 |
 |
'Traditional' service redesign would, as you mention, explore how effective care and support can be delivered more consistently and reliably, perhaps at lower cost via the 'stripping out of waste' or 'non value adding' steps from the 'value stream'. In my opinion, service redesign from a critical community psychology perspective might involve: Unusual levels of input from service users and local people about what they want from the whole system (not just one servive) Unusual levels of Involvment of service users and local people in the redesign and improvement process Culture change (and mindset change) in the system towards a recovery approach, in which the underlying assumptions of the biomedical model are surfaced and the role of social, economic and cultural factors in the development of conditions, and recovery from the same, is recognised - perhaps in partnership with more holistic public health practitioners and the LSP (local strategic partnership). Involvement of cultural and leisure services departments in the development of pathways into non-pharmacological programmes for troubled (or labelled) individuals. Awareness raising of the dangers and costs associated with pathologising and medicating too many children and adolescents for 'conditions' which may be within the 'normal' spectrum of behaviours, especially in response to a growing materialistic culture which we know undermines health and wellbeing But these suggestions come from a doctor, and may not be radical enough for some palates. Tim Tim Anstiss Sent using BlackBerry® from Orange -----Original Message----- From: "Boyle Stephanie (RQ3) BCH" <[log in to unmask]> Date: Mon, 12 May 2008 16:36:47 To:[log in to unmask] Subject: Radical re-design of a CAMHS - any ideas? Hi folks, I’d like to hear your views or recommendations on service design from a critical/community perspective. I’m interested in ideas and discussion about what a CAMH (Child and Adolescent Mental Health) service might look like or what issues it might address if designed from a critical psychology/community psychology perspective. A little background information – I work in a large urban CAMHS in the UK which is in the process of thinking about how it might re-organise to better meet current demands (e.g. requirements of commissioners, new info from needs analyses conducted for the first time, etc.). Ideas are being welcomed but no guarantees about how ideas will be used(/not used/misusesd). There is an emphasis on partnership working and early intervention and prevention. Children’s Trust arrangements (in theory joint commissioning and planning across Health and Local Authority for children’s services) and top-down logic modelling (Dartington-I, e.g. a focus on planning deployment of resources to meet required outcomes via the use of interventions with proven efficacy) are some of the more local drivers which might make the service more amenable to certain kinds of ideas that would previously have been unthinkable (but which will also constrain in new ways too). (Some of you may come across this same request in other places (post-Beyond Belief conference discussion; West Midlands CCIG) so apologies to you for cluttering up your inbox.) I await your comments with interest. TIA, Stephanie