5. oppressive, controlling or defensive organisational
cultures and systems
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Assumptions about risk and capacity.
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Risk aversity.
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Negative operation of power.
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Discriminatory and stigmatising cultures.
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‘Impersonal’ and ‘uncaring’ systems and processes.
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Systemic undermining of personhood.
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Damaging ‘us and them’ cultures.
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Promoting ‘tick-box’ approaches.
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Closed, exclusionary decision making.
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Poor or damaging complaints processes and outcomes.
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Coercion and service user fear of hospitalisation.
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Service control over access to advocates.
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Service users not being believed or being ‘silenced’.
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Lack of accountability and responsibility when mistakes are made (‘staff closing ranks’).
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Service users being ‘set up to fail’.
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Organisational resistance to change and service user involvement.
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Negative effects of organisational cultures and systems on frontline practice.
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Organisational breaches of law, regulations or service user rights.
Systemic | Relational
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"They close the ranks and, and refuse to accept responsibility for their actions, their words, their narratives, their behaviours, it really does feel like us and them and, and there's such an imbalance of power within the relationship."
"They've got a box, and they want you to fit into it. If you don't fit into it, you don't get nothing."
"It's all about us and them all the time. And it's not right."
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