brief intervention wks 1 to 3
DESCRIPTION
Brief Intervention Respond & Assess to Suicide & Self harm Weeks 1 to 3TRANSCRIPT
1
Brief Intervention
Week 1: RollGetting to know youProgram and Assessment criteria
2
What is Brief Intervention? Is something a Mental Health worker does
in their day to day work Can last from 5 minutes to 2 hours Is a 1:1 approach Informal assessment/Information gathering
Can be as simple as exchanging a phone number Can be lengthy, a deep analysis of the clients
situation, thoughts and a strategy for change Involves workers being well resourced, having
access to networks, agencies and information
3
Is based on the principles of harm minimisation.
Discussion on harm minimisation Hand out
4
When to use brief Intervention
To discuss/ assess Personal health of consumer Consumers use/abuse of medications How mental health issues affect the
family Clients use of alcohol Information about mental health
conditions
5
THE MOST IMPORTANT FACTOR IS YOUR RELATIONSHIP WITH THE CONSUMER
Questions for discussion: How might your relationship impact on
the Brief intervention process? What qualities do you need as a
worker?
6
WHEN WOULD YOU NOT USE BRIEF INTERVENTION?
When the person is Resistant, has no desire Intoxicated Is sick or injured Lacking in energy Has severe dependence Highly emotional Where there are highly complex or chronic
psychological or psychiatric issues
7
Question: What would you do in these
situations?
8
You will need to refer on Or
Leave it for another time
9
What are the effects of brief intervention Emerging sense of personal power (and
hope) Growing sense of identity and purpose in life Acceptance of self Acceptance of illness as separate from self Management of social issues such as
Money Housing Employment Education
Social networks
10
always recognise that the decision to change,
or not to, is the person’s choice.
11
Promoting brief intervention
Use pictures or brochures to help explain effects of
Smoking: how they feel about how they find it affects their health and ways to quit
Drinking: at hazardous or harmful levels Cannabis use: impacts on health Diabetes: look at food patterns, nutritional
advise
12
Week 2
13
Communication Strategies Effective Communication: What is it?
Active Listening Skills Reflection Feedback Assessment of Stages of Change
The FLAGS Model will help you to utilise these skills.
14
FLAGS model F — Feedback the results of AUDIT and help client
locate their drinking/smoking level. Do not be judgemental or threatening.
L — Listen to client’s concerns. They may need to ventilate their feelings and may respond defensively.
A — Advise client about consequences of continued alcohol/smoking use.
G — Goals of treatment should be defined. Set goals that both you and client agree are realistic and achievable.
S — Strategies for treatment should be discussed and implemented. Help client develop ways and means of keeping below the upper safe limits.
15
Areas of assessment Type of drug/issue Route administration Quantity Frequency Pattern Duration Withdrawal history
16
Prochaska & DiClemente’s6 Stages of change
1. Pre-contemplation- Not considering change ’Ignorance is bliss’
2. Contemplation- Ambivalent, not considering change in the next month ‘sitting on the fence’
3. Preparation- Trying to change ‘ testing the waters’
4. Action- Practicing new behaviour for 3-6 months
5. Maintenance- Commitment to sustaining new behaviour
6. Relapse- Resume new behaviours ‘fall from grace’
17
Stages of change
18
1. Pre-contemplative stage
Validate lack of readiness Clarify that the decision is theirs Encourage revaluation of current
behaviour Encourage self exploration, not action Explain and personalise the risk
19
2. Contemplative stage
Validate lack of readiness Clarify the decision is theirs Encourage evaluation of pros and
cons of behaviour change Identify and promote new , positive
outcomes
20
3. Preparation stage
Identify and assist in problem solving re obstacles
Help person identify social support Verify that they have the underlying
skills for behaviour change Encourage small steps. ‘baby steps’
21
4. Action Stage
Focus on restructuring social supports Bolster self-efficacy (self worth,
effective skills) for dealing with obstacles
Support them on feelings of loss reiterate long term benefits
22
5. Maintenance stage
Plan for follow up support Reinforce internal rewards Discuss coping with relapse
Many people will stay at this stage for the rest of their lives
However
23
6. Relapse
Evaluate triggers for relapse Reassess motivation and barriers Plan stronger coping strategies
24
Week 3
Motivational interviewing Documentation & monitoring Skills required for motivational
interviewing
25
Video –
Motivational interviewing
26
What is motivational interviewing
‘ A counselling approach based on the principle that all human behaviour is motivated.’
27
Motivational Interviewing Is a directive client centred approach for
behavioural change
Helping clients to explore and resolve ambivalence (inner conflict)
Is focused and goal directed
Resolution of inner conflict is Motivational Interviewing’s central goal
28
Your role: Resolve his or her ambivalence… How?
Keep judging the clients motivation This is a partnership approach not a
hierarchal approach Express empathy Be a friendly consultant Roll with the resistance – explore client’s
views on resistance Explore all costs and benefits of that
change – cost benefit analysis
29
Avoid
A confrontation /persuasive approach This will alienate the client They may see it as argumentative if you push the client It will increase resistance Will diminishes the probability of
change
30
QUIZ –classroom based assessment
What is brief Intervention
31
Brainstorm
What skills/qualities do you need to provide brief intervention