Differentiate between the roles of the team members in a multi-professional mental health team. Evaluate the legal provision for each team member’s scope of practice. Evaluate the contribution of the multi-professional team to the facilitation of the community’s mental health.

2.  Differentiate between the roles of the
team members in a multi-professional
mental health team.
 Evaluate the legal provision for each
team member’s scope of practice.
 Evaluate the contribution of the multi-professional
team to the facilitation of
the community’s mental health.

3.  According to Peck & Norman (1999)
inter-professional collaboration is
needed to improve the state of mental
healthcare facilities and to enhance the
quality of services rendered by mental
healthcare institutions.

4.  Psychiatrists
 Psychiatric mental health nurse
 Clinical psychologist
 Occupational therapists
 Psychologists
 Psychiatric social worker
 Marriage and family therapist
 Mental health assistants
 Recreational therapist
 Creative arts therapist
 Psychosocial rehabilitation worker
 Registered counselors

5.  According to Peck & Norman (1999) the
role of the psychiatrist includes:
 Clinician, therapist, clinical leader,
supervisor, ‘team player’, researcher,
development of services and manager.
 Peck &Norman state that psychiatrists
perform a function giving confidence to
managers and other healthcare
professionals, they are seen as the most
powerful group in psychiatry.

6.  Peck & Norman (1999) state that
psychiatrists support the development
of community mental health but often
tend not to accept the team
approach because this means peer
status equity. According to Kneisl &
Trigoboff (2008:23) the role of
psychiatrist is mainly diagnosis and
treatment of patients with mental
health disorders.

7.  According to Kneisl & Trigoboff (2008:23)
performance of psychotherapy,
planning and implementation of
programs for behavior modification,
selection, administration, and
implementation of psychological tests.

8.  Peck & Norman (1999) states that nurses
are the professionals within healthcare
who are closest to patients, the main
skills of the mental health nurse is to
establish and maintain contact with
patients. Because the nurse has more tie
with patients, she has more opportunities
to develop interpersonal relationships.

9.  Peck &Norman (1999) state that the following are
main qualities and skills needed by the mental
healthcare nurse within the community:
 Compassion, integrity, honesty, reliability, kindness,
concern and patience. The nurse needs skills to
relate to individuals, respect patients rights, being
practical, making assessments and planning
patient actions, working towards goals, manage
complications, having a positive outlook, energy,
enthusiasm, the ability to see strengths in patients
and to instill their hope.

10.  According to Kneisl & Trigoboff (2008:21) the
psychiatric mental health nurse is responsible for:
assessment, diagnosis, outcomes identification,
planning, implementation, coordination of care,
health education and health promotion, mileu
therapy, pharmacological, biological, and
integrative therapies, prescriptive authority and
treatment, psychotherapy, consultation,
evaluation, quality of practice, education,
professional practice evaluation, collegiality,
collaboration, ethics, research, resource utilization,
and lleadership.

11.  Peck & Norman (1999) states that nursing
is held in high regard by nurses
themselves but it seems to be under-valued
by other healthcare groups,
nurses may often feel depleted and
vulnerable and mistreated.
 According to Kneisl & Trigoboff (2008:23)
the role of mental health nurse includes
rendering care for mental health
patients and being responsible for mileu.

12.  According to Psychiatric Mental health Nursing Scope &
Standards (2006:12)
 Promotion of optimal mental and physical health and well-being
and prevention of mental health illness.
 Impaired ability to function related to psychiatric, emotional and
physiological distress.
 Alterations in thinking, perceiving and communicating due to
psychiatric disorders or mental health problems.
 Behaviors and mental states that indicate potential danger to self or
others
 Emotional stress related to illness, pain, disability and loss
 Symptom management, side effects/toxicities associated with self-administered
drugs, psychopharmacological intervention and other
treatment modalities.
 The barriers to treatment efficacy and recovery posed by alcohol
and substance abuse and dependence.

13.  According to Peck & Norman (1999)
occupational therapists feel misunderstood
and undervalued by other healthcare
professionals. Occupational therapists
have a unique role in carrying out
assessments of patients skills and
occupational performance and other
deficits in daily living. The occupational
therapist also enable patients to build
strengths and to maintain areas of
performance deficit.

14.  According to Kneisl & Trigoboff (2008:23)
 Using manual, creative techniques to
enhance desired responses.
 Teaches self-help activities, and help
patients to prepare for employment.

15.  According to Kneisl & Trigoboff (2008:23)
 Planning and guidance suring
recreational activities to promote
recreation, socialization, and desired
experiences.

16.  According to Kneisl & Trigoboff (2008:23)
 Use of art, music, dancing, and literature
in order to facilitate self-esteem and
interpersonal experiences.

17.  According to Kneisl & Trigoboff (2008:23)
 Assist in development of day to day skills
for living and also provides services for
case management.

18.  According to Peck & Norman (1999)
clinical psychology is a relatively young
profession that engages in activities such
as clinical work, research, supervision
and teaching within the profession,
consultation and support to other
disciplines, and development of
planning services.

19.  According to Peck & Norman (1999) the
skills of the community social worker
relates to assessments, tasks of
management, therapeutic action with
patients. Social work is grounded in
knowledge and values guided by a
broad theoretical base of social
science, self-awareness, and relation
between patient and social worker.

20.  Peck & Norman (1999) states that
leadership in social work encompases
accountability and professional
supervision ensures that social workers
adhere to policies and procedures.

21.  According to Kneisl & Trigoboff (2008:23)
 Assists patients and their families with
coping strategies, identification of
community resources, can perform
psychotherapy and counselling.

22.  According to Kneisl & Trigoboff (2008:23)
 Provision of psychotherapy usually
involving families or couples.

23.  Evaluate the legal
provision for each
team member’s
scope of practice.

24.  According to the HPCSA (2008)
 Scope of practice: facilitation of mental health and
individual, family, and community wellness.
 Basic mental health screening.
 Identification of mental health problems and provision of
guidance (excluding psychotherapy).
 Containment of emotional distress of crisis situations till
referral.
 Contribution of social support structures and identification of
support systems and resources.
 Policy development and program design: promotion of
mental health and wellness through educational programs
 Training and supervision of individuals, families, and
communities to enhance mental health.
 Identification and referral of people with mental health
needs.

25.  According to the HPCSA (2008)
 Psychological screening and basic assessment as well as
technically limited psychological interventions to enhance
personal functioning in school, work, sport, family and
community.
 Mental health screening, limited psychological assessments.
 Identification of patients requiring advanced psychological
assessments and appropriate referral.
 Enhancing personal functioning, performing supportive and
routing psychological interventions.
 Train and supervise mental health assistants.

26.  According to the Professional board for occupational therapy
and medical orthotics/prosthetics (2004)
 Professional standing and responsibility
 Consultation and collaboration ,- working in multi-disciplinary
team, recommend additional consultations by other
professionals.
 Develop appropriate inerventions with patient-centered
approach, referral to other members.
 Assessment of patient functioning, inform pt.s regarding
purpose of procedures.
 Complile and form part of research an comply to ethical
standards.

27. According to the HPCSA (2008)
Assessment, diagnosis, interventions in patients with
life challenges, particularly serious forms of
psychological distress and psychopathology.
 Assessment of cognitive, personality, emotional
and neuropsychological functions in serious forms
of psychological distress.
 Identification of psychiatric disorders
 Application of intervention and therapy , perform
counseling. Plan, develop and apply paradigms,
theories, models, constructs to enhance individual,
group, and community effectivity.
 Neuropsychologists: can also treat and rehabilitate
disorders.

28.  According to SANC regulation 2598 (1978)
 Diagnose, prescribing, provision of nursing regimens.
 Medication as prescribed by registered person.
 Treatment, care, administration of medication and
monitoring patient.
 Prevention of disease
 Educate individuals, groups, families and offer counseling.
 Promote activities to enhance health and rehabilitate
patients.
 Facillitation of optimum health for individuals, family, groups /
community

29.  Assessment
 Diagnosis
 Outcomes identification
 Planning
 Implementation
 Coordination of care
 Health teaching and health promotion
 Mileu therapy
 Pharmacological, biological and complementary interventions
 Prescriptive authority and treatment, psychotherapy, consultation
 Evaluation, quality of practice, education, professional practice
evaluation.
 Collegiality,collaboration, ethics, research, resource utilization,
leadership.

30. According to SACSSP (2011). Social professions act 110 of
1978
Ergometric testing: use of various assessment technologies.
Case management: help people to develop goals and make
informed decisions, providing access to effectively use
services, develop needed services, advocate for patients to
improve well-being.
Casework: direct practice, advocacy for individuals, groups,
couples, familes.
Community: community development.
Social work aadministration: indirect practice to efficiently
improve organizations goals and objectives and so doing
improve well being.
Research.

31.  In the community healthcare setting there are
various roles and responsibilities between various
groups that overlap such as assessment and care.
It is thus every healthcare worker’s responsibility to
ensure that mental healthcare users are treated
and managed according to their needs and
referred to other team members in cases where
those members are more qualified to deal with
such aspects. Therapy from multi-disciplinary team
can enhance outcomes of the patient.

32.  According to Peck & Norman (1999) the role of
psychiatrists as long-term team member includes
building relationships and enhancing knowledge of
other team members. Nurses in community based
services form a key role as they are able to
connect the community with other healthcare
providers to enhance quality of care and a more
multi-dimensional approach.

33.  According to Kneisl & Trigoboff (2008:22) a multi-professional
approach is mainly led by teamwork
and co-operation between members, rather than
competition. Teamwork enhances the movement
towards common goals. Co-operation between
members enhances patient outcomes. Values and
mutual respect will enhance relationships and
working together enhances creativity, depth,
perspectives, and co-operation.

34.  According to Kneisl & Trigoboff (2008:22) traditional
definitions of roles have evolved to such an extent
that various elements of psychiatric professionals
now overlap. Trained professionals now have more
influence than in the past. Within community
settings mental health has improved in a manner
where there are trained professionals available
and adequate referral to applicable professionals
is possible.

35.  According o Kneisl & Trigoboff (2008:22)
psychiatric mental health nures must
plan and share with other members of
the multi-professional team in order to
enhance mental health services. The
purpose of collaboration is to make the
best use of every team members abilities
and ensure that patients receive the
most effective treatment and care
possible.

36. Health professions council of South Africa. 2008. Practice framework for
psychologists, psychometrists, registered counsellors and mental health assistants.
http://www.hpcsa.co.za/downloads/psychology/form_224.pdf Date of access:
27/03/2014
Peck, E., Norman, I.J. 1999. Working together in adult community mental health
services: Exploring inter-professional role relations. Journal of mental health,
8(3):231-242.
http://eds.a.ebscohost.com.nwulib.nwu.a.za/pdfviewer?sid=efcedc42-a0b9-4a41bb5a-993f443d4254%Date of access: 25/03/2014
Kneisl, C.R., Trigoboff, E. 2008. Contemporary psychiatric-mental health nursing.
3nd ed. Upper Saddle River, NJ: Pearson/Prentice hall.

37. Professional board for occupational therapy and medical orthotics/prostthetics.
2004. Standards of practice for occupational therapists.
http://www.google.co.za/url?
sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CCoQFjAA&url=http%3A%2F
%2Fwww.ruralrehab.co.za%2Fuploads
%2F3%2F0%2F9%2F0%2F3090989%2Fot_standards_of_practice_ot_profboard20
04.doc&ei=MXQ8U63tNsrB7Ab6s&usg=AFQjCNFcKXzn-iTb78RROSNW5KyyzSlyUQ&
sig2=tspTciuygqHx-qBpbFIYcw Date of access:
1/04/2014
Psychiatric mental health nursing Scope & standards. 2006.
Social service professions act 110. 1978.
www.saopf.org.za/sites/default/files/your_rights/Social%Service%20Professions%20Act%20No.%Date of access: 25/03/2014