using sociograms to measure recovery a focus on relationships€¦ · sociograms are graphic...
TRANSCRIPT
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Using sociograms to measure recovery – a focus on relationships
Bella Anderson
Manager SHARC Peer Residential Programs
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Outcome measurements
Yay! Outcomes not activities!
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• Must be meaningful to the funding organisations
• useful for the funded programs – measure success, identify challenges, create programs to meet clients’ needs
• meaningful to clients – measure personal progress, identify personal challenges, re-create useful IRPs
Effective outcome measurements
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• DUDIT – Drug Use Disorders Identification Test
• K10 – Kessler Psychological Stress Scale
• Basis 32 – Behaviour and Symptom Identification Scale – consumer rated tool (strong MH focus)
• HoNoS - Health of the Nation Outcomes Scales -behaviour, impairment, symptoms and social functioning – clinician rated
Common outcome measurements
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Building Recovery Capital
• social capital
• physical capital
• human capital
• cultural capital
Best and Laudet (2010)
Measuring our work
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• Physical: accommodation, money, resources to fund treatment options
• Human: skills, health, aspirations and hope – the personal resources allowing a person to prosper
• Cultural: values, beliefs and attitudes that (provide the person with the) ability to fit into dominant social behaviours (community)
Measuring recovery capital
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Relationships offer us the opportunity to shape our identity, determine our social reality, realise our humanness and honour our health and wellbeing
Furlong M (2013)
Importance of social capital
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• … relationships also have the power to inspire hope, nurture change and support the development and maintenance of pro-recovery behaviour
• Best, D and Laudet, A (2010)
Importance of social capital
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Measuring social capital
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Sociograms
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Sociograms are graphic representations of a person’s social network
• can contain people no longer with us
• can include pets
• can include fantasy and the past that impacts on the person
• can include institutions
There is no right way to create them
Sociograms
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• We give assessees a piece of paper and some pens / pencils
• We explain that we’d like them to create a map of their relationships / connections
• We suggest that they put themselves in the middle of the page and arrange their connections around themselves to reflect their importance / closeness
Sociograms at assessment
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Example of first sociogram
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• I’m really shocked. It (isolation) just sort of happened
• My old mates won’t have anything to do with me. School friends … you know
• I used to have heaps of friends, but when I look at this, everyone’s a user
• Dad’s not there
First sociogram reflections
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Example of sociogram review
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• It’s good to see the changes
• I only had my grandma but now I’ve got all of you
• Do I put my cricket team on the list?
• It makes me sad to see that one (the first sociogram) I knew I was lonely but this brings it back. It was fxxked
Follow up sociograms
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• Confirmation of group guidelines
• We bring in the older sociograms but don’t distribute them until the residents have created a new sociogram
• We encourage discussion regarding the changes to their social networks
Sociograms in group - process
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Example
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• I really like that these make things really clear. I was really sad. I remember that
• You can see how much you’ve changed
• There wasn’t anyone left. Not anyone important. But things are different
• I wasn’t talking to dad, he was sick of me, he’s back in my life and it’s good
Sociograms in groups
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• Sociograms are useful for program review and personal reflection
• offer a genuine description of a person’s re-engagement with the community, relational resources and connections
• offer opportunities for profound discussions and reflection / brief interventions
• can be used in individual and group sessions
Sociograms as outcome measurement
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Questions
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Best, D. & Laudet, A. (2010) The potential of recovery capital, RSA Projects; Royal Society for the Arts. UK
Furlong M (2013) Building the client’s relational base – a multidisciplinary handbook. The Policy Press UK
References
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SHARC
140 Grange Rd
Carnegie 3121
www.sharc.org.au