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[object Object],[object Object],[object Object],Slide 001 people  lives  communities
The five faces of oppression ,[object Object],[object Object],[object Object],Iris Marion Young, 1990, quoted in Thomas C (2007)  Sociologies of disability and illness: Contested ideas in Disability Studies and Medical Sociology  Basingstoke: Palgrave Macmillan Slide 821
The five faces of oppression ,[object Object],[object Object],[object Object],[object Object],Iris Marion Young, 1990, quoted in Thomas C (2007)  Sociologies of disability and illness: Contested ideas in Disability Studies and Medical Sociology  Basingstoke: Palgrave Macmillan Slide 821
Disability places,  just people involved with services Ordinary places,  but everyone in the group shares the label Side by side with the general public Slide 062 “ All models are wrong, but some are quite useful.”  George Box Bates et al (2006) Moving to inclusion  Mental Health Today,  April, pp16-18 The Inclusion Traffic Lights
Blending in...? ,[object Object],While on holiday I witnessed exactly the same scene. Had they walked a very long distance or have I missed a vital piece of government legislation? From Choice Forum  29/09/10
Slide 936 Jim Sue Raj Computing Fishing Painting “ Let’s start a fishing club”
Slide 936 Jim Sue Raj Computing Fishing Painting “ Let’s find five clubs”
43% of the UK population (27 million people) are on Facebook. One Facebook user has over 700,000 Facebook fans, according to Wikipedia We asked 470 staff, ‘ Would you be a Facebook friend with someone who uses services?’  78% said  definitely   not  and another 14% said  probably not . FACEBOOK   FRIENDS Slide 877 Aleksandr Orlov
Experts do not always predict well ,[object Object],E.J. Smith speaking in 1907.  Subsequently, Captain, RMS  Titanic Slide 933
Are risk assessments accurate predictors? Ryan C, Nielssen, O, Paton M & Large M (2010)  Clinical decisions in psychiatry should not be based on risk assessment  Australasian Psychiatry  18,5, 398-403 Slide 910 Harm happened afterwards No harm afterwards Assessed as high risk More resources, more restrictions, more help Falsely labelled, unnecessary coercion, resources misallocated Assessed as low risk Avoidable harm? Reduces trust level in the wider community  and media Assessment wasted time and diverted resources away from high risk patients.
A third of assessments failed Ryan C, Nielssen, O, Paton M & Large M (2010)  Clinical decisions in psychiatry should not be based on risk assessment  Australasian Psychiatry  18,5, 398-403 Slide 911 Harm happened afterwards Harm did not happen afterwards Assessed as  High Risk 19 (12%)  36 (23%) Assessed as  Low Risk 9 (6%) 93 (59%)
Risky starts Sometimes called an ‘extinction burst’ in behaviour management New opportunity
Schools or Armies? Are you hoping to add some new ideas to what people already know... ...or do you aim to defeat their old ideas and replace them with new ones? Slide 711
Percentage of male deaths caused by war Slide 577 Graph from Layard 2005, p106 Hope for the community’s future
[object Object],[object Object],[object Object],[object Object],[object Object],Hope unpacked
Your problem, our fix Your problem, your fix Our fix, your words Our fix, our words Slide 731 Adapted from Bevans 2002 Empowerment Message Culture
Joining the poetry club ,[object Object],Forrester-Jones R & Barnes A (2008) On being a girlfriend not a patient: The quest for an acceptable identity amongst people diagnosed with a severe mental illness.  Journal of Mental Health,  April 2008; 17(2): 153 – 172. Quote from pages 161, 168. Slide 868
Are community groups welcoming? Slide 818 Judged welcoming – 561 visits in total

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Promoting choice, control and opportunities for socially excluded people

  • 1.
  • 2.
  • 3.
  • 4. Disability places, just people involved with services Ordinary places, but everyone in the group shares the label Side by side with the general public Slide 062 “ All models are wrong, but some are quite useful.” George Box Bates et al (2006) Moving to inclusion Mental Health Today, April, pp16-18 The Inclusion Traffic Lights
  • 5.
  • 6. Slide 936 Jim Sue Raj Computing Fishing Painting “ Let’s start a fishing club”
  • 7. Slide 936 Jim Sue Raj Computing Fishing Painting “ Let’s find five clubs”
  • 8. 43% of the UK population (27 million people) are on Facebook. One Facebook user has over 700,000 Facebook fans, according to Wikipedia We asked 470 staff, ‘ Would you be a Facebook friend with someone who uses services?’ 78% said definitely not and another 14% said probably not . FACEBOOK FRIENDS Slide 877 Aleksandr Orlov
  • 9.
  • 10. Are risk assessments accurate predictors? Ryan C, Nielssen, O, Paton M & Large M (2010) Clinical decisions in psychiatry should not be based on risk assessment Australasian Psychiatry 18,5, 398-403 Slide 910 Harm happened afterwards No harm afterwards Assessed as high risk More resources, more restrictions, more help Falsely labelled, unnecessary coercion, resources misallocated Assessed as low risk Avoidable harm? Reduces trust level in the wider community and media Assessment wasted time and diverted resources away from high risk patients.
  • 11. A third of assessments failed Ryan C, Nielssen, O, Paton M & Large M (2010) Clinical decisions in psychiatry should not be based on risk assessment Australasian Psychiatry 18,5, 398-403 Slide 911 Harm happened afterwards Harm did not happen afterwards Assessed as High Risk 19 (12%) 36 (23%) Assessed as Low Risk 9 (6%) 93 (59%)
  • 12. Risky starts Sometimes called an ‘extinction burst’ in behaviour management New opportunity
  • 13. Schools or Armies? Are you hoping to add some new ideas to what people already know... ...or do you aim to defeat their old ideas and replace them with new ones? Slide 711
  • 14. Percentage of male deaths caused by war Slide 577 Graph from Layard 2005, p106 Hope for the community’s future
  • 15.
  • 16. Your problem, our fix Your problem, your fix Our fix, your words Our fix, our words Slide 731 Adapted from Bevans 2002 Empowerment Message Culture
  • 17.
  • 18. Are community groups welcoming? Slide 818 Judged welcoming – 561 visits in total