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Hitting the MarkHitting the Mark
Introduction
•Working in pairs discuss with your partner what you think are the top 2 features in a good quality 5-Step Method intervention•Write these two features on a post it and stick it to flipchart
Common Features of a Good Common Features of a Good Quality InterventionQuality Intervention
1. Listen actively, summarise and ask relevant questions2. Structure the session and timing to follow all criterion
within each step3. Help FM explore issues, look at the advantages and
disadvantages and elicit choices so the FM reaches a deeper/acceptance
4. Normalise and give realistic optimism5. Manner and relationship
The importance of self-assessment and work reports
Listen Actively, Summarise Listen Actively, Summarise and ask Relevant Questionsand ask Relevant Questions
• Summarise every 10 minutes and check with FM if you have ‘got it’ and relate back to 5-Step criteria
e.g. “So you have said a lot about the stresses x causes you, can I just check I have understood these correctly. Say what they are and then say so which of these causes you the most stress”.
• Explore, with relevant questions to gain the specific examples, make it real.
Skills Practice:• Using reflective statements• Guide from a general discussion to providing specific examples
Structure the session and timing to Structure the session and timing to follow all criterion within each stepfollow all criterion within each step
• You are there to guide the FM through the Step• Knowing the intervention well helps it to flow• The benefit to FMs of a structured yet relaxed
session• Encourage FMs to use the handbook• Audio Clips• Pulling the session back – useful phrases
Help FM explore issues, look at the Help FM explore issues, look at the advantages and disadvantages and elicit advantages and disadvantages and elicit
choiceschoices• Get the FM to generate a list of the issues – then support
them to go through the advantages and disadvantages• Resist the temptation to come in with the answers (non-
directive and non-judgmental)• Eliciting choices can be difficult – TINA & TAAA• There may not be a solution• Again ask the FM for specific examples from the previous
week• Audio Clip• Trainees find 4.5 difficult – Why do you think that is?
Normalise and Give Realistic Normalise and Give Realistic OptimismOptimism
• Counsellor says at least once in every session that other FMs often report this, very normal for FM to feel like this or have these symptoms
• Be realistic that FM can change how they are supported/cope and this may help FM but may not be able to change person with drug problem
• Audio Clips
Manner and Manner and RelationshipRelationship
• All did this very well• Put FM at ease, could hear them smiling in the
tapes – showed warmth and empathy• Thanked them for coming, said many people
find it difficult and hear to listen to you and how things have been
• Audio Clips
QuestionsQuestions
What do you consider the TWO most important features of a good quality session?
How can reporting in this way (i.e. recording sessions and submitting them for assessment) help the work practice involved? (Prioritise maximum TWO)
What are the challenges in this way of reporting? (Prioritise maximum TWO) How might these be dealt with?