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Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

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Page 1: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Griffith Health IPL Activities in the School of Applied Psychology

Associate Professor Shirley MorrisseySchool of Applied Psychology

Griffith University

Page 2: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

What is this thing called IPL?

Interprofessional education occurs when two or more professions learn with, from and about each other to improve collaboration and the quality of care1

1. Centre for the Advancement of Interprofessional Education, 2002

Page 3: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Griffith Health IPL FrameworkDevised through an interprofessional collaborative process in 2011

Aims to have all health professional graduates from Griffith University competent for interprofessional collaborative practice by the end of 2014

10 threshold learning outcomes that all health professional graduates will need to achieve

Three phases of learning activities

Page 4: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

3-phase pedagogyP

rofessional Registration

Health professional program

Phase I:Health professions literacy

Phase II:Simulated IPP experience

Phase III:Real patient or client care IPP experience

Page 5: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

3-phase pedagogyPhase I

Aimed at students gaining foundational ‘health professions literacy’= an understanding of the history, theoretical

underpinnings, philosophy, roles and contributions of the major health professions, including participants' own

Does not necessarily have to be learnt interprofessionallyE.g. Video-based online learning package for use in 1st year, embedded in a compulsory course such as abnormal psychology, or in a professional practice course

Page 6: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Current opportunities for IPL for Psychology students

Program Year level

Course Activity

Phase 1 Bachelor of Psychological Science/Bachelor of Psychology and all double degrees

1st year3rd year

1205MED (E)3009PSY* (C)

Health Challenges course or Abnormal psychcology course Lecture and tutorial

Bachelor of Psychology (Hons)/Bachelor of Psychological Science (Hons)

4th year 6021PSY (C) 3 hour seminar on multidisciplinary mental healthAssessed by exam

Phase 2 Masters in Clinical Psychology/Clinical PhD

5th year 8181/8182PSY (C)

Mandatory minimum 6 hours of IPLi)Communication Skills Workshopsii) Mental health workshopsAssessed by Reflection exercise in portfolio

Phase 2 Masters in Clinical Psychology/Clinical PhD

6th year 7241PSY (C) Mandatory minimum 6 hours of IPLi)CLEIMS 4Assessed by Reflection exercise in portfolio

Phase 3 Masters in Clinical Psychology/ Clinical PhD

6th year 8183/8184PSY (C)

External supervised placementAssessed by Reflection exercise in portfolio

Page 7: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

3-phase pedagogyPhase II

Simulated interprofessional practice experience, with learning supported by critical reflectionShared communications skills workshops utilising live simulated patients and clientsCLEIMS 4: simulated patientsPreparing students for multidisciplinary mental health workshops (small group and video based activity)

-teams of students working together.

Page 8: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Current opportunities for IPL for Psychology students

Program Year level Course Activity

Phase 1 Bachelor of Psychological Science/Bachelor of Psychology and all double degrees

1st year3rd year

1205MED (E)3009PSY* (C)

Lecture and tutorial

Bachelor of Psychology (Hons)/Bachelor of Psychological Science (Hons)

4th year 6021PSY (C) 3 hour seminar on multidisciplinary mental healthAssessed by exam

Phase 2 Masters in Clinical Psychology/Clinical PhD

5th year 8181/8182PSY (C)

Mandatory minimum 6 hours of IPLi)Communication Skills Workshopsii) Mental health workshopsAssessed by Reflection exercise in portfolio

Phase 2 Masters in Clinical Psychology/ Clinical PhD

6th year 7241PSY (C) Mandatory minimum 6 hours of IPL :CLEIMS 4Assessed by Reflection exercise

Phase 3 Masters in Clinical Psychology/ Clinical PhD

6th year 8183/8184PSY (C)

External supervised placementAssessed by Reflection exercise in portfolio

Page 9: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Phase IIIReal patient or client care interprofessional collaborative care experienceBest learnt from working in a interprofessional student service teamExamples around the world, including …Recent pilot in Adult Community Health in GCHHS at Robina Health Precinct

Page 10: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Current opportunities for IPL for Psychology students

Program Year level

Course Activity

Phase 1 Bachelor of Psychological Science/Bachelor of Psychology and all double degrees

1st year3rd year

1205MED (E)3009PSY* (C)

Lecture and tutorial

Bachelor of Psychology (Hons)/Bachelor of Psychological Science (Hons)

4th year 6021PSY (C) 3 hour seminar on multidisciplinary mental healthAssessed by exam

Phase 2 Masters in Clinical Psychology/ Clinical PhD

5th year 8181/8182PSY (C)

Mandatory minimum 6 hours of IPLi)Communication Skills Workshopsii) Mental health workshopsAssessed by Reflection exercise in portfolio

Phase 2 Masters in Clinical Psychology/ Clinical PhD

6th year 7241PSY (C) Mandatory minimum 6 hours of IPLCLEIMS 4Assessed by Reflection exercise in portfolio

Phase 3 Masters in Clinical Psychology/ Clinical PhD

6th year 8183/8184PSY (C)

External supervised placementAssessed by Reflection exercise in portfolio

Page 11: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Phase 2: Preparation for Multidisciplinary Mental health practice workshops

Cross-disciplinary or Interprofessional education (CDE/IPE)

Academic disciplines that form an important cross-disciplinary area and provide opportunities for educators to model respect for other disciplinary perspectives

Interprofessional learning (IPL)opportunities for students to learn with, from and about each other

Multidisciplinary mental health practice (MD MHP)

Opportunities for students to focus explicitly on the processes and functions of working in multidisciplinary teams

Page 12: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Learning Outcomes

Demonstrate understanding and skills for working in a multidisciplinary mental health setting

Display professional attitudes for working in a multidisciplinary mental health setting

Develop awareness of interpersonal and communication factors necessary for a well functioning team

These are consistent with the Griffith IPL Framework threshold learning outcomes:

describe the roles, responsibilities, practices and expertise of effective members of their own profession (TLO # 4)

describe the roles, practices and expertise of effective members of each of the other major health professions (TLO # 5)

recognise and challenge stereotypical views in relation to the roles, practices and expertise of particular health professions in their own thinking and in the communication of others (TLO# 6)

Page 13: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Activity 1: self assessmentActivity 2: POEMActivity 3: Introducing Peter and JulieActivity 4: Introducing the multidisciplinary teamActivity 5: Consumer and carer perspectivesActivity 6: Home visit – analysing communication (1)Activity 7: Medication – analysing communication (2)Activity 8: Ethics and National Practice StandardsActivity 9: Consumer storiesActivity 10: Developing an integrated care planActivity 11: Self careActivity 12: Developing own POEM

Placement workbook activitiesReflective journal

Explicit learning goals for multidisciplinary mental health practice

Teaching/learning together activities

Page 14: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

POEM

In small groups – what do you know about the philosophies, ontology, epistemology and methods of own and other disciplines?

Philosophy: or historical background for each discipline

Ontology: how members of the specific discipline join with the client on their journey with mental illness

Epistemology: theory or grounds for what knowledge is necessary to practice

Methods: used when working with clients

Page 15: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

ProcessBetween 10 and 22 students in a group from at least 3 disciplines (psychology, social work, nursing or medicine)Small group activity – and feedback to larger groupSeries of DVD clips of a client entering the mental health system and his journey through the system and discussion activities in groupsFocus is on the mental health team, on poor communication, on negative stereotypes, on a lack of team work, and on poor coping strategies.Since 2010 approximately 200 students have completed these workshops

Page 16: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

“Was good to get a perspective of what other professions do”“Upon reflection I knew much less about the other professions that I first thought” “It was very helpful to talk and discuss the difference in different disciplines and to be able to question the members in person…”

Student quotes

Page 17: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

“I learned that is important to communicate with teams and to be respectful of each others’ role and discipline”“Gained understanding that each profession plays a unique role and even though they may hold different values/philosophies, they complement each other and aim to work towards the best interests of the clients”.

Student quotes

Page 18: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

“engaging with and learning from other disciplines was very valuable” “As a general comment about the workshop, I think it would be especially helpful as part of the prac preparation that social work students have to undertake before placement. The workshop helped to articulate the roles of the multi-disciplinary team”“Very worthwhile, the content included lots of material in an effective way”

Student quotes

Page 19: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Phase 3 activities for Psychology students

At the moment limited to our postgraduate students in clinical psychologyAlready participate in multi-disciplinary practice settings, but until 2012 without a reflection on the interprofessional practiceNow need to reflect on the relationships between their peers and colleagues, and the well functionning or otherwise of the Interprofessional team.

Page 20: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

What’s next?Embed phase 1 activities in undergrad program:

Make 1205MED compulsory for all 1st year psychology students?

2nd year health psychology course beginning in 2015 – make health fusion challenge an assessable activity in this course?

Develop opportunities for 4th year psychology students (pre-professional students) in phase 2 activities

Considering the Communication Skills workshops

Work integrated practical component…? IPP possible?

Competency assessment for postgraduate students?Research data! Write our experiences up!Good Practice Guide to IPL in Psychology?

Page 21: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University
Page 22: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Griffith Health IPL TLOs

1. articulate the purpose for effective interprofessional practice, in relation to optimisation of the quality, effectiveness and person-centredness of health and social services, in order to assist patients and clients to maximise their health and wellbeing

2. work effectively in a team, both in the role of team member and of team leader

3. describe the potential barriers to effective teamwork and strategies through which they may be overcome

4. describe the roles, responsibilities, practices and expertise of effective members of their own profession

5. describe the roles, practices and expertise of effective members of each of the other major health professions

6. recognise and challenge stereotypical views in relation to the roles, practices and expertise of particular health professions in their own thinking and in the communication of others

Upon graduation, Griffith-trained health professionals will be able to:

Page 23: Griffith Health IPL Activities in the School of Applied Psychology Associate Professor Shirley Morrissey School of Applied Psychology Griffith University

Griffith Health IPL TLOs

7. express their professional opinions competently, confidently and respectfully to colleagues in any health profession

8. listen to the opinions of other health professionals effectively and respectfully, valuing each contribution in relation to its usefulness for the patient, client or community concerned, rather than on the basis of the professional background of its contributor

9. for individual level care: synthesise the input of multiple professional colleagues, together with the beliefs, priorities and wishes of the patient or client and their significant others, to reach consensus on optimal treatment, care and support and how it should be provided,

while for community level health activity: synthesise the input of multiple professional colleagues, together with the values and priorities of the community concerned, to reach consensus on optimal interventions and how they should be implemented

10. reflect critically and creatively on their own performance in health professional team settings.

Upon graduation, Griffith-trained health professionals will be able to: