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Religious care in a multi-cultural world

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Religious care in a multi-cultural world lost or leading? We re here and we re not going away! Jim McManus UHB Chaplaincy Study Day January 2010 – PowerPoint PPT presentation

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Title: Religious care in a multi-cultural world


1
Religious care in a multi-cultural world lost
or leading?
  • Were here and were not going away!
  • Jim McManus
  • UHB Chaplaincy Study Day January 2010

2
Rainbow or Vegetable Puree?
Homogenised
3
Government Policy
  • Chasing the rainbow or the Holy Grail?
  • This has implications for NHS Trusts
  • This has implications for social care
  • There are implications for Chaplaincy

4
Although everyone knew where the Chaplaincy
was....
5
Change in healthcare systems
6
(No Transcript)
7
Current Health Policy Directions
  • Current Health Policy
  • The drive towards personalisation
  • The drive towards instrumentalisation
  • The drive towards professionalisation
  • The Evidence based agenda

8
Chaplaincy going the wrong way?
  • Personalisation or vegetable puree?
  • One size DOES NOT fit all
  • Units of spiritual care

9
Diversity Policy
  • Duties of NHS Trusts
  • Confusion
  • The homogenisation agenda for Diversity is
    doomed!
  • Hooks for Chaplaincy
  • Personalisation
  • Covenant Rights Safeguarding
  • Single Equality Scheme
  • Making Religious Diversity work for your trust

10
Making Chaplaincy an Intervention
  • What kind of intervention?
  • Will you lose in a battle with psychologists?
  • Wheres the evidence?
  • Why would you want to be a talking intervention?

11
Question
  • Is the only reason Chaplaincy teams are still
    provided because Chief Executives havent worked
    out psychologists would be cheaper, provide
    better evidence and more easily assessable
    outcomes?
  • AND/OR
  • Is the only reason Chaplaincy teams are still
    there is because Trusts are frightened of
    religion? (CBCEW Survey, 2008)

12
(No Transcript)
13
(No Transcript)
14
Why?
  • 57) felt anxious in trying to recognise and work
    with the religious needs of staff.
  • This became a focus for the telephone interviews
  • The most common responses from telephone
    interviews were
  • a) staff working on diversity did not feel
    knowledgeable about or comfortable with faith (35
    of 50),
  • b) staff did not want to cause offence (43 of 50)
    and staff were often unaware of the make up of
    faiths in their area (38 of 50.)
  • 19 respondents specifically said there was some
    hostility to dealing with religion from
    colleagues whereas
  • 23 stated that the issue was repeatedly
    deprioritised because its in the too difficult
    box.
  • 20 said lack of government guidance was salient

15
Professionalising or Competence-ising?
  • Registers
  • Faith Community connections lost?
  • A body of professional practice which is distinct
    from..well what exactly?
  • Licensing spirituality which is so vague as to be
    indefinable
  • Refugees from faith communities? (Chris Swift)
  • Key Competencies
  • Boundaries and Limits
  • Reflexivity and Power
  • Personalisation
  • Leadership models
  • Use psychology, dont try to be psychologists or
    counsellors

16
Do chaplains feel left out?
17
(No Transcript)
18
Chaplains as Pastors
  • The five functions of pastoral care
  • Healing
  • Guiding
  • Nurturing
  • Reconciling
  • Discipline
  • The sixth function - personalisation

19
Chaplains/ as Invitational Leaders
  • Invitational Leadership
  • Improving the atmosphere and message sent out by
    the organisation
  • Focus on reducing negative messages sent out
    through the everyday actions of the business both
    externally and, crucially, internally
  • Review internal processes to reduce these
  • Build relationships and sense of belonging and
    identity with the organisation that gets
    communicated to customers, etc.

20
Evidence
  • Some initial thoughts

21
Some thoughts on research
  • It isnt that evidence doesnt exist, its that
    we dont train people to find, appraise and use
    it
  • It isnt that quantitative designs are not
    organic, its that using numbers and discourse
    together tells us more about the world
  • The state of the evidence base is a function of
    the state of UK and Irish social science....

22
Evidence
23
Evidence for faith communities impact
(Health/Care Specific)
  • Mark J. DeHaven, Irby B. Hunter, Laura Wilder,
    James W. Walton, and Jarett Berry,(2004) American
    Journal of Public Health. June 94(6) 10301036.
    Health Programs in Faith-Based Organizations Are
    They Effective?
  • Helen Rose Ebaugh , Paula F. Pipes , Janet
    Saltzman Chafetz Martha Daniels (2003) Where's
    the Religion? Distinguishing Faith-Based from
    Secular Social Service Agencies. Journal for the
    Scientific Study of Religion. Volume 42 Issue 3,
    Pages 411 426
  • A Social Policy Role for Faith-Based
    Organisations? Lessons from the UK Jewish
    Voluntary Sector
  • HARRIS, HALFPENNY, and ROCHESTER (2003) A Social
    Policy Role for Faith-Based Organisations?
    Lessons from the UK Jewish Voluntary Sector .
    Journal of Social Policy , 32 93-112
  • Flannelly, Weaver, Tannenbaum, (2005) What Do
    We Know about the Effectiveness of Faith-based
    Health Programs? Special Section Southern
    Medical Journal. 98(12)1243-1244, December 2005.

24
More Evidence
http//www.manhattan-institute.org/html/crrucs-obj
_hope.htm
25
Evidence 5
  • http//aspe.hhs.gov/fbci/comp08/report.pdf - US
    govt report on Innovations in Effective
    Compassion
  • Centre for Research on Religion and Urban Civil
    Society http//www.sas.upenn.edu/prrucs/research.h
    tml

26
Children
Book chapter by Johnson In Authoritative
Communities The Scientific case for nurturing
the whole Child Edited by Kathleen K Kline
(2007). New York Springer
27
Kairos or Crisis?
  • Chaplaincy can go in two directions
  • Continue professionalising and homogenising
  • Continue its existing tradition of personalising
    and start demonstrating its value and
    contribution as a rainbow, not as a vegetable
    puree?

28
Where to now then?
  • Health Policy cyclical hooks for Christian
    witness and presence
  • Secularism and Response
  • Public Theology or Professionalisation?
  • (Foucault just wont die, will he?)
  • A theology of pastoral presence in health?
  • Some challenges

29
Hallmarks of Chaplaincy in a multi-cultural world
  • Invitational
  • Corporate and personal
  • Corporate supports the Trust respect diversity
    and safeguard patient and staff rights
  • Personal provides a core of care and recognises
    limits and boundaries as part of personalisation
    this WILL challenge a one size fits all
    approach
  • Journeying
  • Competent in appropriate use of various
    disciplines
  • A locus for all faith groups to work together
  • Dialoguing with other diversity strands
  • Educating and empowering staff to address
    spiritual need
  • Healing, Guiding, Nurturing, Reconciling and
    Disciplining

30
Value of Chaplaincy to NHS Trusts in a
multi-cultural world
  • The Gestalt argument
  • More than interventions
  • Quality of patient experience
  • Quality of staff experience
  • Helps provide and retain compassion and values in
    health care
  • Does things and is available in a way other
    helping professions cannot be
  • Staff development and practice addressing
    spiritual need
  • Clinical Governance supporting practice around
    these areas
  • Invitational Leadership for Staff and Patients
  • A source of expertise on genuine diversity of
    faith work and provision
  • Personalisation, not homogenisation
  • Corporate and personal
  • Corporate supports the Trust respect diversity
    and safeguard patient and staff rights
  • Personal provides a core of care and recognises
    limits and boundaries as part of personalisation
    this WILL challenge a one size fits all
    approach
  • Competent in appropriate use of various
    disciplines
  • Dialoguing with other diversity strands

31
synthesis of the Gospel Proposal The Good
Samaritan
Lk 10,25-37
  • Grounded in reality looks at the wounded
  • Sharing he moves and gives of himself
  • Heal pouring oil and wine
  • Gives of his own resources collocates the
    wounded in his horse
  • Goes to competent people the master
  • Spends his money two denari.
  • Without limits, generosity, if something
    lacks...
  • Tests the results when I come back...

32
BENEDICT XVI
  • Renewal and deepening of the pastoral proposal in
    Health Care
  • that take into account the growing mass of
    knowledge spread by the media,
  • and the higher standard of education of those
    they target.
  • Formation of conscience
  • deep and clear
  • in order to ensure that every new scientific
    discovery will serve the integral good of the
    person,
  • with constant respect for his or her dignity.
  • To have advisers
  • trained and competent.

33
Continued
From the address of Benedict XVI to the
Participants at the 20 International Conference
Organized by the Pontifical Council for Health
Pastoral Care on the Theme of the Human Genome,
November 19, 2005.
  • Updating the training
  • of pastors and educators to enable them to take
    on their own responsibilities in conformity with
    their faith,
  • And at the same time in a respectful and loyal
    dialogue with non-believers,
  • is the indispensable task of any up-to-date
    pastoral health care.
  • To guarantee a prompt response to the
    expectations by each individual of effective
    help.
  • To study proper methodology
  • to bring help to persons,
  • to the families and
  • to the society.
  • in order to ensure an incisive presence of the
    Church at the pastoral level
  • To combine
  • loyalty and dialogue.
  • theological deepening and the capacity of
    mediation

34
Human Ecology...an unexplored concept?
Centesimus Annus
In addition to the irrational destruction of the
natural environment, we must also mention the
more serious destruction of the human
environmenttoo little effort is made to
safeguard the moral conditions for an authentic
human ecology..in this context, mention should
be made of the serious problems of modern
urbanization, of the need for urban planning
which is concerned with how people are to live,
and of the attention which should be given to a
social ecology of work (next slide discusses
these principles and application in PH work)
35
A Manifesto for Keeping Faith
  • while professional competence is a primary,
    fundamental requirement, it is not of itself
    sufficient. We are dealing with human beings, and
    human beings always need something more than
    technically proper care. They need humanity. They
    need heartfelt concern.
  • Those who work for the Church's charitable
    organizations must be distinguished by the fact
    that they do not merely meet the needs of the
    moment, but they dedicate themselves to others
    with heartfelt concern, enabling them to
    experience the richness of their humanity.
  • Consequently, in addition to their necessary
    professional training, these charity workers need
    a formation of the heart they need to be led
    to that encounter with God in Christ which
    awakens their love and opens their spirits to
    others.
  • As a result, love of neighbour will no longer be
    for them a commandment imposed, so to speak, from
    without, but a consequence deriving from their
    faith, a faith which becomes active through love
    (cf. Gal 56).
  • Deus Caritas Est, 31

36
The Strategists Theorem, a manifesto for change.
ECDSQ CD CNS INS
DSQ Dissatisfaction with the status quo CD
Clear Direction CNS Clear next steps INS
Immediate next steps
37
Rainbow or Vegetable Puree?
Homogenised
38
Chasing the rainbow.
39
Chasing the Rainbowsome principles 1
  1. Ensure you acknowledge and point to the workforce
    research evidence on religion to underpin your
    strategy
  2. Ensure your Policy addresses religion in the
    workplace in a way which values it as well as
    protects you from discrimination claims
  3. Run a Doing business with Religion Seminar or
    another seminar like it

40
Chasing the Rainbowsome principles 2
  • 4. Make sure you consult faith communities in
    developing your Single Equality Scheme
  • 5. Learn from what other NHS organisations have
    done successfully for the organisation and their
    workforce and apply the schemes (page 9ff)
  • 6. Learn from what other NHS organisations have
    done successfully for their patients
  • 7. Benchmark your agency against others

41
Contact Me
  • Jim McManus, BD(Hons), CPsychol,CSci, FFPH,
    AFBPsS, FSA Scot, MEPS
  • Joint Director of Public Health
  • Birmingham Health and Wellbeing Partnership
  • Suite 203, CIBA Building
  • 146 Hagley Road
  • Birmingham B16 9NX
  • Jim.mcmanus_at_birmingham.gov.uk or
  • Jim.mcmanus_at_bhwp.nhs.uk
  • Tel 0121 465 2966
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