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I'd love to see an article in clinical psychology forum on this issue, again I think the absence of such writing in such a publication is significant, given the huge impact such management practices are having on all aspects of delivery of psychological services. If I wrote one under my name, I think I would be targeted though by my employer. Sent from my iPad On 2 Aug 2013, at 17:19, Penny Priest <[log in to unmask]> wrote: > Yes, I think the business model has trumped the medical model in healthcare for years now, although some models, like the medical model, fit more naturally with business models. > ----- Original Message ----- > From: Jane Mitchell > To: [log in to unmask] > Sent: Friday, August 02, 2013 5:12 PM > Subject: Re: [COMMUNITYPSYCHUK] Lean in mental health care > > The medical director of the trust said it to service leads when the model was being introduced to the trust to which you referred. I agree with the lack of critical writing on this issue. I work as an inpatient psychologist and amusingly found myself reflecting with the consultant psychiatrist with whom I work that rather than the usual arguments between psychiatry and psychology about how to view distress, both professions now are struggling more with models of new public management of which lean is one, which tries to standardise and reduce everything to set protocols and procedures. This is coming to dominate the workplace so much now that there is little space left to have the old arguments that used to occur! Whilst critical and community thinkers continue to tackle the usual old problematic psychological and psychiatric discourses, are they ignoring or not addressing the impact of this new discourse which is becoming extremely powerful and which in it's own way may have extremely adverse effects on how those who are distressed and powerless, are viewed, constructed and treated? I wonder if the absence of such a critical and community commentary is significant in itself. > > Sent from my iPad > > On 2 Aug 2013, at 10:32, Penny Priest <[log in to unmask]> wrote: > >> Hi Jane >> I don't know of any critical articles, only the stuff trying to promote the model - e.g. there was a symposium on lean at the DCP conference last December, and there have also been BPS events on lean. Even that slide, of the use of the word lean, from adjective to noun makes me feel a bit ill. >> >> I'm aware that Tees, Esk and Wear Valleys NHS Foundation Trust, which I think was one of the first Trusts to use the model, recently failed a CQC inspection, regarding 'respecting and involving people who use services'. They had not met this standard in August 2012, and then failed again to meet it in June 2013. So...so much for RPIWs (Rapid Process Improvement Workshops). >> >> I am staggered to hear that you were told to 'treat patients like cars'. Were you actually? Was this in private or public? Were others there? What was the response? >> >> The attached powerpoint, which I just found on Google, I think demonstrates that messianic flavour you mention. From my own experience of a meeting following an RPIW event, to check that people were on course with the 60, 90 and 120 day actions, it struck me that I was in a room of highly paid, highly skilled (presumably?) people, (e.g. including 2 consultant clinical psychologists), and everyone seemed more focused on model itself (are we meeting that target, if not, why not, etc) than on the actual issues they were trying to resolve. There was very little thinking going on. It was quite surreal. I felt as though I had arrived in some sort of alternative universe, like being in some sci-fi movie. >> >> The following blog is pro-lean: http://www.leanblog.org/2009/06/more-online-criticism-of-lean/ >> I think it gives the sense of that pervading culture. >> >> Weird times. >> Penny >> >> ----- Original Message ----- >> From: Jane Mitchell >> To: [log in to unmask] >> Sent: Friday, August 02, 2013 9:08 AM >> Subject: [COMMUNITYPSYCHUK] Lean in mental health care >> >> Hi, >> >> I was wondering whether anyone knew of any critical and community psychology articles focusing on the issues of lean management systems in mental health care? In the trust where I work, we were told to treat "patients like cars" as this management theory stems from Toyota production systems. Adherents and promotors of this ideology can be rather messianic, and it is being rolled out massively in many trusts. I would love to read stuff on the impact on staff and their well being and the impact on how service users and their problems are constructed and responded to. Much has been written about from a critical and community perspective on the negative impact of psychiatric and individualist psychological perspectives on people labelled as having mental health problems, but I am struck by what appears to be a lack of commentary from such a perspective on such a huge and significant ideology which is coming to dominate much of mental health services. >> >> I am really looking forward to people's thoughts, as I feel very much on my own with these concerns >> >> Jane Mitchell >> >> >> Sent from my iPad >> >> On 21 Jun 2013, at 19:51, Paul Moloney <[log in to unmask]> wrote: >> >>> Dear All, >>> >>> Some of you might be interested to know that I've written a critical psychology book which has just been published. >>> >>> If you'd like to find out more, then you can get details from the website of the publisher, Pluto Press, by following the link below: >>> >>> http://bit.ly/12SAfGP >>> >>> Best Regards >>> >>> Paul >>> >>> >>> ___________________________________ There is a twitter feed: http://twitter.com/CommPsychUK (to post contact Grant [log in to unmask] To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website: http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK >> ___________________________________ There is a twitter feed: http://twitter.com/CommPsychUK (to post contact Grant [log in to unmask] To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website: http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK >> ___________________________________ There is a twitter feed: http://twitter.com/CommPsychUK (to post contact Grant [log in to unmask] To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website: http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK >> <Lean Tees NHS Trust.ppt> > ___________________________________ There is a twitter feed: http://twitter.com/CommPsychUK (to post contact Grant [log in to unmask] To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website: http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK > ___________________________________ There is a twitter feed: http://twitter.com/CommPsychUK (to post contact Grant [log in to unmask] To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website: http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK ___________________________________ There is a twitter feed: http://twitter.com/CommPsychUK (to post contact Grant [log in to unmask] To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website: http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK