B.

SC NURSING
MENTAL HEALTH NURSING

UNIT- I INTRODUCTION

TOPIC- MENTAL HEALTH TEAM

Presented By: Mr. P. Vethadhas M.Sc (N)

Lecturer in Nursing
 OBJECTIVES

 The aim is to emphasize the importance of

integrated treatment. It means to share
therapeutic targets among different
professionals.

 To collaborate with multidisciplinary teams

should work in mental health services, and
presents a new way of working that is
challenging.
Cont…

 To establish the mental health multidisciplinary

teams delivering secondary level mental health
treatment and care, primarily from the
perspective of adult mental health teams.

 To provide holistic, seamless service, and the full

continuum of care, provided by a multidisciplinary
team(MDT), are essential features of a quality
mental health service.
Cont…

 To improve the quality of care by including the

perspectives of these professionals into the service
users’ planning of care (Department of Health,
2007; Wagner, 2004), multidisciplinary working is
now standard practice across all mental health
services.

 Underpinning the perceived strength of MDT

working is the creation of a clinical environment
that enables different professions to use their skills,
knowledge, attitudes, values and abilities within
their scope of practice.
MENTAL HEALTH TEAM
 MENTAL HEALTH TEAM
Meaning:
 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.
Cont…

 A group composed of members with varied but

complimentary experience, qualifications and
skills that contribute to the achievement of the
organization's specific objectives.

 A multidisciplinary team (MDT) is composed of

members from different healthcare professions
with specialised skills and expertise.
CONCEPT OF MULTIDISCIPLINARY TEAM

 The multidisciplinary team concept is a hallmark

of the field of mental health.

 Multidisciplinary teams form one aspect of the

provision of a streamlined patient journey by
developing individual treatment plans that are
based on 'best practice'.
Cont….

 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.
 ROLE OF MULTIDISCIPLINARY TEAM

 Psychiatrist: Perform assessments, provide

talking therapies, prescribe medication,
investigate for physical illnesses.

 Psychologist: Provide specialised talking

therapies, perform in-depth assessments of
aspects of brain functioning and behaviour.

 PsychiatricNurse :Assess difficulties, provide

talking therapies, administer and monitor
medication.
Cont…

 Occupational Therapist : Provide skills

assessments, formulate rehabilitation plan which
is delivered both individually and in groups

 Social Worker: Provide support for families,

provide talking therapies, advise in relation to
housing, finance and supports.
MULTIDISCIPLINARY TEAM MEMBERS
 Mental Health Nurse
Psychiatric nurses undergo a degree course in the
assessment and care of people with mental
health problems. Psychiatric nurses work in
inpatient units, day hospitals, rehabilitation
centres or in the community.

Role/Experience/Capacity:
 Work with people with high and low prevalence
mental health disorders, including mental
illnesses or psychological distress.
.
Cont…
Services provided:
 Identify client goals and interventions required
to achieve them.
 Provide a comprehensive mental status
assessment.
 Contribute to the development of a General
Practice Mental Health Care Plan.
 Contribute to case conferences.
 Assist clients’ families and carers to provide
care and support.
 Provide psychological education.
 Provide counselling and psychological
interventions.
 Psychiatrist
 Psychiatrists are doctors with a degree in medicine,
who specialise in the assessment and management
of mental health conditions, such as depression,
anxiety, psychosis, personality disorders, intellectual
difficulties or addictions. Psychiatrists will usually
have a particular specialist interest.

 The psychiatrist works as part of a multi-disciplinary

team (link) but will also be aware of a wide range of
other helpful resources in the community such as
peer support groups, counselling services, volunteer
organisations etc.
Cont…

 A consultant psychiatrist often functions as the

leader of the multidisciplinary team, coordinating
the work of psychiatric registrars and the other
team members in order to provide the highest
quality care for individual patients.

 Psychiatrists employ treatments including talking

therapies, social interventions and medications
in the management of mental health problems.
 Psychologist

 A psychologist working in the mental health

services will have obtained a primary degree in
psychology and will then have undertaken
further education and specialist training in
clinical or counselling psychology.

 Psychologists have expertise in the assessment

of psychological functioning (i.e. personality or
intellectual functioning) and in the delivery of a
variety of talking therapies.
Cont…

 Talking therapies may be delivered on an

individual or group basis.

 She/he conducts psychological, diagnostic tests,

interprets and evaluates the finding of these
tests and implements a program of behavior
modification.
 General Practitioner

GPs look after clients by promoting health and

doing preventive health care.

 Attend to clients who are physically or

emotionally unwell.

 Provide ‘person centred, continuing,

comprehensive and coordinated whole person
health care to individuals and families in their
communities.
 Occupational Therapist

Occupational therapy (OT) is a client-centered health

profession concerned with promoting health and
wellbeing through occupation.

The primary goal of an Occupational Therapist:

 To enable people to participate in everyday life by
working with people and communities.
 To enhance their ability to engage in the
occupations they want to, need to, or are expected
to do, or by modifying the occupation or the
environment to better support their occupational
engagement.
Cont…

OT’s assist with SEWB and can refer clients to

a GP with:

 Comorbidity (depression, other acute conditions)

 Failure to progress
 Wounds that do not heal
 Poor compliance to medication regime
 Life crises (sudden changes in life
circumstances, such as death of partner, family
member or pet)
 Mental Health Social Worker
 Work with individuals with
. mental disorders to
resolve associated psychosocial problems and
with families in which mental health problems
exist in connection with social problems, such as
family distress, unemployment, disability, poverty
and trauma

 They work with issues such as depression,

anxiety, mood and personality disorders,
Suicidal thoughts, relationship problems,
adjustment issues, trauma and family conflicts.
Cont….

 They provide a range of evidence-based

interventions, which focus on achieving
solutions, including:
 Cognitive behavioural therapy
 Relationship strategies
 Skills training
 Interpersonal therapy
 Psycho-education
 Family therapy
 Narrative therapy.
Cont….

MHSWs interventions include:

 Detailed psychosocial assessment identifying

the connections between mental health
problems and complex social contexts .

 Assessment of the mental illness and its impact

on the life of individuals and their families

 Working with individuals, family.

 Pharmacist

• Devise and revise a client’s medication therapy

to achieve the optimal regime that suits the
individual’s medical and therapeutic needs.

• They can be an information resource for the

client and medical team.

• Provide information on new drug treatments and

the impact of different drugs when taken
together.
 Recreational therapist

The recreational therapist plans activities to

stimulate the patients muscle coordination,
interpersonal relationship and socialization.
 Diversional Play Therapist

Makes observation of a child during play

behaviour .This is then related to
conditions such as phobia, abuse and
separation.
 Chaplain/Pastor/Priest

• Visits and ministry to clients and family.

• Spiritual advice and counselling.

 Family Caregiver/Spouse/ Children
Consumer and family advocate for the client and
are often the main provider of direct care. They:

 Provide a wealth of information regarding the

client - pre-illness functioning, hobbies,
interests, and concerns.
 Offers direct input about ability and willingness
to assist in care.
 Provide a background and understanding of
family history and/or dynamics that may interfere
with knowledge of client and ability to
participate.
 ROLE OF 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.
Cont…
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
Cont….

 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.
Cont…

 Published evidences shows that nurse can be

as effective as doctors within her expanded role.

 Health as a fundamental right of individual.

 Emerging trend of health oriented model from a

disease oriented model .

 Expansion of scientific knowledge.

Cont…
To meet changing health care needs:
1. Medical Duties
2. Nursing Care Plan
3. Patient Educator
4. Patient Advocate
5. Care Manager
6. Assessment, Evaluation, Triage and Referral
Nurse
7. Utilization Review Nurse
8. Risk Manager
9. Chief Quality Officer
10. Corporate Managers and Executives
 NET REFERENCES

 http://www.rcpsych.ac.uk

 https://www.telethonkids.org.au/globalassets/me
dia/documents/aboriginal-health
.
THANK YOU