{"id":238,"date":"2023-03-29T11:44:19","date_gmt":"2023-03-29T15:44:19","guid":{"rendered":"http:\/\/sites.bu.edu\/familypartnership\/?post_type=bulb-learning-module&#038;p=238"},"modified":"2024-02-12T12:56:31","modified_gmt":"2024-02-12T17:56:31","slug":"sharing-power","status":"publish","type":"bulb-learning-module","link":"https:\/\/sites.bu.edu\/familypartnership\/lessons\/letting-go-to-support\/sharing-power\/","title":{"rendered":"Sharing Power"},"content":{"rendered":"\r\n<p>&#8220;Power is present in all interpersonal relationships; <strong>there is no interaction in which power is not relevant in healthcare<\/strong>&#8221; <em>(Nimmon &amp; Stenfors-Hays, 2016)<\/em>. We share power in order to build authentic partnerships.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-audio\"><audio controls=\"controls\" src=\"\/familypartnership\/files\/2023\/03\/East-Coast-Soul-2.m4a\"><\/audio><\/figure>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"1024\" height=\"576\" src=\"\/familypartnership\/files\/2023\/03\/image004-1024x576.jpg\" alt=\"behavioral health provider and family member smiling and talking in partnership, seated on couch\" class=\"wp-image-301\" srcset=\"https:\/\/sites.bu.edu\/familypartnership\/files\/2023\/03\/image004-1024x576.jpg 1024w, https:\/\/sites.bu.edu\/familypartnership\/files\/2023\/03\/image004-636x358.jpg 636w, https:\/\/sites.bu.edu\/familypartnership\/files\/2023\/03\/image004-768x432.jpg 768w, https:\/\/sites.bu.edu\/familypartnership\/files\/2023\/03\/image004-1536x864.jpg 1536w, https:\/\/sites.bu.edu\/familypartnership\/files\/2023\/03\/image004-1200x675.jpg 1200w, https:\/\/sites.bu.edu\/familypartnership\/files\/2023\/03\/image004-992x558.jpg 992w, https:\/\/sites.bu.edu\/familypartnership\/files\/2023\/03\/image004-1500x844.jpg 1500w, https:\/\/sites.bu.edu\/familypartnership\/files\/2023\/03\/image004.jpg 1920w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\r\n\r\n\r\n\r\n<h2><span class=\"has-inline-color has-very-dark-gray-color\"><strong>On<\/strong> Knowing Where Power Lies<\/span><\/h2>\r\n\r\n\r\n\r\n<p><strong>Authentic partnerships involve people working cooperatively with joint power<\/strong>. Power differentials undermine partnerships, so it&#8217;s critical to be able to identify, name, and interrupt power differences &#8211; <em>visible and invisible<\/em>.<\/p>\r\n\r\n\r\n\r\n<p><strong>VISIBLE power<\/strong> is explicit, observable, and\/or written rules, regulations, and processes that reinforce unshared and unequal power in favor of the provider and\/or behavioral health system. <strong>Visible power &#8220;shows up&#8221; in the:<\/strong><\/p>\r\n\r\n\r\n\r\n<ol>\r\n<li><strong>Meeting location and time<\/strong>: most in-person meetings involve individuals and families meeting you at your practice location instead of where they want to meet; additionally, families may need to adjust work schedules and coordinate support for other family members\r\n<ul>\r\n<li><strong>NAME IT<\/strong>: <em>&#8220;I realize meeting at my office location in the 9am-5pm timeframe may not be convenient or constructive for you. Where and when would you prefer to meet?&#8221;<\/em><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n\r\n\r\n<ol start=\"2\">\r\n<li><strong>Paperwork<\/strong>: forms that we request individuals and families to complete can include questions they&#8217;re unable to or feel uncomfortable answering; additionally, forms may be unavailable in families&#8217; native language\r\n<ul>\r\n<li><strong>NAME IT<\/strong>: <em>&#8220;I want to acknowledge our current system here asks families to fill out several intake forms. Lots of questions. How is that process going for you?&#8221; <\/em><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n\r\n\r\n<ol start=\"3\">\r\n<li><strong>Intake process<\/strong>: this is the first opportunity for an individual who is seeking behavioral health support to decide whether the relationship with you is a right fit; your attitude while learning about the person\u2019s and\/or family&#8217;s experiences can influence the outcome\r\n<ul>\r\n<li><strong>NAME IT<\/strong>: <em>&#8220;In our first meeting, you are deciding if this partnership feels right for you. If you decide I am not the right fit, I can be available to connect you with providers and options.&#8221; <\/em><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n\r\n\r\n<ol start=\"4\">\r\n<li><strong>Session notes<\/strong>: the notes you take in session are often recorded in a fashion that they are not visible to the individual and family accessing support; explaining to individuals and families why you take notes and making them visible can minimize feelings of insecurity or suspicion\r\n<ul>\r\n<li><strong>NAME IT<\/strong>: <em>&#8220;You may notice when we meet that I will record our words and planning. These notes will be visible to you throughout our meeting and available for your review after meetings.&#8221; <\/em><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n<p><strong>INVISIBLE Power<\/strong> is the implicit, unacknowledged, and\/or undiscussed rules, regulations, and processes that reinforce unshared and unequal power in favor of the provider and\/or behavioral health system. <strong>Invisible power &#8220;shows up&#8221; in:<\/strong><\/p>\r\n\r\n\r\n\r\n<ol>\r\n<li><strong>Staff diversity<\/strong>: individuals and families may find it helpful or necessary to have the support of a provider who shares a particular identity, experience, or practice; lacking diversity on a behavioral health team reduces how well those families are supported\r\n<ul>\r\n<li><strong>NAME IT<\/strong>: <em>&#8220;I want to acknowledge our current team is not staffed with someone who is trained in the traditional practice you&#8217;ve expressed is important to you. How does that feel, and would you like to explore area providers who are trained?&#8221; <\/em><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n\r\n\r\n<ol start=\"2\">\r\n<li><strong>Authorized responsibilities<\/strong>: licensed providers hold legal responsibilities to report concerns about the health and safety of individuals with whom they work; individuals and families are not always informed or aware of these procedures\r\n<ul>\r\n<li><strong>NAME IT<\/strong>: <em>&#8220;I like to inform all the families I work with about my responsibility to share safety concerns with the Department of Children and Families. We will work with you to self-report. Do you have any questions about this?&#8221; <\/em><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n\r\n\r\n<h2><span class=\"has-inline-color has-very-dark-gray-color\">Practice Pause: On Naming The Power<\/span><\/h2>\r\n\r\n\r\n\r\n<p>Whether power is visible or invisible, naming the power where it lies informs and encourages autonomy for us, individuals, and their families. When we don&#8217;t name the power, we make inaccurate assumptions that can interrupt access to behavioral health support.<\/p>\r\n\r\n\r\n<div id=\"bulb_question_3d30343ded85435ebcdaaf449983544f\" class=\"bulb-question\" style=\"background-color:left;color:left;font-size:leftpx;\"><\/div>\r\n\r\n\r\n\r\n\r\n<h2><span class=\"has-inline-color has-very-dark-gray-color\">On Sharing Power <\/span><\/h2>\r\n\r\n\r\n\r\n<p>Maurer et al. (2019) studied how power is shared and shapes relationships across behavioral health settings. They identified three role categories: <em>recipients, consumers, and partners<\/em>. <strong>While you review the definitions of these role categories, consider how the individuals you work with and their families are in the role of:<\/strong><\/p>\r\n\r\n\r\n\r\n<ol>\r\n<li><strong>Recipients<\/strong>: hold little\/no power and receive support from you with no\/little consultation <strong> <\/strong><\/li>\r\n<li><strong>Consumers<\/strong>: hold little\/no power and may be consulted about support in this &#8220;marketplace&#8221; model<\/li>\r\n<li><strong>Partners<\/strong>: hold equal power to you and are authentically involved in decision-making<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n\r\n\r\n<h2><span class=\"has-inline-color has-very-dark-gray-color\"><strong>Practice Pause:<\/strong> Exploring Power Differentials<\/span><\/h2>\r\n\r\n\r\n<div id=\"bulb_question_7bd3f550b75b4a0a8ead4d782d7b493c\" class=\"bulb-question\" style=\"background-color:left;color:;font-size:px;\"><\/div>\r\n\r\n\r\n\r\n\r\n<h2><span class=\"has-inline-color has-very-dark-gray-color\">Your 1-2-3 Summary<\/span>:<\/h2>\r\n\r\n\r\n\r\n<ol>\r\n<li>Support families by naming and encouraging them to employ their strengths and skills.<\/li>\r\n<li>Show you CARE by Confronting, Acknowledging, and Revisiting difficult topics and Embracing the silence in your interactions.<\/li>\r\n<li>Authentic partners name and share the power.<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n<div class=\"wp-block-buttons\">\r\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link\" href=\"https:\/\/sites.bu.edu\/familypartnership\/lessons\/your-open-door-opens-theirs\/\"><strong>Go to Next Lesson: <\/strong>Yielding to Outside Supports<\/a><\/div>\r\n<\/div>\r\n\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n<div class=\"bulb-pagination\" aria-label=\"pagination\">\n\t<div class=\"bulb-pagination-label\">Page 3 of 3<\/div>\n\n\t<a href=https:\/\/sites.bu.edu\/familypartnership\/lessons\/letting-go-to-support\/ class=\"inactive\">1<\/a><a href=https:\/\/sites.bu.edu\/familypartnership\/lessons\/letting-go-to-support\/staying-useful\/ class=\"inactive\">2<\/a><span class=\"current\">3<\/span><\/div>\n","protected":false},"author":22121,"parent":457,"menu_order":2,"template":"","bulb-courses":[9],"_links":{"self":[{"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/bulb-learning-module\/238"}],"collection":[{"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/bulb-learning-module"}],"about":[{"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/types\/bulb-learning-module"}],"author":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/users\/22121"}],"version-history":[{"count":50,"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/bulb-learning-module\/238\/revisions"}],"predecessor-version":[{"id":2753,"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/bulb-learning-module\/238\/revisions\/2753"}],"up":[{"embeddable":true,"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/bulb-learning-module\/457"}],"wp:attachment":[{"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/media?parent=238"}],"wp:term":[{"taxonomy":"bulb-courses","embeddable":true,"href":"https:\/\/sites.bu.edu\/familypartnership\/wp-json\/wp\/v2\/bulb-courses?post=238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}