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A Collaboration of the Forum on Neuroscience and Nervous System Disorders and the African Science Academy Development Initiative; Board on Health Sciences Policy; Institute of Medicine. Strengthening Human Resources Through Development of Candidate Core Competencies for Mental, Neurological, and Substance Use Disorders in Sub-Saharan Africa: Workshop Summary. Washington (DC): National Academies Press (US); 2013 Oct 8.

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Strengthening Human Resources Through Development of Candidate Core Competencies for Mental, Neurological, and Substance Use Disorders in Sub-Saharan Africa: Workshop Summary.

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ASummary of Candidate Core Competencies1

NOTE: ALL signifies every provider in a particular category. See Table 1 in the main report (page 19) for definitions of acronyms.

Candidate Core CompetencyProvider TypesCondition
DepressionPsychosisEpilepsyAlcohol Use
Screening/Identification (SI)
SI.1 Demonstrates awareness of common signs and symptomsCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.2 Recognizes the potential for risk to self and othersCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.3 Demonstrates basic knowledge of causesCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.4 Provides the patient and community with awareness and/or educationCommunity/Lay WorkerALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.5 Demonstrates cultural competenceCommunity/Lay WorkerALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.6 Demonstrates knowledge of other mental, neurological, and substance use (MNS) disordersCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.7 Demonstrates the ability to screen for and use screening toolsCommunity/Lay WorkerALLCHWCHWCHW
Non-specialized, Non-prescribingSW, OTSW, OT SW, OT
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.8 Demonstrates knowledge and skills in taking patient historyCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSH, OTSH, OTSH, OTSH, OT
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.9 Demonstrates the ability to conduct a mental status examCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSW, OT OTSW
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.10 Recognizes patients who are relapsing and require inpatient careCommunity/Lay Worker  CHW 
Non-specialized, Non-prescribing  SWSW, OT
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.11 Demonstrates knowledge and skills to assess patients and determine level of care neededCommunity/Lay Worker    
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
SI.12 Identifies cases during home visitsCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingSWSWSWSW
Non-specialized, Prescribing    
Specialized    
SI.13 Demonstrates knowledge and skills to identify highrisk patients or treatment complications (e.g., children, breastfeeding women)Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, NE, PSPRN, NE, PSPRN, NE, PSPRN, NE, PS
SI.14 Demonstrates knowledge and skills to assess patients at risk of relapseCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingCO, MDCO, MDCO, MDCO, MD
SpecializedPSPSPRN, NE, PSPY, PS
SI.15 Demonstrates knowledge and skills to conduct a physical examCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, NE, PSPRN, NE, PSPRN, NE, PSPRN, NE, PS
SI.16 Recognizes primary manifesttations of other disorders (e.g., conversion disorder, anxiety)Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedNE, PSNE, PSNE, PSNE, PS
SI.17 Recognizes comorbidities that cause secondary epilepsyCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  ALL 
Specialized  PRN, NE, PS 
SI.18 Recognizes physical features that might indicate an underlying condition other than epilepsy (e.g., skin lesions, deformities)Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  CO,MD 
Specialized  NE 
SI.19 Recognizes serious neurological disorders that may be present with seizures or epilepsy (e.g., central nervous system infection, stroke, tumor)Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  CO,MD 
Specialized  NE, PS 
Formal Diagnosis/Referral (DR)
DR.1 Demonstrates knowledge of when to refer to next level of care/other provider/specialistCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.2 Demonstrates knowledge of potential providers for specialized care within the communityCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.3 Demonstrates skills in assessment of relative levels of social, cognitive, and physical functioningCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.4 Demonstrates knowledge of required information for effective referralCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.5 Demonstrates skills in using various assessment toolsCommunity/Lay Worker  CHW 
Non-specialized, Non-prescribing OTOT 
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.6 Demonstrates knowledge and skills in diagnosis of psychosocial factors related to conditionCommunity/Lay Worker    
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, PY, PSPRN, PY, PSALLPRN, PY, PS
DR.7 Demonstrates an understanding of and ability to apply contextually appropriate diagnostic systems (e.g., DSM, ICD)2Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.8 Demonstrates knowledge and skills to make a formal diagnosis and formulation of differential diagnosisCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.9 Demonstrates ability to determine severity levelCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.10 Demonstrates ability to make a diagnosis according to an algorithm (not considered a clinical diagnosis)Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
DR.11 Demonstrates ability to interpret laboratory resultsCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingMDMDMDMD
SpecializedNE, PSNE, PSNE, PSNE, PS
DR.12 Demonstrates knowledge about status epilepticus and other types of seizuresCommunity/Lay Worker  CHW 
Non-specialized, Non-prescribing  OT 
Non-specialized, Prescribing  ALL 
Specialized  ALL 
DR.13 Demonstrates ability to diagnose alcohol use disorders and related problemsCommunity/Lay Worker    
Non-specialized, Non-prescribing   SW
Non-specialized, Prescribing   ALL
Specialized   ALL
DR.14 Demonstrates psychological interview skillsCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedPRN, PY, PSPRN, PY, PSALLPRN, PY, PS
DR.15 Demonstrates ability to conduct a neuropsychiatric evaluationCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedPY, PSPY, PSPY, NE, PSPY, PS
DR.16 Demonstrates knowledge of indications when electroencephalogram (EEG) and/or neuroimaging is needed for epilepsyCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  MD 
Specialized  NE, PS 
DR.17 Demonstrates ability to interpret EEG and neuroimaging reportsCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  MD 
Specialized  NE, PS 
Treatment/Care (TC)
TC.1 Provides support for patients and families while in treatment and careCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.2 Identifies and assists patients and families in overcoming barriers to successful treatment and recovery (e.g., adherence, stigma, finances, accessibility, access to social support)Community/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.3 Demonstrates ability to monitor mental statusCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.4 Demonstrates knowledge of how to offer emergency first aidCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.5 Initiates and/or participates in communitybased treatment, care, and/or prevention programsCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.6 Demonstrates knowledge of treatment and care resources in the communityCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.7 Promotes mental health literacy (e.g., to minimize impact of stigma and discriminationCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.8 Communicates to the public about MNS disordersCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.9 Monitors for adherence to and/or side effects of medicationCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.10 Practices good therapeutic patient interactions (e.g., communication, relationship, attitude)Community/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.11 Provides links between patients and community resourcesCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.12 Identifies available resources to support patients (e.g., rehabilitation, medication supplies)Community/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.13 Promotes activities that aim to raise awareness and improve the uptake of interventions and the use of servicesCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.14 Protects patients and identifies vulnerabilities (e.g., human rights)Community/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.15 Demonstrates respect, compassion, and responsiveness to patient needsCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.16 Demonstrates knowledge and skills to use information technology to improve treatment and careCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.17 Demonstrates ability in general counseling skillsCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingSWSWSWSW
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.18 Demonstrates ability to administer brief interventionsCommunity/Lay WorkerALL  ALL
Non-specialized, Non-prescribingSWSW SW
Non-specialized, PrescribingALLALL ALL
SpecializedALLALL ALL
TC.19 Demonstrates ability to select appropriate treatment based on an understanding of diagnosisCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingALLALLALLALL
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.20 Initiates, organizes, and/or facilitates self-help or support groupsCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, PYPRN, PYPRN, PYPRN, PY
TC.21 Provides brief advice on symptom managementCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSWSWSWSW
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.22 Demonstrates skills to provide psychosocial interventionsCommunity/Lay WorkerCHWCHW  
Non-specialized, Non-prescribingSW, OTSW, OT OT
Non-specialized, PrescribingALLALL ALL
SpecializedALLALLPRN, PYALL
TC.23 Conducts relapse prevention programsCommunity/Lay WorkerCHWCHW CHW
Non-specialized, Non-prescribingSWSW SW
Non-specialized, PrescribingCO, RNCO, RN CO, RN
SpecializedPYPY PY
TC.24 Demonstrates skills in home visitationCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, PrescribingCOCOCOCO
Specialized    
TC.25 Assists with adjustments following dischargeCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, PrescribingCO, RNCO, RNCO, RNCO, RN
Specialized    
TC.26 Demonstrates competence in the delivery of evidencebased therapiesCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSWSW SW
Non-specialized, PrescribingCOCOCO, MDCO
SpecializedPY, PSPY, PSPY, NE, PSPY, PS
TC.27 Advises patients and families on taking medications properlyCommunity/Lay Worker    
Non-specialized, Non-prescribingPH, SWPH, SWPH, SWPH, SW
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, NE, PSPRN, NE, PSPRN, NE, PSPRN, NE, PS
TC.28 Demonstrates knowledge of and ability to apply relevant legislation and policies and access to appropriate servicesCommunity/Lay Worker    
Non-specialized, Non-prescribingSWSWSWSW
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.29 Demonstrates knowledge of drug interactionsCommunity/Lay Worker    
Non-specialized, Non-prescribingPH, SWPH, SWPH, SWPH, SW
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, NE, PSPRN, NE, PSPRN, NE, PSPRN, NE, PS
TC.30 Provides appropriate forms of therapy (e.g., individual group, family, marital)Community/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSWSWSWSW
Non-specialized, PrescribingCOCOCOCO
SpecializedPYPYPYPY
TC.31 Demonstrates knowledge of communitybased rehabilitation approachesCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, PrescribingALLALLALLALL
Specialized    
TC.32 Educates patients about side effects, contraindications, etc.Community/Lay Worker    
Non-specialized, Non-prescribingPHPHPHPH
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, NE, PSPRN, NE, PSPRN, NE, PSPRN, NE, PS
TC.33 Demonstrates skills to provide longterm support/careCommunity/Lay Worker    
Non-specialized, Non-prescribingOTOTOTOT
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, PY, PSPRN, PSPRN, PSPRN, PY, PS
TC.34 Reports information to relevant health management systemsCommunity/Lay Worker    
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.35 Demonstrates knowledge and skills to dispense medicationsCommunity/Lay Worker    
Non-specialized, Non-prescribingPHPHPHPH
Non-specialized, PrescribingMDMDMDMD
SpecializedNE, PSNE, PSNE, PSNE, PS
TC.36 Assists patients with access to other providers and helps coordinate effortsCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSWSWSWSW
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.37 Provides advice on symptom managementCommunity/Lay WorkerCHWCHWCHWCHW
Non-specialized, Non-prescribingSWSWSWSW
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, PY, PSPRN, PY, PSALLPRN, PY, PS
TC.38 Documents medical recordsCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.39 Demonstrates knowledge and skills to consult with other providers in the treatment/care teamCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.40 Demonstrates knowledge and skills to provide proactive follow-up and monitors outcomes of careCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.41 Demonstrates knowledge of standard drug regimensCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.42 Provides mentoring and support to other health care providersCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedALLALLALLALL
TC.43 Demonstrates knowledge and skills to prescribe, monitor, and adjust medication per patient response and in consultation with other providersCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, NE, PSPRN, NE, PSNE, PSPRN, NE, PS
TC.44 Demonstrates ability to offer work, social, and recreational activities in a welcoming atmosphereCommunity/Lay WorkerALLALLALLALL
Non-specialized, Non-prescribingSW, OTSW, OTSW, OTSW, OT
Non-specialized, Prescribing    
SpecializedALLALLALLALL
TC.45 Demonstrates skills to provide structured clinical interventionsCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALL ALL
SpecializedPRN, PS ALLPRN, PS
TC.46 Manages acute hospitalization of patients with severe conditions pending review/ transfer to mental health specialistCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingCO, MDCO, MDCO, MDCO, MD
SpecializedALLALLALLALL
TC.47 Demonstrates knowledge and skills to treat comorbidities according to level of trainingCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALLALLALLALL
SpecializedPRN, NE, PSPRN, NE, PSPRN, NE, PSPRN, NE, PS
TC.48 Provides team members with skills in assessment, treatment, and follow-upCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingCO, MDCO, MDCO, MDCO, MD
SpecializedPY, PSPY, PSPY, NE, PSPY, PS
TC.49 Screens for adverse events and allergiesCommunity/Lay Worker    
Non-specialized, Non-prescribingPHPHPHPH
Non-specialized, PrescribingALLALLALLALL
Specialized  NE, PS 
TC.50 Demonstrates knowledge and skills to supervise treatment and care/followup care by other providersCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingCO, MDCO, MDCO, MDCO, MD
SpecializedPY, NE, PSPY, NE, PSPY, NE, PSPY, NE, PS
TC.51 Manages inpatient treatment and careCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, PrescribingCO, MDCO, MDCO, MDCO, MD
SpecializedALLALLALLALL
TC.52 Provides follow-up and referral for patients with active epilepsy; recognizes status epilepticus and referral as an emergencyCommunity/Lay Worker  ALL 
Non-specialized, Non-prescribing  SW, OT 
Non-specialized, Prescribing  CO, MD 
Specialized  NE, PS 
TC.53 Demonstrates mental health promotion skills to prevent depressionCommunity/Lay WorkerCHW   
Non-specialized, Non-prescribing    
Non-specialized, PrescribingALL   
SpecializedALL   
TC.54 Demonstrates knowledge and skills to provide medication management for complex cases, including second- and third-line medicationsCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  MD 
SpecializedPRN, NE, PSPSNE, PSPS
TC.55 Supervises complex regimens requiring more than one drugCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  MD 
SpecializedNE, PSNE, PSNE, PSNE, PS
TC.56 Administers long-term interventionsCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedPY, PSPY, PSNEPY, PS
TC.57 Demonstrates knowledge and skills to provide structured psychosocial interventions, individual and group (e.g., interpersonal psychotherapy, CBT, PST)3Community/Lay WorkerCHW   
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedPY, PSPY, PS PY, PS
TC.58 Defines and initiates a treatment planCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  CO, MD 
SpecializedPY, NE, PSPY, NE, PSNE, PSPY, NE, PS
TC.59 Demonstrates knowledge and skills to apply various modalities of psychotherapy to treat patientsCommunity/Lay WorkerCHW   
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedPY, PSPY, PSPY, PSPY, PS
TC.60 Recognizes when to consult prescriber about appropriateness of prescription (e.g., wrong dose, critical drug interaction)Community/Lay Worker    
Non-specialized, Non-prescribingPHPHPHPH
Non-specialized, Prescribing    
Specialized    
TC.61 Develops and administers a rehabilitation plan in consultation with primary care providerCommunity/Lay Worker    
Non-specialized, Non-prescribingOTOTOTOT
Non-specialized, Prescribing    
Specialized    
TC.62 Demonstrates skills to monitor and assist in rehabilitationCommunity/Lay WorkerCHW   
Non-specialized, Non-prescribingOTOTOTOT
Non-specialized, Prescribing    
Specialized    
TC.63 Provides supervision of complex cases, including those with neurological comorbiditiesCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedNE, PSNE, PSNE, PSNE, PS
TC.64 Manages status epilepticusCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  ALL 
Specialized  NE, PS 
TC.65 Demonstrates knowledge and skills to treat serious neurological disorders that may present with seizures or epilepsy (e.g., CNS infection, stroke, tumor)Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  MD 
Specialized  NE, PS 
TC.66 Administers modified electroconvulsive therapy (ECT)Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
Specialized  PRN, NE, PS 
TC.67 Demonstrates knowledge of drug dosing for children and adults, titration (both first-line drugs and adjuncts)Community/Lay Worker    
Non-specialized, Non-prescribing  PH 
Non-specialized, Prescribing  ALL 
Specialized  NE, PS 
TC.68 Demonstrates knowledge and skills in treatment of cases complicated by infectious and noncommunicable diseases (e.g., HIV/AIDS)Community/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedNE, PSNE, PSNE, PSNE, PS
TC.69 Demonstrates knowledge and skills to provide a full range of psychological therapiesCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
SpecializedPYPY PY
TC.70 Demonstrates knowledge of when to initiate treatment if a comorbid neurological condition existsCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  CO, MD 
SpecializedNENENE 
TC.71 Demonstrates knowledge and skills for the selection of patients for surgical managementCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
Specialized  NE 
TC.72 Demonstrates skills to provide social intervention—addressing social problems that led to/are maintaining depressionCommunity/Lay Worker    
Non-specialized, Non-prescribingSW   
Non-specialized, Prescribing    
Specialized    
TC.73 Demonstrates knowledge and skills to manage refractory epilepsyCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
Specialized  NE 
TC.74 Demonstrates knowledge and skills in management of psychiatric comorbiditiesCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing    
Specialized  PS, NE 
TC.75 Demonstrates knowledge and skills in management of pseudoseizuresCommunity/Lay Worker    
Non-specialized, Non-prescribing    
Non-specialized, Prescribing  MD 
Specialized  PS, NE 

Footnotes

1

This table presents candidate core competencies discussed by one or more workshop participants. During the workshop, all participants engaged in active discussions of candidate competencies. In some cases, participants expressed differing opinions about whether a particular competency could be useful and included in the list. However, because this is a summary of workshop comments and not meant to provide consensus recommendations, workshop rapporteurs endeavored to include all candidate core competencies discussed by workshop participants across providers and disorders. This table and its content should be attributed to the rapporteurs of this summary as informed by the workshop.

2

DSM: Diagnostic and Statistical Manual of Mental Disorders; ICD: International Statistical Classification of Diseases and Related Health Problems.

3

CBT = cognitive behavioral therapy; PST = problem solving therapy.

Copyright 2013 by the National Academy of Sciences. All rights reserved.
Bookshelf ID: NBK174493

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