Module Title: Project Dissertation Semester 3 Programme Title & Academic Year of Study: MSc in LMD 2012-2014 Assignment: Dissertation Project Student ID : 12116092 Date : 14th May 2014 Word Count : 17 609 1 Ireland Bahrain Dubai RCSI Reservoir House, PO Box 15503, 4th Floor A/P25, Ballymoss Road, Building No. 2441, Dubai Healthcare City, Sandyford, Road 2835, Dubai, Dublin 18, Busaiteen 436, PO Box 505095, Ireland. Kingdom of Bahrain. United Arab Emirates Declaration Form Declaration: “I hereby certify that this material, which I now submit for assessment for the Project Dissertation Module on the Leadership and Management Development is entirely my own work and has not been submitted as an exercise for assessment at this or any other University.” Student’s Signature: Date : 14th May 2014 Student’s Number (s): 12116092 2 Contents Contents ........................................................................................................................................................ 3 A list of Tables ............................................................................................................................................ 6 A list of Figures ........................................................................................................................................... 7 Glossary of Terms Used ................................................................................................................................ 8 Abstract ......................................................................................................................................................... 9 Acknowledgements ..................................................................................................................................... 10 Chapter 1- Introduction .............................................................................................................................. 11 1.0 Introduction ...................................................................................................................................... 11 1.2 Nature of Change .............................................................................................................................. 12 1.3 Rationale for carrying out the change .............................................................................................. 13 1.4 Brief overview of the service ............................................................................................................ 15 1.5 Aim .................................................................................................................................................... 16 1.6 Objectives.................................................................................................................................... 17 1.7 Role of Student ........................................................................................................................... 18 1.8 Summary ........................................................................................................................................... 19 Chapter 2 - Literature Review ........................................................................................................... 20 2.1 Introduction .................................................................................................................................... 20 2.2 Service user Involvement in mental health .............................................................................. 20 2.2.1 Participation ........................................................................................................................... 28 2.2.2. Engagement .......................................................................................................................... 33 2.2.3 Empowerment ....................................................................................................................... 36 2.2.4 Advocacy ............................................................................................................................... 41 2.2.5 Partnership ............................................................................................................................ 44 2.3 Summary ....................................................................................................................................... 48 Chapter 3 - Methodology ...................................................................................................................... 51 3.1. Introduction .................................................................................................................................... 51 3.2 Stage 1: Initiation ................................................................................................................... 52 3 3.2.1 Step 1 Preparing for Change ....................................................................................... 55 3.3 Stage 2: Planning ................................................................................................................... 59 3.3.1 Step 2 Building Commitment ...................................................................................... 60 3.3.2 Step 3: Determining the Detail for the Change ....................................................... 62 3.3.3 Step 4 Developing the Implementation Plan ........................................................... 64 3.4 Stage 3: Implementation ...................................................................................................... 67 3.4.1 Step 5 Implement the change ..................................................................................... 69 3.4.1.1 Sustaining Momentum ....................................................................................................... 69 3.4 Stage 4: Mainstream .............................................................................................................. 70 3.4.1 Step 6 making it the Way we do our Business ....................................................... 71 3.4.2 Step 7 Evaluating and learning .................................................................................. 71 3.5 Summary on Methodology .................................................................................................. 72 Chapter 4 - Evaluation ............................................................................................................................. 72 4.1 Introduction ................................................................................................................................ 72 4.2 Evaluation Method...................................................................................................................... 73 4.3. Formative ................................................................................................................................... 74 4.3.1 Context .............................................................................................................................. 75 4.3.2 Input ................................................................................................................................... 76 4.3.3 Process – Is it being done? ......................................................................................... 77 4.4 Summative ................................................................................................................................. 77 4.4.1 Product – Did it succeed? ............................................................................................ 78 4.5 Summary ..................................................................................................................................... 81 Chapter 5 - Discussion and Conclusion ................................................................................................ 82 5.1 Introduction ................................................................................................................................ 82 5.2 Discussion ................................................................................................................................. 82 5.3 Reflection on experience of Change Process .............................................................................. 85 5.3.1 Limitations ....................................................................................................................... 86 5.4 Impact of Project on the organisation (Strength) ....................................................................... 87 5.5 Conclusion ................................................................................................................................. 88 References .................................................................................................................................................. 89 Appendices ................................................................................................................................................ 94 Appendix 1 – Low Arousal Philosophy .................................................................................................... 95 4 Appendix 2 – Beliefs and Core Values ..................................................................................................... 96 Appendix 3 – Core Competencies ........................................................................................................... 99 Appendix 4 – Accreditation to date .....................................................................................................