LEADING CHANGE MANAGEMENT IN MENTAL HEALTH

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CHANGE PROJECT

This assignment is a project report based on the practice change at my place of work.  It is a project that has been given to me by my senior management, to lead change on.

This is an on-going project and is based on creating an area/borough wide supportive service to help black and minority ethnic (BME) families and young people (adolescents), with aspects of social and emotional problems, in the 13-18 age range.

A SWOT analysis (appendix one) will be used to plan the lead on the project.

Evidence demonstrates that people from minority communities experience social exclusion which affects almost every aspect of their lives.  In general BME groups experience comparatively worse mental health than their white indigenous counterparts.  National research (DoH 2005) and local research (Local Education Authority Research Unit – Service Action Plan 2006-2009) shows that these marginalised group of people, could benefit from some therapeutic intervention which includes either individual or family group work and signposting to other professionals in associated fields.  The aim being to provide a more comprehensive and inclusive service that is sensitive to all cultures (culturally relative) as stated in many government and National Health Service  documents such as the NHS Plan for Mental Health, and will include extra service such as a psychologist with an expertise and interest in BME communities and myself a Child and Family Therapist.  Further, it will accept referrals from other field specialists if appropriate which are not currently accepted by the current team.  

The research also showed up that the take up of these services from the mainstream services have been low and so to compensate for this it would be independent but free and confidential so as to maximise the potential for take up in the area, in the given age range.

The main aims of the service, for me to lead on, were to:

  1. assist clients who may be experiencing difficulties in areas of personal mental health or social and emotional difficulties
  2. to identify and respond to individual needs by providing open and easily accessible service using various mediums of communication
  3. to improve the quality of life for young people from the BME community who are suffering mental illness due to discrimination, violence, loss, anxiety, stress or abuse

The service offered would be to include evenings and weekends aswell as holding surgeries in school time.  A culturally competent service will be prepared to adapt the conventional ways of working, therefore, adaptability and flexibility (The focus for change: Inside and Outside).

To bring about this change and hence manage the change, it was important to realise my own management style, and how this could be implemented.

According to Weihich, H and Koontz, H (2005:327), “the term management refers to long term, future orientated programme and the progress a person makes in learning how to manage”.  For any change to take place, a change agent is required and this is a person(s) who act as a catalyst and assume responsibility for the change process.  In this case this was my task.

There are a number of factors which can necessitate change.  One of the most important things in bringing about change is to carefully croft the change itself.  Some change fail because the style of leadership (Tappen, Weiss, Whitehead, 2001) is not capable but depending on the need for results in this situation (SWOT analysis), a need was realised in the area, followed by a strategy to minimise the negative hindrance factors which are known to slow down change (Lewin, K 1951), (Asprec 1975), (New & Couillard 1981).  Then a strategy to push forward the positive acceptance factors given the staffing levels and the working environment and the political bias of working with BME communities given the sensitive nature of services provided to BME communities who have non-elligibility rights to stay in the UK.  These were some of the constraints which could slow down the change.  The staff were not satisfied also, that there was a need spend more money in this area of service or that they should be working at weekends and evenings to cover this aspect of the service.  

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According to Lewin (1951), there needs to be a clarification of the present situation during the unfreezing process and once the awareness of the need for change is shown via management meetings etc, then a gradual readiness for change can be brought about.  In this case the resistance to change (Lipitt, Watson, Wesley 1988) was from both internal and external factors.  The external drives hindering the process were from governmental guidelines that proposed that the service had to work within certain financial parameters.  These had a direct effect on the nature and extent of the services that could be ...

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