A good idea is about 10 percent of the effort, it’s the implementation and hard work that makes up the bulk of the effort. But how do we go about identifying and implementing good ideas? What can we use to help us deliver great work?
In the case of a Strengths Approach and Positive Risk-Taking, two of my signature ways of working, I have developed specific practice development tools to help not just identify the ideas but just as importantly put them into practice.
In this episode I outline the Practice Based Evidence evaluation and implementation tools I use in my team development work to put these two particular concepts into practice. These are practice-based tools to be owned and used by frontline staff and teams; these are definitely not managerial tools with a top-down need to audit. There comes a moment when you need to stop revving up the car and shove it into gear (David Maloney), and these tools are part of the gear mechanism not the braking system!
For the full content of this episode click on the links to iTunes and Sound Cloud (or go to Stitcher Radio):
Care co-ordination, the role of the care co-ordinator, has become a challenging function of our care and support services, attracting more than its fair share of negative connotations. A genuine tension exists between the passion and artfulness of human relationships on the one hand, and the pursuit of a scientific basis for interventions on the other. The science of research seeks to impose a sense of reassurance by means of consistent results when defined sets of circumstances are observed or applied.
By contrast, the quality of an artful endeavour may be measured more by its emotional characteristics and the feelings it engenders in those involved or observing. In reality, the experience and practice of mental health and learning disability services is primarily a study of people’s emotional experiences, feelings and behaviour patterns. So we should be wary of any attempts to understate the elements of artfulness and passion; and we should recognise the potential impact this may have on our enjoyment of the work, as well as our motivation for doing it.
Arguably, one of the most crucial effects of the evidence-based practice focus of research is that it undermines the art of relationship-building. The pursuit of a rigorous scientific rationale places a clear priority on the cult of numbers. ‘How many?’ and ‘How frequently?’ and ‘How quickly?’ become the valued quantitative outcomes of an efficient service. But what is the cost of this, in terms of an effective, good quality experience for the individual service user within this wider research picture? Or, indeed, what is the cost of its impact on the qualitative experience of the work that, for many practitioners, is their motivation? Ideally, we need to strike a careful balance between art and science in the delivery of good quality care and support.
Check out my 2009 publication The Art of Co-ordinating Care, written with Andrew & Roberta Wetherell, for the best practice to achieve person-centred working and delivery of care and support.
Steve 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: