Showing posts with label Advocacy strategy. Show all posts
Showing posts with label Advocacy strategy. Show all posts

07 February 2007

Advocates not against mental health reform

I heard that a government minister (probably some months ago now) made a barbed comment at a meeting of advocates that suggested the government thought the advocacy movement was somehow responsible for scuppering the Mental Health Bill.

This seems amazing and unlikely to me. This is mainly because I don't think we have this sort of power. Also because advocates were finally due to get some recognition and support from the bill.

Of course some of us did join in the many voices that said the proposals for locking more people up were unrealistic and unproductive (or whatever was said).

The idea that the advocacy movement was in any way responsible for the bill's failure must be pure paranoia on the governments part however. Now I'm sure this little blog won't have any influence, but if there's any ministers or special advisors or senior civil servants reading this (and if not, why not?) then DON'T BLAME US please...

06 February 2007

Threats to advocacy funding

I was at a meeting last week when the question of funding came up. We went round the table and a variety of worrying stories were told. I haven't been very well since then and my memory may not be fully accurate, but here is a brief précis:

  • There were several stories of local projects losing out to bigger players during the recent IMCA tendering;
  • There was a rumour that a solicitor's firm had won one of the IMCA tenders;
  • One local advocacy scheme was simply told that they would have to start delivering IMCA locally but there would be no extra money available and the new IMCA cases would have to be prioritised over existing clients;
  • Three local authorities seem to have recently done an audit of local advocacy provision. Not very much was known about this but at least two of them have since been ringing around wondering what to do with the results... Let's hope they don't do anything drastic;
In Wakefield we've also had a couple of cases recently of 'advocacy' jobs being advertised that aren't advocacy. It seems people are picking up on the buzz surrounding advocacy but not bothering to find out what it really is, so for example there is an advertisement for an advocacy worker to support child victims of domestic violence, but the job description is all about assessment and knowledge of legislation and working to tight deadlines, and to be honest I don't have much faith in this particular part of the Council.

I don't know if this is also being replicated around the country, but I fear it will lead to a further dilution of advocacy and the understanding of advocacy.

Just at the moment when there is a good feeling that advocacy is rising up in people's consciousness, do we already need to beware of trouble ahead?

07 January 2007

Advocacy principles

In my post about relationships yesterday I mentioned the benefits of advocacy approaches that are needed to be able to form successful trusting relationships. I actually referred to some old unfinished work I did on producing some quality standards for advocacy in Wakefield, and I thought I should actually remember on this blog the eight principles I set out then:

  • Empowerment
  • Loyalty and tenacity
  • Inclusion and respect
  • Effective communication
  • Independence
  • Sustainability
  • Quality
  • Advocacy dilemmas
These are based on the principles set out in the Advocacy2000 Principles and Standards document, and they take into account various things including the Advocacy Charter and Rick Henderson and Mike Pochin's book (much better than the Advocacy Charter).

I won't add any more commentary here or I could end up going on for ages. The full (draft) standards are available on the Advocacy Action website here and there are various comments in and around the standards.

For now, I just found it nice and refreshing to see the principles again, and you can make of them what you will...

Publish, publish, publish!

This is a post for my next blog really, but I'll write a draft as a sounding board here...

There are several starting points for this idea:

  • Organisations seem to be very wary of publishing things (maybe becasue they are scared of being judged, or losing out somehow commercially?)
  • This blog is an opportunity for me to publish snippets of half-formed ideas, or bits and pieces that may or may not be useful - this is a very interesting sort of opportunity, and I think it's valuable to be able to do this. I would like to see a place where many people could collaborate in a similar way (probably more consensual). One example I thought of is prison advocacy: it would be good if there was a webspace where anyone could publish ideas about this (however vague), find others who are interested, and over time develop a collaborative resource out of the ideas. Very different format from this blog, but quite open and unpressured still. Subjects in this space would be wide ranging, but easy to find.
  • The Free and Open Source Software (FOSS) community are an interesting model. The alternative is proprietary software where companies like Microsoft protect their intellectual property and charge a lot of money for the software. FOSS developers share the intellectual property and give it away for free, but at the same time they solve problems and improve things as a community, and they make money in other ways, e.g. from selling support (services) instead of software (products).
  • Advocacy can benefit from this model by recognising, for example, that if we shared good practice and published our policies, that many more people could benefit from good quality advocacy, and well-run projects would still have a good chance of winning contracts and remaining sustainable.
I suppose it's the glass half empty or half full situation. I find it a bit sad that a lot of organisations who work with people who are entitled to social care are so careful about publishing things and sharing them. I think we could create an opportunity for shring good practice in many common areas, celebrating different approaches to our work side by side, and opening up new areas which aren't written about (or at least published) because they're too new or exploratory...

I'm still going to be thinking and writing about this in the next few weeks, in amongst hopefully more direct material about advocacy.

30 December 2006

A new web resource for advocacy?

So at about 8 o'clock last night I wrote about my wish to explore social networking and content management systems, and at about 11 o'clock some guy I met at a party said he thought Joomla was the best option out there, he liked my ideas, and he could offer some free space to start to try them out on... Maybe it's a good time for wishes...

I've spent a bit of time exploring Joomla today, and it has just won the Packt Open Source CMS Award (click on logo for link) as well as winning the UK LinuxWorld Best Linux/Open Source Project for the second year running. I was aware of the two runners up, Drupal and Plone, and I've also been looking at some of the also rans, most notably MediaWiki (a different type of CMS really, so not in the running). So far most of my attention has been on MediaWiki and Plone, although I knew Drupal needed to be looked into more carefully. Various examples of what I'm interested in include the townx blog (using Drupal, more than just a blog), Wikipedia of course (using MediaWiki), Schoolforge-UK (also MediaWiki), the Ubuntu Wiki (based on the MoinMoinWiki), the Free Software Foundation website (based on Plone again) and finally the Sheffield Social Forum Wiki which gives a good idea of how a community can be organised through a wiki.

I must say that so far I like the aesthetics of Plone and MediaWiki best, and I look forward to being shown that this can be emulated successfully in Joomla. I also think that it will be important for lots of people to be able to contribute to page content easily and quickly - and to feel like they want to! (like a wiki). [Edit 1/1/07 - looks like this shouldn't be a problem.]

First I need to get together some kind of spec for a website and start discussing this with people, and we'll see if Joomla can deliver...

Watch this space.

29 December 2006

Things to do in 2007

Experience shows me I shouldn't be writing this - I usually do best when I sit down and write something spontaneously. I also want this blog to be pretty spontaneous - I'm not writing carefully thought out essays, just thought-provoking thoughts...

Anyway, there are a few things that I began writing and never finished, and a few things that I want to write about, and a few related things I want to do, and before I go out tonight I think I'm going to jot some of them down here.

  1. Get a job. More about that later (any offers gratefully received).

  2. Get some funding for Advocacy Action. It has loads of potential, but with no funding it's not going to achieve much.

  3. But I want to focus on things for the blog here, so

  4. I want to write something about risk management. I've started twice already but each time it's got too serious for a blog post. So I should work on a risk management policy, and blog about that perhaps. Something for the resources section of the Advocacy Action website.

  5. I also want to work on an Engagement Protocol, hopefully for all the advocacy projects in Wakefield although maybe they would each have to negotiate individual agreements with the Council and PCT. I will probably blog about engagement protocols, their use and value, and the difference between them and things like quality standards. This will hopefully help me to get my head around what I want to include in the protocol I write.

  6. I want to do a survey of advocacy related videos on YouTube and Google Video. I've found a couple of interesting ones, but most of the results you get from searching are related to political advocacy, and some of the others are quite dire. I need to set aside a day sometime for doing this.

  7. I want to add some films to these online video sites. A friend of mine is interested in doing some video work with me, and I feel that the advocacy community should start making use of some of the opportunities offered by these Web 2.0 sites.

  8. I did suggest at the NAN conference last November that one way of helping such a dispersed organisation get moving would be to develop more of a web presence. I will look at the various social networking sites like Ning and Elgg and the sort of 'community-based project management' sites like Basecamp from 37signals (and many others). Then I will try to work out how these resources could be used to support and develop our advocacy community. I need to do this by the end of January for the next NAN meeting.

  9. Running out of time now, so more creatively...

  10. I'm going to be a podcast host, all being well. I've had the invitation, it may end up being NSFW, but I may let people know if it happens.

  11. I've got to finish off my posts about visctrix sometime.

  12. I'm going to read Empire by Michael Hardt and Antonio Negri (review, download electronic copy). I got it just after it came out in paperback in 2001 and never got around to reading it. I may even read Negri's The Savage Anomaly and develop my knowledge of Spinoza's ethics which I borrow from.
At the end of the day though, just keep coming back to the blog to see what's going on.

21 December 2006

The road to success - don't be an advocate

Just had a quick christmas drink with someone in the pub, and they admitted that the reason they were being more successful in their job was because they'd finally realised that they shouldn't always try so hard to be an advocate...

Maybe everyone thinks this, but I do still believe the Wakefield is a more difficult place than many to be a proper advocate. The fact is that politics is still so important, sometimes it seems like you get better results if you play the game. So you sacrifice advocacy for results...

My friend thinks there will be a backlash against the increasing professionalisation of advocacy, and that projects like his, like IMCAs, etc, will eventually be rejected by the common people who want a 'proper' advocate who is going to try to make their voice heard rather than just try to get the result they want.

I think this is a challenge many of us are facing, in various ways...

04 December 2006

The right to advocacy

I just read in someone's engagement protocol that ‘access to advocacy is a right to which service users are entitled.’

My immediate thought was that this must be wrong: where does it say in legislation that people have this right? And why are people now saying that IMCAs give some people the right to an advocate for the first time in England and Wales?

But then I realised that it was true in an important way, and that we should say it loudly and clearly.

People do have a right to the support of an advocate much of the time:

  • If someone arrives at a meeting with an advocate, they have a right to ask for the advocate to attend the meeting, and there is no law which prevents an advocate from attending most meetings (though they can be denied entry on a similar sort of ad hoc basis)
  • If someone wants to speak to an advocate they can, as long as they fit into the advocacy scheme's criteria
  • If someone asks an advocate to obtain information from an agency, and they fill in the appropriate form of authority, the advocate then has the same right as the person to access information about them
People may not have a statutory right to our support, but they do have these informal rights, and we can thus correctly say that people do have a right to advocacy support.

20 November 2006

Advocacy must be better value than advice

Here's a thought that could put a bit of wind behind the sails of both advocacy and advice projects... [N.B. It is a rough and ready formulation, in keeping with this blog's character - it can be developed into a more polished argument if there is a demand.]

There was much said about the 'huge' cost of putting advocates in every local area: £7.5 million just for one each was mentioned, a cost almost equivalent to the entire IMCA budget; and if this was to be extended to a whole advocacy scheme the costs would rocket.

I can't help thinking about the costs of some of my local and not so local advice services though. The CAB is of course a fantastic organisation, and has many great advisors. It is also old, and established to the point where every town and city seems to feel the need to have sometimes several large buildings stuffed with advisors, administrators and managers. They also have outreach workers in many other local centres. I have no idea what the national total of all the CAB projects is alone, but I bet it costs at least a quarter of a million pounds per year to run the average district branch - and then there are all the other independent and Council run advice centres as well.

This is of course to be expected - the concept of going and getting advice from a qualified advice worker has been around for 60 years, and it was given a good boost in the post war growth of the 1950s and 60s. And we do all benefit from these services, not least because we send people there (or take them) as part of our work as (non-advice giving) advocates.

The question now has to be asked though, is all this expenditure really worth it, and should the advocacy sector be asking for a slice of the money? I have to say that although I refer people to the CAB and other local advice centres, I also constantly have discussions with other people about the lack of anywhere reliable to get advice - the queues are too long, the length of time spent per person is too short, and the basic mistakes made with people's DLA forms seem to be too frequent. We send people to advice centres because that is what is done - advocates cannot give advice, Council and NHS staff can't give advice, and we all make the only referral that is open to us in the circumstances.

I should note again, before I get flamed, that this is just a broad picture of advice and not what always happens. On the other hand though, in my 10 years of community work experience in West Yorkshire I've witnessed various feuds and battles going on within and between advice services, neighbouring branches of the CAB who wouldn't talk to each other, a chairman who verbally abused members at an AGM, and numerous threats to cut funding followed by desperate appeals and last minute reprieves as commissioners decide there is no alternative.

There are more important and relevant issues though. Firstly, noticing various scandals and disasters that have occurred over these 60 years of advice services, the legislators have created systems designed to ensure that certain quality standards are met. So now it takes an army of managers and administrators to ensure everything is done properly, it takes months to train people to use the knowledge systems and follow the right procedures, and it takes a long time to see each client, while the rest of the queue is left waiting.

The other thing, connected to all this legislation, and linked to developments in other fields along the lines of providing properly scientific and regulated services, is that advice has to be objective and correct. This is one of the reasons it takes so long to train people to deliver it, but also one of the main reasons that it fails to meet the needs of many of the most vulnerable people who need it.

I think advocates could make a good case for providing an equally essential service, in many ways better than the services I've been describing.

For a start, we have a much better chance of helping people to solve their problems because we place ourselves closer to the people and their problems. We still maintain boundaries, but the boundaries are different: we work with people's own wishes, needs and understandings; we don't try to impose 'best' or 'correct' approaches to solving problems; we go with people to meetings, and follow issues through with them to the end, we meet them in a variety of places but there's rarely a desk or a computer between us. There are many other points - these are the unique advantages of advocacy.

Secondly, we are much easier to train. There are still training issues of course, but we don't have to use complicated computer systems, we don't have to follow rigid procedures, and we don't have to develop a huge expert knowledge and be able to provide the 'right answers'. We do need to be able to communicate (very) effectively with people, and we need to understand that we are helping them to develop and follow their own agenda, without imposing our (or our culture's) idea of best interest or propriety.

All these factors of course mean massive savings: less training, smaller offices, less IT infrastructure, fewer procedures, cheaper insurance because professional indemnity is not such an issue.

There are also other advantages. We can work with many people who are simply not able to understand and follow through with the advice they are given, even if they are able to get to the advice centre. As yet we don't have the squabbling and back-biting of some advice services (also a terrible waste of money). And we are a relatively new phenomena, with proportionately more excitement and enthusiasm amongst our practitioners.

Is there anything I've missed out. I hope you agree that on the face of it advocacy would seem to offer significantly better value than advice. I think there are many more reasons that I haven't covered here, so please let me know your ideas and let's move into those old advice centres...

22 August 2006

Drawing the line on advice

I haven't mentioned advice much on this blog (just in 4 or 5 posts). It's a bit of a tricky subject for advocates. I'd even go so far as to say that there's a bit of conflict there, although it's usually quite a friendly sort of conflict...

Certainly it's very common to see the statement, often in the middle of definitions of advocacy, that advocates don't give advice. I've always been at the forefront of arguing this point, partly because of the way I got into advocacy through more informal community work, and partly because of the way one local advice centre insisted that they did advocacy too, so there was no need for a separate advocacy scheme... Words fail me, almost.

Moving swiftly on, it is important that we differentiate our practice from advice work for at least two main reasons:

  1. Advice work has become heavily regulated over the years. Now you need loads of training, loads of procedures, and loads of monitoring. Advocacy is, and needs to remain, simpler than this.
  2. There's plenty of people out there wanting to hand out advice - proper regulated advice, professional opinion, or informal 'caring' advice. The problem is that the people who need advocacy can never get away from all the advice and begin to talk about what they really want. Advocacy needs to continue to support these voices.
On the other hand, despite the clear problems with falling into advice work, many people still find the separation from advice both difficult to understand, and difficult to do in practice. I've also recently had to admit coming across lots of situations where the line is a bit more blurred than I thought it was. Take these two examples:

  • Working with someone who has been in the care system for many years: they've expressed a problem, explored a range of options, could be on the brink of making a decision, but they still insist on taking your advice...
  • Or someone who just gets angry whenever they meet a professional: you can talk to them sensibly in private, but however much you plan together what to say, when it comes down to it they just lose control and ruin all their plans...
There are many more examples, but these are interesting because in the first example the advocate is being asked for advice against their will, and in the second example the advocate could easily get frustrated and want to impose more control than they would normally think reasonable.

There's at least a third general example too: when you are asked to do an independent check on a decision using a best-interests approach (especially in non-instructed advocacy, and what about if you want to bring a third option into the field?). I think this is the most problematic example, and it needs another post.

My conclusion when thinking about these issues and giving advice has to be pragmatic in the end: we should be able to work with people wherever possible, and we shouldn't let abstract principles get in the way unnecessarily. The first reason advocacy doesn't give advice is because it needs to remain simpler than the current state of advice work. For the same reason, we need to be able to identify for ourselves those boundary points where simplicity demands that we relent and start giving advice for a while.

17 May 2006

Advocacy and therapy

I'm usually keen to distinguish advocacy from other disciplines, especially advice, mentoring, mediation, and the model of support work that underlies so many professional roles.

Some other roles, notably interpreting and befriending, are still different but have a more interesting and closer interplay with advocacy work.

Recently however I've realised that advocacy falls wholly within the realm of therapy, and we should see it as part of an 'art of healing'.

Some quick notes to begin to explain and explore this:

  • There are lots of modern therapies (whose practitioners can guard the boundaries jealously) but the art of healing has been practised for millennia;
  • Healing isn't just based on specific medical symptoms - it's wider than 'curing' for example. In it's more holistic sense it's more about re-adapting people to their environment (and sometimes trying to adapt the environment for people);
  • The idea of 'just therapy' developed by the Family Centre in New Zealand makes these observations, but also describes therapy as helping people to place new and more positive meaning structures on their experiences, to replace problem-centred meanings that can make life seem so difficult;
  • There is an analogue here with the description I wrote about Helping someone not to get angry, and with many other advocacy interventions: people feel they can't communicate with services, or people are not listening to them, but working with an advocate helps them to develop communication skills and strategies that can overcome these difficulties, so they can get services and live more easily.
I think there's a lot of interesting potential in exploring the links between therapy and advocacy further. I know some other people have got some ideas in this direction too. Watch this space.

25 April 2006

Advocacy training for non-advocates

Today I ran the second of three pilot training sessions for Connexions West Yorkshire. The title of the training was 'Practical advocacy techniques for working with young people'.

This seemed to go very well although I felt surprisingly exhausted when I got back to my office - maybe the stress of maintaining a relaxed attitude together with closely concentrating on doing a good job and remembering everything. (The worst moment was when I plugged in the projector and it didn't come on, solved after five minutes of sweating by plugging it into a different socket of the extension cable...)

In some ways though I think providing this sort of training is more controversial than writing about police racism, certainly as far as the advocacy community is concerned. We know that racism in the police ranges somewhere between 'endemic' (mostly in the past) to the (much lesser) 'still institutional' or 'getting better'. When we find examples we feel a need to speak out about them, but the only people who seem to be surprised, upset, or even interested, are the police themselves.

Training Connexions PAs in advocacy techniques on the other hand, now that's a serious matter. Despite the fact that I stressed again and again that my trainees could never be real independent advocates during working hours, only benefit from the techniques, one of them still asked the killer question: if it's difficult to fund pure advocacy, couldn't trained PAs fill the gap?

No, no, no. I keep on hearing good things about the local Connexions and the Young People's Service, but they will always be more influenced by local and national government policies and demands than most advocates. Thus they can never be fully independent - free from conflicts of interest.

I do think that the methods and the principles of advocacy should be spread as far as possible, and we should encourage more diverse approaches to providing people with advocacy support, especially more people in community settings. But if Connexions see the need for this training, this should indicate more need for proper sustainable funding for real independent advocacy projects.

I'd be interested in peoples thoughts and comments on this.

12 April 2006

What is independent advocacy?

OK, so if you've randomly found my blog you may be a little confused. Some simple words of introduction are needed:

  • independent advocacy works to ensure people's voices can be heard;
  • it works through special sorts of relationships, called partnerships.
Usually advocates work with people who:
  • have particular difficulties with communication;
  • and are having problems accessing services.
Usually these people are labelled as (for example):
  • having learning difficulties
  • suffering mental health problems
  • being disabled
  • being a child in the 'looked after system' (in care)
Through a variety of circumstances a person fitting one of these descriptions might be referred to an independent advocacy project. They will then be paired up with an advocate.

The advocate will spend some time getting to know their new partner and finding out what they think the problems are – and what they want to do about it.

The advocate's job is to help these views to be developed and expressed – hopefully directly. The goal is self-advocacy: people speaking up for themselves. Advocates do not give advice and they don't try to influence people to do what might be in their 'best interests' (there are plenty of other professionals who do this.

OK, so that's the brief introduction. For another version targeted more at people who might need an advocate see the equivalent page on the Advocacy Action website. For the next stage, I will write a new post soon about 'what's great about advocacy' that will be the next step, and a little more thoughtful - so keep watching this space...