What is a Multidisciplinary Team?

The Multidisciplinary Team

A multidisciplinary team (MDT) should consist of psychiatrists, clinical nurse specialists/community mental health
nurses, psychologists, social workers, occupational therapists, medical secretaries, and sometimes other
disciplines such as counsellors, drama therapists, art therapists, advocacy workers, care workers and possibly
others not listed. See below table for further description.

The different professions all have different areas of expertise, so that they can combine their skill sets if
necessary to tackle complex and challenging mental health conditions. The multidisciplinary team meet regularly
to discuss their work with individuals so that each patient has a care plan best suited to their individual needs.
Some details on the most common MDT members are set out below.

Some Roles and Duties Provided by Multidisciplinary Team Members

Multidisciplinary Some Roles and Duties Provided

Team Member
Psychiatrists Perform assessments, provide talking therapies, prescribe
medication, investigate for physical illnesses
Psychologists Provide specialised talking therapies, perform in-depth
assessments of aspects of brain functioning and behaviour
Psychiatric Nurse Assess difficulties, provide talking therapies, administer
and monitor medication
Occupational Provide skills assessments, formulate rehabilitation plan
Therapists which is delivered both individually and in groups
Social Worker Provide support for families, provide talking therapies,
advise in relation to housing, finances, and supports

When a patient is seen by any member of the multidisciplinary team their problems will be discussed
confidentially by the team and a care plan will be formulated to decide which team members are best
positioned to help.

Patient confidentiality is considered an essential aspect of treatment, and is carefully maintained within
the team.

Members of the Multidisciplinary Team:

Psychiatrists
Psychiatrists are doctors with a degree in medicine, who specialise in the assessment and management of
mental health conditions, such as depression, anxiety, psychosis, personality disorders, intellectual difficulties or
addictions. Psychiatrists will usually have a particular specialist interest i.e. mental health problems in children
(child & adolescent psychiatrist), adults (general adult psychiatrists), older adults (old age or later life
psychiatrists), addictions (addiction psychiatrist), offenders (forensic psychiatrists), patients in a general hospital
(liaison psychiatrists), or people with intellectual disabilities (intellectual disability psychiatrists).
 Psychiatrists have expertise in the assessment of mental health problems, in the assessment of risk (i.e. of
suicide or violence) and in the management of mental illness. Psychiatrists employ treatments including talking
therapies, social interventions and medications in the management of mental health problems The psychiatrist
works as part of a multi-disciplinary team (link) but will also be aware of a wide range of other helpful resources
in the community such as peer support groups, counselling services, volunteer organisations etc. A consultant
psychiatrist often functions as the leader of the multidisciplinary team, coordinating the work of psychiatric
registrars and the other team members in order to provide the highest quality care for individual patients.

Psychologists
A psychologist working in the mental health services will have obtained a primary degree in psychology and will
then have undertaken further education and specialist training in clinical or counselling psychology.
Psychologists have expertise in the assessment of psychological functioning (i.e. personality or intellectual
functioning) and in the delivery of a variety of talking therapies. Talking therapies may be delivered on an
individual or group basis.
Psychiatric Nurses
There are 3 basic types of nurse; general nurses, psychiatric nurses and intellectual disability nurses.
Psychiatric nurses undergo a degree course in the assessment and care of people with mental health problems.
Psychiatric nurses work in inpatient units, day hospitals, rehabilitation centres or in the community. Many
psychiatric nurses undergo further training to become community mental health nurses or nurse practitioners,
specialising in the management of particular conditions or in talking or other therapies.
Occupational Therapists
Occupational therapists have a basic degree in Occupational Therapy. Occupational therapists work in the
rehabilitation of patients suffering with mental illness, aiming to help recovery in occupational, social and day to
day skills. They also provide specialised assessment of functioning in areas such as social skills or ability to
perform everyday tasks. Where the person is found to have difficulties in any of these areas the occupational
therapist will formulate a specialised programme to help.
Social Workers
Social workers place emphasis on the strengths and the natural coping abilities of service users and their
families in their assessment of peoples needs. They act to empower service users to access the services and
resources required, to recover and maintain good mental health, and achieve a good quality of life in terms of
their relationships, income, leisure, occupation and accommodation.

More informations can be found at:

http://www.rcpsych.ac.uk/mentalhealthinfo/treatments/communityteams/keyfactscmhts.aspx

Apakah Pasukan multidisiplin?

Pasukan multidisiplin
Satu pasukan pelbagai disiplin (MDT) harus terdiri daripada ahli psikiatri, pakar
jururawat klinikal / komuniti kesihatan mental jururawat, ahli psikologi, pekerja sosial,
ahli terapi pekerjaan, setiausaha perubatan, dan kadang-kadang lain-lain bidang seperti
kaunselor, terapi drama, terapi seni, pekerja sokongan, pekerja penjagaan dan mungkin
orang lain tidak disenaraikan. Lihat di bawah meja untuk penerangan lanjut.
Profesion yang berbeza semua mempunyai kawasan-kawasan yang berlainan
kepakaran, supaya mereka boleh menggabungkan kemahiran mereka jika perlu untuk
menangani keadaan kesihatan mental yang kompleks dan mencabar. Pasukan pelbagai
disiplin sering bertemu untuk membincangkan kerja mereka dengan individu supaya
setiap pesakit mempunyai pelan penjagaan yang paling sesuai untuk keperluan
masing-masing. Beberapa butiran mengenai ahli MDT paling biasa yang dinyatakan di
bawah.

Beberapa Peranan dan Tugas Disediakan oleh Ahli Pasukan multidisiplin

Ahli Team disiplin Beberapa Peranan dan Tugas syarat

Psikiatri Lakukan penilaian, menyediakan bercakap terapi, menetapkan ubat,
menyiasat untuk penyakit fizikal
Psikologi Memberi khusus bercakap terapi, melaksanakan penilaian mendalam
aspek fungsi otak dan tingkah laku
Psikiatri Jururawat Menilai kesukaran, menyediakan terapi bercakap, mentadbir
dan memantau ubat
Jurupulih Pekerjaan Memberi kemahiran penilaian, merumuskan pelan pemulihan
yang dihantar kedua-dua individu dan dalam kumpulan
Pekerja Sosial Memberi sokongan kepada keluarga, menyediakan terapi
bercakap, menasihati dalam berhubung dengan perumahan, kewangan, dan
menyokong
Apabila pesakit dilihat oleh mana-mana anggota pasukan disiplin masalah mereka akan
dibincangkan secara rahsia oleh pasukan dan pelan penjagaan akan digubal untuk
membuat keputusan yang mana ahli pasukan kedudukan terbaik untuk membantu.
Kerahsiaan pesakit dianggap satu aspek penting dalam rawatan, dan berhati-hati
dikekalkan dalam pasukan.

Anggota Pasukan multidisiplin:

Psikiatri
Psikiatri adalah doktor dengan ijazah dalam bidang perubatan, yang pakar dalam
penilaian dan pengurusan keadaan kesihatan mental, seperti kemurungan,
kebimbangan, psikosis, gangguan personaliti, kesukaran ketagihan atau intelektual.
Psikiatri biasanya akan mempunyai kepentingan pakar tertentu iaitu masalah kesihatan
mental di kalangan kanak-kanak (kanak-kanak & remaja psikiatri), dewasa (psikiatri
dewasa umum), orang dewasa yang lebih tua (tua atau pakar psikiatri kemudian),
ketagihan (psikiatri ketagihan), pesalah (pakar psikiatri forensik) , pesakit di hospital
umum (psikiatri perhubungan), atau orang-orang kurang upaya intelek (psikiatri
kecacatan intelektual).

Psikiatri mempunyai kepakaran dalam penilaian masalah kesihatan mental, dalam

penilaian risiko (iaitu bunuh diri atau keganasan) dan dalam pengurusan penyakit
mental. Psikiatri menggunakan rawatan termasuk terapi bercakap, campur tangan
sosial dan ubat-ubatan dalam pengurusan masalah kesihatan mental psikiatri berfungsi
sebagai sebahagian daripada pasukan pelbagai disiplin (link) tetapi juga akan
menyedari pelbagai sumber-sumber lain yang membantu dalam komuniti seperti
kumpulan sokongan rakan sebaya, perkhidmatan kaunseling, pertubuhan-pertubuhan
sukarela dan lain-lain Satu perunding psikiatri sering berfungsi sebagai pemimpin
pasukan pelbagai disiplin, menyelaras kerja pendaftar psikiatri dan ahli-ahli pasukan
yang lain dalam usaha untuk menyediakan kualiti penjagaan yang terbaik untuk pesakit
individu.

Psikologi
Seorang ahli psikologi yang bekerja dalam perkhidmatan kesihatan mental akan
mempunyai ijazah utama dalam bidang psikologi dan kemudian akan menjalankan
pendidikan lanjutan dan latihan pakar dalam bidang psikologi klinikal atau kaunseling.
Psikologi mempunyai kepakaran dalam penilaian fungsi psikologi (iaitu personaliti atau
fungsi intelektual) dan dalam penyampaian pelbagai terapi bercakap. Bercakap terapi
boleh dihantar kepada individu atau secara berkumpulan.

Jururawat Psikiatri
Terdapat 3 jenis asas jururawat, jururawat umum, jururawat psikiatri dan jururawat
kecacatan intelektual. Jururawat psikiatri menjalani kursus ijazah dalam penilaian dan
menjaga rakyat dengan masalah kesihatan mental Jururawat psikiatri bekerja dalam
unit pesakit, hospital hari, pusat pemulihan atau dalam masyarakat. Ramai jururawat
psikiatri menjalani latihan untuk menjadi jururawat kesihatan mental masyarakat atau
pengamal jururawat, pakar dalam pengurusan keadaan tertentu atau dalam bercakap
atau terapi lain.
Jurupulih Pekerjaan
Terapi pekerjaan mempunyai ijazah asas dalam Terapi Pekerjaan. Terapi pekerjaan
bekerja dalam pemulihan pesakit yang menderita dengan penyakit mental, yang
bertujuan untuk membantu pemulihan dalam sehari pekerjaan, sosial dan kemahiran
hari. Mereka juga menyediakan penilaian khusus berfungsi dalam bidang seperti
kemahiran sosial atau keupayaan untuk melaksanakan tugas-tugas seharian. Jika
seseorang itu didapati mempunyai kesukaran dalam mana-mana kawasan-kawasan ini
terapi pekerjaan akan merumuskan satu program khusus untuk membantu.

Pekerja Sosial
Pekerja sosial tempat penekanan kepada kekuatan dan semulajadi menangani
kebolehan pengguna perkhidmatan dan keluarga mereka dalam penilaian mereka
terhadap keperluan rakyat. Mereka bertindak untuk memperkasakan pengguna
perkhidmatan untuk mengakses perkhidmatan dan sumber-sumber yang diperlukan,
untuk memulihkan dan mengekalkan kesihatan mental yang baik, dan mencapai kualiti
hidup yang baik dari segi hubungan mereka, pendapatan, lapang, pekerjaan dan
tempat tinggal.

Multidisciplinary Team

When a child is recommended to special education, a multidisciplinary team

works together to determine if an evaluation is warranted based on data
collected through the RTI process. Should an evaluation be recommended,
the team will plan an evaluation for each individual case. Following the
evaluation process, the team will determine if the student is eligible for special
education services or not. When a child is identified as eligible for special
education services, an individual program geared towards the
individual student's needs will be created.

This team consists of a variety of members. These members can include any
or all of the following: Parents, Classroom Teacher, Special Education
Teacher, Speech Language Pathologist, Psychologist, Social Worker,
Occupational Therapist, Physical Therapist, Principal.

The success of the student depends on a strong home/school relationship.

Parents are encouraged to participate in their childs education.