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Exploring Communication Between Staff and Clinicians on an Inpatient Adolescent Psychiatric Unit

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2021, Psy. D., Antioch University, Antioch New England: Clinical Psychology.
This dissertation explored interdisciplinary team functioning on a long-term adolescent inpatient psychiatric unit. It compared staff perceptions (MHCs, clinicians, and nurses) of interdisciplinary coherence and unit effectiveness. This study was particularly focused on understanding MHCs perceptions of team functioning and how satisfied team members are with their level of input and involvement in team decision-making. Additionally, this study explored possible barriers to effective team functioning in this setting. Eighty-four participants in this study completed the Interdisciplinary Team Process and Performance Survey (ITPPS) to assess perceptions of team functioning. Participants answered additional questions assessing barriers to communication and collaboration and levels of satisfaction with their input in the team’s decision-making process. A one-way ANOVA was conducted to compare perceptions of team cohesion and team effectiveness across occupations. Results suggest that there is a significant difference among the three occupational groups regarding their perceptions of how their team functions, with MHCs having more negative perceptions of team processes than nurses and clinicians. This team ranked the three highest barriers to communication and collaboration: (a) Differences in accountability, payment, and rewards; (b) Hierarchy; and (c) Lack of training for MHCs. Regarding levels of satisfaction, results showed that MHCs reported the lowest levels of satisfaction, while clinicians rated the highest levels of satisfaction. With these findings, recommendations were made for ways in which long-term inpatient adolescent psychiatric hospitals can work to improve their interdisciplinary team functioning to increase job satisfaction and improve patient care.
Martha Straus, Ph.D. (Committee Chair)
Barbara Belcher-Timme, Psy.D. (Committee Member)
George Tremblay, Ph.D. (Committee Member)
91 p.

Recommended Citations

Citations

  • Friedman, O. R. (2021). Exploring Communication Between Staff and Clinicians on an Inpatient Adolescent Psychiatric Unit [Doctoral dissertation, Antioch University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1612392669512216

    APA Style (7th edition)

  • Friedman, Olivia. Exploring Communication Between Staff and Clinicians on an Inpatient Adolescent Psychiatric Unit. 2021. Antioch University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=antioch1612392669512216.

    MLA Style (8th edition)

  • Friedman, Olivia. "Exploring Communication Between Staff and Clinicians on an Inpatient Adolescent Psychiatric Unit." Doctoral dissertation, Antioch University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1612392669512216

    Chicago Manual of Style (17th edition)