(Re)connecting with meaning and motivation

1. (Re)connecting with meaning and motivation Chair Ros Moore (Chief Nursing Officer) Ewan Kelly (Programme Director for Spiritual Care and Healthcare Chaplaincy, NES) Bob Devenny (Head of Spiritual Care, NHS Lanarkshire) James Clark-Maxwell (GP, NHS Dumfries and Galloway) David Rigby (GP, NHS Western Isles)

2. Aims Explore significance of meaning and motivation for the wellbeing of patients, carers and staff by: Sharing insights from Community Chaplaincy Listening: service based in GP surgeries where healthcare chaplains help patients (re)discover their personal assets or inner resources to live with loss and transition Engage with innovative models of healthcare chaplaincy which support values based reflective practice and helps practitioners and teams deliver holistic relationship based care

4. Invitation to engage in this session exploring meaning and motivation in 3 dimensions of life experience : • Human • Service user (or potential service user) • Practitioner or professional

5. Meaning Write down 3 things which either: • make you get up in the morning • raises your spirits GIVE MEANING • you fall back on when the chips are down AND PURPOSE • make you feel alive

6. Motivation Why did you come into health or social care?

8. What is chaplaincy listening? What is unique about it? Focussed on helping patients explore existential questions and questions about personal identity in relation to loss and transition in their lives Why? Why me? What have I done to deserve this? If there is a God why does God allow this to happen? REFERRAL I haven’t been a bad person! It’s not fair! TRIGGERS I don’t know who I am any more….. Helping patients to (re)discover their personal assets or inner resources to live with these questions and the loss and transition in their lives

9. Being with

10. Community Chaplaincy Listening : the intervention NHS Chaplains in General Practice surgeries Patients referred to listening service by GPs (in the main) Patients seen for 50 mins each session by Chaplains: average number of sessions 2 Patients tell story and work through their concerns Chaplain provides active listening and guided support – focus on existential and identity questions

11. Action Research Findings from CCL Phase 1 (2010–2011) 4 health boards, 4 healthcare chaplains, 49 patients • Increased self-management, self-worth and confidence in decision-making • Reduced GP time with such patients • Normalisation of sadness, anxiety and loss of meaning during times of transition and loss • Potential reduction in prescription costs

12. 23 GP Practices, 11 Health Boards involved in CCL 2(2011 - autumn 2012) 5 3 3 1 4 1 1 1 1 2 1

13. Community Chaplaincy Phase 3 (Autumn 2012-2015) - funded by Scottish Government,managed by NES and Univ of Aberdeen Expected outcomes • Recruitment of further GP surgeries across Scotland (interest also from England) • Development of existential listening services in other health and social care contexts • Cost benefit analysis of CCL • Development of an ‘accredited’ training scheme for volunteer spiritual care listeners • Use of specifically recruited, trained and supervised volunteers as spiritual care listeners as part of established CCL services • Chaplains to provide training and supervision and continue to deal with complex existential issues

14. Figurin’The Joad Family Grapes of Wrath J Steinbeck

15. You are bound to get idears, if you go thinking about stuff Reflection leads to change!

16. Ony one thing in the world I’m sure of, an that’s I’m sure nobody got a right to mess with a fella’s life. He got to do it all by hisself. Help him maybe, but not tell him what to do… Assets Based Approach

17. Maybe I oughtn to a talked like that- fella should maybe keep stuff like that in his head? Yes you should talk- sometimes a sad man can talk the sadness right out of his mouth…. p55 Talking and listening