We’re All In This Together

A Team Approach to Wellness Care

San Francisco Region Health Consultants

Can You Survive? Can You Survive?

A Team Building Game

YOU ARE SHIPWRECKED!!YOU ARE SHIPWRECKED!!

• Skipper and First Mate did not survive• Mid-January somewhere in Alaska• Daytime: minus 25, Nightly: minus 40• Snow on the ground• Wooded area with several creeks nearby• Nearest town is 20 miles away• Casual clothes, dressed for vacation

You have salvaged:You have salvaged:

• A ball of steel wool• A small ax• A loaded .45-caliber pistol• Can of Crisco shortening• Newspapers (one per

person)• Cigarette lighter (without

fluid) • Extra shirt and pants for

each survivor

• 20 x 20 ft. piece of heavy-duty canvas

• A sectional air map made of plastic

• One quart of 100-proof whiskey

• A compass• Family-size chocolate

bars (one per person)

#1#1

A cigarette lighter

(without fluid)

#2#2

Ball of steel wool

#3#3

Extra shirt and pants

for each survivor

#4#4

Can of Crisco

Shortening

#5#5

20 x 20 foot

piece of canvas

#6#6

Small ax

#7#7

Family size

chocolate bars

(one per person)

#8#8

Newspapers

(one per person)

#9#9

Loaded .45-caliber

pistol

#10#10

Quart of 100-proof

whiskey

#11#11

Compass

#12#12

Sectional air map

made of plastic

RankingsRankings

1. A cigarette lighter

2. Ball of steel wool

3. Extra shirt and pants

4. Can of Crisco

5. Piece of canvas

6. Small ax

7. Chocolate bar

8. Newspapers

9. Pistol

10.Whiskey

11.Compass

12.Plastic map

Survival Scenario ExercisesSurvival Scenario Exercises

http://www.wilderdom.com/games/descriptions/SurvivalScenarios.html

– Nuclear Bomb: Who should Survive?

• Group Dynamics Team Building– How are decisions made?– Who influences decisions?– How is conflict managed?– How satisfied is each person with decisions?– What have you learned about how this group

functions?

How do you fit together?

• Each table has an envelope of puzzle pieces

• Contains three puzzles

• Directions1. Assemble puzzles

2. Diagnose the student (each puzzle is one students)

3. Decide how you would treat the student as a team

Conclusion

• What did this exercise teach you about teamwork?

• How can you apply this to your work on your center?

Quality Health Care

Many Disciplines Working As One Team

What Makes A Good Health Care Team?

What Makes Teams Work Well?

Jeanie Molyneux, (2001) Journal of Interprofessional Care

Methodology

• Treatment Team Subjects

• 18 Month Study

• Women Aged 20-50

• Semi-structured Interviews

• Focus Groups

Main Indicators of Positive Team Working

• Personal Qualities and Commitment of Staff

• Communication Within The Team

• Opportunities for Creative Working Methods

Personal Qualities and Commitment of Staff

• Motivated

• Committed

• Experienced

• Flexible

Flexibility and Adaptability

What About Your Center?

Maintaining Interprofessional Relationships

• Requires “Professional Adulthood”

• Multiprofessional Model of Teamwork

What If No Professional Adulthood?

• Lack of Professional Adulthood Leads to Jealousy and Conflict

• What Happens When Staff Feel Insecure about Role on Your JC Center?

• Molyneaux Study and Professional Adulthood

Communication Within The Team-Positive Factors

• Working From One Location

• Regular and Frequent Team Meetings

• Regional Monthly Mental Health, Nursing, TEAP, and Disability Teleconferences

• Center Multidisciplinary Meetings and ROCA Scores

Center Director Sets Climate on Center

• Team Agreement on Methods of Communication

• Centers Vary on CD Motivated Interdisciplinary Communication

• Joint Case Notes Improves Working Relationships—Think How Citrix Case Notes Affects Your JC Team?

Team Creative Development

• Team Needs Creative License To Build Effective Program Based On Egalitarian and Cooperative Approach

• Often Results In Higher ROCA Scores

• Need Management To Empower Staff

What Can You Take From These Research Results and

Apply To Your Center In Terms of Team Building?

Everyone is special in their own way

We make each other strong

We’re not the same

We’re different in a good way

Together is where we belong

We’re all in this together…

-Disney’s High School Musical

References

• ADAM, L., TRACHSEL, L.C.E. & LOVE, S. (1994). Interdisciplinary documentation: the challenge of developing

• a common data base. Canadian Journal of Rehabilitation, 7, 267–272.

• BAKER, J. (1996). Shared record keeping in the multidisciplinary team. Nursing Standard, 10(26), 39–41.

• BENNETT-EMSLIE, G. & MCINTOSH, J. (1995). Promoting collaboration in the primary care team—the role of

• the practice meeting. Journal of Interprofessional Care, 9, 251–256.

• DOMBECK,M. (1997). Professional personhood: training, territoriality and tolerance. Journal of Interprofessional

• Care, 11, 9–21.• LAIDLER, P. (1991). Adults, and how to become one. Therapy

Weekly, 17 (35), 4.• Molyneux, Jeanie (2001) Interprofessional teamworking: what

makes teams work well? Journal of Interprofessional Care, vol 15, No 1, 2001