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Multidisciplinary team

Submitted to :- Prof. Ashliey petisSubmitted by:- Amritpal Pannu Gurwinder kaur

Jagroop kaur Kirandeep kaur Parminder kaur Sukhdeep kaur

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CONCEPT OF TEAM & TEAM WORK

Multidisciplinary team in mental health care include people from health care professions like doctorate , nursing, clinical physician, social worker and many more . a good team is paramount for success of any group so as in mental health settings.

Team work is one of the steps leading to exemplary care of the individual, his family & community at large, thus making the millennium concept of “holistic patient care” a reality.

Today we are going to discuss about roles, education qualification and functions of 6 members of mental health care team.

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PSYCHIATRIST• The practice of medicine

is the assessment of the physical or mental condition of an individual and the diagnosis , treatment and prevention of any disease, disorder or dysfunction (Medicine Act,1991, S.O. 1991, c.30).leader of health care team.

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Educational qualification

Psychiatrist is a physician that is qualified in MD psychiatry, which require a 3 years residency , 2 years of clinical practice and completion of an examination. • In Canada, they need licence to practice

medicine in their province and specialist certification in psychiatry by either the Royal College of Physicians and Surgeons or Provincial College.

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SUPERVISORY ROLEConsultative

role

Collaborative role

Roles

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FUNCTIONS• Assessment:-

Performing health assessments including: Taking a full medical history

• Screening patients at risk for hereditable conditions and potentially preventable disorders.

TREATMENT/MANAGEMENT• Provision of continuous care to patients over their lifetime based on the delivery of the following services:– Acute medical treatment life threatening illness presenting to emergency rooms, in hospitals, in the home and in long term care.

EDUCATION/ADVOCACY Perform the role of advocate to assist patients to navigate through a complex health care system in order to obtain the best care in the most expeditious way in a cost effective manner.- Identify and meet the needs of the individual patients, the practice population and the community in general by working with a variety of partners throughout the public health, community, and hospital sectors.

REFERRALS/COLLABORATION Assist with discharge planning, rehabilitation services, out-patient follow-up and home care services Coordinate referrals to other health care providers and agencies, including specialists, rehabilitation and secondary and tertiary facilities based on patients’ needs.

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Scope of practiceThough the medical specialty of psychiatry

uses research in the field of neuroscience, psychology, medicine, biology, biochemistry, and pharmacology, it has generally been considered a middle ground between neurology and psychology. Unlike other physicians and neurologists, psychiatrists specialize in the doctor–patient relationship and are trained to varying extents in the use of psychotherapy and other therapeutic communication techniques.

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PSYCHOLOGIST

According to Kneisl &

Trigoboff (2008:23)

performance of

psychotherapy, planning

and implementation of

programs for behaviour

modification, selection,

administration and

implementation of

psychological tests.

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EDUCATION REQUIREMENT

PhD in clinical psychology

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CONT…

TO PRACTICE PSYCHOLOGY IN CANADA

MUST BE LICENSED TO PRACTICE BY REGULATORY

BODIES IN EACH CANADIAN

JURISDICTION

COLLEGE OF PSYCHOLOGISTS

OF ONTARIOINDEPENDENT PRACTITIOER

(PSYCHOLOGISTS OR

PSYCHOLOGICAL ASSOCIATES)

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SCOPE OF PRACTICE OF ROLE

TREATMENT/ MANAGEMENT

ASSESMENT

EDUCATION/

ADVOCACY

REFREEALS AND

ADVOCACY

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CONT…• ASSESMENT:-Evaluation, diagnosis, and assessment of the

functioning of individuals and groups related to both mental disorders as well as wellness and mental health

• TREATMENT:-Interventions with individuals and groups and organizations. Maintenance of wellness and disease prevention. Administration of psychological services

• EDUCATION/ADVOCACY:-Public education regarding wellness and the promotion of mental health

• REFERRALS/COLLABORATION:-Consultation relating to the assessment of or interventions with individuals and groups to facilitate the prevention or treatment of difficulties • Referral to community agencies/services

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FUNCTION WITHIN THE TEAM

SPECIALIZES IN STUDY OF

MENTAL PROCESS

TREATMENT OF MENTAL

DISSORDERS

PERFORMS DIAGNOSTIC

TESTINGTREATS CLIENTS

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WHERE IS THE COMMUNITY THEY WOULD WORK?

MULTIDISCIPLINARY

TEAM MEMBER

NATIONAL HEALTH SYSTEM

PRIVATE CLINIC

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According to Canadian Nurses Association (CNA) nursing practice as a dynamic , caring and helping relationship in which the nurse assist its client to achieve and obtain optimal health.

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General Nursing and Midwifery program Bsc Nursing / Post basic Bsc Nursing Diploma in Psychiatric Nursing Diploma in Nursing Administration

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Nurse is skilled in caring for mental ill, gives holistic care by assessing the patients mental, social , physical , psychological , and spiritual needs.

Making nursing diagnosis , formulating and evaluating , appropriate nursing care

She/ He co-ordinate with the clinical nurse specialist in community mental health setting

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Social worker

• Social workers are the persons who help people, solve and cope with problems in their everyday lives, and also deal with mental, behavioral, and emotional issues

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Education required for the role of social worker

• A bachelor's degree is required for most social work positions, but some positions and settings require a master's degree. Clinical social workers must have a master's degree. Becoming a licensed clinical social worker usually requires a master's degree in social work and 2 years or 3,000 hours of supervised clinical experience after graduation. After completing their supervised experience, clinical social workers must pass an exam to be licensed.

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Role of social worker

• * Identify people who need help• * Assess clients' needs, situations, strengths, and

support networks to determine their goals• * Develop plans to improve their clients' well-being• * Help clients adjust to changes and challenges in

their lives, such as illness, divorce, or unemployment• * Research and refer clients to community resources,

such as food stamps, child care, and healthcare.

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• * Help clients work with government agencies to apply for and receive benefits such as Medicare

• * Respond to crisis situations, such as natural disasters or child abuse

• * Follow up with clients to ensure that their situations have improved

• * Evaluate services provided to ensure that they are effective

• * Diagnose and treat mental, behavioral, and emotional disorders, including anxiety and depression

• * Assess clients' histories, backgrounds, and situations to understand their needs, as well as their strengths and weaknesses

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Work Environment

• * Hospitals and clinics• * Nursing homes• * Community mental health clinics• * Private practices• * State and local governments• * Schools• * Colleges and universities• * Substance abuse clinics• * Military bases and hospitals

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• Social workers communicate with community members who provide services. When clients are ready for discharge, the social worker is able to help with a smooth transition back into the community because the interactions of each team member focus on the treatment goals.

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OCCUPATIONAL THERAPIST

• The Occupational therapist is a person who provide Occupational therapy.

• According to Kneisl and Trigoboff (2008:23)

• using manual, creative techniques to enhance desired responses.

• Teaches self- help activities, and help patients to prepare for employments.

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EDUCATION REQUIREMENTS

• ADVANCE DEGREE IN OCCUPATIONAL THERAPY

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SCOPE OF PRACTICE OF ROLE

Assessment of physical, emotional, and cognitive functioning.

Individualized treatment plans to develop, maintain, or augment function using evidence based treatment modalities •

Edcating and counselling family members and caregivers regarding the impact of disability, injury or disease on the individual and their potential role within the recovery process

Collaborates with other health care professionals and community service providers to promote comprehensive and coordinated care

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FUNCTION WITHIN THE TEAM

ASSESSES POTENTIAL FOR REHABILITATION

PROVIDES SOCIALIZATION THERAPY

VOCATIONAL THERAPY

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ROLE IN COMMUNITY• PRIMARY CARE SERVICES• COLLABORATE WITH STAKEHOLDERS• CONTINUING PROFESSIONAL

DEVELOPMENT» INTERPROFESSIONAL COLLEBORATION

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DIETICIAN• Registered dietitian

is a food and nutrition expert who has met academic and professional requirements.

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Qualification of dietitian

3 main steps:-1. 4 years of bachelors degree in food and nutrition

( a list of accredited dietetic education programs at Canadian universities)

2. Complete supervised practical training• Integrated internship route• Post degree internship route• Undergraduate program3. Register with a provincial dietetics organization

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Role of dietitian in community mental health

• Dietitian provide a major role in public health care and community services.

• They help to make menu’s in different areas.

• All people who are living in Canada have right for health services which helps to promote healthy living, body, mind and spirit.

• Dietitians help to assess the clinical, biochemical and anthropometric measures, dietary concerns and feeling skills and also helps to understand various aspects of health.

•Dietitians help to assess the clinical, biochemical and anthropometric measures, dietary concerns and feeling skills and also helps to understand various aspects of health.•They promote health and prevent various diseases encourage people to take active role in their health.•They promote health and prevent various diseases encourage people to take active role in their health.

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Scope of dietitian in community mental health

Community health centersFamily health centersFamily health teams

Public healthSports and recreation facilitiesFood industryAcademic and research settings

HospitalsHome careLong term care homesPrivate practice

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Recreational therapist

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EDUCATION BACKGROUND

Bachelor’s Degree in Recreational Therapy

In Canada , candidates with certified therapeutic recreation specialist credentials.

In United States , certified by National Council for Therapeutic Recreation certification ( NCTRC )

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SCOPE OF PRACTICE

(a) All direct patient or client services of assessment;

(b) Planning; (c) Design; (d) Implementation; (e)Evaluation

(f) Documentation of specific interventions;

(g) Management;

(h) Consultation;

(i) Research; and

(j) Education for either individuals or groups that require specific therapeutic recreation or recreation therapy intervention with such services being provided for recreation resources and opportunities to improve health and well being.

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FUNCTIONS WITHIN THE TEAM

They use recreation and leisure activities as a form of treatment.

The activities they devise provide opportunities for exercise and social participation.

The goal of their activities is to relieve anxiety , build confidence and promote independence.

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WHERE THEY CAN WORK

General hospitals

Nursing homes

Rehabilitation centers

Psychiatric

Community mental health centers

Adult daycare programs

School system

Prisons

Residential facilities for mentally retarded and community programs for disabled

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References Raney, Lori E (2015). American psychiatric pub. Retrieved

from https://books.google.ca/books?id=V3HBBwAAQBAJ&pg=PA97&dq=role+of+psychiatrist&hl=en&sa=X&ei=uvWfVfHlLIuzyAT9jb-ICA&ved=0CEwQ6AEwBg#v=onepage&q=role%20of%20psychiatrist&f=true

Vide beck, Sheila L (2013). Google books. Retrieved from https://books.google.ca/books?id=u5CpAgAAQBAJ&vq=role+of+psychiatrist+in+mental+health+care+team&dq=role+of+psychiatrist+in+mental+health+care+team&source=gbs_navlinks_s

Wikipedia. (2015). Retrieved from https://en.m.wikipedia.org/wiki/Psychiatry_-_Scope_of_practice

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References Kneisl, C.R., Trigoboff, E.2008. Contemporary

psychiatric mental health nursing. 3rd ed. date of access:-09/07/2015

Morrison-valfre,M.,Foundations of mental health care,5th ed.Missouri:St Louis,pp-16

http://www.caot.ca/default.asp?pageid=188

http://www.health.gov.on.ca/en/pro/programs/fht/docs/fht_inter_team.pdf http://steinhardt.nyu.edu/ot/definition/

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References Social workers. (2013). (Occupational Outlook Handbook).

Washington: U.S. Superintendent of Documents. Retrieved from http://search.proquest.com/docview/1461739681?accountid=39476

Recreational therapist:-Gamliel, S. (1985, Winter). Recreational therapists. Occupational Outlook Quarterly, 29, 18+. Retrieved from http://proxy.library.niagarac.on.ca:8080/login?

• http://ipc.fhrco.org/scopes.php?id=17• http://www.dcregs.dc.gov/Gateway/RuleHome.aspx?RuleNum

ber=17-7203

• http://www.academicinvest.com/science-careers/exercise-science-careers/how-to-become-a-recreation-therapist

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References s

• Williams. (2013). Basic nutrition and diet therapy: Elsevier.

• Edelstein. (2013). Nutrition in public health: Beginners Sam.

• Gandy, Joan. (2014). Manual of dietetic practice: John wiley & sons.

• Fu, Marcelo. (2014). How to become a community dietician: Mic James.

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