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Clinical Child Psychology and Psychiatry
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Working Appreciatively to Improve Services for Children and Families

Steve Onyett

Consultancy Services and South West Development Centre, UK, steve.onyett{at}gmail.com

Service improvement approaches are described that specifically focus on appreciating the positive that individuals bring to contexts related to children and family services. This includes application of Solution-Focused approaches, Appreciative Inquiry and other approaches that promote a positive emotional climate and focus on what works. Their conceptual foundations are explored and particularly their value in supporting working well with complex adaptive systems. Specific applications described include leadership and management practice, work in school settings, engaging clinicians in healthcare improvement, establishing clinical networks, work with homeless youth, child protection and approaches to drawing out best practice and community development. The theme that unites is a focus on developing effective relationships at all levels and a pragmatic focus on what works so that we can find opportunities to do more of it.

Key Words: Appreciative Inquiry • leadership • service improvement • Solution Focus • systems thinking

Clinical Child Psychology and Psychiatry, Vol. 14, No. 4, 495-507 (2009)
DOI: 10.1177/1359104509338878
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