‘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…