‘Respect, Responsible and Included’

Community Development Approach

Community Health Exchange – CHEX

Janet MuirScottish Community Development Centre

What’s next!

• Community Health Exchange – CHEX • Motivation – why should parents & health professionals

work together?• Community development approach – values & principles • Stages – engagement/solidarity/transaction • Model & Examples • What are the barriers and how can we overcome them? • Who can help us do it well?

Community Health Exchange – CHEX

• Part of the Scottish Community Development Centre, based in Glasgow

• Born in 2000• Support community-led health organisations & public sector partners • Small staff team & advisory committee • Functions: Training/practice development

Networking & sharing practice Information Provision Connecting practice with national health & social policy development Frameworks & materials

Motivation

• Parents – needs, information, ideas, links with others. And....leading to different opportunities

• Health professionals – policy & practice directives. And...... achieving health impacts & outcomes along with job satisfaction

Community development approach – values & principles

Community-led health is concerned with the community as the focus of, and mechanism for change, rather than the community as a setting for health practice.

…This makes it fundamentally different from the provision of community-based health services, and different from the participation of communities in pre-determined health initiatives

Community Development – Values & Principles

• Social Justice and wellbeing • Value of community • Liberation through empowerment • Commitment to diversity • Exploration of new, innovatory & solutions• Critical reflection – documentation of

evidence

3 stage model

• Engagement • Solidarity

• Transaction

Examples

• Gorbals/Govanhill (SEAL) – weaning group • ‘Better Together’ – Shotts Healthy Living

Centre • ‘Health Issues in the Community’

What benefits does it bring for all involved?

• Parents – listened to, participation, action, new services, co-produced services

• Health professionals – building relationships new skills, expertise & ways of working, co-produced services, enhanced outcomes

• Wider community – new services responsive to need & greater ownership

• Policy makers – implementation of policies, preventative health care & saving money

Some of the challenges • New way of working with limited support & capacity

building • Assumption of need • Different cultures of practice • Poor practice – going through the motions • Limited effort to reach and engage parents & children who

are not so visible • Developmental process takes time • Limited thought & commitment to sustaining approach

Overcoming the barriers

• Building a total picture with informed understanding

• Investment in relevant & appropriate methods • Securing buy-in from all relevant partners• Supporting & sharing good practice • Prioritising resources

Who can help us do it well?

• Scottish Co-production Network • CHEX Network • Scottish Communities for Health & Wellbeing• Voluntary Sector Network – ‘Parenting Across

Scotland’ • Public & Third Sector Network – Community

Development Alliance Scotland

Contacts

www.chex.org.uk

www.coproductionscotland.org.uk

www.scdc.org.uk

Anne Macfarlane Carianne McRoberts Dumfries & Galloway Action for Children

Stretch aim to which topic relates : Workstream 2

Co-production in services to families with children

Themed breakout Day 1

Topic : Co-production in services to families with children

Stretch aim to which topic relates : Workstream 2

Dumfries & Galloway

Streamline business processes

Improve partnershipworking

Child at the centre

Co-productionwith parents

Whole systems

Small tests of change…

• Practitioner– Subject expert– Spot the flaw– Try it differently– Send findings up the way

(recruit the policymakers)

• Strategic– Start with the overview– Spot the flaw– Find someone to try it

(recruit practitioners)– Try it differently

Focus of change

Develop a standardised, evidence based recording template which captures the breadth of supports and interventions

Recording TemplateChild/Young Person/Family Date of contact Purpose of contact Present

Strengths/Protective Factors Concerns/Unmet Needs/Pressures/Risk Factors Other Comments

How I grow and develop (Child’s development)

What I need from the people who look after me

(Parenting)

My Wider world (Family and environmental

factors)

Signed _______________________________________ Seen By __________________________________ Date __________________

Scaling up/ sharing learning

• Plan for implementation:• Engaging staff/recognising obstacles• Discuss at meetings/Prompts for staff• Feedback from parents

Martin Luther King said “I have a dream”, not “I have a plan”.

“I have not failed. I've successfully found 10,000 ways that won't work.” Attributed to Thomas Edison (inventor of the light bulb)

“What gets measured gets done”Tom Peters (Business writer)

Wins and challenges

Future action

I didn’t feel heard , understood or

respected

L 0 1 2 3 4 5 6 7 8 9 10

Respect/ feeling heardI felt heard,

understood and respected

J

We worked on and talked about exactly

what I wanted

JWe did not work on or

talk about what I wanted

LWhat we did /talked about

0 1 2 3 4 5 6 7 8 9 10

Please rate the play session by choosing the number on each scale that best fits your experience (where 10 is brilliant and 0 is awful)

0 1 2 3 4 5 6 7 8 9 10Overall, the play

session was really useful for us (me and

my child

J

Overall the play session was not at all useful for us (me and

my child)

L

How it was overall

Table Discussion

Who are the individuals and/or teams currently working on in this area?

Are they currently using Quality Improvement methods/tests of change to guide their learning?

What evidence based practice is being used?

What learning can be shared between CPP areas?

Feedback

One/two“headline”per table

Thank you!

Please make your way back for coffee

Alsh(Ground Floor)

National Partners

Boisdale (Ground Floor)

Falkirk

East Dunbartonshire

West Dunbartonshire

Stirling

Dochart(First Floor)

East Ayrshire

West Ayrshire

North Ayrshire

South Ayrshire

Carron(First Floor)

Glasgow