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Steps towards effective teamworking in Community Mental Health Teams

Published online by Cambridge University Press:  05 December 2013

C. Twomey ,
M. Byrne  and
T. Leahy
C. Twomey
Affiliation:
Roscommon Service Area, Health Service Executive (HSE) West, Ireland
M. Byrne*
Affiliation:
Roscommon Service Area, Health Service Executive (HSE) West, Ireland
T. Leahy
Affiliation:
HSE Mental Health Services, Swords Business Campus, Co. Dublin, Ireland
*
*Address for correspondence: M. Byrne, Principal Psychologist Manager, Roscommon Service Area, Health Service Executive West, Primary Care Centre, Golf Links Road, Roscommon, Ireland. (E-mail: [email protected])
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Abstract

Objectives

This paper aims to show how effective teamworking can be achieved in Community Mental Health Teams (CMHTs), in the context of recovery-focused care.

Methods

A narrative review of various governmental policy documents and selected papers relevant to teamworking and recovery-focused care within mental health services, in an Irish context.

Findings

Effective teamworking within CMHTs is a prerequisite to the provision of quality, recovery-focused care. It requires the management of various environmental (e.g. adopting a ‘recovery’ model of mental health), structural (e.g. sharing of responsibilities and capabilities) and process (e.g. utilising a clear referral pathway) factors that influence teamworking, as CMHTs develop over time.

Conclusions

Completion by CMHT members of teamworking and other evaluative measures can assist teams in highlighting potential interventions that may improve recovery-focused team functioning and effectiveness.

Keywords

Community mental health teamsrecoveryteamworking
Type
Review Article
Information
Irish Journal of Psychological Medicine , Volume 31 , Issue 1 , March 2014 , pp. 51 - 59
Copyright
Copyright © College of Psychiatrists of Ireland 2013 

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References

Alexander, J, Lichtenstein, R, Jinnett, K, Wells, R, Zazzali, J, Liu, DW (2005). Cross-functional team processes and patient functional improvement. Health Services Research 40, 1335–1355.Google Scholar
Bartol, KM, Martin, DC (1994). Management, 2nd edn. McGraw-Hill: New York.Google Scholar
Bower, P, Campbell, S, Bojke, C, Sibbald, B (2003). Team structure, team climate and the quality of care in primary care: an observational study. Quality Safety Health Care 12, 273–279.Google Scholar
British Psychological Society (2001). Working in Teams. British Psychological Society: Leicester.Google Scholar
Byrne, M, Lee, M, McAuliffe, E (2006). Community Mental Health Team Member (CMHT) Perceptions of CMHT Working. MSc. Dissertation, University of Dublin, Trinity College.Google Scholar
Byrne, M, Onyett, S (2010). Teamwork within Mental Health Services in Ireland. Mental Health Commission: Dublin.Google Scholar
Clare, A (1976). Psychiatry in Dissent. Tavistock: London.Google ScholarPubMed
Colombo, A, Bendelow, G, Fulford, B, Williams, S (2003). Evaluating the influence of implicit models of mental disorder processes of shared decision making within community based multi-disciplinary teams. Social Science & Medicine 56, 1557–1570.Google Scholar
Department of Health and Children (2006). A Vision for Change: Report of the Expert Group on Mental Health Policy. Stationery Office: Dublin.Google Scholar
Dinniss, S, Roberts, G, Hubbard, C, Hounsell, J, Webb, R (2007). User-led assessment of a recovery service using DREEM. Psychiatric Bulletin 31, 124–127.CrossRefGoogle Scholar
Edmondson, A (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly 44, 350–383.Google Scholar
Edwards, D, Cooper, L, Burnard, P, Hanningan, B, Adams, J, Fothergill, A, Coyle, D (2005). Factors influencing the effectiveness of clinical supervision. Journal of Psychiatric and Mental Health Nursing 12, 405–414.Google Scholar
Farrell, MP, Schmitt, MH, Heinemann, GD (2001). Informal roles and the stages of team development. Journal of Interprofessional Care 15, 281–295.CrossRefGoogle ScholarPubMed
Fleming, I, Steen, L (2003). Supervision and Clinical Psychology: Theory, Practice, and Perspectives. Brunner-Routledge: London.Google Scholar
Heginbotham, C (1999). The psychodynamics of mental health care. Journal of Mental Health 8, 253–260.Google Scholar
Hill, S, Turner, N, Barry, S, O’Callaghan, E (2009). Client satisfaction among outpatients attending an Irish community mental health service. Irish Journal of Psychological Medicine 26, 127–130.CrossRefGoogle ScholarPubMed
HSE National Vision for Change Working Group (2012). Advancing Community Mental Health Services. Office of the AND Mental Health, HSE: Kildare.Google Scholar
Irish College of General Practitioners (2011). Team-based approaches to supporting mental health in primary care settings (http://www.icgp.ie/go/archive/6C6AD260-19B9-E185-8331B9561FD5F4AF.html). Accessed 15 May 2012.Google Scholar
Lankshear, AJ (2003). Coping with conflict and confusing agendas in multidisciplinary community mental health teams. Journal of Psychiatric and Mental Health Nursing 10, 457–464.Google Scholar
McHugh, P, Byrne, M (2012). The teamworking challenges of care planning. Irish Journal of Psychological Medicine 29, 185–189.Google Scholar
McHugh, P, Byrne, M, Liston, T (2012). What is HSELanD? Irish Journal of Psychological Medicine 38, 188–192.Google Scholar
Mental Health Commission (2005). A Vision for a Recovery Model in Irish Mental Health Services. MHC: Dublin.Google Scholar
Mental Health Commission (2007). Quality Framework for Mental Health Services in Ireland. MHC: Dublin.Google Scholar
Mental Health Commission (2008). A Recovery Approach within the Irish Mental Health Services – Translating Principles into Practice. MHC: Dublin.Google Scholar
Mundt, JC, Marks, IM, Shear, MK, Greist, JH (2002). The work and social adjustment scale: a simple measure of impairment in functioning. British Journal of Psychiatry 180, 461–464.Google Scholar
National Institute for Mental Health in England (2004). The Ten Essential Shared Capabilities. A Framework for the Whole of the Mental Health Workforce. Department of Health/National Institute for Mental Health in England: London.Google Scholar
Onyett, S (1998). Case Management in Mental Health. Stanley Thornes: London.Google Scholar
Ovretveit, J (1997). Planning and managing teams. Health and Social Care in the Community 5, 269–276.Google Scholar
Owens, RG, Ashcroft, JB (1982). Functional analysis in applied psychology. British Journal of Clinical Psychology 21, 181–189.CrossRefGoogle ScholarPubMed
Poulton, BC (1999). User involvement in identifying health needs and shaping and evaluating services: is it being realised? Journal of Advanced Nursing 30, 1289–1296.Google Scholar
Roncalli, S, Byrne, M, Onyett, S (2013). Psychometric properties of a Mental Health Team Development Audit Tool. Journal of Mental Health 22, 51–59.Google Scholar
Rosen, A (2001). New roles for old: the role of the psychiatrist in the interdisciplinary team. Australian and New Zealand Journal of Psychiatry 9, 133–137.Google Scholar
Rosen, A, Callaly, T (2005). Interdisciplinary teamwork and leadership: issues for psychiatrists. Australian and New Zealand Journal of Psychiatry 13, 234–240.Google Scholar
Salas, E, Stagl, KC, Burke, CS (2004). 25 years of team effectiveness in organizations: research themes and emerging needs. International Review of Industrial and Organizational Psychology 19, 47–91.Google Scholar
Singh, SP (2000). Running an effective mental health team. Advances in Psychiatric Treatment 6, 414–422.Google Scholar
Sheard, AG, Kakabadse, AP (2002). Key roles of the leadership landscape. Journal of Managerial Psychology 17, 129–144.Google Scholar
Slade, M (2009). 100 Ways to Support Recovery. Rethink: London.Google Scholar
Stewart, M (2009). Service user and significant other versions of the health of the nation outcome scales. The Royal Australian and New Zealand College of Psychiatrists 17, 156–163.Google Scholar
Tuckman, B (1965). Development sequence in small groups. Psychological Bulletin 63, 384–399.Google Scholar
Vision for Change Monitoring Group (2012). A Vision for Change – Report of the Expert Group on Mental Health Policy. Sixth Annual report on implementation, June 2012, HSE: Kildare.Google Scholar
Weiss, DJ, Dawis, RV, England, GW, Lofquist, LH (1967). Manual for the Minnesota Satisfaction Questionnaire. University of Minnesota, Industrial Relations Center: Minneapolis.Google Scholar
World Health Organization (2005). Mental health: facing the challenges. Building Solutions. Report from the WHO European Ministerial Conference, 12--15 January, Helsinki. World Health Organization: Geneva. Retrieved 12 May 2012 from http://www.euro.who.int/__data/assets/pdf_file/0008/96452/E87301.pdfGoogle Scholar