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Motivational Counselling

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Information about Motivational Counselling
Spiritual-Inspirational

Published on October 8, 2008

Author: aSGuest590

Source: authorstream.com

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Motivational Counseling : Motivational Counseling Barry Wingfield, PhD Introduction : Introduction What was the last major life change you implemented? (i.e. job, health, family) Why did you do it? What did you have to overcome? What did you have to learn? Who’s help did you have to enlist? When did it become permanent? Patient-Friendly Technology for Health Improvement : Patient-Friendly Technology for Health Improvement Internet and email Using Patient-Friendly Technology for Health Improvement : Using Patient-Friendly Technology for Health Improvement Internet and email Using Patient-Friendly Technology for Health Improvement : Using Patient-Friendly Technology for Health Improvement Internet and email On-site computer fitness aids Definition : Definition Motivational Counseling interventions in clinical care are those activities delivered by primary care clinicians and related health care staff to assist patients in adopting, changing, or maintaining behaviors proven to affect health outcomes and health status. It denotes a cooperative mode of work demanding active participation from both patient and clinician that aims to facilitate the patient’s independent initiative to positive health behaviors. Rationale for Motivational Counseling in Clinical Care : Rationale for Motivational Counseling in Clinical Care It’s expected by the patient! (92-95% of adult members of a HMO indicated that they expected to receive advice and help from the health care system in key behaviors, such as diet, exercise, and substance use.) Rationale for Motivational Counseling in Clinical Care : Rationale for Motivational Counseling in Clinical Care It’s different from Screening interventions. Motivational Counseling… Addresses complex behaviors that are integral to daily living. Varies in intensity and scope from patient to patient. Requires repeated action by both patient and clinicians, modified over time, to achieve health improvement. Is strongly influenced by multiple contexts. Required Elements for MC to Effect Positive Health Behavior Change : Required Elements for MC to Effect Positive Health Behavior Change The Health Belief Model is based on the following sequence of events for behavior change to occur: 1. The person must believe that his or her health is in jeopardy. 2. The person must perceive the potential seriousness of the condition in terms of pain or discomfort, time lost from work, economic difficulties, and so forth. 3. On assessing the circumstances, the person must believe that benefits stemming from the healthy behavior outweigh the costs and are indeed possible and within his or her grasp. 4. There must be a “cue to action” or a precipitating force that makes the person feel the need to take action. Required Elements for MC to Effect Positive Health Behavior Change : Required Elements for MC to Effect Positive Health Behavior Change The Provider Belief Model is based on the following elements for behavior change to occur: 1. The provider must believe that positive change can occur and can benefit the patient. 2. The provider must believe that there is adequate time for them to effectively intervene. 3. The provider must be confident that they possess the training and interpersonal skills needed to effectively intervene. 4. The provider must have access to adequate supportive resources. Rationale for Motivational Counseling in Clinical Care : Rationale for Motivational Counseling in Clinical Care Your patients will change! The question is whether they will do so proactively in a positive direction or not! (Staying the same is harder than changing!) How to Motivate Patients for Change : How to Motivate Patients for Change The Five A’s Assess Advise Agree Assist Arrange Assess : Assess Standard clinical assessments Ask about behavioral health risks and factors affecting choice of behavior change goals/methods Define the problem in behavioral terms. Assess previously attempted solutions. Advise : Advise Give clear, specific, and personalized behavior change advice, including information about personal health harms/benefits. “As you ____, _____, and ______, your condition will worsen or improve in these ways ____, _____, _____. Set minimum goals for change. Avoid previously attempted solutions! Agree : Agree Collaboratively select appropriate treatment goals and methods based on the patient’s interest in and willingness to change behavior. Seek understanding as to how the patient sees themselves, the problem, and those related to the problem. Use these views to frame suggestions for goal oriented solution behavior. Assist : Assist Using behavior change techniques (self-help and/or counseling), aid the patient in achieving agreed-upon goals by acquiring the skills, confidence, and social-environmental supports for behavior change, supplemented with adjunctive medical treatments when appropriate. Refer to, and collaborate with, behavioral health professional quickly if needed. Seek and encourage biopsychosocial health care training! Arrange : Arrange Schedule follow-up contacts (in person or by telephone) to provide ongoing assistance and support and to adjust the treatment plan as needed, including the referral to more intensive or specialized treatment. Interventions to help patients change unhealthy behaviors often require repetition over time for modest effects. Be willing to offer accountability.

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