This document summarizes a training presentation on motivational interviewing and strengths-based counseling techniques. The presentation covers the core skills of motivational interviewing including empathy, developing discrepancy, avoiding argument, and reflective listening. It also discusses the principles of a strengths-based approach, which emphasizes clients' strengths and self-determination. The document provides examples of open-ended questions, affirmations, and reflections that counselors can use to help clients change behaviors and achieve goals. It concludes with a role play exercise and Q&A session.
OptiCall Webinar: Give Patients a Reason to Say "Yes"OptiCall
Slides from OptiCall's (www.opticall.com) webinar: Give Patient's a Reason to Say "Yes"
Presented by Coni Fisher of CSF Consulting. Educational presentation on how to convert more patients from consultation to procedure and how to improve the customer experience. Here is the link to the recording: https://youtu.be/HSkTEdbyYig
Don’t miss our upcoming webinars: Subscribe today!
In this webinar:
Ryan Clarke, Founder & President of Advocacy Solutions, focuses on taking an in-depth look at what's needed to empower successful advocacy.
View the video:
<https://youtu.be/oP8YixmzqsE>
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
A 'Taste' of Motivational Interviewing with Dr. Ellen GlovskyEllen Glovsky
This is an informative and exciting one-hour webinar, in which I will provided an overview of the "spirit" and technique of Motivational Interviewing. The webinar included 40 minutes of lecture and ample opportunity for questions and answers.
MI is an evidence-based approach to health behavior change counseling. The method has been successfully used in many types of interventions, including the lifestyle changes recommended for weight management, diabetes, heart disease, eating disorders, HIV and cancer, the promotion of breast feeding, and nutrition for wellness and the prevention of chronic disease.
For more on MI and how it works, please sign up for my monthly newsletter http://eepurl.com/tbf81 , The Changing Times.
Please join me on Facebook https://www.facebook.com/TrainingwithDrEllenGlovsky and please join me on Facebook at my new 'book' page http://on.fb.me/1c0Iz73
Feel free to email any questions or comments you may have to Ellen@TrainingWithDrEllen.com
Een beknopte kennismaking met Oplossingsgericht Coachen.
1. Als iets niet werkt, stop er dan mee.
2. Als iets niet werkt stop er dan mee EN doe iets anders.
3. Als iets wel werkt, doe er méér van.
4. Als iets werkt, leer het (van) een ander
Motivational Interviewing - Dr Igor Koutsenok MD, MSjames_harvey_phd
Session 1 "Motivational Interviewing Course: Assisting Patients in Making Sustainable Positive Lifestyle Changes"
Presented by Dr Igor Koutsenok MD, MS (University of California San Diego, Department of Psychiatry) on 05/06/2020 during the first session of an ISSUP virtual training on MI.
**PLEASE NOTE that video slides have been removed to reduce file size**
Presentation content and learning outcomes:
After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.
Learning outcomes:
Introduction: Motivation and behavioral change in addiction medicine
Review of the concepts of Ambivalence, Stages of change, the righting reflex, limits of persuasion.
Spirit of MI
Expressing empathy
Roadblocks to communication
Four Processes in MI
Full details: https://www.issup.net/about-issup/news/2020-05/motivational-interviewing-course
OptiCall Webinar: Give Patients a Reason to Say "Yes"OptiCall
Slides from OptiCall's (www.opticall.com) webinar: Give Patient's a Reason to Say "Yes"
Presented by Coni Fisher of CSF Consulting. Educational presentation on how to convert more patients from consultation to procedure and how to improve the customer experience. Here is the link to the recording: https://youtu.be/HSkTEdbyYig
Don’t miss our upcoming webinars: Subscribe today!
In this webinar:
Ryan Clarke, Founder & President of Advocacy Solutions, focuses on taking an in-depth look at what's needed to empower successful advocacy.
View the video:
<https://youtu.be/oP8YixmzqsE>
To learn more about CCSN, visit us at survivornet.ca
Follow CCSN on social media:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Instagram: https://www.instagram.com/survivornet_ca/
Pinterest - https://www.pinterest.com/survivornetwork
A 'Taste' of Motivational Interviewing with Dr. Ellen GlovskyEllen Glovsky
This is an informative and exciting one-hour webinar, in which I will provided an overview of the "spirit" and technique of Motivational Interviewing. The webinar included 40 minutes of lecture and ample opportunity for questions and answers.
MI is an evidence-based approach to health behavior change counseling. The method has been successfully used in many types of interventions, including the lifestyle changes recommended for weight management, diabetes, heart disease, eating disorders, HIV and cancer, the promotion of breast feeding, and nutrition for wellness and the prevention of chronic disease.
For more on MI and how it works, please sign up for my monthly newsletter http://eepurl.com/tbf81 , The Changing Times.
Please join me on Facebook https://www.facebook.com/TrainingwithDrEllenGlovsky and please join me on Facebook at my new 'book' page http://on.fb.me/1c0Iz73
Feel free to email any questions or comments you may have to Ellen@TrainingWithDrEllen.com
Een beknopte kennismaking met Oplossingsgericht Coachen.
1. Als iets niet werkt, stop er dan mee.
2. Als iets niet werkt stop er dan mee EN doe iets anders.
3. Als iets wel werkt, doe er méér van.
4. Als iets werkt, leer het (van) een ander
Motivational Interviewing - Dr Igor Koutsenok MD, MSjames_harvey_phd
Session 1 "Motivational Interviewing Course: Assisting Patients in Making Sustainable Positive Lifestyle Changes"
Presented by Dr Igor Koutsenok MD, MS (University of California San Diego, Department of Psychiatry) on 05/06/2020 during the first session of an ISSUP virtual training on MI.
**PLEASE NOTE that video slides have been removed to reduce file size**
Presentation content and learning outcomes:
After orientation to the underlying spirit and principles of MI, practical exercises will help participants to strengthen empathy skills, recognize and elicit change talk, and roll with resistance. Research evidence will be reviewed for the efficacy of MI and for the importance of building a therapeutic relationship in clients’ outcomes. Integration of MI with other treatment modalities will be considered.
Learning outcomes:
Introduction: Motivation and behavioral change in addiction medicine
Review of the concepts of Ambivalence, Stages of change, the righting reflex, limits of persuasion.
Spirit of MI
Expressing empathy
Roadblocks to communication
Four Processes in MI
Full details: https://www.issup.net/about-issup/news/2020-05/motivational-interviewing-course
In this guide I provide information and tools for people to ask and answer five basic questions to create and implement their plan. Each year, people make resolutions that don’t seem to stick. This is because they are short sighted and are not grounded in a longer term plan and direction for their life. My goal in this guide is to get people thinking and planning based on what you want they want out of their life in the future and setting goals and strategies now to get there.
In this SlideShare, Richardson explains there is no second act in selling. Buyers have too many options and not enough time. When your salespeople show up, they must be exceptional – cutting through the noise and distilling what matters most.
Attendees will gain insight into the stigma that is attached to individuals who have dual diagnosis and criminal justice involvement, as well as, the importance of instilling power and hope to the individual. They will increase knowledge of the stages of change and utilizing motivational interviewing techniques to assist the individual through their path of recovery from mental illness, substance abuse, and criminal justice involvement.
Coaching skills can help people maximize their strengths and increase responsibility, accountability, creativity and resourcefulness to overcome challenges and achieve results. The primary coaching skills presented in this interactive presentation will focus on the principles of a coaching conversation, listening, the art of asking curious questions, leading cultural change, and how to promote responsibility and accountability to support people to elicit their own solutions and strategies and take action to implement these solutions.
Speaker:
Callie Bland, Executive Coach, RN and CEO, Coach Callie Consulting
Promoting Knowledge Gain & Behavior Change through Effective Educationmilfamln
This session will focus on the theme of working with lay audiences to elicit knowledge gain and behavior change. We’ve spent more than a year providing military helping professionals top-notch content and subject-matter expertise on a variety of relevant topics but we’ve never really focused on core professional development. And, for some professionals, specifically those with no background or training in education or through a professional licensure, this may be brand new information.
Key objectives include:
Effective communication: active listening and responding
Principles of adult learning: how and why adults take in and process information
Stages of change: how and why adults think about implementing new knowledge/behaviors
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
This powerpoint is part of AllCEU's Addiction Counselor Training Series. Part of the screening process involves not only identifying a possible problem, but helping the patient to identify it as a problem that they are willing to work on. Part of this process of motivational enhancement includes helping patients see there is an issue, that it is controllable or able to be dealt with and how it will help them achieve their goals. This powerpoint links to protocols for helping train clinicians in Motivational Enhancement Therapy. Each week we provide 8 hours of face-to-face continuing education and precertification training to LPCs, LADCs, and those wishing to become addiction counselors. Many states allow precertification to be done via online learning as well. We are approved education providers by NAADAC #599 and NBCC #6261
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
Detailed understanding of Motivational Enhancement Therapy for management of Substance Use Disorders with contextual inputs for Indian population and sub-culture.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
1. National Center for Training, Support, and Technical Assistance
Linkage and Retention in HIV
Medical Care
Sarahjane Rath MPH,CHES
2. National Center for Training, Support, and Technical Assistance
Welcome and Introductions
1. What is your name?
2. Where do you work and what is your work
title?
3. National Center for Training, Support, and Technical Assistance
Agenda
• Fundamentals of motivational interviewing
• Strengths-based counseling
• Role play exercise
4. National Center for Training, Support, and Technical Assistance
Learning Objectives
• Summarize the core skills used in motivational
interviewing and strengths-based counseling
• Describe how to apply motivational interviewing
and strengths-based counseling to link and retain
clients in essential support services
• Recognize the fundamental skills that can be
used to facilitate a client’s behavior change
5. National Center for Training, Support, and Technical Assistance
The Spirit of Motivational
Interviewing (MI)
•Collaboration
•Evocation
•Autonomy
6. National Center for Training, Support, and Technical Assistance
Key Principles of Motivational
Interviewing
1. Empathy
2. Self-efficacy
3. Develop discrepancy
4. Avoid argument
7. National Center for Training, Support, and Technical Assistance
Key Principles of MI
1. Express Empathy
• Understand that acceptance increases
motivation
• Recognize that skillful reflective listening is
critical
• Regard ambivalence as a normal part of the
change process
8. National Center for Training, Support, and Technical Assistance
Key Principles of MI (Continued)
2. Support Self-Efficacy
• Reinforce even small changes
• Affirm strengths and competencies
• Remind client that relapse is normal
• Support optimism that change is possible
• Communicate that the decision & responsibility
to change belongs with the person
• Believe in client’s ability to make positive
changes in their life
9. National Center for Training, Support, and Technical Assistance
Support Self-Efficacy
• Engage client in conversations that give opportunity to
describe instances in which they have made successful
changes
• If client backtracks into old patterns, focus on the strides
accomplished, no matter how small
• Structure conversations to give client the chance to make
motivational statements
• Provide affirmations! “It’s up to you!”
Giving voice to success promotes confidence to change!
10. National Center for Training, Support, and Technical Assistance
Enhancing Self-Efficacy
Non-MI Clinician Statement MI Clinician Statement
Why didn't you use condoms this week? So you used condoms last week. Share
with me how it was?
Why did you stop using clean needles? Tell me what prompted you to use clean
needles in the past?
Because you have had unprotected sex
since your last test, I’d like to recommend
an HIV test.
Sounds like you’ve decided to have an HIV
test before, share with me how you feel
about getting one today?
You were supposed to be here Monday,
why didn’t you come in?
I just want to acknowledge that you came
in today.
How many children do you have? You seem like a very attentive father, how
many children do you have?
What is the person’s likely response to each prompt?
11. National Center for Training, Support, and Technical Assistance
What Does this Imply for Counselors?
Because motivation is modifiable and
affected by environment:
• You can help grow motivation (i.e.,
cultivate the right atmosphere or
interpersonal conditions)
• The climate you need is: Non-
judgmental, empathetic, genuine,
positive, and warm
• Acceptance facilitates change
12. National Center for Training, Support, and Technical Assistance
Key Principles of MI
3. Develop discrepancy/contradictions
• Avoid making arguments in favor of change
• Invite client to consider conflicts between behavior and
personal goals and values
• Ask client to clarify any discrepancies
• Build awareness of consequences
13. National Center for Training, Support, and Technical Assistance
ABCs of Developing Discrepancy
A. How does X (behavior to change) fit with your goal?
“How does your drug use fit with your goal of going back to
school?”
B. The Colombo Approach
“Help me understand on the one hand you say that you’ve
regretted having unprotected sex, and on the other, you feel
you don’t need to make changes?”
C. Ask for the specifics about the “less good things”
“You say contracting STI in the past has been awful. Tell me
about a time that happened.”
14. National Center for Training, Support, and Technical Assistance
Key Principles of MI
4. Avoid Argument:
• Invite client to consider a different perspective
• Look to client to find their own answers & solutions
• Avoid debate, proving a point, or imposing your point
of view
• Respond with greater adherence to a motivational
style if resistance or defensiveness increase
• Establish trust, ask permission, and elicit his/her
perceptions before offering information
15. National Center for Training, Support, and Technical Assistance
Reflective Listening
• A restatement of speaker’s meaning or emotion
• Gives the client an opportunity to clarify any
misunderstanding
• Involves rephrasing what was said using slightly
different words to clarify
16. National Center for Training, Support, and Technical Assistance
The ABCs of Reflective
ListeningA. Tests the hypothesis of what’s heard against what is
meant
B. Involves statements as opposed to questions
Use of an opener can help:
• “It sounds like you…”
• “You’re feeling…,”
• “It seems that you…,”
C. The ratio of reflections to questions should be about
3 to 1 (3 reflections for every 1 question)
17. National Center for Training, Support, and Technical Assistance
Four Levels of Reflection
1. Repeating what was said using exact words to
communicate understanding & prompt elaboration
2. Rephrasing what was said using slightly different
words to clarify meaning
3. Paraphrasing what was said using different words
to emphasize contradictions, convey underlying
meaning, or complete a thought
4. Communicate understanding of underlying
emotions or feeling, particularly when not explicitly
stated
18. National Center for Training, Support, and Technical Assistance
Levels of Reflection
(Continued)Vignette: “I want to ask my boyfriend to start using condoms but I don’t
think he would do it anyway. Plus, I think it would kill the mood in the
moment.”
1. Repeating: “You want to ask your boyfriend to wear a condom but you
don’t think he would do it.”
2. Rephrasing: “While you want to start using condoms, you’re afraid of
being turned down and of making things less romantic.”
3. Paraphrasing: “You want to start using condoms, but your worries keep
holding you back.”
4. Communicate understanding: “You’re worried about putting a strain on
your relationship .”
19. National Center for Training, Support, and Technical Assistance
Approach To MI Interactions
Open-ended questions
Affirmations
Reflective listening
Summaries
20. National Center for Training, Support, and Technical Assistance
Examples of Close-Ended
Questions
1. Are you concerned about whether you’re putting yourself at
risk for HIV or other diseases through drug use?
2. How frequently do you use condoms and with whom?
3. Do you have any questions about what you can do to
prevent HIV and other STI?
4. Do you agree that it would be a good idea to start using
condoms?
5. How long ago did you have your last HIV test?
6. Are there any barriers to you protecting yourself from HIV
and other STI?
21. National Center for Training, Support, and Technical Assistance
Open-Ended Questions that Grow
Motivation
1. Explore goals and values: Ask what values/goals are held
most dear, “What are the most important things in your
life?” What makes them so important to you?” “What gives
your life meaning?”
2. Looking forward to change: “If you make a change, how
will your future be different?” If you decided to start going
to church again, how would things be better in your life? In
what ways?
3. Optimism for change: What makes you think you can do IT?
“If you decide to start dating again, what makes you think
you could meet somebody special?”
22. National Center for Training, Support, and Technical Assistance
Open-Ended Questions that Grow
Motivation (Continued)
4. Extreme consequences: “What’s the worst that could happen if
you don’t make a change?” (What’s the worst thing that could
happen if you don’t start using condoms?)
5. Disadvantages of Status Quo: “What worries you about this
situation?” “How has THIS interfered with things that are
important to you?”
6. Looking back: “What were you like back then?” (before the
problem emerged), “What were you like before you contracted
Hepatitis?”
7. Best consequences of change: “If you succeed, how will things
be different?” (e.g., If you decide to stop using heroin, how will
your life improve?)
23. National Center for Training, Support, and Technical Assistance
Affirmations
• You took a big step in coming here today
• It seems that you have given this a lot of careful
consideration
• That’s an excellent idea
• You’ve shown a lot of courage in deciding to
come here today
24. National Center for Training, Support, and Technical Assistance
Reflections
• Reflective listening requires continuous attention
to client’s verbal and nonverbal responses and
his/her meanings, thoughts and feelings
• Reflections can be used to emphasize
motivational statements or to counter-motivate
statements such as barriers to change
25. National Center for Training, Support, and Technical Assistance
Summaries
• Demonstrates that you have been listening
carefully
• Reinforces material that has been discussed
• Acts as transition to shift focus
26. National Center for Training, Support, and Technical Assistance
In Summary
•Motivational Interviewing is very easy to use
•Small changes in counseling can result is big
changes with clients
•Practice, practice, practice!!!
27. National Center for Training, Support, and Technical Assistance
Strengths-Based Counseling
• Commonly used in social work
• Effective strategy to increase a person’s chance
of success
• Emphasizes persons self-determination and
strengths
28. National Center for Training, Support, and Technical Assistance
Competence
Capacities
Courage
Resilience
Reserves
Resources
Resourcefulness
The Lexicon of Strengths
Promise
Possibility
Positive Expectation
Potential
Strengths
Adapted from: Saleebey, D. (2009). The strengths perspective in social work practice (pp1-23). Boston, MA: Pearson
29. National Center for Training, Support, and Technical Assistance
Principles of the Strengths
Perspective
1. Every individual, group, family, and community has
strengths
2. Trauma and abuse, illness, and struggle may be injurious but
may also be sources of challenge and opportunity
3. Assume that you do not know the upper limits of the
capacity to grow; take individual, groups, and community
aspirations seriously
4. We best serve clients by collaborating with them
5. Every environment is full of resources
6. Caring, caretaking, and context
30. National Center for Training, Support, and Technical Assistance
Principles of
Strengths-Based Case Management
• Establish an effective working relationship
• Encourage clients to identify and use their strengths,
abilities, and assets to accomplish goals
• Recognize and support client control over goal-setting
and the search for needed resources
• View the community as a resource, and identify
information and sources of support within the
community
• Conduct case management as an active, community-
based activity
31. National Center for Training, Support, and Technical Assistance
What the Strengths-Based
Approach Is and Is Not
It means:
•Figuring out ways to
recognize and use
individual strengths to:
• Build onto existing
competencies and
• Address concerns
It does not mean:
• Simply focusing on
positive aspects and
ignoring concerns
• Fabricating strengths
that do not exist
33. National Center for Training, Support, and Technical Assistance
Examples of Strengths-Based
Questions
• What strengths do you think you have?
• What are your abilities?
• When have you successfully faced barriers, and
what did you do to overcome them?
• What are you good at?
• Tell me about a time when you felt most things
were going well. What were you doing to make
them go well?
34. National Center for Training, Support, and Technical AssistanceExercise
Role Play
35. National Center for Training, Support, and Technical Assistance
Debrief Exercise
36. National Center for Training, Support, and Technical Assistance
In Summary
•Strengths-based counseling is easy to use
•It is a positive approach to the client
•It really works, try it!
37. National Center for Training, Support, and Technical Assistance
What questions do you have?
38. National Center for Training, Support, and Technical Assistance
Additional Resources
• Center for Substance Abuse Treatment (1999). Enhancing Motivation for
Change in Substance Abuse Treatment. Treatment Improvement Protocol
(TIP) Series, Number 35. DHHS Pub. No (SMA) 99-3354. Washington, DC:
US Government Printing Office.
• Center for Substance Abuse Treatment (2004). Substance Abuse
Treatment and Family Therapy. Treatment Improvement Protocol (TIP)
Series, Number 39. DHHS Pub. No (SMA) 04-3957. Washington, DC: US
Government Printing Office.
• DiClemente, C.C. (1991) Motivational interviewing and the stages of
change. In: W.R. Miller & S. Rollnick (eds). Motivational interviewing:
Preparing people to change addictive behavior. New York: Guilford Press,
pp. 191-202.
• Kanfer, F.H. & Schefft, B.K. (1988). Guiding the process of therapeutic
change. Champaign, IL: Research Press.
39. National Center for Training, Support, and Technical Assistance
• Madson, M. B., & Campbell, T. C. (2006). Motivational Interviewing
Treatment Fidelity and Competence Measures: A Systematic Review.
Journal of Substance Abuse Treatment, 31, 67-73.
• Miller, W.R. (1983). Motivational interviewing with problem drinkers.
Behavioural Psychotherapy, 11, 147-172.
• Miller, W.R. (2004). Toward a Theory of Motivational Interviewing.
PowerPoint presentation, from
http://motivationalinterview.org/library/index.html
• Miller, W.R. & Jackson, K.A. (1985). Practical psychology for pastors.
Englewood Cliffs, NJ: Prentice Hall.
• Miller, W.R. & Rollnick, S. (1991) Motivational interviewing: Preparing
people to change addictive behavior. New York: Guilford Press.
• Miller, W.R., Sovereign, R.G., & Krege, B. (1988). Motivational
interviewing with problem drinkers: II. The Drinker's Check-up as a
preventive intervention. Behavioural Psychotherapy, 16, 251-268.
40. National Center for Training, Support, and Technical Assistance
• Miller, W.R., Zweben, A., DiClemente, C.C., & Rychtarik, R.G. (1995).
Motivational Enhancement Therapy Manual: A Clinical Research Guide
for Therapists Treating Individuals With Alcohol Abuse and Dependence.
Project MATCH Monograph Series, Vol. 2. NIH Pub. No. 94-3723.
Rockville, MD: National Institute on Alcohol Abuse and Alcoholism
• Prochaska, J.O. & DiClemente, C.C. (1982) Transtheoretical therapy:
toward a more integrative model of change. Psychotherapy: Theory,
Research and Practice, 19, 276-88.
• Rogers, C. (1961). On becoming a person: A therapist's view of
psychotherapy. London: Constable.
41. National Center for Training, Support, and Technical Assistance
This presentation is supported through funding from the Centers for Disease Control and Prevention under FOA-PS-14-
1403. The content of this presentation is solely the responsibility of PROCEED Inc. and does not necessarily represent the
official view of the Centers for Disease Control and Prevention.
42. National Center for Training, Support, and Technical Assistance
Thanks again!
My contact information:
Sarahjane Rath
srath@proceedinc.com
(908) 351-7727 Ext 274