|Year : 2017 | Volume
| Issue : 5 | Page : 9-10
|Date of Web Publication||8-Nov-2017|
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
. Workshops. Indian J Soc Psychiatry 2017;33, Suppl S1:9-10
Demonstration of Role of Different Mental Health Professionals in a Multi-Disciplinary Team
B. S. Chavan, Ajeet Sidana, Subhash Das, Shikha Tyagi, Virtu Chongthan, Jyoti Mishra
Department of Psychiatry, Government Medical College and Hospital, Chandigarh, India. E-mail: [email protected]
Majority of persons with mental illness have multiple issues, either as the causative factors or consequences of mental illness, and thus require comprehensive care to addresses different needs of the patient. The comprehensive care can be delivered by a range of professionals functioning as a team. A multidisciplinary team involves a range of health professionals including psychiatrists, clinical psychologists, psychiatry social workers, occupational therapists and psychiatry nurses. The need of a multidisciplinary team is much more in psychiatric rehabilitation where multiple issues need to be addressed together. To ensure optimum functioning of the team and effective patient outcomes, the roles of the multidisciplinary team members in care planning and delivery must be clearly negotiated and defined. This requires respect and trust between the team members, the best use of mixed skills within the team, agreed protocols for communication and interaction between team members. These issues are complex and achievement of them can involve significant change to work practices and organizational arrangements, as well as multifaceted implementation strategies. In India, due to shortage of mental health professionals, there was very little opportunity to have such a team in most of the facilities. However, recently with increased efforts by Govt of India to increase manpower in mental health, couple of departments, particularly national and regional mental institutes, centres of excellence in mental health and some of the medical colleges, now have sufficient mental health professionals to constitute a multidisciplinary team. However, the role of different mental health professionals within the team is not well delineated causing role confusion and duplication. In many settings, the services are psychiatrists driven and other members of team look at him for direction. However, in case the role of each member is clear, all the members can work together as a cohesive team for achieving the best outcome. The symposium will discuss the clinical experience of the presenters who have been working as a mental health team.
Keywords: Role, mental health professionals, multidisciplinary team
Cognitive Behavior Therapy: Basics and Beyond
Department of Clinical Psychology, IHBAS, Delhi, India. E-mail: [email protected]
The need for psychological services is increasing with the increasing awareness of mental health issues. The people are coming forward for psychological counseling. Cognitive behavior therapy is the buzz word among the practitioners and the help seekers. It is a fact that training opportunities for psychotherapy skills are poor and that too limited to some pockets. Needless to say that popularity and poor training opportunities induce sets of misconceptions about CBT and its application. The focus of the present skill building exercise is, thus, to discuss CBT, misconceptions associated with it and application of its techniques. The discussions will cater to the new learner as well as to the practitioner. The exercise will make use of discussions, case vignettes from the presenters own clinical work and role plays. The emphasis will be to demystify psychotherapy, avoid jargons and to keep it utility based.
Keywords: Cognitive behaviour therapy, CBT, basics
Psychotherapy for the Indian Setting: the Process of Assessment and Conduct of Individual Dynamic Psychotherapy
V. K. Varma, Nitin Gupta1
Former Professor & Head, PGIMER, Chandigarh, 1Professor, Govt Medical College & Hospital, Chandigarh, India. E-mail: [email protected], [email protected]
Background and Need: “It is inevitable that cross-cultural differences must be taken into account in ascertaining suitability of and in adapting psychotherapy for a particular culture (Varma, 1985)”. Traditional cultures, like those of South Asia, revolve around primary support groups, like the family. As opposed to West, in the traditional societies of South Asia, all relationships are multi-dimensional, sub serving a myriad of functions. The same applies to the healer-patient relationship, the healer being a friend, philosopher and guide, a wise person, a village elder, and a benevolent senior, as also a family member. His objective is to help in all possible ways, to total growth, development and actualization, and not just in the narrow confines of the illness.
Adapting psychotherapy for the traditional societies, such as that of India requires taking into account differences in the socio-cultural and religious variables, such as, dependence versus autonomy, psychological sophistication, the introspective and verbal ability, the need for confidentiality, the nature of dyadic relationship, the personal responsibility in decision-making, the nature of guilt and shame, and the social distance between the patient and the healer. Psychotherapy may accordingly be made more active, open and direct, briefer, crisis-oriented, supportive and flexible, with greater activity on the part of the healer, and with the involvement of the larger family and social matrix. It also needs to be tuned to and blend itself to the religious belief system. Furthermore, on account of trained manpower constraints, expertise of professionals of various backgrounds may be utilized.
However, there is no model available for the practice of psychotherapy in India. The facilitators have identified various factors and processes that seem to be the key and extremely helpful in the conduct of psychotherapy in the Indian setting, and would like to share the same with the participants.
- To train mental health professionals in the practice of individual psychodynamically oriented psychotherapy
- To discuss the rationale for adapting Western-model psychotherapy for traditional societies, taking into account socio-cultural variables
- To discuss the methodology of selection of cases and assessment for psychotherapy
- To discuss the process of psychotherapy; from symptoms to conflicts to defense mechanisms to interpretation to working through
- To illustrate the conduct of psychotherapy, giving case vignettes and using role-play involving the participants.
Keywords: Psychotherapy, Indian setting, evaluation
Internet Use by Children: Should it Be Permitted?
Former Professor and Head Department of Psychiatry, IMS BHU, Varanasi. India. Email: [email protected]
Aim: 1) To understand in depth the problems associated with internet use in children 2) To get possible solutions regarding the same.
- Introduction: Benefits and hazards of internet use by children followed by aims of the workshop shall be presented to the participants: 5 minutes
- Presentation of Vignette 1: 5 minutes
This vignette will highlight the adverse consequence of interest on school performance
- Presentation of Vignette 2: 5 minutes
This vignette will highlight the dilemma of the virtual versus real world of internet and its adverse consequences.
- Presentation of Vignette 3: 5 minutes
This vignette will highlight about getting dragged into criminality via internet
- Discussion: 10 minutes
Participants will be asked whether internet should be banned for children. If yes, how?
Suggestions will be noted
- Conclusions: 5 minutes
Keywords: internet use, children, benefits, hazards
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