Engagement and Interviewing: Stages of Change Monday, December 29, 2014

Size: px

Start display at page:

Download "Engagement and Interviewing: Stages of Change Monday, December 29, 2014"

Milton Hill
5 years ago
Views:

1 Slide 1 - Welcome Welcome to the Engagement and Interviewing: Stages of Change training. Developed and presented by the Indiana Child Welfare Education and Training Partnership. Page 1 of 30

Slide 2 - Objectives In this training we will address the stages of change. By the end of this training you will be able to: Identify the five stages of change.

2 Slide 2 - Objectives In this training we will address the stages of change. By the end of this training you will be able to: Identify the five stages of change. Recognize how an FCM can assist individuals and families through each stage of change. Recognize the frequent occurrence of relapse. Identify how an FCM might assist individuals and families in the event of a relapse. Page 2 of 30

Slide 3 - Stages of Change Worksheet - Icon As you view this training, you will complete the Stages of Change Worksheet questions located in the front section of your Engagement and Interviewing

3 Slide 3 - Stages of Change Worksheet - Icon As you view this training, you will complete the Stages of Change Worksheet questions located in the front section of your Engagement and Interviewing Manual. Locate the Engagement and Interviewing Manual now to complete the worksheet. You will see this icon appear on a slide when you are required to write an answer on your worksheet. Page 3 of 30

4 Slide 4 - Change Can Be Difficult Individuals and Families are often asked to make changes in their lives. Others may suggest them to make changes such as judges, team members, etc. Changes can be difficult to make. Page 4 of 30

Slide 5 - Obstacles to Change There can be obstacles to change. Families or individuals might not want to change. Families or individuals might think they don t need to change.

5 Slide 5 - Obstacles to Change There can be obstacles to change. Families or individuals might not want to change. Families or individuals might think they don t need to change. Family and individual supports might not want their loved ones to change. Families and individuals might not know how to change. Change takes time. Change is a process. Change takes place in stages. Page 5 of 30

6 Slide 6 - SOC: Introduction Today, we will address the stages of change that people go through as they make changes in their lives. We will use Prochaska and DiClemente s model of change to identify the stages of change, the characteristics of each stage, and the obstacles that families might face in each stage. You will be able to use this information as an FCM to help individuals and families make changes and address obstacles to change that families might encounter. Page 6 of 30

7 Slide 7 - Stage 1: Pre-contemplation Stage 1: Pre-contemplation. Many individuals at this stage are unaware of their problems. They have no awareness of, a need to change. Page 7 of 30

Slide 8 - Stage 1: FCM Assistance How FCMs can assist families or individuals at this stage: Increase client's awareness of the problem. Encourage evaluation of current behavior.

8 Slide 8 - Stage 1: FCM Assistance How FCMs can assist families or individuals at this stage: Increase client's awareness of the problem. Encourage evaluation of current behavior. Ask each family member to describe his or her perspective of the underlying need or problem. Help individuals see the discrepancy between what they say, what they do, the outcomes they want, and the outcomes they are getting. Recognize each person will be ready to commit to change at his or her own pace, but also work to keep individuals and families mindful of Indiana Department of Child Services timeframes. Page 8 of 30

9 Slide 10 - Reflective Question - 2 Reflection Question: How can an FCM raise awareness to a family member about a concerning behavior? Page 9 of 30

10 Slide 11 - Stage 2: Contemplation Stage 2: Contemplation. The stage at which individuals are aware that a problem exists and are thinking about addressing the problem, but they have not yet made a commitment to change. At this stage individuals are evaluating the consequences of change. Page 10 of 30

11 Slide 12 - Stage 2: FCM Assistance How FCMs can assist families or individuals at this stage: Validate ambivalence and lack of readiness. Recognize the feelings of confusion, vulnerability, and loss of control. Emphasize a person s free choice, responsibility, and self-efficacy for the change. Help individuals and families develop a reason for changing. Help individuals and families identify their strengths. When appropriate, help individuals and families think through consequences of not changing. Recognize each person will be ready to commit to change at his or her own pace, but also work to keep individuals and families mindful of Indiana Department of Child Services timeframes. Page 11 of 30

12 Slide 13 - SOC: Open Dialogue Note: Due to the likelihood of relapsing, having a working agreement with individuals or families becomes even more important. Family Case Managers want their families to have open dialogue about the challenges they face. Page 12 of 30

13 Slide 14 - Reflective Question - 3 Reflection Question: How can an FCM support an individual or family who is contemplating change? Page 13 of 30

14 Slide 16 - Stage 3: Preparation Stage 3: Preparation. The stage at which someone is planning to make changes within the near future. They are seeking information about change, and making plans for change. Page 14 of 30

Slide 17 - Stage 3: FCM Assistance - 1 How FCMs can assist families or individuals at this stage: Help individuals or families reflect on past success.

15 Slide 17 - Stage 3: FCM Assistance - 1 How FCMs can assist families or individuals at this stage: Help individuals or families reflect on past success. Help identify and strengthen social supports. Encourage small initial steps for immediate success. Describe and view the situation from a positive perspective. Page 15 of 30

Slide 18 - Stage 3: FCM Assistance - 2 How FCMs can assist families or individuals at this stage: Recognize each person will be ready to commit to change at his or her own pace, but also work to

16 Slide 18 - Stage 3: FCM Assistance - 2 How FCMs can assist families or individuals at this stage: Recognize each person will be ready to commit to change at his or her own pace, but also work to keep individuals and families mindful of Indiana Department of Child Services timeframes. Recognize that the new behavior might not be as comfortable or initially beneficial as imagined. Page 16 of 30

17 Slide 19 - Reflective Question - 5 Reflection Question: How would you help individuals or families transition through this stage? Page 17 of 30

Slide 20 - Stage 4: Action Stage 4: Action The stage in which individuals modify their behavior, experience or environment in order to make a change.

18 Slide 20 - Stage 4: Action Stage 4: Action The stage in which individuals modify their behavior, experience or environment in order to make a change. The action stage is where individuals build patterns of new behavior. Action involves the most significant behavioral change and requires considerable commitment of time and energy. Page 18 of 30

Slide 21 - Stage 4: FCM Assistance - 1 How FCMs can assist families or individuals at this stage: Acknowledge difficulties associated with making changes.

19 Slide 21 - Stage 4: FCM Assistance - 1 How FCMs can assist families or individuals at this stage: Acknowledge difficulties associated with making changes. Recognize each person will be ready to commit to change at his or her own pace, but also work to keep individuals and families mindful of Indiana Department of Child Services timeframes. Validate feelings of loss and reiterate long-term benefits. Page 19 of 30

Slide 22 - Stage 4: FCM Assistance - 2 How FCMs can assist families or individuals at this stage: Help the individual to determine ways to use both informal and formal supports on an ongoing basis.

20 Slide 22 - Stage 4: FCM Assistance - 2 How FCMs can assist families or individuals at this stage: Help the individual to determine ways to use both informal and formal supports on an ongoing basis. Help the person develop the new skills that may be necessary to maintain the new behavior. Verbally reinforce client's success along the way. Help client restructure environment to avoid temptations to revert back to former behaviors. Page 20 of 30

21 Slide 24 - Reflective Question - 7 Reflection Question: What are some ways that you have observed that an FCM can monitor an individual s or family s change progress? Page 21 of 30

22 Slide 25 - Stage 5: Maintenance Stage 5: Maintenance The stage at which individuals commit to sustaining new behavior for long-term success. Page 22 of 30

23 Slide 26 - Stage 5: FCM Assistance How FCMs can assist families or individuals at this stage: Begin to identify ways to lessen the FCM s role, and increase informal supports. Recognize each person will be ready to commit to change at his or her own pace, but also work to keep individuals and families mindful of Indiana Department of Child Services timeframes. Help to determine ways to use both informal and formal supports on an ongoing basis. Page 23 of 30

Slide 27 - Stage 5: FCM Assistance How FCMs can assist families or individuals at this stage: Validate feelings of loss and reiterate long-term benefits.

24 Slide 27 - Stage 5: FCM Assistance How FCMs can assist families or individuals at this stage: Validate feelings of loss and reiterate long-term benefits. Help the individual or family to develop the new skills that may be necessary to maintain the new behavior. Help the individual or family to recognize triggers, and have a plan in place in case triggers should arise. Page 24 of 30

25 Slide 28 - Reflective Question - 8 Reflection Question: What does someone need to do to maintain a new desired behavior? Page 25 of 30

26 Slide 29 - Note: Relapse Note: Change is difficult, and often individuals resume their previous behaviors. This is called Relapse. Relapse can happen at any stage. Relapse is common with any attempt for change. Page 26 of 30

27 Slide 30 - Stage 5: FCM Assistance How FCMs can assist families or individuals if relapse occurs: Evaluate trigger for relapse. Re-assess barriers to change. Re-visit and reaffirm goals or re-visit and re-evaluate goals. Page 27 of 30

28 Slide 32 - Reflective Question - 10 Reflection Question: How would an FCM help an individual or family recover from a relapse? List a few steps you would take. Page 28 of 30

29 Slide 33 - Thank You Thank you for taking the Engagement and Interviewing: Stages of Change training! ELM will reflect your completion of this training within hours. Developed and presented by the Indiana Child Welfare Education and Training Partnership. Page 29 of 30

30 Slide 34 - Exit Slide No audio on this slide. Page 30 of 30

Is there any way you might be better off if you quit? What happens when you think about it? What do you imagine will happen if you don t change?

Is there any way you might be better off if you quit? What happens when you think about it? What do you imagine will happen if you don t change? This material has been prepared by the Massachusetts Smoker's Quitline, a program of the American Cancer Society. STAGES OF CHANGE Research on addiction and behavior change done by Prochaska and DiClemente,