living with risk in the community sam smith. living with risk - research perceptions of risk risk =...
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Living with Risk in the Community
Sam Smith
Living with Risk - Research
Perceptions of risk
Risk = Danger
Voice reputationcommunicationbecoming other
Harm abusehomeresilience and resistance
Living with Risk
C-Change – the organisation
People
Risk
Multi agency working
Living with Risk
‘To live in the universe of high modernity is to live in an of environment of chance and risk’
Giddens 1991,109
Living with Risk
A life worth living
Person centred
The person is more than the label
No naiveté
Living with Risk
‘assessment is inherently subjective and that understanding judgemental limitations is crucial to effective decision making’
Slovic, Fischoff and Lichtenstein (1982, 464)
Living with Risk
Risk assessment and risk management are active ongoing processes not discreet actions or tasks.
Living with Risk
Identify predictable risk
Devise scenario based risk management strategies
• Background
• Preventative measures
• Scenario
• Follow up
Living with Risk
Living with Risk - ZPUBLIC TRANSPORT
BackgroundWhen using public transport there have been a number of incidents when Z has encroached upon the personal space of members of the public and/or has been staring in manner that caused members of the public discomfort and/or distress.
Preventative Measures• Where possible avoid busy buses/trains• Avoid trains where there is standing room only• Z should, where possible, sit near to door of bus/train• Z should, where possible, sit to the inside of the seat, the “window seat”
Scenario No 13On the bus or train Z is conspicuously staring at a member of the public.
Support Strategy
1.Divert Z’s attention away from the focus of his attention, if possible2.If diversion is not an option or not working, get off at the next stop.3.Do not talk about the situation until you and Z are off the bus/train.4.If the person Z’s is focussed on gets off at this stop, walk in opposite direction.5.When appropriate explain to Z why you got off the bus/train.6.Talk through the inappropriateness of the situation with Z.7.If necessary get a taxi to your proposed destination.8.Inform the Team Leader at the next opportunity.9.Complete an Incident Report and forward to the Team Leader and Service Leader.10.The Incident Report will be forwarded to the Care Manager.
11.Z should be encouraged to share this situation at his next ITSO group.
Living with Risk
Living with Risk
LOW
LOW
HIGH
These strategies should always be used.
Only use these strategies if the person
or others is in real danger
Never use these strategies
HIGH
HAPPINESS
SAFETY
Only use these strategies if the person and everyone else agrees that the risk is worth taking and it does not leave the person or
others in real danger
Living with Risk
We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.
American Declaration of Independence
‘The views of service users (sic) are largely absent from the literature but their role in taking and managing riskson an everyday basis should not be overlooked, nor their potential to play a more significant role in the process’
Stalker, K., (2003) Journal of Social Work, Managing Risk and Uncertainty in Social Work, 3(2) 211-233.
Living with Risk
Living with Risk
Thank you for listening
Sam SmithExecutive DirectorC-Change for Inclusion
[email protected] 0141 427 2946