Tag Archives: mental health

Podcast Episode 046: Valuing Narrative

TheStrengthsRevolution_albumart_2-2The term narrative is important for many reasons; it is the means by which we recount our lives, the events, emotions and experiences that make up the patchwork of our existence. It is the core of each interpersonal relationship, and it has become a continual theme throughout my working career. The fundamental basis of mental health care is the trust and confidence built through the power of working relationships, enabling people to tell their stories.

Documenting our work also presents a conflict between the dominance of bureaucratic tick-box approaches and the need to represent someone through a narrative of their lives. Then there is narrative therapy as a psychotherapeutic approach to talking treatments. This episode concludes by outlining two of the core components of narrative therapy, before the next episode which will take the form of an interview with a friend and colleague who has trained in narrative therapy.

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/046-valuing-narrative/id867043694?i=335428751&mt=2

“We construct a narrative for ourselves, and that’s the thread we follow from one day to the next. People who disintegrate as personalities are the ones who lose that thread.” [Paul Benjamin].

Podcast Episode 044: Suicide Risk Factors

TheStrengthsRevolution_albumart_2-2In this episode I maintain a focus on suicide risk by reviewing risk factors and the importance of counter-balancing these with a focus on protective factors and strengths.

A specific program in Detroit has generated debate and pilot sites in the UK to develop a zero tolerance to suicide risk, and while aiming for zero suicides is an excellent ideal, it raises several important questions. Firstly, some people have made a clear and final decision to take their own lives for their own complex and personal reasons, so how will choice be respected within a zero tolerance approach? Will services be recognised for reductions in suicide rates or will the blame culture still focus on the diminishing few completed cases? Should any practitioners or advocates seriously question the ethos and intentions behind a zero tolerance approach?

Suicide risk factors from the known research are outlined, and the more personalised reflection of protective factors are highlighted. The emphasis on assessing and working with suicide risk is placed on the quality information through narrative approaches, not the more frequent bureaucratic requirement for ticking boxes.

For the full content of this episode click on the links for 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/044-suicide-risk-factors/id867043694?i=334338377&mt=2

“Suicide is a permanent solution to a temporary problem.” [Phil Donahue].

Podcast Episode 042: Suicide Risk (Interview case example)

TheStrengthsRevolution_albumart_2-2This episode is an interview with Satsanga (Lawrence Borish) reflecting on a case example of Alice, who he worked with whilst on a family counselling placement in his Masters Degree Social Work training in the US back in 1968. The placement was focused on cultural awareness, and the specific referral emerged through neighbourly concern for a woman whose behaviour and appearance was deteriorating. However, on engaging Alice, Satsanga discusses how, as a young inexperienced social worker, he is suddenly presented with an expression of suicidal ideas.

How we respond to these immediate circumstances can have a heavy bearing on the future life of another person. The interview explores issues of engagement of trusting working relationships, working with instinct, exploration of genuine alternatives to suicide, genuine collaboration between a person and a worker… all of which are important components of the process of ‘positive risk-taking’. The discussion raises thoughts about how we are supported, or not, to make difficult decisions; and could a decision-making process from a bygone era remain relevant today?

For the full content of this episode click on 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/042-suicide-risk/id867043694?i=331833222&mt=2

Podcast Episode 039: Team-working with Kirt Hunte

TheStrengthsRevolution_albumart_2-2Steve Morgan in conversation with Kirt Hunte about what contributes to good team-working. We frequently make a claim to be a team but function more as a group of individuals.

What influence does the team manager or team leader have on the identity and function of the team? Can a talented group of individuals simply come together as a great team? Does the size of the team have any affect on its ability to function as a team?

The creativity and risk-taking required for developing a new initiative is very different from the long term sustainability of an established team or service. Kirt and Steve reflect on football teams and mental health teams through their observations and experiences over many years. Reference is also made to the book entitled ‘Organizing Genius’ by Warren Bennis and Patricia Biederman describing and analysing seven case studies of great teams.

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://soundcloud.com/stevemorgan57/039-team-working-with-kirt-hunte

 

Podcast Episode 031: Say hi to Dave

TheStrengthsRevolution_albumart_2-2Dave is a reported case example (not interview) of someone advancing in age and who is not only coming to terms with complex health problems, but is also adamant about exerting his own views of what a plan for his life should look like when in contact with health care professionals.

Dave has recently lost his wife in a road traffic accident, and his children are concerned about his care needs as he is now diagnosed with Alzheimers disease. Dave puts his strengths to work, using skills he has developed over many years as a financial advisor, as well as his passion for reading up about his condition and the way services should work for him, not making him fit into a standard bureaucratic process. He challenges his local services to be genuinely person-centred and flexible in the way they meet with him, listen to him, and document his wishes. He also makes it very clear that he will not become a token gesture to service user involvement by refusing an invitation to join a local strategic committee.

To access 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/031-say-hi-to-dave/id867043694?i=321218937&mt=2

“It is not true that people stop pursuing dreams because they grow old, they grow old because they stop pursuing dreams.” [Gabriel Garcia Marquez].

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

Podcast Episode 025: Kirt Hunte Interview

TheStrengthsRevolution_albumart_2-2Kirt Hunte discusses his early introduction to the nursing profession growing up in Trinidad, before making the move to Guy’s Hospital in London. He reflects on a few important influences in those formative professional years before he developed his specialist interest in acute mental health care and the provision of crisis response and resolution teams.

He initiated the South Camden Crisis Team in 2001 and managed it through to 2011, and is in a good position to reflect on the qualities of a good team as well as its individual practitioners. Kirt identifies the support and development of new workers as one of many rewards of team management, as well as his rare combination of bringing gestalt psychotherapeutic skills and experience into the arena of short-term crisis working.

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/025-kirt-hunte-interview/id867043694?i=319164730&mt=2

Podcast Episode 023: Wanda Rusiecki Interview Part 2

TheStrengthsRevolution_albumart_2-2In this second part of the interview Wanda Rusiecki talks about the work she does as a case manager with specific service users, ‘getting on the healthy side’ and supporting people to exercise more control over their own lives. She recognises the real reasons behind the cynacism and mistrust that some people come with, and how the focus on the conversation and humble listening helps to create a different experience of services for many people.

The issue of ‘time’ is discussed; it is the service user’s time, so we need to ask how they want to make best use of it, rather than succumbing only to systems needs that serve more bureaucratic requirements. Helping people to search for satisfaction also brings greater satisfaction in the work for practitioners.

Wanda also reflects on working alongside the criminal justice system through court order treatment, the importance of integrating mental and physical health care to be truly holistic, and the role for peer services employing service users to tap into their experience and talents.

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/023-wanda-rusiecki-interview/id867043694?i=318839498&mt=2

https://soundcloud.com/stevemorgan57/023-wanda-rusiecki-interview

Podcast Episode 022: Wanda Rusiecki Interview Part 1

TheStrengthsRevolution_albumart_2-2Wanda Rusiecki has been working in ‘intensive case management’ services in New York State for 25 years, supporting some of the most vulnerable people experiencing mental health problems within the state system. Wanda describes her experiences working intensively with small caseloads of people with very complex problems, who require a stronger degree of linking and co-ordinating of services as well as more creative ways of engaging trusting working relationships.

Wanda’s reflections pick up on her value base that emerged from childhood as a theme for connecting with those who present as different. She identifies the importance of ‘strengths’ in her own approach of developing the conversation and listening more through ‘looking for the healthy side of people’. Wanda identifies the characteristics of what makes for a good case manager and what has sustained her to stay in this line of work for the long-term, as well as the challenges that the ‘system’ presents when trying to deliver best practice. The true meaning of ‘recovery’ is identified through eliciting each individual to tell their own story and identify their own priorities.

To hear 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/022-wanda-rusiecki-interview/id867043694?i=318296261&mt=2

https://soundcloud.com/stevemorgan57/022-wanda-rusiecki-interview

Podcast Episode 018: Sue Jugon Interview Part 2

TheStrengthsRevolution_albumart_2-2Sue Jugon describes her interest and influence on developing a unique assertive outreach team within a rural locality of Northamptonshire in England over 10 years. She explains how this type of service connected with her fundamental values and principles for working with some of the most vulnerable people.

She questions what services are actually doing to engage with people needing appropriate services, and the importance of identifying the staff members who she felt would work in different ways and form a genuine ‘team approach’. ‘Funky Mental Health’ is a description of Sue’s vision for the different type of service needed, and she identifies the need for ‘skilled misfits’ if you are truly going to deliver something out of the ordinary.

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/018-sue-jugon-interview-part-2/id867043694?i=317187437&mt=2