Improving inter-profesional collaborations : learning to do by Anne Edwards; et al

By Anne Edwards; et al

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The activity may differ from place to place, depending on local histories, practices and intentions. However, in the context of the risk and resilience framework that is underpinning policies for prevention (see Chapter 1) we would expect that activities would ultimately focus on children’s trajectories of vulnerability, with the intention of working on them to disrupt and alter them. The focus of an activity tells you a great deal about the nature of an activity in different settings. We shall use CHAT terminology to explain.

The latter form of collaboration, sometimes characterised by Engeström et al. (1999) as ‘knotworking’ or tying threads of support around a client, is difficult to achieve in current multi-professional networks, though the orchestration of these threads by keyworkers may help to promote this kind of timely and responsive work. When we planned the project, we had expected to find more examples of local networks of inter-professional collaboration than we did. Those local authorities that were moving from mass-customisation to co-configuration of service provision (see Chapter 1) tended to opt for developing multi-professional teams.

It seems that spaces where practitioners could share meanings, begin to understand the specialist strengths of others, and explore new identity positions alongside other professionals were useful. Sometimes these spaces were used quite overtly by participants to bring other professionals onside while relationships between services were being reconfigured. In Chapter 5 we shall examine how they were used as pedagogic spaces by some participants in order to take forward the thinking of other practitioners.

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