1
FORMFORACCREDITATIONOFUNITFORPOSTGRADUATETRAINING
FORCLINICALSPECIALTIES
(A)INTRODUCTION
Specialty_
Unit/Ward
Institute/hospital
Address
PMDCRecognitionfortraininginthatspecialty_
PMDCRecognitionfortraininginotherspecialties_
UHSRecognitionfortraininginotherspecialties
HeadofUnit/Ward
Designation
Qualification
1
(B)FACILITIESAVAILABLEINTHEUNIT
FACULTY
Name / Designation / Qualificationswithyear/institute / Dateof
joining the present post / Teaching/Work
Experience / Research
Publications
Qualification / Year / Institute
Professor of Psychiatry
Associate Professor of Psychiatry
Assistant Professor of Psychiatry
Senior Registrar
Senior Registrar
SMO Bs-18/SR
Clinical Psychologist
Clinical Psychologist/Psychotherapist
MO
Speech and Language Therapist
Social Worker
Behavioural Scientist
Educational Psychologist
Occupational Therapist
1
Note: At least two full-time clinical Psychologists should be available in every unit.
TechnicalAssistancetoTeaching
ComputersInternetfacility Yes/No
Multimedia Projector Yes/No
Audiovisualaids Yes/No
ModelsCharts
(Pleasegivenumbernature)
ClinicalTeaching and Supervision
Wardrounds ------
CasepresentationDiscussion ------
Cases taken for Psychotherapeutic management ------
Child and Adolescent Psychiatry Cases & Discussion ------
Continuing Professional Development Courses ------
1
Sr.# / Equipment(s) / Min Required / Deficiency / RemarksWorking/Not Working
BP Apparatuses (Mercurial) / 8
Glucometers / 2
Nebulizer / 1
ECT administering Machine / Device / 1
EEG Machine System / 1
Ophthalmoscope / 1
Thermometers / 2
Weight Machine / Scale / 1
Trans-cranial Magnetic Stimulation Machine / 1
MinimumStandardsSet by UHS(YardStick) Tobefilled-upbyUHS
Equipment(s) / Model / StudentequipmentRatioDiagnostic Rating Scales and Psychological Testing Tools
Rating scale / Assessment Tool / Availability / Version / Mention if standardized Urdu Version available- Hamilton Anxiety Scale (HAM-A)
- Beck Depression Inventory
- Beck Depression Inventory - 2
- Beck Anxiety Inventory
- Bender-Gestalt Test
- Childhood Trauma Questionnaire
- Children’s Depression Inventory
- Child Behavior Checklist
- Conner’s Rating Scales- Revised
- Dissociative Experiences Scales
- Eating Disorder Inventory
- Forer Structured Sentence Completion Test
- Minnesota Multiphasic Personality Inventory
- MMPI 2
- CAGE Questionnaire
- Childhood Autism Rating Scale (CARS)
- Autism Diagnostic Observation Scale (ADOS)
- Hospital Anxiety and Depression Scale
- Panic and Agoraphobia Scale (PAS)
- Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
- Clinical Dementia Rating
- Hamilton Rating Scale for Depression- Revised (HAM-D) (clinician form) and (self report)
- Montgomery-Asberg Depression Rating Scale (MADRS)
- Young Mania Rating Scale
- Brief Psychiatric Rating Scale (BPRS)
- Positive and Negative Syndrome Scale (PANSS)
- 16 Personality Factor Questionnaire (16-PF)
- Luria Nebraska Neuropsychological Battery
- Learning Disability Diagnostic Inventory (LDDI)
- Quality of Life Inventory (QOLI)
- Emotional & Social Competence Inventory
- Wong's Emotional Intelligence Scale
- The Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT)
- Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A)
1
1
AUXILIARIES
Library
Availablespaceincludingseatingcapacity_
(Continueonthecopy ofthetableifrequired)
1
Listofbooks / EditionNo. / Year/No- Kaplan and Sadock's Synopsis of Psychiatry, Behavioral Sciences/Clinical Psychiatry
- Shorter Oxford Textbook of Psychiatry
- Sims' Symptoms in the Mind: Textbook of Descriptive Psychopathology
- Diagnostic and Statistical Manual of Mental Disorders- 5 by American Psychiatric Association
- SCID-5-CV (Clinician Version)
- The ICD 10 Classification of Mental and Behavioural Disorders
- The American Psychiatric Publishing Text book of Psychiatry
- New Oxford Textbook of Psychiatry
- Anita Thapar, Rutter's Child and Adolescent Psychiatry
- Alan Carr,The Handbook of Child and Adolescent Clinical Psychology : A Contextual Approach
- The American Psychiatric Publishing Textbook of Substance Abuse Treatment
- History of Psychiatry and Medical Psychology: With an Epilogue on Psychiatry and the Mind-Body Relation
- APA Dictionary of Psychology
- Judith S. Beck, Cognitive Behavior Therapy
- Eye Movement Desensitization and Reprocessing (EMDR): Basic Principles, Protocols, and Procedures
- Behavioral Sciences in Medicine by Barbara Fadem
- Myer’s Psychology
- Kaufman’s Clinical Neurology for Psychiatrists
- Stahl's Essential Psychopharmacology
- The Maudsley prescribing guidelines in Psychiatry
- Diagnostic Interviewing by Daniel Segal
- Handbook of Evidenced-based psychodynamic psychotherapy
- Kaplan and Saddock’s concise textbook of child and adolescent psychiatry
- The American Psychiatric Publishing Textbook of Geriatric Psychiatry
- Textbook of Clinical Neuropsychiatry and Behavioural Neuroscience
- A comprehensive guide to intellectual and developmental disabilities
- Nancy McWilliams, Psychoanalytic Diagnosis, Understanding Personality Structure in the Clinical Process
- Oxford Textbook of Community Mental Health
- Principles of Social Psychiatry by Craig Morgan
- Emergency Psychiatry, Principles and Practice by
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1
SubscriptionofJournals
1
S.# / Nameof thejournals / Subscribedsince(Month,Year)
- Journal of Pakistan Psychiatric Society
- American Journal of Psychiatry
- JAMA Psychiatry
- British Journal of Psychiatry
- Annual Review of Clinical Psychology
- Schizophrenia Bulletin
- Archives of General Psychiatry
- Indian Journal of Psychiatry
- Journal of Biological Psychiatry
- Journal of Molecular Psychiatry
- Current opinions in Psychiatry
- Social Psychiatry and Psychiatric Epidemiology
- Journal of Academic Psychiatry
- Journal of Child Psychology and Psychiatry
- Addiction Journal (Wiley)
1
Patient Turnover
1
Out-door
Emergency_
Indoors_
Number/day
Number/day
1
Admissions/month Outcome/month
1
ThroughOPD_ThroughEmergency_
(D)AUDITS
To be conducted at least once every year.
Discharges_Referrals_
1
Bed Strength
BedStrength / AvailableTotal Number of Beds
Number of Female Beds
Drugs Addiction Detox Unit and its bed strength
Number of separate beds for children/minors in a discrete unit
Number of safe and secure seclusion rooms for violent/agitated/delirious patients (mention if CCTV monitoring available)
MinimumStandardsSet byUHS(YardStick) Tobefilled-upbyUHS
BedStrength / MinimumRequirement
Total Number
Female Beds
Seclusion Rooms with CCTV Cameras
1
Sr.# / Nameof Disease / Numberseenin lastone monthMajor Depressive Disorder
Bipolar Disorder
Schizophrenia
Generalized Anxiety Disorder and Panic Disorder
Obsessive Compulsive Disorder
Conversion Disorder / Dissociative Disorder
Personality Disorders particular Borderline Personality Disorder
Deliberate Self Harm / Suicide
Alzheimer’s Disease / other Dementias
Intellectual Disability / MR
ADHD
Pervasive Developmental Disorders
Substance Abuse / Addiction
Non-PharmacologicalManagementDone
Sr.# / Nameof Procedure / Numberof times(performed) / Elective/Emergency
1) / Patient Counseling
2) / Family Counseling
3) / Relaxation / PMR
4) / Marital Counseling / Psychosexual assessment and counseling
5) / CBT Session
6) / ECT administered
7) / EEG and its interpretation
8) / Other psychotherapies used
1
InvestigationsAvailable
Laboratory(intheward) / (in the hospital)
oBiochemistry Yes/No
oMicrobiology Yes/No
o In-chargeLab
o Qualification
RadiologicalFacilities (X-Rays, CT, MRI)
Intheunit yes /No
IntheHospital Yes/No
(F)RECORDMAINTENANCE
/ Methodof Maintenance / Manual/Computerized / AnnualReportingDone / Yes/No
SignatureofHeadoftheDepartment
SignatureofHeadoftheInstitution
Dated