PhD Scientific Days 2019

Budapest, April 25–26, 2019

Examining the multidisciplinary teams in the psychiatric and psychotherapeutic care in Hungary

Molnár, László

László Molnár
Semmelweis University, Faculty of General Medicine, Institute of Behavioural Sciences, Budapest

Language of the presentation

Hungarian

Text of the abstract

Introduction: The examined teams are inhomogenous and they differ greatly in many aspects, e.g. their protocols or the interdisciplinary professional team structure. Further aim of my research is to enhance the development of clear professional guidelines.
Aims:
1. to examine the hierarchy and resposibilities within the team;
2. to analyze the typical tensions and conflicts team members experienced working in the team, and their emotional responses;
3. to examine competence related difficulties of resident doctors/trainee specialists and specialists.
Method: Three focus groups were organized at three consecutive conferences of the Hungarian Psychiatric Association in 2017, 2018, and 2019 (N =18, N= 16, N= 16, respectively).
Results:
1, In an ideal multidisciplinary team, members should be able to state their professional opinions in the decision-making process. However, the decision-making requires firm and unbiased leadership attitude. Beside professional competences and activities, individual factors (sympathy, trust, solidarity) also influence the attitudes and conflicts within the team. There are also generational differences.
2, The ’informal forms’ of communication channels, the ’split’ problems and conflicts that are not discussed in a meeting have an impact on the work of the team. These may lead to subgrouping that sustains conflicts in a ’concealed’ form, thus breaking the integrity of the work community.
3, In relation to competence, the focus group members raised the issue of the scope of resident doctors/trainee specialists, the gradual development of their competence in line with specialized training and professional practice, and generating a list of psychiatric specialist competences.
Conclusion:
Defining the competences and initiating a list of psychiatric specialist compentences are necessary for these multidisciplinary teams. Tackling tensions within the team in an adequate environment, preventing subgrouping that may have negative impact on the team by involving a supervising psychotherapist if needed, contribute to a high standard patient care.

Data of the presenter

Doctoral School: Mental Health Sciences
Program: Mental Health Sciences
Supervisor: Agnes Zana
e-mail address: drmolnarpszichiater@gmail.com