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‘Enabling the Vision’A process of sustained service
improvement
‘‘Cooperative Learning Course: Service Improvement Cooperative Learning Course: Service Improvement Leadership for Mental Health Service Users, Carers & Service Leadership for Mental Health Service Users, Carers & Service
ProvidersProviders
Kerry Dublin South Central Galway Donegal Dublin South West
Mayo West Cork Monaghan Kilkenny South Tipperary
History of innovation & partnership working between DCU and HSE in mental health
Initial ideas resonated with our research and development programme in participatory research and service user involvement
A Vision for Change provided the policy driver Steering group created an encompassing
partnership of expertise and motivation that could realise course aspirations
Service users, carers and mental health professionals learning together
Educational process – open dialogue, action learning & multiple perceptions enabled
Team learning and development of ideas, assignments and projects
Group leadership
Senior level mentor in sponsoring services
Service improvement as an outcome of the course
No exclusivity of expert knowledge – shared knowledge & shared power
Overcoming traditional challenges where mental health professionals, service users and carers become socialised by their experience and education
Developing mutual understandings of needs and what has to be done to address them
Exploration of obstacles to service improvement – health systems and social context
Citizenship and social inclusion Open dialogue approaches to
cooperative learning and working with different perspectives
Values based practice Leadership through cooperative
action Adult learning and critical
reflection Social, political and cultural
influences that impact on service improvement projects
Cooperative relationships with service users, carers, professionals and other groups in the health care community
Completing simulated mini projects
Trialogue symposium (with invited & interested stakeholders)
Leadership in the HSE (Health Service Executive)
Project definition Participatory action Change and organisational
development Project planning Process mapping Project outcomes Academic writing & proposal
writing Team appraisal and
leadership roles Project execution
34 service improvement projects completed or underway
Participatory approaches to service development becoming the norm in some services
Open Dialogue an evolving communication process for change in services
Dissemination of change management approach to other projects and initiatives
Vision for Change is becoming a Process of Change The evolution of the Mental Health Trialogue
Network Ireland
The personal impact on individual learning and development has been shown through people being more inclined to look at how they do things differently and from a diversity of perspectives, and how peoples knowledge and confidence has evolved
Individual projects have often built on others and/or are growing in parallel with those that have gone before
Organisational Change is perhaps where the most fundamental shift is taking place and where the benefit of this programme is beginning to be realised.
Consisting of ‘Trialogue meetings’ where a community forum is established in a neutral space where mental health service users, carers, friends, family members, professional mental health care providers, and anyone with an interest in understanding mental health & mental health problems can share experiences, their lived expertise and together each forum can begin to address mental health problems and constructively in partnership, explore mental health needs from within local communities
Emerging as a process outcome of the leadership programme
7 areas and then snowballing Integrating with existing Trialogue groups where they
exist Local facilitation & sustainability Enabling interested people/groups to step outside
their own bubbles to experience others views perceptions and suggested solutions
A communication network Web, advertisement, local public area notices
Parallel process to leadership teams in local mental health communities with option for the Trialogue participants to become active in informing and further developing community response to mental health issues within…