We’re All In This Together A Team Approach to Wellness Care San Francisco Region Health Consultants
Dec 18, 2015
YOU ARE SHIPWRECKED!!YOU ARE SHIPWRECKED!!
• Skipper and First Mate did not survive• Mid-January somewhere in Alaska• Daytime: minus 25, Nightly: minus 40• Snow on the ground• Wooded area with several creeks nearby• Nearest town is 20 miles away• Casual clothes, dressed for vacation
You have salvaged:You have salvaged:
• A ball of steel wool• A small ax• A loaded .45-caliber pistol• Can of Crisco shortening• Newspapers (one per
person)• Cigarette lighter (without
fluid) • Extra shirt and pants for
each survivor
• 20 x 20 ft. piece of heavy-duty canvas
• A sectional air map made of plastic
• One quart of 100-proof whiskey
• A compass• Family-size chocolate
bars (one per person)
RankingsRankings
1. A cigarette lighter
2. Ball of steel wool
3. Extra shirt and pants
4. Can of Crisco
5. Piece of canvas
6. Small ax
7. Chocolate bar
8. Newspapers
9. Pistol
10.Whiskey
11.Compass
12.Plastic map
Survival Scenario ExercisesSurvival Scenario Exercises
http://www.wilderdom.com/games/descriptions/SurvivalScenarios.html
– Nuclear Bomb: Who should Survive?
• Group Dynamics Team Building– How are decisions made?– Who influences decisions?– How is conflict managed?– How satisfied is each person with decisions?– What have you learned about how this group
functions?
How do you fit together?
• Each table has an envelope of puzzle pieces
• Contains three puzzles
• Directions1. Assemble puzzles
2. Diagnose the student (each puzzle is one students)
3. Decide how you would treat the student as a team
Conclusion
• What did this exercise teach you about teamwork?
• How can you apply this to your work on your center?
Methodology
• Treatment Team Subjects
• 18 Month Study
• Women Aged 20-50
• Semi-structured Interviews
• Focus Groups
Main Indicators of Positive Team Working
• Personal Qualities and Commitment of Staff
• Communication Within The Team
• Opportunities for Creative Working Methods
Maintaining Interprofessional Relationships
• Requires “Professional Adulthood”
• Multiprofessional Model of Teamwork
What If No Professional Adulthood?
• Lack of Professional Adulthood Leads to Jealousy and Conflict
• What Happens When Staff Feel Insecure about Role on Your JC Center?
• Molyneaux Study and Professional Adulthood
Communication Within The Team-Positive Factors
• Working From One Location
• Regular and Frequent Team Meetings
• Regional Monthly Mental Health, Nursing, TEAP, and Disability Teleconferences
• Center Multidisciplinary Meetings and ROCA Scores
Center Director Sets Climate on Center
• Team Agreement on Methods of Communication
• Centers Vary on CD Motivated Interdisciplinary Communication
• Joint Case Notes Improves Working Relationships—Think How Citrix Case Notes Affects Your JC Team?
Team Creative Development
• Team Needs Creative License To Build Effective Program Based On Egalitarian and Cooperative Approach
• Often Results In Higher ROCA Scores
• Need Management To Empower Staff
Everyone is special in their own way
We make each other strong
We’re not the same
We’re different in a good way
Together is where we belong
We’re all in this together…
-Disney’s High School Musical
References
• ADAM, L., TRACHSEL, L.C.E. & LOVE, S. (1994). Interdisciplinary documentation: the challenge of developing
• a common data base. Canadian Journal of Rehabilitation, 7, 267–272.
• BAKER, J. (1996). Shared record keeping in the multidisciplinary team. Nursing Standard, 10(26), 39–41.
• BENNETT-EMSLIE, G. & MCINTOSH, J. (1995). Promoting collaboration in the primary care team—the role of
• the practice meeting. Journal of Interprofessional Care, 9, 251–256.
• DOMBECK,M. (1997). Professional personhood: training, territoriality and tolerance. Journal of Interprofessional
• Care, 11, 9–21.• LAIDLER, P. (1991). Adults, and how to become one. Therapy
Weekly, 17 (35), 4.• Molyneux, Jeanie (2001) Interprofessional teamworking: what
makes teams work well? Journal of Interprofessional Care, vol 15, No 1, 2001