- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Tuesday, September 03, 2019

CLEAR as a Mental Health Million...?

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - population
ASK 
about underlying social problems

TREAT
 the immediate health problem
...

REFER
to local social support resources

ADVOCATE
for


Constantly rationalising; it's still the Northern summer holidays, people are away, not everyone's on twitter, the tweet's still warm, blimey - get a life ...!

I wonder how no one else can consider the very obvious 'fit' between key elements of the CLEAR initiative and Hodges' model, sufficient to consider the tweet of that post worthy of a like at least? Not a one. (There's another post perhaps..?)

Oh well... Plough on ...

The other week Mental Health Million on twitter featured a gif that caught my eye again today. This graphic provides a lesson that also incorporates CLEAR.

If we consider the ASK advice, then this supposes of course that the person, patient, client is engaged with the health professional. Engaged, to such an extent that in competency terms the professional's interpersonal skills come to the fore. It really is how we ask, and at that first encounter that is crucial.

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - population
ASK 
about underlying social problems

TREAT
 the immediate health problem
...

REFER
to local social support resources

ADVOCATE
for

Although I may write about the importance of parity of esteem in mental and physical health this is often thought of in funding, research terms and the physical health of people with more chronic forms of mental illnesses who are prescribed and take long term psychotropic medication. It is not easy to envisage the extent of the challenges for patients, their families and the health and social care team. The CLEAR website notes the use of the initiative across many health contexts and hence conditions, including dementia.

The animation tweeted by Mental Health Million and their reference to the 'One in Four' statistic, highlights the complex nature of 'care pathways'.

Yes, the solutions are "out there" but the key is making them available.

No pun intended, but pathways are often taken for granted in the sense that they are CLEARed and straightforward to follow. CLEAR checks this assumption and takes a global approach. CLEAR and Hodges' model draw attention to the humanistic, the social side of medicine, health care. These are often not factored in from the outset, as a vital part of the outcome process (policy, purposes and practices).

As mental health care professionals realise that ability to 'ask' can be hard-won in terms of the patience that needs to be exercised.
The counterpoint to that is a twitter thread last week. A person with mental illness and in difficulty at that time, was suggesting that the professionals "Go Away" (not exactly the words used).

As this animation suggests, getting referred is one thing, being heard and seen is another. Getting to the point were dialogue is possible is a delicate negotiation. Mutual respect, being able to agree to disagree. Do we agree as to the type of the fruit on the tree; never mind what might be 'low-hanging'?  Whatever the perceived and actual differences we must try to reduce that distance, listen, share and make progress.

No one should have to sit, walk, Be alone if they do not want to. ...


individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - population




TREAT
the immediate health problem


REFER
to local social support resources



ADVOCATE
for