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O10/27-10/30/99nTransdisciplinary Collaboration, P. Connolly & J. Novakc@aTransdisciplinary Collaboration: A Demonstration Project Phyllis M. Connolly, PhD, RN, CS Jean M. Novak, PhD, CCC-SLP San Jose State University, San Jose, CA*:f $Discuss the driving forces related to the need for transdisciplinary collaboration Recognize discipline specific assessment tools and interventions use for 91 Transdisciplinary Project Identify client specific outcomes based on the Omaha Documentation System `4#A*6,3bxSocietal ShiftsNationalism replaced with global economy Social ecology--needs for integration & connections Social capital--networks, norms, trust, coordination & cooperationTRENDSHigh-value organizations depend on and expect workers at all levels to be capable of making decisions Health care being driven by changes in industry New organizations New forms of delivery systems-- managed care New ways of relating to each other Smaller companies Outsourcing Disease managementChanging Work EnvironmentTechnology Demographics Managed Care Purchaser s Influence Health Insurance Industry Changing Health Systems TelemedicineRelationship to HealthConcern not only with costs & benefits but with social, emotional, & physical health Promoting health and providing health care, no longer the exclusive domain of any discipline Need for interdependence to improve population health care outcomes 2U#Primary Care: Collaboration Needed$#(k Anxiety disorders, depression & substance abuse most frequently misdiagnosed in primary care practices &lf k Through collaborative efforts, provide quality, cost effective services for persons with serious mental illness living in the community while simultaneously preparing future mental health professionals for practice. ( 0'Transdisciplinary Collaboration Project( ($ Definition Collaboration!A dynamic transforming process of creating a power sharing partnership for pervasive application in health care practice, education, research, & organizational settings for the purposeful attention to needs and problems in order to achieve likely successful outcomes (Sullivan, 1998, p. 6)TransdisciplinaryRefers to a relatively new model based on the concept that the needs of the recipient of services (student, patient, client, etc.) dictates the roles to be performed by members of the team. There can be much overlap in individual job descriptions."Transdisciplinary Team Advantages#"(*Individualized rehabilitation plan-goals Integrated service delivery Role delineation Reduction of redundant care Increase of interaction between professionals Generalization and maintenance of skills Learning with and from each other Sharing and growing Improved quality of life Cost effectiveness+*,6Behavioral Ecological Model of Community Mental Health7 7.9Behavioral-ecological Perspective Values & Interventions: :(Specific values: Promoting individual competence Enhancing psychological sense of community Supporting cultural diversity Interventions seek to: Optimize human development Enhance coping and mastery skills Enhance organizational and community strengths Improved quality of life  i  l    in w"Competence Paradigm: Health Based# #({Transdisciplinary Project Assessment & Outcome Tools Pragmatic Protocol Social Skills Rating Scale Canadian Occupational Performance Omaha Nursing Documentation System Allen s Cognitive Levels Kohlman Evaluation of Living Skills Psychosocial Assessment CERT-Psych  $9BOmaha Nursing Documentation System Domains Interventions(C"($(,#aI. Environmental II. Psychosocial III. Physiological IV. Health Related BehaviorsT&a N xI. Health Teaching Guidance, Counseling II. Treatments & Procedures III. Case Management IV. Surveillance P'N=6<Domain II. Psychosocial IV. Health Related Behaviors=<$Communication with community resources Social contact Role change Interpersonal relationship Spiritual distress Grief Emotional stability Human sexuality Caretaking/parenting Neglected child/adult Abused child/adult Growth & development  Nutrition Sleep and rest patterns Physical activity Personal hygiene Substance use Family planning Health care supervision Prescribed medication regimen Technical procedureTargetsqBehavior modification Caretaking/parenting skills Communication Coping skills Exercises Food Interaction Wellness Medication action/side effects Nutrition Rehabilitation Relaxation/breathing techniques Safety Signs/symptoms Stress managementOmaha Rating Scale  =Issues for Collaboration Health Communication > =(UWeight loss Exercise Grooming Safe sex Nutrition Stress management Symptom managementV V `Memory Cognition Speech Narrative discourse Conversational skills Social skills Hearing Literacya a"$Approaches to Collaborative Outcomes% %(tPrimary discipline Assess and evaluate problems and needs Treat & evaluate Seek consultation & referrals Collaborate. b  c VSupportive discipline Validate treatment approach Assess, treat, recommend Collaborate. A  BCollaborative InterventionsIndividual One to one Consultation Case Management Health teaching and counseling/guidance Surveillance Treatments & Procedures Referrals$   KGroup Psychoeducational classes Modules Activities Health teaching Advocacy$FF# Weight Loss  Nursing Assess nutritional status Assess eating behaviors Assess environment Assess and establish exercise program Teach appropriate food selections Evaluate, weigh weekly(   Communication Disorders Organizing a eating schedule Categorizing appropriate food choices Follow up comprehension Food preparation( m m$Stress Management Nursing Crisis intervention Deep breathing Self talk Time out Visualization Prevention Diet & nutrition Exercise Time managementd  0   * 0 * kCommunication Disorders Organizing and creating schedules Follow up on comprehension Routines Social skills( T T%Memory Communication Disorders interventions Scheduling Visual, writing notes, Reminders Calendars Routines Self generated strategies Repetition Rehearsals(& o &o Nursing interventions Assess for physiological causes Assess for nutritional status Assess medication efficacy Develop collaborative plan utilizing memory enhancement strategies(  &Speech (Dysarthria) Communication Disorders Oral facial evaluation Oral motor exercises Voice Exaggerated enunciation Oral facial awareness Rate of speech< , C ,C Nursing Assess AIMS Assess medication Assess oral hygiene Assess dental hygiene Assess nutritional status Follow up on oral motor exercises(  '8CCF # 9012, Problem 21, Speech, Communication, Spring 979 9(bDifficulty with Intelligibility Topic maintenance Organizational skills Withdrawal Interventions N Q   R Outcomes Decrease in rate of speech Increased Intelligibility Narrative discourse, expanded utterances, increase volume Self expression Organizational skills Interaction Social interaction Attention and participationV  &    2CCF # 9012, Problem 21, Speech, Nursing, Spring 973 32Knowledge: 2 Behavior: 2 Status: 3J     3 1Knowledge: 4 Behavior: 4 Status: 4J     2 &CCF #9513, Problem 21, Speech, Fall 98-Knowledge: 3 Behavior: 3 Status: 3 5Knowledge: 4 Behavior: 4 Status: 4 6CCF # 9073, Problem 30, Digestion-Hydration, Spring 997 72Knowledge: 2 Behavior: 2 Status: 2J     3 1Knowledge: 4 Behavior: 3 Status: 3J     2 3CCF # 9033, Problem 21, Speech, Fall 98 - Spring 994 42Knowledge: 2 Behavior: 2 Status: 3J     3 1Knowledge: 4 Behavior: 4 Status: 4J     2 :CCF #9075, Problem 07, Social Contact, Fall 98 - Spring 99; ;(2Knowledge: 1 Behavior: 2 Status: 2J     3 4Knowledge: 3 Behavior: 3 Status: 3J     5 *2CCF #9012, Problem 38, Personal Hygiene, Spring 973 3(2Knowledge: 2 Behavior: 2 Status: 3J     3 4Knowledge: 4 Behavior: 4 Status: 4J     5 1CCF # 9036, Problem 39, Substance Use, Spring 9721(4Knowledge: 2 Behavior: 2 Status: 2 4Knowledge: 4 Behavior: 3 Status: 308Outcomes Interpersonal Relations: Crossroads S 95 - F 989 9(Additional Resident OutcomesDecrease in symptoms Community tenure Increased use of community resources Attendance at OT Clinic on campus Increased use of City & University libraries  Employment More independent housing Participation in City Recreation Program Enrollment in College and University Volunteer jobs.Cost Savings Study Crossroads Village: 1993-94/ / N=25 (9 -12 month) By using Crossroads Village, 25 persons achieved tenure with total savings of $369,471 in the following areas: Locked facility costs Emergency psychiatric services costs Acute in-patient psychiatric services costs Contract services costs:  X Outcomes Fall 1993 - Spring 1999! (K22,837 hours direct care 321 undergraduates 59 graduate students 10 facultyLL(lEvaluating Student LearningmTransdisciplinary Seminar Supervision Groups Logs Direct Observation Process Recordings Care Plans One to onepChallenges and Issues Conflicts in missions Supervision of non-nursing students on site Staffing during non-academic times Maintaining faculty interest Role strain Students dropping clients Inadequate space to meet with students  Lack of university support Staff turnover Client hospitalizations Communications Cutbacks in county funding Obtaining permission to provide services from conservators and case managers Conflicts with OT clinic schedule 8Outcomes of Collaboration  Z/;>?@BE G IJKLMNQW_%r',./01345678Pb  ` f3` f̙` 999___` f3f3f3!>?" dd@,?uKd@  d @u@` d n?" dd@   @@``PR    @ ` ` p>> #(  pB  Hp?``  Z4vgֳgֳ ?` v T Click to edit Master title style! !:  Tvgֳgֳ ?  2 RClick to edit Master text styles Second Level Third Level Fourth Level Fifth Level!     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Connolly8C:\MSOffice\Templates\Presentation Designs\Side Bar.potPhyllis M. Connolly406Microsoft PowerPoint 7.0sen@X,z@z<@-@[MG~oM  g& &&#TNPP0D v & TNPP &&TNPP    - "-- !-- "-&eOl-- $fkKkKf--&--Y -- - Times New Romanq- .72 Lf Transdisciplinary Collaboration:$'. .*2 A Demonstration Project**.!.Times New Romanq- .72 n Phyllis M. Connolly, PhD, RN, CS/ # ' #' $.Times New Romanq- .02 Jean M. Novak, PhD, CCC-SLP + # " . .C2 H]( San Jose State University, San Jose, CA     "    #.--(-- Monotype Sorts- .2 2u.Times New Romanq- .R2 E2Discuss the driving forces related to the need for               . . 2 2 . .72 B transdisciplinary collaboration         .Monotype Sorts- .2 02u.Times New Romanq- .g2 0E@Recognize discipline specific assessment tools and interventions               . . 2 ^2 . .B2 ^B' use for 91 Transdisciplinary Project            .Monotype Sorts- .2 2u.Times New Romanq- .U2 E4Identify client specific outcomes based on the Omaha          . .*2 2 Documentation System   .--p-- Times New Romanq- .2 | Objectives#  . .2 z Objectives#  .--"System-&TNPP & ՜.+,D՜.+,4    k On-screen Show;*1 2Times New RomanMonotype Sorts Book Antiqua Side Bar.potMicrosoft Word DocumentMS Organization Chart 2.0Microsoft Clip GalleryMicrosoft Graph 97 ChartTransdisciplinary Collaboration: A Demonstration Project Phyllis M. Connolly, PhD, RN, CS Jean M. Novak, PhD, CCC-SLP San Jose State University, San Jose, CASocietal ShiftsTRENDSChanging Work EnvironmentRelationship to Health$Primary Care: Collaboration Needed Through collaborative efforts, provide quality, cost effective services for persons with serious mental illness living in the community while simultaneously preparing future mental health professionals for practice.(Transdisciplinary Collaboration ProjectDefinition CollaborationTransdisciplinary#Transdisciplinary Team Advantages7Behavioral Ecological Model of Community Mental Health:Behavioral-ecological Perspective Values & Interventions#Competence Paradigm: Health BasedTransdisciplinary ProjectAssessment & Outcome ToolsCOmaha Nursing Documentation System Domains Interventions=Domain II. Psychosocial IV. 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