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Article
Publication date: 8 June 2015

Jane Yeandle, Liz Fawkes, Clare Carter, Chris Gordon and Elizabeth Challis

National treatment guidelines regarding Borderline Personality Disorder (BPD) (National Institute for Health and Clinical Excellence, 2009) make a number of recommendations…

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Abstract

Purpose

National treatment guidelines regarding Borderline Personality Disorder (BPD) (National Institute for Health and Clinical Excellence, 2009) make a number of recommendations relating to system and cultural treatment variables including: access to services, autonomy and choice, developing an optimistic and trusting relationship and managing endings and transitions. The purpose of this paper is to look at a model which could help organisational effectiveness across a range of service settings in relation to personality disorder.

Design/methodology/approach

Explanation of why the McKinsey 7S organisational model (Waterman et al., 1980) may be useful in assessing organisational effectiveness in relation to personality disorder.

Findings

Cultural and organisational factors across a range of levels need to be aligned to allow for effective service delivery. This is particularly important in working with this client group where strong emotional reactions and subsequent organisational splits are common.

Practical implications

The application of this tool within clinical leadership and service development would be particularly important for coherence within generalist (as opposed to specialist) settings.

Originality/value

To the authors’ knowledge this analysis is unique as a review of NHS culture across a range of settings and discussion of the implications for service delivery for patients with BPD.

Details

Mental Health Review Journal, vol. 20 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

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Book part
Publication date: 29 August 2018

Matt Bolton and Frederick Harry Pitts

Abstract

Details

Corbynism: A Critical Approach
Type: Book
ISBN: 978-1-78754-372-0

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Article
Publication date: 21 September 2015

Ann Dadich, Liz Fulop, Mary Ditton, Steven Campbell, Joanne Curry, Kathy Eljiz, Anneke Fitzgerald, Kathryn J. Hayes, Carmel Herington, Godfrey Isouard, Leila Karimi and Anne Smyth

Positive organizational scholarship in healthcare (POSH) suggests that, to promote widespread improvement within health services, focusing on the good, the excellent, and the…

1183

Abstract

Purpose

Positive organizational scholarship in healthcare (POSH) suggests that, to promote widespread improvement within health services, focusing on the good, the excellent, and the brilliant is as important as conventional approaches that focus on the negative, the problems, and the failures. POSH offers different opportunities to learn from and build resilient cultures of safety, innovation, and change. It is not separate from tried and tested approaches to health service improvement – but rather, it approaches this improvement differently. The paper aims to discuss these issues.

Design/methodology/approach

POSH, appreciative inquiry (AI) and reflective practice were used to inform an exploratory investigation of what is good, excellent, or brilliant health service management.

Findings

The researchers identified new characteristics of good healthcare and what it might take to have brilliant health service management, elucidated and refined POSH, and identified research opportunities that hold potential value for consumers, practitioners, and policymakers.

Research limitations/implications

The secondary data used in this study offered limited contextual information.

Practical implications

This approach is a platform from which to: identify, investigate, and learn about brilliant health service management; and inform theory and practice.

Social implications

POSH can help to reveal what consumers and practitioners value about health services and how they prefer to engage with these services.

Originality/value

Using POSH, this paper examines what consumers and practitioners value about health services; it also illustrates how brilliance can be theorized into health service management research and practice.

Details

Journal of Health Organization and Management, vol. 29 no. 6
Type: Research Article
ISSN: 1477-7266

Keywords

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