Interprofessional Care and Mental Health

This book utilises conversation analysis (CA) and discursive psychology (DP) methodologies to examine the internal workings of multi-disciplinary teams which are concerned with the care, treatment and diagnosis of clients with complex mental health needs. Bringing together practitioners, service users and researchers who were part of the MDTsInAction research project, the authors offer a unique and systematic investigation into the ways members of multidisciplinary teams collaboratively manage their shared goals. A particular focus is on the language used in team meetings, and how examination of meeting talk can help us better understand the practice of inter-professional working. The authors also describe how a range of institutional barriers and concerns needed to be tackled in implementing the study in a healthcare setting. Over the course of this book they reveal a number of methodological developments which will be of interest to researchers and academics in CA/DP, and in healthcare communication generally. This book highlights how CA and DP can be used to identify and improve communicative practices in a healthcare setting; and also serves as an example of how to conduct an applied CA/DP project in a way that achieves impact.

Cordet Smart is a lecturer and clinical research tutor at the University of Plymouth, UK. She is the Principal Investigator on the MDTsInAction research programme. Her research includes interactions within clinical and group contexts and exploring the multiple presentations of social influence from a discursive psychology perspective. Timothy Auburn is Associate Professor in the School of Psychology at Plymouth University, UK. His research focuses on discursive psychology and social interaction, particularly in relation to institutional contexts such as the criminal justice system.

CHAPTER 1: Introduction; Cordet Smart, Jennifer Dickenson and Tim Auburn.- CHAPTER 2:Inside the meeting: Discursive approaches as a framework for understanding multidisciplinary team Meetings; Timothy Auburn, Cordet Smart, Madeleine Tremblett.- CHAPTER 3: Healthcare meetings where the service user is absent: The ethical and values based implications for research; Cordet Smart, Lindsay Aikman, Madeleine Tremblett, Jennifer Dickenson and Sifiso Mhlanga.- Part Two: Identifying and understanding the complexities of MDT meetings.- PART TWO: Identifying and understanding the complexities of MDT meetings.- CHAPTER 4: Theorising multi-disciplinary team meetings in mental health clinical practice; Cordet Smart, Timothy Auburn.- CHAPTER 5: Power struggles in MDT meetings; using different orders of interaction to understand the interplay of hierarchy, knowledge and accountability; Cordet Smart, Christianne Pollock, Lindsay Aikman, and Erica Willoughby.- CHAPTER 6: 'Unspoken' outcomes; the unintended consequences of interactions in MDT meetings as supporting staff wellbeing and the delivery of compassionate care; Lindsay Aikman.- PART THREE: Clinical applications - team formulations in mental health MDTs.- CHAPTER 7: Conversation analysis of psychological formulation discussions in adult learning disabilities teams; Katherine Peckitt, Cordet Smart.- CHAPTER 8: Does this child have autism? Exploring team discussions when diagnosing Autistic Spectrum Disorder; Nicole Parish,- CHAPTER 9: Negotiating resources during CMHT team meetings - exploring requests for joint working; Sifiso Mhlanga.- CHAPTER 10: Sharing Information and Retelling Stories in a Memory Clinic MDT Meeting.- Jennifer Dickenson, Cordet Smart.- PART FOUR: Patient centred interactions in team meetings.- CHAPTER 11: Advocacy for service users and carers in community learning disability team meetings when service users and carers are absent; Cordet Smart, Holly Reed.- CHAPTER 12: Concern constructions in multidisciplinary team meetings: risk or patient focused?; Madeleine Tremblett.- CHAPTER 13: Listening To 'Early Intervention In Psychosis Teams' Talk About Psychosis And Its Meaning: The Perspective Of Those With Lived Experience Of Psychosis; Claire Whiter, Ben Durkin, Ashley Tauchert.- PART FIVE: Interventions - Supporting teamwork in mental health care.- CHAPTER 14: Using joint Conversation Analysis between Staff and Researchers: developing reflexivity in community mental health teams; Cordet Smart, Holly Reed, Madeleine Tremblett.- CHAPTER 15: Training for enhanced team performance in mental healthcare contexts: a workshop and its fit with interprofessional care; Cordet Smart, Holly Reed, Brajan Sztorc, Dominique Clancy, Emily Connolly.- CHAPTER 16: Conclusions: Advancing team working in Community Mental Health settings; Cordet Smart, Tim Auburn.