Transdisciplinary Model

The psychologist in a transdisciplinary team works with the other team members to develop shared conceptual and methodological frameworks that integrates the natural, social and health sciences in a humanities context, and in so doing transcends each of their traditional boundaries.

Competencies that a psychologist should possess include:

  • Actively disseminate and apply evidence-based theory and strategies to facilitate a more holistic assessment and intervention of clients

  • Actively seeks consensus and shared decision-making with the rest of the team during case formulations and intervention-planning

  • Flexibility and responsibility to be a ‘keyworker’ in charge of monitoring and reporting on progress in all domains of the client’s care, and not only their area of expertise

  • Contribute to the deliberate exchange of knowledge, skills and expertise that transcend traditional discipline boundaries

  • Ability to develop good interpersonal relationships and seek active collaboration with other team members for the ultimate benefit of the clients


Here are some ideas and resources:

BOOKS

Early Intervention:

  • Early Intervention Team Approaches: The Transdisciplinary Model (1998) | Source: Woodruff, G and McGonigel, M. J.. (Reston, VA)

This is an introduction to different team approaches in the early intervention setting. Three approaches are discussed – multidisciplinary, interdisciplinary, and transdisciplinary – with a focus on the components and process of the transdisciplinary model.

Woodruff, G., & McGonigel, M. J. (1988). Early intervention team approaches: The transdisciplinary model.

https://files.eric.ed.gov/fulltext/ED302971.pdf

  • Tool Kit for the  Transdisciplinary Team Approaches | Source: Center for Development and Disability (New Mexico)

This tool kit is a brief introduction to the transdisciplinary team approach for Early Intervention in New Mexico. It provides an overview of the process and key concepts, and also helpful information and resources to support and guide new early intervention staff and their partners in their understanding of the Transdisciplinary team approach. It is intended as an orientation guide for new staff..

New Mexico Family Infant Toddler Program. Tool kit for the transdisciplinary team approach. Centre for Development and Disability. New Mexico.

http://cdd.unm.edu/ecln/FIT/pdfs/TTA%20ToolKit.pdf


VIDEOS

  • Open Dialogue: An Alternative Finnish Approach to Healing Psychosis| Source: Daniel Mackler

This video provides a 74-minute documentary film on the Western Lapland Open Dialogue Project.

https://youtu.be/HDVhZHJagfQ


OTHER RESOURCES

  • Transdisciplinarity in Health Care: A Concept Analysis (2017)

This article analyses the concept of transdisciplinarity and provides an enhanced definition of transdisciplinarity in healthcare.

Van Bewer, V. (2017). Transdisciplinarity in health care: A concept analysis. Nursing Forum, 52(4), 339-347.

https://www.researchgate.net/publication/317186599_Transdisciplinarity_in_Health_Care_A_Concept_Analysis

  • The Application of a Transdisciplinary Model for Early Intervention Services (2009)

This article elaborates upon the essential elements of the transdisciplinary approach, and presents a real world example of the approach as implemented in an early intervention programme in Ontario. Challenges and implications of the transdisciplinary approach for the practitioner are discussed.

King, G., Strachan, D., Tucker, M., Duwyn, B., Desserud, S., & Shillington, M. (2009). The application of a transdisciplinary model for early intervention services. Infants & Young Children, 22(3), 211-223.

https://depts.washington.edu/isei/iyc/22.3_King.pdf


Systemic Approaches:

Open Dialogue Approach  was developed in Western Lapland, Finland, over 30 years, & since been adopted in countries around the world, including the rest of Scandinavia, Germany, UK, and several States in America. It is a model of mental health care which involves a consistent family & social network approach where all treatment is carried out via whole systems meetings, which always includes the client. All multidisciplinary staff involved are trained in family therapy & related psychological skills. ODA has the best documented outcomes in the Western World; for e.g. around 75% of those experiencing psychosis have returned to work or study within 2 years & only around 20% are still taking antipsychotic medication at 2-year follow-up. Internationally, ODA has also seen remarkable results in non-randomised trials.

  • Towards a Model for Collaborative Practice in Community Mental Health (2014)

This article present a new model that provides a framework to  develop and test practice guidelines for community mental healthcare.

Ness, O., Karlsson, B., Borg, M., Biong, S., Sundet, R,m McCormack, B., & Kim, H. S. (2014). Towards a model for collaborative practice in community mental health. Scandinavian Psychologist, 1(1), E6 .

https://psykologisk.no/sp/2014/11/e6/

  • The Key Elements of Dialogic Practice in Open Dialogue: Fidelity Criteria (2014)

The intent of this document is to support the development of an Open Dialogue practice for whole teams participating in Open Dialogue meetings, for supervision and training purposes, and for helping in systematic research.

Olson, M., Seikkula, J., & Ziedonia, D. (2014). The key elements of dialogic practice in open dialogue. The University of Massachusetts Medical School. Worcester, MA.

http://www.do-ge.ch/uploads/1/3/9/9/13993272/keyelementsv1.109022014.pdf

  • Open Dialogue: A New Approach to Mental Healthcare (2015) | Source: Neil Burton (Psychology Today)

This guest blog traces the origins of Open Dialogue and how it involves a consistent family/ social network approach to care.

https://www.psychologytoday.com/us/blog/hide-and-seek/201507/open-dialogue-new-approach-mental-healthcare

  • International ODA webpage, including training formation

 http://open-dialogue.net/

  • United Kingdom ODA webpage

https://www.nelft.nhs.uk/dialoguefirst-whatisopendialogue


Systemic consultation is a form of tertiary case supervision derived from the principles of systemic family therapy wherein ability to reflect on the interpersonal dynamics inhibiting change in individuals with behavioural of concern. It has the potential to augment behaviour support, enable clinicians to understand and negotiate problematic interpersonal dynamics when responding to behaviours of concern.

  • Transforming Practice in Developmental Disability Services through Systemic and Dialogical Practice (2014)

This article narrates the story of organisational change in a large government developmental disability service responsible for working with multi-stressed families.

Rhodes,. P., Fennessey, K., Dickens, K., Whatson, L., Wilson, A., & Donelly, M. (2014). Transforming practice in developmental disability services through systemic and dialogical practice. Journal of Systemic Therapies, 33(3), 1-16.

https://guilfordjournals.com/doi/10.1521/jsyt.2014.33.3.1

  • Beyond the Impasse? Systemic Consultation and Understanding Complex Services  (2013)

This article examines the utility of systemic consultation as an opportunity for clinicians working with complex cases and behavioural concerns to reflect on interpersonal dynamics that may be inhibiting change. This approach to case review is drawn from systemic family therapy and is progressively gaining acceptance within the filed of intellectual disability.

Rhodes, P., Donelly, M., Whatson, L., Brearley, K., Dikian, J., Hansson, A., ... & Mora, L. (2014). Beyond the impasse? Systemic consultation and understanding complex cases. Journal of Applied Research in Intellectual Disabilities, 27(3), 226-235

https://www.researchgate.net/publication/256613260_Beyond_the_Impasse_Systemic_Consultation_and_Understanding_Complex_Cases