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Autism7717 Exam 2 > 11/27 Interdisciplinary Team > Flashcards

11/27 Interdisciplinary Team Flashcards

1
Q

Why are interdisciplinary teams rare?

A

Very expensive.

Like disciplines tend to stick together.

Might not be enough professionals to go with every team.

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2
Q

Article: The Value of Telehealth and a Team-Based Approach in Improving Developmental and Behavioral Care During the COVID-19 Pandemic

A

developmental-behavioral pediatrician, psychologist, behavioral clinician, and social
workers who developed a collaborative plan of care.

Billy was diagnosed with global developmental delay,
significant tantrums, and impulsivity but did not meet the criteria for autism spectrum disorder.

Billy was able to make significant developmental progress, and his parents reported improved
ability to manage his difficult behaviors.

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3
Q

Why are interdisciplinary teams important in ID?

A

Complexity of needs and issues require multiple professional disciplines to manage services and address over the lifespan

Patients’ needs require skills and knowledge of multiple disciplines

Patients benefit from the advantages of interdependent practice

Influenced by trend of community-based programs/services and lifespan approach

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4
Q

Institute of Medicine (2001) says “Health care organizations should develop effective teams to reduce ________.

A

problems of lost continuity, redundancy, excess cost and miscommunication

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5
Q

________________ propose innovative approaches to education including “team management of chronic disease, interprofessional integrated models of care that incorporate transitions of care…; teaches skills related to interprofessional, integrated care through collaboration with other health professionals…”

A

AFFORDABLE CARE ACT

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6
Q

Team Care: Joint Commission says____ receive care in context of interdisciplinary teams?

A

long term care patients

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7
Q

Team Care: WHO says interdisciplinary teams are for…

A

interdisciplinary teams for primary care, mental health, surgical, oncology, palliative care, research and policy development

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8
Q

Definition of interdisciplinary teams is a ____ number of people with ____ skills who are committed to ____.

A

Small number of people with complementary skills who are committed to a common purpose, performance goals, and common approach for which they hold themselves mutually accountable.

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9
Q

What is this: “…an integrated education program that relies upon the interdependent contributions of the collaborating team members. These team members may include people with disabilities and their families, health and allied health professionals, and community providers.”

A

Interdisciplinary training

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10
Q

Teams: what do they look like? Shape size? purpose? condition?

A

all shapes and sizes, purpose, can evolve, short or long term, effective or ineffective, what the team makes it to be.

Ineffective = lack of communication

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11
Q

What is the MAIN difference between team and group?

A

Team: Interdependent functioning

Group: members function independently

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12
Q

Team and Group similarities

A

small group
Common goal

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13
Q

Other group and team differences?

A

Mutual Accountability in teams, vs. group each accountable for their part

Team: Longer term
Group: Short term (time limit)

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14
Q

Multidisciplinary

A

Fruit salad

Work in parallel
Minimal communication and collaboration
Discipline specific task
Less team identity
One team leader
More traditional medical model

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15
Q

Interdisciplinary

What distinguishes interdisciplinary from Multidisciplinary team?

A

Fondue

Coordinated tasks
Frequent communication
Shared goals/responsibilities
Discipline roles maintained
Team identity
Plan and goal set as a team
Team meetings although services provided by each discipline
Roles are flexible and equal
Shared leadership and power

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16
Q

What distinguishes interdisciplinary from Multidisciplinary team?

A

Interdisciplinary: Interactive collaboration

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17
Q

Transdisciplinary

A

Cake

Role reversal and expansion
integrated expertise
Shared problem solving
Unified treatment plans
“Role release” - requires high level of comfort/trust with cross-disciplinary training; not always accepted by members
Services provided by designated MEMBERS not DISCIPLINE
Teams plans/monitors services as unit
Increased communication necessary

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18
Q

Interprofessional

A

Similar to interdisciplinary

multiple health or social disciplines

integrated set of goals, interdependent collaboration, provide services to patients/clients and their caregiving systems.

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19
Q

Interprofessional Education Collaborative

A

the professional organizations that oversee interdisciplinary stuff. Ex: APA

20
Q

4 Core Competencies from the interprofessional education collaborative 2016

A
  1. Work with other professions to maintain climate of mutual respect and shared values
  2. Useknowledge of own and others’ roles to address needs of patients and populations
  3. Communicate in responsive/responsible manner
  4. Apply principles of team dynamics to plan, deliver and evaluate patient centered care
21
Q

BUCKIPE At OSU: 6 core competencies

OSU’s program for interprofessional education from college of medicine.

A
  1. Values and Ethics: Work with team members to maintain a climate of shared values, ethical conduct, and mutual respect.
  2. Roles and Responsibilities: Use the knowledge of one’s own role and team members’ expertise to address health outcomes.
  3. Communication: Communicate in a responsive, responsible, respectful, and compassionate manner with team members.
  4. Teams and Teamwork: Apply values and principles of team science to adapt to one’s own role in a variety of team settings.
  5. Collaborative Leadership: Engage members of the interprofessional team, including patients, clients, families, and communities in collaborative leadership.
  6. Evidence-Based Practice: Utilize evidence to inform all aspects of interprofessional teamwork.
22
Q

BUCKIPE Progression (might not be important)

A
  1. Foundation (knowledge acquisition)
  2. Immersion (application)
  3. Entry-to-practice (integration)
23
Q

Fundamentals of ID practice include:

A

Commitment to own discipline while recognizing value of other disciplines

Holistic perspective of person and delivery of services

Recognize the interdependency of practice; shared responsibility

Respect expertise of other professionals

Recognize the benefit for patients

Recognize importance of person- or family-centered approach

Comprehensive representation of disciplines/members and collaboration

Stable, capable membership on team

Equal access to information and opportunity by each member

24
Q

PAT Skills for interdisciplinary members:

A

Personal (teamwork)
Ability to facilitate structured team meetings
Technical (task work) skills

25
Q

Necessary Skills

A

Coordinate efforts with other members

Participate in problem resolution

Give and receive feedback

Contribute individual discipline expertise

Adapt to various roles
Understand/appreciate unique contributions of other members

26
Q

Team Development Model (Tuckman)

A

FSNPA

Forming
Storming
Norming
Performing
Adjourning

27
Q

Forming

A

members sort out who does what. Little work accomplished. Questions. Testing behavioral expectations. Identify Goal and means to accomplish. Helpful to find team leader.

28
Q

Storming

A

assert separate perspective, competition for influence, formal clarification of goals, roles, etc., ground rules ironed out, little productive work,

MOST CRITICAL PHASE

29
Q

Norming

A

competing agendas reconciled, accept rules/roles, more cooperation, info exchange/healthy criticism, listening>speaking, team cohesiveness, moderate work

30
Q

Performing

A

problem solving, high team spirit, insight into processes, less self-conscious info flow, direct confrontations, much work accomplished

31
Q

ON THE FINAL: WHAT ARE ROLES?

Examples?

A

Expectations that define appropriate behaviors of individual team members

ex: assessment, examination, interview, correspondence, etc.

32
Q

ON THE FINAL: ____ differentiate the responsibilities of team members?

A

Roles

33
Q

ON THE FINAL: WHAT ARE NORMS?

Examples?

A

Common beliefs or rules that regulate the behavior of group members.

Examples: organization of meeting, documentation, communication, etc.

34
Q

ON THE FINAL: ____ integrate members into a unified whole, which supports ___________

A

Norms

Effectiveness of team function

35
Q

5 dysfunctions of a team

A
  1. Absence of Trust (invulnerability)
  2. fear of conflict (artificial harmony)
  3. Lack of commitment (ambiguity)
  4. Avoidance of accountability (low standards)
  5. Inattention to results (status and ego)
36
Q

How do you build trust?

A

Personal Hx
Behavioral Profile

37
Q

How do you achieve commitment?

A

Clarify goals

38
Q

How do you master conflict?

A

Preferences, norms and obstacles

39
Q

How do you embrace accountability

A

Develop expectations

40
Q

How do you focus on results?

A

Establish scoreboard

41
Q

Advantages of Interdisciplinary teams (IDTS)

A

Preferred by patients

Improved outcomes and access to patient care

More comprehensive plan for services

Improved coordination of care

Mutual support for professionals; broader understanding of other discipline’s roles

Shared learning experiences and resources

Opportunities for cooperative research ventures

May yield benefits for health care organizations higher quality care at reduced costs and greater job satisfaction

42
Q

Disadvantages of IDTS:

A

Cost
Time
Space/environment

Interpersonal skill development often necessary

Differing skill level/training of members

Research on effectiveness of IDTs is not conclusive, but demonstrates many benefits.

43
Q

Barriers to interdisciplinary teams can occur on what 3 levels?

A

Organizational, team, individual

44
Q

Is an IDT necessary?

A

Depends.

Can a single discipline suffice? If not, why not?
Are the proposed disciplines available?
Which disciplines/experts are available?
What role will each discipline play?
How are team members expected to work?
Is a coordinator available?
How will outcome be measured?

45
Q

Interdisciplinary teams and ASD:

What is recommended?
What do you avoid?

A

Interprofessional treatment recommended by the American Academy of Pediatrics, the United Nations Convention for the Rights of Persons with Disabilities, and the National Institute for Health and Care Excellence

Must avoid “eclecticism” –> ineffective, consume more time and financial resources

Standards proposed in Bowman et al (2021)
Don’t need to memorize for test, but look at what the clinical standards are, what they could be for other related disorders.

Autism7717 Exam 2 (5 decks)

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