RUFIDA COLLEGE OF NURSING

JAMIA HAMDARD
DELHI-110062

MICRO TEACHING
ON
MULTIDISCIPLINARY TEAM
AND
ROLES OF PSYCHIATRIC NURSE

SUBMITTED TO : SUBMITTED BY:

MS. JAMAL FATIMA CHAITALI SHANKAR

(ASSISTANT PROFESSOR) M.Sc Nursing I st Year

IDENTIFICATION DATA:

o NAME: Chaitali Shankar

o CLASS: M.Sc Nursing 1st
o SUBJECT: Clinical Speciality
o UNIT: 1
o TOPIC: MULTIDISCIPLINARY TEAM AND ROLES OF PSYCHIATRIC
NURSE
o GROUP: Msc Nursing 1st Year
o SIZE:06
o VENUE: Virtual Classroom
o DURATION: 20 mins
o METHOD OF TEACHING: Lecture Cum Discussion
o A.V AIDS: White Board and Flip Card
o DATE & TIME:
o PREVIOUS KNOWLEDGE :

OBJECTIVES

1. General Objectives: at the end of presentation.

FROM STUDENT POINT OF VIEW
o The students will be able to gain knowledge regarding challenges and scope of
psychiatry nursing.

FROM STUDENT TEACHER POINT OF VIEW

o The sudent teacher will be able to take good lecture regarding challenges and
scope of psychiatry nursing.

2. Specific Objectives:
FROM STUDENT POINT OF VIEW
o Students gain knowledge regarding challenges of psychiatric nursing.
o Students gain knowledge regarding wide scope of psychiatric nursing.

FROM STUDENT TEACHER POINT OF VIEW

o The student teacher will be able to use different books.
o The student teacher will be able to do an effective planned teaching and will
gain confidence in teaching.
o Student teacher will gain skill in teaching.
SNO TIM SPECIFIC CONTENT TEACHIN AV EVALUATI
E OBJECTIVE G& AID ON
LEARNE S
R
ACTIVIT
Y
1. Discuss the Introduction: Student P
introduction of A multidisciplinary team is teacher O
Multidisciplinar a group of health care discuss W
y team workers who are members the E
of different disciplines introduct R
(professions e.g. -ion of P
Psychiatrists, Social Multidisci O
Workers, etc.), each plinary I
providing specific services team with N
to the patient. The team the help T
of PPT.
members independently
treat various issues a P
patient may have, focusing R
on the issues in which they E
specialise. Team work is S
important in any setting E
more so in a mental health N
setting. The milieu needed T
to care for patient depends A
upon the qualification, T
experience , skillful I
handling of the situation by O
all members of the team N
with similar approach. For
promotion of a therapeutic
enviorment members of the
various discipline
coordinate their activity .
Four health care
professionals constitute the
core mental health
disciplines : - Psychiatric
Nursing ,Psychiatry
,Clinical Psychology and
Psychiatric Social Work.
2. Define
Multidisciplinar Definition: Define
y team. Student
The multidisciplinary team teacher Multi-
.
is defined as a group defines disciplinar
comprised of members that Multidisci y team.
have complementary skills, plinary
qualifications, and team with
experience. Their the help
 contribution is towards of PPT.
particular objectives of an
organization via teamwork.
Student
Explain the teacher
3. Meaning:
meaning of
Teamwork is paramount explains P
Multidisciplinar
y Team. for the success of any the O
group. It means the meaning W
combined , co-ordinated of E
and dedicated effort of each Multidisci R
and every member of the plinary P
team toward achievement team with O
the help
of the vested interest , I
of PPT.
target or goal of the team N
as an entity. It also T
becomes more significant
in a mental health setting P
where the contribution of R
all members is extremely E
vital for assessment , S
diagnosis,treatment ,in- E
patient rehabilitation as N
well as community based T
rehabilitation of the A
mentally ill patient. T
Basically , teamwork is one I
of the steps leading to elary O
care of the individual , N
his/her family and the
community at large thus
making the millennium
concept of “HOLISTIC
PATIENT CARE” a
reality.

Concept Of Multi-
Explain the disciplinary Team :
Student
4. Explain
concept of Multi This multi-disciplinary teacher
Cocept of
Disciplinary
team can also function as explains
MultiDisci
Team. the
an Inter-disciplinary team plinary
in that the total care of the concept
team.
patient requires not only of
Multidisci
the total input of each plinary
members of this team but team with
also the inter-disciplinary the help
coordinated effort. One can of PPT.
compare this concept to an
orchestra led by music
director. Each member of
the orchestra has to give his
 input and simultaneously
there should be
coordination with other
members as directed by the
music director , so that the
final effect is splendid.
Similarly , multi-
disciplinary input & inter-
disciplinary coordination’s
as directed by the patient
and his illness will lead to
the splendid outcome of
recovery of the patient to
his maximum capacity in
the community.
Describe the
5. Advantages of a
advantages and Student
multidisciplinary team : P What are
disadvantages of teacher
1. A multidisciplinary O advantages
Multidisciplinar explains
team gives several W and
y team. the
perspectives for a E disadvanta
situation. advantag
R ges of
2. Different backgrounds ed and
of the members help P Multidiscip
disadvan
them to gain several O linary
tages of
opinions that can prove I team?
Multidisci
beneficial in problem- plinary N
solving. team with T
3. It enables all the the help
members to have a of PPT. P
thorough discussion as R
their viewpoints are E
different. S
4. A multidisciplinary
E
team is self-sufficient as
the members have N
different talents to face T
every challenge. A
5. Although working is a T
challenge, but when the I
members practice active O
listening, it becomes a N
communication
powerhouse that is
equipped to handle the
most difficult situations
easily.
6. A multidisciplinary
team is creative by
nature. Every member
makes a viable
contribution with his
skill and knowledge,
 and all this shared
knowledge inspires
them to go beyond their
limitations and find
better solutions.
7. Team members inspire
and motivate everyone
in their team so that they
become much better.
8. Diversity is a great tool
to create an atmosphere
where the members
understand and become
considerate.
9. Multidisciplinary teams
inspire and
encourage innovation.
10. The goals are clear and
specific so that there is
no room for confusion.
11. Encourages cost-
effective completion
of projects.

Disadvantages of a
multidisciplinary team:

1. The multidisciplinary
team takes too much
time in decision
making.
2. They have too many
opinions, and
perspectives, and
these are points of
conflict between
them.
3. As different members
from different
departments make up
a multidisciplinary
team, the comfort
level and
understanding
between the
individuals is very
less.
4. Poor management as
everyone is trying to
have the upper hand
by demoralizing the
efforts of others.
5. Disagreement and
confusion are the
 norms of the day.
6. The dominant
members do not allow
the passive ones to
work efficiently.
7. Gathering, storing
and imparting
information is
delayed because some
members are difficult
to handle.
8. Communication
becomes a challenge
as everyone wants to
show himself as the
right person for the
job.
9. The difference
between members in
a multidisciplinary
team causes
disagreements and
can harm the
organization as a
6. Discuss about whole.
the Members Of Members of the Mental
Multidisciplinar Health Team:-
y team. 1.     Psychiatrist
2.     Psychiatric nurse
clinical specialist Student P
3.     Registered nurse in a teacher O
psychiatric unit discuss W
4.     Clinical psychologist about the E
5.     Psychiatric social members R
worker of P
Multidisci
6.     Psychiatric para- O
plinary
professionals: team with I
 Psychiatric nursing the help N
aids / attendants of PPT. T
 ECT Techniques
 Auxiliary personnel P
 Occupational R
therapist E
 Recreational S
therapist E
 Diversional play N
therapist T
 Creative art A
therapist T
I
 Clergymen
O
 A pharmacist and a
N
 dietician.

7.A counselor

 Psychiatrist:-The
psychiatrist is a
medical doctor with
post-graduation in
psychiatry with 2-3
years of residence
training. The
psychiatrist is
responsible for
diagnosis, treatment
& prevention of
mental disorders,
prescribe medicines
& somatic therapy
& function as a
leader of the mental
health team.

 Psychiatric nurse
clinical specialist:-
The psychiatric
nurse clinical
specialist should
have a master
degree in nursing,
preferably with post
–graduate research
work. She
participates actively
in primary,
secondary &
tertiary prevention
of mental disorder
& provides
individual, group &
family
psychotherapy in a
hospital &
community setting.
She also takes up
the responsibility of
teaching, Student
administration & teacher
research. discuss
about the
 Registered nurse in members
a psychiatric unit:- of
The registered nurse Multidisci
undergoes a general plinary
nursing & team with
midwifery program the help
of PPT.
or B.Sc nursing /
post-basic B.Sc
nursing program
with added
qualification such
as diploma in
psychiatric nursing.
Diploma in nursing
administration etc.
This nurse is skilled
in caring for the
mentally ill, gives
holistic care by
assessing the
patient’s mental,
social, physical,
psychological &
spiritual needs.

 Clinical
psychologist:-The
clinical
psychologist holds a
doctoral degree or
masters degree in
clinical psychology
& is registered with
the clinical
psychologist’s
association. She/he
conducts
psychological,
diagnosis tests,
interprets &
evaluates the
finding of these
tests & implements
a program of
behavior
modification. They
offers direct
services such as
individual , family
or marital therapies.
  Psychiatric social
worker:-The
psychiatric social
worker should have
Masters Degree in
Social Work or PhD
degree with
specialized training
in mental health
settings. They
assesses the
individual, the
family &
community support
system, helps in
discharge planning,
counseling for job
placement & is
aware of the state
laws & legal rights
of the patient &
protects these
rights.They
emphasizes
intervention with
the patient in social
enviorment in
which he will live.

 Psychiatric para-
professionals:- 
a.     Psychiatric nursing
aids / attendants:-They
have high school training &
are trained on the job. They
aid maintaining the
therapeutic environment &
provide care under
supervision.
b.     ECT Techniques:-
They undergo training for
6-9 months. Their function
is to keep ready the ECT
under the supervision of a
psychiatrist or anesthetist.
c.      Auxiliary personnel:-
They are volunteer
housekeeper or clerical
staff & require in-service
education to interact with
the patient therapeutically.
d.     Occupational
therapist:-Occupational
therapist goes through
specialized training. He
/she has a pivotal role to
play by using manual &
creative techniques to
assess the interpersonal
responses of the patient.
Patients are helped to
develop skill in the area of
their choice & become
economically independent.
They are helped to work in
sheltered workshop.

e.     Recreational
therapist:-The recreational
therapist plans activities to
stimulate the patient’s
muscle co-ordination,
interpersonal relationship
& socialization. These
approaches are need-based.

f.       Diversional play
therapist:-Makes
observation of a child /
patient during his play. The
behavior of the child while
playing, the type of toys &
his reaction toward the doll,
beating, calling or throwing
are the focus of attention.

g.     Creative art therapist:-

He/she is an art graduate &
encourages the patient to
express his work freely
with colors & analysis the
use of various colours,
drawing of various scenes
etc. this therapy helps in
diagnosis & also in
bringing the repressed
feelings of the patient to the
conscious level. 

h.     Clergymen:-These are
religious persons who may
be asked to come to the
hospital unit once a week
(depending on the patient’s
religious faith) & have a
spiritual talk with the
patient.
i. Dietitian :- Mental
health dietitians can help
you to eat well and develop
a positive relationship with
food. Good nutrition is
important for both
your mental and
physical health. Mental
health dietitians also work
to improve catering and
menu planning
within mental
health settings, such
as psychiatric units. Recent
research has shown that
food supplements such as
zinc, magnesium, omega 3,
and vitamins B and D3 can
help improve people's
mood, relieve anxiety and
depression and improve
the mental capacity of
people with Alzheimer's.
j. Pharmacist:
Pharmacists can play a
key role by
providing mental
health medication
management support to
improve access and address
patients' mental
health needs.

7.Counsellor: Work with

individuals, groups and
communities to
improve mental health.
Encourage clients to
discuss emotions and
experiences. Examine
 issues including substance
abuse, aging, bullying,
anger management, careers,
depression, relationships,
self-image, stress etc.
Explain the roles
7. of a nurse.
Roles of the psychiatric-
mental health nurse in
contemporary mental health
nurse :
Trends and issues in the
health care system affects
the roles of the psychiatric
–mental health nurse.
Although psychiatric
nurses have tradionally
worked on impatient
psychiatric units thety have
continued to expand their
role into the community .
There two levels of
psychiatric –mental health
courses: The generalist
(registered psychiatric
nurse) and the specialist
(CNS). The scope and roles
of both are guided by
nurse practice acts and by
standards of care.
ROLE OF THE
GENERALIST:
The psychiatric mental
health generalist nurse is a
licensed registered nurse
for delivering primary
mental health care. It
incorporates both physical
and mental health care.
Generalist exercises a
holistic approach to
practice and performs
psychiatric nursing in
prevention programs ,
community and day
treatment centers ,
psychiatric rehabilitation
facilities , homeless
shelters and many others.

ROLE OF SPECIALIST:
Psychiatric Clinical nurse
Specialist (CNS) holds a
masters degree in
psychiatric mental health
nursing . CNS is an
advanced practice nurse
who is usually a primary
health care provider,
functions , autonomously,
often works in a semi-
isolated situation has
medication prescription
privileges (depending on
individual state law),
manages the overall care of
the people with emotional
and psychiatric problems ,
and usually has a
consultative arrangements
with psychiatrist . For
example the advance
practice nurses in
Minnesota are
psychotherapists ,
consultamts , milieu
specialists , role models ,
teachers , administrators ,
crisis intervention
specialists and co-
ordinators.

COMMUNITY MENTAL
HEALTH NURSE:
Community Mental Health
Nurses are specialized
Nurses who provide
holistic nursing services for
people with mental health
issues, in a community
setting.It includes early
diagnosis , appropriate
referrals, care and
rehabilitation of mentally
ill people.

PSYCHIATRIC HOME
CARE NURSE:
Home health care is one
aspect of community health
nursing . Psychiatric home
care nurses provide holistic
psychiatric nursing care on
a visting basis to people
needing assistance . These
nurses provide
comprehensive care,
including psychiatric and
physical assessment, direct
nursing care, behavioral
management crisis
intervention,
psychoeducation ,in-home
detoxification , medication
management, case
management and
consultation with
colleagues.

FORENSIC
PSYCHIATRIC NURSE:
Forensic psychiatric
nurses specialize in
managing offenders with
psychological, social and
behavioral disorders. They
assess and select patients
for treatment, provide
rehabilitative care and
supervise a patient's actions
within the community.
Those patients who
encounter the criminal
justice system because of
their mental health or who
become unwell following a
criminal offence.

PSYCHIATRIC
CONSULTATION-
LIAISON NURSE:
PCLN has arisen in
response to the increades
recognition of the
importance of psycho-
physiological inter
relationships and their
impact on physical illness,
recovery and wellness. It is
an advanced practice nurse
who practices psychiatric
and mental health nursing
in a medical setting /non –
psychiatric settings
providing consultation and
education to patients ,
families and health care
team and community .

CASE MANAGER
RN :case managers are
registered nurses who are
responsible for the
coordination of the various
elements that are involved
in the care of an individual
patient. Their role is to use
resources and services in
the best way possible. They
assist inside facilities,
outside facilities and
between different care
environments.Case manage
ment is one of the major
types of community
aftercare that is used to
provide ongoing
management of chronic or
recurring illness.The role of
the case manager is to
undertake assessment,
monitoring, planning,
advocacy and linking of the
consumer with
rehabilitation and support
services.

GEROPSYCHIATRIC
NURSE:
The geropsychiatric nurse
is someone who specializes
in caring for older adults
with a diagnosis of
depression, dementia, and
other mental health
disorders. They are
employed in various health
care settings such as home
care, ambulatory care
settings, and acute care
facilities.
PARISH NURSE:
Parish nursing is the
intentional integration of
the practice of nursing with
the beliefs of a religious
community. A parish
nurse is a
registered nurse (RN)
specialist who encourages
physical and spiritual
health and wholeness by
developing and leading
programs within faith
communities. Parish
nurses lead support groups
and provide education to
their patients on health
maintenance and
preventative health efforts.
These nurses provide
parishioners with
community resources and
serve as a source of
comfort and spiritual
guidance for their patients.
They counsel church
members in hospitals or
their homes.
TELEHEALTH/TELENUR
SE:
Telenursing refers to the
use of information
technology in the provision
of nursing services
whenever physical distance
exists between patient and
nurse, or between any
number of nurses. As a
field, it is part
of telemedicine, and has
many points of contacts
with other medical and
non-medical applications,
such as telediagnosis,
teleconsultation, and
telemonitoring. The field,
however, is still being
developed as the
information on telenursing
isn't comprehensive
enough.
NURSE RESEARCHER:
Nurse researchers are
scientists who study
various aspects of health,
illness and health care. By
designing and
implementing scientific
studies, they look for ways
to improve health, health
care services and health
care outcomes.
PSYCHIATRIC NURSE
EDUCATOR:
Nurse educators play a
pivotal role in
strengthening
the nursing workforce,
serving as role models and
providing the leadership
needed to implement
evidence-based
practice. Nurse
educators are responsible
for designing,
implementing, evaluating
and revising academic and
continuing education
programs for nurses.

NURSE
ADMINISTRATOR/MANA
GER:
Nurse administrators are
often responsible for large-
scale policy planning,
staff management, financial
resource management, and
business management, in
addition to their core
responsibilities of
coordinating and
supervising the delivery of
health care.They are
responsible for ensuring
that hospitals or other
healthcare facilities operate
in a safe and cost-effective
manner. They achieve this
through the management of
financial and human
resources, and through the
supervision of nurses and
other allied healthcare team
members.

NURSE
PSYCHOPHARMACOLO
GIST:
One of the latest roles is
that of the nurse
psychopharmacologist-the
psychiatric clinical nurse
specialist with perspective
authority.
HOLISTIC NURSE:
Holistic nursing is a way of
treating and taking care the
patient as a whole body
which involves physical,
social environment,
psychological, cultural and
religious beliefs . It is also
called a complementary
health nurse, is a board
certified RN who takes a
mind-body-spirit-emotion
approach to the practice of
traditional nursing. Holistic
nurses often employ
alternative forms of
medicine alongside
traditional Western
medicine in their practice.

Summary:
A multidisciplinary team
is a group of health care
workers who are members
of different disciplines
(professions e.g.
Psychiatrists, Social
Workers, etc.), each
providing specific
services to the patient.
Teamwork is paramount
for the success of any
group. A multidisciplinary
team gives several
perspectives for a situation.
Different backgrounds of the
 members help them to gain
several opinions that can
prove beneficial in problem-
solving. Trends and issues
in the health care system
affects the roles of the
psychiatric –mental health
nurse.

Conclusion:
This multi-disciplinary
team can also function as
an Inter-disciplinary team
in that the total care of the
patient requires not only
the total input of each
members of this team but
also the inter-disciplinary
coordinated effort
Members of the Mental
Health Team:-  Psychiatrist
,Psychiatric nurse clinical
specialis, Registered nurse
in a psychiatric unit
,Clinical
psychologist, Psychiatric
social worker,Psychiatric
para-professionals:
1. Psychiatric nursing
aids / attendants
2. ECT Techniques
3. Auxiliary personnel
4. Occupational therapist
5. Recreational therapist
6. Diversional play
therapist
7. Creative art therapist
8. Clergymen
9. A pharmacist and a
dietician.
And a counselor
BIBLIOGRAPHY:
1. R Sreevani A guide to mental health & psychiatric nursing, Jaypee Brothers Medical
Publishers 4th Edition, (Page no:18-19) (Page no:21-24).
2. nursingpath.in/2019/02/mental-health-team.html
3. https://www.marketing91.com/multidisciplinary-team
4. https://www.slideshare.net/drjayeshpatidar/multidisciplinary-mental-health-team