Interprofessional And Interagency Working

Interprofessional And Interagency Working This assignment will critically analyse two examples of interprofessional and interagency practice using examples from my current practice placement. Relevant literature will be used to identify what factors support or constrain interprofessional and interagency collaboration (IPIAC). IPIAC is often described as a holistic approach to an individuals needs. When used effectively, a holistic approach allows for better service delivery to the service user. Hammick et al (2009, p.10) states that being interprofessional is learning and working or working and learning with others as appropriate, when necessary and sometimes both. Interagency working concentrates more on the organisational roles and responsibilities of those involved in collaboration (http://www.scie.org.uk). Interprofessional is relationships between individuals and interagency is relationships between organisations. IPIAC was a modernisation agenda introduced in public policy by the New Labour Government. Government recognition suggests that many social problems cannot be effectively addressed by any given organisation acting in isolation from others. That is, when professionals work together effectively they provide a better service to the complex needs of the most vulnerable people in society. New Labour also specified that there was a Berlin Wall type division between agencies and professionals and that there was a barrier to co-operation and this barrier should be confronted so that services worked in partnership with service users. However according to research conducted by Hiscock and Pearson (2002, p.11) several government reports have criticised the lack of coordination between health and social services in the community. So, in essence when professions work collaboratively the service user gets a better deal. Willing participation (Henneman et al, 1995, cited in Barrett et al, 2005, p.1 9) and a high level of motivation (Molyneux, 2001, cited in Barrett et al, p.19) have been stated as vital aspects of effective IPIAC. My current practice placement is within a voluntary organisation in a domestic abuse service. I am a project worker at a Refuge for women and children who are escaping domestic abuse. My role is to co-link work with permanent Refuge staff and co-ordinate each service users support needs whilst maintaining links with appropriate statutory and voluntary sectors. INTERPROFESSIONAL PRACTICE ONE The first example of IPIAC to be discussed and analysed within my practice placement will be a weekly meeting held between Refuge staff, health visitors and the play-worker from Womens Aid. The aim and purpose of these meetings is to share information so that identified needs of the families in the Refuge can be addressed and where possible be signposted to other services as required. The meetings are designed for professionals to share information and knowledge about the familys lives but not make decisions on their behalf (except where there are child protection issues). The meetings also aim to provide support to families according to assessment of need using professional judgement. Within these meetings everyone discusses and communicates the personal development and progress of the women and children in the Refuge so that all professions involved are kept up to date with the familys circumstances and situation. This supports IPIAC and is effective in that it is a chance for ever yone involved to gain further advice and guidance from other professionals in relation to their current level of involvement with the families. This in turn supports the families and assists them with their future goals and plans. However these meetings could be interpreted to some as secretive as they are held behind closed doors and it is a meeting in which the families are not involved in. This could be construed as an expert power relationship to some (Maclean and Harrison, 2011, p.31). For IPIAC and these meetings to be effective it is vital that all professionals involved support one another and are not be seen as self-interested or see themselves as higher than another profession. This is when problems occur as there is not a logical distribution of power. Unequal power distribution can be oppressive (Payne, 2000, cited in Barrett et al, 2005, p.23) and can limit participation for some professionals. Power in IPIAC should be shared and distributed and no hierarchy of power should exist. If some professionals see themselves as more powerful than another they are not meeting the needs of the service user. Sharing of information and knowledge about the families in the Refuge is the purpose of these weekly meetings so as to achieve the best possible outcome for the service user. A constraint of IPIAC is that some professionals are territorial and do not like to share information and knowledge. Molyneux (2001, cited in Barrett et al, 2005, p20) found that professionals who were confident in their own role were able to work flexibly across professional boundaries without feeling jealous or threatened. Professional adulthood was an expression used by Laidler (1991, cited in Barrett et al, 2005, p.20) to describe professionals who were confident in their own role to share information and communicate effectively with other professionals. These professionals do not feel territorial about relinquishing their knowledge and understanding to further enhance good IPIAC. Stapleton (1998, cited in Barrett et al, 2005, p.20) suggests that a combination of personal and professional confidence enables individuals to assert their own perspectives and challenge the viewpoints of others. Active listening is an important skill to maintain in order to achieve effective IPIAC. To be able to recognise and respond to what is being communicated is fundamental. Professionals working collaboratively should be able to demonstrate this verbally and non-verbally to each other. This is greatly helped if all concerned put aside the typical stereotyping of each others professions in order to hear and listen to what is being said. Effective open and honest communication is vital and probably one of the most important aspects of IPIAC. It requires professionals to take into account each others views, be respectful, dignified and to listen to each other without being highly critical of one another. Constructive feedback about the family needs to be undertaken alongside constructive suggestions and encouragement and should take place at a time when other professionals are receptive. However, being receptive to what is being said does not always occur during these meetings. At times, o ne professional does not like what another is conveying and this can create conflict within the professions. However the need here is to remember that it is the service user that is central to the process and that the goal is to achieve the best outcome for them and their family. There are elements within this example that both support and constrain IPIAC. To achieve the goal and not result in a poor outcome for the service user it is important for all professionals involved to communicate honestly and openly and for there to not be a significant power imbalance between the professions. INTERPROFESSIONAL PRACTICE TWO The second example of IPIAC to be discussed and analysed within my practice placement will be a Multi-Agency Risk Assessment Conference (MARAC). A member of the Refuge staff attends these meetings on a fortnightly basis. A MARAC meeting is a community response to domestic abuse. Cases are referred to a MARAC by the Refuge as a result of completing a CAADA-DASH risk identification checklist (RIC) (see appendix one) with the victim of the domestic abuse. This checklist determines the victims level of risk/need. If the risk identification score is 14 or more on the RIC, the MARAC threshold for high-risk has been meet and a referral to a MARAC meeting is made. Cases can also be referred to the MARAC either as a result of a high risk domestic crime/incident recorded by the police or by a direct referral from a participating agency. Participating agencies attending the meetings can include representatives of statutory services such as the police, criminal justice, health, child protection, housing practitioners and Independent Domestic Violence Advocates (IDVAs). The purpose of the meetings is for professionals to implement a risk management plan that provides professional support to all those at risk and which reduces the risk of harm. The aim is then to produce a safety plan for each victim of domestic abuse. The MARACs aim is to share information to increase the safety, health and well-being of victims/survivors of domestic abuse. They can determine whether the alleged perpetrator poses a significant risk to any particular individual or to the general community. According to Bowen (2011, chapter 5.) MARAC functions through meetings designed to facilitate multi-agency information sharing, with a view to implementing an agreed-upon risk management and victim safety plan. Effective communication and information sharing supports IPIAC as it can assist to build relationships between agencies across a much broader range. A MARAC with effective communication and information sharing between agencies can also promote IPIAC in developing much stronger relationships between the voluntary and statutory sector. Barrett et el (2008, p.21) states that communication competence contributes to effective interprofessional working and enables those involved to articulate their own perspectives, listen to th e views of others and negotiate outcomes. An effective MARAC meeting which supports IPIAC is when professionals work collaboratively to ensure that victims/survivors and/or their children are safeguarded from further abuse. The governments action plan Call to End All Violence Against Women and Girls states that we all have to work together to achieve our goal of ending violence against women and girls. It is not a task for central government alone. It suggests that agencies need to work together to meet the needs of their local communities and that agencies are held accountable. However, a constraint of a MARAC meeting that I witnessed was that not all professionals brought the appropriate information to the meetings which lead to an inefficiency and delay of the case which frustrated others professionals attending. Poor timekeeping was another avenue that at times would frustrate other professionals attending the meetings. This seemed to alienate them as I would hear comments such as we are all professionals here and should act as such and as professionals attending important meetings like this, we should always strive to be on time. I also found at the MARAC that some agencies only had snippets of information that on their own did not raise any particular concern. It was only when the jigsaw of information was pieced together that the risk factors could begin to be understood. This example shows that when MARAC meetings support and strengthen interagency working and is effective, it is IPIAC at its best. This approach to working more collaboratively is beneficial as all organisations are coming together for the purpose of a common goal, with that goal being the best possible outcome for the service user. However some of the MARAC meetings that I had attended were not always that effective due to the fact that not all key agencies or organisations attended the meetings when required to do so or did not have the appropriate information to hand. It is beneficial that all agencies have as much information to hand as possible to facilitate IPIAC and have a profound positive impact on the outcome for the service user. In conclusion, IPIAC has many elements and all these different elements require that the different professions adopt them so that effective outcomes are achieved for the service user. Although IPIAC has been around for many years and is not new, it still needs to be continued, developed and incorporated into the daily work of all professions. When organisations and professions from different disciplines truly understand each others roles, responsibilities and challenges, the potential of IPIAC could be fully realised and many of the barriers alleviated. This in turn will contribute to a more successful outcome to the service user which of course is central to effective IPIAC. If IPIAC is ineffective it can limit choice for the service user and also increase risk. Word Count: 1966

Rebecca Notes Essay

– Gothic: terror, mystery, supernatural, ghosts, haunted houses and Gothic architecture, castles, darkness, death, decay, doubles, madness, secrets and hereditary curses. – Physiological thriller: characters are reliant on their mental resources, whether it is by battling wits with a formidable opponent or by battling of equilibrium in the character’s own mind. – Subversion of romance: sets up the conventions of a romantic genre then slowly subvert or undercut/demolishes our expectations. – Crime: crimes, their detection, criminals, and their motives. The novel is written first person by the narrator, who is never named within the book, and can be considered an ‘unreliable narrator,’ because everything is shown through her ‘unreliable narrative’ ? ‘she’ is persecuted, ‘she’ is inadequate, ‘she’ has an inferiority complex and ‘she’ is haunted by Rebecca. The narrator dreams twice, once in the beginning and once in the end, which conveys the truth that her conscious mind cannot. In the beginning of the novel the most evident genres are Gothic and anti-romance, but as the novel progresses the genres crime and physiological thriller appear more often. There is the continuity of reference back to gothic, but in the last 7 chapters, it is it dominated by more of the crime genre. Rebecca is dominated by the Gothic genre throughout the whole novel because of the continuous presence of Rebecca and the overshadowing Manderley. Even in the end, seems to have risen from the dead to have her final revenge ? through Mrs Danvers and the burning of Manderley. †¢In the very beginning of the book, the narrator introduces us to Manderley as an empty â€Å"inviolate, untouched†, cold â€Å"no smoke came from the chimney†, mysterious place â€Å"desolate shell, soulless at last, unhaunted† †¢Whenever Rebecca’s name is mentioned Maxim de Winter seems to become excessively emotional †¢The rhododendrons, â€Å"blood-red and luscious† – symbolic of Rebecca †¢Mrs. Danvers seems very mysterious, â€Å"deathly cold,† â€Å"skeleton† and â€Å"lifeless† †¢The constant references back to Rebecca â€Å"I was sitting in Rebecca’s chair, I was leaning against Rebecca’s cushion. Even though the Gothic genre is the most dominant genre there are also the secondary genres: Physiological thriller – mystery and ‘crime of the death of Rebecca, the continuous haunting of Rebecca on the narrators mind, also the continuous irony of how right after the Manderley dress ball Rebecca’s body is found Crime – the formal inquest is held and Maxim’s committed murder and his motives are shown †¢The past in opening chapters is itself a mystery – why is Manderley a ruin? †¢Unclear as yet but Rebecca’s death a mystery, which seems to affect everyone at Manderley†¦ who was she? †¢Narrator feels like she doesn’t belong â€Å"This was their routine†¦long custom† ? caught in an alien world of tradition. †¢Rebecca’s presence in the household still evident ? makes the narrator feel like an intruder †¢Keeping alive the spirit of Rebecca â€Å"the room was filled with them† ? people keep putting more flowers into the room like Rebecca used to †¢The irony of how Rebecca who had died a year ago is discovered again right after the Manderley ball â€Å"Rebecca, whom they describes as beautiful, talented†¦ having drowned a year ago, and then Maxim marrying again the following spring, bringing is bride straight to Manderley and giving a big fancy dress ball in her honour.. the following morning the body of his first wife being found trapped in the cabin of her sailing boat, at the bottom of the bay. † â€Å"Both papers used the same word, ‘ironic’ . Yes, I suppose it was ironic. It made a good story. † Subversion of romance – the narrator expects to be whisked away to a grand big house ‘Manderley’ and be loved and grow old with Maxim for the rest of her life, but everything doesn’t go as she expected or what we expected. †¢She expects to grow old and live happily with Maxim for the rest of her life and she will always be loved by Maxim â€Å"We should grow old here together, we should sit like this to our tea as old people, Maxim and I, with other dogs† †¢She thinks Maxim asked her to marry her because he loved her, but in fact he just need a ‘companion’ and Mrs Van Hopper seems to know exactly what would happen â€Å"you know why he is marrying you, don’t you? You haven’t flattered yourself he’s in love with you? † Themes: The themes are ambiguous but some can be identified Marriage – the 1st marriage was fake ? controlled ? ‘arragont’ – the 2nd marriage was submissive ? better then the 1st Obssesion of Rebecca †¢Narrator †¢Maxim †¢Mrs Danvers †¢Favell Control/insecurity Death – the effect on the living and the consequences of causing death.

An Analysis Of Nancy Scheper Hughes Article - 1270 Words

In Nancy Scheper-Hughes article she draws on her fieldwork in South Africa, Cuba and Brazil where she encountered a challenge to sociocultural anthropology as she saw a transition from her using an objective model to a moral model. She has calls for an ethically grounded, militant anthropology because she sees the importance of being fully involved in one’s own research rather than just simply being an observer. According to Hughes, acting primarily as a witness does not allow you to fully understand what you’re studying and reduces the â€Å"subject† to â€Å"objects†. Her approach changed when a fight broke out between her research assistant and the women of shantytown in Northeast Brazil. â€Å"Why had she refused to work with them when they had been so willing to work with her? Didn’t she care about them or their lives, their suffering, their struggle?† (P. 410) Just standing by watching the suffering was what she felt that she was doing. She states that her companherias pulled her away from the comfortable position in which she was in previous which allowed her to be active in their public world as result, this led to get a better understanding of the community in which she was studying. Evidently, she takes a very active approach in anthropology and is concerned with human rights. She seeks to promote anthropology as an active and politically committed engaged study. Marvin Harris agrees with her method as this is an effective way to learn and analyze human experience rather thanShow MoreRelatedThis Anthropological Study Conducted By Nancy Scheper-Hughes1194 Words   |  5 PagesThis anthropological study conducted by Nancy Scheper-Hughes depicts the difficult lives of women and their newborns in Alto Do Cruzeiro; a small shantytown in Bom Jesus, Brazil. The problem outlined by the author is the high mortality rate of newborns and their affect on the mothers and the entire social construct. The author indicates a few factors and underlying influences that contribute to this problem, such as: poverty, access to clean drinking water, church, medical, government and economicRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesResearch: Dr. Judge’s primary research interests are in (1) personality, moods, and emotions; (2) job attitudes; (3) leadership and influence behaviors; and (4) careers (person–organization fit, career success). Dr. Judge has published more than 140 articles on these and other major topics in journals such as Journal of Organizational Behavior, Personnel Psychology, Academy of Management Journal, Journal of Applied Psychology, European Journal of Personality, and European Journal of Work and Organizational

Their Eyes Were Watching God - 2015 Words

Hurston, Zora. Their Eyes Were Watching God. New York: Harper Row, 1937. Print. In Zora Neale Hurston’s famous novel, Their Eyes Were Watching God, Hurston explores the life of a southern black woman, Janie Crawford, whose three marriages of domineering control of men make her acknowledge her independence and self-satisfaction as an African-American woman. Set in the early 1900s, Hurston reveals the dominant role of men in southern society and one woman’s journey toward finding herself and God. Summary: Janie Crawford is a southern African-American woman who grows up under the care of her grandmother. Janie’s mother has her at seventeen and soon after Janie’s birth, she becomes a drinker and stays out late until she leaves for good. Janie’s Nanny’s background of slavery makes her push Janie to be someone she could not be during her days. Nanny urges Janie to marry Logan Killicks. Janie is not in love with Logan, but Nanny and others push Jan ie to marry him. Janie assumes â€Å"she would love Logan after they were married. She would see no way for it to come about, but Nanny and the old folks had said it, it must be so†Ã¢â‚¬â„¢ (20). Because of this mindset, Janie’s marriage to Logan diminishes her idea of a loving and romantic relationship. Janie spends a little over a year with Logan under miserable conditions, until she marries Joe Starks not long after. Mr. and Mrs. Starks move to a new town where they meet friendly townspeople. Not long after, Joe becomes mayor of the townShow MoreRelatedTheir Eyes Were Watching God1064 Words   |  5 Pagessignificant than death. In Zora Neale Hurston’s famous novel, Their Eyes Were Watching God, the main character Janie Crawford is plagued by the deaths of loved ones. Janie moves from caregiver to caregiver searching for true love and happiness, only to have it stripped away from her once she finds it in her third husband Tea Cake. 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In each of Janie’s marriages, a particular article of clothing is used to symbolically reflect, not only her attitude at different phases in her life, but how she is treated in each relationship. In Janie’s first marriage with Logan Killicks, an apron is used to symbolize the obligation in her marriage. â€Å"Read More Eyes Were Watching God Essay711 Words   |  3 Pages Their Eyes Were Watching God provides an enlightening look at the journey of a quot;complete, complex, undiminished human beingquot;, Janie Crawford. Her story, based on self-exploration, self-empowerment, and self-liberation, details her loss and attainment of her innocence and freedom as she constantly learns and grows from her experiences with gender issues, racism, and life. The story centers around an important theme; that personal discoveries and life experiences help a person findRead MoreAnalysis Of Their Eyes Were Watching God 1061 Words   |  5 PagesDivision: Janie Crawford in Their Eyes Were Watching God Their Eyes Were Watching God was written in 1937 by Zora Neale Hurston. This story follows a young girl by the name of Janie Crawford. Janie Crawford lived with her grandmother in Eatonville, Florida. Janie was 16 Years old when her grandmother caught her kissing a boy out in the yard. After seeing this her grandmother told her she was old enough to get married, and tells her she has found her a husband by the name of Logan. Logan was a muchRead More Their Eyes Were Watching God Essay1757 Words   |  8 Pages Their Eyes Were Watching God Book Report 1. Title: Their Eyes Were Watching God 2. Author/Date Written: Zora Neale Hurston/1937 3. Country of Author: 4. Characters Janie Mae Crawford- The book’s main character. 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Oprah changes many important events in the book Their Eyes WereRead MoreTheir Eyes Were Watching God Essay724 Words   |  3 PagesTHEIR EYES WERE WATCHING GOD ESSAY  ¬Ã‚ ¬ Janie Crawford is surrounded by outward influences that contradict her independence and personal development. These outward influences from society, her grandma, and even significant others contribute to her curiosity. Tension builds between outward conformity and inward questioning, allowing Zora Neal Hurston to illustrate the challenge of choice and accountability that Janie faces throughout the novel. Janie’s Grandma plays an important outward influenceRead MoreEssay on Their Eyes Were Watching God921 Words   |  4 PagesTheir Eyes Were Watching God An Analysis So many people in modern society have lost their voices. Laryngitis is not the cause of this sad situation-- they silence themselves, and have been doing so for decades. For many, not having a voice is acceptable socially and internally, because it frees them from the responsibility of having to maintain opinions. For Janie Crawford, it was not: she finds her voice among those lost within the pages of Zora Neale Hurston’s famed novel, Their Eyes Were WatchingRead MoreTheir Eyes Were Watching God By Zora Hurston Essay1233 Words   |  5 PagesHurston In the novel â€Å"Their Eyes Were Watching God† by Zora Neal Hurston is about a young woman named Janie Crawford who goes on a journey of self discovery to find her independence. The book touches on many themes like gender roles, relations, independence and racism however racism isn’t mainly focused upon in the book which some writers felt should have been. Some felt that the representation of black characters should have been better role models. Zora Hurston’s novel wasn’t like other black literature