multi discplinary health team

MULTIDISCIPLINARY HEALTH TEAM

Mrs. AMRITA ROYM.SC PSYCHIATRIC NURSINGNIMHANS,BANGALORE

INTRODUCTION

Teamwork means the combined, co-coordinated & dedicated effort of each & every member of the team toward achievement of the vested interest, target or goal of the team as an entity.

Teamwork becomes more significant in a mental health setting where the contribution of all the members is extremely vital for the assessment, diagnosis, treatment, in-patient rehabilitation as well as community based rehabilitation of the mentally ill patient.

MULTI-DISCIPLINARY TEAM

A group composed of members with varied but complimentary experience, qualifications and skills that contribute to the achievement of the organization's specific objectives.

MULTI-DISCIPLINARY HEALTH TEAM

A multidisciplinary team (MDT) is composed of members from different healthcare professions with specialised skills and expertise.

The members collaborate together to make treatment recommendations that facilitate quality patient care.

Multidisciplinary teams form one aspect of the provision of a streamlined patient journey by developing individual treatment plans that are based on 'best practice'.

CONCEPT OF MULTI-DISCIPLINARY HEALTH TEAM

This multi-disciplinary team functions as an Inter-disciplinary team in that the total care of the patient requires not only the total input of each members of this team but also the inter-disciplinary coordinated effort .

Multi-disciplinary input & inter-disciplinary coordination's as directed by the patient & his illness will lead to the splendid outcome of recovery of the patient to his maximum capability & capacity in the community.

MEMBERS OF THE MENTAL HEALTH TEAM

PSYCHIATRISTS

PSYCHOLOGISTS

PSYCHIATRIC NURSES

PSYCHIATRIC SOCIAL

WORKERS

PARA PROFESSION

ALS

1. Psychiatrist

The psychiatrist is a doctor with post-graduation in psychiatry with 2-3 years of residence training.

The psychiatrist is responsible for diagnosis, treatment & prevention of mental disorders, prescribe medicines & somatic therapy & function as a leader of the mental

health team.

2. Psychiatric Nurse Clinical Specialist

The psychiatric nurse clinical specialist should have a master degree in nursing, preferably with post –graduate research work.

She participates actively in primary, secondary & tertiary prevention of mental disorder & provides individual, group & family psychotherapy in a hospital & community setting.

She also takes up the responsibility of teaching,

administration & research, bedsides publishing work in a mental health setting.

She takes up the role of a leader & can practice independently.

3. Clinical Psychologist

The clinical psychologist holds a doctoral degree in

clinical psychology & is registered with the

clinical psychologist’s association.

She/he conducts psychological, diagnosis tests, interprets

& evaluates the finding of these tests & implements a

program of behavior modification.

4. Psychiatric Social Worker

The psychiatric social worker is a graduate in social work

& post-graduate in psychiatric social work. She/he

assesses the individual, the family & community support

system, helps in discharge planning, counseling for job

placement & is aware of the state laws & legal rights of

the patient & protects these rights. She/he is skilled in interview techniques & group

dynamics.

5. Psychiatric Para-Professionals

A. Occupational TherapistB. Recreational TherapistC. Diversional Play TherapistD. Creative Art TherapistE. Psychiatric Nursing Aids/AttendantsF. ECT technicians G. Auxiliary Personnel

OCCUPATIONAL THERAPIST

Occupational therapist goes through specialized training. He /she has a pivotal role to play by using manual &

creative techniques to assess the interpersonal responses

of the patient. Patients are helped to develop skill in the area of their

choice & become economically independent. They are helped to work in sheltered workshop.

RECREATIONAL THERAPIST

The recreational therapist plans activities to

stimulate the patient’s muscle co-ordination,

interpersonal relationship & socialization.

These approaches are need-based

DIVERSIONAL PLAY THERAPIST

Makes observation of a child / patient during his play.

The behavior of the child while playing, the type of toys & his

reaction toward the doll, beating, calling or throwing are the focus

of attention.

The therapist explores the behavior of the child & relates to

conditions like phobia, child abuse, separation or any other

condition.

CREATIVE ART THERAPIST

He/she is an art graduate & encourages the patient to

express his work freely with colors & analysis the

use of various colors, drawing of various scenes etc. This therapy helps in diagnosis & also in bringing

the repressed feelings of the patient to the conscious

level.

PSYCHIATRIC NURSING ATTENDANTS

They have high school training & are trained on

the job.

They aid maintaining the therapeutic

environment & provide care under supervision.

ECT TECHNICIAN

They undergo training for 6-9 months.

Their function is to assist in ECT.

AUXILLARY STAFF

They are volunteer housekeeper or clerical staff & require in-service education to interact with the patient therapeutically

ROLE OF PSYCHIATRIC

NURSE -EXTENDED AND

EXPANDED

MRS. AMRITA RANI PAL

M.SC NURSING I YRNIMHANS

ROLE OF PSYCHIATRIC NURSE

A role is “the sum total of expected behaviours from a person who occupies a particular position and status in a social pattern.”

According to Hardy & Hardy (1988) – A role is set of expected and actual behaviours associated with a position in a social structure.

EXTENDED ROLE

The concept of an extended role means to reach out. It is the extension of the basic caring role. Nurses are assuming their roles in variety of settings. Nurse educator Nurse administrator Clinical nurse specialist Critical care nurse Nurse anaesthetist Nurse practitioner

EXPANDED ROLE OF A NURSE

It is the role which the nurse assumes by virtue of education and experiences. It goes beyond the traditional role and adds maximum responsibility with wide range of functions in community and clinical care settings.

EXPANDED ROLE OF NURSE

Nurse Entrepreneurs

Nurse Researcher Nurse Informatics Nurse Consultant

ADVANTAGES It provides variety of services for patient of all

age groups which may be part of hospital or community.

It enhances clinical decision skills. It provides great challenges & opportunities for

nurses. It provides expert knowledge and high level of

job satisfaction. Published evidences shows that nurse can be as

effective as doctors within her expanded role.

NEED/IMPORTANCE

Health as a fundamental right of individual

Emerging trend of health oriented model from a disease oriented model

Expansion of scientific knowledge

To meet changing health care needs

ROLE OF PSYCHIATRIC NURSE

1. Medical Duties

2. Nursing Care Plan

3. Patient Educator

4. Patient Advocate

5. Care Manager

ROLE OF PSYCHIATRIC NURSE

6. Assessment, Evaluation, Triage and Referral Nurse

7. Utilization Review Nurse

8. Risk Manager

9. Chief Quality Officer

10. Corporate Managers and Executives

SUMMARIZATION

MULTIDISCIPLINARY TEAM MEANING MEMBERS & THEIR ROLES

ROLES OF A NURSE IN MDT ADVANTAGES AND NEED OF

EXTENDED & EXPANDED ROLES EXTENDED & EXPANDED ROLE OF A

PSYCHIATRIC NURSE

THANK YOU