Multidisciplinary Team Flashcards
What is the role of a psychologist?
Philosophy - Individuals are autonomous and have free will
Medical/disease model is insufficient in accounting for mental complexities
emphasis on understanding biopsychosocial factors that contribute to and maintain mental illness and to understand individual human experience
require consideration of how mental illness defined, acknowledge cultural differences
Ontology - respectful and collaborative manner
acknowledge individual rights and autonomy of the client while balancing potential for harm to others and the individual
Epistemology - psychopathology, psych assessment, intervention, evaluation
psycho-dynamic, cognitive. behavioural, humanistic perspective used to understanding mental illness
use of integrative biopsychosocial perspective in assessment and treatment
Methods - Assess the contributing factors, individual formulation, treatment, conceptualisation, identification problems, associated with symptoms and illness
realistic goals, tailored interventions, resolves identified issues and evaluate the outcome of interventions
utilise couple, family, group, individual to build therapeutic relationship and provide appropriate evidence based interventions
What is the role of a social worker?
Philosophy - Social justice and human rights
locate individual within their social system to maximise growth potential, development and change
humanity exist in balance with environment
work to explore values, attitudes, behaviour, social structure that contribute to oppression and social exclusion of vulnerable people
Ontology - committed to standard of practice that include respect for individual, encouragement, self determination, autonomy, privacy and confidentiality, duty of care and social consequences of mental illness
Epistemology - human development, family formation, family functioning, group work, community development
strengths perspective to support recovery process (also anti-oppressive and empowerment)
Social theory to explain sociopolitical, economic imperative that contribute to disadvantaged social injustice
psychology, feminist, critical theories to understand attitudes and values around controversial issues (end of life decisions, suicide)
Methods - Individual, family, intervention, termination, review/evaluation
focus on relationship, understand person in their environment, consumers in decision making
counselling, therapy, group work, crisis intervention, to assist in social integration, reduce the impact of stigma and discrimination for mental illness
What is the role of a psychiatrist?
Philosophy - interface between mind and brain
strong link to neurology
emphasise intervention between subjective experience of the patient, environment, past experience and biological make-up
mental illness, diagnosis and treatment interact with persons lived experience, biological predisposition and environment.
attainment of inner contentment, happiness in balance with ones spiritual, physical and mental health
Ontology - respect and empowerment of individuals within context of duty of care, deal with personal, family, social consequences of mental illness through diagnosis, prevention and treatment
Epistemology - psychoanalytical, interpersonal, family-oriented, social, biological theory
recognise role of physical, inner, spiritual being, human development, family and community to support the individual to attain mental health
Methods - Pharmacological, psychotheraputic, congitive, behavioural, family, group, crisis intervention, primary/secondary/tertiary prevention, patient/family education, community integration, personal empowerment
narrative and evidence based approaches
address stigma, social integration, personal development, attainment full state of mental health for the individual, family and community,
What is the role of a occupational therapist?
Philosophy - people are occupational beings
need to do things that are meaningful
Ontology - occupation must be meaningful to promote health and well-being
client centred
Epistemology - understand the link between occupation, health and well being
biological, psychological and social theories
bio-mechanical and pathology framework
recovery models and strengths based model the best fit
Methods - occupation centred practice
investigate persons occupational history, roles, current barriers and enablers of individual participation
discussion, observation, interview to assess the persons performance
What is the role of a mental health nurse?
Philosophy - Whole Person care
Value gaining patient trust informally through everyday interactions, providing comfort from pain/anxiety, interpreting medical info clearly and simply, helping person to turn life crisis into healing and adaption
Ontology - Applied humanism
Aim to be supportive, compassionate, alert to signs and symptoms of distress
Epistemology - Study biology, psych, social science, pharmacology, psychopathology
learn about therapeutic interventions and play a big role in medication and treatment management
Methods - Work inpatient, team, care team, community team, telephone triage, consultant, nurse practitioner
CARE Model
C - Containment - Contain distressing symptoms and behaviour
A - Awareness - Use therapeutic skills to increase patient understanding of their own risks, vulnerabilities and coping
R - Resilience - facilitating connections with support groups and community to promote recovery
E- Engaging - be accessible and trustworthy to client and family
Define Inter-professional
Two or more professions learning from and about each other to improve collaboration and quality of service
Define Cross-Disciplinary
Academic disciplines that form an important cross-disciplinary area or network
What factors differentiate between effective and ineffective communication in multidisciplinary teams?
Ineffective
Attitudes of health professionals towards their own and other professional disciplines are likely to influence their willingness to collaborate in inter-professional teams.
Effective
high quality relationship between workers, clients and carers
clearly defined tasks and care for a well defined client group
services that target needs beyond psychiatric symptoms (housing, employment, social ect)
team ability to flexibly respond to clients needs’clarity about team members roles and responsibilities
sanctioned team leadership with agreed systems of co-ordination
collaborative and participate leadership style
team links with external community services
team receives regular feedback about is achievement of objectives
individual members are assessed on performance, supervision and professional development
prioritising clients
emphasis on community integration
meeting cultural and linguistic barriers
individualisation of services
ongoing monitoring of client progress
accountability of all professionals to use evidence based services
What guides good MDT in Australia ?
In mental health practice, the National Practice Standards for the Mental Health Workforce (2013) are the workforce benchmark
- concerned with knowledge, skills and attitudes
Framework for cross-disciplinary education in MDT mental health practice
Informed and integrated best practice and self care > Awareness of own discipline and agency policies and procedures > Awareness of other disciplines values, ethics and scope of practice > Respect for colleagues from other disciplines > Respect for consumers and carers
What is POEM?
Philosophy or historical background for each discipline
Ontology: how members of the specific discipline join with the client on their journey with mental illness
Epistemology: theory or grounds for what knowledge is necessary to practice
Methods used when working with clients
