We’re All In This Together A Team Approach to Wellness Care San Francisco Region Health Consultants

Can You Survive? A Team Building Game

YOU ARE SHIPWRECKED!! Skipper and First Mate did not survive Mid-January somewhere in Alaska Daytime: minus 25, Nightly: minus 40 Snow on the ground Wooded area with several creeks nearby Nearest town is 20 miles away Casual clothes, dressed for vacation

You have salvaged: A ball of steel wool A small ax A loaded.45-caliber pistol Can of Crisco shortening Newspapers (one per person) Cigarette lighter (without fluid) Extra shirt and pants for each survivor 20 x 20 ft. piece of heavy- duty canvas A sectional air map made of plastic One quart of 100-proof whiskey A compass Family-size chocolate bars (one per person)

#1 A cigarette lighter (without fluid)

#2 Ball of steel wool

#3 Extra shirt and pants for each survivor

#4 Can of Crisco Shortening

#5 20 x 20 foot piece of canvas

#6 Small ax

#7 Family size chocolate bars (one per person)

#8 Newspapers (one per person)

#9 Loaded.45-caliber pistol

#10 Quart of 100-proof whiskey

#11 Compass

#12 Sectional air map made of plastic

Rankings 1.A cigarette lighter 2.Ball of steel wool 3.Extra shirt and pants 4.Can of Crisco 5.Piece of canvas 6.Small ax 7.Chocolate bar 8.Newspapers 9.Pistol 10.Whiskey 11.Compass 12.Plastic map

Survival Scenario Exercises SurvivalScenarios.html –Nuclear Bomb: Who should Survive? Group Dynamics Team Building –How are decisions made? –Who influences decisions? –How is conflict managed? –How satisfied is each person with decisions? –What have you learned about how this group functions?

How do you fit together? Each table has an envelope of puzzle pieces Contains three puzzles Directions 1.Assemble puzzles 2.Diagnose the student (each puzzle is one students) 3.Decide how you would treat the student as a team

Conclusion What did this exercise teach you about teamwork? How can you apply this to your work on your center?

Quality Health Care Many Disciplines Working As One Team

What Makes A Good Health Care Team?

What Makes Teams Work Well? Jeanie Molyneux, (2001) Journal of Interprofessional Care

Methodology Treatment Team Subjects 18 Month Study Women Aged Semi-structured Interviews Focus Groups

Main Indicators of Positive Team Working Personal Qualities and Commitment of Staff Communication Within The Team Opportunities for Creative Working Methods

Personal Qualities and Commitment of Staff Motivated Committed Experienced Flexible

Flexibility and Adaptability What About Your Center?

Maintaining Interprofessional Relationships Requires “Professional Adulthood” Multiprofessional Model of Teamwork

What If No Professional Adulthood? Lack of Professional Adulthood Leads to Jealousy and Conflict What Happens When Staff Feel Insecure about Role on Your JC Center? Molyneaux Study and Professional Adulthood

Communication Within The Team-Positive Factors Working From One Location Regular and Frequent Team Meetings Regional Monthly Mental Health, Nursing, TEAP, and Disability Teleconferences Center Multidisciplinary Meetings and ROCA Scores

Center Director Sets Climate on Center Team Agreement on Methods of Communication Centers Vary on CD Motivated Interdisciplinary Communication Joint Case Notes Improves Working Relationships—Think How Citrix Case Notes Affects Your JC Team?

Team Creative Development Team Needs Creative License To Build Effective Program Based On Egalitarian and Cooperative Approach Often Results In Higher ROCA Scores Need Management To Empower Staff

What Can You Take From These Research Results and Apply To Your Center In Terms of Team Building?

Everyone is special in their own way We make each other strong We’re not the same We’re different in a good way Together is where we belong We’re all in this together… -Disney’s High School Musical

References ADAM, L., TRACHSEL, L.C.E. & LOVE, S. (1994). Interdisciplinary documentation: the challenge of developing a common data base. Canadian Journal of Rehabilitation, 7, 267–272. BAKER, J. (1996). Shared record keeping in the multidisciplinary team. Nursing Standard, 10(26), 39–41. BENNETT-EMSLIE, G. & MCINTOSH, J. (1995). Promoting collaboration in the primary care team—the role of the practice meeting. Journal of Interprofessional Care, 9, 251– 256. DOMBECK,M. (1997). Professional personhood: training, territoriality and tolerance. Journal of Interprofessional Care, 11, 9–21. LAIDLER, P. (1991). Adults, and how to become one. Therapy Weekly, 17 (35), 4. Molyneux, Jeanie (2001) Interprofessional teamworking: what makes teams work well? Journal of Interprofessional Care, vol 15, No 1, 2001