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Professional Psychology B > Working in a Multidisciplinary Team > Flashcards

Working in a Multidisciplinary Team Flashcards

1
Q

Who does multidisciplinary mental health services involve?

A

A broad range of professionals, as well as family and community supports.

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2
Q

How are occupational therapists a part of the multidisciplinary team?

A

Emphasis on self care, work, leisure.

Guiding principles to promote health and wellbeing, client centered approach.

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3
Q

How are psychology therapists a part of the multidisciplinary team?

A

Medical model isn’t sufficient, as humans have free will. Use evidence based methods to provide the best interventions.

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4
Q

How are psychiatric therapists a part of the multidisciplinary team?

A

Emphasises interrelations between subjective experience, biological makeup and lived experience.

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5
Q

How are nurses a part of the multidisciplinary team?

A

Gaining trust by informal interactions, providing comfort, interpreting medical data.
Applied humanism.

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6
Q

How are social workers a part of the multidisciplinary team?

A

Social justice and human rights, maximise potential for growth, development and change.

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7
Q

What is the philosophy of mental health nursing?

A
  • ‘whole of person’ care
  • gaining trust
  • providing comfort
  • interpreting medical information clearly and simply
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8
Q

What is the ontology of a mental health nurse?

A

Applied humanism, supportive, gentle, compassionate, alert to signs and symptoms of distress.

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9
Q

What is the epistemology of a mental health nurse?

A

Study biological, psychological and social science. Learn about therapeutic interventions.

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10
Q

What are the methods of a mental health nurse?

A

CARE-containment, awareness, resilience, engaging.

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11
Q

What is the philosophy of a psychologist?

A
  • Individuals are autonomous and have free will
  • Medical model is insufficient
  • biopsychosocial and experience
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12
Q

What is the ontology of a psychologist?

A

-Acknowledges individual rights and autonomy of clients while balancing the potential for harm to the individual and others

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13
Q

What is the epistemology of psychologists?

A

Special training in psychopathology, assessment, intervention and evaluation.

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14
Q

What is the philosophy of psychiatrists?

A

Links the mind and the brain. Mental health is not simply the absence of mental illness but rather the attainment of inner contentment and happiness in balance with one’s spiritual, mental and physical health.

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15
Q

What is the ontology of psychiatrists?

A

Respect and empowerment within duty of care, deals with personal, fairly and social consequences of mental illness through diagnosis prevention and treatments.

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16
Q

What are the methods of a psychiatrist?

A

Embraces both narrative and evidence based approaches to mental health care.

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17
Q

What is the philosophy of social work?

A

Social justice and human rights.

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18
Q

What is the ontology of social workers?

A

Respect for individual, encouragement of self determination and autonomy, respect for privacy and confidentiality within a context of duty of care and acknowledgement of the social consequences of mental illness.

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19
Q

What is the epistemology of social work?

A

Range of theoretical perspectives e.g., human development and family formation.

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20
Q

What are the methods of a social worker?

A

Focuses on relationships; individuals, families, partnerships, group work, community, social policy etc.

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21
Q

What is the philosophy of occupational therapy?

A

People are ‘occupational beings’, the need to do things that are meaningful. Grouped into self care, work, leisure.

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22
Q

What is the ontology of occupational therapists

A

For an occupation to promote health and wellbeing, it must be meaningful to the person, so a client centred approach is fundamental to our practice.

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23
Q

What is the epistemology of an occupational therapist?

A

Link between occupation and health and wellbeing.

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24
Q

What are the methods of an occupational therapist?

A

Occupation centred practise to guide their assessment and treatment.

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25
Q

It has been argued that groups of ____ members tend to function better than large groups when it comes to a multidisciplinary team.

A

eight to ten.

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26
Q

What are ‘consultants’ when it comes to multidisciplinary teams?

A

Team members who work across teams, may not attend all meetings, but may be called in when there is a particular issue for a client for which they have special expertise.

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27
Q

One study looking at rated percentage expected expertise of selected disciplines in a psychiatric rehabilitation team found what?

A

That occupational therapists had insufficient recognition for their role in developing employment related skills for people with serious mental illnesses.

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28
Q

Over the past 20 years, changes have been made in most states to see that nurses can:

A

prescribe medication with being overseen by a psychiatrist.

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29
Q

Blurred boundaries across members of a multidisciplinary team has the potential to lead to conflict. The role of the team leader is to facilitate this by:

A

Clarifying core tasks and also specialist areas of expertise. This will clarify professional boundaries.

30
Q

There is ___ empirical research establishing whether multidisciplinary teamwork leads to better care.

A

Little

31
Q

What problems do authoritarian managers create?

A

Ranging from resentment due to a lack of autonomy to a loss of motivation due to dependence in al decisions being made for them.

32
Q

Democratic management style demonstrates a ‘vote like’ way of leadership. What is one of the advantages downfalls to this approach?

A

Advantages is that it makes people feel empowered and involved in decisions.
Downfall is that it is time consuming.

33
Q

What is the transactional leadership?

A

Focused on the day to day tasks which need to be completed to keep a team running smoothly. Rewarded for achieving established goals or tasks.

34
Q

What is transformational leadership.

A

Goes beyond day to day, includes charisma (leader instilling respect, loyalty etc), intellectual stimulation, individual consideration and inspirational motivation.

35
Q

It has been argued that there is often conflict between the psychiatrist and other members of the multidisciplinary team, why?

A

Because psychiatrists often tend to view themselves as ultimately having overall responsibility for the patient’s entire treatment.

36
Q

What are the most common meetings when it comes to a multidisciplinary team?

A

Treatment team meetings - where client progress is reviewed and there is discussion of care plans, goal attainment and the need for additional support or resources to support the client.

37
Q

One study found that in multidisciplinary team meetings, which two groups were reluctant to voice their opinions compared to others?

A

Social workers and nurses.

38
Q

Active leadership that is clear about the roles and goals of the team and individual team members is associated with:

A

better team functioning.

39
Q

Leaders who are ___, ____ and ____ may improve team functioning to the extent that this is a measurable benefit for service user outcomes.

A

charismatic, inspirational, considerate of individual staff members.

40
Q

For most participants, experiences of learning within the team meeting were related to:

A

functional/practical aspects specific to the patients being discussed.

41
Q

The fourth theme identified from the data was the strong influence of medical staff on learning within the IPT meeting. This influence was seen as both:

A

positive and negative.

42
Q

What were the 4 key themes that emerged in the interview finding study?

A
  1. Varying conceptions of learning
  2. The interprofessional team (IPT) as a source of knowledge
  3. Learning through participation
  4. Medical influence on learning
43
Q

Findings from this study suggest that the IPT meeting is a place of health professionals to

A

learn from each other.

44
Q

In contrast to the Lloyd et al. (2014), the interview meeting findings did not find a difference in conceptions f learning based on

A

year of experience.

45
Q

Research studies on Aboriginal groups in Australia and internationally continue to illustrate:

A

the negative impact of colonisation on their mental health.

46
Q

A primary barrier to the development of evidence based models for Aboriginals is the prevailing view within the field that:

A

the extent of diversity within the Aboriginal culture makes universal models impossible to achieve.

47
Q

The deficit in ___- is one of the major reasons preventing Aboriginal patients accessing services.

A

Culturally competent services.

48
Q

There are many examples of ____, _____ and _____ occurring with Aboriginal youth as a direct result of being assessed outside of their community, or preferred cultural context.

A

misdiagnosis, under-diagnosis, over-diagnosis

49
Q

The use of ____ should become standard practice throughout mental health services working with Aboriginal youth.

A

cultural consultants.

50
Q

Research supports the notion that putting Aboriginal people on the spot for a direct answer to a direct question, particularly of a personal nature, will result in:

A

shame to them.

51
Q

What is one factor which has previously led to Aboriginal youth being labelled as “non-communicative” or “unable to establish rapport” as a result of shame?

A

Gender

52
Q

A study by Westerman (2003) resulted in the validation of a range of disorders that exist uniquely within the Aboriginal community. These illnesses, termed ____ often mimic mental health disorders, but the triggers and maintaining factors lie within the cultural beliefs of the patient.

A

Culture bound disorders

53
Q

It is vital for practitioners to have a good conceptual understanding of the traditional hierarchy of treatment interventions in Aboriginal cultures, yes or no?

A

yes.

54
Q

What is the engagement model for Aboriginal youth?

A

Provides clinicians with an engagement process that could be used in therapy.

55
Q

One systematic review of Aboriginal mental health in published studies found what?

A

Consistently higher prevalence of psychological distress in Indigenous adults, with rates between 50% and 3 times higher than for non-Indigenous adults.

56
Q

The scientist practitioner model is founded on the ideology that trained professional psychologists should be knowledgeable in both __ and ___ practise.

A

Research, clinical

57
Q

One systematic review of Aboriginal mental health in published studies found what?

A

Consistently higher prevalence of psychological distress in Indigenous adults., with rates between 50% and 3 times higher than for non-Indigenous adults.

58
Q

Why is ethics difficulty to define?

A

Because it’s individual, changing depending on culture, society, differs over time etc.

59
Q

What are common themes in QCAT? (4)

A
  • Inappropriate sexual behaviour towards a vulnerable client
  • Not keeping adequate records of clients
  • Behaving dishonestly
  • Blurring/crossing of boundaries
60
Q

What was the problem in the Ms Milnes case?

A

She had bias from the get go, as psychologists we must remain objective.

61
Q

In 2021 Ahpra stats, what percentage of accusations were followed with “no further action”?

A

Approx. 73%

62
Q

If you see unethical behaviour of a colleague, what must you do according to the ethics?

A

Report them.

63
Q

Therapeutic relationships differ from other relationships due to:

A
  • Communication style
  • Frequency of meetings
  • Structure, fees
  • Time to meet
  • Venue
  • Personal attire
  • Involvement of others
64
Q

What are some of the things that people rated as “unquestionably unethical”?

A
  • Providing therapy to friends
  • Working when distressed
  • Lending money to client
  • Discussing clients with friends (both using a name and no name)
65
Q

What are some of the things that people rate as “unquestionably ethical”?

A

-Breaking confidentiality of client homicidal, suicidal, to report child abuse

66
Q

Psychology as an _____ preceded psychology as _____.

A

Academic discipline

Professional practise

67
Q

What is ____ in psychology is considerable greater than what is known.

A

Unknown .

68
Q

Psychology practise is _____ to pseudoscience.

A

susceptible

69
Q

What are 4 reasons for using the scientist practitioner model?

A
  1. Psychology as an academic discipline preceded psychology as a professional practise
  2. What is unknown in psychology is considerably greater than what is known
  3. Psychological practice is susceptible to pseudoscience
  4. Of the four sources of knowledge: revelation, intuition, rationalism and empiricism, we are most likely to make progress with a blend of the latter two.
70
Q

What are the 5 red flags that the website on pseudoscience say to look out for?

A
  1. If it sounds too good to be true, it probably is
  2. Pseudoscience usually relies on testimonials or anecdotal evidence
  3. Just because a treatment claims to affect the brain doesn’t mean there’s any evidence it does
  4. Pseudoscientific therapies may add inactive ingredients to an active treatment and claim it’s something new
  5. Be wary of “one size fits all”
71
Q

Give a brief history on the science-practitioner model:

A

Emerged from a conference help in boulder Colorado in 1949.

72
Q

Give a brief history on the science-practitioner model:

A

Emerged from a conference help in boulder Colorado in 1949.

Professional Psychology B (5 decks)

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