Quality Education for a Healthier Scotland

Co-producing meaning and purposeto help build resilient communities:

health and care chaplains and faith groups involved in working with local people

Ewan Kelly (Programme Director for Spiritual Care and Healthcare Chaplaincy, NES)

Calum Strang (Community Development Worker, Faith in Community Scotland)

Quality Education for a Healthier Scotland

AimsExplore how helping people find meaning and purpose

individually and corporately helps promote wellbeing and builds resilient communities:

Through 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

• a collaborative model of engagement developed by Faith in Community as they seek to work with local faith communities in the poorest areas of Glasgow

Quality Education for a Healthier Scotland

Meaning and Purpose

Chat to your neighbour and identify 3 aspects of your life that:

• 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

Quality Education for a Healthier Scotland

Co-production and meaning and purpose

Often relationships or being involved in activities which involve working together that contribute much to:

• meaning and purpose• wellbeing• hope• resilience

Quality Education for a Healthier Scotland

Spiritual care ....

“.....is person centred care which seeks to help people (re)discover hope, resilience and inner strength in times of illness, injury, transition and loss.”

NHS Education for Scotland

Quality Education for a Healthier Scotland

Quality Education for a Healthier Scotland

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!

TRIGGERSI 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

Quality Education for a Healthier Scotland

Being with

Quality Education for a Healthier Scotland

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 2Patients tell story and work through their concerns Chaplain provides active listening and guided support –

focus on existential and identity questions

Quality Education for a Healthier Scotland

Action Research Findings from CCL Phase 2 (2011-2012)

11 health boards, 16 healthcare chaplains, 250 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 lossFocussing of prescribing

Quality Education for a Healthier Scotland

23 GP Practices, 11 Health Boards involved in CCL 2(2011 - autumn 2012)

5

3

3

4

1

1

1

1

2

1

1

Quality Education for a Healthier Scotland

Community Chaplaincy Listening Phase 3 (Feb 2013-2015)

- funded by Scottish Government,managed by NES and Univ of Aberdeen

Expected outcomes• Recruitment of further GP surgeries across Scotland• Development of CCL 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

Quality Education for a Healthier Scotland

Figurin’

The Joad Family

Grapes of WrathJ Steinbeck

Quality Education for a Healthier Scotland

You are bound to get idears, if you go thinking

about stuff

Reflection leads to change!

Quality Education for a Healthier Scotland

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

Quality Education for a Healthier Scotland

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

Quality Education for a Healthier Scotland

For more Information

Ewan.Kelly@nes.scot.nhs.uk

CCL Administratorjennifer.kelly@abdn.ac.uk