We all live in a web of understandings that we ourselves have created
We don’t truly know what we think until we hear what we say
Where our attention goes, energy flows and life grows
Every person has their own best answers because they are the expert in self
If you can name it you can change it
If you can measure it you can manage it
If you can imagine it you can achieve it
People are able to change – it’s the will to change that is the key
Nothing happens until something moves
Don’t just do ‘something’ – sit there and – Stop, Think, Respond Appropriately
The antidote to self-defeating negativity is generosity of spirit to self and others
‘Power to’ and NOT ‘power over’ makes for the most productive partnership between health practitioner and service user in effecting behaviour change
Background Theory and Research
New Tools of Trade for a Partnership Approach to Behaviour Change
The approaches, processes and tools provided by Self-Management Solutions draw on a wide range of discipline areas that contribute to accepted theories and practice in behaviour change. These have included: Prochaska and Diclemente’s Stages of Change; Miller & Rollnick’s Motivational Interviewing, Maslow’s Hierarchy of Needs; Bandura’s thinking and Action; Goleman’s Emotional Intelligence; Lerner’s human Connection; Kelly’s Personal Construct Psychology; Polanyi’s Tacit Knowledge; ‘Kolb’s learning cycles; Bruner’s Psychology of Knowing; Kemmis and McTaggart’s Action Research; Shone’s Reflective Practitioners; Flemming’s Adult Learning Styles and Grant and Greene’s exceptionally well researched and collected writing on Coaching.
These background frameworks provide a rich spectrum of information for making sense of behaviour and effective behaviour change. With the relationships and communication resources of The Conflict Resolution Network in Australia and the writings of Karpman and Ace Choy on the Drama/Winner’s triangle, Self-Management Solutions is able to provide assurance about the efficacy of our programs and courses. The programs and courses we provide are well-grounded in research, theory and practice.
Promoting Relationships for Effective CCSMS
With the move towards a partnership approach in CCSMS, there has been a fundamental shift in the nature of the practitioner/ service user relationship. The expectation is now that the practitioner/service user relationship will foster meaningful and purposeful engagement, and that it will be possible for both the practitioner and the service user, in a collaborative partnership, to transform the self-limiting behaviours of the clinical consultation, into self-sustaining, self-empowering ways of interacting with one other to achieve intended health outcomes.
Every service user has their own unique way of making sense of both their world and themselves in that world. When practitioners can really hear what their service user is saying about the things that are important to them in their world, then the health professional is better positioned to understand how best to support them. To the extent that the Health Practitioner does not have this knowledge about the ‘What’ , ‘Why’ and ‘How’ of importance and significance for their service user, they will be limited in their capacity to identify the REAL goals and meet the REAL needs of the service user in their current circumstances.
With CCSMS, every service user is an untapped well of knowledge about what counts as the most timely, effective and relevant type of support that the practitioner might offer to them. It is helpful in CCSMS, to remember that the service user is the expert in ‘self’ and that the Health Practitioner is the expert in the professional knowledge required to keep the service user safe and to meet their current needs. The meeting of these two horizons of expertise is the territory that Health Professionals will need to have the capabilities and tools to navigate for an effective relationship in chronic condition self-management support.
A Language for the Task of SMS
In CCSMS, with a language of communication for discovery and mutual learning, Health Practitioners will be more likely to choose words that foster client empowerment, self-efficacy, responsibility, learning and positive change. In CCSMS, Practitioners will be focusing their attention on processes that facilitate the service user’s self-empowerment and personal achievement rather than focusing on compliance with practitioner-determined processes, goals and outcomes.
The language of empowerment and transformation, appropriate to CCSMS, is a language that identifies, honours and affirms, the strengths of the service user as an individual, as well as one that allows for continuous mutual learning on the part of both Health Practitioner and service user. It is a language that respects individual differences and celebrates successes and one that is continuously open and reflective, embracing the insights and the possibilities that emerge in the relationship as indicators of where next to focus attention. It is also a language that accepts and works with obstacles, not as barriers but simply as the territory that must be crossed and opportunities for reframing what that crossing might entail, as well as the strengths that the health practitioner and service user might access to achieve the intended outcomes.
With the focus on self-management support, it is the Health Professional, ultimately, who decides – ‘This is how we do things here’ and it is the Health Professional who will need to be able to demonstrate, with the tools they have available, the merit and worth of a person-centred approach. To this end, Self-Management Solutions provide tools with integrated process steps, professional coaching tips, use of measurement and recording of outcomes.