Unit I. Introductory Concept

Unit I.
Introductory Concept
Interdisciplinary Team
Essential Qualities of Psychiatric Nurses
Roles of Nurses
INTRODUCTION
Team work is significant in any setting more so in a mental health setting.
The milieu needed to care for patient depends up on the qualification, experience, skillful handling of the situation by all
members of the team with similar approach.
For promotion of a therapeutic environment 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.
Teamwork is paramount for the success of any group.

Teamwork means the combined, co-coordinated & dedicated effort of each & every member of the team toward achievemen
of the vested interest, target or goal of the team as an entity.
Teamwork becomes more significant in a mental health setting where the contribution of all the members is extremely vital f
the assessment, diagnosis, treatment, inpatient rehabilitation as well as community based rehabilitation of the mentally ill
patient.
Team work is one of the steps leading to exemplary care of the individual, his family & the community at large thus making
the millennium concept of “Holistic Patient Care” a reality.
CONCEPT OF MULTI-DISCIPLINARY TEAM
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 .
One can compare this concept to an orchestra led by the music director.
Each members of the orchestra has to give his input & 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 & his illness will lead to the
splendid outcome of recovery of the patient to his maximum capability & capacity in the community.
Therapist
Interdisciplinary Team – May be marriage counselors, life
Psychiatrist coaches and social workers
► Medical doctor with special training in – Conducts individual and group
mental illness and
therapy session
behavioral/emotional problems
► Diagnoses conditions and prescribes – Incorporates leisure activities in
medical treatment group settings
Psychologist Nurse
► Advanced degree in psychology, – Administering and monitoring medications

administer psychiatric testing – Assisting in numerous psychiatric and physical
► May do research and provide support treatments
and guidance – Participate in interdisciplinary team meetings
► Provides individual and group therapy – Teach patients and families
– Take responsibility for patient's records
– Act as patient's advocate
– Interact with patients' significant others
1. PSYCHIATRIST
The psychiatrist is a 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.
2. 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, administration & research, bedsides publishing work in a mental health setting.
She takes up the role of a leader & can practice independently.
3. REGISTERED NURSE IN A PSYCHIATRIC UNIT
The registered nurse undergoes a general nursing & midwifery program 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, making a nursing diagnosis, formulating, evaluating & rendering the appropriate nursing
care.
She/he co-ordinates with the clinical nurse specialist in a community mental health setting.
She/he updates knowledge via continuing education, in- service education, workshops & courses conducted by open
Universities.
4. CLINICAL PSYCHOLOGIST
The clinical psychologist holds a doctoral 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.
5.ThePpsychiatric
SYCHIATRIC SOCIAL WORKER
social worker is a graduate in social work & post-graduate in psychiatric social work. She/he 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.
She/heis skilled in interview techniques & group dynamics.
6. PSYCHIATRIC PARA-PROFESSIONALS
A. Psychiatric Nursing Aids/Attendants
B. ECT technicians
C. Auxiliary Personnel
D. Occupational Therapist
E. Recreational Therapist
F. Diversional Play Therapist
G. Creative Art Therapist
H. Clergyman
Essential Qualities of Psychiatric Nurses
6. Empathizing with the patient
7. Reliability
8. Professionalism
9. Accountability
1. Self-Awareness 10. Being able to think critically
2. Self-acceptance
11. Genuine
3. Accepting the patient
12. Respect
4. Being sincerely interested in
patient care 13. Concreteness
5. Being available
INTRODUCTION… Role of Psychiatric Nurses
•Trends & issues in the health care
system affect the roles of the Ward/milieu
psychiatric – mental health nurse. Technician Role model
manager
•Psychiatric nurses have traditionally
worked on inpatient psychiatric units, • creator of a • technical aspect • as a symbol of
they have continued to expand their therapeutic of nursing care health
role into the community. environment
•There are two levels of
psychiatric-mental health nurses: The
generalist (registered psychiatric nurse)
& the specialist (CNS). Professional Role Researcher Collaborator
•The scope & roles of both are • contribute to the • Utilizes • Effectively work
guided by nurse practice acts & by growth of self and psychiatric with the other
standards of care. of the profession principles and members of the
research health care team
Role and Essential Qualities of Psychiatric Nurses
Teacher Caregiver Advocate
• Teach the client new methods of • Build trust, explore feelings • Informs the client and
coping and solving problems • Assist in problem solving supports him or her whatever
• Illness management • Help the client meet decision he or she makes
• Medication regimen psychosocial needs • Advocacy is the process of
• Available community resources acting on the client’s behalf
when he or she cannot do so
Parent Surrogate Social agent Therapist/Counselor
• Parent substitute • encourage patient to • Applies principles of

• Continue to nurture the participate in the activity psychotherapy.
client while establishing • As a counselor, listens and
boundaries • Provides opportunity for
patient to express anxiety

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Unit I.

Essential Qualities of Psychiatric Nurses

Teamwork is paramount for the success of any group.

► Advanced degree in psychology, – Administering and monitoring medications

2. PSYCHIATRIC NURSE CLINICAL SPECIALIST

She/heis skilled in interview techniques & group dynamics.

Parent Surrogate Social agent Therapist/Counselor

• Parent substitute • encourage patient to • Applies principles of

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