"A cluster-randomised controlled trial of values-based training to promote autonomously held recovery values in mental health workers"
Here is a useful article to at least to momentarily reflect on encouraging practice change with teams. It suggests, to me, to practice what we encourage with recovery & decision steps with clients, for ourselves, within our teams. I'm not so sure a two day adventure in values would fly with an ACT team practically, but some useful components are here.
With the ATR pilot over the years, it was clear that team members values to support recovery process for individuals are strong. And thus the substantial challenges and steps of client transition from ACTT, "shift in service" were engaged by team members when we were introducing the assessment scale and its potential use in treatment/recovery planning.
How we sustain this ... is harder.
BTW, the article's talk of "transfer" in the quotes below is about knowledge transfer, not trying to pummel you with client "transition" !
"A cluster-randomised controlled trial of values-based training to promote autonomously held recovery values in mental health workers"
http://implementationscience.biomedcentral.com/…/s13012-015…
"...Within mental health services, little objective support for the organisational, managerial and skill-related barriers cited most often by mental health workers as factors impeding transfer has been identified in previous research [12]. In contrast, lack of personal belief and commitment to the change appears to be a key practitioner barrier to implementation. Motivation for change has been identified as central to successful transfer and implementation in numerous studies e.g. [10, 11]. ...
..."Autonomy supportive practices are thought to work by promoting the individual’s right to personal expression and facilitating internalisation of the values and approach being forwarded [21, 26]. In other words, rather than doing something because of pressure from somebody else (e.g. manager, supervisor) or to avoid an adverse consequence, an individual acts purposefully out of a sense that they wish to do so as the behaviour aligns with what they believe and value. To this end, the initially imposed practice or task is experienced as more self-determined, and autonomous motivation for striving is maximised. Autonomy support has been found to promote greater competence and mastery [27] higher performance [28] and higher achievement [29] when compared to other common approaches to motivating behavioural change (e.g. use of reward or punishment). ...