[homeles_ot-l] Fwd: [New post] 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

Wed Aug 14 05:32:42 EDT 2019

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"
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New post on *Social & Health Practice Ottawa*
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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
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Bill Dare
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Helpful article from *INTEGRATION AND IMPLEMENTATION INSIGHTS
<https://i2insights.org/>* 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.”

" 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."

[image: 11-Figure4-1]
<https://www.eenetconnect.ca/fileSendAction/fcType/0/fcOid/367659412724106114/filePointer/367659412724106137/fodoid/367659412724106133/imageType/LARGE/inlineImage/true/11-Figure4-1.png>

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 *Richardson and Anderson* offer to
help groups map out decisions to advance practice change?

The fields of systems thinking and system dynamics modelling bring four
important patterns of thought to such a group decision and negotiation:

   1. thinking dynamically;
   2. thinking in stocks and flows;
   3. thinking in feedback loops; and,
   4. thinking endogenously.

See the article here: https://i2insights.org/2019/07...for-group-decisions/
<https://i2insights.org/2019/07/30/thought-patterns-for-group-decisions/>
------------------------------

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:

   - engaging in framing  systems in their minds
   - acting and interacting with planners on long term system change
   - bridging our everyday care within a system model

------------------------------

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. http://eenet.ca/tags/ocan

 [image: ocan data use]

https://www.ee
<https://www.eenetconnect.ca/g/ocan-community-of-interest/topic/examples-of-quality-improvement-using-ocan-and-iar>
*Bill Dare
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| August 3, 2019 at 1:00 pm | Categories: Healthy Organizations
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