Improvement-directed versus Status Quo-directed Human Service Organizations

Author(s):  
Anthony L. Hemmelgarn ◽  
Charles Glisson

This chapter explains that members of improvement-directed organizations are never satisfied with the status quo and never stop looking for more effective ways to serve their clients. The principle addresses the conflicting priority represented by individuals in formal organizations resisting change and clinging to established protocols, regardless of whether the existing protocols promote improvements in the well-being of clients. The chapter describes improvement-directed organizations, including their application of continuous improvement processes, norms that support ongoing improvement, and behaviors that drive innovation and ongoing growth and development. The chapter presents research evidence and case studies to illustrate how systems and processes, decisions, actions, and behaviors, as well as assumptions and beliefs, need to be addressed to create improvement-directed organizations. Specific case examples illustrate ARC’s application to build improvement-directed organizations.

Author(s):  
Anthony L. Hemmelgarn ◽  
Charles Glisson

This chapter explains how mission-driven organizations require that all administrative, managerial, and service provider behavior and decisions contribute to improving the well-being of clients. This principle addresses the threat posed by the conflicting organizational priority of relying on bureaucratic processes and rules to guide policy and practice decisions. The description of mission-driven versus rule-driven organizations includes case examples, empirical evidence supporting the principle, and discussion of the central of role of aligning organizational priorities to focusing on improving client well-being. The chapter explains what it means to be mission driven, the role of leadership in supporting the principle, and why it is important. The chapter also describes the mechanisms that link being mission driven to effective services, including maintaining clear direction for all organizational members in their work, promoting motivation and shared purpose and fostering innovation. A case example illustrates ARC’s success to become more mission-driven.


Author(s):  
Anthony L. Hemmelgarn ◽  
Charles Glisson

This chapter introduces ARC’s principle of being participatory based. This principle requires the active, open participation of front-line staff, middle managers, and top administrators in decisions about practices and policies that affect the well-being of clients served by their organization. It counters the conflicting priority of prescribing change in a top-down manner without the benefit of the experience of those closest to service provision. The chapter explains how participatory-based organizations impact staff discretion, motivation, learning, and engagement with clients and reviews the empirical evidence that supports participatory-based approaches. This evidence includes research in social cognition and neuroscience. Case examples illustrate the positive impact of participatory approaches on service provider and client outcomes, outlining their influence through norms and expectations as well as underlying beliefs and assumptions.


Author(s):  
Anthony L. Hemmelgarn ◽  
Charles Glisson

This chapter explains the ARC principle of being results oriented versus process oriented. The results-oriented principle requires that human service organizations evaluate performance based on how much the well-being of clients improves. The principle addresses deficits in service caused by the conflicting priority of evaluating performance with process criteria such as the number of clients served, billable service hours, or the extent to which bureaucratic procedures such as the completion of paperwork are followed. Results-oriented organizations are described in detail, including case examples from decades of organizational change efforts by the authors in human service organizations. The chapter documents the importance of results-oriented approaches and underlying implicit beliefs to help the reader understand how mindsets and mental models shared among organizational members influence results-oriented approaches and effectiveness in practice. Supporting research, including feedback and goal-setting research are highlighted.


2021 ◽  
Vol 47 (1) ◽  
pp. 199-220
Author(s):  
Joseph A. Stramondo ◽  

Both mainstream and disability bioethics sometimes contend that the self-assessment of disabled people about their own well-being is distorted by adaptive preferences that are only held because other, better options are unavailable. I will argue that both of the most common ways of understanding adaptive preferences—the autonomy-based account and the well-being account—would reject blanket claims that disabled people’s QOL self-assessment has been distorted, whether those claims come from mainstream bioethicists or from disability bioethicists. However, rejecting these generalizations for a more nuanced view still has dramatic implications for the status quo in both health policy and clinical ethics.


1999 ◽  
Vol 6 (2) ◽  
pp. 221-239
Author(s):  
Mokgethi B.G. Mothlabi

AbstractThere is a certain paradox inherent in Marx's criticism of morality. On the one hand, he rejects morality as a form of bourgeois ideology which serves mainly to justify the status quo. The status quo in question is one which is mainly detrimental to ordinary working people, while favouring property owners as well as owners of the means of production. In this sense Marx's condemnation of morality resembles his condemnation of religion, which he saw as the opium of the people. On the other hand, Marx employs morally significant language to challenge what he regards as the evils of capitalism and their destructive effects on the working class. It becomes clear from all this that capitalism cannot be seen as purely an economic matter. Insofar as it affects the lives and well-being of people, it is also a moral issue and deserves to be judged accordingly. How Marx steers between his seeming rejection of morality and, at the same time, using it to criticise capitalism is the main concern of this article. In the process, Marx's concept of ideology is explained while the focus and motivation of his social critique is also briefly considered.


2021 ◽  
Vol 2 (2) ◽  
pp. 30-33
Author(s):  
Wei-Jing Zhao

With the rapid development of the domestic economy and the continuous improvement of the people's living standards, China's all-in tour continued to warming. As the segment of tourism accommodation products, the B&B is in the guidance of rural revitalization policies to show vigorous vitality. This paper discusses the development status and existing problems of China's B&B Industry in recent years, and put forward countermeasures.


2019 ◽  
Vol 122 (1) ◽  
pp. 134-150
Author(s):  
Dave Smallen

In recent years, positive psychology and mindfulness practices have increasingly been integrated in neo-liberal organisations to promote individuals’ well-being. Critics have argued that these practices actually function as management techniques, encouraging individuals’ self-governance and acceptance of the status quo despite adverse contexts. This article extends this argument by unpacking ways in which such ‘well-being’ programmes are also gendered, having been formulated around neo-liberal hegemonic masculine values of rationality, individualism and competition, and further masculinised through integration into gendered organisations. The argument is presented that this process produces a neo-liberal version of hegemonic masculinity that the author calls ‘mindful masculinity’. This theoretical argument is illustrated through examples of specific ways in which ‘well-being’ practices have been reworked in strongly masculine settings to promote neo-liberal hegemonic masculine goals under a symbolic veneer of spirituality and mental health.


2016 ◽  
Vol 10 (3) ◽  
pp. 367-378
Author(s):  
Xhercis Méndez

This article examines some of the ways in which Black and Brown young women and men within the context of the US are consistently confronted by the silences around state-sanctioned violence enacted on our bodies with impunity while even our playful sonoric outbursts are reconfigured as threats to the state. I argue that, different from Deleuze and Guattari's conceptualisation where the refrain functions to keep chaos at bay, the refrain produced by a group of Black and Brown youth at a ferry station in New York brings to the fore and into confrontation the very Codes that create a sense of ‘home’ and ‘security’ for some at the expense of their well-being and often lives. However it is from navigating, what I refer to as, silent chaos that this article seeks to explore the decolonial potential of the sonoric ‘disruptions' produced by these Black and Brown young women and men, in particular by examining how they challenge the status quo and highlight the urgent need for new systems of valuation that would serve to reconstitute their collective worth.


Author(s):  
Catherine P. Cook-Cottone

Mindful attunement is the integration of mindful awareness and healthy, sustainable connection with both the internal and external experiences of self that drives intentional thinking and behaviors that support well-being. This chapter details how physiology, emotions, and cognitions influence a sense of internal integration and attunement. Mindful self-care is introduced as a method for cultivating mindful attunement among the internal aspects of self, within the context of external (e.g., social) challenges using the attuned representation model of self (ARMS). The connections between mindful attunement, mindful self-care, and positive embodiment are illustrated using case examples. The Mindful Self-Care Scale, a tool for the assessment of the aspects of self-care addressing each area of the ARMS through actionable practices, is reviewed. This chapter ends by detailing the mindful self-care process, which involves mindful awareness of self-care as essential to well-being, assessment of self-care domains, assessment-driven self-care goal setting, and engagement in self-care.


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