The kinds of tensions that are likely to arise within a group of people that represent a wide range of disciplines, including mental health staff, social care staff and users include: competition for resources; power and status.These are issues that exist in all organisations but how they are dealt with is very important. Competition for resources Resources are limited and so their use has to be prioritised. Within organisations there is usually competition for the limited resources available. Each department, division or section may feel that it deserves more resources than the other and so this breed’s hostility between departments if one feels that another has been given the preference. Power The people in the departments are not just competing for resources they want to have a say in what is happening in their organisation. They want to be acknowledged as a valuable contributor in the provision of a service. This results in tensions between centralisation and decentralisation but also tensions between dispersal and coordination (Newman 2003). The top down approach is scorned by those at the bottom. People do not want to be bullied in to doing things they wanted to be treated with respect and dignity. Status In every profession some people are accorded more status than others. This breeds contempt and result in tensions that affect the way that service is provided. Those with status have power but do not have the knowledge of how change can be brought about while there are those who
are not in power but know how the change process works Maddock (2002).