to presentation - First Nations Health Managers Association
Transcription
to presentation - First Nations Health Managers Association
NEIL BURROWS AND LINDA SIMON SEPTEMBER 2014, VANCOUVER Overview of Lateral Violence Two Case Studies What We Have Learned & Moving Forward Question & Answer BC, Northwest Territories, Alberta, Saskatchewan, New Brunswick and Ontario! Gossip / Rumours Undermining & Sabotage Passive-Aggressive non verbals No respect for lines of authority Policy infractions Lack of Accountability Blaming Create Chaos Poor Team-Work Poor Communication Defensive / Territorial (“turf wars”) Triangulation Controlling-type behaviours Chaos & unpredictable Lack of trust Favouritism High staff turnover High rate of absenteeism Quality of service suffers Defensive / Judgemental / Critical staff Resistant to change (even positive) Rigid power hierarchy Fear Instability & Insecurity Unhealthy boundaries Head in the Sand FIRST NATIONS GRIEVING THE ICEBERG OF LOSS© Addictions Chronic Illness Suicide LATERAL VIOLENCE Symptoms Relationship Violence Mental Illness Poverty PARENT -CHILD ISSUES I AM NOT OF VALUE Message Community Connection Power & Control Cultural Identity Rights ??? Traditional Healing & Knowledge Earth Stewardship Losses Land Assimilation Oppression Objectification Discrimination Attachment Indian Act Forced Relocation Residential School Colonization Causes © Joelle McKiernan PRESENTING ISSUES (WHAT WAS HAPPENING?) WHAT WERE THE IMPACTS? INTERVENTION (WHAT DID WE DO?) PLANNING THE LATERAL VIOLENCE WORKSHOPS WHAT WERE THE NEXT STEPS WHAT WORKED / DIDN’T PRESENTING ISSUES (WHAT WAS HAPPENING?) WHAT WERE THE IMPACTS? INTERVENTION (WHAT DID WE DO?) PLANNING THE LATERAL VIOLENCE WORKSHOPS WHAT WERE THE NEXT STEPS WHAT WORKED / DIDN’T Services offered by First Health Solutions that assist organizations to deal with Lateral Violence in an effective, respectful and sustainable way: 1. 2. 3. 4. Awareness Seminars Addressing needed Skills Policy Development Reinforcement of the “new culture”. Recommended Course of Action: ◦ A two-day Workshop for all teams (ideal group size is 12-20) that: ◦ Teaches the W5 of Lateral Violence (who, what, where, when, why? ◦ Begins a process of self-reflection ◦ Identifies conflict-handling styles and skill deficits. Essential Skills required to effectively move from away from Lateral Violence: ◦ Assertive Communication ◦ Conflict Management ◦ Shields from Lateral Violence (ie, CBT) Update / Revise Policy and Procedure to: ◦ Ensure inappropriate behaviours (ie., Lateral Violence) are clearly identified; ◦ Provide specific procedures for investigation, remediation and discipline; ◦ Ensure compliance with Labour Law A new “way of doing things” does not sustain itself unless: ◦ Employees and Teams are acknowledged for positive changes; ◦ Team-building and recognition events must outnumber disciplinary actions! ◦ Employee’s personal wellness is recognized as crucial and is supported accordingly. Even at work (some would say especially at work) we seek significance in our lives – to be doing something of value, and to be recognized for it. Using the “Psychological Contracts” handout as a starting point, work in pairs to discuss what you strive to achieve at work, and how you hope to be recognized for it. Horizontal Violence / Hostility, Internalized Colonialism, Relational Aggression, Lateral Violence. “When a powerful oppressor has directed oppression against a group for a period of time, members of the oppressed group feel powerless to fight back and they eventually turn their anger against one another” Jane Middleton-Moz Passive Passive-Aggressive Aggressive Assertive Destructive Competitive Accommodating Passive - Aggressive Passive Aggressive Each has a varying combination of cooperation and assertiveness. Lateral Violence is but one (albeit critical) component of a Toxic Workplace. Other components include: Poor management / leadership; Inadequate policy (or punitive); Personality conflicts allowed to impede work; Others? While Bullying is often an element of Lateral Violence, it is often identified as personalityrelated (ie, more about the person than the workplace); A bully may be present at a healthy workplace but is “weeded out” quickly. ◦ Also, Bullying is not necessarily lateral, it is often from superiors to underlings. Allows communities and agencies to transition from reliance on external “experts” to internal capacity. 16 staff / managers selected for a 4-day Intensive Training that includes all of the Lateral Violence curriculum, and development of facilitation skills. Also available is the Domestic Violence: Train the Trainer Program. Have a wonderful evening! First Health Solutions www.firsthealthsolutions.ca Neil Burrows (250) 615-6863