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DUI Evaluator Training- ICADD 2004 Tom Wilson, LCPC 06/22/11 <ul><ul><li></li></ul></ul>[email_address]
Session One Overview- Application and Preparation for Licensing  <ul><li>Role of a DUI Evaluator  </li></ul><ul><li>Applic...
Who is the Client? <ul><li>Defendant  has a court order for a DUI evaluation. </li></ul><ul><li>Defendant is referred by h...
DUI Evaluator License Application  <ul><li>Certified copy of college transcripts-Baccalaureate degree or higher in allied ...
DUI Evaluator License Renewal <ul><li>Application form with updated info </li></ul><ul><li>Statement of fees </li></ul><ul...
Licensure Examination Topics <ul><li>Statutes and rules governing evaluators and their evaluations </li></ul><ul><li>Physi...
Statutes and Rules <ul><li>Idaho Code 18-8005(9) established the requirement for  DUI Evaluations </li></ul><ul><li>Idaho ...
Physiological Effects of Alcohol 06/22/11 <ul><ul><li></li></ul></ul>BAC .02 BAC .40 <ul><li>Reduces tension  </li></ul><u...
Chronic Effects of Alcohol  <ul><li>Nervous System: loss of sensation hands/feet  </li></ul><ul><li>Muscles: Weakness and ...
Acute Effects of Methamphetamine <ul><li>Increased alertness </li></ul><ul><li>Paranoia </li></ul><ul><li>Hallucinations  ...
Chronic Effects of Methamphetamine <ul><li>Fatal kidney and lung disorders </li></ul><ul><li>Brain damage </li></ul><ul><l...
Alcohol Withdrawal Symptoms <ul><li>Sweating or Rapid Pulse  </li></ul><ul><li>Increased Hand Tremor  </li></ul><ul><li>In...
Methamphetamine  Hydrocodone   <ul><li>fatigue   </li></ul><ul><li>long, disturbed periods of sleep   </li></ul><ul><li>ir...
Referral Processes <ul><li>Education  or  Treatment? </li></ul><ul><li>Match severity of client’s problem to level of educ...
12 Step Programs <ul><li>The “tools of recovery,” common to all of the 12-Step Programs, include:Meetings (usually 60 - 90...
Interviewing Techniques <ul><li>Physical environment </li></ul><ul><li>Reading level </li></ul><ul><li>Client’s language <...
Approved Screening Tools  <ul><li>Addiction Severity Index (ASI) </li></ul><ul><li>Michigan Alcohol (ASI) Screening Test (...
Professional Conduct and Ethics <ul><li>Non-discrimination </li></ul><ul><li>Competence </li></ul><ul><li>Client welfare <...
Gender and Culture Issues <ul><li>Gender Issues </li></ul><ul><li>Women have higher BACs </li></ul><ul><li>Higher risk for...
Session Two Overview <ul><li>“ Treatment = Punishment” </li></ul><ul><li>Approved Screening Tools </li></ul><ul><li>Transt...
Approved Screening Tools  <ul><li>Addiction Severity Index (ASI) </li></ul><ul><li>Michigan Alcohol Screening Test (MAST) ...
Transtheoretical Model of Change:  Five Distinct Stages of Change <ul><li>Precontemplation:  not seeing a problem </li></u...
Moving through the Stages <ul><li>Stages of Change </li></ul><ul><li>Precontemplation  </li></ul><ul><li>Contemplation </l...
Assessing Stage of Change <ul><li>Readiness Ruler </li></ul><ul><li>Clinical Interview </li></ul><ul><li>TCU DRUG Screen <...
Treatment vs. Education <ul><li>ASAM Treatment </li></ul><ul><li>DX: Substance Abuse or Dependence </li></ul><ul><li>Level...
Motivational Interviewing (MI) <ul><li>Miller and Rollnick (1991) - Counseling style used to enhance client’s use of the p...
Examples of MI Counselor Behaviors  <ul><li>“ That must have been difficult.” (sympathetic not appreciative) </li></ul><ul...
Examples of MI Counselor Behaviors <ul><li>Client: “I don’t really have a problem with alcohol.” </li></ul><ul><li>Counsel...
Case Studies <ul><li>Review Case study and reach consensus on  :  </li></ul><ul><li>Severity of problem </li></ul><ul><li>...
Session Three Overview <ul><li>Goals of Early Intervention </li></ul><ul><li>Picking Topics </li></ul><ul><li>Designing Le...
Goals of Early Intervention <ul><li>Consciousness Raising </li></ul><ul><li>Dramatic Relief </li></ul><ul><li>Environmenta...
Goals of Early Intervention <ul><li>Consciousness Raising </li></ul><ul><li>Dramatic Relief </li></ul><ul><li>(Emotional a...
Goals of Early Intervention <ul><li>Consciousness Raising </li></ul><ul><li>Dramatic Relief </li></ul><ul><li>(Emotional a...
Goals of Early Intervention <ul><li>Consciousness Raising </li></ul><ul><li>Dramatic Relief </li></ul><ul><li>(Emotional a...
Adult Learners… <ul><li>expect a learning climate that is interactive and mutually respectful. </li></ul><ul><li>diagnose ...
Training Methods for Small Groups  (up to 15) <ul><li>Traditional lectures  </li></ul><ul><li>Participatory lectures/struc...
Where to Get More Information <ul><li>Tom Wilson Counseling Center </li></ul><ul><li>514 So. Orchard, Suite 101 </li></ul>...
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Dui evaluator training 2004

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DUI Evaluator training conducted by Tom Wilson, MA, LCPC at 2004 Idaho Conference on Alchol and drug Dependence

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Dui evaluator training 2004

  1. 1. DUI Evaluator Training- ICADD 2004 Tom Wilson, LCPC 06/22/11 <ul><ul><li></li></ul></ul>[email_address]
  2. 2. Session One Overview- Application and Preparation for Licensing <ul><li>Role of a DUI Evaluator </li></ul><ul><li>Application Requirements </li></ul><ul><ul><li>Evaluation or treatment experience </li></ul></ul><ul><ul><li>Minimum educational requirements </li></ul></ul><ul><ul><li>Competency – based examination. </li></ul></ul><ul><li>Study areas for exam </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  3. 3. Who is the Client? <ul><li>Defendant has a court order for a DUI evaluation. </li></ul><ul><li>Defendant is referred by his attorney for a DUI evaluation before pretrial. </li></ul><ul><li>Defendant is self referred three days after DUI arrest and knows he will have to get an evaluation, no attorney. </li></ul><ul><li>Defendant had a recent “voluntary” evaluation he didn’t like, wants second opinion. </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  4. 4. DUI Evaluator License Application <ul><li>Certified copy of college transcripts-Baccalaureate degree or higher in allied health field or </li></ul><ul><li>Current copy of CADC Certificate issued through IBAADC </li></ul><ul><li>Copy of LCP, LCPC or MSW Certificate </li></ul><ul><li>Detailed employment history showing minimum of 720 cumulative hours in a drug or alcohol education or treatment program for the three years prior application (Program Name. Dates, Hours, Supervisors). </li></ul><ul><li>Statement of fee you will charge </li></ul><ul><li>$25.00 application fee </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  5. 5. DUI Evaluator License Renewal <ul><li>Application form with updated info </li></ul><ul><li>Statement of fees </li></ul><ul><li>Verification of 12 hours of CEUs by </li></ul><ul><ul><li>Workshop Certificates </li></ul></ul><ul><ul><li>College Transcripts </li></ul></ul><ul><li>$25.00 renewal fee </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  6. 6. Licensure Examination Topics <ul><li>Statutes and rules governing evaluators and their evaluations </li></ul><ul><li>Physiological effects of alcohol/drugs </li></ul><ul><li>Withdrawal symptoms </li></ul><ul><li>Referral processes </li></ul><ul><li>12-step programs </li></ul><ul><li>Interview techniques </li></ul><ul><li>Screening tools </li></ul><ul><li>Professional conduct and ethics </li></ul><ul><li>Gender and cultural issues </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  7. 7. Statutes and Rules <ul><li>Idaho Code 18-8005(9) established the requirement for DUI Evaluations </li></ul><ul><li>Idaho Code 10-8005 (5) established the requirements for DUI Evaluators </li></ul><ul><li>IAC 16.06.08 gave DHW the authority to establish rules and minimum standards for DUI evaluators </li></ul><ul><li>Supreme Court Misdemeanor Criminal Rule 9.4 prescribed the format and content of the DUI report </li></ul><ul><li>Federal Regulations </li></ul><ul><li>42 CFR Part 2 </li></ul><ul><li>Confidentiality of Alcohol and Drug Abuse Patient Records </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  8. 8. Physiological Effects of Alcohol 06/22/11 <ul><ul><li></li></ul></ul>BAC .02 BAC .40 <ul><li>Reduces tension </li></ul><ul><li>lowers inhibitions </li></ul><ul><li>impairs concentration </li></ul><ul><li>slows reflexes </li></ul><ul><li>impairs reaction time </li></ul><ul><li>reduces coordination </li></ul><ul><li>slur speech </li></ul><ul><li>cause drowsiness </li></ul><ul><li>alter emotions </li></ul><ul><li>vomiting </li></ul><ul><li>breathing difficulties </li></ul><ul><li>unconsciousness </li></ul><ul><li>coma </li></ul><ul><li>Death </li></ul>
  9. 9. Chronic Effects of Alcohol <ul><li>Nervous System: loss of sensation hands/feet </li></ul><ul><li>Muscles: Weakness and loss of muscle tissue </li></ul><ul><li>Lungs: Infections </li></ul><ul><li>Liver: Liver damage including cirrhosis, hepatitis, </li></ul><ul><li>Pancreas: Pancreatitis </li></ul><ul><li>Sexual Organs - impotence and decreased sperm count , irregular periods, reproductive problems, pregnancy and birth problems </li></ul><ul><li>Brain: Cell damage, memory </li></ul><ul><li>Breasts: Risk of breast cancer </li></ul><ul><li>Heart: High blood pressure </li></ul><ul><li>Skin: Red nose and cheeks </li></ul><ul><li>Stomach: Inflammation, bleeding, and ulcers </li></ul><ul><li>Intestines: Inflamed lining and ulcers </li></ul><ul><li>Esophagus- bleeding </li></ul><ul><li>Blood: Changes in red blood cells </li></ul><ul><li>Hands and Feet: &quot;Pins and Needles&quot; and loss of sensation </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  10. 10. Acute Effects of Methamphetamine <ul><li>Increased alertness </li></ul><ul><li>Paranoia </li></ul><ul><li>Hallucinations </li></ul><ul><li>Aggressive behavior </li></ul><ul><li>Increased heart rate </li></ul><ul><li>Insomnia </li></ul><ul><li>Loss of appetite </li></ul><ul><li>Excessive talking </li></ul><ul><li>Panic </li></ul><ul><li>Delusions </li></ul><ul><li>False sense of power and confidence </li></ul><ul><li>Loss of interest in friends, sex or food </li></ul><ul><li>Emotional numbing </li></ul><ul><li>Acne, sores </li></ul><ul><li>Tactile delusions </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  11. 11. Chronic Effects of Methamphetamine <ul><li>Fatal kidney and lung disorders </li></ul><ul><li>Brain damage </li></ul><ul><li>Depression </li></ul><ul><li>Hallucinations </li></ul><ul><li>Permanent memory, attention, concentration problems </li></ul><ul><li>Violence </li></ul><ul><li>Paranoid delusions </li></ul><ul><li>Malnutrition </li></ul><ul><li>Loss of hair </li></ul><ul><li>Loss of teeth </li></ul><ul><li>Stroke </li></ul><ul><li>Liver damage </li></ul><ul><li>Severe impairment in </li></ul><ul><li>legal, financial social, and family role functioning </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  12. 12. Alcohol Withdrawal Symptoms <ul><li>Sweating or Rapid Pulse </li></ul><ul><li>Increased Hand Tremor </li></ul><ul><li>Insomnia </li></ul><ul><li>Nausea or Vomiting </li></ul><ul><li>Physical Agitation </li></ul><ul><li>Anxiety </li></ul><ul><li>Transient Visual, Tactile or Auditory Hallucinations or </li></ul><ul><li>Illusions </li></ul><ul><li>Grand Mal Seizures </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  13. 13. Methamphetamine Hydrocodone <ul><li>fatigue </li></ul><ul><li>long, disturbed periods of sleep </li></ul><ul><li>irritability </li></ul><ul><li>intense hunger </li></ul><ul><li>moderate to severe depression </li></ul><ul><li>psychotic reactions </li></ul><ul><li>anxiety </li></ul><ul><li>intense cravings for the drug </li></ul><ul><li>irritability </li></ul><ul><li>nausea or vomiting </li></ul><ul><li>muscle aches </li></ul><ul><li>runny nose or eyes </li></ul><ul><li>dilated pupils </li></ul><ul><li>sweating </li></ul><ul><li>diarrhea </li></ul><ul><li>yawning </li></ul><ul><li>fevers </li></ul><ul><li>chills </li></ul><ul><li>inability to sleep </li></ul><ul><li>depression </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  14. 14. Referral Processes <ul><li>Education or Treatment? </li></ul><ul><li>Match severity of client’s problem to level of education or treatment </li></ul><ul><li>Special needs of clients? </li></ul><ul><li>Three referrals </li></ul><ul><li>Private Providers and State approved Substance Abuse Treatment Programs </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  15. 15. 12 Step Programs <ul><li>The “tools of recovery,” common to all of the 12-Step Programs, include:Meetings (usually 60 - 90 minutes) </li></ul><ul><li>Sponsorship </li></ul><ul><li>Twelve steps </li></ul><ul><li>Twelve traditions </li></ul><ul><li>Service work </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  16. 16. Interviewing Techniques <ul><li>Physical environment </li></ul><ul><li>Reading level </li></ul><ul><li>Client’s language </li></ul><ul><li>Distractions </li></ul><ul><li>Confidentiality </li></ul><ul><li>Informed consent </li></ul><ul><li>Acceptance and respect vs. agreement </li></ul><ul><li>Empathy vs. Sympathy </li></ul><ul><li>Verbal vs. Nonverbal communication </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  17. 17. Approved Screening Tools <ul><li>Addiction Severity Index (ASI) </li></ul><ul><li>Michigan Alcohol (ASI) Screening Test (MAST) </li></ul><ul><li>Substance Abuse Subtle Screening Inventory (SASSI) </li></ul><ul><li>DSM-4 Criteria for Substance Abuse Disorders </li></ul><ul><li>Mortimer-Filkens Questionnaire with Interview </li></ul><ul><li>Compu-13 </li></ul><ul><li>Compu-15 </li></ul><ul><li>Substance Abuse Disorders Diagnosis Schedule(SUDDS) </li></ul><ul><li>Driver Risk Inventory II </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  18. 18. Professional Conduct and Ethics <ul><li>Non-discrimination </li></ul><ul><li>Competence </li></ul><ul><li>Client welfare </li></ul><ul><li>Confidentiality </li></ul><ul><li>Dual relationships </li></ul><ul><li>Receiving remuneration for referral of clients for professional services </li></ul><ul><li>Using one's relationship with clients to promote personal gain or the profit of an agency </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  19. 19. Gender and Culture Issues <ul><li>Gender Issues </li></ul><ul><li>Women have higher BACs </li></ul><ul><li>Higher risk for Cirrhosis </li></ul><ul><li>Higher risk for co-morbid disorders </li></ul><ul><li>Higher risk for O.B. complications </li></ul><ul><li>Higher risk for FAS </li></ul><ul><li>Risk for Domestic Violence </li></ul><ul><li>Cultural Issues </li></ul><ul><li>Cultural drinking norms </li></ul><ul><li>Attitude towards treatment </li></ul><ul><li>Cultural sensitivity </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  20. 20. Session Two Overview <ul><li>“ Treatment = Punishment” </li></ul><ul><li>Approved Screening Tools </li></ul><ul><li>Transtheoretical Model of Change and Stages of Change </li></ul><ul><li>Level of Care: Treatment or Education </li></ul><ul><li>Motivational interviewing </li></ul><ul><li>Making recommendations </li></ul><ul><li>Confidentiality, ethics </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  21. 21. Approved Screening Tools <ul><li>Addiction Severity Index (ASI) </li></ul><ul><li>Michigan Alcohol Screening Test (MAST) </li></ul><ul><li>Substance Abuse Subtle Screening Inventory (SASSI) </li></ul><ul><li>DSM-4 Criteria for Substance Abuse Disorders </li></ul><ul><li>Mortimer-Filkens Questionnaire with Interview </li></ul><ul><li>Compu-13 </li></ul><ul><li>Compu-15 </li></ul><ul><li>Substance Abuse Disorders Diagnosis Schedule(SUDDS) </li></ul><ul><li>Driver Risk Inventory II </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  22. 22. Transtheoretical Model of Change: Five Distinct Stages of Change <ul><li>Precontemplation: not seeing a problem </li></ul><ul><li>Contemplation: seeing a problem and considering whether to act </li></ul><ul><li>Preparation: making concrete plans to act soon </li></ul><ul><li>Action: doing something to change </li></ul><ul><li>Maintenance: working to maintain change </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  23. 23. Moving through the Stages <ul><li>Stages of Change </li></ul><ul><li>Precontemplation </li></ul><ul><li>Contemplation </li></ul><ul><li>Preparation </li></ul><ul><li>Action </li></ul><ul><li>Maintenance </li></ul><ul><li>Relapse </li></ul><ul><li>Processes of Change </li></ul><ul><li>1. Consciousness Raising </li></ul><ul><li>2. Environmental Re-evaluation </li></ul><ul><li>3. Dramatic relief </li></ul><ul><li>4. Self Re-Evaluation </li></ul><ul><li>5. Self-efficacy </li></ul><ul><li>6. Helping relationships </li></ul><ul><li>7. Contingency management </li></ul><ul><li>8. Counter conditioning </li></ul><ul><li>9. Stimulus control </li></ul><ul><li>10. Social liberation </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  24. 24. Assessing Stage of Change <ul><li>Readiness Ruler </li></ul><ul><li>Clinical Interview </li></ul><ul><li>TCU DRUG Screen </li></ul><ul><li>SOCRATES- Stage of Change Readiness for Treatment Scale </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  25. 25. Treatment vs. Education <ul><li>ASAM Treatment </li></ul><ul><li>DX: Substance Abuse or Dependence </li></ul><ul><li>Level 1-OP </li></ul><ul><li>Level 2-IOP </li></ul><ul><li>Level 3 IP </li></ul><ul><li>Level 4 IP </li></ul><ul><li>PPCR-2 used to classify intensity of tx required </li></ul><ul><li>Precontemplation to Maintenance </li></ul><ul><li>ASAM Early Intervention </li></ul><ul><li>May not meet DX for Abuse </li></ul><ul><li>At risk </li></ul><ul><li>ASAM .5 level </li></ul><ul><li>No individual tx plan defined </li></ul><ul><li>Precontemplation to Contemplation / Preparation </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  26. 26. Motivational Interviewing (MI) <ul><li>Miller and Rollnick (1991) - Counseling style used to enhance client’s use of the processes of change . </li></ul><ul><li>Principles of Motivational Interviewing </li></ul><ul><li>Express Empathy-seek to gain understanding </li></ul><ul><li>Develop Discrepancy-pros and cons of change </li></ul><ul><li>Avoid Argumentation-avoid labeling </li></ul><ul><li>Roll with Resistance-reflecting skills </li></ul><ul><li>Support self-efficacy-confidence and importance </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  27. 27. Examples of MI Counselor Behaviors <ul><li>“ That must have been difficult.” (sympathetic not appreciative) </li></ul><ul><li>“ You’ve accomplished a difficult task.” </li></ul><ul><li>“ It was your decision to come here today.” </li></ul><ul><li>“ Thank you for coming today.” </li></ul><ul><li>“ Would it be all right if I suggested something?” </li></ul><ul><li>Support </li></ul><ul><li>Affirm effort </li></ul><ul><li>Emphasize Control </li></ul><ul><li>Affirm appreciation </li></ul><ul><li>Advise with Permission </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  28. 28. Examples of MI Counselor Behaviors <ul><li>Client: “I don’t really have a problem with alcohol.” </li></ul><ul><li>Counselor: Drinking really hasn’t caused problems for you . </li></ul><ul><li>Your 18 drinks a week places you in the 96th percentile for men. </li></ul><ul><li>Tell me about your DUI. </li></ul><ul><li>Did you take the field tests? </li></ul><ul><li>Reflection </li></ul><ul><li>Giving Information </li></ul><ul><li>Open question </li></ul><ul><li>Closed question </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  29. 29. Case Studies <ul><li>Review Case study and reach consensus on : </li></ul><ul><li>Severity of problem </li></ul><ul><li>DSM Diagnosis </li></ul><ul><li>Stages of Change </li></ul><ul><li>Motivation for change </li></ul><ul><li>Recommendations for education or treatment </li></ul><ul><li>Reasons for recommendations </li></ul><ul><li>Recommended programs </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  30. 30. Session Three Overview <ul><li>Goals of Early Intervention </li></ul><ul><li>Picking Topics </li></ul><ul><li>Designing Learning Activities </li></ul>06/22/11 <ul><ul><li></li></ul></ul>Interventions for First Time Offenders
  31. 31. Goals of Early Intervention <ul><li>Consciousness Raising </li></ul><ul><li>Dramatic Relief </li></ul><ul><li>Environmental Reevaluation </li></ul><ul><li>Self reevaluation </li></ul><ul><li>Scope of DUI problem </li></ul><ul><li>Client’s quantity, frequency and pattern of use </li></ul><ul><li>DUI laws, Fines, penalties, jail </li></ul><ul><li>Effects of alcohol.drugs on driving </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  32. 32. Goals of Early Intervention <ul><li>Consciousness Raising </li></ul><ul><li>Dramatic Relief </li></ul><ul><li>(Emotional arousal) </li></ul><ul><li>Environmental Reevaluation </li></ul><ul><li>Self reevaluation </li></ul><ul><li>Emotional responses to Victim’s Panel or other testimonials </li></ul><ul><li>Feelings at time of arrest </li></ul><ul><li>Feelings since arrest about drinking behavior </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  33. 33. Goals of Early Intervention <ul><li>Consciousness Raising </li></ul><ul><li>Dramatic Relief </li></ul><ul><li>(Emotional arousal) </li></ul><ul><li>Environmental Reevaluation </li></ul><ul><li>Self reevaluation </li></ul><ul><li>Costs of DUI to community /society </li></ul><ul><li>Effects on friends and family </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  34. 34. Goals of Early Intervention <ul><li>Consciousness Raising </li></ul><ul><li>Dramatic Relief </li></ul><ul><li>(Emotional arousal) </li></ul><ul><li>Environmental Reevaluation </li></ul><ul><li>Self reevaluation </li></ul><ul><li>DUI vs. Personal Values </li></ul><ul><li>Financial costs of DUI </li></ul><ul><li>Personal costs of DUI </li></ul><ul><li>Future life goals and drinking /driving behavior </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  35. 35. Adult Learners… <ul><li>expect a learning climate that is interactive and mutually respectful. </li></ul><ul><li>diagnose their own needs and progress using interactive exercises, not lecture. </li></ul><ul><li>have a broad base of knowledge and experience they contribute to the learning situation. </li></ul><ul><li>learn by interacting and doing. </li></ul><ul><li>“ do not argue with their own data”-Bob Pike, author of Creative Training Techniques . </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  36. 36. Training Methods for Small Groups (up to 15) <ul><li>Traditional lectures </li></ul><ul><li>Participatory lectures/structured discussions </li></ul><ul><li>Open discussions </li></ul><ul><li>Brainstorming </li></ul><ul><li>T-group exercises </li></ul><ul><li>Self-tests </li></ul><ul><li>Case studies </li></ul><ul><li>Incident process </li></ul><ul><li>Warm-ups/Icebreakers </li></ul><ul><li>Energizers </li></ul><ul><li>Role plays </li></ul>06/22/11 <ul><ul><li></li></ul></ul>
  37. 37. Where to Get More Information <ul><li>Tom Wilson Counseling Center </li></ul><ul><li>514 So. Orchard, Suite 101 </li></ul><ul><li>Boise, ID 83705 </li></ul><ul><li>Ph 208-368-9909 Fax 208-388-1687 </li></ul><ul><li>Website: www.tomwilsoncounseling.com (/signup) </li></ul><ul><li>Email: [email_address] </li></ul><ul><li>Books: “Motivational Interviewing”, William Miller and Steve Rollnick </li></ul><ul><li>“ Changing for Good” Prochaska and Diclemente </li></ul>06/22/11 <ul><ul><li></li></ul></ul>

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