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Psychiatry in Shetland.

Martin Scholtz¹, Almarie Harmse²

¹Consultant General Adult Psychiatrist, Dorset HealthCare University NHS Foundation Trust, UK email martin.scholtz@nhs.net.

Bjpsych International

|June 29, 2018

Summary

Psychiatry in the remote Shetland Isles presents unique challenges. Two psychiatrists served 23,000 residents in this unique Scottish-Scandinavian community.

Area of Science:

Psychiatry
Remote Healthcare
Island Communities

Background:

The Shetland Isles offer stunning natural beauty and a unique cultural heritage.
The region experiences harsh weather conditions, impacting daily life and services.
Practicing psychiatry in remote locations presents distinct obstacles.

Purpose of the Study:

To describe the challenges and experiences of providing psychiatric services in the Shetland Isles.
To highlight the unique aspects of mental healthcare delivery in a remote, island setting.

Main Methods:

Qualitative description of psychiatric practice.
Analysis of the service provision for 23,000 inhabitants.

Main Results:

Keywords:

Rural psychiatry personality disorders reducing hospital admissions

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The authors were the sole psychiatrists serving the entire population.
The practice involved navigating geographical isolation and specific cultural dynamics.

Conclusions:

Psychiatric practice in the Shetland Isles requires adaptability and cultural sensitivity.
Remote and island communities necessitate tailored approaches to mental healthcare delivery.