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Seductive strategies and multi-professional mayhem. Health and social care research with children and young people. Tony Long Professor of Child and Family Health October 2008. The drive for multi-disciplinary approaches to everything.

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Seductive strategies and multi-professional mayhem. Health and social care research with children and young people


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Seductive strategies and multi-professional mayhem. Health and social care research with children and young people

Tony Long

Professor of Child and Family Health

October 2008

uncritical promotion of multi disciplinary working
Policy documents – especially from 2000: (The NHS Plan, Health service for all the talents, Working & learning together (DH), Benchmarking academic & practitioner standards (QAA), etc

Find a university which isn’t pursuing IPL!

Major issue for validation of programmes and evaluation of schools, faculties HEIs

Research studies to identify the way forward

Meme

“…units of cultural transmission which propagate themselves in the meme pool by leaping from brain to brain by a process which, in the broadest sense, can be called imitation.”

Dawkins R (1976) The selfish gene (p192) Oxford University Press

Uncritical promotion of multi-disciplinary working
sounding seductive but failing to deliver
…sounding seductive, but failing to deliver…

Inter-professional learning in the health care professions:

  • often demanded
  • labour-intensive
  • sometimes enjoyed
  • hardly mainstream
  • evidence of outcome lacking

CNO

Chris Beasley

values for integrated working with children and young people
Values for integrated working with children and young people

http://nmc-uk.org/aArticle.aspx?ArticleID=2344

Children's practitioners value the contribution that a range of colleagues make to children and young people’s lives, and they form effective relationships across the children's workforce.

Their integrated practice is based on a willingness to bring their own expertise to bear on the pursuit of shared goals, and a respect for the expertise of others.

terrible terminology
“Professional and occupational groups”

“Competent bodies”

SpReg, SSLT, RSW, FSW, StSW

“The College”

What does “clinical practice” mean to a social worker?

Terrible Terminology
additionality
Additionality
  • The output of additionalizing?
  • Resources over and above the standard quota.
when do social work students first learn to say pop
When do social work students first learn to say “pop”?
  • “Pop along to the office...”
  • “Pop it in the post, then.”
  • “I’ll pop in to see how you’re getting on…”
we re all answering a question
That means…

Service user involvement

Hard evidence

Insight and understanding

Appropriate methods

Local relevance

Generalisability

We’re all answering a question
  • “I want a strong, rigorous, worthwhile study.”

(But is it the same question?)

great but different expectations
Write a section for me on…

Think what the key questions will be…

Do you have the reference for that?

Ethics approval

Great (but different) Expectations
who needs to be at the table
“Can’t we just count the midwives in with the nurses?Who needs to be at the table?

Long T, Davis C, Johnson M. Murphy M, Race D, Shardlow S (2006) Standards for education and training for interagency working in child protection in the UK: implications for nurses, midwives and health visitors. Nurse Education Today 26 (1) 11-22.

slide16

BHLP

CAF

Development of the collaborative agenda

TAF

4 Mandates Leads

Children’s Trust

Local

Strategic

Partnership

LAA

SMT

Cultural Change

(External Consultancy)

Operational Management Group

Springboard Team

Respect Action Area

Family Intervention Project

Locality Teams

Children’s Trust

The way forward for collaborative services

Rapidly moving agendas…

…and associated terminology

Ravey M, Long T, Murphy M, Fallon D (2008) Evaluation of Blackpool Council Springboard Project. University of Salford

research with yp is un ethical
Research with YP is (un)ethical
  • What ethics committee?
  • The risk of exploitation
  • Physical and other dangers
  • Vulnerable individuals
  • Vulnerable groups
  • Sensitive topics

Long T, Fallon D (2007) Ethics approval, guarantees of quality, and the meddlesome editor. Journal of Clinical Nursing 16 (8) 1398-1404.

vulnerable people sensitive topics
Vulnerable people, sensitive topics
  • MRC, RCPCH guidelines – only if the research couldn’t be done on adults. Joan Livesley (safety in hospitals) Who else can tell the young person’s story?
  • Substance misusing families – they’ll never talk to you. Michael Murphy Privileged Access Interviewers
  • Sensitive topics – Debbie Fallon (teenagers accessing emergency contraception) – Who decides that the topic is sensitive, and who makes it sensitive?

Murphy M (2006) The Childs View: The highs and lows of Family Life Bolton ACPC/Bolton DAT

Fallon D (2006) To raise dream and ambition – a rhetorical analysis of the teenage pregnancy strategy. Nursing Inquiry 13 (3)186-193

purpose of a multidisciplinary yp research team
The nature of health & social care practice with young people

Ability to understand complex multi-faceted reality of life/care/health

Different research skills …and access

Purpose of a multidisciplinary YP research team

CYP@Salford

agreed values
Partnership working

Inclusiveness

Rigorous and useful

Ethical research

Innovative & flexible

Agreed values
research with yp is essential
Research with YP is essential
  • Improvement of specific services
  • Non-exclusion agenda – right to benefit
  • They have things to say and…
  • They want to be heard
  • … and to make a difference
  • Whose voice is to be heard?
mol an oige agus tiocfaidh siad
Mol an oige agus tiocfaidh siad

Praise the young and they will flourish.

Listen to the young and they will flourish.

working at effectiveness
Working at Effectiveness
  • Picking the right team for the occasion
  • Sustained commitment to joint working (the squad)
  • Working on communication
  • Working to strengths and being pragmatic
  • Understanding the potential. Being ready to emphasise it

Long T, Fallon D, Devitt P, Oak E, Murphy M, Dugdill L (2008) A community health needs evaluation to improve uptake of services at a children’s centre in a deprived and geographically isolated town. Journal of Children’s and Young People’s Nursing 2 (3) 108-114.

creating a balance for yp by maximising the team s attributes
Avoid exploitation (but who decides when it becomes exploitation?)

Protect from danger (but allow some risk)

Hear the voice (but who chooses the issues?)

Respect autonomy (but what are the limits?)

Luke

Calum

Indi

Jack

Creating a balance for YP by maximising the team’s attributes
it may all seem too good to be true
It may all seem too good to be true…

“To every human problem there is a neat and easy solution – and it’s wrong.”

H L Mencken

multidisciplinary research with yp is too difficult
Multidisciplinary research with YP is too difficult!
  • Many problems
  • No easy answers
  • …and the answers keep changing
  • That’s life! Get on with it.
the way forward if we choose it
The way forward (if we choose it)
  • Sensitivity. Awareness of selves as well as young people.
  • Flexibility…mixed with creativity.
  • Listening & learning
  • Being prepared to be wrong
  • …but
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Seductive strategies and multi-professional mayhem. Health and social care research with children and young people

Tony Long

t.long@salford.ac.uk

CYP@salford.ac.uk