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 Sullivan-Soydan, Sc.D. soydanas@umdnj.edu
Module 4 Description This module provides a detailed overview of the range of communication skills needed to facilitate a comprehensive and respectful exchange of information to everyone involved in the recovery process.
Module 4 Objectives To identify interpersonal skills needed to listen, connect with others, negotiate, improve motivation and communicate with family and other key people. To recognize and discriminate range of basic interpersonal strategies for application in across a variety of settings.
Module 4 Study Guide Pick a colleague or co-worker to discuss and practice some of these interpersonal skills and strategies. How have you seen these applied in your work and in others work with individuals in recovery? These skills can also be practiced in a group, for more feedback opportunities.
Domain I: Interpersonal Competencies CPRP Exam Area Summary 4 task areas Largest area of test 20% of the test questions are related to this domain 30 out of 150 questions 7
Task 1: Communicate with persons with psychiatric disabilities in order to develop a collaborative relationship. Competent practitioners communicate by listening, paraphrasing, asking facilitative questions, and responding clearly in verbal and nonverbal ways with persons with psychiatric disabilities in order to facilitate an exchange of information. LISTEN ACTIVELY 8
Active Listening Principle and the Goal is Empathy (not Sympathy) Practitioner: Listens closely to person; Observes verbal & non-verbal messages Observes changes or incongruence in verbal & non-verbal communication Eliminates obstacles that interfere with listening 9
Chinese character for Listening ear eyes heart
Listening Skills Attending physically Respecting silences Noting themes, inconsistencies Checking understanding
Obstacles to Listening Distractions Judgments Pressure Role Confusion Fear Attitudes Ignoring Cultural Differences Boston University Rehabilitation Counseling Program
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Reflecting The practitioner rephrases the affective elements of the person s message to convey an understanding of the feelings expressed in a genuine way. You feel annoyed because you can t set your own schedule at the house. 14
Formats for Reflecting Content (paraphrasing) So you re saying that. Feeling It sounds like you feel. Feeling and reason for the feeling You feel because. 15
Reflecting feelings Observe non-verbal messages Look for congruence/incongruence Verbal: using words to name feelings Requires a good vocabulary! Feelings have categories Feelings have intensities 16
Feelings, feelings, feelings HIGH MEDIUM LOW Category INTENSITY INTENSITY INTENSITY Happy Sad Confused Frightened Angry 17
Paraphrasing The practitioner captures in new words the content of what the person has been said. The goal of paraphrasing is to demonstrate understanding of the person s message and to give both people an opportunity to hear back important issues. You re saying that your family has a hard time accepting the fact that you cannot work full time right now. 18
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Clarifying Clarifying summarizes the major issues and brings them into a sharper focus. This allows the individual to get a better picture of the communication and assists in understanding underlying issues and conflicting feelings. 20
Task 2: Use collaborative relationships in order to facilitate personal changes in persons with psychiatric disabilities. Psychiatric rehabilitation practitioners need to acquire the necessary skills to use helping relationships to facilitate personal changes in persons with psychiatric disabilities. COLLABORATE 21
Interpersonal Skills Trust Reassurance Mentoring Teaching Rewarding Supporting Modeling Guiding Prompting/ Reminding Setting Goals Reinforcing Achievements Coaching 22
Asking Facilitative Questions Use open-ended questions and indirect leads whenever possible, such as What is about your job that you like? Tell me about. instead of direct questions like Do you like your job? How do you feel? 23
Other Interpersonal Skill Techniques Negotiating Identifying problems Interpersonal conflicts Intergroup conflicts Problem solving Mediating De-escalation Conflict resolution Motivational Interviewing 24
Task 3: Instill hope by engaging in positive interactions (verbal & nonverbal) regarding an individual s potential for recovery from a psychiatric disability. In verbal communication, competent practitioners make encouraging statements regarding an individual s potential for recovery from a psychiatric disability in order to instill hope. AFFIRM 25
Reframing From information that the person has labeled as negative, the practitioner finds some positive aspect to illuminate. Reframing is a way to provide an alternative interpretation of something that is seen as a problem. Try to find a strength. 26
Summarizing The practitioner condenses key issues that have been raised to help bring a dialogue to its close, identify a common theme, or provide an opportunity to review and further explore options and potential areas to target for rehabilitaion strategies. 27
Task 4: Facilitate groups in order to engage persons with psychiatric disabilities in a wide range of activities. Psychiatric rehabilitation practitioners need to acquire the necessary group facilitation skills to engage persons with psychiatric disabilities in a wide range of activities. LEAD GROUPS 28
Non-verbal communication Body language Eye contact Facial expressions Behaviors Congruence 29
Flickr.com (glenn) 30
Flickr.com (Lord Henry 31
Relevant Theorists 32
Carl Rogers Humanistic approach Person-centered Facilitative conditions 33
Rogers: Facilitative Conditions Genuineness (person to person) Openness Honesty Immediacy Self-disclosure Positive regard (unconditional) Empathy (not sympathy) 34
Robert Carkhuff A student of Carl Rogers Research (with Charles Truax) Sources of effectiveness Functional professionals Selection and training Facilitative conditions Action orientation 35
Carkhuff s Helping Model engage EXPLORE UNDERSTAND ACT terminate 36
Alan Ivey Adapted Carkhuff s model Micro-skills training Cultural competence 37
The Sue Brothers: Culture matters! Derald Wing Sue Stanley Sue 38
Culturally Competent IPS Skills Matching language and watching clarity Communicating in culturally sensitive manner Know cultural differences in non-verbal behavior: Eye contact Personal space and distance Smiling 39
Sid Jourard Self-disclosure transparency 40
Practice Scenario You said you d like to go back to school and you feel like you re ready to try it this semester. You also said that you don t feel very confident about your ability to successfully complete a semester with a decent grade What issues are highlighted? What areas might be clarified? How would this help facilitate this person s services? 41
Practice Question: Awareness of both verbal and non-verbal communication; acknowledgement of what the person is stating including the congruence/incongruence with behavior or body language, defines which of the following: A. Reframing B. Reflecting C. Clarifying D. Active listening 42
Practice Question The Client Centered approach introduced by Carl Rogers in the 1940 s influenced the field of psychiatric rehabilitation. Which of the following statements describes the premise behind Roger s theory?. 43
Choose from the following responses: A. Empathy, genuineness, respect and positive regard do not need to be present in the relationship between practitioner and client for the client to make positive changes. It is believed the client will make changes when ready. B. Practitioners center on client history. Evaluating both strengths and deficits. Because the practitioner accepts all of the clients weaknesses along with their strengths, and is non-judgmental, positive change can take place for the client C. The client is the center of the therapeutic relationship and is the driving force for change. The client s ability to accept and feel genuinely towards the practitioner promotes change in the client. D. The practitioner believes people will engage in activities leading to positive growth if given the opportunity. Positive change is promoted through a trust worthy or therapeutic relationship that offers empathy, positive regard and genuineness. 44
Summary Interpersonal skills form the foundation for the process of psychiatric rehabilitation and recovery. Connecting with people in genuine ways forms the basis of relationships, which help all of us deal, and heal, and to hope, and to grow. These skills will show up all over the exam! When you re ready, go to the test section for Module 4 for a self-check exercise. 45