Double Shot for Health: Motivating Patient Behavior Change. Cindy Bjorkquist/Michelle Fullerton

Size: px
Start display at page:

Download "Double Shot for Health: Motivating Patient Behavior Change. Cindy Bjorkquist/Michelle Fullerton"

Transcription

1 Double Shot for Health: Motivating Patient Behavior Change Cindy Bjorkquist/Michelle Fullerton

2 Your Case Manager is Calling

3 Lets Try That Again!

4 Your Case Manager is Calling

5

6 NOT YOU!

7 Patients need to be active participants in their own journey They are the sole drivers of health behavior change

8 NOT YOU!

9 Some patients are intrinsically motivated from the get go They deserve our support and affirmation But that isn t who we are focusing on today

10 First step Recognize noncompliant patients Data can be a tool to assist in identification (gap in care) Second Step - Solid assessment skills are needed History Lifestyle Social Determinants Lack support network Get to the nitty gritty

11 Now that I found that patient, What do I do?????? Every case manager has been here!!!!!!!!!

12 Patient Cindy Behavior Change A 53 year old with multiple chronic conditions directly associated with her lifestyle, habits and choices but she can t improve her condition

13 To you and me Isn t it obvious what the patient should do???

14 BUT it isn t that obvious? Where is the patient on their journey to change? Why are they reluctant to take the next step?

15 Motivation is the Key Dynamic Modifiable Behavior Change Influenced by social factors Influenced by a practitioner s style and behavior (YOU)

16 Who wants it? YOU???? I am a health professional and people should follow my advice It s my job to fix people/i want to help People should listen to reason People shouldn t do things that damage their health Remember my first call? Medical model

17

18 Back to Nursing 101 Four behavior change models Health belief model Stages of change Self-efficacy* Motivational Interviewing*

19 Health Belief Model One of the first models to apply behavioral science to health A patient will take health related actions based on their perception of susceptibility, severity, benefits and barriers

20 Stages of Change Prochaska, used in smoking cessation Change is a process not an event Precontemplation, contemplation, preparation, action, maintenance, relapse and recycle

21 Self-efficacy Is the belief that I have the power to produce change by completing a given task or activity to reach a goal Is the most important precondition for behavior change

22 What is motivational interviewing? It is a method used to change the direction of a conversation that stimulates the patient s desire (American Academy of Family Physicians) This is an engagement strategy to overcome a challenge in patient care..change.

23 What is motivational interviewing? As a CM do I have that skill set? How do you know? As a CM leader does your staff have this skill set? How do you know? Have you incorporated this into your assessment protocols?

24 Watch a skillful clinician providing MI, and it looks like a smoothly flowing conversation in which the client happens to become increasingly motivated for change. In actual practice, MI involves quite a complex set of skills that are used flexibly, responding to moment to moment changes in what the client says. Learning MI is rather like learning to play a complex sport or a musical instrument. Miller & Rollnick (2009)

25 Case Management Training Began Intensive two day training program in health coaching. Delivered on site to teams of 50 or more staff. Action learning based program that included individual and team practice in MI

26 And The Training Continued Support MI skills & apply to the job Bi -monthly phone based sessions Continue with monthly lesson plans with focus on building skills

27 This is hard stuff!

28 Training Continues with Measurement Code Calls recorded and coded Analyze Evaluate data and provide feedback Report Individual and group reports delivered to staff/trainers/leaders Improve Steps prioritized and implemented

29 Built Train the Trainer Mentors selected based on MI performance 1:10 mentor/staff ratio Monthly mentor team/leadership session Mentors gradually take ownership of case review sessions and individual staff coaching moving forward.

30 This is hard stuff! Measure!

31 Measure: Evoking/Exploring the Patient s Motivation for Change Eliciting reasons for change from patients vs. telling them why they should change.

32 Measure: Motivation to Change Example (Pre): Cindy, it s important for you to avoid those fatty foods. High cholesterol diets increase your chances of having a stroke or heart attack. Example (Post): Sounds like your doctor told you that you have high cholesterol. How do you feel about that?

33 Measure: Evoking/Exploring the Patient s Motivation for Change Results: Q1 2.3 Q2 2.9 Target Goal: = > 4

34 Measure: Resisting the Righting Reflex Avoiding the need to jump in and fix the patient s behavior which tends to elicit resistance.

35 Measure: The Righting Reflex Example (Pre): Cindy, it s important for you to avoid those fatty foods. Have you tried staying away from fast food restaurants and packing your own lunch instead? Example (Post): Sounds like [from what pt just said] that you really see the importance of cutting down some on fatty foods. How do you think you could go about doing that?

36 Measure: Resisting the Righting Reflex Results: Q1 2.6 Q2 3.3 Target Goal = >4

37 Measure: MI Adherence Percentage of techniques consistent with MI vs. MI non consistent approaches.

38 Measure: MI Adherence Example (Pre): Mr. Jones, you need to get those A1Cs under control or you will really start to see some nasty consequences! Example (Post): Mr. Jones, I know you ve had diabetes for a long time and know a lot about it. What do you know about A1C values and what do they tell you about your condition?

39 Measure: MI Adherence Results: Q1 61% Q2: 71% Target goal = 90%

40 Nurse Testimonials I have to say I was one of the skeptics and did not think it would work, but I am surprised how well it works. I am an MI convert. When I go back and listen to a call from before the training, I realize how different my approach is now.

41 Conclusion CM practice has to change in order to elicit patient change MI needs to be incorporated into your process flows as well as training This is a journey This is a skill set that requires time and practice to perfect as well as money Nurses think they are good at it (scores) Need Some Advice? Wellness coaching

42 As we all know healthcare is dynamic and constantly changing. Motivational Interviewing is only one tool for Behavior change. How many of you have heard the term Well being?.

43 Once staff is aware of BH and MI then we move into the future dimensions of case management and this is when we have to talk about well being Talk to your friend in Wellness!

44 MI is one of several techniques used in wellness industry during coaching Transtheoretical M odel M otivational Interviewing Health Belief M odel Setting SM ART Goals Social Cognitive Theory B.J. Fogg Behavior M odel and Tiny Habits

45

46

47 Practicing Mindfulness Practicing Meditation Careful Observation of my mind

48

49 Meditation and Mindfulness Meditation and mindfulness originated in religion Lecia Bushak, Medical Daily article - Mindfulness Vs Meditation: The Difference Between These Two Pathways To Well-Being And Peace Of Mind Earliest records of meditation found in the Vedas, the oldest texts of Hinduism, dating from BCE. Different forms of meditation began developing in Buddhism and Taoism, mainly in India and China Ancient meditation focused on spiritual growth and transcending emotions to live in a calm present state Meditation currently is used as a way to reduce stress and improve healthy living

50 Mindfulness and Meditation Meditation is the practice of reaching ultimate consciousness and concentration, to acknowledge the mind and self-regulate it Mindfulness is the act of focusing on being in the present removing overpowering emotions from the mind Mindfulness is a form of meditation like being mindful of your breath improves your awareness of being in the present

51

52 What does this have to do with coaching for behavior change?

53 REWIRE THE BRAIN REPROGRAMMING ATTITUDE AND HABITS Rewire the brain and change the default setting Research suggests you can rewire your brain for: Happiness Success Stop bad habits Start new habits

54 ACHIEVE BALANCE WITHIN YOURSELF TO REPROGRAM YOUR ATTITUDE AND HABITS

55

56 REPROGRAM YOUR ATTITUDE FOR HAPPINESS Happiness is linked to higher productivity and job satisfaction The Happiness Advantage by Shawn Achor Use of Positive Psychology Positive people More engaged More creative More energetic More resilient More productive

57 REPROGRAM YOUR ATTITUDE FOR HAPPINESS DAILY HABITS TO MOVE TOWARD HAPPINESS 1. Look for positive possibilities in daily life (write 3 things down each day) 2. Change your mindset to be positive (meditate daily) 3. Train your brain to think positive 4. Use setbacks to drive you up 5. Set small manageable goals to build momentum 6. Put desired behavior on path to least resistance 7. Build a strong social support system (greatest predictor of happiness)

58 WHERE IS HAPPINESS FOUND IN THE BRAIN? HOW DOES MEDITATION AFFECT IT? Scientist at Kyoto University in Japan used MRI scans to locate what part of the brain was activated with happiness Precuneus area located in the top of the brain towards the back was larger for people who felt happiness more intensely Meditation increases grey matter in the precuneus area

59 CREATE A SENSE OF PURPOSE ROOM

60

61 Thank You!!!!!

Motivational Interviewing

Motivational 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 information

The New York State Cessation Center Collaborative Statewide Conference Call. Jonathan Fader, PhD

The New York State Cessation Center Collaborative Statewide Conference Call. Jonathan Fader, PhD Motivational Interviewing & the Five R s: Helping Clients Who Aren t Ready to Quit The New York State Cessation Center Collaborative Statewide Conference Call Jonathan Fader, PhD September 2, 2009 Disclosure

More information

Introduction 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 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 information

BASIC VOLUME. Elements of Drug Dependence Treatment

BASIC 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 information

Motivational Interviewing in Chronic Diseases. Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017

Motivational Interviewing in Chronic Diseases. Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017 Motivational Interviewing in Chronic Diseases Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017 Motivational Interviewing in Chronic Diseases Presenter Names: Janelle W. Coughlin, Ph.D. &

More information

What Stimulates Change? Translating Motivational Interviewing Theory into Practice

What Stimulates Change? Translating Motivational Interviewing Theory into Practice Influential Person Exercise What Stimulates Change? Translating Motivational Interviewing Theory into Practice! Bring to mind someone in your life who isn t particularly helpful! What are their qualities?!

More information

Motivational Enhancement Therapy & Stages of Change

Motivational Enhancement Therapy & Stages of Change Motivational Enhancement Therapy & Stages of Change Learning Objectives Participants will be able to: 1) Identify the stages of change and how they can be implemented 2) Describe the principles of MET

More information

Interviewing, or MI. Bear in mind that this is an introductory training. As

Interviewing, 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 information

SMS USA PHASE ONE SMS USA BULLETIN BOARD FOCUS GROUP: MODERATOR S GUIDE

SMS USA PHASE ONE SMS USA BULLETIN BOARD FOCUS GROUP: MODERATOR S GUIDE SMS USA PHASE ONE SMS USA BULLETIN BOARD FOCUS GROUP: MODERATOR S GUIDE DAY 1: GENERAL SMOKING QUESTIONS Welcome to our online discussion! My name is Lisa and I will be moderating the session over the

More information

Coaching Patients If I could choose just one thing

Coaching Patients If I could choose just one thing Coaching Patients If I could choose just one thing Patty Fredericks, MS Essentia Health Heart and Vascular Wellness Program Coaching Patients If I could choose just one thing Patty Fredericks, MS Essentia

More information

The Art of Coaching in Primary Care

The Art of Coaching in Primary Care The Art of Coaching in Primary Care By Maureen Ryan DNP, NP, CHWC, CST April 10, 2014 Attendees at this presentation will learn to utilize coaching strategies to facilitate sustainable change leading patients

More information

This is a large part of coaching presence as it helps create a special and strong bond between coach and client.

This is a large part of coaching presence as it helps create a special and strong bond between coach and client. Page 1 Confidence People have presence when their outer behavior and appearance conveys confidence and authenticity and is in sync with their intent. It is about being comfortable and confident with who

More information

DISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.

DISCLAIMER: 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 information

OPIOID SUMMIT Partners Behavioral Health Management

OPIOID SUMMIT Partners Behavioral Health Management OPIOID SUMMIT Partners Behavioral Health Management March 11, 2016 Presented By: David R. Swann, MA, LCAS, CCS, LPC, NCC Senior Integrated Healthcare Consultant MTM Services The National Council for Behavioral

More information

Suggested topics to review with your students

Suggested topics to review with your students Working with Students: Building Blocks for Motivational Interviewing and Brief Intervention Strategies Jason R. Kilmer, Ph.D. University of Washington Associate Professor Psychiatry & Behavioral Sciences

More information

Motivational Interviewing Engaging clients in a conversation about change

Motivational 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 information

What is Motivational Interviewing?

What is Motivational Interviewing? What is Motivational Interviewing? Motivational Interviewing (MI) is a guiding style of communication that provides patients with the opportunity to create change in behaviors by providing a nonjudgmental

More information

Tobacco Cessation Best Practices: Motivational Interviewing

Tobacco Cessation Best Practices: Motivational Interviewing Tobacco Cessation Best Practices: Motivational Interviewing Please do the following Housekeeping Turn off or mute your computer speakers.* If you close out of the webinar, reconnect through the webinar

More information

Recovery 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. 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 information

Beyond Physical Therapy: Incorporating Health Promotion into Your Practice to Help Your Patients Move Better, Feel Better, Live Better

Beyond Physical Therapy: Incorporating Health Promotion into Your Practice to Help Your Patients Move Better, Feel Better, Live Better Saturday, March 25, 2017 10:30 am 11:50 am Auditorium Dr. Janet Bezner, PT, DPT, PhD Beyond Physical Therapy: Incorporating Health Promotion into Your Practice to Help Your Patients Move Better, Feel Better,

More information

Motivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR

Motivational 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 information

Stop Smoking Start Living

Stop Smoking Start Living Stop Smoking Start Living Community Facts Smoking is becoming less popular among youth in Canada! > The graph compares the percentages from 2008 2009 to the percentages in 1994. The majority of youth in

More information

Facilitator Training Handouts

Facilitator Training Handouts Facilitator Training Handouts *Freedom From Smoking is an American Lung Association of Indiana program. All content and materials are copyrighted ALA-I use only. Prior approval by ALA-I is necessary use

More information

What is Motivational Interviewing?

What is Motivational Interviewing? What is Motivational Interviewing? Motivational Interviewing (MI) is a guiding style of communication that provides patients with the opportunity to create change in behaviors by providing a nonjudgmental

More information

Living well today...32 Hope for tomorrow...32

Living well today...32 Hope for tomorrow...32 managing diabetes managing managing managing managing managing managing diabetes Scientific research continually increases our knowledge of diabetes and the tools to treat it. This chapter describes what

More information

Behaviorism: An essential survival tool for practitioners in autism

Behaviorism: An essential survival tool for practitioners in autism Behaviorism: An essential survival tool for practitioners in autism What we re going to do today 1. Review the role of radical behaviorism (RB) James M. Johnston, Ph.D., BCBA-D National Autism Conference

More information

How To Get Mentally Fit & Motivated

How To Get Mentally Fit & Motivated How To Get Mentally Fit & Motivated Disclaimer: Note as always when dealing with health-related issues, seek the advice of your healthcare provider or family doctor for your own individual needs. This

More information

A Guide to Help You Reduce and Stop Using Tobacco

A Guide to Help You Reduce and Stop Using Tobacco Let s Talk Tobacco A Guide to Help You Reduce and Stop Using Tobacco Congratulations for taking this first step towards a healthier you! 1-866-710-QUIT (7848) albertaquits.ca It can be hard to stop using

More information

Motivational Interviewing Enhancing Motivation to Change Strategies

Motivational Interviewing Enhancing Motivation to Change Strategies Motivational Interviewing Enhancing Motivation to Change Strategies Learning Objectives At the end of the session, you will be able to 1. Describe the stages of change. 2. Demonstrate at least two methods

More information

Motivational Interviewing

Motivational 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 information

MOTIVATIONAL INTERVIEWING

MOTIVATIONAL 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 information

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,

More information

Fundamentals of Brief Cessation Counseling Approaches

Fundamentals of Brief Cessation Counseling Approaches Fundamentals of Brief Cessation Counseling Approaches Jamie S. Ostroff Ph.D. Director, Smoking Cessation Program Memorial Sloan Kettering Cancer Center Co-Project Leader Queens Quits! Cessation Center

More information

Erica R. Thomas MS DDA Health Initiative

Erica R. Thomas MS DDA Health Initiative Erica R. Thomas MS DDA Health Initiative Learning Objectives Nurses will be able to identify, practice and apply the basic strategies of motivational interviewing Nurses will be able to define the importance

More information

Improving the Odds of Success through Motivational Interviewing

Improving the Odds of Success through Motivational Interviewing Disclosure Information Western Occupational Health Conference 2011 Robert Scales, Ph.D. I have no financial relationships to disclose I will not discuss off label use and/or investigational use in my presentation

More information

Behavior Change Counseling to Improve Adherence to New Diabetes Technology

Behavior Change Counseling to Improve Adherence to New Diabetes Technology Behavior Change Counseling to Improve Adherence to New Diabetes Technology Reinventing Diabetes Care for the 21st Century Robert A. Gabbay, M.D., Ph.D. Executive Director, Penn State Institute for Diabetes

More information

PROSPECTUS 2018/19 MAKING A DIFFERENCE FOR YOU, WITH YOU. #wearenhft. Northamptonshire Healthcare NHS Foundation Trust. nhft.nhs.uk/recovery-college

PROSPECTUS 2018/19 MAKING A DIFFERENCE FOR YOU, WITH YOU. #wearenhft. Northamptonshire Healthcare NHS Foundation Trust. nhft.nhs.uk/recovery-college #wearenhft Northamptonshire Healthcare NHS Foundation Trust HOPE CONTROL OPPORTUNITY PROSPECTUS 2018/19 nhft.nhs.uk/recovery-college 01604 658815 MAKING A DIFFERENCE FOR YOU, WITH YOU Recovery College

More information

Introduction. Jim Tillman, D.Min. Certified Integrative Health Coach Presently working with HTN patients in Lenoir Co.

Introduction. Jim Tillman, D.Min. Certified Integrative Health Coach Presently working with HTN patients in Lenoir Co. Introduction Jim Tillman, D.Min. Certified Integrative Health Coach Presently working with HTN patients in Lenoir Co. Acknowledgement Material contained within this training was largely based on the work

More information

15 INSTRUCTOR GUIDELINES

15 INSTRUCTOR GUIDELINES STAGE: Former Tobacco User You are a pharmacist at an anticoagulation clinic and are counseling one of your patients, Mrs. Friesen, who is a 60-year-old woman with a history of recurrent right leg deep

More information

Motivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training

Motivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training Motivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training Infectious Disease Division, Department of Medicine, University of Rochester Medical Center STD/HIV Program,

More information

Motivational Strategies for Challenging Situations

Motivational Strategies for Challenging Situations Motivational Strategies for Challenging Situations Mandy Fauble, PhD, LCSW Executive Director, Safe Harbor Behavioral Health of UPMC Hamot James, Wyler, MA, CPRP Scenario When I talked to her about my

More information

11/8/2013. Homecare Association of Arkansas 2013 Fall Conference and Trade Show. Objectives. What is patient engagement?

11/8/2013. Homecare Association of Arkansas 2013 Fall Conference and Trade Show. Objectives. What is patient engagement? Homecare Association of Arkansas 2013 Fall Conference and Trade Show Motivational Interviewing and Patient Activation Paula Suter, BSN, MA Clincal Director Sutter Center for Integrated Care Sutter Health,

More information

Motherhood Unmasked. A community arts based approach to valuing mothers and mothering. Emma Sampson & Shannon McSolvin

Motherhood Unmasked. A community arts based approach to valuing mothers and mothering. Emma Sampson & Shannon McSolvin Motherhood Unmasked A community arts based approach to valuing mothers and mothering Emma Sampson & Shannon McSolvin Context: Mothering We live in a society in which our ideologies and policies do not

More information

Behavior Change in Chronic Disease Management Kevin Jackson, OD MPH FAAO Diana Dolan, Psy.D.

Behavior Change in Chronic Disease Management Kevin Jackson, OD MPH FAAO Diana Dolan, Psy.D. Behavior Change in Chronic Disease Management Kevin Jackson, OD MPH FAAO Diana Dolan, Psy.D. Please silence all mobile devices and remove items from chairs so others can sit. Unauthorized recording of

More information

Sleep Better. Program Workbook

Sleep Better. Program Workbook Sleep Better Program Workbook Welcome! You are taking a big step in creating forward movement for your life! The Sleep Better program is designed to educate you and show you how to work toward improving

More information

An Introduction to Motivational Interviewing Helping People Change

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 information

Stages of Change The Cognitive Factors Underlying Readiness to Manage Stuttering:Evidence from Adolescents. What Do We Mean by Motivation?

Stages of Change The Cognitive Factors Underlying Readiness to Manage Stuttering:Evidence from Adolescents. What Do We Mean by Motivation? The Cognitive Factors Underlying Readiness to Manage Stuttering:Evidence from Adolescents Patricia Zebrowski, Ph.D., CCC-SLP University of Iowa, USA European Symposium on Fluency Disorders 2018 1 What

More information

Supporting Effective PrEP Pill Taking and Providing HIV Risk Reduction Counselling.

Supporting Effective PrEP Pill Taking and Providing HIV Risk Reduction Counselling. Supporting Effective PrEP Pill Taking and Providing HIV Risk Reduction Counselling bbrown@anovahealth.co.za Outline 1. Integrating PrEP into standard HIV risk reduction practices 2. Strategies to Support

More information

Inspiring and Supporting Behavior Change

Inspiring 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 information

DRINON'S LEADERSHIP EXPRESS

DRINON'S LEADERSHIP EXPRESS DRINON'S LEADERSHIP EXPRESS Resolving Conflict By Rich Drinon, M.A. C Most humans develop their initial thoughts and feelings about life from external sources of learning, influence and motivation. These

More information

Motivational Interviewing Promoting Healthy Behaviors

Motivational Interviewing Promoting Healthy Behaviors Substance Use Disorders in Pregnancy: A Chance to Break the Cycle Motivational Interviewing Promoting Healthy Behaviors CONTENTS INTRODUCTION...1 MOTIVATIONAL INTERVIEWING...1 Righting Reflex...1 Ambivalence...2

More information

Motivating Behavior Change What Really Works? Pre-Test

Motivating Behavior Change What Really Works? Pre-Test Motivating Behavior Change What Really Works? Practice of Medicine I Christine M. Peterson, M.D. Terry Saunders, Ph.D. Pre-Test Among deaths in the U.S. that occur prematurely, the per cent attributable

More information

Peer Support Meeting COMMUNICATION STRATEGIES

Peer Support Meeting COMMUNICATION STRATEGIES Peer Support Meeting COMMUNICATION STRATEGIES Communication Think of a situation where you missed out on an opportunity because of lack of communication. What communication skills in particular could have

More information

Coaching, a scientific method

Coaching, a scientific method Coaching, a scientific method ROSELYNE KATTAR I. What is coaching? II. What is The Scientific Method in coaching? What are the phases of this process? III. How does a coach help his client? This article

More information

What 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 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 information

Mindset For Optimal Performance: Essential Mental Skills DR. RICK MCGUIRE DIRECTOR OF SPORT PSYCHOLOGY ANNE SHADLE M.ED.

Mindset For Optimal Performance: Essential Mental Skills DR. RICK MCGUIRE DIRECTOR OF SPORT PSYCHOLOGY ANNE SHADLE M.ED. Mindset For Optimal Performance: Essential Mental Skills DR. RICK MCGUIRE DIRECTOR OF SPORT PSYCHOLOGY ANNE SHADLE M.ED. THINKING RIGHT IN SPORT It s all about FOCUS! Outline For Today: 1. Thinking Right

More information

Move Your Body. Program Workbook

Move Your Body. Program Workbook Move Your Body Program Workbook Welcome! You are taking a big step in creating forward movement for your life! The Move Your Body program is designed to educate you and show you how to work toward increasing

More information

BASIC VOLUME. Elements of Drug Dependence Treatment

BASIC 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 information

based handouts define your level of readiness and provide

based handouts define your level of readiness and provide Get Moving Vermont! Welcome to Get Moving, a statewide incentive program for individuals and families to become more physically active. You don t have to be an athlete and there are no age or fitness level

More information

ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM

ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM PURPOSE To introduce the program, tell the participants what to expect, and set an overall positive tone for the series. AGENDA Item Time 0.1 Acknowledgement

More information

Disclosure. What s this all about? From wrestling to dancing with patients: Motivational Interviewing in 10 minutes

Disclosure. What s this all about? From wrestling to dancing with patients: Motivational Interviewing in 10 minutes From wrestling to dancing with patients: Motivational Interviewing in 10 minutes Delwyn Catley, Ph.D. Professor Department of Psychology University of Missouri Kansas City Disclosure I have no relevant

More information

VOLUME B. Elements of Psychological Treatment

VOLUME 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 information

Teresa Anderson-Harper

Teresa Anderson-Harper Teresa Anderson-Harper Teresa was nominated as a Reunification Month Hero by a parent attorney who has seen her grow from a parent in a series of dependency cases to the first-ever Family Recovery Support

More information

Improve Patient Adherence with Motivational Interviewing

Improve Patient Adherence with Motivational Interviewing Improve Patient Adherence with Motivational Interviewing Bruce A. Berger, PhD President, Berger Consulting, LLC and Professor Emeritus, Auburn University Harrison School of Pharmacy bbergerconsulting@gmail.com

More information

MOTIVATION FOR CHANGE: OVERCOMING HELPLESSNESS

MOTIVATION FOR CHANGE: OVERCOMING HELPLESSNESS Chapter Ten MOTIVATION FOR CHANGE: OVERCOMING HELPLESSNESS Skills to Be Learned Understanding the Source and Consequences of Helplessness Identifying Situations in Which You Can Become Empowered Assessing

More information

COMMUNICATE YOUR WAY THROUGH CHANGE

COMMUNICATE YOUR WAY THROUGH CHANGE COMMUNICATE YOUR WAY THROUGH CHANGE SUSANNE GADDIS, PHD, CSP, CEO, THE COMMUNICATIONS DOCTOR KEYNOTE SPEAKER * TRAINER * EXECUTIVE COACH * CONSULTANT The doctor s diagnosis is IN: Good communication is

More information

Subliminal Messages: How Do They Work?

Subliminal Messages: How Do They Work? Subliminal Messages: How Do They Work? You ve probably heard of subliminal messages. There are lots of urban myths about how companies and advertisers use these kinds of messages to persuade customers

More information

9 INSTRUCTOR GUIDELINES

9 INSTRUCTOR GUIDELINES STAGE: Ready to Quit You are a clinician in a family practice group and are seeing 16-yearold Nicole Green, one of your existing patients. She has asthma and has come to the office today for her yearly

More information

MyStory: Personal Health Inventory. MyStory. Personal Health Inventory

MyStory: Personal Health Inventory. MyStory. Personal Health Inventory MyStory Personal Health Inventory Office of Patient Centered Care and Cultural Transformation Revision 20 October 7, 2013 MyStory: Personal Health Inventory Developed by the Office of Patient Centered

More information

COACH WORKPLACE REPORT. Jane Doe. Sample Report July 18, Copyright 2011 Multi-Health Systems Inc. All rights reserved.

COACH WORKPLACE REPORT. Jane Doe. Sample Report July 18, Copyright 2011 Multi-Health Systems Inc. All rights reserved. COACH WORKPLACE REPORT Jane Doe Sample Report July 8, 0 Copyright 0 Multi-Health Systems Inc. All rights reserved. Response Style Explained Indicates the need for further examination possible validity

More information

Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational

Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational interviewing. 1 The goals for this session are listed on

More information

Kaiser Permanente Colorado

Kaiser Permanente Colorado Health and Wellness Newsletter December 2011 Depression Who is at risk for depression? Kaiser Permanente Colorado Depression is more common than many people realize. Often, people who become depressed

More information

Fuel Your Body. Program Workbook

Fuel Your Body. Program Workbook Fuel Your Body Program Workbook Welcome! You are taking a big step in creating forward movement for your life! The Fuel Your Body program is designed to educate you and show you how to work toward improving

More information

Stop Smoking Start Living

Stop Smoking Start Living Stop Smoking Start Living Health and Wellness It s no secret that smoking is bad for your health. We are made aware of the warnings at a young age, and the. Information is often right on the cigarette

More information

Important. Copyright 2016 wrestletowin.com All Rights Reserved

Important. Copyright 2016 wrestletowin.com All Rights Reserved Disclaimer My vision is to help you bring your biggest wrestling goals into reality. As stipulated by law, I cannot, and do not, make any guarantees about your ability to get results with my ideas, information,

More information

When is Your Patient Ready, Willing, and Able to Change? Joseph (Joe) Nelson M.A., L.P.,CST

When is Your Patient Ready, Willing, and Able to Change? Joseph (Joe) Nelson M.A., L.P.,CST When is Your Patient Ready, Willing, and Able to Change? Joseph (Joe) Nelson M.A., L.P.,CST www.mindfuljoe.com 612-723-3693 Who are you? And who is your patient? Beliefs about medical relationship? Emotions

More information

Health Coaching a powerful approach to support Self-Care Catherine Macadam, Coach/Mentor and Consultant

Health Coaching a powerful approach to support Self-Care Catherine Macadam, Coach/Mentor and Consultant Health Coaching a powerful approach to support Self-Care Catherine Macadam, Coach/Mentor and Consultant Health services in the UK are under increasing strain. Evidence shows that self care can play an

More information

VOLUME B. Elements of Psychological Treatment

VOLUME B. Elements of Psychological Treatment VOLUME B Elements of Psychological Treatment VOLUME B MODULE 1 Drug dependence and basic counselling skills Biology of drug dependence Principles of drug dependence treatment Basic counselling skills for

More information

MOTIVATIONAL INTERVIEWING OVERVIEW & TIPS

MOTIVATIONAL INTERVIEWING OVERVIEW & TIPS Sobell & Sobell 2003 MOTIVATIONAL INTERVIEWING OVERVIEW & TIPS GOAL To get people to resolve their ambivalence (i.e., conflict) about changing their behavior, while not evoking resistance (e.g., get confrontational,

More information

Coping with Cancer. Patient Education Social Work and Care Coordination Cancer Programs. Feeling in Control

Coping with Cancer. Patient Education Social Work and Care Coordination Cancer Programs. Feeling in Control Patient Education Coping with Cancer Many patients find that their first challenge is to feel in control of life again. These resources and tips may help. You can do it! Most people do not expect a serious

More information

Taste of MI: The Listener. Taste of MI: The Speaker 10/30/2015. What is Motivational Interviewing? (A Beginning Definition) What s it for?

Taste 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 information

Motivating your patients to make positive lifestyle changes. Stephen Neabore, MD - Barnard Medical Center Washington, DC

Motivating your patients to make positive lifestyle changes. Stephen Neabore, MD - Barnard Medical Center Washington, DC Motivating your patients to make positive lifestyle changes Stephen Neabore, MD - Barnard Medical Center Washington, DC Motivation Motivation is the art of getting people to do what you want them to do

More information

Smoking Cessation Self-Management Plan and Care Plan

Smoking Cessation Self-Management Plan and Care Plan Smoking Cessation Self-Management Plan and Care Plan I understand the following items will be beneficial to the treatment of my tobacco abuse, have discussed this with my provider and I agree to implement

More information

QUIT TODAY. It s EASIER than you think. DON T LET TOBACCO CONTROL YOUR LIFE. WE CAN HELP.

QUIT TODAY. It s EASIER than you think. DON T LET TOBACCO CONTROL YOUR LIFE. WE CAN HELP. QUIT TODAY. It s EASIER than you think. DON T LET TOBACCO CONTROL YOUR LIFE. WE CAN HELP. WHEN YOU RE READY TO QUIT, CALL THE SOUTH DAKOTA QUITLINE 1-866-SD-QUITS. IN THE BEGINNING, it s about freedom

More information

Community Support Services Training Direct Care Series Session 3

Community Support Services Training Direct Care Series Session 3 Community Support Services Training Direct Care Series Session 3 Rutgers, The State University of New Jersey School of Health Professions Department of Psychiatric Rehabilitation and Counseling Professions

More information

Traditional Health Teaching is. Evidence-based Health Coaching is IN!

Traditional Health Teaching is. Evidence-based Health Coaching is IN! Traditional Health Teaching is Out Evidence-based Health Coaching is IN! Melinda Huffman, BSN, MSN,CCNS,CHC National Society of Health Coaches Copyright 2015 Miller & Huffman Outcome Architects, LLC All

More information

The Miracle Mind Method: Change Your Mind, Change Your Life THE MIRACLE MIND METHOD CHANGE YOUR MIND, CHANGE YOUR LIFE SESSION 4 NOTES

The Miracle Mind Method: Change Your Mind, Change Your Life THE MIRACLE MIND METHOD CHANGE YOUR MIND, CHANGE YOUR LIFE SESSION 4 NOTES THE MIRACLE MIND METHOD CHANGE YOUR MIND, CHANGE YOUR LIFE SESSION 4 NOTES By Chris Cains All rights reserved. All rights reserved. No part of this publication may be reproduced, stored in a retrieval

More information

The Top 10 Things You Should Know Before Choosing Your

The Top 10 Things You Should Know Before Choosing Your A d v a n c e d H e a r i n g C e n t e r The Top 10 Things You Should Know Before Choosing Your 516.484.0811 www.ny.com Welcome Letter from the Advanced Hearing Center Team Dear Friend, If you re reading

More information

ADDITIONAL CASEWORK STRATEGIES

ADDITIONAL 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 information

Introduction to Motivational Interviewing in NAS Interventions

Introduction 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 information

Kelly J. Lundberg, Ph.D. Associate Professor, Department of Psychiatry Executive Director, ARS Director of Psychotherapy Training, Adult Psychiatry

Kelly J. Lundberg, Ph.D. Associate Professor, Department of Psychiatry Executive Director, ARS Director of Psychotherapy Training, Adult Psychiatry Kelly J. Lundberg, Ph.D. Associate Professor, Department of Psychiatry Executive Director, ARS Director of Psychotherapy Training, Adult Psychiatry Residency Program University of Utah kelly.lundberg@hsc.utah.edu

More information

Delivering self-efficacy: I can do it!

Delivering self-efficacy: I can do it! Delivering self-efficacy: I can do it! The case for professional wellness coaches who address physical and mental health together For questions during the call, e-mail: hturner@acsm.org Consumer-directed

More information

Slide

Slide 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 information

The Power of Feedback

The Power of Feedback The Power of Feedback 35 Principles for Turning Feedback from Others into Personal and Professional Change By Joseph R. Folkman The Big Idea The process of review and feedback is common in most organizations.

More information

PM-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 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 information

Challenging Limiting Beliefs

Challenging Limiting Beliefs Challenging Limiting Beliefs Unlocking Your Organisations People Potential Global Scrum Gathering London 8th October 2018 Zia Malik Founding Partner, Enterprise Agile Coach & Trainer at Beliminal LLP Professional

More information

Objectives. David Hodgins, University of Calgary. The Fundamentals of Motivational Interviewing: Engaging Clients and Avoiding Dropout

Objectives. David Hodgins, University of Calgary. The Fundamentals of Motivational Interviewing: Engaging Clients and Avoiding Dropout David Hodgins, University of Calgary 2015-05-20 The Fundamentals of Motivational Interviewing: Engaging Clients and Avoiding Dropout David Hodgins www.addiction.ucalgary.ca Midwest Conference on Problem

More information

CAREER BASE CAMP Day 2: Leverage Your Emotional Intelligence

CAREER BASE CAMP Day 2: Leverage Your Emotional Intelligence CAREER BASE CAMP Day 2: Leverage Your Emotional Intelligence for Career Success REBECCA MCDONALD SENIOR CAREER COACH CURRENT M.A. COUNSELING CANDIDATE Notes Every year I work closely with recruiters and

More information

1st Degree Goal Setting

1st Degree Goal Setting 1st Degree Goal Setting By Gregg Cochlan The interesting thing about having a goal is that it actually creates energy, it creates awareness, it creates creativity. Purposeful Goal Achievement I loved when

More information