Brian Hodges

Peter Jones


Jones, P. (2005) Introduction for Public - Citizens,
<>, Accessed

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BH notes: Introduction



Introduction to Hodges' Health Career Model for Public - Citizens: Part 1


This page is aimed at the populations of all nations, ethnic groups, and faiths. Whatever your beliefs about our past, today and all our tomorrows and from wherever it is that you are accessing this website you are most welcome.

In a way as a citizen you are the most important audience for h2cm, because at the same time you may be a patient or carer, policy maker or manager, lecturer, student or researcher. Even if you are none of these, as a father, mother, son or daughter, living in the 21st Century means you are a life-long learner with an obvious interest in health and social care.

Nobody wants to learn that care services are lacking when they actually need them. This is not a comment about pure selfishness, but a fact of life for many. Talk of care services suggests social and political stability; citizens of developing nations have an equal interest in ensuring their leaders are working to secure and maintain the required advances in services.

For all nations health is a universal concern as this introduction to Brian's model will hopefully reveal.

21st Century rollercoaster

So, here we are in the 21st Century: facing a rollercoaster future on the highs of the promises from science and technology on the one hand; and the lows of problems and issues that we face today. News in this new century reminds us daily of how interconnected and interdependent we all are. Problems and issues affect us on many levels:

  • personally
  • locally
  • regionally
  • nationally
  • globally

People are great at solving problems, especially when given the space and time to speak, listen, reflect and be creative. Now though, our problems are so complex that the solutions are often just as complicated. Managing the 'fixes' can itself be a major headache.

On the back of renewed hope for the future, the new millennium has brought home the key problems we face alone and together:

  1. health & social care for all
  2. science and its application
  3. education for all
  4. the environment, economics (inc. fair vs free trade) and sustainability
  5. democracy and engagement
  6. spirituality
  7. how to manage all of these

Framed in these very broad terms, we need tools that can help us to handle the issues listed above, but surely, no such tool exists?

Perhaps, there is a tool with potential. While it is not a magic wand, I would like to present an idea to you - whose time has surely come?

h2cm: What is it and what's in it for me? Brian's questions....

Developed in health and social care Hodges' Health Career - Care Domains - Model [h2cm] has potential far beyond, given the complexity of the problems we now face. The best way to explain how Brian's model makes this possible is to list the questions he asked himself at the beginning. Firstly: who do nurses care for?

Individual people first and foremost, of all ages, races, and creed, but also groups of people, families, communities, and populations.

Then Brian asked: What types of things - tasks, caring duties, treatments - do nurses carry out?

They do things according to strict rules and policies, actions dictated by specific treatments including drugs, investigations, even surgery.

If we describe these as mechanistic, then there follows those instances when healthcare workers give of themselves, developing rapport and engaging therapeutically using their sense of humanity.

Putting all this together Brian came up with the diagram below:

Hodges' Health Career - Care Domains - Model axes and domains

Brian's model can take a snapshot of a situation and the various points of view that need to be addressed.

This is possible because h2cm helps to shine a light on things that might otherwise be missed. As you can see in the diagram above, the simple questions that Brian asked give rise to a very broad and inclusive range of subjects or what we call here - care domains. While fairly self explanatory, broadly the subjects are:

Interpersonal - Individual Psychology, Psychiatry, Cognitive Science (mind)

Sciences - Anatomy & Physiology, Chemistry and Physics, Informatics (computing).

Sociology - Group Psychology, Social and Cultural studies, History

Political - Political Science, Economics, Governance, Human Rights

Interesting: Tell me more - how does this diagram relate to me, my neighbours, near and far, and those who govern us?

So h2cm can help map problems, issues AND solutions. The list below provides examples of how each care domain might apply to you as an individual:

  1. Interpersonal (you as an individual, your emotional and mental health, your personality, personal attributes, your education, skills, beliefs and behaviour);
  2. Sociological (your family, your relationships, your community);
  3. Empirical (you as a physical being, your physical health status, BP, temperature, the wider physical world, sciences, time, drugs, treatments);
  4. Political (work, pensions, government policy, rules, laws, service provision).

This listing might suggest something quite complex, but the h2cm can help to simplify various matters, or ensure no stone is left unturned. h2cm can also encourage exploration of issues. Sometimes we are stuck with problems, like an author with writer's block. Once the creative juices are set flowing though, the logjam is unstuck and people can surprise themselves. h2cm can act as a key opening a door to awareness of situations, issues and perspectives they thought beyond their concern or ken to understand.

Once we engage people the model has the power to disarm. People may drop preconceived ideas and be receptive to other perspectives, ultimately challenging long held views. People may not realise they are 'doing' health education, or engaging politically. Once people do realise they are actually making their voice heard, they will realise that h2cm can empower people and communities.

It is personal reflecting the thought processes and beliefs of the individual. This makes it ideal for personal growth and supervision. Individuals or groups can use h2cm in a range of ways. Individually, to map their health or that of a relative, in groups to plan debate, or solutions to community issues.

In short Hodges' model is tool to help solve problems, a hybrid brainstormer. If you explore this website more fully, you will see that there is a great deal of content on the use of computers, especially in health & social care. The framework that h2cm provides could provide a portal to an holistic information service, personal health record, or a community informatics gateway. The technology both in hardware and software already exists.

Brian Hodges' model is also for people who do not have the luxury of foreign travel. For a significant proportion of the world's population talk of old age is presumptious, let alone state provision of health and social care services. The developing world also needs such tools, but a computer is not essential. Paper can provide a space for people to fill. The figure below shows Brian's model and selected aspects of citizenry, health, local and global communities.

Using Hodges' model to present the public's situation.

If you would like to try h2cm for yourself or a relative, our resource page includes a template upon which you can reflect in future.

Part two is not essential in terms of introducing you to h2cm, but develops these themes further....

four pearls, one with earth superimposed - read page 2

Thank you for your interest which is greatly appreciated.

Whether a patient, partisan, pauper,
patrician or professional, everybody needs:

help-2c-more - help-2-listen - help-2-care

Copyright © 2005 Peter Jones

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