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Updated: Mar 22, 2026

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
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Narrative Approaches to Organizational Development: A Case Study of Implementation of Collaborative Helping
1Director, Family-Centered Services Project, Watertown, MA.
Family Process
|April 16, 2016
Summary
This study outlines a collaborative process for agencies to adopt family-centered service delivery. It uses appreciative inquiry, clinical training, and leadership coaching to institutionalize strength-based, culturally responsive partnerships with families.
Area of Science:
- Social Work and Public Health
- Organizational Psychology
- Implementation Science
Background:
- Community agencies increasingly adopt family-centered service delivery models.
- These models emphasize strength-based, culturally responsive, and accountable family partnerships.
- Organizational change is crucial for sustaining these approaches.
Purpose of the Study:
- To detail a collaborative consultation process for initiating and sustaining organizational change toward family-centered practice.
- To present a three-component approach integrating narrative theory, organizational development, and implementation science.
- To offer a replicable model for agencies seeking to institutionalize family-centered values.
Main Methods:
- Utilized appreciative inquiry focus groups to identify existing best practices.
- Provided clinical training and ongoing coaching for practice leaders.
- Implemented leadership coaching and organizational consultation for structural change.
Main Results:
- The three-component approach facilitates the elicitation of best practices.
- Clinical training and coaching build concrete practice frameworks.
- Leadership coaching and consultation support the institutionalization of family-centered practice.
Conclusions:
- A collaborative consultation process can effectively drive organizational change towards family-centered service delivery.
- The described approach, while illustrated with Collaborative Helping, is adaptable to various family-centered frameworks.
- Sustained implementation requires a multi-component strategy addressing practice, leadership, and organizational structure.
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