Explanation of ALISS – how do we get all of this information on this poster board collected and distributed so all of us get to hear about it? ALISS is a Scottish Government project which started off as a commitment to provide each CHP with a self management framework. It was quickly decided that another website about local information wouldn’t do – there are too many websites and places to look with associated problems of updating, duplication, not finding what you want. ALISS has developed over the last 2 years into a highly innovative project – successfully collaborating with colleagues in adult literacy groups, art colleges, schools, technical experts outside the health sector. ALISS is designed to capture less formal resources, the sort of very useful but hard to find out about sources of support which most communities have. It is an ambitious project as it is tackling a difficult problem. There were 3 workstreams in ALISS – Health Literacy, Technical Development and Communities. Compliments NHS Inform More information from www.aliss.org Explain about screencasts for further information. A working “Engine” is developed - Grampian Care Data have very helpfully contributed data to allow the team to test the technology.
Piles of leaflets like this, can be found in offices across the land! Handy, but you have to know where they are if you want to find them…
In a sense, ALISS seeks to apply ‘Search’ to community centre wall-boards
This slide contains images of the stroke club on ALISS and the Google results list – in case you can’t get on line for the presentation.
The ALISS engine collects short descriptions and links to useful resources, either by people submitting things, or by getting them electronically from other systems in various ways. Once a resource is in the ALISS index, people with accounts can add keywords or more information, like sticking a post-it note on. We call that curation, meaning collecting information and labelling it in ways that make it more useful and easier to find. This means devolving control over content, which is not only in line with the ethic of self management but also more sustainable as it means no resources going to centralised administration. But, it’s not a free-for-all. All content is moderated, and you can filter it so you only get information from sources you trust. ALISS data can be published and searched by any other computer systems- the data is open and accessible across the web. The project team has created some simple apps to show the potential for this. See http:// demo.aliss.org /
Assets are a lot more than just the Usual Suspects (Clubs, Groups, and Services). “ A health asset is any factor or resource which enhances the ability of individuals, communities and populations to maintain and sustain health and well-being”. These assets can operate at the level of the individual, family or community as protective and promoting factors to buffer against life’s stresses.” Antony Morgan, 2009 So that allows for poems, books, canal banks and all the other aspects of support via lived experience, that people with LTCs can contribute.
Here is ALISS asset-mapping in a tent! Andy’s account of that day is here: http://www.aliss.scot.nhs.uk/index.php/archives/1397 And this is where we heard one of those present recite (from memory!) a poem – and what it meant for her
During the day, a service user recited by heart, some of Mary Oliver’s poem. It was very important for her sense of well-being. You could have heard a pin drop while the verses were being recited.
…and we were able to find a YouTube clip of the author reading her own work. So people not at the event could maybe find it useful, as well as those who were.
Here are 60 or so folk at a session organised by the medical centre in Craigmillar, as part of the ‘Improving Links’ project they are involved with – improving links between them and local sources of support. Notes on the process are available here: https://dl.dropboxusercontent.com/u/1585085/craigmillar%20notes.pdf
Here is what one of the Craigmillar tables was producing. On the brown parcel paper, they drew a sketch map and as you can see have added a mix of drawings and notes about local ‘assets’. The ‘Get Up and Go’ booklet is a major resource on local services and clubs produced by Edinburgh City, for older people (but it’s locked up in a pdf file!). On the whie flip chart sheet, the group are developing an idea for improved internet access locally.
This group – mostly service providers – is mapping assets on and around Leith Walk in Edinburgh. The straight line down the middle of the table is Leith Walk, and they have been busy with the post-its. There was a lot of conversation and ideas-sharing too.
This is ALISS asset-mapping in a tent! A glorious summer’s day in Redhall Gardens, Edinburgh – see here for our notes: http://www.aliss.scot.nhs.uk/index.php/archives/1397 During the day, people would call by our stall and, in conversation, identify an asset or two – some in response to the assets already ‘pinned’ to the tent wall.
Staff from a group of GP practices in northeast Angus got together for an afternoon to do some mapping and here are some of the assets they spotted. There were quite a lot of “I didn’t know that was available” comments on the day. And being GPs, of course it was hard for them not to be a bit competitive between the groups - who could spot the resource with the wierdest-sounding name for example!
Here is the north east Angus collection of assets, on the ALISS Engine.
This shows a wee bit of mapping detail (as well as two balding heads!). Snook – being service designers – had produced some really nice skecth maps of the local community, and here we were ‘tagging’ some of the assets we’d identified earlier. What could be more natural than to use luggage labels (tags) for that!? To the left hand side of the picture, you can see some concentric circles drawn on a sheet of paper. This is a personal network map created by one of the participants. More about this next.
As well as identifying assets in the community, we also did a little bit of personal network mapping. We’d been a bit anxious beforehand – would this make people feel really lonely if they couldn’t fill up their map with lots of contacts? – but we needn’t have worried; the exercise turned out well and was a good conversation piece both at the time and later. Have a good read of the IRISS report – well worth it.
Here are just a few of the sorts of resources that people identify when they are talking with one another about what keeps them well!
…which all begin to create a really vibrant picture of ‘self-management’ – this was drawn by an artist as a workshop run by the Stroke Association was actually going on!
Getting ready for our first session. What’s the world record for the largest number of people you can fit in the Conference room at the Alliance Hub??
First off, ideas generation – anything goes, just be sure to note it down as well as enthuse about it. Here is our brilliant project assistant Jenny Dowswell acting as a three dimensional flipchart stand.
One of the really nice things that we discovered from the series of events was that people did not insist on just having their own ideas; they were happy to pick up ideas from earlier workshops and further develop them. Here are members of a CHeX group from West Lothian (details at http://www.chex.org.uk/project-search/details/epilepsy-west-lothian/? ), presenting back with their story board and basic service blueprint.
All ages were involved. Here are the amazing Airlie Silver Surfers, just about to set off in their minibus through deepish snow back up to their Angus glen.
We sent the Silver surfers away with a good big chunk of cake, brought along to the workshop by Alec, who had been a cook on a merchantman earlier in his life. The cake had more sherry in it than any we’d tasted before – just the thing for potential emergency rations after a snowy day in Perth. As said earlier “everyone can contribute something to asset mapping and co-produced innovation”. But this home-baked cake was extra special!
And here is one group hard at work in an innovation workshop, creating their business plan, screen-shot and logo for a service they called ‘First Things First’ – to pull together all the dispersed information that you need you are both in a hurry and maybe off-balance, in the first 36 hours after your partner/parent has been diagnosed with dementia. Afterwards, we took this proposal down to London to a Technology Strategy Board/Dept of Health competition.
Happy and healthy in Ayrshire
Note to presenters:• Slide 3 provides a menu, which you can use to skip to any given topic(via the little arrow beside its title) and back to base again (via the little‘home’ icon at the top right corner of each slide).• Most of the slides have some notes which might be handy (some includeweb links for further reading). So it might be sensible to have a browsethrough in notes-view before showing.• Several slides include web links, which you can click on in presentationview and go direct to the relevant page. Obviously though, you do needto be connected to the web for this to work!• The web links on slides 10 and 15 point you towards short videos.Some organisations may block staff access. If so, talk nicely to someoneyou know with a Long-Term Condition, and if they have web accessdirect or via an intermediary, they will probably be willing to help(!)
What I hope to cover today…• What’s the Problem? • ALISS in actionA wee story (stroke club) (a short and silent movie) • Finding and sharing assetsWhat’s an Asset?? It’s about conversations It’s not rocket science (a wee shottie in small groups)• You can do this! (asset-mapping and beyond) • (a local signposting project?)
ALISS in Action (1)The Montrose Stroke Club:Some while ago, a GP colleague encountered a man in his surgery waitingroom who was wanting to stick a flyer up there. In conversation, it emergedthat he had just started a stroke club locally and wanted to recruit members –but he was at a bit of a loss for publicity. Graham offered to put basic detailsof the club on ALISS. The club doesn’t have a website, so Graham includedextra details like opening times and contact number.Now it’s top of the list on Google!ALISS helps by working away in the background to increase the findabilityof the Stroke Club. It doesn’t matter that you go via Google. What matters isthat you find the Stroke Club. If you’ve had a stroke and live near Montrose.
ALISS in Action (2)The technology at work:Here is an opportunity to watch a short (4 mins46 sec) ‘screencast’ of the ALISS Engine beingused to build a local info collection.It’s silent (not everyone has good sound availableon their PC/Laptop) but includes commentary insubtitles.
ALISS engineALISS engineALISS engineALISS engineALISS devolves the 3 keyinformation-service taskscollect itcollect itcollect itcollect it sort itsort itsort itsort it publish itpublish itpublish itpublish it
What are health assets?With thanks to ID&eAFrom: ‘A glass half-full: how an asset approach can improve community health and well-being’
As part of taking an assets-based approach tocommissioning services for mental health and well-being:• The East Dunbartonshire CHP, with its partneragencies, wanted to involve people with itscommissioning process• So they asked IRISS and Snook to facilitate a seriesof workshops where people talked with each otherabout what kept them well• It’s all written up in detail here:http://www.iriss.org.uk/resources/using-assets-approach-positive-mental-health-a
Here, we were addingnotes to photos of localassets, and keeping tabson any we hadn’t includedyet
During the conversation, looking at aphoto that one of the project team hadtaken of the local canal, one participanttalked about his enjoyment of walkinghere.
The mention of the canal-bank reminded another participant of the localSeagull trust cruises on the water, which they’d enjoyed…
…which in turn prompted another participant to recall getting chips for their trip…and the ever-friendly staff.
And here’s a webpage for it wefound later. Itmentions thechips!
Asset-mapping• These next slides are some photos andscreen-shots of asset-mapping that we’vebeen involved with• It’s not just about getting the maximumnumber of post-its on the table. Theconversation across the group about theassets is just as if not more important.• It really isn’t rocket science! Really.
What to do once you’ve mapped?• It’s not a one-shot process – everyone hassomething to contribute based upon their ownexperience. So you can run lots of sessions• Yes there’s the maintenance of the information tothink about. Even though it’s more or less just apointer to original resources, this still has to bemaintained.• But one thing that asset-mapping can prepare theground for is ‘people-powered service-design’. Thenext slides show some scenes from an innovationworkshop series we ran.
Open Innovation Workshopspeople were empowered by the design process