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International Germany Forum – Huge interest in the changing stigmatisation surrounding mental health

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Bildnachweis: Foto: Bundesregierung/ Sandra Steins

These are the notes I took during the forum on Mental Health at the 2017 International Germany Forum (IDF) and hopefully show how exciting the near future could be for society’s understanding and treatment of mental disease:

  • Mental health stigma affects all of society:
    • people living with/suffering from mental health illnesses, thus making it more unlikely that they seek help early.
    • Families, friends, colleagues and public life as a whole, thus making mental health a “non-issue” and stopping people understanding what they have and how (effectively) it can be treated.
    • Healthcare and medical institutions – lack of understanding of the implications of mental health on physical health and vice-versa. Prejudice and maltreatment of people with mental illnesses when they need physical help.
  • What’s behind the stigma? What has caused it and is contributing to keeping it upheld? (Mirai Chatterjee: “People just don’t know how to approach mental health”)
    • Guilt – e.g. Mentally ill people and/or their parents and family: “what have I done wrong to have caused this to happen”
    • Fear of treatment – e.g. Exorcism, painful and/or humiliating experience
    • Lack of knowledge or the “normality” of mental illnesses: is it an illness? Are you dangerous? Is it contagious? Is there a treatment? Am I a lost cause? Will I waste my doctor’s time by seeking treatment?
    • Fear of exclusion and loss of legal rights after “coming out”: will I ever be able to drop the label? No understanding of the continuum of the diagnosis and the fact that it can end!
    • Lack of access to a group: I’m on my own.
  • We need to differentiate in our approach to mental health and mental illness:
    • Different mental disorders (from schizophrenia to depression, etc.)
    • Mental disorders (treatment) and mental health (prevention)
  • We need to learn from others on how to destigmatise mental health. E.g. HIV/AIDS, homosexuality
  • Main levers for destigmatisation: 1) Talk, talk, talk (famous people and normal people – multichannel – use social media to generate broad groups of people!), 2) showcase successful treatment! The more people are seen to be successfully treated and “well”, the less taboo, 3) involve people living with mental disorders in issues (relevant for them)
  • Main action for experts and specialists: connect the dots (there’s already a wealth of things going on, but no roof, so that the effect is reduced)
  • What should we be doing NOW?
    • International action: Germany is called on to take on a leading role in merging the agendas (Agenda 2030, G20, etc.). Create a movement – bottom up and top-down. Mental health is one of the prerequisites for all people to be productive citizens and combat the tasks on the agenda 2030.
    • National action: e.g. Germany needs a National Mental Health Action Plan to connect the dots, increase access, develop technology and treatment and destigmatise.

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Further step to go really global: social enterprise’s international leader summit

How to be more than the sum of the individual parts and create “additionality”? This is a relevant question for many of my clients operating at decentral offices, often globally, with a mother base. And it was the question that emerged during this year’s international leader summit for a leading social enterprise that I was happy to moderate (pro bono) this week. The decentral leaders and organisations in the company (running as a franchise) will be able to look forward as from today to more standardised processes to support them set up a sustainable financial model in their local context. There will be a stronger global brand with global marketing and staffing (recruitment and rotation) offers for the local business owners to take on board. The goal is to retain flexibility and remain sensitive to local markets, but use the global knowledge and data structure to understand much better how markets work and refrain from reinventing the wheel.

An important discussion showed the importance of sustainable finances for every social business, regardless of their for-profit or not-for-profit status: without the cash to pay the monthly costs to operate, there’s no operation and no social impact. Even though the goal of the organisation is not to generate profits, if it’s not making enough money, it won’t be able to grow its impact. There is a strong business case for having a strong business case as a social enterprise!

It’s always fascinating to see how similar the challenges and issues are facing social and conventional businesses. But it’s really rewarding to work with people who are investing everything to change the world for the better!

 

YouMatch – improving labour markets for youth

I am currently in the middle of a two week assignment to support experts from subsaharan Africa, the Middle East and North Africa and Europe to exchange ideas and experience in getting youth into meaningful employment and income. The challenges are similar across the regions – in addition to the need to create employment opportunities (or encourage self-employment) – prejudice, lack of soft-skills, insufficient platforms for meeting and matching and providing youth with orientation are rife. Employers are complaining that they don’t have the applicants for job vacancies. Youth are stagnating in underemployment or by simply being in the wrong job for them. Economies are slowing and braindrain is hurting attempts to develop sectors such as IT.

German international development cooperation is networking experts from the three regions to get things moving and stimulate ideas, money and collaboration opportunities. http://www.youmatch.global

The willingness to embrace change and work together across sectors and countries is promising. As is the interest in investing in process consultation to ensure that the working groups retain their motivation and energy to collaborate after the workshops here in Berlin have ended.

Thanks to Darius Walker for supporting the workshops and making the participants feel welcome and oriented. Here’s a non-official shot of the subsaharan delegation. The photographer wanted a bit of action! (Photo thanks to GIZ)

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Feedback – effective, but what a difficult thing to do!

On 1st May, our daughter had an horrific accident at an indoor playground that resulted in emergency surgery on her head, only just saving her life. It took us 4 weeks to confront the responsible people and I’m glad we waited that long. Our initial reaction after the accident was anger: I wanted to sue the place and get it closed down. The fury made me sick. After 4 weeks and total recovery of our daughter, the anger had abated and (mostly) left, leaving in its place an urgent wish for “closure” (as one calls it nowadays). My husband and I drove out to the nice looking play centre with that one goal: to leave it all behind us and forgive. There were 3 hurdles though, preventing us from doing that:

  1. We had put our trust in a professional institution that avoids unnecessary risk (she was at a children’s party and we weren’t there) : how could it have happened?
  2. The responsible people at the centre hadn’t called the emergency services and our daughter was operated on only just in time (after we’d heard her strange crying on the phone and demanded they do so): why didn’t they call them immediately?
  3. No one from the centre had called to ask how our daughter was doing (having watched her leave in an ambulance): don’t they care?

There was obviously only one solution: dialogue with the people responsible based on feedback and avoiding attack (which produces counter-attack and creates a situation of war). Oh yes, because I knew if it didn’t work and I felt understood and acknowledged with each of my 3 hurdles, I would go to war. And I wanted to avoid that if at all possible (knowing how impossible it is to really win).

We arrived and had a look round – an intimate, clean and friendly place. And then I calmly asked the lady who was older than 25 if she were the manager and introduced us as the parents of the little girl who’d had the accident, asking if we could have a talk. She was alert and gracious and immediately invited us to a quiet table, somehow signalling to one of her colleagues to bring us a coffee. I asked her if we could give her feedback on what happened, because it was stopping us from getting over the situation. She agreed, was very focussed and listened. That was already 80 % goal reached, I think. I’m not sure how we managed to stick to the feedback rules of speaking from one’s own perspective, mixing positive and negative perceptions and voicing one’s wishes for how we would have liked it. I’m not sure how we managed to completely avoid judging her. I suppose it’s because we knew we wanted to shake hands at the end of the discussion, rather than “We’ll see you in court” or something equally melodramatic (my husband’s a lawyer).

After about 45 minutes we thanked her quietly and shook hands. She was truly sorry and shocked by what had happened and thanked us for opening her eyes. She invited our daughter to come and have a free play, which we’ll do one day.

It was over and we could get on with our lives in forgiveness.

I was so grateful to her for her ability to take on our feedback and even formulate clear learnings for the future, and I was grateful and proud of our ability to give feedback – rational, emotional and fair. I have practised giving and receiving feedback for 22 years – it’s part of my job. It’s not easy and I’m often hopeless at it in a private context, but this encounter proved to me above all others how effective and wonderful it is.

A few of my clients are currently working on improving feedback in their teams and everyday working situation. Why? Because it’s a safe way of moving onwards, learning, improving, dealing with mistakes and staying happy and sane! Confrontation, attack and judgement destroys people – whether in their private lives or at work. If we’re obsessed about being right, we may “win” our point, but still lose, because trust is destroyed along with the opponent’s lost face. Feedback can make everyone a winner – it allows us to see the world through a different perspective and decide for ourselves if we want to change our viewpoint.

We don’t know for sure whether the play centre has changed any of their practices to reduce the risk of other children hurting themselves, but I believe they have.  Because the feedback session with the owner enabled her to see ways of doing so that allowed her keep face and be in charge.

Meister meistern Herausforderungen

Der deutsche Industriemeister ist eine Schlüsselperson in großen Unternehmen: sie haben eine Sandwich-Position inne, in dem sie den Großteil der Belegschaft disziplinarisch und fachlich führen und für die fach- und Termin gerechte Umsetzung und Ausführung der Managemententscheidungen verantwortlich sind. Gefühlt ändert sich nichts so schnell wie der Industriemeisterberuf, und viele der Kollegen arbeiten 45 Jahre im Betrieb! Allein die Digitalisierung hat den Job revolutioniert, geschweige denn LEAN-Ansätze, Umstrukturierungen, etc. Ein Meister verbringt heutzutage die Hälfte seiner Arbeitszeit am Computer.

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Meister meistern Heraus-forderungen

Ein langjähriger und geschätzter Kunde von mir bei einem der größten deutschen Unternehmen hat diese Schlüsselposition erkannt und ich begleite ihn seit 2013 bei der Initiative “Meister meistern Herausforderungen”. Wie läuft die Initiative? Alles basiert auf den Input der Meister, die in einem ersten Schritt die derzeitige Belastungssituation analysiert haben und selbst Schwerpunkte für die Verbesserung identifiziert haben. Engagierte Manager begleiteten den Prozess und lieferten den Meistern die erforderlichen Informationen oder Unterstützungen. Auch bei der Lösungsentwicklung waren die Meister federführend dabei, mit den Managern zunächst die Optionen auf den Tisch zu legen und dann in umsetzungsfähige Konzepte zu gießen.

Die Skepsis war anfangs groß, dass diese Initiative einfach eine neue “Sau, die durch’s Dorf getrieben wird”. Dass sie ein beständiger Prozess geworden ist, verdankt sie der Kreativität und Veränderungsbereitschaft der Meister, dem Engagement der Manager und dem energischen Projektleiter, der im Laufe der gut zwei Jahre viel über sich und das Unternehmen gelernt hat und den Prozess als extrem wertvoll – für den Standort und auch für sich – sieht.

Ich genieße die Zusammenarbeit mit den Meistern. Ich habe viel gelernt und gelacht in den vielen Workshops, die ich moderierte. Ich schätze die Offenheit und Ehrlichkeit der Meister und ihren Willen, Dinge anzupacken und miteinander um die besten Lösung zu ringen. Mich hat auch beeindruckt, wie einige zugeben konnten, dass bestimmte angedachte Verbesserungen doch nicht so einfach umzusetzen seien, und diese Botschaft den Kollegen vermittelt haben. Das zeigt Größe.

Manager und Meister sollten sich viel häufiger die Zeit nehmen, auf Augenhöhe miteinander ins Gespräch zu kommen. Wir brauchen eine Diversitypolitik in den Unternehmen, die diese alte Grenze bewusst aufbricht. Gewinnen tun alle: Firma, Mensch und Prozess.

 

 

 

So the chase takes up one’s life, that’s all.

My wonderful professor from University, Lucy Newlyn, directed my attention to Robert Browning’s poem about hope and there’s a “motto” in there that I identify with and mean to think about for a while. Here’s the poem:

Life in a Love

Escape me?
Never—
Beloved!
While I am I, and you are you,
So long as the world contains us both,
Me the loving and you the loth,
While the one eludes, must the other pursue.
My life is a fault at last, I fear:
It seems too much like a fate, indeed!
Though I do my best I shall scarce succeed.
But what if I fail of my purpose here?
It is but to keep the nerves at strain,
To dry one’s eyes and laugh at a fall,
And, baffled, get up and begin again,—
So the chase takes up one’s life, that’s all.
While, look but once from your farthest bound
At me so deep in the dust and dark,
No sooner the old hope goes to ground
Than a new one, straight to the self-same mark,
I shape me—
Ever
Removed!

Isn’t it a curious, beautifully understated and thoroughly modern line “So the chase takes up one’s life, that’s all.”?