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PSYCHIATRIST
• The practice of medicine
is the assessment of the
physical or mental
condition of an
individual and the
diagnosis , treatment
and prevention of any
disease, disorder or
dysfunction (Medicine
Act,1991, S.O. 1991,
c.30).leader of health
care team.
21-07-2015 3
Educational
qualification
Psychiatrist is a physician that is qualified in
MD psychiatry, which require a 3 years residency
, 2 years of clinical practice and completion of an
examination.
• In Canada, they need licence to practice
medicine in their province and specialist
certification in psychiatry by either the Royal
College of Physicians and Surgeons or
Provincial College.21-07-2015 4
Roles21-07-2015 5
• Assessment
:-Performing
health
assessments
including:
Taking a full
medical
history
• Screening
patients at
risk for
hereditable
conditions
and
potentially
preventable
disorders.
• Provision of
continuous care to
patients over their
lifetime based on
the delivery of the
following services:
– Acute medical
treatment
life threatening
illness presenting
to emergency
rooms, in
hospitals, in the
home and in long
term care.
Perform the role of
advocate to assist patients
to navigate through a
complex health care system
in order to obtain the best
care in the most expeditious
way in a cost effective
manner.
- Identify and meet the
needs of the individual
patients, the practice
population and the
community in general by
working with a variety of
partners throughout the
public health, community,
and hospital sectors.
Assist with
discharge planning,
rehabilitation
services, out-patient
follow-up and home
care services
Coordinate referrals
to other health care
providers and
agencies, including
specialists,
rehabilitation and
secondary and
tertiary facilities
based on patients’
needs.21-07-2015 6
Though the medical specialty of psychiatry
uses research in the field
of neuroscience, psychology, medicine, biol
ogy, biochemistry, and pharmacology, it has
generally been considered a middle ground
between neurology and psychology. Unlike
other physicians and neurologists,
psychiatrists specialize in the doctor–patient
relationship and are trained to varying
extents in the use of psychotherapy and
other therapeutic communication
techniques.
21-07-2015 7
PSYCHOLOGIST
21-07-2015 8
EDUCATION REQUIREMENT
PhD in
clinical
psychology
21-07-2015 9
CONT…
TO PRACTICE
PSYCHOLOGY
IN CANADA
MUST BE LICENSED
TO PRACTICE BY
REGULATORY
BODIES IN EACH
CANADIAN
JURISDICTION
COLLEGE OF
PSYCHOLOGISTS OF
ONTARIO
INDEPENDENT
PRACTITIOER
(PSYCHOLOGISTS OR
PSYCHOLOGICAL
ASSOCIATES)
21-07-2015 10
SCOPE OF PRACTICE OF ROLE
21-07-2015 11
CONT…
• ASSESMENT:-Evaluation, diagnosis, and assessment of the functioning of
individuals and groups related to both mental disorders as well as wellness
and mental health
• TREATMENT:-Interventions with individuals and groups and organizations.
Maintenance of wellness and disease prevention. Administration of
psychological services
• EDUCATION/ADVOCACY:-Public education regarding wellness and the
promotion of mental health
• REFERRALS/COLLABORATION:-Consultation relating to the assessment
of or interventions with individuals and groups to facilitate the prevention or
treatment of difficulties • Referral to community agencies/services
21-07-2015 12
FUNCTION WITHIN THE TEAM
SPECIALIZES IN
STUDY OF
MENTAL PROCESS
TREATMENT OF
MENTAL
DISSORDERS
PERFORMS
DIAGNOSTIC
TESTING
TREATS CLIENTS
21-07-2015 13
WHERE IS THE COMMUNITY THEY WOULD
WORK?
PRIVATE CLINIC21-07-2015 14
21-07-2015 15
21-07-2015 16
 According to Canadian Nurses Association
(CNA) nursing practice as a dynamic , caring
and helping relationship in which the nurse
assist its client to achieve and obtain optimal
health.
21-07-2015 17
 General Nursing and Midwifery program
 Bsc Nursing / Post basic Bsc Nursing
 Diploma in Psychiatric Nursing
 Diploma in Nursing Administration
21-07-2015 18
 Nurse is skilled in caring for mental ill, gives holistic
care by assessing the patients mental, social , physical
, psychological , and spiritual needs.
 Making nursing diagnosis , formulating and evaluating ,
appropriate nursing care
 She/ He co-ordinate with the clinical nurse specialist in
community mental health setting
• Social workers are the persons who help
people, solve and cope with problems in their
everyday lives, and also deal with mental,
behavioral, and emotional issues
21-07-2015 19
Education required for the role of
social worker
• A bachelor's degree is required for most social
work positions, but some positions and settings
require a master's degree. Clinical social workers
must have a master's degree. Becoming a
licensed clinical social worker usually requires a
master's degree in social work and 2 years or
3,000 hours of supervised clinical experience
after graduation. After completing their
supervised experience, clinical social workers
must pass an exam to be licensed.
21-07-2015 20
Role of social worker
• * Identify people who need help
• * Assess clients' needs, situations, strengths,
and support networks to determine their goals
• * Develop plans to improve their clients' well-
being
• * Help clients adjust to changes and challenges
in their lives, such as illness, divorce, or
unemployment
• * Research and refer clients to community
resources, such as food stamps, child care, and
healthcare.
21-07-2015 21
• * Help clients work with government agencies to
apply for and receive benefits such as Medicare
• * Respond to crisis situations, such as natural
disasters or child abuse
• * Follow up with clients to ensure that their
situations have improved
• * Evaluate services provided to ensure that they
are effective
• * Diagnose and treat mental, behavioral, and
emotional disorders, including anxiety and
depression
• * Assess clients' histories, backgrounds, and
situations to understand their needs, as well as
their strengths and weaknesses
21-07-2015 22
Work Environment
• * Hospitals and clinics
• * Nursing homes
• * Community mental health clinics
• * Private practices
• * State and local governments
• * Schools
• * Colleges and universities
• * Substance abuse clinics
• * Military bases and hospitals
21-07-2015 23
• Social workers communicate with community
members who provide services. When clients
are ready for discharge, the social worker is
able to help with a smooth transition back
into the community because the interactions
of each team member focus on the treatment
goals.
21-07-2015 24
OCCUPATIONAL THERAPIST
• The Occupational therapist is a
person who provide Occupational
therapy.
• According to Kneisl and Trigoboff
(2008:23)
• using manual, creative techniques
to enhance desired responses.
• Teaches self- help activities, and
help patients to prepare for
employments.
21-07-2015 25
EDUCATION REQUIREMENTS
• ADVANCE
DEGREE IN
OCCUPATIO
NAL
THERAPY
21-07-2015 26
SCOPE OF PRACTICE OF ROLE
Assessment of
physical,
emotional, and
cognitive
functioning.
Individualize
d treatment
plans to
develop,
maintain, or
augment
function
using
evidence
based
treatment
modalities •
Edcating and
counselling family
members and
caregivers
regarding the
impact of disability,
injury or disease on
the individual and
their potential role
within the recovery
process
Collaborates with
other health care
professionals and
community service
providers to
promote
comprehensive
and coordinated
care
21-07-2015 27
FUNCTION WITHIN THE TEAM
ASSESSES POTENTIAL FOR REHABILITATION
PROVIDES SOCIALIZATION THERAPY
VOCATIONAL THERAPY
21-07-2015 28
ROLE IN COMMUNITY
• PRIMARY CARE SERVICES
• COLLABORATE WITH STAKEHOLDERS
• CONTINUING PROFESSIONAL DEVELOPMENT
» INTERPROFESSIONAL COLLEBORATION
21-07-2015 29
DIETICIAN
• Registered dietitian
is a food and
nutrition expert who
has met academic
and professional
requirements.
21-07-2015 30
Qualification of dietitian
3 main steps:-
1. 4 years of bachelors degree in food and nutrition (
a list of accredited dietetic education programs at
Canadian universities)
2. Complete supervised practical training
• Integrated internship route
• Post degree internship route
• Undergraduate program
3. Register with a provincial dietetics organization21-07-2015 31
Role of dietitian in community mental
health
• Dietitian provide a major role in
public health care and
community services.
• They help to make menu’s in
different areas.
• All people who are living in
Canada have right for health
services which helps to promote
healthy living, body, mind and
spirit.
• Dietitians help to assess the
clinical, biochemical and
anthropometric measures,
dietary concerns and feeling
skills and also helps to
understand various aspects of
health.
21-07-2015 32
•Dietitians help to assess the clinical,
biochemical and anthropometric
measures, dietary concerns and
feeling skills and also helps to
understand various aspects of
health.
•They promote health and prevent
various diseases encourage people
to take active role in their health.
•They promote health and prevent
various diseases encourage people
to take active role in their health.
Scope of dietitian in community mental
health
21-07-2015 33
Community health centers
Family health centers
Family health teams
Public health
Sports and recreation facilities
Food industry
Academic and research settings
Hospitals
Home care
Long term care homes
Private practice
21-07-2015 34
21-07-2015 35
EDUCATION BACKGROUND
 Bachelor’s Degree in Recreational Therapy
 In Canada , candidates with certified therapeutic
recreation specialist credentials.
 In United States , certified by National Council
for Therapeutic Recreation certification ( NCTRC
)
21-07-2015 36
SCOPE OF PRACTICE

 (a) All direct patient or client services of assessment;
 (b) Planning; (c) Design; (d) Implementation; (e)
Evaluation
 (f) Documentation of specific interventions;
 (g) Management;
 (h) Consultation;
 (i) Research; and
 (j) Education for either individuals or groups that require
specific therapeutic recreation or recreation therapy
intervention with such services being provided for recreation
resources and opportunities to improve health and well
being.
21-07-2015 37
FUNCTIONS WITHIN THE TEAM
 They use recreation and leisure activities as a
form of treatment.
 The activities they devise provide opportunities
for exercise and social participation.
 The goal of their activities is to relieve
anxiety , build confidence and promote
independence.
21-07-2015 38
WHERE THEY CAN WORK
 General hospitals
 Nursing homes
 Rehabilitation centers
 Psychiatric
 Community mental health centers
 Adult daycare programs
 School system
 Prisons
 Residential facilities for mentally retarded and community
programs for disabled
 Raney, Lori E (2015). American psychiatric pub. Retrieved
from https://books.google.ca/books?id=V3HBBwAAQBAJ&p
g=PA97&dq=role+of+psychiatrist&hl=en&sa=X&ei=uvWfVfHl
LIuzyAT9jb-
ICA&ved=0CEwQ6AEwBg#v=onepage&q=role%20of%20psych
iatrist&f=true
 Vide beck, Sheila L (2013). Google books. Retrieved
from https://books.google.ca/books?id=u5CpAgAAQBAJ&vq
=role+of+psychiatrist+in+mental+health+care+team&dq=role
+of+psychiatrist+in+mental+health+care+team&source=gbs_
navlinks_s
 Wikipedia. (2015). Retrieved
from https://en.m.wikipedia.org/wiki/Psychiatry_-
_Scope_of_practice
21-07-2015 39
Kneisl, C.R., Trigoboff, E.2008. Contemporary
psychiatric mental health nursing. 3rd ed. date of
access:-09/07/2015
Morrison-valfre,M.,Foundations of mental health
care,5th ed.Missouri:St Louis,pp-16
 http://www.caot.ca/default.asp?pageid=188

http://www.health.gov.on.ca/en/pro/programs/
fht/docs/fht_inter_team.pdf
http://steinhardt.nyu.edu/ot/definition/
21-07-2015 40
 Social workers. (2013). (Occupational Outlook Handbook).
Washington: U.S. Superintendent of Documents. Retrieved from
http://search.proquest.com/docview/1461739681?accountid=394
76
 Recreational therapist:-Gamliel, S. (1985, Winter). Recreational
therapists. Occupational Outlook Quarterly, 29, 18+. Retrieved
from http://proxy.library.niagarac.on.ca:8080/login?
• http://ipc.fhrco.org/scopes.php?id=17
• http://www.dcregs.dc.gov/Gateway/RuleHome.aspx?RuleNumbe
r=17-7203
• http://www.academicinvest.com/science-careers/exercise-science-
careers/how-to-become-a-recreation-therapist
21-07-2015 41
21-07-2015 42
21-07-2015 43

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multidisciplinary heathcare team

  • 3. PSYCHIATRIST • The practice of medicine is the assessment of the physical or mental condition of an individual and the diagnosis , treatment and prevention of any disease, disorder or dysfunction (Medicine Act,1991, S.O. 1991, c.30).leader of health care team. 21-07-2015 3
  • 4. Educational qualification Psychiatrist is a physician that is qualified in MD psychiatry, which require a 3 years residency , 2 years of clinical practice and completion of an examination. • In Canada, they need licence to practice medicine in their province and specialist certification in psychiatry by either the Royal College of Physicians and Surgeons or Provincial College.21-07-2015 4
  • 6. • Assessment :-Performing health assessments including: Taking a full medical history • Screening patients at risk for hereditable conditions and potentially preventable disorders. • Provision of continuous care to patients over their lifetime based on the delivery of the following services: – Acute medical treatment life threatening illness presenting to emergency rooms, in hospitals, in the home and in long term care. Perform the role of advocate to assist patients to navigate through a complex health care system in order to obtain the best care in the most expeditious way in a cost effective manner. - Identify and meet the needs of the individual patients, the practice population and the community in general by working with a variety of partners throughout the public health, community, and hospital sectors. Assist with discharge planning, rehabilitation services, out-patient follow-up and home care services Coordinate referrals to other health care providers and agencies, including specialists, rehabilitation and secondary and tertiary facilities based on patients’ needs.21-07-2015 6
  • 7. Though the medical specialty of psychiatry uses research in the field of neuroscience, psychology, medicine, biol ogy, biochemistry, and pharmacology, it has generally been considered a middle ground between neurology and psychology. Unlike other physicians and neurologists, psychiatrists specialize in the doctor–patient relationship and are trained to varying extents in the use of psychotherapy and other therapeutic communication techniques. 21-07-2015 7
  • 10. CONT… TO PRACTICE PSYCHOLOGY IN CANADA MUST BE LICENSED TO PRACTICE BY REGULATORY BODIES IN EACH CANADIAN JURISDICTION COLLEGE OF PSYCHOLOGISTS OF ONTARIO INDEPENDENT PRACTITIOER (PSYCHOLOGISTS OR PSYCHOLOGICAL ASSOCIATES) 21-07-2015 10
  • 11. SCOPE OF PRACTICE OF ROLE 21-07-2015 11
  • 12. CONT… • ASSESMENT:-Evaluation, diagnosis, and assessment of the functioning of individuals and groups related to both mental disorders as well as wellness and mental health • TREATMENT:-Interventions with individuals and groups and organizations. Maintenance of wellness and disease prevention. Administration of psychological services • EDUCATION/ADVOCACY:-Public education regarding wellness and the promotion of mental health • REFERRALS/COLLABORATION:-Consultation relating to the assessment of or interventions with individuals and groups to facilitate the prevention or treatment of difficulties • Referral to community agencies/services 21-07-2015 12
  • 13. FUNCTION WITHIN THE TEAM SPECIALIZES IN STUDY OF MENTAL PROCESS TREATMENT OF MENTAL DISSORDERS PERFORMS DIAGNOSTIC TESTING TREATS CLIENTS 21-07-2015 13
  • 14. WHERE IS THE COMMUNITY THEY WOULD WORK? PRIVATE CLINIC21-07-2015 14
  • 16. 21-07-2015 16  According to Canadian Nurses Association (CNA) nursing practice as a dynamic , caring and helping relationship in which the nurse assist its client to achieve and obtain optimal health.
  • 17. 21-07-2015 17  General Nursing and Midwifery program  Bsc Nursing / Post basic Bsc Nursing  Diploma in Psychiatric Nursing  Diploma in Nursing Administration
  • 18. 21-07-2015 18  Nurse is skilled in caring for mental ill, gives holistic care by assessing the patients mental, social , physical , psychological , and spiritual needs.  Making nursing diagnosis , formulating and evaluating , appropriate nursing care  She/ He co-ordinate with the clinical nurse specialist in community mental health setting
  • 19. • Social workers are the persons who help people, solve and cope with problems in their everyday lives, and also deal with mental, behavioral, and emotional issues 21-07-2015 19
  • 20. Education required for the role of social worker • A bachelor's degree is required for most social work positions, but some positions and settings require a master's degree. Clinical social workers must have a master's degree. Becoming a licensed clinical social worker usually requires a master's degree in social work and 2 years or 3,000 hours of supervised clinical experience after graduation. After completing their supervised experience, clinical social workers must pass an exam to be licensed. 21-07-2015 20
  • 21. Role of social worker • * Identify people who need help • * Assess clients' needs, situations, strengths, and support networks to determine their goals • * Develop plans to improve their clients' well- being • * Help clients adjust to changes and challenges in their lives, such as illness, divorce, or unemployment • * Research and refer clients to community resources, such as food stamps, child care, and healthcare. 21-07-2015 21
  • 22. • * Help clients work with government agencies to apply for and receive benefits such as Medicare • * Respond to crisis situations, such as natural disasters or child abuse • * Follow up with clients to ensure that their situations have improved • * Evaluate services provided to ensure that they are effective • * Diagnose and treat mental, behavioral, and emotional disorders, including anxiety and depression • * Assess clients' histories, backgrounds, and situations to understand their needs, as well as their strengths and weaknesses 21-07-2015 22
  • 23. Work Environment • * Hospitals and clinics • * Nursing homes • * Community mental health clinics • * Private practices • * State and local governments • * Schools • * Colleges and universities • * Substance abuse clinics • * Military bases and hospitals 21-07-2015 23
  • 24. • Social workers communicate with community members who provide services. When clients are ready for discharge, the social worker is able to help with a smooth transition back into the community because the interactions of each team member focus on the treatment goals. 21-07-2015 24
  • 25. OCCUPATIONAL THERAPIST • The Occupational therapist is a person who provide Occupational therapy. • According to Kneisl and Trigoboff (2008:23) • using manual, creative techniques to enhance desired responses. • Teaches self- help activities, and help patients to prepare for employments. 21-07-2015 25
  • 26. EDUCATION REQUIREMENTS • ADVANCE DEGREE IN OCCUPATIO NAL THERAPY 21-07-2015 26
  • 27. SCOPE OF PRACTICE OF ROLE Assessment of physical, emotional, and cognitive functioning. Individualize d treatment plans to develop, maintain, or augment function using evidence based treatment modalities • Edcating and counselling family members and caregivers regarding the impact of disability, injury or disease on the individual and their potential role within the recovery process Collaborates with other health care professionals and community service providers to promote comprehensive and coordinated care 21-07-2015 27
  • 28. FUNCTION WITHIN THE TEAM ASSESSES POTENTIAL FOR REHABILITATION PROVIDES SOCIALIZATION THERAPY VOCATIONAL THERAPY 21-07-2015 28
  • 29. ROLE IN COMMUNITY • PRIMARY CARE SERVICES • COLLABORATE WITH STAKEHOLDERS • CONTINUING PROFESSIONAL DEVELOPMENT » INTERPROFESSIONAL COLLEBORATION 21-07-2015 29
  • 30. DIETICIAN • Registered dietitian is a food and nutrition expert who has met academic and professional requirements. 21-07-2015 30
  • 31. Qualification of dietitian 3 main steps:- 1. 4 years of bachelors degree in food and nutrition ( a list of accredited dietetic education programs at Canadian universities) 2. Complete supervised practical training • Integrated internship route • Post degree internship route • Undergraduate program 3. Register with a provincial dietetics organization21-07-2015 31
  • 32. Role of dietitian in community mental health • Dietitian provide a major role in public health care and community services. • They help to make menu’s in different areas. • All people who are living in Canada have right for health services which helps to promote healthy living, body, mind and spirit. • Dietitians help to assess the clinical, biochemical and anthropometric measures, dietary concerns and feeling skills and also helps to understand various aspects of health. 21-07-2015 32 •Dietitians help to assess the clinical, biochemical and anthropometric measures, dietary concerns and feeling skills and also helps to understand various aspects of health. •They promote health and prevent various diseases encourage people to take active role in their health. •They promote health and prevent various diseases encourage people to take active role in their health.
  • 33. Scope of dietitian in community mental health 21-07-2015 33 Community health centers Family health centers Family health teams Public health Sports and recreation facilities Food industry Academic and research settings Hospitals Home care Long term care homes Private practice
  • 35. 21-07-2015 35 EDUCATION BACKGROUND  Bachelor’s Degree in Recreational Therapy  In Canada , candidates with certified therapeutic recreation specialist credentials.  In United States , certified by National Council for Therapeutic Recreation certification ( NCTRC )
  • 36. 21-07-2015 36 SCOPE OF PRACTICE   (a) All direct patient or client services of assessment;  (b) Planning; (c) Design; (d) Implementation; (e) Evaluation  (f) Documentation of specific interventions;  (g) Management;  (h) Consultation;  (i) Research; and  (j) Education for either individuals or groups that require specific therapeutic recreation or recreation therapy intervention with such services being provided for recreation resources and opportunities to improve health and well being.
  • 37. 21-07-2015 37 FUNCTIONS WITHIN THE TEAM  They use recreation and leisure activities as a form of treatment.  The activities they devise provide opportunities for exercise and social participation.  The goal of their activities is to relieve anxiety , build confidence and promote independence.
  • 38. 21-07-2015 38 WHERE THEY CAN WORK  General hospitals  Nursing homes  Rehabilitation centers  Psychiatric  Community mental health centers  Adult daycare programs  School system  Prisons  Residential facilities for mentally retarded and community programs for disabled
  • 39.  Raney, Lori E (2015). American psychiatric pub. Retrieved from https://books.google.ca/books?id=V3HBBwAAQBAJ&p g=PA97&dq=role+of+psychiatrist&hl=en&sa=X&ei=uvWfVfHl LIuzyAT9jb- ICA&ved=0CEwQ6AEwBg#v=onepage&q=role%20of%20psych iatrist&f=true  Vide beck, Sheila L (2013). Google books. Retrieved from https://books.google.ca/books?id=u5CpAgAAQBAJ&vq =role+of+psychiatrist+in+mental+health+care+team&dq=role +of+psychiatrist+in+mental+health+care+team&source=gbs_ navlinks_s  Wikipedia. (2015). Retrieved from https://en.m.wikipedia.org/wiki/Psychiatry_- _Scope_of_practice 21-07-2015 39
  • 40. Kneisl, C.R., Trigoboff, E.2008. Contemporary psychiatric mental health nursing. 3rd ed. date of access:-09/07/2015 Morrison-valfre,M.,Foundations of mental health care,5th ed.Missouri:St Louis,pp-16  http://www.caot.ca/default.asp?pageid=188  http://www.health.gov.on.ca/en/pro/programs/ fht/docs/fht_inter_team.pdf http://steinhardt.nyu.edu/ot/definition/ 21-07-2015 40
  • 41.  Social workers. (2013). (Occupational Outlook Handbook). Washington: U.S. Superintendent of Documents. Retrieved from http://search.proquest.com/docview/1461739681?accountid=394 76  Recreational therapist:-Gamliel, S. (1985, Winter). Recreational therapists. Occupational Outlook Quarterly, 29, 18+. Retrieved from http://proxy.library.niagarac.on.ca:8080/login? • http://ipc.fhrco.org/scopes.php?id=17 • http://www.dcregs.dc.gov/Gateway/RuleHome.aspx?RuleNumbe r=17-7203 • http://www.academicinvest.com/science-careers/exercise-science- careers/how-to-become-a-recreation-therapist 21-07-2015 41