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Multidisciplinary Teamwork in a UK Regional Secure Mental Health Unit a Matter for Negotiation?

By Monica Shaw, Bob Heyman, Lisa Reynolds, Jacqueline Davies and Paul Godin

Abstract

Multidisciplinary teamwork in healthcare is strongly advocated in policy documents and the professional literature, but evidence about its value is sparse. This paper argues that multidisciplinary rhetoric disguises the complexity of the relational processes involved. These processes are explored with reference to a qualitative study, conducted during 2002–2004, of a UK medium secure forensic mental healthcare unit. Although some instructive examples of selective collaboration emerged from the present study, in general, non-medical professionals felt that their capacity to negotiate new ways of working was thwarted by medical dominance. Patients, the recipients of interventions from a range of professions, mostly bracketed them together as an all-powerful 'they'. Multidisciplinary working promoted only limited partnership in this organizational setting, and became primarily a process through which structural differences were reproduced. The paper draws on insights derived from symbolic interactionist theory to explore the achievement of, and failure to achieve, collaboration across professional boundaries. It will be argued, firstly, that organizational constraints on multidisciplinary collaboration together with actors' attempts to overcome them can be usefully analysed in terms of a dialectic between role-taking and role-making; and, secondly, that the impact of professional power differences can be understood through analysis of organizations as autopoietic systems

Topics: H1
Publisher: Palgrave Macmillan
Year: 2007
OAI identifier: oai:eprints.hud.ac.uk:6413

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Citations

  1. (2004). Accountability, trust and informed consent in medical practice and research. doi
  2. (1968). Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. doi
  3. (1990). Basics of Qualitative Research: Grounded Theory Procedures and Techniques. doi
  4. (2000). Blurred roles and permeable boundaries: the experience of multidisciplinary working doi
  5. (2004). Cases for change in mental health: partnership working in mental health services. doi
  6. (1973). Cognitive Sociology. doi
  7. (1997). Collaboration and the community mental health team. doi
  8. (1991). Discursive Acts. doi
  9. (2004). Forensic mental health services as a risk escalator: a case study of ideals and practice. doi
  10. (1997). Forensic Nursing: a review of concepts and definitions.
  11. (1997). Fund London Commission
  12. (2003). Going round in circles? Identifying interpersonal dynamics in Australian health and social welfare. In Leathard A (Ed.). Interprofessional Collaboration: From Policy to Practice in Health and Social Care. Brunner-Routledge: Hove, East Sussex. doi
  13. (2004). Health Policy for Health Care Professionals. doi
  14. (2003). Interaction in Multidisciplinary Teams.
  15. (2001). Interdisciplinary practice – a matter of teamwork: an integrated literature review. doi
  16. (2001). Interpretive Interactionism. Applied Social Research Methods Series, Volume 16. Sage Publications: Thousand Oaks.
  17. (1998). Kettles A doi
  18. (1934). Mind, Self and Society. doi
  19. (2002). Multi-disciplinary working in a forensic mental health setting: ethical codes of reference. doi
  20. (2005). Multidisciplinary Working in Forensic Mental Health Care. Elsevier Churchill Livingstone.
  21. (2002). Multiple agencies with diverse goals.
  22. (2000). New NHS, new collaboration, new agenda for education. doi
  23. (2000). Nurse’s perceptions of multidisciplinary teamwork in acute psychiatric settings. doi
  24. (2004). Patients, metaphors and teamworking in mental health. doi
  25. (2003). Policy Overview. In Leathard A (Ed.). Interprofessional Collaboration: From Policy to Practice in Health and Social Care. Brunner-Routledge: Hove, East Sussex. doi
  26. (2002). Power and control: forensic community mental health nurses’ perceptions of team-working, legal sanction and compliance. doi
  27. (1980). Problems of teamwork in primary care.
  28. (1964). Psychiatric Ideologies and Institutions. doi
  29. (2002). Regulation and the Medical profession. doi
  30. (2004). Risk and liminality in mental health social work. doi
  31. (1990). Risk as a forensic resource.
  32. (2005). Risk Assessment: a multidisciplinary approach to estimating harmful behaviour in mentally disordered offenders.
  33. (1993). Risk: A Sociological Theory. Aldine Transaction:
  34. (1962). Role-Taking: Process versus conformity.
  35. (1962). Society as symbolic interaction. doi
  36. (1985). Sociological approaches to health and medicine. doi
  37. (1998). Structure and meaning in multidisciplinary teamwork. doi
  38. (1975). Symbolic Interactionism: Genesis, Varieties and Criticism. Routledge & Kegan Paul: London doi
  39. (1969). Symbolic Interactionism. Prentice-Hall: Eagleswood Cliffs. doi
  40. (1970). The development of sociological theory in America – a sociology of knowledge interpretation.
  41. (2005). The Historical Context. In
  42. (2006). The problems of offenders with mental disorders: a plurality of perspectives within a single mental health care organisation. doi
  43. (1988). The System of Professions: An Essay on the Division of Expert Labor. doi
  44. (2002). Towards a ‘forensic lens’ model of multidisciplinary training. doi
  45. (2004). Wanting to be heard: mental health consumers’ experiences of information about medication. doi
  46. (1997). We decide, you carry it out: a social network analysis of multidisciplinary long-term care teams. doi
  47. (2000). What’s so great about collaboration?: we need more evidence and less rhetoric.
  48. (2001). Working With a Multidisciplinary Team in Secure Psychiatric Environments.

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