Ohio Coordinating Center for ACT

2. Ohio Coordinating Center for ACT • Teamwork: 10 tips

3. Ohio Coordinating Center for ACT Teamwork Benefits • Burnout • Continuity of care • Increased productivity • Professional development • Shared clinical decisions • Others:

4. Ohio Coordinating Center for ACT Teamwork (general themes) • Sharing responsibility • Sharing “work” • Achieving common goals • Team • Client • Everyone’s responsibility to make teamwork happen

5. Ohio Coordinating Center for ACT Small Group Exercise • Identify a team of which you have been a member • Why was it “good”? • What were/was the team goal(s)? • How did you accomplish the goal? • (i.e. what was essential to success?)

6. Ohio Coordinating Center for ACT Teamwork • At the center of ACT • Specialist/Generalist model • Shared Caseload • TRANSDISCIPLINARY • Easy to conceptualize/hard to do • THE CLIENT IS PART OF THE TEAM

7. Ohio Coordinating Center for ACT Teamwork • 10 Tips • Some part of model • Some anecdotal tips • Cross-over with each other • Not exhaustive- help refine!

8. Ohio Coordinating Center for ACT#10 Co-staffing the TX cycle Engage in collaborative assessment Assessment PHA SA DX Psychosocial ACT Criteria Risk AIMS MSE Etc….. Tremendous number of opportunities for cross-training, joint decision making, building teamwork……. At least 2 staff (and client) present) the specialist takes leadership

9. Ohio Coordinating Center for ACT #10 Co-staffing the “Treatment cycle” (Core Processes) Treatment cycle: Assessment >> Service Planning>> Service>> Evaluation Belief: Co-staffing builds teamwork through: In-vivo learning (by staff)

10. Ohio Coordinating Center for ACT#10 Co-staffing the TX cycle Conduct TX Planning Meetings with multiple staff: Service Planning Minimum: 6 people (roles) involved 3 in creating 3 in reviewing continual feedback from whole team (this is really in evaluation)

11. Ohio Coordinating Center for ACT#10 Co-staffing the TX cycle Services Co-staffing for: ongoing assessment relationship building Weekend/evening rotation Team identifying goals and purpose for service co-staffing: training/ relationship building/ risk/ assessment/ etc.. Team Leader monitors: UR reports DACTS

12. Ohio Coordinating Center for ACT#10 Co-staffing the TX cycle Evaluation Use Client Weekly Schedule Cards: Use Daily meeting to asses meaningfulness of ISP ISP reviews Co-staff & use Team Meeting input Process Outcomes Ohio Forms ACT

13. Ohio Coordinating Center for ACT #9 Share the caseload: Core of ACT model • Explain to client • “my client” moratorium • Geographic/Schedule rotation • Construct client schedule as part of ISP process • Rotate “routine” appointments • Rotate Communication: • EO • Institutions

14. Ohio Coordinating Center for ACT #8 Share administrative responsibilities • Position Descriptions to include clear individual vs. team responsibilities • Assign all paperwork to Team Leader (or team) • No Voicemail • Shift Leader model • Develop Team goals/activities for admin responsibilities • Put on evaluations

15. Ohio Coordinating Center for ACT #7 “Morning Meetings”: “backbone” of ACT • Focus on today • Organizational Meetings (not clinical) • Staff to come with significant OPEN time • Note work assignments • Use a cardex to cover EVERY client • Use whiteboards • Client and staff schedules • Specific efforts

16. Ohio Coordinating Center for ACT #6 Co-Supervision by Team Leader and Psychiatrist • Unifies team's clinical positions • Review/ID staff needs • Psychiatrist to lead cl sup group at least 1-2 x a month • Lunch • Extra meeting • At Team meeting (shared with “regular” activities)

17. Ohio Coordinating Center for ACT #5 Incorporate client (and family) into TX decisions • If client “drives” care it is clear who is in charge • Get client to all Assessemtn/ISP/Evaluion meetings • Focus team on client centered care • #1 goal is to identify what client wants and help them achieve • Rotate family contact

18. Ohio Coordinating Center for ACT #4 Specialist/Generalist Model • Specialist • Clinical expertise • Specific activities • Cross- train others • Generalist • Practical solutions • Rotation • Everyone is a CM

19. Ohio Coordinating Center for ACT #3 Rotate schedules • Rotate everyone (except psychiatrist) through evening/weekend rotation • Rotate On-Call/Clinical Back-up responsibilities

20. Ohio Coordinating Center for ACT #2 Develop shared communication means and protocols • How do you communicate: MM mins., Implementing TX Decisions, On-call, Announcements, etc…? • Develop Protocols: VM/ White Board/TM mins distribution/ Mail Box/ Cell phone /Email • Think about creating “Shift Leader” • No Voicemail policy • Hold people accountable for agreed upon means of communication

21. Ohio Coordinating Center for ACT #1 Team Leader provides direct service • Increase opportunities for: • Co-Staff • In-vivo supervision/learning • Esprit de corps • “Keepin it real” • Team Leader is in charge

22. Ohio Coordinating Center for ACT • Small Group Exercise: • I like these tips for team work: • I don’t like these: • What is another one?

23. Ohio Coordinating Center for ACT: Jon Ramos office:    513-458-6684 jramos@ohioactcenter.org Jonas Thom, MA, PCC office:    513-458-6733 jthom@ohioactcenter.org WWW.OHIOACTCENTER.ORG toll free: 888-310-4904 fax:         513-458-6610