Community Support Services Training Supervisory Series-Session 5

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1 Community Support Services Training Supervisory Series-Session 5 Zakia Clay, MSW, LCSW Zakia.clay@shrp.rutgers.edu Ann Reilly, MA, LSW, CPRP Reillya2@shrp.rutgers.edu Anthony Zazzarino, MA, LPC, CPRP Anthony.Zazzarino@shrp.rutgers.edu Rutgers, The State University of New Jersey

2 Assessment follow up 1. What are the critical components of the assessments/plan? Wellness Assessment Knowledge, Skills, Resource Assessment Rehabilitation Plan 2. What is the outcome from the assessments/plan?

3 Learning Objectives Review and understand effective communication strategies Develop a framework for documentation Understand the different stages of change Identify different interventions to utilize at the various stages of change Utilize the ORAL strategy as a framework during supervision

4 Communication The main goal and purpose is to build rapport or trust with people. It is something that we have to work at and realize that building trust can be difficult. (Mead, 2008)

5 Communication Communication is the reciprocal exchange of information, ideas, beliefs, feelings, and attitudes between individuals. It s the primary vehicle for establishing a relationship The means by which we influence the behavior of others Contributes to a safe and effective collaborative relationship (Mead, 2008)

6 Developing Relationships Genuineness Integration of humor Essential characteristics Unconditional Positive Regard Shared agreement Empathy (Rogers, 1957)

7 Types of Communication Verbal Non-verbal Seems to convey information accurately and efficiently May mean different things to different people Eye contact Vocal cues (pitch, tone, volume) Body gestures (posture, facial expressions) Space (social vs. intimate)

8 Engagement Strategies Open-ended questions, Affirmations, Reflections, Summarization (OARS) Stop periodically to review comprehension and understanding Provide examples of content to enrich learning process Actively participate in the meeting role model Share your own goals for the process and the action steps you take.

9 Active Listening Listen more than you speak Reflecting content, feeling, meaning Attending - SOLER Paraphrasing Open-ended questions

10 Communication Activity

11 Listening Blocks Comparing Mindreading Rehearsing Filtering and dreaming Judging Identifying Advising Derailing Placating

12 Documentation Should be: Concise Readable Easily understood Complete Accurate

13 D-A-P Format Data Assessment Plan

14 Data Review of consumers follow-up activities Consumer report Staff observation Linkage to the rehabilitation goal Data Specific interventions

15 Assessment Staff s impressions of consumers. - progress - strengths - current/potential barriers

16 Plan Staff/Consumer next steps Date and time of next service delivery Plan

17 Consumer making progress What the consumer actually did. (D) Writer and consumer worked on Can be self report or what is observed Jane indicated that she.. Staff noticed Mary. Staff utilized Review from last meeting Assessment of the progress (A) What was the possible cause of motivation? Individual less depressed due to. John was more active because of. What s the next step in the progress? (P) Individual discussed having to call Is there anything the individual is going to do and bring back before next meeting? (P) Anthony will get a list of phone numbers

18 Consumer having some barriers What has the individual s response/reaction been when staff has addressed the goal? (D) Are they not ready to work on it right now as reported by the individual? (D) Does there appear to be anything going on that the individual isn t reporting that the staff feels may be inhibiting progress on goal? (A) When will they be ready? (P)

19 D-A-P Checklist

20 D-A-P Activity

21 Stages of Change Maintenance Precontemplation Action Contemplation Preparation

22 Stages of Change Pre-Contemplation-Not seeing a problem behavior or not considering change. Contemplation-Acknowledging that there is a problem but struggling with ambivalence. Weighing pros and cons and the benefits and barriers to change. Preparation-Taking steps and getting ready to change. Action-Making the change and living the new behaviors, which is an all-consuming activity. Maintenance-Maintaining the behavior change that is now integrated into the person's life. (Miller, 2009)

23 Goal: I will secure a part time job by 7/15/14

24 Stages of Change Activity

25 How does this translate to visits Pre-Contemplation Contemplation/Preparation Action Maintenance Outreach Trusting Relationship Practical Support Assessment Motivational Interventions Education Skill building Social Support Cognitive Behavioral Interventions Planning Recovery Lifestyle Social Support

26 Rehabilitation Plan Revisions Goal (s) have been accomplished Consumer no longer wants to work on chosen goal (s) Unforeseen events Disengagement Incarcerations/Hospitalizations

27 ORAL O Observe R Report A Assume L Level

28 ORAL Activity

29 References Alexander, M. J., & Haugland, G. (2000). Integrating services for cooccurring disorders. Final report prepared for the New York State Conference of Local Mental Hygiene Directors. Orangeburg, NY: Center for the Study of Issues in Public Mental Health, Nathan S. Kline Institute for Psychiatric Research. Retrieved from Services%20for%20CoOccurring%20Disorders_ pdf Egan, G. (1998). The Skilled Helper. (6 th ed.). Brookcole Lindbloom, G., & Gallon, S. (2005). Clinical Supervision I: Building chemical dependency counselor skills Instructor guide (3 rd ed.), p.42. The Addiction Technology Transfer Center Network. Mead, S. (2011, April). Intentional Peer Support as Social Change. Speech presented at Trauma Informed Peer Support Workshop, Oakland, CA

30 References (continued) Miller, W.. & Rollnick, S. (2009). Ten things that Motivational interviewing is not. Behavioral And Cognitive Psychotherapy, 37, Miller, W. R., & Rollnick, S. (2002). Motivational Interviewing. New York: Guilford Press. New Vitae. (2014). Documentation, the D.A.P. Format, and Writing Incident Reports [Module #5]. Quakertown, PA: Human Resources. Rogers, C. (1995). On Becoming a Person: A Therapist View of Psychotherapy. Mariner Books.

31 References (continued) Pratt, C. W., Gill, K. J., N.M, & Roberts, M. M. (2014). Psychiatric Rehabilitation. (3 rd ed.) San Diego, CA: Elsevier Inc. Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of selfchange of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), Retrieved from /2010/426/Readings/Theoretical%20Framework/Stages%20of %20Change%20%20Prochaska% pdf

3/5/2015. Review from Session 4. Learning Objectives

3/5/2015. Review from Session 4. Learning Objectives Zakia Clay, MSW, LCSW Zakia.Clay@shrp.rutgers.edu Ann Reilly MA, LSW, CPRP Reillya2@shrp.rutgers.edu Anthony Zazzarino MA, LPC, CPRP Anthony.Zazzarino@shrp.rutgers.edu Rutgers, The State University of