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Networking
Familiarity through
networking assists consumers open up
Networking with a health
provider leads to education
Opportunity for training on the
Code
Making a difference
through networking
Assistance for social
worker
Establishing a network
of local advocates
Networking Chatham Islands
Style
Networking in residential
homes
Using the CAB as an established
information hub
Working within a local
interest focused network
Familiarity
through networking assists consumers open up
An advocate was invited to attend an activity centre to provide
an education session for a group with dual diagnosis.
There was effective interaction between the residents and great
interest shown in the discussion. The consumers were very clear
that they were happy with their current provider but were open and
honest about past experiences and challenges they face with getting
appointments. The session was very interactive and the group showed
a level of trust in their discussions which has come about as a
result of regular similar sessions.
Those who had current concerns were encouraged to discuss these
with the advocate outside of the education forum.
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Networking with a Health Provider leads
to Education
An advocate spoke to a health provider
at a DHB about general issues that refugee and some migrant
communities face in NZ, such as culture, discrimination,
communication, consent, family relationships. The advocate linked
each of these to the Code.
Following their conversation the
advocate was invited to provide three education sessions in other
departments who in turn referred her to other hospital
departments.
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Opportunity
for training on the Code
Prompted by the mention of the Code of Rights poster that had
been put up the year before, the manager of a service mentioned to
an advocate that she was president of a nationwide
organisation. This led to a conversation about how the Advocacy
service and the Code could be promoted to the membership groups
using local advocates. They worked on a strategy that would
see Advocacy providing both local and regional training
packages.
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Making a difference
through networking
Members from the migrant/refugee community were invited by the
local advocate, in a provincial town, to meet the regional
Refugee/Migrant Advocate. The focus of the discussion was to be on
the rights in the Code as well as the role of an advocate. However,
as the meeting discussions flowed it became apparent that the
community also required support and information in relation to
their cultural values and beliefs.
One of the gaps in their information was the need to find out
the name of any local butchers who provided Halal meat in the
region as consumers from their area were travelling over six hours
to a major city to purchase their meat. Through her networks, the
local advocate was able to find out where Halal meat was available
in the area, and passed on contact details and the location of
where it could be purchased.
This small action taken by the advocate has done much to create
trust between this community and the advocacy service.
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Assistance for social worker
Complex disability ~ Social worker ~ Service coordination ~
Cooperation between providers ~ Advocate mentor
During a network meeting an advocate was approached by a social
worker regarding a consumer he was working with who had multiple
chronic conditions, and was involved with a number of providers and
community support agencies.
The social worker expressed concern about the lack of
cooperation between the providers and the difficulties this created
for the consumer.
The advocate provided information to the social worker on Rights
in the Code that could help the situation, and was available in a
mentoring role when contacted by the social worker as further
issues arose.
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Establishing a network of
local advocates
Assertive networking ~ Service improvement ~ Shared learning
~ Local advocates ~ Reflection
The local health and disability advocates had been fielding
requests for training and support from other advocates working with
local community agencies.
A meeting was organised with four key advocates working in
agencies who believed the standard of advocacy practice could
improve if there was appropriate training and support. These
advocates expressed concern about the quality of the advocacy they
saw being practiced by colleagues in the community and that it was
based on confrontation. The group believed the solution lay with
the local advocates and that change would occur if various
alternative approaches to advocacy were demonstrated. The group
called a meeting, advertising it as a lunchtime event at a local
church hall.
The opportunity to meet was greeted with enthusiasm and a large
number of advocates turned up on the day. Following a brief
introduction about the purpose of the meeting the local health and
disability advocate presented an overview of the consumer-driven,
strengths-based empowerment model of advocacy that the health and
disability advocacy service use, including the outcomes for
consumers.
The proposal from the meeting was to setup a network, called a
forum. Those present agreed to meet bi-monthly to reflect on the
various approaches to advocacy that were being used.
After two years the meetings still continue. They cover health,
education, welfare, housing and income. The local health and
disability advocate only attends sporadically as is often out of
the city when the meetings are held. The network continues to
provide an opportunity for reflection, learning and sharing in a
way that helps consumers to receive a more effective service.
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Networking Chatham Islands
Style
Network development ~ Chatham Islands ~ Remote location ~
Local contacts
Networking on an offshore island can be a challenge particularly
when the island is not easily accessed. Being an annual and
expensive trip it requires careful preparation by the advocate.
Over and above getting there, sorting out where to stay, setting up
meetings and knowing where to advertise the coming visit, she had
to ensure that when she got there she would be accepted by the
islanders, and that they would be interested in her message.
The advocate started with her own personal networks, phoning all
the people she knew on the island asking for their assistance and
advice. Some of these people set up meetings for the advocate to
meet and greet the locals. The local newspaper inserted an article
on the service and advertised the pending visit. The hospital was
contacted and arrangements to meet key personnel were
scheduled.
Once on the Island the advocate visited as many of the local
people as she could so she would be well known and remembered as
the person to contact on the mainland. She searched out key people
who would further facilitate access to local groups. She listened
to consumer issues; assisting them to take up these issues in ways
that could bring about changes to health and disability
services.
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Networking in residential
homes
Assertive networking ~ Residential disability home ~
Tailored message ~ Respectful contact
Residential homes for those with significant impairments have
their own culture and power structures. The residents tend not to
accept outsiders unless they are people they believe they can trust
and feel safe to speak with.
When the health and disability advocate first visited a small
community house of five people, an arrangement to visit was made in
advance. On arrival, the advocate acknowledged the staff, and
sought their assistance to greet each of the residents individually
using first names, taking an opportunity to express interest in
each person and discussing something of specific interest to
them. This also involved accepting a cup of tea as a sign of
hospitality.
The next time the advocate returned, it was timely so the
residents could remember the previous visit. More information was
shared which helped establish a relationship with each of the
residents. The advocate was gradually absorbed into the network of
the house as someone who is safe to speak to. In the meantime the
link with the staff was strengthened so they in turn would support
each resident having links with the advocate.
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Using the CAB as an
established information hub
Strategic networking ~ CAB ~ Information resource ~ Training
volunteers ~ Regular contact
Recognising the Citizens Advice Bureau (CAB) as a key
information hub in the local town, the local health and disability
advocate sought out an opportunity to be included in the
information resource provided by the local CAB volunteers. Having
visited the local CAB offices the advocate sought out the name and
location of the regional trainers and arranged to attend their next
meeting to describe the role of the advocate and how to contact an
advocate.
The advocate keeps in regular contact with the CAB offices,
dropping in to check there are leaflets available, and to talk over
any issues the staff have. The CAB continues to refer a steady
number of consumers to the advocacy
service.
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Working within a local interest focused
network
Strategic networking ~ Alcohol and drug workers ~
Established network ~ Highlighting rights
The workers in the local alcohol and drug services have a well
established network of people and agencies who meet on a regular
basis to share information, changes in service and generally to
support each other. It is a long meeting but every person attending
has an opportunity to share information and to raise issues.
The local health and disability advocate attends and uses this
opportunity to be proactive in raising consumer rights issues, as
well as responding to questions and observations made by other
attendees. It is an opportunity to harness local commitment to the
promotion of consumer rights, and for the workers to remind
consumers experiencing difficulties of the existence of the
advocates.