Tag: people
Systemic disempowerment in care-delivery organisations
Today I explore the term ‘systemic disempowerment‘ (SD) as pertains to large health and social care services. Health services are without doubt inseparably intertwined with social care services. The concept of SD moves beyond ideas of learned helplessness, which is so often thrown around. The concept of SD is far wider and deeper as this exploration will show. There is no easy way to make this blog readable in the desirable 30 second read; now widely popular among social mediaRead More …
Why lessons are not so easy to learn
The context of this exploration is twofold a) to examine how lessons may not be learned by individuals and b) difficulty for organisations in learning lessons. What ordinary people expect Let us start by understanding how ordinary people might decide what is a lesson learned. I suggest that they may expect the following: Cause and effect recognition: Many people see learning a lesson as straightforwardly recognising a direct cause and effect relationship. “I did X, and Y happened as aRead More …
What exactly is support?
Over the years I have come to appreciate that patients in psychiatric services very much value support. I’ve been wondering ‘What does support mean?‘ Hold on – I know that everybody knows support when they feel it. That would not inform me what aspects of support make it real or valid. Mental health workers and services without doubt need to provide support. Support can vary across various types of activities e.g. emotional support, advice, guidance, therapy etc. That does notRead More …
The relevance of culture in mental health services
I imagine that most people would begin thinking of the influence of culture on expression of signs and symptoms among mental disorders. However, there are wider areas of importance. What is culture? The concept of ‘culture’ is broad and multifaceted, encompassing a wide range of ideas, practices, and societal norms. The main concepts that comprise culture: Shared beliefs and values: Culture is often defined by a shared set of beliefs and values that guide behaviour within a group. These beliefsRead More …
Change management
Over the last 10 years I’ve visited for work, many public sector health services. Whilst no service is perfect, at each place I found things that were fundamentally wrong. Nearly every senior manager knew about the things that were wrong but they were unable to implement changes. I am referring to things that were known as wrong for years – not just weeks. The topic of change management is not new to me. My reflections led me to dig deeperRead More …
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