Brief Intervention Wks 1 to 3
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Brief Intervention Wks 1 to 3

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Brief Intervention Respond & Assess to

Brief Intervention Respond & Assess to
Suicide & Self harm Weeks 1 to 3

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    Brief Intervention Wks 1 to 3 Brief Intervention Wks 1 to 3 Presentation Transcript

    • Brief Intervention Week 1: Roll Getting to know you Program and Assessment criteria
    • 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
    • Is based on the principles of harm minimisation.
      • Discussion on harm minimisation
      • Hand out
    • 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
    • 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?
    • 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
      • Question :
      • What would you do in these situations?
      • You will need to refer on
      • Or
      • Leave it for another time
    • 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
      • always recognise that
      • the decision to change,
      • or not to,
      • is the person’s choice.
    • 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
    • Week 2
    • 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.
    • 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.
    • Areas of assessment
      • Type of drug/issue
      • Route administration
      • Quantity
      • Frequency
      • Pattern
      • Duration
      • Withdrawal
      • history
    • Prochaska & DiClemente’s 6 Stages of change
      • Pre-contemplation- Not considering change ’Ignorance is bliss’
      • Contemplation- Ambivalent, not considering change in the next month ‘sitting on the fence’
      • Preparation- Trying to change ‘ testing the waters’
      • Action- Practicing new behaviour for 3-6 months
      • Maintenance- Commitment to sustaining new behaviour
      • Relapse- Resume new behaviours ‘fall from grace’
    • Stages of change
    • 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
    • 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
    • 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’
    • 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
    • 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
    • 6. Relapse
      • Evaluate triggers for relapse
      • Reassess motivation and barriers
      • Plan stronger coping strategies
    • Week 3
      • Motivational interviewing
      • Documentation & monitoring
      • Skills required for motivational interviewing
    • Video –
      • Motivational interviewing
    • What is motivational interviewing
      • ‘ A counselling approach based on the principle that all human behaviour is motivated.’
    • 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
    • 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
    • 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
    • QUIZ –classroom based assessment
      • What is brief Intervention
    • Brainstorm
      • What skills/qualities do you need to provide brief intervention