Making Work Possible for the Reluctant Person. Neil Harbus LCSW,CPRP Pathways To Housing
|
|
- Norah Carroll
- 6 years ago
- Views:
Transcription
1 Making Work Possible for the Reluctant Person NYAPRS Conference 2010 Neil Harbus LCSW,CPRP Pathways To Housing
2 Agenda Defining The Population Why the Reluctance to Seek Employment? Overcoming the Reluctance
3 Who are We Speaking About? This could be as much as % of the people on ACT Teams, and in Day Treatment Programs. These are people who rarely make it to VR or SE programs
4 Other Characteristics These are people that may be very socially isolated and marginalized in the Community These are people who may be very symptomatic and may not believe medications are necessary They may also be the Dually Diagnosed who are actively using substances (Give me a reason to stop!) Many of these clients avoid any programs with too many rules, regulations, restrictions, and pre-requisites They do not fit into the Linear Continuum of Care Model!
5 Why The Reluctance? Self Stigma is a major factor: The Trauma of Mental Illness Feelings of Hopelessness Numerous Losses and Traumas over the Years Perceived Failures Pervasive Negative Thoughts Positive Change does not seem to be an Option Disempowerment * Yanos 2009
6 Additional Factors Fear: Employment might bring a loss of benefits Fear of any change, and the fragility of their situation Last Employment was many years ago Ongoing Obstacles in Many Life Areas Cognitive Deficits
7 The Flip Side- Staff Attitudes Negative Reinforcing Attitudes of the Staff: You are too fragile to work You are not ready to Work * Staff belief that providing employment services is a low priority, and is not treatment * *Waynor UMDNJ 2007
8 If Work Makes People with Mental Illness Sick what do Unemployment, Poverty, and Social Isolation Cause Marrone and Golowka 97
9 The Model Fidelity to Individual Placement and Support (IPS) Principles Use of Motivational Techniques Use of Motivational Activities Interventions based on the Trans- Theoretical Model (Stages of Change) Use of Cognitive Behavioral Techniques especially in the area of reversing Negative Thoughts
10 Use of the Model Jonathan Larson Illinois Institute of Technology x as many job offers as people move through each Stage., Use of MI leads to stage change more quickly for clients. Carlo Di Clemente Ohio SE Coordinating Center of Excellence -Case Western Reserve Univ. advocates and puts forth this model NJ Study x better outcomes using this model
11 Individual Placement and Support Principles Zero Exclusion Benefits Counseling is Provided Consumer choice in job selection Rapid Job Search Competitive Employment is the Goal Supports are Time Unlimited Integration of Employment with other Treatment Services
12 Why Use Stages of Change? Especially Effective when a Team is Providing Services-Provides a Common Descriptive Language that Translates into common Practice Ensures that the Team is on the same page in providing services, and in their interventions Aids in Service Planning and Documentation Provides a method for measuring progress for both the Individual and Team.
13 Why Motivational Interventions? Helps the person start to believe in themselves again, and that a better quality of life is possible Reestablishes hopes and dreams in the individual Puts the Client in the drivers seat on considering change, deciding the pace of the work and the direction in which it goes
14 Stages of Change The clients in question fall primarily in the Pre-Contemplation Stage In the Pre-Contemplation Stage: The client is not open to nor thinking about the possibility of work at all Some may fall in the Contemplation Stage are starting to think about work,but are very ambivalent about making an active change. Sometimes they are just telling us what they think we want to hear.
15 Pre-Contemplation: Supported Employment Interventions Assertive Outreach Patience Engagement,Engagement, Engagement-Build Trust and a Working Alliance Having Open-Ended Conversations on less threatening but related topics (Education/Financial Empowerment) Let Consumer tell His or Her Life Story- Focus on Unique Qualities, Interests, Skills, Talents, and Work History Explore long-term and short term goals Consciousness Raising-Employment is Possible Reconnect to the Community
16 Practical Activities Assist people with solving their most pressing and immediate issues: food, clothing, finances, shelter People don t usually think about work until basic living issues are under control Provide Benefits Counseling that is easily understandable, practical, and satisfies the client s questions Coordinated Team approach
17 Motivational Interventions Helping people to feel hopeful again about their situation, and the possibility of change: guided conversations Possibilities Challenge is to bring the issue into awareness again Setting and achieving small goals to increase self esteem and feelings of competence Involvement in Wellness Programs: IMR,WSM,WRAP etc. Incredibly powerful tools in increasing feelings of self esteem, self competence, and that change is possible Use of Specialized Curricula to address trauma and loss especially those with co-occurring disorders
18 Motivational Interventions Increasing empowerment: Taking Charge of ones life Increased decision making, greater independence in activities Develop discrepancies Non-Confrontational approach Affirm past successes and applicable work place skills such as resilience and survival skills Encourage Reevaluation of situation Plant The seeds of change Uninformed or Under informed of the consequences of lack of change or negatives of being stuck Non Threatening, Non Judgmental approach, Unconditional Acceptance
19 Motivational Activities Exposure to others that are working- Invitations to Alumni Dinners, or plan an Engagement Get Together Use of collaterals to reinforce that work is possible, work as a positive value, a part of citizenship, a way to give back, a way to realize hopes and dreams, a way toward independence Reconnect to the Community: Exposure to resources in the community especially places where work is going on Meet in the Community
20 Employing CBT to Reverse Negative Beliefs These negative beliefs (NBs) about the self significantly predict poor rehabilitation outcomes(lecomte,et al.,1999) NB s have been linked to other behaviors that may compromise vocational functioning, including more avoidant coping, poorer participation in treatment, and generally poorer social functioning (Davis,Lysaker, et al.,2005)
21 CBT Interventions Regarding NB s Identify and Gradually reinterpret Dysfunctional (Negative) Thoughts. These are thoughts that are not based in reality and not a true appraisal of our ability, commitment, our worth These become Automatic Thoughts over time, and hold us back from attempting changes * Beck,J.S. 95
22 Core Beliefs Our world view, fundamental understandings. So fundamental we often don t articulate them even to ourselves. CBT helps individuals identify and change or modify their core beliefs. Beck,J.S These core beliefs can also be impacted by our life experiences, for example living with psychiatric disabilities and the messages received from society, family, providers, internalized stigma Beck,J.S. 1995
23 Use of CBT Target Negative Thoughts and Beliefs about ourselves as a worker I cannot Work, I can t succeed Target negative thoughts and beliefs about our work experiences e.g., My boss criticized me, she must not like me). Davis, Lysaker et al. 2005
24 Identifying Core Beliefs about Employment In the past what messages have you received about your ability to go to work Have those messages been positive or negative? From Whom Did you receive these messages What do you believe about your ability to be successful at work? What do you tell yourself about your ability to be successful at work? How might you go about changing the negative beliefs that you have about going to work to more positive ones. SAMHSA Self Esteem Booklet
25 Identifying and Challenging Our Negative Thoughts: The Four A Method Step 1: Be Aware of inaccurate, unhelpful thoughts and resultant feelings Step 2: Answer inaccurate, unhelpful thoughts with more accurate,helpful thoughts Step 3: Act based on more accurate, helpful thoughts which will increase the likelihood for success Step 4: Accept that you will make mistakes, and don t have to be perfect. Accept that you are of value rather than being at odds with yourself. Davis and Lysaker 2006
26 Changing Negative Thoughts to Positive Ones Identify Negative Thoughts Check the Validity of the Negative thought Is it really true? Would a person who cares about me be thinking this about me? Ask other people you trust if this negative thought is true? What do you get out of thinking the negative thought? Develop Positive thoughts to contradict the negative ones. Reinforce the positive thoughts Many Thanks to Bill Burns-Lynch MA,CPRP IEI,UMDNJ for CBT Material
27 Actual Use of the Model 2 PACT Teams in NJ- went from 5% to 30% competitive employment over 18mos.with a significant number starting in the pre and contemplation stage of change 2 ACT Teams in NYC,went from 7% to 30% overall employment over 2 yrs with almost half of the participants starting in pre and contemplation stage of change
28 The Mental Health Treatment Study A National Study Involving 1,027 people randomly chosen off the SSDI roles at 22 sites both rural and urban around the United States. The goal was to attempt to get this group back to work given the right mix of services, and resources* Participants in the experimental arm of the study expressed an interest in working. 30% of the 80 participants at the NY site were in the pre or contemplation Stage at the outset 11% are now in pre and contemplation stage of change, and into the 3 rd year have achieved a 40% competitive employment rate * Bob Drake, Deb Becker, Gary Bond, Westat Corp,SSA
29 Final Words No Substitute for Assertive Engagement and Spending Quality Time with Individuals Removing Daily Life Obstacles is also a key Bringing Back Hope, and the Belief that Change is possible Patience: This may take several years to assist people in moving toward the Action Stage
30 Thank You Neil Harbus LCSW,CPRP to housing.org
An Introduction to Motivational Interviewing Helping People Change
An Introduction to Motivational Interviewing Helping People Change Todd Gibbs, M.A., LPC a person-centered counseling style for addressing the common problem of ambivalence about change Motivational Interviewing:
More informationENGAGEMENT SUSANNE M. LOGSDON DHS/DIVISION OF MENTAL HEALTH, REGIONS 1 & 2 IPS TRAINER IPS SUPPORTED EMPLOYMENT
ENGAGEMENT SUSANNE M. LOGSDON DHS/DIVISION OF MENTAL HEALTH, REGIONS 1 & 2 IPS TRAINER IPS SUPPORTED EMPLOYMENT Engage verb en gage WHAT DOES IT MEAN & WHY DOES IT MATTER? : to get and keep (someone's
More informationIs 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,
More informationWhat recovery means: Independent living. Control of symptoms. Active remission of substance use. Competitive employment
What recovery means: Independent living Control of symptoms Active remission of substance use Competitive employment Socialization with peers who do not use Satisfaction with life Getting finances in order
More informationMental Health Peer Run Programs
Mental Health Peer Run Programs History of Peer Services Peer services would not exist today without the efforts of Judi Chamberlain, who in 1971 began working for the rights of mental health consumers,
More informationVOLUME B. Elements of Psychological Treatment
VOLUME B Elements of Psychological Treatment Module 2 Motivating clients for treatment and addressing resistance Approaches to change Principles of Motivational Interviewing How to use motivational skills
More informationContinuing Education for Peers and Supervisors: Disclosure May 3, 2010
Continuing Education for Peers and Supervisors: Disclosure May 3, 2010 Minority AIDS Initiative/HRSA: Peer Education Training Sites & Resource Evaluation Center To improve HIV-related health outcomes for
More informationPractitioner Guidelines for Enhanced IMR for COD Handout #10: Getting Your Needs Met in the Mental Health System
Chapter X Practitioner Guidelines for Enhanced IMR for COD Handout #10: Getting Your Needs Met in the Mental Health System Introduction This module provides an overview of the mental health system, including
More informationPeer Support. Introduction. What is Peer Support?
Peer Support Introduction We are all social beings by nature connectedness and community are necessary if not vital to our wellbeing. The very existence of positive social relationships can be a source
More informationRecovery Focus and Introduction to Motivational Interviewing. March 7, 2018 Lisa Kugler, Psy.D.
Recovery Focus and Introduction to Motivational Interviewing March 7, 2018 Lisa Kugler, Psy.D. Goals of Today s Presentation To increase understanding around recovery To increase understanding of how to
More informationInterviewing, or MI. Bear in mind that this is an introductory training. As
Motivational Interviewing Module 2 Slide Transcript Slide 1 In this module, you will be introduced to the basics of Motivational Interviewing, or MI. Bear in mind that this is an introductory training.
More informationMotivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR
Motivational Interviewing in Healthcare Presented by: Christy Dauner, OTR The Spirit of MI Create an atmosphere of acceptance, trust, compassion and respect Find something you like or respect about every
More informationIntroduction to Stages of Change and Change Talk in Motivational Interviewing Lisa Kugler, PsyD. March 29, 2018
Introduction to Stages of Change and Change Talk in Motivational Interviewing Lisa Kugler, PsyD. March 29, 2018 Workshop Objectives Participants will be able to identify 3 key elements of motivational
More informationInspiring and Supporting Behavior Change
Inspiring and Supporting Behavior Change A Food, Nutrition, and Health Professional s Counseling Guide Second Edition Cecilia Sauter, MS, RD, CDE, FAADE Ann Constance, MA, RD, CDE, FAADE Contents Foreword...vii
More informationLesson 1: Making and Continuing Change: A Personal Investment
Lesson 1: Making and Continuing Change: A Personal Investment Introduction This lesson is a review of the learning that took place in Grade 11 Active Healthy Lifestyles. Students spend some time reviewing
More informationMotivational Interviewing
Motivational Interviewing Barbara M. Miller, RN, CEC Robin Seabury, MS WVU School of Nursing And Finally What Do You Want To Leave With Today? Change Remember, change is much larger than behavior.
More informationCompassion Resilience
Compassion Resilience Sue McKenzie WISE and Rogers InHealth Why do we do what we do? How do we do what we do well? How do we let go of what we cannot do? How do we do well with others on a daily (consistent)
More information29/05/2014. Motivational Approaches: Supporting Individuals With Complex Needs. Triangle Community Resources. Diverse and Complex Characteristics
Motivational Approaches: Supporting Individuals With Complex Needs Triangle Community Resources Long history of delivering services specifically for Multi barriered individuals Extensive experience assisting
More informationCompassion Resilience. Sue McKenzie WISE and Rogers InHealth
Compassion Resilience Sue McKenzie WISE and Rogers InHealth Goals 1. Analyze foundational beliefs about behavior 2. Explore experience of compassion fatigue (individual and team) 3. Learn skills of compassion
More informationMOTIVATIONAL INTERVIEWING
MOTIVATIONAL INTERVIEWING Facilitating Behaviour Change Dr Kate Hall MCCLP MAPS Senior Lecturer in Addiction and Mental Health School of Psychology, Faculty of Health, Deakin University. Lead, Treatment
More informationRRTC on Workplace Supports & Region III CRP RCEP
RRTC on Workplace Supports & Region III CRP RCEP Supported Employment & Mental Illness: Addressing Secondary Issues Deborah R. Becker, M.Ed., CRC Dartmouth Psychiatric Research Center IPS Supported Employment:
More informationMotivational Interviewing (MI) NYS Care Management Coalition Training Conference. The latest updates from the new book MI 3
Motivational Interviewing (MI) NYS Care Management Coalition Training Conference The latest updates from the new book MI 3 What Is Motivational Interviewing? Conversations about change The spirit of MI
More informationADDITIONAL CASEWORK STRATEGIES
ADDITIONAL CASEWORK STRATEGIES A. STRATEGIES TO EXPLORE MOTIVATION THE MIRACLE QUESTION The Miracle Question can be used to elicit clients goals and needs for his/her family. Asking this question begins
More informationIDDT Fidelity Action Planning Guidelines
1a. Multidisciplinary Team IDDT Fidelity Action Planning Guidelines Definition: All clients targeted for IDDT receive care from a multidisciplinary team. A multi-disciplinary team consists of, in addition
More information3/3/2014. Co Occurring Disorders. Examples of Dual Disorders: Substance and Mental Health: Treating Co-occurring Disorders
Substance and Mental Health: Treating Co-occurring Disorders Billie J Gilliam LPC LICDC-CS 1 2 Co Occurring Disorders Dually diagnosed? Dually disordered? Co morbid disorders? Co-Occurring Disorders Refers
More informationAssessing Readiness To Change
Assessing Readiness To Change Transtheoretical Model The Transtheoretical Model describes the stages of behavior prior to change. It focuses on the individual s decision making. This model involves the
More informationDescription of intervention
Helping to Overcome PTSD through Empowerment (HOPE) Johnson, D., Zlotnick, C. and Perez, S. (2011) Johnson, D. M., Johnson, N. L., Perez, S. K., Palmieri, P. A., & Zlotnick, C. (2016) Description of Helping
More informationCore Competencies for Peer Workers in Behavioral Health Services
BRINGING RECOVERY SUPPORTS TO SCALE Technical Assistance Center Strategy (BRSS TACS) Core Competencies for Peer Workers in Behavioral Health Services OVERVIEW In 2015, SAMHSA led an effort to identify
More informationwww.centerforebp.case.edu www.centerforebp.case.edu Stage-wise Application Training Presented by Center for Evidence Based Practices the Center for Evidence Based Practices at Case is a partnership between
More informationVA Recovery Transformation & Local Recovery Coordinators
VA Recovery Transformation & Local Recovery Coordinators David Carroll, Ph.D. Director, Recovery Services Office of Mental Health Services Department of Veterans Affairs David.Carroll@va.gov April 27,
More informationUtilizing Strength-Based Communication Strategies with Older Adults
Utilizing Strength-Based Communication Strategies with Older Adults Linda J. Keilman, DNP, GNP-BC Objectives: 1. Identify interactive communication skills helpful to use with older adults to learn their
More informationPeer Support in Mental Health Services
Peer Support in Mental Health Services Dr Julie Repper Director ImROC Recovery Lead Notts Healthcare NHS Trust Professor University of Nottingham Editor Mental Health and Social Inclusion Just imagine
More informationFrom Evaluation to Action: Tools for Effective Person and Family Engagement
From Evaluation to Action: Tools for Effective Person and Family Engagement Ruth Colón-Wagner, LMSW Director of Training and Development National Council for Behavioral Health Montefiore Medical Center
More informationsection 6: transitioning away from mental illness
section 6: transitioning away from mental illness Throughout this resource, we have emphasized the importance of a recovery perspective. One of the main achievements of the recovery model is its emphasis
More informationIPS Peer Specialists
IPS Peer Specialists Peer specialist refers to members of the IPS unit who have similar life experiences to people who receive IPS services. The duties of peer specialists vary by program location. What
More information9/17/15. Patrick Boyle, mssa, lisw-s, licdc-cs director, implementation services Center for Evidence-Based Case Western Reserve University
Patrick Boyle, mssa, lisw-s, licdc-cs director, implementation services Center for Evidence-Based Practices @ Case Western Reserve University 1 What changes are residents you serve considering? What changes
More informationSlide
Slide 2 13.7.2010 Slide 6 13.7.2010 Slide 7 13.7.2010 Slide 14 13.7.2010 Conflict within an individual is the simultaneous arousal of two or more incompatible motives. To understand the dynamics
More informationThe Expert Within. Promoting Mental Health Through Lived Experience
The Expert Within Promoting Mental Health Through Lived Experience History of Peer Support Work in Canada Peer Support work in Canada is defined as a supportive relationship between people who have a lived
More informationAcademic advising from the lens of a psychologist. Mehvash Ali, Ph.D. NACADA 2014
Academic advising from the lens of a psychologist Mehvash Ali, Ph.D. NACADA 2014 Introduction Clinical Psychologist 10+ years of experience in college mental health Currently working as Director of Academic
More informationOUTPATIENT TREATMENT WESTPORT, CONNECTICUT
OUTPATIENT TREATMENT WESTPORT, CONNECTICUT ABOUT CLEARPOINT At Clearpoint, we focus on healing the whole person: mind, body, and spirit. Our comprehensive care methods set clients up for long-term success
More information5/30/ New England Summer School Lindy S. Keller, M.S., MLADC - NH Bureau of Drug & Alcohol Services. Objectives
2018 New England Summer School Lindy S. Keller, M.S., MLADC - NH Bureau of Drug & Alcohol Services Objectives Describe the neurological basis of addiction Explain how addiction manifests in various aspects
More informationMotivational Interviewing
Motivational Interviewing The behavior of human beings is influenced not only by the past and current environment, but also by our images of the future. AI Lisa Stockwell, M.Ed. There are three levels
More informationConverting change fatigue into workplace success
Converting change fatigue into workplace success Dr. William Howatt 2018 Greetings from Dr. Bill 25+ years of experience Author: Certified Management Essentials (CME), 10-course program Pathway to Coping
More informationIntroduction to Motivational Interviewing in NAS Interventions
Introduction to Motivational Interviewing in NAS Interventions Daniel Raymond Tanagra M. Melgarejo Workshop Overview 1 Training Objectives By the end of this session you will be able to: Describe the fundamental
More informationFostering Resilience and Academic Grit
Fostering Resilience and Academic Grit Mary Fowler RPD Academy Training June 1, 2018 Permission to reprint slides required. Email Mary@maryfowler.com Trauma Informed Teaching Realize Recognize Respond
More informationCVAB Peer Specialist Position Qualifications, Competencies, Responsibilities Adult Mobile Crisis Intervention Peer Team
CVAB Peer Specialist Position Qualifications, Competencies, Responsibilities Adult Mobile Crisis Intervention Peer Team All CVAB program staff will be able to meet the qualifications, competencies and
More informationMotivational Interviewing Training
Motivational Interviewing Training National Stroke Nurse Forum Kelly Davis Martin 16 th May 2014 Agenda Introductions What is Motivational Interviewing How is it being used Theories that inform Motivational
More informationTaste of MI: The Listener. Taste of MI: The Speaker 10/30/2015. What is Motivational Interviewing? (A Beginning Definition) What s it for?
What is Motivational Interviewing? (A Beginning Definition) Implementing Motivational Interviewing Kelly Wurdelman, MSN, RN Behavioral Health Clinic CentraCare St. Cloud Hospital What s it for? Motivational
More informationCULTURE-SPECIFIC INFORMATION
NAME: Sanctuary 0000: General Name Model Spelled Culture-Specific Information Out Information Engagement For which specific cultural group(s) (i.e., SES, religion, race, ethnicity, gender, immigrants/refugees,
More informationBASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment BASIC VOLUME MODULE 1 Drug dependence concept and principles of drug treatment MODULE 2 Motivating clients for treatment and addressing resistance MODULE
More informationCSD Level 2 from $57,170 $62,811 pa (Pro Rata) Dependent on skills and experience
Position Description August 17 Position Description Peer Support Worker Section A: Position details Position title: Employment Status: Classification and Salary: Location: Hours: Peer Support Worker Part-Time
More informationCPRP PRACTICE DOMAIN I: Interpersonal Competencies. Module 4
CPRP PRACTICE DOMAIN I: Interpersonal Competencies Module 4 1 Welcome! Please make sure your speakers are turned on Please make sure your mute button is turned off 2 Module 4 Instructor Instructor: Anne
More informationCounselling Should: Recognize that behaviour change is difficult and human beings are not perfect
Counselling Should: Be sensitive, inclusive, and non-judgmental Recognize that behaviour change is difficult and human beings are not perfect Be presented as a personal choice Counselling should support
More informationBASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment Module 2 Motivating clients for treatment and addressing resistance Basic counselling skills for drug dependence treatment Special considerations when
More informationINTEGRATING STAGES OF CHANGE IN DAY TO DAY PRACTICE
INTEGRATING STAGES OF CHANGE IN DAY TO DAY PRACTICE Judith Magnon RN-BC, BS, CAC APNA Conference, Hartford, CT IDDT/Stages of Change BASED ON Recovery Thinking The person is a partner in the treatment
More informationReflections on Motivational Interviewing
Reflections on Motivational Interviewing Cardiff September 27, 2011 1983 1991 MI-1 2002 MI-2 2008 2012 MI-3 2022 MI-4 X Generalized Principles of MI 1. Express Empathy 2. Develop Discrepancy 3. Avoid
More informationMotivational Interviewing. Calvin Miller, CADC, MAATP
Motivational Interviewing Calvin Miller, CADC, MAATP Why use Motivational Interviewing? Respectful approach Considers the where the client is at in the Stages of Change. Considers the client s resources.
More informationPractitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness
Chapter II Practitioner Guidelines for Enhanced IMR for COD Handout #2: Practical Facts About Mental Illness There are four handouts to choose from, depending on the client and his or her diagnosis: 2A:
More informationMotivating people to be physically active (Chapters 1 & 2)
+ Motivating people to be physically active (Chapters 1 & 2) + Major premise Effective Program Motivation Higher Adherence + Goals of each component Effective Program Higher exercise self-efficacy Lower
More informationMark Misrok National Working Positive Coalition
Employment, Unemployment, and HIV/AIDS: Considering the Role of Workforce System Professionals in Expanding Employment Opportunities for Persons Living with HIV/AIDS Mark Misrok National Working Positive
More informationChronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis/Encephalopathy (ME)
Chronic Fatigue Syndrome (CFS) / Myalgic Encephalomyelitis/Encephalopathy (ME) This intervention (and hence this listing of competences) assumes that practitioners are familiar with, and able to deploy,
More informationSEPTEMBER 2010 Recovery discussion Topic Boundaries
SEPTEMBER 2010 Recovery discussion Topic Boundaries One of the differences between Peers and other clinical staff is the language that we use. Peer based learning and literature talks about people and
More informationThe Attribute Index - Leadership
26-Jan-2007 0.88 / 0.74 The Attribute Index - Leadership Innermetrix, Inc. Innermetrix Talent Profile of Innermetrix, Inc. http://www.innermetrix.cc/ The Attribute Index - Leadership Patterns Patterns
More informationTask Force on Health Care Careers for the Deaf and Hard-of-Hearing Community. Notes Task Force Members 1 st Meeting
Notes Task Force Members 1 st Meeting Saturday, September 11, 2010 10:00 a.m. 5:00 p.m. Gallaudet University, Washington, D.C. Meeting was called at 10:00 a.m. Opening: The group took a minute of silence
More informationWhat is Relationship Coaching? Dos and Don tsof Relationship Coaching RCI Continuing Education presentation
What is Relationship Coaching? Dos and Don tsof Relationship Coaching RCI Continuing Education presentation David Steele and Susan Ortolano According to the International Coach Federation professional
More informationThe Bible and Trauma Focused Cognitive Behavioral Therapy
The Bible and Trauma Focused Cognitive Behavioral Therapy Presented by Don Brewster Agape International Missions Abolition Summit 2015 Adapted TF-CBT Step-by-Step Summary 1 GATHERING To develop a positive,
More informationCreating a Trauma-Informed Care Culture
Creating a Trauma-Informed Care Culture Scott A. Webb, LCSW Trauma-Informed Care Coordinator October 17, 2016 Wisconsin Department of Health Services Learning Objectives 1 2 3 2 Define secondary traumatic
More informationDISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
More informationPrinciples of Recovery
Principles of Recovery Principles of Recovery Definition Working definition of recovery from mental disorders and/or substance use disorders: A process of change through which individuals improve their
More informationThe eight steps to resilience at work
The eight steps to resilience at work Derek Mowbray March 2010 derek.mowbray@orghealth.co.uk www.orghealth.co.uk Introduction Resilience is the personal capacity to cope with adverse events and return
More informationThe Power to Change Your Life: Ten Keys to Resilient Living Robert Brooks, Ph.D.
The Power to Change Your Life: Ten Keys to Resilient Living Robert Brooks, Ph.D. The latest book I co-authored with my colleague Dr. Sam Goldstein was recently released. In contrast to our previous works
More informationGuidelines for Working with People Affected by Trauma
Guidelines for Working with People Affected by Trauma Guidelines For Working with People Affected by Trauma Strengths-Based Perspective Focusing on strengths instead of weaknesses is a basic tenant of
More informationMotivational Interviewing for Family Planning Providers. Motivational Interviewing. Disclosure
for Family Planning Providers Developed By: Disclosure I I have no real or perceived vested interests that relate to this presentation nor do I have any relationships with pharmaceutical companies, biomedical
More informationPM-SB Study MI Webinar Series Engaging Using Motivational Interviewing (MI): A Practical Approach. Franze de la Calle Antoinette Schoenthaler
PM-SB Study MI Webinar Series Engaging Using Motivational Interviewing (MI): A Practical Approach Franze de la Calle Antoinette Schoenthaler Webinar Housekeeping Please keep your phone on mute when not
More informationPromoting Recovery and Person- Centered Care
Promoting Recovery and Person- Centered Care June 27, 2017 Presented by Melissa Reagan, MSW, LSW, Quality Performance Specialist Agenda Briefly review Member Satisfaction Survey Results related to this
More informationHope for a better life. And the help and support to get you there.
Hope for a better life. And the help and support to get you there. Mind and the NDIS 2 Mind and the NDIS When you re really struggling, just having someone who believes in you makes a real difference.
More informationBouncing back from setbacks
Bouncing back from setbacks The development of human resiliency is none other than the process of healthy human development. (Benard, B. 2004, Resiliency: What we have learned. p. 9) What began as a quest
More informationSTAGES OF PROFESSIONAL DEVELOPMENT Developed by: Dr. Kathleen E. Allen
STAGES OF PROFESSIONAL DEVELOPMENT Developed by: Dr. Kathleen E. Allen Ownership Engaged Willing to help build organizations Be a good steward Individual ownership Territorialism Ownership over the tasks
More informationCulturally Relevant Linkages to Care
Culturally Relevant Linkages to Care Matt Ignacio, MSSW Tohono O'odham Jamie Folsom, MS Oklahoma Choctaw Project Managers - National Native American AIDS Prevention Center National Native American AIDS
More informationMeridian Behavioral Health Services. Chronic Pain 1 2:30 11:15 12:45. Managing Anxiety :30 12:30 11:15 12:30.
Writing for Wellness 12:30 Art of Emotions 2:45 4 Managing Anxiety 201 1 2:30 Seeking Safety 201 12:30 Love & Logic THURS STUDENT LOUNGE/MEDIA HOURS: 8:30-5:00 Wise Mind 5:30 7:00 Recovery Discovery 5:30
More informationIntegrated Dual Disorder Treatment IDDT
Integrated Dual Disorder Treatment IDDT Margret Overdijk & Niels Mulder IDDT Severe Mental Illness (SMI) Psychotic disorders Severe depression Severe PD Severe Addiction Disorders.or combinations 50% addiction
More informationExcellence. Post Traumatic Growth. Pre Assessment! Objectives. Section 1: Definition of Post Traumatic Recovery & Growth. Post Traumatic Recovery
Trauma Informed Excellence Five Modules to Understand Trauma and How to Support Our s Objectives Section 1: Definitions of Recovery & Conceptualize Recovery & Section 2: Determinants of Success Understand
More informationThe Co-Occurring Disorders Treatment Program
G R O U P D E S C R I P T I O N S The Co-Occurring Disorders Treatment Program is designed to provide a continuum of services to the substance abusing and dually diagnosed populations. These services include
More informationEngagement: How motivational interviewing can help? Anna Ratzliff, MD, PhD Psychiatry & Behavioral Sciences University of Washington
Engagement: How motivational interviewing can help? Anna Ratzliff, MD, PhD Psychiatry & Behavioral Sciences University of Washington Why is engagement important in Collaborative Care? In studies, patients
More informationMotivation CURRENT MOTIVATION CONSTRUCTS
Motivation CURRENT MOTIVATION CONSTRUCTS INTEREST and ENJOYMENT TASK VALUE GOALS (Purposes for doing) INTRINSIC vs EXTRINSIC MOTIVATION EXPECTANCY BELIEFS SELF-EFFICACY SELF-CONCEPT (Self-Esteem) OUTCOME
More informationCore Competencies for Peer Workers in Behavioral Health Services
Core Competencies for Peer Workers in Behavioral Health Services Category I: Engages peers in collaborative and caring relationships This category of competencies emphasized peer workers' ability to initiate
More informationEquine Assisted Psychotherapy and Addictions Recovery. NAADAC Conference ~~~~ September 28, 2014
Equine Assisted Psychotherapy and Addictions Recovery NAADAC Conference ~~~~ September 28, 2014 Lynn Moore MA, LADC, CCDP, EAGALA Advanced Certified, EAGALA Mentor/Trainer Heather Jeffrey EAGALA Advanced
More informationWhat is the Active Stage?
What is the Active Stage? A person in the Active stage has identified substance abuse/mental health as an issue where they would like to see improvement. Change talk has been consolidated into some form
More informationReaching the Unreachable Engaging People with SUDs in Pre-Contemplation Phase
Reaching the Unreachable Engaging People with SUDs in Pre-Contemplation Phase Telecare Corporation Respect. Recovery. Results. www.telecarecorp.com 8/2/2018 1 Session Objectives 1Experience elements of
More informationAdvancing Compassion Resilience. Jason Mims Parklawn Assembly of God and Emptrain Sue McKenzie WISE and Rogers InHealth
Advancing Compassion Resilience Jason Mims Parklawn Assembly of God and Emptrain Sue McKenzie WISE and Rogers InHealth smckenzie@rogershospital.org Goals 1. Explore compassion and the experience of compassion
More informationThe Ongoing Losses When Living with Dementia. Ted Bowman Family and Grief Educator
The Ongoing Losses When Living with Dementia Ted Bowman Family and Grief Educator www.bowmanted.com tedbowman71@gmail.com Overview of Content Self-awareness essential starting point Stories of dementia
More informationPrinciples of MI. Afternoon at the Improv. MI Begins with Lending an Ear. Contemplation. 1. Express Empathy. 2. Develop Discrepancy
Motivational Interviewing Presented by: Beth A. Cassel Mary M. LeVasseur Mary Lee Steffy Theresa Whitesel Motivational Interviewing (MI) http://www.ctri.wisc.edu/hc.providers/healthcare_o ndemand_tug.htm
More informationChoosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers?
Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? This page intentionally left blank. What Are My External Drug and
More informationReducing Stigma and improving access to Drug and Alcohol Treatment. Presented by: Jim Scarpace ; LCPC
Reducing Stigma and improving access to Drug and Alcohol Treatment Presented by: Jim Scarpace ; LCPC Who is Gateway Alcohol & Drug Treatment? Largest Provider of Substance Abuse Treatment in Illinois Locations
More informationManaging chronic pain in long term conditions
Managing chronic pain in long term conditions Dr Andrew J. Lucas BSc(Hons) MSc MSc D.Psych. C.Psychol C.Sci AFBPS Consultant Lead Health Psychologist Department of Clinical Health Psychology Royal National
More informationLarry Fricks, Joan Kenerson King and Nick Szubiak The National Council for Behavioral Health
Larry Fricks, Joan Kenerson King and Nick Szubiak The National Council for Behavioral Health Community Health Workers and Peer Support Staff: Friend, Foe or Partners Objectives: Describe the role of peer
More informationHow to Increase Motivation
How to Increase Motivation Richard Saitz, MD, MPH Professor of Medicine & Epidemiology Boston University Schools of Medicine and Public Health Boston Medical Center What Is Motivation? (Or Lack of Motivation?)
More informationMotivational Interviewing Engaging clients in a conversation about change
Motivational Interviewing Engaging clients in a conversation about change 16 th Annual Social Work Conference University of Southern Indiana March 2nd, 2018 Chad Connor, MSSW, LCSW So what is Motivational
More informationHow does art therapy help people work through with trauma and loss?
How does art therapy help people work through with trauma and loss? Barbara McIntyre, Ph.D., ATR-BC, LPC www.northernmichiganarttherapy.com artstx@freeway.net Definition of Trauma Trauma occurs whenever
More information