical appraisal of journals and skills training. Additionally, there is a weekly Balint group on Mondays as well as periodic teaching with invited specialists.

Psychotherapy Training 

All trainees attend a weekly Balint Group in Cluain Mhuire. A Balint Group is a reflective group in which trainees have the opportunity to discuss psychological aspects of their relationships with patients in a relaxed, supportive, structured and confidential setting. The group is facilitated by a consultant psychiatrist and a senior clinical psychologist.

 The group in Cluain Mhuire is conducted in a jargon free manner and no knowledge of psychoanalytical concepts is required for trainees to fully participate. However, in keeping with the psychoanalytical theoretical underpinnings, trainees will occasionally be provided with some relevant reading material to complement their attendance.

Research / Audit / Teaching

All trainees participate in audit which is presented and reviewed at the bi-monthly Audit Meeting. Cluain Mhuire is a highly productive research centre with an international reputation, especially in psychosis research. This level of excellence and productivity is reflected in the high number of it’s trainees who have won the RAMI registrar and senior registrar prize in recent years. Trainees also participate in teaching medical students from RCSI and thereby also benefit from access to an educational fund which is available to fund external educational and academic activities while they are working at the centre.

Research Programmes

An extensive research programme in psychosis pioneered by the late Professor Eadbhard O’Callaghan operates throughout the St John of God Adult Mental Health Services.

An outline of the primary research programmes in place (in collaboration with the RCSI, UCD, NUIG, QUB, Newcastle Hospital, St Vincent’s University Hospital & Cavan Monaghan Mental Health Services) follows with relevant contact persons:

Programme of Research in Negative Symptoms in First Episode Psychosis (J Lyne, N Turner, M Clarke).

Programme of Research in Social Risk Factors for Psychosis (B O’Donoghue, A Lane, M Clarke).

Programme of Research in Quality of Life in Psychosis (L Renwick, N Turner, M Clarke, funded by the HRB).

Programme of Research in Employment in Psychosis (N Turner, M Clarke in collaboration with UCD, funded by the MHC).

Programme of Research in Evaluation of an Early Intervention in Psychosis Programme (N Turner, L Renwick, M Clarke, funded by the SJOG research grants system).

Programme of Research in the Economics of Psychosis (C Behan, N Turner, B Kennelly, M Clarke in collaboration with Cavan Monaghan Mental Health Services, RCSI& NUIG, funded by the HRB).

Programme of Research in Physical Health in Serious Mental Illness (K Madigan, M Clarke, S Barry in collaboration with Professor Donal O’Shea of St Colmcille’s Hospital).

Programme of Research in Suicide in Psychosis (N Turner, M Clarke in collaboration with Cavan Monaghan Mental Health Services, RCSI &QUB, funded by the HRB).

Programme of Research in Substance Misuse and Psychosis (K Madigan, E Lawlor, M Clarke, J O ‘Connor, JL Waddington, funded by the HRB).

Programme of Research in Admissions under the Mental Health Act (B O’Donoghue, E Roche, L Feeney, funded by the MHC).

Programme of Research in First Episode Psychosis; a longitudinal cohort study (JL Waddington, M Clarke in collaboration with Cavan Monaghan Mental Health Services, funded by the Stanley Foundation & HRB)

Other active research interests include Recovery Based Practice, Service Engagement and Cognition.

Research links have been established with a number of international early intervention in psychosis services such as the UK, Canada and Australia and opportunities exist for collaborative studies and research exchange programmes


 

 

 

 

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