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SWAN Conference 2012
             HOPE UNIVERSITY, LIVERPOOL 30-31 March


The Health Career – Care Domains - Model
 Originally created by Brian E Hodges (Ret.) MMU, Manchester

 A health and social care model for the 21st C.
 Peter Jones
 Community Mental Health Nurse Older Adults
 Intermediate Support Team & Nursing Home Liaison
 Ribbleton Hospital
 Preston, UK
 h2cmng@yahoo.co.uk   Twitter: @h2cm


                             H2CM = “Hodges' Health Career Model”
My background:

                          Experience
RMN, RGN, CPN(Cert.)
                          Older Adults
BA(Hons.) Comp./Phil.
                          Adult mental health
PG(Dip)COPE
                           Nursing Home Liaison
PGCE
                           Care Programme Approach
Interests                   Primary care projects
 Nursing                     CMHP & GP Fundholding
 Global health                NHS Care Record Service
   (Public) Mental health
    Quality of care – assurance
     Models of care - Hodges' model
      Informatics: Web, Drupal, Ruby
       Nurse education – Sign-off mentor
        Computer aided learning – ZX81, BBC micro
Presentation:

Aim: To introduce and justify a care model ...

Structure                      Current status
Content - knowledge            What next?
Purposes                       Research
Examples of h2cm
Central SWAN                   Your questions ...
 themes
Purposes - past


Hodges' model - 1980s by Brian Hodges
4 educational objectives:

• Curriculum development.
• Holistic assessment and evaluation.
• To support reflective practice.
• To bridge the theory-practice gap.
 'Career' in the title of the model refers to 'life chances'.
Structure of the model:

                             Individual   M
Questions:              H                 E
                        U                 C
                        M
Who (subjects)          A
                                          H
                                          A
Actions (tasks)         N
                        I
                                          N
                                          I
                        S                 S
                        T                 T
                        I                 I
                        C                 C

                              Group
What knowledge do nurses use?

                           Individual

    INTRA-
      ?
INTERPERSONAL                           SCIENCES
                                            ?
Humanistic
                                                 Mechanistic

SOCIOLOGY
    ?                                   POLITICAL
                                           ?
                            Group
     the   SPIRITUAL domain comprises all four
Defining the model...

h2cm is a conceptual framework
H2cm is an open conceptual space.
Open for the user to:
     – Contextualise
     – Situate
     – Personalise & Populate
What this model of care is ALL about ...
Individual
Personalised care is not a
given. It takes work in theory
and practice. This model
reflects that. It takes ‘effort’ to
place the individual at the
centre of what we do.



 Hum                                               Mech




                                         Group
Purposes - future

Person-centred patient/carer engagement
collaborative care
Multidisciplinary care
Transitional & Integrative models
  Nursing model > MD Care model > Self-care model
Informatics systems
  Information as a resource
Literacies
… strengths I


 Professional values
 Personal reflection to Argumentation? -
debate
 Local – Global & 'Glocal'
 Socio–Technical (ICT systems)
 Audiences: Patient, Carer, Citizen, Student
 Multiple hooks (ways to explain)
  • 4P's
  • Stress – Vulnerability model*
  • Information processing models
  * Zubin and Spring (1977)
… Strengths II

The model is agnostic -

    Skills (some insight needed)

    Disciplines

    Speciality

    Culture - age (14+?), gender, ethnicity, beliefs)

    Media

    Information systems

    Agencies (Public, Private, Voluntary)

    Politics!
H2cm: Structure matters ...




 Me, ‘Self’            Human ‘Being’
                        [Life course -
                       End of life care]

  ‘Other’                  Citizen
    ‘Us’                   Voter
  Families                Politician
Communities               Services!
Ind
      holism                                                             reduction
          subjective                                               objective
            qualitative                                  quantitative

  SOCIO-                                                             TECHNICAL
                          Person-centred
Hum                                                                                  Mech
                                                 Service-centred


                'Left wing'                               'Right-wing'


  Open access
                                                                   Copyright
  Open source
                                           Grp
H2cm: SWAN conference themes examples



Personal morale Person centred        Technology      Telecare
 Personal philosophy      Beliefs      Physical infrastructure
           Motivation
    Personal ideals / values
                                    ‘Systems’: transport, access
     Education and training           Geography Statistics
                                                Data
 Cultures             Equality      Managerialism Business Profits
        Engagement                    Pay Activism protest “Social
                                       Work” Consultation Local
         Community Society                    Government
        Cohesiveness                 Professional identity Pensions
   Public services / ideals         Funding      Outcomes Equity
                                          Government ideology
  Friendships Social care
H2cm: Health & Social Care example ...



PURPOSES                 mood        PROCESS Models & Theory
                                    Access - Physical
Thoughts, beliefs       Cognitive -
Mental health      stress, anxiety             Physical health
            performance             injection anatomy / physiology
   Interpersonal skills
Education         learning          Diagnosis      distance : time
Talking (listening) therapies       'Evidence' Curricula

Cultures                         POLICY Health & Social Care Bill
  audience  engagement             Law, Economics      Welfare
     Communities of PRACTICE     Leadership ‘Sick’
Languages                           Organizations Scope
                                 Regulation Standards –
               networking        interoperability Occupy movement
friendships Cohesion             DPA FOI Capacity
Locating key literacies



 3R’s
Reading                       Spatial
Writing                       Visual
 Maths
                            Information
Emotional      HEALTH
              LITERACY


 Social                     Economic
Spiritual                    Political
P
                                  H
                                  Y
   P                              S
   S                              I
 PSYCHO        –       PHYSIC AL
   C                              O
   H      Bridges for             P
   O  Health, Social Care,        O
   |      Well-being              L
   S    & Self-efficacy           I
   O                              T
   C                              I
SOCIO     –            PO L I T I C A L
                                  C
   A                              A
   L                              L
New website - New community!


Beyond the 1998 website and 2006 blog a new site
using the content management system Drupal:
   • Encourages and engages a user community
   • Dynamic database driven
   • Archive (Hodges' original notes)
   • Multi-lingual!
   • Specific content types
   • Taxonomies
   • Semantic web, RDF
      all possibly!
Drupal: Open source CMS


Drupal CONTENT TYPES:
  Book (collaborative work)
  Case study [care domains]
  H2CM form, summary, matrix
  Nursing problems, care plans, assessments
evaluations
  Taxonomy / vocabulary
Presentation: in summary

Aim: To introduce and justify a care model ...

Structure                      Current status
Content - knowledge            What next?
Purposes                       Research
Examples of h2cm
inc. SWAN themes               Your questions ...
Thank you

                 Peter Jones @h2cm
         Blogging at: Welcome to the QUAD
            Which includes a bibliography:
        http://hodges-model.blogspot.com/
Hodges' Health Career - Care Domains – Model H2CM
         http://www.p-jones.demon.co.uk/
   h2cm: help2Cmore - help-2-listen – help-2-care

           Additional resources follow ...
Hodges' model [h2cm] - Resources

       Hodges' Health Career Model: Website
       Hodges' original course notes

       Care domains - indicative content (A4 page)

         Four pages – one per knowledge (care) domain:
         E.g. SCIENCES
                 &
              POLITICAL

Three papers - two co-authored – are currently with journals (forensic
mental health; community informatics; and nursing). I am keen to hear
from people interested in using the model and explore collaboration,
writing projects.

Post-graduate study is also a possibility, personal studies are ongoing
exploring Hodges' model as a conceptual space(s) (Gärdenfors, 2000).

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Social Work Action Network SWAN Conference 31 March 2012 Hodges model

  • 1. SWAN Conference 2012 HOPE UNIVERSITY, LIVERPOOL 30-31 March The Health Career – Care Domains - Model Originally created by Brian E Hodges (Ret.) MMU, Manchester A health and social care model for the 21st C. Peter Jones Community Mental Health Nurse Older Adults Intermediate Support Team & Nursing Home Liaison Ribbleton Hospital Preston, UK h2cmng@yahoo.co.uk Twitter: @h2cm H2CM = “Hodges' Health Career Model”
  • 2. My background: Experience RMN, RGN, CPN(Cert.) Older Adults BA(Hons.) Comp./Phil. Adult mental health PG(Dip)COPE Nursing Home Liaison PGCE Care Programme Approach Interests Primary care projects Nursing CMHP & GP Fundholding Global health NHS Care Record Service (Public) Mental health Quality of care – assurance Models of care - Hodges' model Informatics: Web, Drupal, Ruby Nurse education – Sign-off mentor Computer aided learning – ZX81, BBC micro
  • 3. Presentation: Aim: To introduce and justify a care model ... Structure Current status Content - knowledge What next? Purposes Research Examples of h2cm Central SWAN Your questions ... themes
  • 4. Purposes - past Hodges' model - 1980s by Brian Hodges 4 educational objectives: • Curriculum development. • Holistic assessment and evaluation. • To support reflective practice. • To bridge the theory-practice gap. 'Career' in the title of the model refers to 'life chances'.
  • 5. Structure of the model: Individual M Questions: H E U C M Who (subjects) A H A Actions (tasks) N I N I S S T T I I C C Group
  • 6. What knowledge do nurses use? Individual INTRA- ? INTERPERSONAL SCIENCES ? Humanistic Mechanistic SOCIOLOGY ? POLITICAL ? Group the SPIRITUAL domain comprises all four
  • 7. Defining the model... h2cm is a conceptual framework H2cm is an open conceptual space. Open for the user to: – Contextualise – Situate – Personalise & Populate
  • 8. What this model of care is ALL about ...
  • 9. Individual Personalised care is not a given. It takes work in theory and practice. This model reflects that. It takes ‘effort’ to place the individual at the centre of what we do. Hum Mech Group
  • 10. Purposes - future Person-centred patient/carer engagement collaborative care Multidisciplinary care Transitional & Integrative models Nursing model > MD Care model > Self-care model Informatics systems Information as a resource Literacies
  • 11. … strengths I  Professional values  Personal reflection to Argumentation? - debate  Local – Global & 'Glocal'  Socio–Technical (ICT systems)  Audiences: Patient, Carer, Citizen, Student  Multiple hooks (ways to explain) • 4P's • Stress – Vulnerability model* • Information processing models * Zubin and Spring (1977)
  • 12. … Strengths II The model is agnostic -  Skills (some insight needed)  Disciplines  Speciality  Culture - age (14+?), gender, ethnicity, beliefs)  Media  Information systems  Agencies (Public, Private, Voluntary)  Politics!
  • 13. H2cm: Structure matters ... Me, ‘Self’ Human ‘Being’ [Life course - End of life care] ‘Other’ Citizen ‘Us’ Voter Families Politician Communities Services!
  • 14. Ind holism reduction subjective objective qualitative quantitative SOCIO- TECHNICAL Person-centred Hum Mech Service-centred 'Left wing' 'Right-wing' Open access Copyright Open source Grp
  • 15. H2cm: SWAN conference themes examples Personal morale Person centred Technology Telecare Personal philosophy Beliefs Physical infrastructure Motivation Personal ideals / values ‘Systems’: transport, access Education and training Geography Statistics Data Cultures Equality Managerialism Business Profits Engagement Pay Activism protest “Social Work” Consultation Local Community Society Government Cohesiveness Professional identity Pensions Public services / ideals Funding Outcomes Equity Government ideology Friendships Social care
  • 16. H2cm: Health & Social Care example ... PURPOSES mood PROCESS Models & Theory Access - Physical Thoughts, beliefs Cognitive - Mental health stress, anxiety Physical health performance injection anatomy / physiology Interpersonal skills Education learning Diagnosis distance : time Talking (listening) therapies 'Evidence' Curricula Cultures POLICY Health & Social Care Bill audience engagement Law, Economics Welfare Communities of PRACTICE Leadership ‘Sick’ Languages Organizations Scope Regulation Standards – networking interoperability Occupy movement friendships Cohesion DPA FOI Capacity
  • 17. Locating key literacies 3R’s Reading Spatial Writing Visual Maths Information Emotional HEALTH LITERACY Social Economic Spiritual Political
  • 18. P H Y P S S I PSYCHO – PHYSIC AL C O H Bridges for P O Health, Social Care, O | Well-being L S & Self-efficacy I O T C I SOCIO – PO L I T I C A L C A A L L
  • 19. New website - New community! Beyond the 1998 website and 2006 blog a new site using the content management system Drupal: • Encourages and engages a user community • Dynamic database driven • Archive (Hodges' original notes) • Multi-lingual! • Specific content types • Taxonomies • Semantic web, RDF all possibly!
  • 20. Drupal: Open source CMS Drupal CONTENT TYPES: Book (collaborative work) Case study [care domains] H2CM form, summary, matrix Nursing problems, care plans, assessments evaluations Taxonomy / vocabulary
  • 21. Presentation: in summary Aim: To introduce and justify a care model ... Structure Current status Content - knowledge What next? Purposes Research Examples of h2cm inc. SWAN themes Your questions ...
  • 22. Thank you Peter Jones @h2cm Blogging at: Welcome to the QUAD Which includes a bibliography: http://hodges-model.blogspot.com/ Hodges' Health Career - Care Domains – Model H2CM http://www.p-jones.demon.co.uk/ h2cm: help2Cmore - help-2-listen – help-2-care Additional resources follow ...
  • 23. Hodges' model [h2cm] - Resources Hodges' Health Career Model: Website Hodges' original course notes Care domains - indicative content (A4 page) Four pages – one per knowledge (care) domain: E.g. SCIENCES & POLITICAL Three papers - two co-authored – are currently with journals (forensic mental health; community informatics; and nursing). I am keen to hear from people interested in using the model and explore collaboration, writing projects. Post-graduate study is also a possibility, personal studies are ongoing exploring Hodges' model as a conceptual space(s) (Gärdenfors, 2000).

Notas do Editor

  1. This is what the model is about. What do you see? The four corners – virgin space. What should (must) you see? What should you hear? The model's two main properties are there already... SITUATED PERSON-CENTRED The model is open to whatever situation or context is at hand. The model is open as we should be – making no judgements. h2cm acknowledges the need to be simultaneously task and person based. Although the individual is there putting them at the center takes effort. This work is necessary and reminds us of our values.