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Bill Dare posted: "Helpful article from INTEGRATION AND IMPLEMENTATION INSIGHTS for front line mental health workers trying to work in advancing… practices for the communities we serve. The authors put substance to the idea of thinking beyond the individual, ringing true of" </span>
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New post on <strong>Social & Health Practice Ottawa</strong> </h2>
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<h2 class="m_-7175444264484521518post-title" style="margin:.4em 0 .3em;font-size:1.8em;font-size:1.6em;color:#555;margin:0;font-size:20px"><a href="https://public-api.wordpress.com/bar/?stat=groovemails-events&bin=wpcom_email_click&redirect_to=https%3A%2F%2Fsocialhealthpracticeottawa.wordpress.com%2F2019%2F08%2F03%2Fembracing-the-idea-we-are-working-within-a-system-article-from-integration-and-implementation-insights-helps-us-to-move-to-long-term-action-within-our-systems%2F&sr=1&signature=3e096ddaa9034bbb2d23078cb83664f5&user=10795109&_e=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&_z=z" style="text-decoration:underline;color:#2585b2;text-decoration:none!important" target="_blank">Embracing the idea we are working within a system, article from INTEGRATION AND IMPLEMENTATION INSIGHTS – helps us to move to long term action within our systems</a></h2>
<span style="color:#888">by <a href="https://public-api.wordpress.com/bar/?stat=groovemails-events&bin=wpcom_email_click&redirect_to=https%3A%2F%2Fsocialhealthpracticeottawa.wordpress.com%2Fauthor%2Fsocialhealthpracticeottawa%2F&sr=1&signature=1ff52c0abb67dff40f820707c2087b41&user=10795109&_e=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&_z=z" style="text-decoration:underline;color:#2585b2;color:#888!important" target="_blank">Bill Dare</a> </span>
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<p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em">Helpful article from <em><a style="text-decoration:underline;color:#2585b2" href="https://i2insights.org/" rel="home" target="_blank">INTEGRATION AND IMPLEMENTATION INSIGHTS</a></em> for front line mental health workers trying to work in advancing… practices for the communities we serve. The authors put substance to the idea of thinking beyond the individual, ringing true of the breadth involved with care system change that aims for “the long term” instead of “quick changes.”</p>
<blockquote style="font-family:Times,serif;font-size:1.1em;font-style:italic;color:#878787;border-left:3px solid #ccc;padding-left:1em;margin:1em 1em 1em 2em">
<p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em">" move from a focus on separate dramatic events to a focus on the persistent, often almost continuous, pressures giving rise to the discrete events we see."</p>
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<p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em"><a style="text-decoration:underline;color:#2585b2" class="m_-7175444264484521518gallery-image" title="11-Figure4-1" href="https://www.eenetconnect.ca/fileSendAction/fcType/0/fcOid/367659412724106114/filePointer/367659412724106137/fodoid/367659412724106133/imageType/LARGE/inlineImage/true/11-Figure4-1.png" target="_blank"><img border="0" style="max-width:100%;height:auto;margin-bottom:12px" class="m_-7175444264484521518inline-attachment" title="11-Figure4-1" src="https://www.eenetconnect.ca/fileSendAction/fcType/0/fcOid/367659412724106114/filePointer/367659412724106137/fodoid/367659412724106133/imageType/MEDIUM/inlineImage/true/11-Figure4-1.png" alt="11-Figure4-1"></a></p>
<p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em">Our mental health care system feels like a super tanker on the ocean that is trying to turn direction - but it needs a lot more than high level planners thinking of the long term. Anyone in eenetconnect world had any experience with the kind of approach <strong>Richardson and Anderson</strong> offer to help groups map out decisions to advance practice change?</p>
<blockquote style="font-family:Times,serif;font-size:1.1em;font-style:italic;color:#878787;border-left:3px solid #ccc;padding-left:1em;margin:1em 1em 1em 2em">
<p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em">The fields of systems thinking and system dynamics modelling bring four important patterns of thought to such a group decision and negotiation:</p>
<ol style="margin:0 0 1em 1em;padding:0"><li style="line-height:1.6;margin-left:1em;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif">thinking dynamically;</li>
<li style="line-height:1.6;margin-left:1em;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif">thinking in stocks and flows;</li>
<li style="line-height:1.6;margin-left:1em;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif">thinking in feedback loops; and,</li>
<li style="line-height:1.6;margin-left:1em;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif">thinking endogenously.</li>
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<h4 style="margin:.4em 0 .3em;font-size:1.4em"></h4>
<h4 style="margin:.4em 0 .3em;font-size:1.4em">See the article here: <a style="text-decoration:underline;color:#2585b2" href="https://i2insights.org/2019/07/30/thought-patterns-for-group-decisions/" target="_blank">https://i2insights.org/2019/07...for-group-decisions/</a></h4>
<hr><p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em">I realize for system planners, my question about how people approach understanding systems may be a basic question, I am curious how from a front line practice perspective, as a cog in the system workers are:</p>
<ul style="margin:0 0 1em 1em;padding:0;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif"><li style="line-height:1.6;margin-left:1em;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif">engaging in framing systems in their minds</li>
<li style="line-height:1.6;margin-left:1em;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif">acting and interacting with planners on long term system change</li>
<li style="line-height:1.6;margin-left:1em;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif">bridging our everyday care within a system model</li>
</ul><hr><p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em">An example -- gaps, unmet needs, planned actions, goals are embedded in our organizations and systems focus of care to advance the recovery model . The Ontario Common Assessment of Need (OCAN) is framed as a key activity with individuals (clients) and posited by our care system to advance system change and measure performance. <a style="text-decoration:underline;color:#2585b2" href="http://eenet.ca/tags/ocan" target="_blank">http://eenet.ca/tags/ocan</a></p>
<blockquote style="font-family:Times,serif;font-size:1.1em;font-style:italic;color:#878787;border-left:3px solid #ccc;padding-left:1em;margin:1em 1em 1em 2em">
<p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em"> <img border="0" style="max-width:100%;height:auto;margin-bottom:12px" class="m_-7175444264484521518inline-attachment" title="ocan data use" src="https://www.eenetconnect.ca/fileSendAction/fcType/0/fcOid/367659412724106114/filePointer/367659412724132953/fodoid/367659412724132950/imageType/MEDIUM/inlineImage/true/ocan%2520data%2520use.png" alt="ocan data use" width="479" height="479"></p>
</blockquote>
<p style="direction:ltr;font-size:14px;line-height:1.4em;color:#444;font-family:"Helvetica Neue",Helvetica,Arial,sans-serif;margin:0 0 1em"><a style="text-decoration:underline;color:#2585b2" href="https://www.eenetconnect.ca/g/ocan-community-of-interest/topic/examples-of-quality-improvement-using-ocan-and-iar" target="_blank">https://www.ee</a></p>
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