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6.6.13 Training, Research And Quality Improvement
More Professional and allied health staff need to be trained in geriatric psychiatry so that we can provide effective management. It can be formal
or informal training through courses, workshops, continuing medical education etc.
There are many aspects of care for the older person who has mental health problems are still not being carried out especially in our local
setting. Base on this research outcome we will be able to tailor speciic management strategies which are based on our local culture and lifestyle.
Quality Improvement helps us to continue to provide a better care from time to time.
6.7 FORENSIC PSYCHIATRY
6.7.1 Introduction
All psychiatric facilities will be providing services where initial consultation in mental state opinions is needed both in civil or criminal cases. Where
admissions are required for cases under Chapter XIII of the Criminal Procedure Code i.e. admissions under section 342, 344 or 348 the patient
should be admitted to the Approved Psychiatric Hospitals. A medical report will be given to the courts as requested in the order without consent
of the patient.
6.7.2 General Principles
a Management should comprise comprehensive assessment and treatment through a multidisciplinary team approach
wherever possible. b Evidence-based treatment for those suffering from a mental
disorder. c Treatment should be multimodal and may include
pharmacotherapy and psychosocial therapies. d Collaboration with other professionals and agencies may be
required to obtain maximum beneits to patients. e Continuing development of human resources at all levels
medical and allied professionals to enable comprehensive treatment of increasing numbers of children and adolescents.
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6.7.3 Components of Forensic Psychiatric Services
a Outpatient services. b Inpatient services.
c Ward referrals consultation-liaison. d Hospital-based Community Psychiatry services.
e Training, research and quality improvement.
It must be noted that the entire spectrum of services listed above may vary from centre to centre depending on the availability of resources. The
services will have to adhere to the legal requirements in Malaysia.
6.8 NEUROPSYCHIATRY
Neuropsychiatry services may be provided at the centers with neuropsychiatrists.
6.8.1 Requirement For Neuropsychiatry Services
6.8.1.1 The members of the neuropsychiatry team should consist of:
• Neuropsychiatrist.
• Clinical Psychologist preferably Neuropsychologist.
• Occupational Therapist.
• Clinical Specialist.
• Medical Oficers.
• Supportive staff.
6.8.1.2 Neuropsychiatry Clinic
Members of the team provides Neuropsychiatric Clinic services to review new and follow-up cases referred to the clinic Refer
Appendix Neuropsychiatry conditions. Patients who develop acute medical problems can be scheduled on non-clinic days.
Members are encouraged to liaise with the respective referring disciplines to facilitate communication, discussions and integrated
management.
6.8.1.3 Neuropsychiatry Beds Wards
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