4.4 Introduction to Self-governance and personal autonomy

THE LAST SMALL INPUTS – FOR REFLECTION REGARDING ENHANCHING SELF-DETERMINATION.

It is always good to start reflecting on one’s own emotional feelings – dealing with other people’s emotional feelings and expressions.

How do you look when you get it as you  like ?

How do you look when some one interact and prevents / prohibits you from getting it as you want?

There are several options – to train and develop your competences and skills reading other people’s faces and their body language at the internet.

Strengthened self-determination through reduced compatibility.

Remember – it is sometimes easier to make decisions – to perform self determination – if the things I have to choose between is more simple ….. for at start.

It is easier and good training to decide between 3 shirts for a start, or less  – when I have to decide how I want to be dressed for the day …….before I go for next level and decide between 4 shirts.

Simple and concrete language

To some it is easier to make decisions if I only have to say yes or no for at start – or when it comes to specific areas of decision making.

For at start it might be  easier to make a decision if the person only have to options – compared to “ What do you want to do this afternoon…?

Latency time

If people are stressed they often take quick decisions – and not necessary the decision they really like to make.  Make sure that the person have the time and feel comfortable about making decisions.   It is difficulty and a huge challenge to make decisions in life – big and small – if we are not used to make decisions.

SAFEWORDS MODEL

To work on strengthening other citizens’ competence to exercise self-determination and greater personal autonomy – is also to work with other personal people’s boundaries and personal insecurity.

It can trigger great uncertainty, anxiety and even frustration in those concerned and, in some situations, also aggression.

Having residents or citizens performing self-determination, might create conflicts with other clients and with general house  rules or even national legislation.

We would therefore like to introduce you to the Safeward Model as a model for how but generally increases safety in general when working with other people and especially when working with vulnerable people.

Safewards is a theoretical model with 10 associated interventions designed to improve the safety of everyone in inpatient wards by reducing conflict (physical, verbal aggression, absconding) and containment (forced medication, seclusion, and restraint) events.

You find it at https://www.safewards.net/

As you see at this picture of the front page of the website – you will find the information in several languages

Go to Safeward Model.

You activate access to The Model – in the text under THINK.

• Does the model make sense to you?
• Do you think the model – will make sense at your workplace?
• Does the Model have to be adapted – if it should be implemented at your workplace and how?

Go to the evidence behind the Safewards Model

You activate access to The evidence of behind the Safeward model  – in the same text under THINK.

At this part you will find a video. You will be able to subtitle the presentation of Mr. Len Bowers to your own language if you activate the link – under the video – saying “ see it on youtube”

The video – is of a duration of 1 hour. So have time for watching and listening to the video.

• Reflect a few minutes about what you have been reading and listening to.
• Does it make sense to you?
• Do you the evidence presented – are strong enough – and well documented.
• Where do you find the critical part of what you have been reading and listen to?

Go to Implementation of The Safewards Model

You activate access to Implementation of The Safeward Model in the box called PLAN.

On this part you will be presented to 6 steps to take – planning to implement the Safeward model at your workplace.

• Is the steps clear to you:
• Do you miss any steps– if you should introduce the SafeWard Model to your colleagues?
• What could be a important first step for you to take – having an ambition to introduce the Model to your workplace.
• Where do you find the critical part of what you have been reading and listen to?

Go to Evaluation of The Safewards Model

You activate access to Evaluation of The Safeward Model   – in the box called PLAN

In this part you will be presented to 6 steps to take – planning to implement the Safeward model at your workplace.

• Is the steps to secure a high quality evaluation clear to you:
• If not – make clear to your self what you are missing.
• In the text you are able to link to 3 different check-lists. Does they make sense in your country – in your daily work?
• Do they need to be changed and adapted and in what way.