Objectives: To examine (1) perceived roles and functions of psychiatry medical staff in two multidisciplinary teams at two state-funded health services, a community mental health clinic at a general public psychiatry service and an alcohol and drug service, and (2) factors influencing these roles and functions.
Method: Data were obtained from focus groups, key informant interviews, participant observation and document review.
Results: Clinical roles were well conceptualised in both services, with good concordance between medical and non-medical staff. Team and leadership roles, however, were not well conceptualised. Service-related factors influenced clinical and many other roles. Power and professional cultural differences between medical and non-medical staff influenced team and leadership roles.
Conclusions: Addressing lack of role clarity and teaching interpersonal and team leadership skills to psychiatry medical staff are likely to improve multidisciplinary team functioning for psychiatrists in these settings.
MacDonaldEHerrmanHFarhallJMcGorryPRenoufNStevensonB. Conditions necessary for best practice in interdisciplinary teamwork. Australasian Psychiatry1998; 6: 255–259.
2.
BurkeDHerrmanHEvansMCockramATrauerT. RANZCP Professional Liaison Committee Working Group. Educational aims and objectives for working in multidisciplinary teams. Australasian Psychiatry2000; 8: 336–339.
3.
The RANZCP Professional Liaison Committee of the Board of Professional and Community Relations. Roles and relationships of psychiatrists and other service providers in mental health services. (Preliminary Report) RANZCP2000, (unpublished).
4.
BeilbinM. Management teams: why they succeed or fail. Heinemann, Oxford1981.
5.
StaceyR D. Strategic management and organisational dynamics2nd edn. Pitman F Publishing, London1998.
