Service innovation in a heated environment: CATS on a hot tin roof

Ingram, Graham; Tacchi, Mary Jane

doi:10.1192/pb.28.11.398

Cited by 7 publications

(9 citation statements)

References 14 publications

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“…Peer support was a recurring theme among secondary sources. These highlighted the importance of creating a supportive environment (Ingram and Tacchi, 2004) and sharing the burden of care (Jones, 2002); "Through sharing and processing their thoughts and feelings, the team can progress the therapeutic work" (Lowe, 1999, p. 18). In this way, meetings were conceptualised as a means of cultivating staff resilience, serving to benefit patients indirectly by increasing staff wellbeing.…”

Section: Thematic Synthesismentioning

confidence: 99%

Multidisciplinary team meetings in community mental health: a systematic review of their functions

Bháird

Xanthopoulou

Black

et al. 2016

Mental Health Review Journal

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation.The authors affiliations can be found at the end of this article. AbstractPurpose -Previous research has identified a need for greater clarity regarding the functions of multidisciplinary team (MDT) meetings in UK community mental health services. The purpose of this paper is to identify the functions of these meetings by systematically reviewing both primary research and academic discussion papers. Design/methodology/approach -Papers relating to adult community mental health teams (CMHTs) in the UK and published between September 1999 and February 2014 were reviewed and appraised using NICE quality checklists. The search was broad in scope to include both general CMHTs and specialist CMHTs such as early intervention psychosis services and forensic mental health teams. A thematic synthesis of the findings was performed to develop an overarching thematic framework of the reported functions of MDT meetings. Findings -None of the 4,046 studies identified directly investigated the functions of MDT meetings. However, 49 mentioned functions in passing. These functions were categorised into four thematic domains: discussing the care of individual patients, teamwork, team management and learning and development. Several papers reported a lack of clarity about the purpose of MDT meetings and the roles of different team members which hindered effective collaboration. Practical implications -Without clearly agreed objectives for MDT meetings, monitoring their effectiveness is problematic. Unwarranted variation in their functioning may undermine the quality of care. Originality/value -This is the first systematic review to investigate the functions of CMHT MDT meetings in the UK. The findings highlight a need for empirical research to establish how MDT meetings are being used so that their effectiveness can be understood, monitored and evaluated.

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Section: Thematic Synthesismentioning

confidence: 99%

Multidisciplinary team meetings in community mental health: a systematic review of their functions

Bháird

Xanthopoulou

Black

et al. 2016

Mental Health Review Journal

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“…Not everyone is comfortable with the newer emerging roles as described in New Ways of Working for Psychiatrists (Department of Health, 2005). Ingram & Tacchi (2004) identify reasons for some of the barriers to accepting distribution of responsibility, including opposition to the cultural shift in medicine towards non-medical disciplines taking over roles that a traditional consultant would have otherwise assumed.…”

Section: Discussionmentioning

confidence: 99%

Roles of general adult psychiatrists in follow-up clinics

Mehta¹,

Salvaji²,

Abed³

2007

Psychiatr. bull.

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Aims and MethodCore features of New Ways of Working include concentrating on service users with complex needs, acting in a consultative role and carrying out interventions that are timely rather than routine. In this service-mapping exercise a retrospective analysis of 150 case notes was performed to evaluate clinical activity in general adult out-patient clinics and to attempt to measure the complexity of the workload.ResultsAnalysis of care programme approach (CPA) level revealed that 40% of patients were not on CPA and 16% of patients were on enhanced CPA. Only a third of the sample had a non-medical care coordinator. Absolutely no changes were made to the management plan in around half of the sample. A minority of patients needed to be seen acutely, within a month, or had their appointment brought forward.Clinical ImplicationsCurrent out-patient activity of consultant teams does not appear to be consistent with New Ways of Working. Psychiatrists will be required to reflect on their roles in out-patient clinics to avoid ‘routine’ appointments and to use their time more efficiently.

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“…Separating in-patient and community roles may allow consultants to be dedicated to a single aspect of care and avoids them being distracted by other issues or having too many areas to cover. 9 It may also account for why working in a multidisciplinary team was identified as one of the top sources of reduced stress.…”

Section: Ranking Of Sources Of Stressmentioning

confidence: 99%

Stress in psychiatrists: coping with a decade of rapid change

Rathod¹,

Mistry

Ibbotson

et al. 2011

Psychiatrist

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Aims and methodThe study explored the impact of National Health Service changes on the working and personal lives of psychiatrists. A questionnaire survey was carried out with psychiatrists working in the South Eastern Division of the Royal College of Psychiatrists.ResultsThe response rate was 44.9%. Changes to services have reduced stress in some areas, but increased stress in others. Over the past decade early retirement has become less popular, but psychiatrists have been more likely to self-prescribe and have suicidal thoughts.Clinical implicationsThe increasing involvement of psychiatrists in leadership may be a way to reduce adverse impacts of future changes on their working lives.

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Service innovation in a heated environment: CATS on a hot tin roof

Cited by 7 publications

References 14 publications

Multidisciplinary team meetings in community mental health: a systematic review of their functions

Multidisciplinary team meetings in community mental health: a systematic review of their functions

Roles of general adult psychiatrists in follow-up clinics

Stress in psychiatrists: coping with a decade of rapid change

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