Tag Archives: Community building

Healing Wicked Problems in Health

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Can rethinking challenges together break through our most compelling health design problems?

February’s DwD held an open session for health and design professionals from across sectors in the community. Paolo Korre, Design Consultant at Mount Sinai Hospital, and Peter Jones hosted about 30 people from a diverse range of roles and sectors attended (starting off with a visual mapping of name tags by place and health intention).  Most of us reported as being external to healthcare (bottom of the grid), but we were lucky enough to get 4 or so closer to the front lines of care and practice.

mapofhealth

The engagement was typical DwD :

1) Open circle share and introduction
2) Nominal group technique: Generating one well-framed question (or wicked problem) in health of personal interest
3) Selection for first round Open Space (5 groups)
4) Further selection for larger Cafe sessions (4 groups)
5) Post and share Cafe sketches

+ Hanging around to talk with those who wanted to stay longer

What is the possibility for creating better practices and healthier communities through health and care design? What experience and wisdom might emerge if we had the time and place to share it with a community of committed listeners?

The  following three intentions (at least 1 and 2) were upheld by the end of the evening:

  1. Bringing local participants together with opportunities for connection / collaboration
  2. Presenting authentic issues of concern to our work and communities
  3. Inventing possible avenues for action or engagement to follow

Of 30 or so initial wicked problems (or questions), one each proposed by each person, a first set of 5 were selected and engaged for a round:

HCgroup1

 

 

 

 

 

 

 

 

 

 

 

  1. How can healthcare tech innovation be reconciled with costs?
  2. Why is healthcare so full of “problems?”
  3. What is health and who cares?
  4. How can we take ownership of our own health records?

A second round of Cafe sessions selected the most compelling themes from the first round of ideas. The final set of problems were taken on by four groups, with these responses sketched, posted (see the picture), and discussed in plenary.

James Caldwell (shown here engaged in the “Participaction” group) reviewed the workshop and discovered deeper insights and connections than we had time to develop at the close to the evening.

“Ideally each group was trying to create better practices that improved communication which would allow for better health. We presented real issues that hamper individuals and communities and tried to devise credible actions for health care engagement.”

The three that I will focus on are:
1. How do we redefine how to be radically inclusive?
2. If physical inactivity is the root of all health evil, why not ban it?
3. How do we create and maintain and own our own comprehensive health records?

“The result of any of these would mean that individuals become the drivers or agents of their own health. Ironically, the impact to the government’s financial system would be positive.”

Final4Board

 

 

All three issues have a few things in common:
1. They empower the individual
2. They lesson costs for the government
3. They improve the future health of the individual
4. They make for a more engaged society

“Of course any sane person would be asking why are we undertaking these initiatives today? Common sense would dictate that we would all be happier, healthier and more informed if we did. But I guess that’s why we call them “wicked problems”. Unfortunately too many groups that make too much money from individuals with health problems would lose, and I don’t think they will give up their control anytime soon.”

“I guess this is where designers can speak up and more effectively communicate to everyone why initiatives such as the three mentioned could help better our society. Designers could simplify the problem, the parameters, the solution and the message to a wider audience than the health industry or government could which would be seen as self-serving anyway.”

I agree with James that the 3 (actually all four) final problem areas are interconnected in the solutions. James is considering the outcomes, which show a virtuous cycle of healthy behavior (active lifestyles), inclusive public communication, and monitoring through electronic media. The fourth problem-solution (bottom of the board) was “creating community healing spaces.” I”m not sure this one was as well understood by the other groups, but it seems to me that James’ individual solution space is complemented by a public (or co-citizen-led) system of:

  1. Reframing inclusive healthcare to focus on those that need it most (who are unlikely to take individual initiative)
  2. Creating community centres as temporary (but connected) healing spaces,
  3. Thereby providing many opportunities to get off one’s butt
  4. Supported by personal health tracking in ever-decreasing cost and management, providing incentives to maintain a common health record.

 

 

 

Facing our Future Challenges with Authentic Hope: The Work that Reconnects

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The Work that Reconnects was an evening of dialogue and experiential exercises based on teachings and practices developed over the last 40 years by eco-philosopher Joanna Macy and colleagues. The workshop offered an inspiring context for action and   participation in the Great Turning toward a life-sustaining society and world.

Joanna spoke June 21st to a sold-out audience at OISE, on her new book Active Hope – How to Face the Mess We’re In Without Going Crazy. This special DwD workshop followed Joanna’s recent talks and workshops in Canada for a Toronto community experience of The Work that Reconnects.

The Work that Reconnects

Following the Spiral of the Work that Reconnects, as developed by Joanna Macy, PhD, we journeyed into gratitude and joy in being alive, through honouring our pain for the world, to seeing with new eyes and finally going forth.

Three Stories of our Times: participants were invited to consider narratives by which we understand the times we are living in and what is possible now for life on Earth.

Business as Usual: Industrial Growth Society must and can continue; it is a wonderful success story involving continuous human progress and growth in economic prosperity spreading around the world. Getting ahead is what matters, and the problems of the world are seen as far off and irrelevant to our personal lives.

The Great Unravelling: The destructive consequences of the business-as-usual mode. Life-sustaining systems of Earth and of human communities are in serious decline, as seen in economic instability and inequity, resource depletion, climate disruption, peak oil, social division and war, and mass extinction of species.

The Great Turning toward a life-sustaining society committed to the recovery of our world.

This turning is manifested in three dimensions: 1) holding actions that slow the damage being done by business-as-usual and protect ecological and social systems; 2) alternative or Gaian structures, the creative redesign of practices and societal structures in fields from education and healthcare to housing and justice; and 3) a shift in consciousness that deepens our sense of connectedness and collective identity and inspires us to consider the inner frontier of change and also to take action in the world.


Reflections: How do you see each of these stories unfolding around you in these times?

Which do you want to get behind?

The group process called Meet the Ancestors allowed participants to step outside of time and meet imaginatively as people of the present day and people of the future.

Our Guest Presenters

SALLY LUDWIG M.A., M.Sc. works towards transforming relationships as a therapist with individuals, couples, families and groups. She is a co-founder of Transition Guelph, part of the international movement to build community resilience in a changing world.

NATALIE ZEND M.A., CTDP is a training and facilitation consultant with 14 years’ experience in international development and human rights. She is a co-founder of Unify Toronto, and offers the Awakening the Dreamer symposium, compassionate communication, and other social technologies in her local community.

The process and reflection was live sketched by Patricia Kambitsch of Playthink.