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Training matters: neurodevelopmental disorders in psychiatric practice

Published online by Cambridge University Press:  29 August 2023

Mary Barrett*
Affiliation:
Consultant psychiatrist for adults with intellectual disability, working for Leicestershire Partnership NHS Trust, Leicester, UK. She also holds the roles of Higher Training Programme Director with Health Education East Midlands and Chair of the Intellectual Disability Specialty Advisory Committee, Royal College of Psychiatrists (RCPsych), London, UK. In the latter role she oversaw the development and implementation of the new RCPsych intellectual disability training curriculum in 2022.
Aastha Sharma
Affiliation:
Consultant child and adolescent psychiatrist working with Cambridgeshire and Peterborough NHS Foundation Trust's child and adolescent mental health community services in Cambridge, UK. Her clinical and research interests include neurodevelopmental disorders, eating disorders and systemic therapy.
Sundar Gnanavel
Affiliation:
Consultant child psychiatrist with Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, working with Sunderland and South Tyneside Children and Young People's Service, Sunderland, UK. His clinical and research interests include neurodevelopmental disorders, quality improvement pertaining to neurodevelopmental service pathways and medical education. He is also an honorary senior clinical lecturer at Newcastle University, Newcastle upon Tyne, UK.
Alje van Hoorn
Affiliation:
Consultant psychiatrist with Cornwall Partnership NHS Foundation Trust, Truro, and an honorary clinical lecturer at the University of Exeter Medical School, Exeter, UK. His research interest is in neurodevelopmental disorders and he is a member of the RCPsych's Neurodevelopmental Psychiatry Special Interest Group (NDPSIG).
*
Correspondence Dr Mary Barrett. Email: mary.barrett1@nhs.net

Summary

Traditionally, service provision for neurodevelopmental disorders such as attention-deficit hyperactivity disorder, intellectual disability and autism – where this has been available – has focused on the needs of children, but there is now increased understanding of neurodevelopmental disorders as lifelong conditions, often with an ongoing need for health and social care provision. Medical and allied professionals frequently report limited education in neurodevelopmental disorders both during their training and post-qualification. This article gives an overview of theoretical and practical considerations for training of psychiatrists and allied healthcare professionals in relation to neurodevelopmental disorders. Key UK policy drivers and capability frameworks pertaining to this training are discussed. The Royal College of Psychiatrists’ 2022 revised curricula for medical trainees in psychiatry are examined in relation to neurodevelopmental disorders and ongoing CPD requirements in this area for career psychiatrists are considered. A brief overview of multidisciplinary training in neurodevelopmental disorders and the role of the psychiatrist in this is discussed. An international perspective on training in this area is touched on and current challenges in low- and middle-income countries are outlined. Last, the future direction of training in neurodevelopmental disorders is considered.

Type
Article
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists

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