Tag Archives: Strengths

Podcast Episode 052: Transformation

TheStrengthsRevolution_albumart_2-2We shouldn’t be happy just being critics; do so with constructive responses, so you are always being helpful in your role of criticising others. I have been a critic of the management culture in general in recent episodes of this show, but also need to stand up and be counted in my response alongside my criticism.

I have chosen a process of transformation of my own recent work, particularly positive risk-taking and risk decision-making, to align it more with the needs of more senior managers and business leaders. These are people who are continually making high risk decisions, but in my experience in health and social care they commission me to work with their practitioners and teams, but don’t take part in any of the work. It is my intention to refocus my work through the EPIC Program of online marketing and coaching, into a transformation statement directed to my new ideal client avatar through a new webinar that can lead some people through strategy sessions into my signature programme.

It is my intention to offer a high degree of transformation for senior people experiencing difficulties or fears in relation to their decision-making. Michelle Mone is a lingerie tycoon who has recently publicly spoken about her daily fears about these decisions, despite being a very successful entrepreneur, so Michelle helps me to identify the type of people I would ideally want to be working with.

Steve realised he misread the idea of a Google Hangout when nobody turned up to the venue he booked!
Steve realised he misread the idea of a Google Hangout when nobody turned up to the venue he booked!

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/052-transformation/id867043694?i=338824801&mt=2

“Advice is what we ask for when we already know the answer but wish we didn’t.” [Erica Jong].

Podcast Episode 051: World Class institutions

TheStrengthsRevolution_albumart_2-2In this episode a couple of recent newspaper articles reflect on the malaise of the management culture in two UK world class institutions… the NHS and BBC.

Damning reports into the culture of management in the NHS are being withheld until after the imminent general election, where the description of the sturcture is described as ‘totally shocking’ and ‘not fit for purpose’. Could this be the very structure that was re-structured against previous manifesto promises by the Tory led government initiative?

Meanwhile, over at the BBC it would appear that investigative journalists who blow the whistle on previous BBC celebs for child abuse scandals, are themselves demoted and sidelined, while the bullies are promoted! Great institutions are created from lofty principles and values, but it would appear that by a process of evolution the management function gradually grows into a misguided sense of its own self-importance.

Bureaucracy becomes top heavy, unmanageable, and filled with overpaid people who have little understanding or connection with the true heart of the enterprise. There is no simple solution to a malignacy decades in the incubation; but we must continue to respect our world class institutions for their founding principles and uphold their core values as theur main purpose.

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/051-world-class-institutions/id867043694?i=338033889&mt=2

“Bureaucracy is a giant mechanism operated by pygmies.” [Honore de Balzac].

Podcast Episode 050: Who is management for?

TheStrengthsRevolution_albumart_2-2It can be argued that over several decades the function of management has morphed from the role of supporting the essential development of a business into a role of managers running the business for their own primary gain.

Recognised management academic gurus have identified the dangers of management for management sake, and the way it can block the functioning of the frontline workers. This has been my experience throughout many structured interviews with frontline clinicians in health and social care services in the UK. Managers need to reconnect with the primary business of its business. The excellent managers contribute significantly to developing staff to identify and make best use of their strengths. Good management is a talent in its own right, but the majority of what constitutes management can frustrate and block creativity, and largely ignore the vital strengths.

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/050-who-is-management-for/id867043694?i=337535026&mt=2

“Most of what we call management consists in making it difficult for people to get their work done.” [Peter F Drucker].

“There is nothing so useless as that doing efficiently that which does not need doing at all.” [Peter F Drucker].

Podcast Episode 048: Team Strengths Assessment

TheStrengthsRevolution_albumart_2-2We all work in teams from time-to-time but how much do we really focus on identifying and developing the individual talents of the workers, and the overall strengths of good team-working?

A team is a group of people coming together for a common purpose or goal, and often it is the challenges and difficulties that define the work of the team that will most influence its outlook in terms of development. All too often teams and services look on training and developing the areas of weakness, to the detriment of boosting and exploiting areas of success into areas of excellence.

In this episode I outline my categorisation of teams in relation to the degree in which they relate to, identify, and work with strengths, and the Team Strengths Assessment tool that I developed in the early 2000’s to support this area of practice development. Examples of three types of mental health teams are referred to as examples where these tools have been used.

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/048-team-strengths-assessment/id867043694?i=336480841&mt=2

“Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is the only thing that ever has.” [Margaret Mead].

 

Podcast Episode 047: Anne Clilverd Interview ~ Narrative Therapy

TheStrengthsRevolution_albumart_2-2This episode is the first part of an interview with Anne Clilverd, formerly Team Manager of the Kings Cross Community Mental Health Team in London. In this discussion Anne reflects on where she first became aware of Narrative Therapy, how she followed through the specific training faciltated by Michael White, and some of the challenges of embedding it into her primary work role in a community service.

The concept of the ‘outsider witness’ as a distinct function within Narrative Therapy is explored in relation to the therapeutic role offered with clients. Specific reference is made to use of the therapeutic approach in locally designed ‘Mental Health Matters’ workshops, where a client, carer and practitioner are able to work together in supporting people to tell and analyse their own story. The role of family and cultural values are able to be honoured as an element that can emerge through a workshop style of approach to embedding the ideas of Narrative Therapy.

The approach can also be shared and adapted through staff supervision with practitioners open and interested in developing the ideas into their practice, and for exploring how they are functioning in the practitioner role.

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/047-anne-clilverd-interview/id867043694?i=335937142&mt=2

Podcast Episode 045: A Place for Carers

TheStrengthsRevolution_albumart_2-2In this episode the focus is on informal unpaid carers in the health and social care system. Who carers are, and the roles they perform, are honoured as amazing strengths that can be relied upon. However, the role comes with burdens and pressures, and services have not been so quick to see carers as a priority for the vital support they need.

The focus for this episode was triggered through reading an article by Nicci Gerrard in the Observer newspaper (UK Sunday broadsheet). She was reflecting on her father’s experiences of dementia, and more specifically on the damaging effect of a hospital admission on his ability to function independently. It is not a way of blaming staff or the service, but more a reality check on how the demands of an ageing population are overloading the existing service.

John’s Campaign has been established to promote greater access for carers on to hospital wards, particularly to continue supporting their loved ones who have succumbed to dementia. The costs are very minimal and the benefits for patients, carers and staff are very significant. Good practice in this issue exists in small pockets, but the challenge of the campaign is for best practice to become standard practice everywhere.

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/045-a-place-for-carers/id867043694?i=334927346&mt=2

“To care for those who once cared for us is one of the highest honors.” [Tia Walker].

“I am sickened that the government thinks my value is so low when actually carers save the government billions.” [Anonymous carer survey response].

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].

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.

Podcast Episode 043: Suicide Risk [2]

IMAG1511What role does positive risk-taking have to play when someone is experiencing and expressing serious suicidal thoughts? Firstly, we have a duty to take such expressions very seriously, but the language of suicide risk can often appear overwhelming to others, and generate great fears of what might be.

Do we respond in a way that manages the other person, manages the situation, and ultimately takes over through assuming control over and for the person? Do we really take that step backwards, and give ourselves whatever time is available to listen to the person and help them explore their options in a supported relationship? We cannot eliminate risk, but do we become overwhelmed by a fear of engaging in the real conversation?

There is no such thing as a risk-free option, and in this episode I outline a case example from my own practice that illustrates how positive risk-taking was put in place through listening and acting on what the individual has to say, identifying alternatives, and exploring strengths and potential protective factors alongside the serious expression of risk.

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/043-suicide-risk-2/id867043694?i=333467695&mt=2

“If it wasn’t for the possibility of suicide I would have killed myself a long time ago.” [Unknown source].