Upload
others
View
0
Download
0
Embed Size (px)
Citation preview
TITLE:
“Public value management: A case study of transitional change in disability sector reform in
Western Australia”
ABSTRACT
This paper contributes to the study of Public Value Management (PVM). PVM is
distinguished from other approaches to public administration in its focus on establishing
community networks and collaborative capacity building for the creation of public value. We
explore PVM through a case study of a public-community sector partnership strategy called
the Positive Behaviour Framework (PBF), a state government initiative designed to transform
services for people with disabilities. The development and implementation of the PBF is
analysed via a transitional change or ‘sector awareness’ model. Each phase of the model is
illustrated through ‘positive stories’ which depict key moments in the change process and in
the activities that public sector managers employed to raise awareness, build capacity and
promote collaboration. We discuss the implications of the study for disability sector change
management and for the further study of the PVM approach to public sector administration.
KEY TERMS:
public sector administration, public value management, strategic management, disability
services, positive behaviour framework
INTRODUCTION
Since the 1980’s, public service organisations’ political and institutional environments have
shifted from a welfare-focus that emphasises administrative procedures to a financial-focus
that emphasises market-based efficiencies and individual responsibility (Bryson, Crosby, &
Bloomberg, 2014; Denhardt & Denhardt, 2000; Hasenfeld, 2010). This development, known
as New Public Management (NPM) (Gruening, 2001), seeks a “leaner, and increasingly
privatised government, emulating not only the practices but also the values of business”
(Denhardt & Denhardt, 2000, p. 549). More recently, a further evolution in public sector
philosophy and practice has seen the emergence of public value management (PVM)
(O'Flynn, 2007; Stoker, 2006). PVM responds to demands on government for more
collaborative and participative engagement with the community. Where traditional and NPM
forms of public sector management aim to retain control of reform goals, service objectives
and delivery methods, PVM aims for reform and innovation through networking, dialogue
and shared capacity building between key stakeholders (Stoker, 2006).
In line with these global trends, the Australian public sector has explored new management
approaches to providing public services (Housego & O’Brien, 2012). PVM is part of this
attempt to find a “new balance” (Bourgon, 2008) between government and community-based
delivery of services, between government regulation and self-regulation, between ensuring
service quality and cost effectiveness and between personal choice and public benefit (Greve,
2015). However, as well as creating opportunities for efficiencies, greater consumer choice
and competition, there are also significant risks associated with community and private sector
outsourcing of what have traditionally been regarded as public services. In particular,
individualised funding, marketisation and greater competition can result in greater
uncertainty about service quality and highlight the difficulties in balancing service standards
and value for money (Stewart & Alam, 2000). Research is needed to understand how PVM
deals with these kinds of opposing management demands, especially in policy development
and implementation. While foundational work has been done on defining PVM (Rutgers,
2015) and on comparing its core characteristics with those of NPM (Bryson et al., 2014;
Denhardt & Denhardt, 2000; Stoker, 2006), we know little about the practical impact of
PVM, especially as regards developing and implementing strategies to create public value.
The move towards public administration reform has been particularly noticeable in the
disability sector where funding arrangements, regulatory standards and stakeholder
expectations have been changing rapidly (Dickinson, Needham, & Sullivan, 2014). Change is
an important issue in this sector because individuals with disabilities and their families are in
particularly vulnerable situations where resources and capacities are often very limited.
Public sectors managers are faced with the difficult task of overseeing change but also of
ensuring consistency of service quality. In this paper we explore the relationship between
sector change and the role of value-based public management through a case study involving
a strategic plan developed and implemented in the Western Australian disability sector to
address the issue of “challenging behaviours” (Allen, 2009). This approach, the Positive
Behaviour Framework (PBF), is a strategic plan to support individuals and families dealing
with challenging behaviours through both intensive supports and universally available
services (Disability Services Commission, 2009, 2013). The implementation of the PBF
presents an opportunity for investigating the role of public sector managers in supporting
collaborative networks to address a complex and highly topical social issue.
In the following sections, we first present the paper’s theoretical background and develop a
transitional change model that we call the “sector awareness model”. We use this change lens
to describe and analyse our case study. We present the case as several phases of increasing
development in disability sector awareness and capacity to respond positively to challenging
behaviours. We present a series of positive stories that illustrate the growth in sector
awareness and provide insights into how public service management employ innovative
strategies for supporting that change. We conclude with a critical reflection on the role of
public administration in supporting disability sector reform in a time of rapid change.
THEORETICAL BACKGROUND
The Evolution of Public Sector Management
One of the defining features of public life over the past three decades has been the pace and
scale of public sector change and transformation (Kettl, 2015). During the 1980s and 1990s
the scrutinisation of public spending and service outcomes saw the emergence of NPM
(Armstrong, 1998; Hood & Scott, 1996) and its characteristic adoption of private sector
values such as individual incentives, user pays principles, financial accountability and
customer choice (Hood, 1991). However, researchers have also noted that the focus on
efficiency and financial performance has come at the cost of communities’ inclusion in policy
development and implementation (Bovaird, 2007). The focus on efficiency and cost cutting
has seen service development and delivery moving increasingly from a government
responsibility to one involving multiple agencies from the community and private sectors
(O’Flynn, Vardon, Yeatman, & Carson, 2011). Similarly, funding models have steadily
shifted from block funding of government agencies to community and consumer-based
approaches (Purcal, Fisher, & Laragy, 2014).
In recent years, however, innovative niches within the Australian public sector have adopted
a more networked, collaborative approach to accountability, replacing the dominant focus on
financial accountability that characterised NPM. O’Flynn has argued that, as the weaknesses
in the NPM paradigm of financial efficiency became more evident, “a new paradigm for
thinking about government activity, policy-making and service delivery may emerge bringing
with it important implications for public managers” (2007, p. 353). As part of this emergent
paradigm, PVM emphasises administrative perspectives that focus on collaborative networks
in identifying common values, developing vision and achieving shared purpose. Table 1
presents a comparison of public sector management characteristics for the NPM and PVM
approaches. Reviews have described many marked differences between the two approaches
on a number of characteristics (Alford, 1998; Bryson et al., 2014; O'Flynn, 2007; Purcal et
al., 2014). However, PVM should not be seen as necessarily opposing but rather as
complementing NPM characteristics with additional principles and applications. For
example, Table 1 describes NPM as emphasising cost efficiencies and PVM as concerned
with on financial costs while also prioritising collaborative relationships with stakeholders.
This complementary aspect of PVM is indicated in Table 1 with the word “PLUS”. In
summary, the move in PVM has been to continue with reform and improved performance and
to do this through developing community resources, public-private partnerships, networking
and cross-sector consultation processes to enhance societal capacities.
PLACE TABLE 1 ABOUT HERE
Transitional Change
Making sense of the public sector change requires theory that not only accounts for the
structural reforms but also the transitional processes that occur when organisations and
individuals shift from one way of behaving to another. The development and implementation
of the PBF in the Western Australian Disability Services is an exemplary case of this kind of
large scale transitioning. To illustrate the PVM approach to supporting community change we
develop a transitional change lens that will be used to analyse our case study. Transition
theories of change describe how organisations move from a current state of little or no
capacity or awareness in a particular area to a new state where the desired knowledge or
capacity is accepted as routine (Langley, Smallman, Tsoukas, & Van de Ven, 2013).
Numerous theories from the organisational change literature provide insight into transitional
processes, and in the following we derive a model of transitional change by comparing and
calibrating seven theories to build a detailed overview of the transitioning process (cf. Elrod
& Tippett, 2002) (see Table 2). We selected theories that have a substantial research base in
the management and organisational literature; that apply to large scale, transformative change
both within and between organisational structures; and that consider the change process
through subjective experience, awareness and personal engagement.
In Table 2 shows the comparison and calibration of selected change models and presents the
resulting 6-phase model of transitioning awareness. We call these phases Non-Awareness,
Preliminary, Growing, Productive, Embedding and Creative Awareness. The initial phase is
one of non-awareness to highlight that there is no formal recognition of the need for change.
At this baseline phase, managers, and organisations operate within standard patterns of
organising, behaving and thinking. At some point, however, events, critical incidents or
anomalies occur which cannot be assimilated into standard practices. These anomalies
accumulate and lead to a public recognition of the problem and the desire for more
information. This is the preliminary awareness phase of recognising deficiencies in the status
quo and of struggling with the ambiguities of wanting to change but not knowing how. In
Table 2 this preliminary awareness phase is referred to as, “embryonic archetype
incoherence” (Greenwood & Hinings, 1988), “conflicts” (Nutt 2003) and “concerns”
(Gehman, Treviño, & Garud, 2013). From this preliminary state opportunities emerge for
investigating adaptive innovations and the “translation” of old practices into new ones
(Bresman, 2013). In this phase of growing awareness, alternatives arise which offer potential
solutions to problems.
PLACE TABLE 2 ABOUT HERE
In the phase of productive awareness, new forms of thinking, behaving, and communicating
gradually emerge and adapt or even replace established practices and methods of problem
solving. A transformation occurs in which there is broad adoption of, and identification with,
the new standards of practice, service design and philosophy. During the phase of embedded
awareness an integration of existing structures, patterns and forms of organising occurs as
new practices become the new order of functioning. Over time, skills, resources and levels of
mastery with the new forms of activity and thinking develop and, consequently, creativity
and innovation within this new status quo increases (Metcalfe, 1993). This is the phase of
creative awareness. This model of developing awareness is not a linear one. Detours,
fixations and iterative loops are possible and the whole process can repeat itself as new
opportunities and challenges arise.
In the following case study we apply this phases-of-awareness schema to illustrate the PVM
approach to public sector management. Using awareness as a means for tracking the various
phases of change and innovation highlights both the human and social process of service and
policy development and implementation. In the following sections we discuss the study’s
research design and methods, and follow this with a presentation of the case study material
and detailed discussion of each of the phases of awareness as they emerged.
THE CASE STUDY
Background - disability services and the Positive Behaviour Framework
The case of the implementation of the PBF by the Disability Services Commission of
Western Australia (hereafter referred to as “the Commission”) is particularly relevant for
exploring PVM. There are several reasons for this. First, disability services in Western
Australia have undergone rapid change to keep abreast with the innovations in service design
and delivery practices of other national and international jurisdictions (Stancliffe, 2002).
Second, the introduction of the new National Disability Insurance Scheme is instigating many
new changes in public sector involvement in service delivery and the monitoring of service
standards. Third, in contrast to the regulatory environments of other states, the
implementation of PBF in Western Australia is being undertaken on a voluntary basis which
highlights the role of community engagement and networking (Cubbage, 2014).
The case also provides an insight into public administration practices associated with the
implementation of PVM by illustrating the changing role of the Commission. While the
Commission continues to provide direct services, it is moving rapidly to focus more on
partnering and collaborating with families, disability sector organisations, businesses and
other stakeholders to develop services for people with disabilities. In its role as a funding
body for disability sector organisations, the Commission aims to ensure that services comply
with the requirements of state and federal disability legislation but also looks to go well
beyond mere compliance to also ensure the availability of innovative, high quality services.
The positive behaviour framework and challenging behaviours
It is within the context of rapidly changing legislative, funding and service provision
environments that the Commission, in consultation with individuals, families and disability
organisations, has developed the PBF strategy for responding to the needs of people with
disability who engage in behaviours that place themselves and possibly others at risk. These
behaviours, often referred to in the disability literature as “challenging behaviours” (Allen,
2009) or “behaviours of concern” (Chan, Arnold, Webber, Riches et al., 2012) are behaviours
that risk the safety or wellbeing of the people who display them or to others who may be
affected (Emerson, 1995). The vulnerability of many people with disabilities who engage in
behaviours that put themselves and others at risk highlights the need for increased service
capacity and responsiveness (Allen, 2009). Challenging and concerning behaviour can be
seen as communicating profound human needs and sometimes indicative of situational
conditions that deny other ways of expressing those needs. Consequently, issues of human
rights and core values become critically important in designing flexible and adaptive services.
All this highlights the need for long-term investments in holistic, sector-wide and positive
strategies.
The PBF aims to achieve two goals. First, it aims to open up positive opportunities through
service initiatives that are tailored to the needs of individual persons. Second, the PBF aims
to safeguard human rights by eliminating restrictive practices. A restrictive practice is “any
practice or intervention that has the effect of restricting the rights or freedom of movement of
a person with disability, with the primary purpose of protecting the person or others from
harm” (Disability Services Commission, 2012, p. 14). Examples of restrictive practices
include the use of helmets, harnesses or medication to restrain people from self-harm. Non-
restrictive practices are interventions that do not impinge on the rights of individuals with
challenging behaviours and, in the case of possible self-harm for example, might include
using methods of supported communication or increasing opportunities for meaningful
participation in occupational activities. The PBF initiative includes an evidence-based
approach to disability service design and delivery called Positive Behaviour Support (PBS)
(Disability Services Commission, 2013). PBS is grounded in safeguarding human rights,
improving quality of life and eliminating restrictive practices through systemic change and is
the core theoretical foundation to the PBF strategy. In short, the PBF is a long-term strategic
plan for collaborating with stakeholders to advance sector-wide change in the delivery of
disability services and supports to address the needs of people with challenging behaviours.
Before describing this case in more detail we will develop and present a theoretical
perspective for interpreting the complex set of activities and initiatives that have occurred in
the PBF’s implementation process.
Philosophical orientation, research design and method
The philosophical orientation of this study takes its lead from positive organisational
scholarship (Cameron, Dutton, & Quinn, 2003; Roberts, 2006) and appreciative inquiry
(Cooperrider & Srivastva, 2001; Reed, 2007) which together emphasise critically
appreciative views of organisations and their management. As Cameron and his colleagues
put it, positive organisational scholarship (POS) is concerned, “primarily with the study of
especially positive outcomes, processes, and attributes of organisations and their members”
(Cameron et al., 2003, p. 4). We recognise that this is not a common perspective in public
service management research but in this case study we have taken this approach to highlight
the positive lessons that are emerging from a unique approach to public management within
the disability sector in Western Australia.
We adopted a longitudinal case-based approach (Eisenhardt, 1989) to gain close familiarity
with the form of public sector management used to implement the PBF. As this approach is
interpretive and hence can potentially be subjected to various personal biases, we followed
many of the criteria laid down by Lincoln and Guba (1985) to ensure trustworthiness of our
qualitative data. For example, to ensure the credibility and dependability in the validity of the
findings we made frequent observations from multiple data sources and checked those
observations and insights with key players in the case. Through tracking longitudinally the
emergence of committees, service initiatives, commissioned reports, critical incidents and
strategic planning activities we were able to identify key initiatives in the implementation of
the PBF. The case provided the opportunity for in-depth observations and gathering of
information on the transitional change process. We explored patterns in management and
organisational behaviour to ascertain the kinds of change that occurred across the sector as
the PBF strategy was rolled out. This pattern matching process enabled case study
observations to be compared with theoretical expectations (Bitektine, 2008). Bitektine notes
that comparing “a pattern of observed outcomes … with some pattern of expected values
derived from a given theory” (2008, p. 3) provides an external validity check for the
interpretation of case study observations. In this case study we compared our database of
information and observations about public management involvements in the development and
implementation of the PBF with descriptions of the change phases in our transition model of
awareness. This process allowed us to identify what stages were associated with particular
management initiatives and practices.
Data were collected through: i) meetings with three Commission managers who were key
figures in the development and implementation of the PBF from its inception, ii) attendance
at ten meetings of an interagency community of practice (CoP), iii) interviews with 18 CEOs
or senior executives of service provider organisations and 18 members of the CoP, iv)
documents such as CoP meeting minutes and commissioned reports, and v) attendance at
several other meetings of guiding committees and interest groups. These engagements took
place between November 2013 and January 2015. From these sources we gained a historical
perspective on the sector’s growing awareness of the challenging behaviour and restrictive
practices issues and how PBF implementation guided that awareness.
The data was analysed via an inductive approach (Miles & Huberman, 1994) to identify key
episodes in the development and implementation of the PBF. These episodes were iteratively
referenced to the theoretical framework to find patterns, interpret our findings and check for
alternative interpretations. Subsequent to identifying seminal episodes, narratives were then
developed to provide a rich description of these episodes and so illustrate the development of
sector awareness. The episodes themselves were chosen from many stories and activities
collected during workshops and interviews. They were selected on the basis of their
importance in the transitioning process and on their ability to capture the essential nature of
the particular phase of sector awareness. We then matched these narratives to particular
phases in our theoretical framework and they are presented as “positive stories” in the next
section.
CASE FINDINGS
Transitional Change Phases in Developing and Implementing the PBF
In this section, we trace the development and implementation of the PBF through the lens of
a transitional change or ‘sector awareness model’ outlined above. Adopting a positive
scholarship approach, we illustrate the seminal changes in sector awareness through
describing positive stories that exemplify the different types of transitions that occurred.
1. Non-awareness, avoidance and denial (prior to 2004)
In our case non-awareness marked the period prior to 2004 where sector-wide service
provision in Western Australia had no consistent approach to responding to challenging
behaviours and restrictive practices. Non-awareness can be a passive state of ignorance or an
active state of deliberate avoidance and denial. In this phase restrictive practices were
routinely used to deal with instances of challenging behaviours. Government and institutional
policies and codes that addressed such issues were either non-existent or piecemeal. While
some service providers may have acted more flexibly and positively, such responses were not
widely adopted practices. Public sector management of the issue was sporadic and
characterised by isolated attempts to gather information and develop reactive services. There
were, however, localised initiatives that emerged out of the creativity of individuals and
teams within certain organisations. This is illustrated by the following story of a localised
initiative using PBS. This initiative was not, however, supported by any systemic change and
no general level of public management awareness or consistent response to challenging
behaviours was present beyond small, local experiments.
Positive Story 1 - The Non-Awareness Stage: An isolated collaborative initiative
In the period between 2002 and 2004, Commission staff initiated a collaboration with
another government department to support a person with a mild intellectual disability and an
obsessive compulsive disorder who was engaging in challenging behaviours. The
collaboration trialled a PBS approach to intervention. This involved coordinated meetings
between the public sector departments to assess, treat, plan and review the client’s support
needs. A support worker was employed jointly by the two agencies to support the person. A
consultant psychiatrist and clinical psychology team in mental health and clinical
psychologists at the Commission collaborated to support the intervention. The intervention
resulted in greatly improved quality of life for the person and her family.
2. Preliminary awareness (2004-2007)
In the period of preliminary awareness, events occurred which brought the lack of adequate
service responses to challenging behaviours to broader attention. National media reports
about the abusive use of restrictive practices raised concern across Australia. In response, the
Commission initiated projects which raised sector awareness of inappropriate responses to
challenging behaviour. In 2004 a small initiative began for an emergency response team
which consisted of a clinical psychologist and an intervention officer. In 2006, this initiative
led to a successful tender for funding the Positive Behaviour Team, a specialist professional
team that uses PBS principles and practices for responding to incidents of challenging
behaviour.
In 2007, an inquiry into the general functioning of disability services resulted in the report,
“Western Australian Sector Health Check on Disability Services”. This report looked at the
effectiveness of government resources allocated to the disability sector. Commission
managers developed a suite of initiatives in response to the report with the aim of facilitating
sector-wide learning about challenging behaviours and how to use the PBS approach to
improve service provision (Gatter, Cubbage & Hollick, 2013, p. 1). From this point
awareness grew and Commission managers and senior clinical staff began to develop a vision
for an overall strategic plan that would become the PBF.
Positive Story 2 - Preliminary Awareness Stage: The Challenging Behaviour Consortium
Positive outcomes can flow from acknowledging that a problem exists and that current ways
of responding to the problem are inadequate. In 2005 and 2006 the “Challenging Behaviour
Consortium” was established to support disability sector agencies’ awareness of the need to
address the topic of challenging behaviour. This support led to the development of a training
package called “Smart thinking” and a host of tip sheets for direct care staff. A lasting
outcome of the consortium was the establishment of the Positive Behaviour In Action group.
This group is now an embedded support for PBS “champions” within the WA disability
sector.
3. Growing awareness (2008-2009)
The growing awareness phase is characterised by greater focus on strategy development. As
a result of the Sector Health Check report, the Commission, in conjunction with the peak
body for the disability sector the National Disability Services, established the “Towards
Responsive Services for All” project (National Disability Services, 2009). The project found
that the disability service sector’s capacity to deal with challenging behaviours was very
limited. There was also a Commission initiative to review scientific information about
challenging behaviours, restrictive practices and alternative service responses that took a
positive perspective on intervention (Disability Services Commission, 2008). The review
highlighted the investments required to introduce more effective evidence-based supports.
These projects influenced initial drafts of the PBF strategy document and played a role in the
allocation of resources within the Commission. In 2009, after numerous sector-wide forums
and focus groups, stage 1 of the PBF was launched. This launch brought to the general
attention of the disability sector in Western Australia the need for systemic change on the
challenging behaviour and restrictive practices issues.
Positive Stories 3 - Growing Awareness Stage: Effective Service Design project
A crucial project in the development of the PBF investigated service design in addressing
people’s needs in a positive manner. The Commission initiated a series of consultations with
families, people with disabilities, disability sector organisations and community members in
April 2011. This resulted in a paper “Effective Service Design” based on the principles of
knowing the person well, developing proactive services and focusing on building
relationships and community around the person with the disability. These principles capture
the basis for sector organisations to reform their service focus and provide a platform across
the state for the introduction of PBS strategies.
4. Productive awareness (2010-2012)
Productive awareness is perhaps the key phase in the process of managing change. This
phase saw a shift in the focus of Commission managers from raising awareness to creating
substantive change. More specifically, attention moved from information gathering and
consultation towards taking action to change systems and practices through productive
engagement with stakeholders through the co-creation of support initiatives. Engagement and
co-creation, i.e., the shared responsibility for developing service initiatives, are core aspects
of the PVM approach to public administration. In her discussion of the future of public
service management, Bourgon comments that, “Citizen engagement in service delivery opens
unprecedented avenues for co-design, co-production and co-creation of government services”
(Bourgon, 2008, p. 399).
A critical time in the productive co-creation of PBF initiatives was the establishment in 2010
of a 45-member Guiding Committee. Commission managers facilitated representation from
many DSOs, 6 peak bodies, families and carers and all directorates of the Commission. This
committee, which continues to meet and is chaired by a parent of a young man with a
disability, decides on key priorities, launches pilot projects, and develops service and training
initiatives.
Positive Story 4 - Productive Awareness Stage: Code of Practice for Eliminating Restrictive
Practices
An example of this productive stage was the development and launch of the “Voluntary Code
of Practice for the Elimination of Restrictive Practices” (Disability Services Commission,
2012). This code encouraged disability service organisations to develop operational policy
and guidelines for eliminating restrictive practices. The code was developed by a coalition of
stakeholders from across the disability sector and was facilitated by the Commission.
Support and training for implementation of the code of practice was made available through
the work of the PBF Guiding Committee. Awareness around the need to eliminate restrictive
practices has opened up the opportunity for positive service alternatives to be trialled.
5 Embedding awareness (2013-2014)
In the embedding awareness phase new cultural and operational capacities are routinized in
everyday thinking and doing. Embedding change is inevitably a complex process of
successes, blind alleys, mistakes and surprises. Overall though, awareness grows, learning
occurs and new routines become accepted practice as culture changes. In our case, this
embedding stage saw the trialling of many new initiatives and experiments by the various
partnering committees and groups with guidance and support from Commission managers.
One of the most important for demonstrating the practicality of PBF principles and practices
was the Sector and Workforce Development project (Gatter, Cubbage, & Hollick, 2013). This
trial sparked sector learning and confidence in the potential usefulness of the PBF (Gatter et
al., 2013) and led to involvement of many disability organisations in the PBF strategy. New
measures to support the routinisation of PBS practices are appearing across the sector and in
different service areas.
Positive Story 5 – Embedding Awareness Stage: A community of practice for PBS
consultants
Embedded awareness means that new service approaches are routinised in culture, systems
and structures. As part of the ongoing rollout of the PBF, an important project of the
Commission was to develop and support a voluntary community of practice (CoP) for
professional staff from different DSOs who have designated responsibility for PBF-related
initiatives. These professional staff or PBS consultants, come from over twenty government,
private and community DSOs and they meet every six weeks to further their aims of
promoting change based on the PBF objectives. These regular meetings facilitate learning
and the co-creation of opportunities for members’ personal and professional development.
This CoP has been an important agent for initiating and embedding change and promoting
consistency across the sector.
6 Creative Awareness (2015 – Future)
As new approaches to service design, culture and delivery become embedded in everyday
practices, organisations and their members can divert some resources and energy onto
creative applications of new skills and insights. This is the phase of creative awareness where
the dynamic capabilities of organisations are fully utilised to solve new problems, experiment
with and explore new possibilities and flexibly adapt to changing social, regulatory and
economic environments (Wang & Ahmed, 2007). The creative awareness phase will be
crucial in fully achieving the more aspirational goals of the PBF strategy involving
community engagement and state-wide application of PBS for people with disability and the
community throughout Western Australia (see Table 3 below).
Positive Story 6 – Creative Awareness Stage: “Is There a Better Way”
As the PBF is still being implemented there are currently only some first signs of how this
stage of creative awareness will unfold. One emerging development is the novel use of PBF
by families in the design and delivery of staff development services and training programs.
The “Is There a Better Way” workshop was jointly developed by Commission managers and
families with a lived experience of challenging behaviour. It was developed to assist families
and service providers to come together and explore responses to challenging behaviour by
providing a safe and non-judgemental space for collaborative reflection and problem
solving. This program is now emerging as a core element in family engagement strategies
that are developing around the state.
Describing the implementation of the PBF through these stories illustrates how PVM
characteristics, such as social innovation, community networking and a focus on shared
values, are effective in supporting the transitioning between different phases in the
development and implementation of public policy. PVM strategies can support services,
organisations, groups and communities in moving from a state of non-awareness to states of
productive, embedded and creative awareness in responding to challenging social issues.
Table 3 presents a summary of these findings and describes the public sector management
activities that correspond to each of the transitional phases in the development of greater
sector awareness and action.
PLACE TABLE 3 ABOUT HERE
DISCUSSION
Understanding the ongoing transformation of public sector organisations across the world is a
vital task for organisational researchers and public administration scholars alike. The present
study aimed to improve our understanding of how PVM enables significant change through
examining its impact on the phases of change taking place in implementing a strategic change
initiative. Our study contributes to the theoretical literature, adding to our understanding of
PVM and its implementation in public service delivery. We examined how public sector
management can build community capacity by blending two separate research streams – the
PVM perspective from the public administration field and theories of transitional change
from the organisational change field. Using the transitional change lens we developed a
“sector awareness model” that illustrates different aspects of PVM and how they can be seen
to instigate and support change at different points in the strategy development and
implementation process. The sector awareness model is useful for seeing how transitions
between key points in the development and implementation of public policy are connected
with PVM activities. For example, the collaborative aspect of PVM is closely linked with the
sector-wide changes that occurred in the “growing awareness phase” when agencies across
the sector acknowledge the importance of an issue and commit to taking action to address it.
Our case study has important implications for both the study and practice of public sector
management. The case demonstrates the central role of shared values in developing
productive relationships with community stakeholders. Shared values helped to engage and
focus the energies of diverse stakeholders onto responding to challenging behaviours in
innovative and productive ways. Values such as basic human rights have direct relevance to
many areas of government responsibility. Hence, the question arises, does the PVM approach
have application to other government services, for example, immigration, indigenous services
and correctional services? There is potential here for the cross-sector application of value-
based approaches to public administration like PVM. There are also implications for
management practice in the public service. As shown in Table 1, PVM does not simply
replace traditional or NPM-based management activities and values but has characteristics
that complement and build on existing practices. For example, PVM includes the concern of
improving operational efficiency while at the same time being guided by values-based and
community-directed concerns. This has implications not only for evaluating the performance
of public sector managers but also for how they perceive their own professional roles and
how those roles relate to community interests. For example, the PVM approach of building
community capacity through developing networks and supporting communities of practice is
not only an efficient means for creating social value but also expresses core values of co-
creation and collaboration. This means that public service managers can explore aspects of
their work that go beyond, for example, the narrow pursuit of financial accountability and
market-based competition to a more multifaceted attention to “community values, political
norms, professional standards, and citizen interests” (Bryson et al., 2014, p. 446).
CONCLUSION
Investigating different approaches to policy development and implementation is a vital issue
for researching and practicing public sector management. To contribute to our understanding
of public sector management in general and PVM in particular, we have presented a case
study of policy development in the disability sector in Western Australia. The case study and
the narratives presented are illustrative of a collaborative form of public sector management
that accommodates service reforms within a model of community networking and co-
creation. Change is, of course, a complex and non-linear process and there can be significant
barriers to progressive reforms at any point in the change process. There can also be different
rates and levels of change between different parts of the sector, different organisations and
within different organisational units. But the overall pattern seen here is one of increasing
sector awareness and the building of sector capacity for addressing an important issue within
the disability community in Western Australia. .
In moving from a starting point of sector-wide inaction, our study showed how PVM
approaches enabled community networks to develop and be resourced so that co-created
innovations could be trialled and, where successful, adopted. While there are clearly many
barriers and complexities involved in this co-creative approach to innovation, the focus on
shared values and core human rights provides a basis for continued conversations and
ongoing commitment. We have presented a transitional change model that emphasises the
developing sense of awareness and urgency that underpins the journey of sector-wide
transformative change. This journey has many more chapters to be recorded and written. It is
a positive story of making real changes in the lives of people with disabilities so that we
might all live in more humane and inclusive communities.
REFERENCES
Alford, J. (1998). A Public Management Road Less Travelled: Clients as Co-producers of
Public Services. Australian Journal of Public Administration, 57, 4, 128-
137.10.1111/j.1467-8500.1998.tb01568.x
Allen, D. (2009). Positive behavioural support as a service system for people with
challenging behaviour. Psychiatry, 8, 10, 408-
412.http://dx.doi.org/10.1016/j.mppsy.2009.07.001
Armstrong, A. (1998). A Comparative Analysis: New Public Management — The Way
Ahead? Australian Journal of Public Administration, 57, 2, 12-24.10.1111/j.1467-
8500.1998.tb01379.x
Bitektine, A. (2008). Prospective case study design: Qualitative method for deductive theory
testing. Organizational Research Methods, 11, 1, 160-
180.10.1177/1094428106292900
Bourgon, J. (2008). The Future of Public Service: A Search for a New Balance. Australian
Journal of Public Administration, 67, 4, 390-404.10.1111/j.1467-8500.2008.00597.x
Bovaird, T. (2007). Beyond engagement and participation: User and community
coproduction of public services. Public Administration Review, 67, 5, 846-860
Bresman, H. (2013). Changing Routines: A Process Model of Vicarious Group Learning in
Pharmaceutical R&D. Academy of Management Journal, 56, 1,
35-61.10.5465/amj.2010.0725
Bryson, J. M., Crosby, B. C., & Bloomberg, L. (2014). Public Value Governance: Moving
Beyond Traditional Public Administration and the New Public Management. Public
Administration Review, 74, 4, 445-446
Cameron, K. S., Dutton, J. E., & Quinn, R. E. (Eds.), (2003). Positive Organizational
Scholarship: Foundations of a New Discipline. San Fransisco: Berrett-Koehler
Publishers.
Chan, J., Arnold, S., Webber, L., Riches, V., Parmenter, T., & Stancliffe, R. (2012). Is it time
to drop the term 'challenging behaviour'? Learning Disability Practice, 15, 5, 36-38
Cooperrider, D. L., & Srivastva, S. (2001). Appreciative Inquiry in Organizational Life. In D.
L. Cooperrider, J. Peter F. Sorensen, T. F. Yaeger & D. Whitney (Eds.), Appreciative
Inquiry: An Emerging Direction for Organization Development. Champaign IL:
Stipes Publishing.
Cubbage, M. (2014). Code of Practice for the Elimination of Restrictive Practices. perth,
WA: Disability Services Commission.
Denhardt, R. B., & Denhardt, J. V. (2000). The New Public Service: Serving Rather than
Steering. Public Administration Review, 60, 6, 549-559.10.1111/0033-3352.00117
Dickinson, H., Needham, C., & Sullivan, H. (2014). Individual Funding for Disability
Support: What are the Implications for Accountability? Australian Journal of Public
Administration, 73, 4, 417-425.10.1111/1467-8500.12106
Disability Services Commission. (2008). Literature Review: Report and Review of the
Literature on Challenging Behaviour to inform the Report to address the Disability
Services Sector Health Check Recommendation 51. Perth: Disability Services
Commission.
Disability Services Commission. (2009). Positive Behaviour Framework. Perth, WA:
Government of Western Australia.
Disability Services Commission. (2012). Voluntary Code of Practice for the Elimination of
Restrictive Practices. Perth, WA: Government of Western Australia.
Disability Services Commission. (2013). Positive Behaviour Framework: Stage 2 - Statewide
Implementation of Positive Behaviour Suuport. Perth, WA: Government of Western
Australia.
Eisenhardt, K. M. (1989). Building Theories from Case Study Research. The Academy of
Management Review, 14, 4, 532-550
Elgin, D. (1977). Limits to the Management of Large, Complex Systems: Assessment of
Future National and International Problem Areas (Vol. 2). Menlo Park, California:
Centre for the Study of Social Policy, Stanford Research International.
Elrod, P. D., & Tippett, D. D. (2002). The "death valley" of change. Journal of
Organizational Change Management, 15, 3, 273
Emerson, E. (1995). Challenging Behaviour: Analysis and Intervention in People with
Learning Disabilities. Cambridge: Cambridge University Press.
Gatter, B., Cubbage, M., & Hollick, J. ( 2013). Evaluation of the Sector and Workforce
Development Project to Promote the Use of Positive Behaviour Support in Disability
Services. Perth, WA: Disability Services Commission.
Gehman, J., Treviño, L. K., & Garud, R. (2013). Values Work: A Process Study of the
Emergence and Performance of Organizational Values Practices. Academy of
Management Journal, 56, 1, 84-112.10.5465/amj.2010.0628
Greenwood, R., & Hinings, C. R. (1988). Organizational Design Types, Tracks and the
Dynamics of Strategic Change. Organization Studies, 9, 3, 293
Greve, C. (2015). Ideas in Public Management Reform for the 2010s. Digitalization, Value
Creation and Involvement. Public Organization Review, 15, 1, 49-
65.http://dx.doi.org/10.1007/s11115-013-0253-8
Gruening, G. (2001). Origin and theoretical basis of new public management. International
Public Management Journal, 4, 1, 1-25.http://dx.doi.org/10.1016/S1096-
7494(01)00041-1
Hasenfeld, Y. (Ed.), (2010). Human services as complex organizations (2 ed.). Los Angeles:
Sage Publications.
Hood, C. (1991). A public management for all seasons. Public Administration, 69, 1, 3-19
Hood, C., & Scott, C. (1996). Bureaucratic Regulation and New Public Management in the
United Kingdom: Mirror-Image Developments? Journal of Law and Society, 23, 3,
321-345.10.2307/1410715
Housego, A., & O’Brien, T. (2012). Delivery of Public Services by Non-Government
Organisations. Australian Journal of Public Administration, 71, 2,
211-220.10.1111/j.1467-8500.2012.00765.x
Kettl, D. F. (2015). The transformation of governance: Public administration for the twenty-
first century. Baltimore: Johns Hopkins University Press.
Langley, A., Smallman, C., Tsoukas, H., & Van de Ven, A. H. (2013). Process Studies of
Change in Organization and Management: Unveiling Temporality, Activity, and
Flow. Academy of Management Journal, 56, 1, 1-13.10.5465/amj.2013.4001
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. Newbury Park, CA: Sage
Publications.
Metcalfe, L. (1993). Public management: From imitation to innovation. Australian Journal of
Public Administration, 52, 3, 292-304.10.1111/j.1467-8500.1993.tb00281.x
Miles, M. B., & Huberman, A. M. (1994). Qualitative Data Anaylsis (2nd ed.). London:
Sage.
Moore, M., & Gergen, P. (1988). Turning the pain of change into creativity and structure for
the new order. In R. H. Kilman, T. J. Covin & Associates (Eds.), Corporate
Transformation: Revitalising Organisations for a Competitive World (pp. 368-392).
San Francisco: Jossey-Bass.
National Disability Services. (2009). Towards Responsive Services for All! Perth, WA:
Disability Services Commission.
Nutt, P. C. (2003). Implications for organisational change in the structure process duality.
Research in Organisational Change and Development, 14, 147-193
O'Flynn, J. (2007). From New Public Management to Public Value: Paradigmatic Change
and Managerial Implications. Australian Journal of Public Administration, 66, 3, 353-
366.10.1111/j.1467-8500.2007.00545.x
O’Flynn, J., Vardon, S., Yeatman, A., & Carson, L. (2011). Perspectives on the Capacity of
the Australian Public Service and Effective Policy Development and Implementation.
Australian Journal of Public Administration, 70, 3, 309-317.10.1111/j.1467-
8500.2011.00731.x
Purcal, C., Fisher, K. R., & Laragy, C. (2014). Analysing Choice in Australian Individual
Funding Disability Policies. Australian Journal of Public Administration, 73, 1, 88-
102.10.1111/1467-8500.12063
Reed, J. (2007). Appreciative Inquiry: Research for Change. New York: Sage.
Roberts, L. M. (2006). Shifting the lens on organizational life: The added value of positive
scholarship. Academy of Management Review, 31, 2, 292-305
Rutgers, M. R. (2015). As Good as It Gets? On the Meaning of Public Value in the Study of
Policy and Management. American Review of Public Administration, 45, 1, 29
Stancliffe, R. J. (2002). Provision of residential services for people with intellectual disability
in Australia: an international comparison. Journal of Intellectual and Developmental
Disability, 27, 2, 117-124.10.1080/13668250220135079-1
Stewart, L., & Alam, M. (2000). Disability support services in a liberalised economy: A NZ
case study. The International Journal of Public Sector Management, 13, 2/3, 186-205
Stoker, G. (2006). Public Value Management: A New Narrative for Networked Governance?
The American Review of Public Administration, 36, 1, 41-
57.10.1177/0275074005282583
Wang, C. L., & Ahmed, P. K. (2007). Dynamic capabilities: A review and research agenda.
International Journal of Management Reviews, 9, 1, 31-51.10.1111/j.1468-
2370.2007.00201.x
Table 1: Comparison of NPM and PVM characteristics (adapted from Alford, 1998; Bryson et al., 2014; O'Flynn, 2007; Purcal et al., 2014)
ASPECTS OF MANAGEMENT
NEW PUBLIC MANAGEMENT (NPM)
PUBLIC VALUE MANAGEMENT (PVM)
Philosophical and Intellectual contextPublic administration Separation of policy development from
policy implementation and service administration
Integration of policy development service administration within community settings – the co-creation of public value and policy
Defining “public interest” Individual preferences are polled and aggregated
Individual preferences PLUS Collective preferences are expressed and integrated
Compete/collaborate Competition at every level in building and implementation of policy
Policy is developed and implemented through Competitive PLUS Collaborative processes
View of key stakeholders Customers, clients, service users, passive recipients of services
Customers PLUS Co-creators and collaborators, active co-creators of
Structure Decentralization and regionalisation Project/service- based teams Management approach
Dominant Model ofAccountability
Upward accountability via performance contracts; outwards to customers via market mechanisms
Multiple accountability systems including citizens as overseers of government, customers as users and taxpayers as funders
Incentives Personnel management (incentives) Maximising incentives PLUS purpose as incentiveMeasurement Performance measurement Performance PLUS value measurementManagement flexibility Freedom to manage (flexibility) Freedom to manage PLUS innovatePlanning Strategic planning, goal setting and
management by objectivesCollaborative partnering, networking and partnerships and communities of practice
Outsourcing Contracting out Contracting out PLUS voluntary engagement Service characteristics
Service provision Separation of provision and production Integration of provision and supportFunding paradigm Fee for service Stakeholders as service user PLUS funderCharacterisation Post-Bureaucratic, competitive
governmentPost-Bureaucratic PLUS Post-Competitive
Dominant focus Outcomes/results-focused Outcomes/results PLUS Relationships focusManagerial Goals Agreed performance targets Multiple goals including responding to citizen/user
preferences, renewing trust via collaboration, networking
Performance Objective Management of inputs and outputs to ensure efficiency and consumer focus
Multiple objectives are pursued including service outputs, satisfaction, outcomes, trust and legitimacy
Preferred System of Delivery
Private sector or tightly defined arms-length public agency
Menu of alternatives selected pragmatically and in collaboration with stakeholder groups
Table 2: Transitional models of change from organisation and management studies
Phases of Awareness
Conditions for Transformation
(Elgin, 1977)
Archetype Tracks (Greenwood & Hinings, 1988)
Transition(Moore &
Gergen, 1988)
Cultural revolutions (Elrod & Tippett, 2002)
Dialectical Development(Nutt, 2003)
Routine Change (Bresman, 2013)
Values Model (Gehman et
al. 2013)
1. Non-Awareness
Status Quo Archetype coherence (A)
Steady-state Steady-state Identification
2. Preliminary Awareness
Procrastination Embryonic archetype
incoherence (A)
Shock Distortions Conflicts Concerns
Crisis Acknowledge crisis
Growing dissatisfaction
3. Growing awareness
Innovations Schizoid incoherence
Adaptation Revitalisation Crisis Translation Knotting
Chaos “back to basics”
Defensive retreat
4. Productive awareness
Embryonic archetype
coherence (B)
Reformulation Revolution Adoption Performance
5. Embedding awareness
Transformation Archetype coherence (B)
Change Routinisation Continuation
Transformation
6. Creative Awareness
Revitalisation New order Circulation
Table 3: Public management activities and PBF development and implementation
Year Phase of Awareness
PhaseDescription
Public SectorManagement Activities
PBF Phase
Prior to 2004
Non-awareness & denial
The issue is hidden or denied. Occasional service innovation.
Sporadic attempts to develop reactive responses through temporary services and isolated policy initiatives
No PBF
2004-7 Preliminary awareness
Awareness emerges through critical incidents
Initial discussion within small management circles, initial research and disseminating reports, developing and drafting preliminary versions of the PBF
PBF Preliminary drafts
2008-9 Growing awareness
Leadership awareness in services begins to grow.
Establishing committees, facilitating the initiation of sector-based information gathering and consultation
PBF Stage 1
2010-12 Productive awareness
Awareness is expressed as active and productive change.
Supporting pilot schemes, developing codes and policy, facilitating and developing sector-wide commitment
2013-14 Embedding awareness
Awareness becomes embedded in cultures and service designs
New services, growing sector initiatives, developing supportive mechanisms, establishing research links
PBF Stage 2
2015-future
Creative/Reflexive awareness
Services are sources of creative solutions. Critical insights are tested.
Supporting and monitoring sector initiatives and ongoing embedding of new practices and service cultures
PBF Stage 3