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Multidisciplinary team perspectives on older adult hoarding and mental illness
- Authors:
- KOENIG Terry L., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(1), 2013, pp.56-75.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Hoarding, characterised as animal or inanimate object hoarding, can have debilitating consequences for older adults who hoard, as well as for their families and communities. Because of the complex nature of hoarding, many believe that a multidisciplinary approach is needed to respond to hoarding. The purpose of this qualitative study was to examine multidisciplinary team perspectives on their involvement in older adult hoarding cases. Fifteen informants, as members of 4 hoarding teams and representing multiple agencies (e.g. adult protective services, mental health services, and animal control), were specifically asked to describe cases in which their team did or did not work well together to resolve a case. In doing so, the informants described: their team’s characteristics (e.g. team composition, and processes for working together); the need for team members’ increased awareness of hoarding as a mental illness; barriers to providing mental health services for older adults who hoard; and components of successful teamwork within the team and with the older adult as hoarder. Implications include research to better guide interventions, team training to develop common perspectives, and policy development that supports mental health representation on teams and in-home mental health treatment.
Multidisciplinary collaboration in child protective clinical consultations: perceptions of best practices
- Author:
- LALAYANTSA Marina
- Journal article citation:
- Journal of Public Child Welfare, 7(3), 2013, pp.253-274.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Mental illness, substance abuse, and domestic violence are common co-occurring problems in families involved in child maltreatment allegations. When two or more of these problems are involved in a case, the integration of multiple professionals and collaboration among them become especially complex. This study examined perceptions of best practices of multidisciplinary collaboration at an innovative clinical consultation program in a large, governmental child protective services agency. Seven themes emerged as most important in achieving a best practice: setting the stage; mandate; trust and communication; strong leadership; building a shared identity; structural supports and resources; and continuous feedback and evaluation. Conditions and recommendations to achieve best practices in multidisciplinary collaboration and implications are discussed. (Publisher abstract)