Sunday 24 October 2010

Can we guarantee compassionate care? - The King's Fund

Can we guarantee compassionate care? - The King's Fund
No but - this interesting blog provides some ideas for improving compassionate care and preventing compassion fatigue

Monday 27 September 2010

Involving users in commissioning local services | Joseph Rowntree Foundation

Involving users in commissioning local services Joseph Rowntree Foundation
A new report but with similar findings to others.
it is about time this was taken more seriously

Wednesday 1 September 2010

Mental health - RCN

Mental health - RCN

Social Inclusion Resource - free at the Royal College of Nursing Website. Provides some useful information and links to current thinking about recovery and personalisation in mental health care and other areas such as learning disabilities, homeless , and the traveling communities. I do wish they would not split groups up in this way, although I recognise that each group may have different needs. It does tend to lead people into thinking that only certain groups have social inclusion needs which can in effect exclude some people.
Social Inclusion is for everybody isn't it?

Saturday 28 August 2010

Emancipatory Practice and Lessons From Geese

This blog is adapted from the website above but includes their original text with my adaptation in italics

Lessons from Geese ( with some additional emancipatory lessons)

Fact 1


As each goose flaps its wings it creates an 'uplift' for the birds that follow. By flying in a 'V' formation, the whole flock adds 71% greater flying range than if each bird flew alone.

Lesson

People who share a common direction and sense of community can get where they are going quicker and easier because they are traveling on the thrust of one another.

Service user groups provide encouragement, support, care, and understanding in helping people cope with mental illness. For many years this was not encouraged but now some service users have developed groups of their own. However they are often controlled by the budgets of those in power. Any organisation that has particular goals or policies to follow must learn to fly in formation .

Fact 2

When a goose falls out of formation, it suddenly feels the drag and resistance of flying alone. It quickly moves back into formation to take advantage of the lifting power of the bird immediately in front of it.

Lesson

If we have as much sense as a goose we stay in formation with those headed where we want to go. We are willing to accept their help and give our help to others.

It is possible to go it alone in recovering from mental illness but this is more difficult and requires more inner strength and coping skills.  Finding people who can provide us with that uplift when we need it is important in beginning  and continuing our journey to recovery. Developing relationships with professionals and family/ friends will help us do this - so that we are not flying alone.

Fact 3

When the lead goose tires, it rotates back into the formation and another goose flies to the point position.

Lesson

It pays to take turns doing the hard tasks and sharing leadership. As with geese, people are interdependent on each other's skills, capabilities and unique arrangements of gifts, talents or resources.

Identifying and sharing our skills make coping and managing easier - this is true of any team approach to a task. This means that we need to get to know each other better and before a crisis occurs so that someone can quickly take our place when necessary.  Learning to let go and let others take the lead is a strength not a weakness and benefits the whole group. Encouraging people to talk about and identify their strengths and weakness should be encouraged so that they can be recognised an planned for in times of need. (but never used against them)


Fact 4
The geese flying in formation honk to encourage those up front to keep up their speed.

Lesson

We need to make sure our honking is encouraging. In groups where there is encouragement, the production is much greater. The power of encouragement (to stand by one's heart or core values and encourage the heart and core of others) is the quality of honking we seek.

Making is a noise is not just about making a noise but about demonstrating our support for each other. Making sure people are heard and developing a narrative of experiences will provide support for service users who are new to the service and will also develop a strong network of support from existing service users. Writing, talking, playing,  drawing and acting are all ways in which narratives can be heard.

Fact 5

When a goose gets sick, wounded or shot down, two geese drop out of formation and follow it down to help and protect it. They stay with it until it dies or is able to fly again. Then, they launch out with another formation or catch up with the flock.

Lesson

If we have as much sense as geese, we will stand by each other in difficult times as well as when we are strong.

We all need support some of the time and in helping each other we can work towards recovery or our goals much more effectively and efficiently .
This includes helping people cope in a relapse / crisis and not blaming them or others for its cause. People get weak or ill and it is our duty to help them recover not abandon them when they are no longer useful to us. This could take some time and patience but is the minimum we can expect from each other if we are to develop emancipatory practice.



Lessons from Geese was transcribed from a speech given by Angeles Arrien at the 1991 Organizational Development Network and was based on the work of Milton Olson. It has since circulated in several organizations across the world.

Thursday 19 August 2010

National Empowerment Centre

I may have mentioned this site before. It is USA site with updated advice and information. I will add it to the links section so that it does not get lost.

Monday 16 August 2010

The Triangle of Care

At last a good practice guide for involving carers in acute mental health care! This has been a long time coming  and is a useful resources for ideas in practice on how to involve carers .
It does however provide the dreaded tick list which can lead people into a false sense of security but the auditors love it. Likewise it does not really address the  issue of conflict which will inevitably arise around who knows what the best needs of the service user are?
It does not even  acknowledge the law  that has been around for the last decade on carers needs although there is a little bit about confidentiality.
 One recommendation is for training  but does not say what this should be and another is for carer champion posts which can sometimes be a dumping ground. A change in values and attitudes is what is needed ( I can hear some staff saying that they will not have the time)  and there is a lack of evidence for this within the document.

Wednesday 11 August 2010

Oregon State Hospital Museum

This active blog provides interesting information on objects found at the hospital made famous in the film One flew over the Cuckoos Nest.  Records of costs appears to be familiar in many of the old asylums indicting that organisation of resources were a major function. Pity nursing and medical records were not so strictly kept up.

Tuesday 3 August 2010

sociology research journal online

this journal is free online with some interesting if a little complex ideas discussed - not for the faint hearted

Tuesday 6 July 2010

The patient will see you now - The Health Foundation

The patient will see you now - The Health Foundation
This free full text document is really hard hitting but easy to read. It focuses upon the doctor patient relationship but it is generalisable to the wider health care context. Some good ideas/ examples also given.

Wednesday 23 June 2010

BBC News - Concerns raised over psychiatric unit admissions

BBC News - Concerns raised over psychiatric unit admissions
interesting report form Scotland. It appears that service user involvement is not first on the list for the most vulnerable people in mental health care.

Monday 21 June 2010

How to Celebrate midsummer | eHow.com

Happy Midsummer's day everyone hope it brings you wealth and love and a a productive year
How to Celebrate midsummer eHow.com

Friday 4 June 2010

BBC News - Mental health research is 'incredibly underfunded'

BBC News - Mental health research is 'incredibly underfunded'
This is not news although it is worth reminding people that mental illness costs the country a great deal of money in lost work and taxes. When will the NHS realise that it is not all about chemicals and mechanics but about people.

Monday 31 May 2010

Mental Health Shop - 100 Ways to Support Recovery

Mental Health Shop - 100 Ways to Support Recovery

Free down loadable publication with plenty of good advice for professionals and anyone working in mental health. It really does give you 100 ways to change practice and links to other resources. Available from the English mental health charity 'Rethink' Website.

Playing Asylum Seeker | Testimony

Playing Asylum Seeker Testimony

short video from the Inside Stories project - oral histories of people who have suffered from mental illness

Thursday 20 May 2010

Outcomes Star named in White Paper - Outcomes Star - Outcomes Star

Outcomes Star named in White Paper - Outcomes Star - Outcomes Star


This seems to be proving a popular tool for assessing mental health recovery. I just hope people do not become too reliant on it though - it could stop people listening to what's important for the client if it is not on the Star. Or worse practitioners might try to fit people into neat boxes or packages just so they can show everyone what good work they have done.

Friday 14 May 2010

Wednesday 14 April 2010

Peer Support: What Makes It Unique?

Peer Support: What Makes It Unique?
this is an interesting (online) paper that discusses the approach of peer support - appears to be more evident in the USA than the UK at the moment but that could all change with the personalisation process going on here at the moment

Thursday 1 April 2010

Publications: An evaluation of mental health service user involvement in the re‐commissioning of day and vocational services - Sainsbury Centre for Mental Health

Publications: An evaluation of mental health service user involvement in the re‐commissioning of day and vocational services - Sainsbury Centre for Mental Health

A useful and perhaps timely publication on service user involvement with lots of practical advise - the same old problems keep coming up though and they are around adequate information and role identification. Asking people what they expect from involvement is not the same as helping them to prepare for the trials and tribulations that they will meet along the way.

Saturday 13 March 2010

New book - all you ever wanted to know about care planning! For sample chapter go to http://ping.fm/5P4VV

Tuesday 16 February 2010

Radio 4 9.30pm today, heard this story this morning about living with BPD. http://ping.fm/3jgvM
#TwitterEd

Saturday 13 February 2010

5 ways Twitter can save your life http://ping.fm/TysBT TwitterEd

Friday 12 February 2010

Teaching and learning is exercise for the mind & slows down Alzheimer's
http://ping.fm/tyBoz

Thursday 11 February 2010

Ping.fm / Blog / Ping this! - Making Pinging Even Easier http://ping.fm/KLmSG
Reorganised my pingfm networks so that they come here too. Using this tool I can update more than one social network at a time#TwitterEd
read 10 secrets to lifelong learninghttp://ping.fm/8OruM TwitterEd

Tuesday 9 February 2010

testing out PingFM?

Saturday 2 January 2010

Sainsbury Centre for Mental Health

Sainsbury Centre for Mental Health
recent government documents available here