New Ways of Working for Applied
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New Ways of Working for Applied Psychologists in Health and Social Care Working Psychologically in Teams Summary Report: New Ways of Working for Applied Psychologists in Health and Social Care – Working Psychologically in Teams is published by The British Psychological Society, St Andrews House, 48 Princess Road East, Leicester LE1 7DR. © The British Psychological Society 2007 ISBN: 978 1 85433 460 2 Author of Final Report Steve Onyett The British Psychological Society St Andrews House, 48 Princess Road East, Leicester LE1 7DR, UK Tel: 0116 252 9568 Fax: 0116 227 1314 E-mail: [email protected] Website: www.bps.org.uk Incorporated by Royal Charter Registered Charity No 229642 REP63_3/08.2007 Contents Acknowledgements and Authorship.................................................................................................................2 Summary and Key Messages.............................................................................................................................3 Introduction.......................................................................................................................................................4 Creating Effective Teams..................................................................................................................................6 Defining teams ........................................................................................................................................6 Recognising effective teamworking .......................................................................................................7 The formation of effective teams...........................................................................................................9 Interventions to improve teamworking...............................................................................................10 Teamworking in Health and Social Care .......................................................................................................14 Psychologists in relation to the team...................................................................................................14 Teams in complex contexts..................................................................................................................17 Promoting effective individual service planning ................................................................................19 The need to clarify the underlying assumptions in use...............................................................19 Achieving an effective working formulation to guide team interventions.................................22 Communication and decision-making ................................................................................................23 Risk and choice...............................................................................................................................24 Who decides what? .........................................................................................................................25 Valuing constructive conflict................................................................................................................27 Supporting peer consultation processes and reflective practice.......................................................28 Promoting effective participation of service users and their relatives/carers..................................31 Supporting users and carers in finding a voice............................................................................32 Raising awareness of the possible..................................................................................................32 Supporting individuals in their roles ............................................................................................33 Making good use of information...................................................................................................33 Training ...........................................................................................................................................33 Responsibility and accountability ........................................................................................................36 Practitioner responsibilities ...........................................................................................................36 The responsibilities of employing authorities ..............................................................................37 Tasks that shape practitioner behaviour .......................................................................................37 Medical accountability....................................................................................................................39 The leadership of teams.......................................................................................................................39 Psychologists as consultants to their own organisations ....................................................................42 Teaching and training ..........................................................................................................................44 Research and service evaluation ..........................................................................................................46 Implications for Psychologists of New Ways of Working in Teams.............................................................47 Primary care ..........................................................................................................................................47 Physical health care ..............................................................................................................................51 Community development and social inclusion ..................................................................................52 Work with people diagnosed with psychosis and other complex mental health needs ..................54 Inpatient care..................................................................................................................................56 Further issues with respect to crisis resolution and home treatment teams ..............................59 Further issues with respect to early intervention teams...............................................................61 Implications of virtual teamworking....................................................................................................62 Continuing the dialogue together ..................................................................................................................65 References .......................................................................................................................................................66 1 Acknowledgements and Authorship This report was compiled and edited by Steve Onyett from the work of a wide range of contributors including: Angela Carter Research Fellow, the Institute of Work Psychology, the University of Sheffield. Anne Bickerdike Counselling psychologist. Annie Benson Learning & Development Manager: Royal College of Nursing. Barry Foley Senior Advisor Workforce, National Workforce Programme/ Senior Consultant Workforce CSIP/NIMHE North West. Catherine Clarke Carer with the day-to-day experience of living with a relative who has mental health difficulties. Chè Rosebert Dr, Chartered Clinical Psychologist, South West london & St. George's Mental Health NHS Trust. Christine Vize Associate Director (New Ways of Working) CSIP/ Consultant Psychiatrist and Director for New Ways of Working. Avon & Wiltshire Mental Health Partnership NHS Trust. David Trickey Consultant Clinical Psychologist, Leicestershire Partnership NHS Trust. Eric Davis Consultant Clinical Psychologist. Gloucestershire Recovery in Psychosis (GRIP) Early Intervention in Psychosis Team. Gloucestershire Partnership NHS Trust. Visiting Professor, University of the West of England. Fabian Davis Consultant Psychologist (Community & Social Inclusion). Oxleas NHS Foundation Trust. Felix Davies Director of Psychological Therapies, Doncaster and South Humber Healthcare NHS Trust. Gillian Hardy Professor of Clinical Psychology, University of Sheffield. Helen Beinart Clinical Director, Oxford Doctoral Course in Clinical Psychology, Warneford Hospital, Oxford. Isabel Clarke Consultant Clinical Psychologist: AMH Woodhaven, Hampshire Partnership NHS Trust. Jane Leadbetter Director of Ed Psych D Programme, School of Education, University of Birmingham. Joan Staples Counselling and Occupational Psychologist specialising in team development projects within the NHS, Manufacturing and Financial Services. John Hanna Consultant Clinical Psychologist/Head of Speciality, Acute Inpatient. Camden and Islington Mental Health and Social Care Trust. Lucy Johnstone Academic Director. Bristol Clinical Psychology Directorate. Lynda Parham Chartered Clinical Psychologist, Avon and Wiltshire Mental Health Partnership NHS Trust. Mark Hayward Academic Tutor. PsychD Clinical Psychology. University of Surrey. May Sarsam Clinical Psychologist in Adult Mental Health, Merseycare NHS Trust. Michael Byrne Principal Psychology Manager, Roscommon PCCC, HSE West, Ireland. Michael West Professor of Organisational Psychology, Head of Research, Aston Business School. Nichola Rumsey Professor of Health Psychology, University of the West of England Bristol. Nicky Bradbury Consultant Clinical Psychologist, Birmingham and Solihull Mental Health Trust.