Training Activity-06-Dilemma

Activity 6 The Dilemma

Objective: Nurses and midwifes will take part in an activity that demonstrates the way people often experience referral to services. This will provide insight to the frustrations of drug and alcohol referral and provide a platform for discussion.

Instructions: This activity needs at least 10 participants and up to 15 could be used activity. There are: 5 Patients 5 Service Providers Up to 5 Observers

The participants are shown via a slide the instructions for the game. Although they are asked to ‘follow the instructions’ the game works better when patients and service providers bend the rules to make it more life like, fun and more interesting. Each patient is given a letter to identify them from A to E. Each service provider is nominated a number from 1-5. This identification can be indicated via sticky labels. To make it more challenging participants may not be identified to each other and they need to find out.

Each service provider has a list of instructions relating to each patient (see following). They are asked to mark off each instruction after the patients start approaching when the activity starts. They are also given a list to identify each patient (see following). This can provoke some attitudes towards the patients as part of the activity.

The goal is for the patients to get a coloured piece paper which unknown to them is held by Service provider 5. The person conducting (facilitator) the activity can limit the amount of this paper so one or more patients will miss out (there may only be one piece).

Observer are asked to write down what is happening and said to feed back to the group.

At the end of the activity which can be conducted between 5 and 10 minutes there should be a debriefing held.

1. The patients individually are asked what is it was like, this can be a number of questions from the facilitator depending on the time available. 2. Next is the service providers turn 3. Finally it is the observers turn

1 The participants will find it confusing at first and this will be ongoing, but they should be encouraged to keep going. The experience and frustration of the process is fertile ground for discussion especially leading into the presentation on referral. The activity is also a good rejuvenator, late in the afternoon.

Developed by Mabbutt 1995

2 Cut these out and give to the service providers

THE CLIENTS A. Female child. B. Old male. C. Female from a non English speaking background. D. Male alcohol dependent, smelling of alcohol and untidy. E. Male heroin dependent, torn jeans, tattoos, missing teeth.

3 INSTRUCTIONS FOR THE DILEMMA

 All clients receive a piece of paper

 All clients must start at service provider 1

 All clients must gain appropriate signatures on pink pieces of paper

 The aim is not to be the last client to receive a coloured piece of paper

 Clients are asked to follow the instructions of service providers

4 INSTRUCTIONS FOR SERVICE 1

A * SEND TO 2

B * SEND TO 2

C * WAIT AT BACK OF LINE THEN SEND TO 2

* SEND TO 4

D * WAIT FOR 1 MIN THEN SEND TO 4

* WAIT FOR 1 MIN THEN SEND TO 2

E * SEND TO 3

* SEND TO 2

* SEND TO 4

* KEEP WAITING

A * SEND TO 3

B * SEND TO BACK OF LINE THEN SEND TO 3

C * SEND TO 4

* SEND TO 4

* SEND TO 1

D * WAIT FOR 1 MIN THEN SEND TO 1

* SEND TO 3

E * SEND TO 3

* WAIT FOR 1 MIN THEN SEND TO 1

A * SEND TO 4

B * WAIT 1 MIN THEN SEND TO 4

* WAIT 1 MIN THEN SEND TO 4

D * SEND TO 2

E * SEND TO 4

* SEND TO 4

A * WAIT 1 MIN THEN SEND TO 5

B * SEND TO 3

C * WAIT 1 MIN THEN SEND TO 2

* SEND TO 5

D * SEND TO 3

E * SEND TO 2

* SEND TO 1

A * I WILL GIVE YOU WHAT YOU WANT HAVE A SEAT

B * I WILL ALMOST GIVE YOU WHAT YOU WANT HAVE A SEAT

C * I WILL TRY AND GIVE YOU WHAT YOU WANT HAVE A SEAT

D *HAVE A SEAT

E * I DON’T HAVE ANY INSTRUCTIONS FOR YOU