Power Struggles in MDT Meetings: Using Different Orders of Interaction to Understand the Interplay of Hierarchy, Knowledge and Accountability

Smart, Cordet; Pollock, Christianne; Aikman, Lindsay; Willoughby, Erica

doi:10.1007/978-3-319-98228-1_5

Cited by 1 publication

(1 citation statement)

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“…Poor communication within meetings may reduce the likelihood of positive change events occurring and has been identified as a potential problem in multi-disciplinary teams (Housley, 2003). Communication and decision-making may also be influenced by the power within the multi-disciplinary team in complex and varying ways (Smart et al, 2018); for example, power can be held within traditional health-care hierarchies (e.g. by senior doctors) or by staff with the greatest depth of contact and knowledge of the person with intellectual disabilities.…”

Section: Discussionmentioning

confidence: 99%

Change processes within team formulations in intellectual disabilities services: what do multi-disciplinary staff find helpful?

Hymers

Dagnan

Ingham

2021

AMHID

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Purpose A biopsychosocial case formulation is an important tool for understanding complexity and guiding treatment for people with intellectual disabilities. It has been suggested that formulation meetings develop staff understanding of individuals they support. This study aims to explore the change processes that occur as a result of professional team formulation meetings, and the mechanisms that facilitate and hinder these events. Design/methodology/approach Eight clinicians who took part in multi-disciplinary team-based formulations in an inpatient mental health service for adults with intellectual disabilities were interviewed. Interviews were examined using thematic analysis. Findings The key themes identified were: “gaining information”, “altered thoughts” and “focused goals”. These themes were supported by “collaborative working” and “time for reflection” and were hindered by “poor communication and interaction” and inconsistent “staff attendance”. Originality/value Multi-disciplinary team formulation meetings may have a number of change processes that affect staff knowledge and perception of the people that they support. The facilitation of these processes should be a focus for further development.

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Section: Discussionmentioning

confidence: 99%