Training Placement - Neuropsychiatry

Neuropsychiatry represents a highly relevant interface with the other psychiatric specialties in the training curriculum. Despite the high demand, there are relatively few designated neuropsychiatry training placements available in the UK.

With 175 beds across 12 units, St Andrew’s Neuropsychiatry Service based in Northampton is the largest in Europe.

The service provides assessment, care and treatment for a wide variety of presentations which include acquired brain injury, long term neurological conditions (including Huntington’s disease), epilepsy, stroke, brain infection, and their associated psychiatric and behavioural complications.

The brain injury care pathway was extended with the opening of a specialist adolescent brain injury service in 2011.

Trainees will be provided with learning experiences at all stages of the neuropsychiatry care pathway in a highly specialist multidisciplinary setting. Exposure to expert psychopharmacology, physical therapies, and rehabilitation approaches (including highly focused neurobehavioural models of care) will be provided.

As a neuropsychiatry trainee you will be responsible for assessing and clerking new service user admissions, providing neuropsychiatric follow-up for service users, medical updates for the purpose of patient rounds and Care Programme Assessment (CPA) meetings as well as coordinating timely preparation of multidisciplinary discharge summaries. 

You will gain experience in:

  • neuropsychiatric assessment of patients with challenging behaviour in a variety of settings including secure environments, community referral assessments and liaison in criminal justice settings
  • the use of standard assessment tools (including ACE-R, HoNOS-ABI, HoNOS-Secure, SASNOS, HCR-20, and the Recovery Star)
  • management of severe challenging/offending  behaviour in a locked rehabilitation setting
  • risk assessment via structured professional judgement tools
  • working with a wide variety of psychopathology (diagnosis and psychiatric treatment) including organic personality change, organic mood disorders, organic psychosis and epilepsy
  • appropriately supervised neuropsychiatry clinical work and responsibilities in this highly complex area of clinical practice
  • structured opportunities for involvement in specific group work, to include alcohol and brain damage and violence risk assessment in neuropsychiatry
  • research and audit
  • supervised opportunities to participate in professional development through links with the Royal College of Psychiatrists (RCPsych)
  • management of individuals presenting a risk to themselves and/or others
  • structured therapies aimed at rehabilitation of service users presenting with acquired brain injury and other forms of neuro-cognitive deficits.

Within the core neuropsychiatry placement there is also a specialist forensic neuropsychiatry placement where you will gain experience in the management of offenders and high risk patients who also suffer with neuropsychiatric morbidity.