Tag Archives: Mental Health Foundation

Values-Based Practice

TheStrengthsRevolution_albumart_1In 2013 Oxleas NHS Foundation Trust, in south-east London, commissioned a piece of work from Practice Based Evidence and the Mental Health Foundation to explore ways in which ‘values-based practice’ can be practiced and evidenced more in the day-to-day work with service users and carers within the Adult Mental Health Directorate. So far, the programme has engaged with six pilot teams and produced a set of draft guidelines. In 2014 the programme explore innovative ways of implementing the ideas, and spreading ideas to staff in other directorates.

Now in 2015 the programme draws to a close with a focus on a specific group of people, explored elsewhere in a few podcast episodes, the team and ward managers. These are seen by the programme developers as the key people for embodying and promoting the culture change needed within teams in order to implement refined approaches to the day-to-day challenges of working with peoples strengths and focusing on person-centred values in practice rather than just words in policies and mission statements.

WHY FOCUS ON VALUES-BASED PRACTICE?

They influence everything we think, decide and do in day-to-day practice, though often in a more sub-conscious way rather than overt statements and discussions. Good practice is not about adhering to one set of right values, we should respect and embrace values diversity. Values can be very personal, professional or organisational statements, but the focus here is on the values that underpin the day-to-day language of focusing on the needs and priorities of the individual service user. Practitioners need to be supported to be able to work where values of the service user, organisation, or professional may differ or conflict.  A recent high profile report in the UK highlights the need to put this approach to values-based practice into context:

Francis Report into Stafford Hospital “People must always come before numbers. Individual patients and their treatment are what really matters. Statistics, benchmarks and action plans are tools not ends in themselves. They should not come before patients and their experiences. This is what must be remembered by all those who design and implement policy for the NHS.” Excerpt from press release statement by Robert Francis QC in Stafford (5/2/13).

One product of the overall programme has been the development of brief practical guidelines linking together values and principles, working with strengths, positive risk-taking, and the role of person-centred care planning. A modified version of these can be accessed on request through The Strengths Revolution blog.

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Dementia and Positive Risk-Taking

JRF screenshotSteve Morgan (Practice Based Evidence) and Toby Williamson (Mental Health Foundation) were commissioned by the Joseph Rowntree Foundation to produce a ‘Viewpoint’ think piece for their published series of thought-provoking topics. The focus was to apply the concept of ‘Positive Risk-Taking’ (developed from 1994 by Steve Morgan) to the relatively new UK government initiative of ‘Dementia-friendly Communities’.

Check out the following link for the full publication, which sets out an explanation of ‘Positive Risk-Taking’, ‘Dementia-Friendly Communities’, and the benefit of taking risks to support people to live with dementia better:

http://www.jrf.org.uk/publications/how-can-positive-risk-taking-help-build-dementia-friendly-communities

 

Podcast Episode 029: Toby Williamson Interview Part 2

TheStrengthsRevolution_albumart_2-2In conversation with Toby Williamson regarding his role in the Mental Health Foundation focused on Later Life. Services for older people are traditionally looked on negatively, particularly dementia.

In this episode Toby reflects on the positives of how we are living longer, and the majority of people, even those ‘living with dementia’, are experiencing a good quality of life. Mental health problems are not a necessary companion of growing older, and even the comparative cognitive decline can be adapted to. We can develop more of our own protective factors by planning more for an active retirement.

Two-thirds of people living with dementia do so in their own homes, and the Dementia Friendly Communities and Age Friendly Cities initiatives are two of the many positive developments contributing to the better wellbeing of older people. The challenge for service providers is to attract more excellent practitioners to see the exciting challenges and opportunities offered by working in these services. The lack of cure or effective medical treatments opens the door to a range of other exciting therapeutic opportunities for supporting people and their informal carers. Finally, we should also do more to tap into the ‘care capital’ potential of baby boomers retiring with experience and a commitment to contribute back to society.

For the full content of this episode click on the links to iTunes and Sound Cloud (or go to Stitcher Radio):

https://itunes.apple.com/gb/podcast/strengths-revolution-steve/id867043694

https://itunes.apple.com/gb/podcast/029-toby-williamson-interview/id867043694?i=320199331&mt=2

Podcast Episode 028: Toby Williamson Interview Part 1

TheStrengthsRevolution_albumart_2-2Toby Williamson works for the UK Mental Health Foundation in the role of Head of Development & Later Life, and is extensively published particularly around the subjects of Values and Mental Capacity. Here he talks about what we mean by ‘values’ in mental health practice, borrowing a phrase from Professor Bill Fulford who describes them as ‘action guiding words’.

He explores the importance of values diversity, reflected particularly in the expectations of how we set up multidisciplinary teams. Toby draws on examples from his previous role managing Impact, an assertive outreach team developed in the voluntary sector services run by Mind in Hammersmith & Fulham (west London).

Toby and Steve also reflect on the conflict between person-centred values upheld by the majority of public service practitioners, and the commercial values slowly creeping into UK public services in recent years.

To access the full content of this episode click on the links to iTunes or Sound Cloud (or go to Stitcher Radio):

https://itunes.apple.com/gb/podcast/strengths-revolution-steve/id867043694

https://itunes.apple.com/gb/podcast/028-toby-williamson-interview/id867043694?i=319964730&mt=2