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Corrupt Interventions after Heron
Alec Fraher, Health and Social Care Professional, United Kingdom
Heron was keen to ensure that the ethical aspect of caring was maintained throughout the client journey and so included the category of corrupt interventions ie interventions that suited the needs of the clinician or therapist over and above those of the client.
It is an aspect of his work that made his contribution to health and social care invaluable as a supervisory framework for nurses and social workers. The imports of new managerialism coupled with marketisation into health and social care, be it from Systems Thinking, Lean or Theory of Constraints in the context of social welfare requires a careful and reflexive eye.
Sure, Kaizen and Kaizen Blitz or Kaikaku may seem to have some traction from a contracts monitoring perspective and performance management at a very crude level, but to truly get to grips with the interaction between linear and non-linear processes a mesoscopic perspective is first needed. See the work of Bojan Radej for more on mesoscopic methodology.
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