Wednesday, 17 March 2010

Ripfa OT and Personalisation Event - Personalisation, Bob the Builder and me

As the Mum of a very nearly three year old I am surrounded by the world of Cbeebies. It never ceases to amaze me that I see occupational themes throughout this pre school programming. Thomas the Tank Engine - only happy (occupational satisfaction?) when being a very useful engine (occupational competence?), Timmy the lamb who learns through play...... I know, I know I need to get out more!

What has this got to do with Personalization you ask? Well I found my mind wandering to Cbeebies during the event. Not that I was loosing interest - far from it, it was one of the most though provoking events I have been to in a while. Let me try and explain.....

Firstly for a Personalisation 101 read this information from SCIE and look at this great selection of resources from Ripfa.

Personalisation, broadly speaking is the freeing up of funding streams and resources to allow clients to draw up a specification for support from social care services which is tailored to their individual needs. There was lots of discussion at the event that this creates huge opportunities for OTs to move to a position of "practicing what we preach". That is to say enabling clients to use the resources available to them in creative and flexible ways to facilitate occupational outcomes.

Back to Bob the Builder.....having worked as a senior practitioner in social care I often felt that the basic organization of social care was flawed. Clients were offered limited choices for support, occupational therapists were rarely involved in first line decision making about care packages and I often felt that the "care" offered had the effect of disabling rather than enabling the client ("here have a ready made meal delivered to your door vs here have support to be able to do this for yourself"). As someone who likes to think about how things could be changed for the better I asked myself "Can we fix it?" (see I told you we would get back to Bob!).

To be honest my initial response was that I wasn't sure it could be fixed. The juggernaut of public services has huge momentum which is very hard to redirect, in this case to strive rebalance power between client and gatekeeper. However my knowledge of the personalization agenda before the event started to give me some hope (Can we fix it?" Lofty - "Erm, yeah I think so").

The idea of individual budgets, self directed supported, support brokers etc sounded like it could be very exciting. But to be honest it all felt a bit nebulous. Pilots were happening in other parts of the country, but not where I was. I didn't really know whether the rhetoric about these opportunities would ever materialize into real change.

At the Ripfa event I was reassured to hear that other people were struggling to know how to take action on the opportunities offered by this agenda.

In order to try and fix something, pure rhetoric is insufficient, you need tools (as an Bob the Builder fan will know). Personalisation gives the Occupational Therapist a range of tools for the job of facilitating meaningful occupation. Our challenge is not to know right now everything about the options and mechanisms for personalisation, but the task is to think about clients who would benefit, and fire them up to make it happen. Ask difficult questions - why can't this happen? Be confident in our professional opinion. Make it happen. Practice what we preach.

Can we fix it? Yes we can.

(I will write another blog post next week about the impact of the personalization agenda for assistive technology)

35 comments:

  1. 若對自己誠實,日積月累,就無法對別人不忠了。........................................

    ReplyDelete
  2. 人並不是生來要吃敗仗的。人可被毀滅,但不可被擊倒。..................................................

    ReplyDelete
  3. 目標是什麼不重要,目標能產生什麼樣的效果才重要........................................

    ReplyDelete
  4. 好喜歡你的部落格唷,剛下班,要去睡了!!!掰~~..................................................

    ReplyDelete
  5. 失去金錢的人,失去很多;失去朋友的人,失去更多;失去信心的人,失去所有。..................................................................

    ReplyDelete
  6. 嗨!很喜歡來這欣賞你的作品,幫你推推推當上人氣王唷..................................................................

    ReplyDelete
  7. 人生之中,比冒險更危險的一件事:不去冒險。..................................................

    ReplyDelete
  8. 偶爾上來逛逛,下次不知是否還有緣再進來,先祝您平安順利!!!............................................................

    ReplyDelete
  9. 我們必須先有哭泣,才有歡笑;也必須先感到人生的悲哀,然後才感到人生的快樂。............................................................

    ReplyDelete
  10. 過去的事早已消失,未來的事更渺不可知,只有現在是真實的................................................

    ReplyDelete
  11. 死亡是悲哀的,但活得不快樂更悲哀。. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    ReplyDelete
  12. 人應該做自己認為對的事,而不是一味跟著群眾的建議走。..................................................

    ReplyDelete