International NGOs


Capacity building for mental health services

Facilitation of change within complex healthcare systems

External facilitation and "trouble shooting"


Teaching and workshops







Facilitation of change within complex healthcare environments

Change within health care systems is often necessary but can be unnerving and frightening for staff. Stability is threatened and often those affected cannot envisage a different way of working. Staff are often described by managers as "resistant" and much implementation of change within organisations causes unnecessary distress to those affected. 

External consultancy can provide a confidential "space" in which the complex processes of change can be positively addressed. With expert facilitation, staff can identify and celebrate what is working well, acknowledge and "work through" the losses which always accompany change, and engage with renewed energy and commitment for the future. 

UK Fire Service Rehabilitation Centre - Jane provided consultancy to the UK facility which provides physical and psychological rehabilitation and support for Fire Service staff.  Jane assessed current service provision, provided recommendations to the Board of Directors and supported staff through complex change processes.

UNHCR Office, Jordan.  Working with Janaka Jawickrama from the Disaster and Development Centre, Northumbria University, Jane engaged in the organizational assessment of the UNHCR office, and supported capacity building and skills development in the Community Services Department. This included the setting up of a support network for those working directly with Iraqi refugees with psychological difficulties.  The report – “Responding to the Mental Health and Wellbeing of Refugees in Jordan: Challenges for Systems, Organisations and Staff “ was presented to Community Services staff in Geneva.

See: (opens PDF file in new window)


Gilbert, J. (2005) Culture and Organisational Change.

Paper presented at HASCAS


Gilbert, J. (2004) Staff support.

In Good Practice in Mental Health. Jackie Pritchard & Tony Ryan (Eds). Jessica Kingsley Publishers.


Gilbert, J. (2003) Between a rock and a hard place? Training and personal development issues for mental health service managers.

Mental Health Practice, 16(10), 31-33