Scottish Association of Chaplains in Healthcare
Scottish Association of Chaplains in Healthcare
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Members of SACH
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Scottish Journal Volume 11 No. 2 October 2008 EDITORIAL ‘Success is not the key to happiness. Happiness is the key to success'. Albert Schweitzer was alluding to the love of one's work, or activity of any kind, being what will lead to success in that field. Perhaps it is time to look again at what we consider to be a success. I wonder what patients need from chaplaincy, and when has chaplaincy succeeded. The first IVF baby in Britain is thirty years old this year, clearly a success, and yet IVF as a treatment, despite much investment and thirty years of science, has only a 15% success rate. Carey and Newell's piece looks at chaplaincy interventions which are rare amongst chaplains' duties, with a group of patients who have little statistical chance of success, and yet in those rare encounters real benefit was felt by the couples who had to decide whether or not to step into a process fraught with worry and of very high emotional importance to them. Avgoustidis looks again at the area of professional boundaries, how do we collaborate successfully and when is demarcation of responsibility more important than co-operation, and when is it not. He particularly picks up the theme of religious care and emphasises how important this type of care is. This is echoed by Geoff Lachlan as he catches the theme of the success of the human spirit to defy illness and bring health. The link between spiritual health and mental health is a complex chain; of emotions, chemistry, social and environmental factors into which beliefs enter as catalysts for change, for good or ill. Lachlan argues that the inter-related nature of the mind and body, a commonplace to thinkers as diverse as St Paul, Buddha or Aristotle, has been lost in medical science and is being rediscovered, and Lachlan teases out some of the implications for spiritual caregivers. Chris Levison analyses the success of chaplaincy in working with the HDL of 2002, one of the most frequently quoted documents in these pages, and at the process of writing a CEL which has been ongoing this year. How success is measured in terms of service provision, and having a priority for the service, but also how the success of what is being done, throughout Scotland, is valued and esteemed by the Scottish Government, which is an important element of the time and effort being put into the CEL. The Capability and Competences Framework also fits within this picture of a profession valued by others and growing in confidence and stature. Returning to Schweitzer's thoughts on success it should follow that if we are devoted to spiritual care, to being competent, and capable, and therefore able to care for others as our equals, then success will follow. When we give someone permission to throw away beliefs that have chained them, or provide encouragement to them to hold to beliefs that nourish and sustain, our success or failure as spiritual care providers is hard to quantify. Only the patients themselves can tell us if we have indeed achieved it. CORRECTIONIn the last edition of this Journal the versions of Eleanor Williams' articles which went to press were not the final versions agreed with the author and did not include the biographical details of the author usually found at the end of an article. We apologise unreservedly to Dr Williams for this error. Full and correct versions of Dr Williams' articles can now be found online at: http://www.sach.org.uk/journal/1101p02_williams.pdf and http://www.sach.org.uk/journal/1101p09_williams.pdf Dr Williams' details are as follows: The Revd Dr Eleanor Williams is a part-time GP in Cambridge, and was recently appointed Specialist in Clinical Communication, teaching communication skills in University of Cambridge School of Clinical Medicine. In 2007 she was ordained as a minister in the Church of England, serving a curacy in Ely diocese as a Minister in Secular Employment. |
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CONTENTS Spiritual and religious Care Capabilities and Competences for Healthcare Chaplains Janet Foggie, Chris Levison, Iain Macritchie, David Mitchell Abstract:This article examines the process of formation of the Spiritual and Religious Care Capabilities and Competences for Healthcare Chaplains: its history, the process of writing, the process of consultation, and the impact of the document. The authors argue that the capabilities and competencies are an essential component of the development of chaplaincy as a modern healthcare profession. Key words: Capability, Chaplaincy, Competence, Qualification, Spiritual and Religious Care Pages 2-6 Janet Foggie is Mental Healthcare Chaplain (Dundee) in NHS Tayside. Chris Levison is Healthcare Chaplaincy Training and Development Officer/ Spiritual Care Advisor based at the NHS Education Scotland offices in Glasgow. Iain Macritchie is Lead Chaplain for NHS Highland and works at Raigmore Hospital in Inverness. David Mitchell is a Parish minister and lecturer in healthcare chaplaincy, University of Glasgow Revising the Guidelines: Steps Along the Way Chris Levison Abstract: This article describes the launch and content of Revised Guidelines on Spiritual Care and Chaplaincy in NHS Scotland 2008. A Chief |executive's Letter based on the report is under consultation before being distributed. The report consolidates and develops the guidance of HDL (2002) 76. A survey of developments was carried out. Relevant recent documents were consulted and their function explained. A series of recommendations was made concerning work in boards concerning policies, service provision and employment. Relationships with faith/belief communities, Data protection, and chaplaincy provision were examined. Feedback has been and is being welcomed prior to finalised CEL. The integration of spiritual care to health and wellbeing is an ongoing journey. Keywords: Guidelines for Spiritual care, CEL, spiritual care policies, chaplaincy, education, faith/belief communities, recommendations Pages 7-9 Chris Levison is Healthcare Chaplaincy Training and Development Officer/ Spiritual Care Adviser based at the NHS Education Scotland offices in Glasgow. MINDBODY CARE – THE ULTIMATE PATIENT EXPERIENCE? Geoff Lachlan Abstract: Spiritual care is no longer an option in the 21 st century NHS, with “Spiritual wellbeing” now included in the World Health Organisation's definition of Health. Within the last 6 years the NHS in Scotland has seen the publication of several key documents to support this concept. There has also been a rapidly accumulating wealth of scientific evidence linking religion and spirituality to both better health and improved healthcare outcomes. One researcher described the link as demonstrating the rediscovered concept of “Mindbody”, illustrating the unity of mind, body, and spirit/soul which the ancient mystical traditions have understood for millennia. The Scottish Government's recently launched Patient Experience Programme will provide an opportunity for Healthcare Chaplains to demonstrate that care of the spirit is also care of the “Mindbody” - and thus provide patients with the ultimate healthcare experience. Key Words: Spiritual care, Mindbody, Patient Experience Programme Pages 10-15 Geoff Lachlan, former Consultant General Surgeon, is now working with the Scottish Inter Faith Council, Pollokshields, Glasgow as a Health Development Officer. This involves visiting all 22 Health Boards to promote Religion and Belief Matter and also supporting the Healthcare Chaplaincy Development Unit in NHS Education. A Brief Analysis of the Role of Clinical Pastoral Education in Scotland Today Janet Foggie Abstract: This article examines the place of CPE in Scotland today, what is available for practitioners wishing to study CPE and what that education involves. It also discusses the voluntary nature of CPE in Scotland and the difference between CPE and clinical supervision Key words: Clinical Pastoral Education, chaplaincy, clinical supervision, reflective practice Pages 16-19 Janet Foggie MA BD PhD is Mental Healthcare Chaplain (Dundee) in NHS Tayside. In vitro Fertilization and Health Care Chaplaincy: An Australian exploratory study Lindsay B. Carey and Christopher J. Newell Abstract: This paper summarizes the quantitative and qualitative exploratory research findings concerning the pastoral interventions undertaken by Australian health care chaplains when assisting patients and clinical staff involved in IVF procedures. Differences between staff and volunteer chaplains are noted as are the perspectives of chaplaincy informants regarding their involvement in IVF. Some possible reasons why chaplains may not be involved in IVF procedures are also suggested. Implications of this study with respect to chaplaincy utility, training and future research are noted. KEY WORDS: Chaplains, Chaplaincy, Pastoral Care, In Vitro Fertilization Pages 20-30 Rev. Dr. Lindsay Carey, MAppSc, PhD, is Lecturer and Research Fellow in Palliative and Pastoral Care at the School of Public Health, La Trobe University (Melbourne Australia). Rev. Prof. Christopher J. Newell, AM, PhD, was the Associate Professor at the School of Medicine, University of Tasmania (Hobart, Tasmania, Australia) and Associate Priest at St. David's Cathedral, Hobart (Tasmania). He died on the 21st of June 2008. Memorial services were conducted at All Saints Anglican Church, Hobart (1st July 2008) and the Sir Stanley Burbury Theatre, University of Tasmania (3 rd July 2008MY AREA OR YOUR AREA? Adamantios Avgoustidis Abstract: In this presentation, we are called to draw up an outline of the spiritual dimensions of healthcare focusing on the differences between psychologists, psychiatrists, psychotherapists, social workers, priests and chaplains. Some basic questions, which need to be answered, are why we still face so many major problems in the relationships between some of the basic healthcare specialists, including chaplains. Given though, modern therapy and healthcare are multidisciplinary tasks by definition. What is the role of spiritual care in health care? Why are the tensions often sharply visible in the assumptions that chaplains, psychologists and psychiatrists have about each other? We will try to answer these questions by following a spiral ascension which starts from history and moves to recent definitions and the framing of each discipline. From these tensions and assumptions we will move to the boundaries of chaplaincy and the chaplain's identity. Here, some unconscious conflicts of the chaplains will be discussed. Finally, we attempt to formulate some conclusions and proposals on the discussed issues. Pages 31-38 Adamantios Avgoustidis is a Psychiatrist, Theologian, President of the “European Council of Pastoral Care and Counselling (ECPCC) and a lecturer at the University of Athens, School of Theology |
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Book Reviews Pages 39-44 Dying, Bereavement and the Healing Arts Bolton G (2008) ISBN 9781843105169 Jessica Kingsley Publishers London
Spiritual Healing with Children with Special Needs Woodward, B ISBN 978-1-84310-545-9 Jessica Kingsley Publishers
The potential for efficacy of healthcare chaplaincy and spiritual care provision in the NHS (UK): A scoping review of recent research. Harriet Mowat (January 2008, Mowat Research available at www.mowatresearch.co.uk)
Slipstreams for Healing Souls Scott, R ISBN 13:9780281057719 ISBN 10:0281057710 SPCK
Spirituality, Ethics and Care Simon Robinson ISBN 978-1-84310-498-8 Jessica Kingsley Publishers, London and Philadelphia
Trust the Process: A History of Clinical Pastoral Education as Theological Education Stephen D.W. King ISBN-13:978-0-7618-3849-4 |
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THE ORERE SOURCE Abstracts from the Pastoral Care and other Healthcare Journals Page 35-43 The Rev. W. Noel Brown is a recently retired hospital chaplain and former A.C.P.E. supervisor. He is the Convenor of the Research Committee of the Association of Professional Chaplains. He is also the Editor of The Orere Source, a bi-monthly publication of his abstracts from the pastoral care and healthcare literature. There are over 16,750 abstracts in the database. He can be contacted at: oreresource@rocketmail.com |
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