Tag Archives: Values based practice

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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Podcast Episode 027: Identifying values

TheStrengthsRevolution_albumart_2-2What are values?

This episode highlights the importance of reflecting on these largely unseen influences on everything we think, we do, we decide, they inform our core beliefs, they are the sum of who we are. Nothing more than that! So, if they have such a significant influence we would be well advised to be more aware of what they are.

They come dressed up in almost endless lists of good words, but this episode argues for spending more time examining the impact they have on the ways we behave and act in particular situations. Steve Morgan poses a series of questions to help us explore our underlying values, offering examples from his own experiences by way of illustration.

Core personal and corporate values are contrasted, and examples are identified of where conflicting values can contribute to better decisions, or even disasters. As a strengths approach, the examination of values is one way of demonstrating how we are putting genuine person-centred practice into action.

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/027-identifying-values/id867043694?i=319716735&mt=2

“Living in a way that reflects one’s values is not just about what you do, it is also about how you do things.” [Deborah Day].

Podcast Episode 024: Not for profit

TheStrengthsRevolution_albumart_2-2How often do we stop and reflect on our values and principles? Not often enough, despite the fact they influence who we are, what we think, what we decide, and how we present to the world around us.

It can often take a sudden message or event that sharply challenges our values that triggers that very reflection on our personal standpoint. One such message recently encountered in the UK Observer Sunday newspaper was an article examining the gulf between the wealth and focus of private equity firms increasingly owning and running social care services for our most vulnerable people in society. The senior personnel and owners/shareholders are on astronomic salaries and dividends, and by contrast, many of the workers are forced to provide the work for less than a minimum wage.

If we examine the NHS Constitution we can be forgiven if we ask the question ‘what price are we now placing on compassion and care?’ Meanwhile, the politicians of all persuasions seem equally complicit in the neglect of fundamental values-based practice, more concerned not to offend the powerful in their pursuit of value-for-money (aka greed and inequality). Our most vulnerable and needy in society should never become pawns in the game of profit, but the slow creeping takeover by private equity of the ownership of social care is making care and compassion commodities to be exploited.

To hear the full 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/024-not-for-profit/id867043694?i=318887373&mt=2

“A people that values its privileges above its principles soon loses both.” [Dwight D Eisenhower].

Podcast Episode 013: Steve Onyett Interview Part 1

TheStrengthsRevolution_albumart_2-2Professor Steve Onyett reflects on the values that have influenced his work and personal development across the last 30 years, including where those values have emerged from. He identifies two particular people who have been influential, one specifically on his professional roles in mental health services, and the other offering him a mentoring role in his development as a spiritual being.

Steve is a well respected facilitator, coach, researcher and writer, but this interview also explores his aspirations in areas of environmental activism and the wider humanistic approach to personal development and his desire to support others. He is particularly engaged in the ‘Way of Council’, and the idea of a deeper ‘listening from the heart’.

For the full content of this episode click on the following 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/013-steve-onyett-interview/id867043694?i=315557844&mt=2