11/27 Interdisciplinary Team

Question 1

Why are interdisciplinary teams rare?

Answer 1

Very expensive.

Like disciplines tend to stick together.

Might not be enough professionals to go with every team.

Question 2

Article: The Value of Telehealth and a Team-Based Approach in Improving Developmental and Behavioral Care During the COVID-19 Pandemic

Answer 2

developmental-behavioral pediatrician, psychologist, behavioral clinician, and social
workers who developed a collaborative plan of care.

Billy was diagnosed with global developmental delay,
significant tantrums, and impulsivity but did not meet the criteria for autism spectrum disorder.

Billy was able to make significant developmental progress, and his parents reported improved
ability to manage his difficult behaviors.

Question 3

Why are interdisciplinary teams important in ID?

Answer 3

Complexity of needs and issues require multiple professional disciplines to manage services and address over the lifespan

Patients’ needs require skills and knowledge of multiple disciplines

Patients benefit from the advantages of interdependent practice

Influenced by trend of community-based programs/services and lifespan approach

Question 4

Institute of Medicine (2001) says “Health care organizations should develop effective teams to reduce ________.

Answer 4

problems of lost continuity, redundancy, excess cost and miscommunication

Question 5

________________ propose innovative approaches to education including “team management of chronic disease, interprofessional integrated models of care that incorporate transitions of care…; teaches skills related to interprofessional, integrated care through collaboration with other health professionals…”

Answer 5

AFFORDABLE CARE ACT

Question 6

Team Care: Joint Commission says____ receive care in context of interdisciplinary teams?

Answer 6

long term care patients

Question 7

Team Care: WHO says interdisciplinary teams are for…

Answer 7

interdisciplinary teams for primary care, mental health, surgical, oncology, palliative care, research and policy development

Question 8

Definition of interdisciplinary teams is a ____ number of people with ____ skills who are committed to ____.

Answer 8

Small number of people with complementary skills who are committed to a common purpose, performance goals, and common approach for which they hold themselves mutually accountable.

Question 9

What is this: “…an integrated education program that relies upon the interdependent contributions of the collaborating team members. These team members may include people with disabilities and their families, health and allied health professionals, and community providers.”

Answer 9

Interdisciplinary training

Question 10

Teams: what do they look like? Shape size? purpose? condition?

Answer 10

all shapes and sizes, purpose, can evolve, short or long term, effective or ineffective, what the team makes it to be.

Ineffective = lack of communication

Question 11

What is the MAIN difference between team and group?

Answer 11

Team: Interdependent functioning

Group: members function independently

Question 12

Team and Group similarities

Answer 12

small group
Common goal

Question 13

Other group and team differences?

Answer 13

Mutual Accountability in teams, vs. group each accountable for their part

Team: Longer term
Group: Short term (time limit)

Question 14

Multidisciplinary

Answer 14

Fruit salad

Work in parallel
Minimal communication and collaboration
Discipline specific task
Less team identity
One team leader
More traditional medical model

Question 15

Interdisciplinary

What distinguishes interdisciplinary from Multidisciplinary team?

Answer 15

Fondue

Coordinated tasks
Frequent communication
Shared goals/responsibilities
Discipline roles maintained
Team identity
Plan and goal set as a team
Team meetings although services provided by each discipline
Roles are flexible and equal
Shared leadership and power

Question 16

What distinguishes interdisciplinary from Multidisciplinary team?

Answer 16

Interdisciplinary: Interactive collaboration

Question 17

Transdisciplinary

Answer 17

Cake

Role reversal and expansion
integrated expertise
Shared problem solving
Unified treatment plans
“Role release” - requires high level of comfort/trust with cross-disciplinary training; not always accepted by members
Services provided by designated MEMBERS not DISCIPLINE
Teams plans/monitors services as unit
Increased communication necessary

Question 18

Interprofessional

Answer 18

Similar to interdisciplinary

multiple health or social disciplines

integrated set of goals, interdependent collaboration, provide services to patients/clients and their caregiving systems.

Question 19

Interprofessional Education Collaborative

Answer 19

the professional organizations that oversee interdisciplinary stuff. Ex: APA

Question 20

4 Core Competencies from the interprofessional education collaborative 2016

Answer 20

1. Work with other professions to maintain climate of mutual respect and shared values
2. Useknowledge of own and others’ roles to address needs of patients and populations
3. Communicate in responsive/responsible manner
4. Apply principles of team dynamics to plan, deliver and evaluate patient centered care

Question 21

BUCKIPE At OSU: 6 core competencies

OSU’s program for interprofessional education from college of medicine.

Answer 21

1. Values and Ethics: Work with team members to maintain a climate of shared values, ethical conduct, and mutual respect.
2. Roles and Responsibilities: Use the knowledge of one’s own role and team members’ expertise to address health outcomes.
3. Communication: Communicate in a responsive, responsible, respectful, and compassionate manner with team members.
4. Teams and Teamwork: Apply values and principles of team science to adapt to one’s own role in a variety of team settings.
5. Collaborative Leadership: Engage members of the interprofessional team, including patients, clients, families, and communities in collaborative leadership.
6. Evidence-Based Practice: Utilize evidence to inform all aspects of interprofessional teamwork.

Question 22

BUCKIPE Progression (might not be important)

Answer 22

1. Foundation (knowledge acquisition)
2. Immersion (application)
3. Entry-to-practice (integration)

Question 23

Fundamentals of ID practice include:

Answer 23

Commitment to own discipline while recognizing value of other disciplines

Holistic perspective of person and delivery of services

Recognize the interdependency of practice; shared responsibility

Respect expertise of other professionals

Recognize the benefit for patients

Recognize importance of person- or family-centered approach

Comprehensive representation of disciplines/members and collaboration

Stable, capable membership on team

Equal access to information and opportunity by each member

Question 24

PAT Skills for interdisciplinary members:

Answer 24

Personal (teamwork)
Ability to facilitate structured team meetings
Technical (task work) skills

Question 25

Necessary Skills

Answer 25

Coordinate efforts with other members Participate in problem resolution Give and receive feedback Contribute individual discipline expertise Adapt to various roles Understand/appreciate unique contributions of other members

Question 26

Team Development Model (Tuckman)

Answer 26

FSNPA Forming Storming Norming Performing Adjourning

Question 27

Forming

Answer 27

members sort out who does what. Little work accomplished. Questions. Testing behavioral expectations. Identify Goal and means to accomplish. Helpful to find team leader.

Question 28

Storming

Answer 28

assert separate perspective, competition for influence, formal clarification of goals, roles, etc., ground rules ironed out, little productive work, MOST CRITICAL PHASE

Question 29

Norming

Answer 29

competing agendas reconciled, accept rules/roles, more cooperation, info exchange/healthy criticism, listening>speaking, team cohesiveness, moderate work

Question 30

Performing

Answer 30

problem solving, high team spirit, insight into processes, less self-conscious info flow, direct confrontations, much work accomplished

Question 31

ON THE FINAL: WHAT ARE ROLES? Examples?

Answer 31

Expectations that define appropriate behaviors of individual team members ex: assessment, examination, interview, correspondence, etc.

Question 32

ON THE FINAL: ____ differentiate the responsibilities of team members?

Answer 32

Roles

Question 33

ON THE FINAL: WHAT ARE NORMS? Examples?

Answer 33

Common beliefs or rules that regulate the behavior of group members. Examples: organization of meeting, documentation, communication, etc.

Question 34

ON THE FINAL: ____ integrate members into a unified whole, which supports ___________

Answer 34

Norms Effectiveness of team function

Question 35

5 dysfunctions of a team

Answer 35

1. Absence of Trust (invulnerability) 2. fear of conflict (artificial harmony) 3. Lack of commitment (ambiguity) 4. Avoidance of accountability (low standards) 5. Inattention to results (status and ego)

Question 36

How do you build trust?

Answer 36

Personal Hx Behavioral Profile

Question 37

How do you achieve commitment?

Answer 37

Clarify goals

Question 38

How do you master conflict?

Answer 38

Preferences, norms and obstacles

Question 39

How do you embrace accountability

Answer 39

Develop expectations

Question 40

How do you focus on results?

Answer 40

Establish scoreboard

Question 41

Advantages of Interdisciplinary teams (IDTS)

Answer 41

Preferred by patients Improved outcomes and access to patient care More comprehensive plan for services Improved coordination of care Mutual support for professionals; broader understanding of other discipline’s roles Shared learning experiences and resources Opportunities for cooperative research ventures May yield benefits for health care organizations higher quality care at reduced costs and greater job satisfaction

Question 42

Disadvantages of IDTS:

Answer 42

Cost Time Space/environment Interpersonal skill development often necessary Differing skill level/training of members Research on effectiveness of IDTs is not conclusive, but demonstrates many benefits.

Question 43

Barriers to interdisciplinary teams can occur on what 3 levels?

Answer 43

Organizational, team, individual

Question 44

Is an IDT necessary?

Answer 44

Depends. Can a single discipline suffice? If not, why not? Are the proposed disciplines available? Which disciplines/experts are available? What role will each discipline play? How are team members expected to work? Is a coordinator available? How will outcome be measured?

Question 45

Interdisciplinary teams and ASD: What is recommended? What do you avoid?

Answer 45

Interprofessional treatment recommended by the American Academy of Pediatrics, the United Nations Convention for the Rights of Persons with Disabilities, and the National Institute for Health and Care Excellence **Must avoid “eclecticism” --> ineffective, consume more time and financial resources** Standards proposed in Bowman et al (2021) Don't need to memorize for test, but look at what the clinical standards are, what they could be for other related disorders.