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The three chapters in this Part reflect on their authors’ respective experiences of the challenges presented by the realpolitik of implementing projects in values-based practice. The challenges reflect the ‘3 Rs’ of values-based practice by which (as described in our concluding chapter 47, “Co-writing Values: What We Did and Why We Did It”) we have been guided in developing this book:  R aising awareness, chapter 44, “Reflections on the Impact of Mental Health Ward Staff Training in Race Equality and Values-Based Practice”, a project combining race equality training and values-based practice for ward staff;  R ecognition, chapter 45, “Connecting Patients, Practitioners and Regulators in Supporting Positive Experiences and Processes of Shared Decision-Making in Osteopathy: A Case Study in Co-production”, a project in positive practice bringing together regulators, clinicians and patients; and  R espect, chapter 46, “Beyond the Colour Bar: Sharing Narratives in Order to Promote a Clearer Understanding of Mental Health Issues Across Cultural and Racial Boundaries”, a project aimed at getting beyond the colour bar between white and black in mental health diagnosis. The chapter concludes with a note on the significance of the resources available from a culturally enriched form of values-based mental health practice for meeting the challenges of implementation.

The Realpolitik of Values-Based Practice: An Introduction to Part VI, Reflections