Biopsychosocial Support for Client|

8/9/2019 Biopsychosocial Support for Client|

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IOPSYCHOSOCIAL SUPPORFor Client


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RAPPORT

Rapport is a state of harmoniousunderstanding with another individual orgroup that enables greater and easier

communication. In other words rapport isgetting on well with another person, orgroup of people, by having things incommon; this makes the communication

process easier and usually more e ective.


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RAPPORT !he "rst task in successful interpersonalrelationships is to attempt to buildrapport. #uilding rapport is all about

matching ourselves with another person.For many, starting a conversation witha stranger is a stressful event; we canbe lost for words, awkward with our

body language and mannerisms.Creating rapport at the beginning of aconversation with somebody new willoften make the outcome of theconversation more positive. $owever


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RAPPORT

BUILDING RAPPORT:'urpose( !o build the capacity ofparticipants to build rapport withpatients.)earning *utcomes(#y the end of this session, participants

will(+nderstand the relevance and value ofrapport.

Recogni e the impact of non-verbal andverbal behavior on the atient and


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RAPPORT

BUILDING RAPPORT:)earning *utcomes(

trengthen non-verbal and verbal skillsin building rapport.Recogni e that we think of di erentpeople in di erent ways, and this a ects

how we behave towards them.+nderstand that respect is a core valuefor how we can put patients at ease.

trengthen skills to show respect toatients.


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RAPPORT: Introduction to the !opic

TRAINING STEPS:tep /( 0 1(

0s health workers we have tocommunicate with patients every day,but we may not be communicating aswell as we can, in order to make our

interactions with our patients useful andproductive.In this "rst module on communication,we are going to learn about how wereceive patients and how we listen to


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RAPPORT: Introduction to the !opic

TRAINING STEPS:tep /( 0 1(

2e will learn how these two skills canimprove our interactions with patientsand improve how we feel about the workwe do.

)et3s start with a role play to get usthinking about building rapport, whichmeans building a good relationship withyour patient, and how we listen to ourpatients.


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RAPPORT:

TRAINING STEPS:

ACIVITY #1:Role Playith a T ai!e "


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RAPPORT:

UESTION"

Ho$ %i% thei!te a&tio! 'a(e

yo) *eel+


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RAPPORT:

UESTION"

What %i% the $o (e %to 'a(e the ,atie!t

*eel that $ay+


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RAPPORT:

UESTION"

hat a e the &o!-e.)e!o! the /othe +0o! he lea !i! o! $hat i- $ o!

$ith he &hil%+! he a2ility to )!%e -ta!% a!% e'e'

$hat a%3i&e -ho)l% 2e i3e!+


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RAPPORT:

UESTION"

hat a e the &o!-e.)e!o! the /othe +0o! he $illi! !e-- to &o'e 2a&(

To the &li!i&+


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RAPPORT:

UESTION"

at i- the e-)lt yo) $oa!t *o thi- /othe a!

&hil% a*te thi-&o!-)ltatio!+


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RAPPORT:

ACIVITY #1:

hi!(i! a2o)The To,i&""


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RAPPORT:

UESTION"

hy %o yo) thi!( $e 2eha3 %i4e e!tly to$a %-

the-e %i4e e!t ,atie!t-+


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RAPPORT:

UESTION"

Ho$ $o)l% yo) li(e healt$o (e - to 2eha3e+


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RAPPORT:

UESTION"

Ho$ &a! $e -ho$ e-,e&t$he! e&ei3i!,atie!t- * o' %i4e e!t

2a&( o)!%-+


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RAPPORT:

ACIVITY #5:

Role Play


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RAPPORT:

UESTION"

hat a e the 2e!e6t- to )- aealth $o (e - i* $e a e a2le-ta2li-h oo% a,,o t a!% ha oo% .)ality i!te a&tio!+


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RAPPORT:

UESTION"

ea &h ha- -ho$! ho$ lo! it ta to 2)il% a,,o t"

Ho$ lo! %o yo) thi!( it ta(e-+


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RAPPORT:

SU//ARY:Re4ecting on the e&perience of a patientthrough role play gets us thinking aboutbuilding rapport, which means building agood relationship with a patient, andhelps us to recogni e the skills that help

us to listen to our patients.$ealth workers sometimes behavedi erently towards di erent peoplebecause they make 5udgements about

people.


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RAPPORT:

SU//ARY:$ealth workers need to work towardshaving an e6ual approach to patients.

!he 7umber *ne way to show e6uality isthrough respect

*ther ways include(

#e approachable8ake eye contact

mile


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RAPPORT:SU//ARY:

*ther ways include(9reet the patient

tand up when the patient enters theconsultation room+se appropriate languageInvite the patient to start theconsultation0sk the patient to be seated:nsure the patient is comfortable before

beginning to talk or asking any more


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RAPPORT:SU//ARY:

2hat are the bene"ts to us as healthworkers if we are able to establish goodrapport and have a good 6ualityinteraction8akes me feel betterI give a better diagnosis

8y day is more en5oyableI get a good reputationIt makes others around me happy

It takes only


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RAPPORT:HELP7UL RAPPORT BUILDINGBEHAVIORS:If you are sitting then lean forward,towards the person you are talking to,with hands open and arms and legsuncrossed. !his is open body languageand will help you and the person you aretalking to feel more rela&ed.)ook at the other person forappro&imately >=? of the time. 9iveplenty of eye-contact but be careful not

to make them feel uncomfortable.


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RAPPORT:HELP7UL RAPPORT BUILDINGBEHAVIORS:+se the other person3s name early in theconversation. !his is not only seen aspolite but will also reinforce the name inyour mind so you are less likely to forgetit@

0sk the other person open 6uestions.*pen 6uestions re6uire more than a yesor no answer.+se feedback to summari e, re4ect and

clarify back to the other person what


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RAPPORT:HELP7UL RAPPORT BUILDINGBEHAVIORS:

!alk about things that refer back to whatthe other person has said. Find linksbetween common e&periences.

!ry to show empathy. Aemonstrate thatyou can understand how the other

person feels and can see things fromtheir point of view. 2hen in agreementwith the other person, openly say so andsay why.

#uild on the other person3s ideas.


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RAPPORT:HELP7UL RAPPORT BUILDINGBEHAVIORS:#e non-5udgemental towards the otherperson. )et go of stereotypes and anypreconceived ideas you may have aboutthe person.If you have to disagree with the other

person, give the reason "rst then sayyou disagree.0dmit when you don3t know the answeror have made a mistake. #eing honest

is always the best tactic, acknowledging


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RAPPORT:HELP7UL RAPPORT BUILDINGBEHAVIORS:#e genuine, with visual and verbalbehaviors working together to ma&imi ethe impact of your communication.* er a compliment, avoid criticism andbe polite.


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BIOPSYCHOSOCIAL

ASSESS/ENT

DE7INITIONS:S& ee!i! determines eligibility andappropriateness for participation in drugcourt, and to identify areas for services.A--e--'e!t helps to identify speci"ctypes of services and determine theintensity of treatment levelD neededintensity of treatment levelD needed.E3al)atio! identi"es psychological

identi"es psychological, cognitive, andsocial issues which a ect treatment


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BIOPSYCHOSOCIAL

ASSESS/ENT


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BIOPSYCHOSOCIAL

ASSESS/ENTSCREENING:

Goal: !o identify potential candidates for

intervention as early as possible in their criminal 5ustice processing, and to interrupt their cycles ofaddiction and crime.

S& ee!i! a!% A--e--'e!t I--)e-:o

creening should be completed as early creeningshould be completed as early as possible.o 8otivation for change is elevated in the beginning.

2e want to capitali e on it.o )egal screening is sometimes in con4ict with

screening for addiction and health issues@


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BIOPSYCHOSOCIAL

ASSESS/ENTNOTE!

A persons receptiveness and motivationchangesso their answers on screeningmay change. This is why it is important toscreen all along the pathway through thelegal system.


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BIOPSYCHOSOCIAL

ASSESS/ENTASSESS/ENT:0ssessment ascertains what areas need to beaddressed in the client3s life for treatment to bee ective life for treatment to be e ective.It may include testing or other instrument thatyields whole or other instrument that yields

whole life data.0reas of concern may be work, family, marriage,past trauma, legal problems, psychologicalhistory, living situation as well as level andseverity situation as well as level and severity ofaddiction.


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BIOPSYCHOSOCIAL

ASSESS/ENT

ASSESS/ENT:

*The absolute rule: Continuing assessmentis necessary


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BIOPSYCHOSOCIAL

ASSESS/ENTASSESS/ENT:0ssessment Issues to cover(

'ersonal and family history)egal history )egal history -arrests, domesticarrests, domestic violence, violentconvictions, and 5uvenile history$istory of substance abuse and treatment-types of drugs used and preferences8ental health history, suicide psychiatrichospital 0dmissions and counseling1nown developmental problems


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BIOPSYCHOSOCIAL

ASSESS/ENT

ASSESS/ENT:0ssessment Issues to cover(:ducational history literacy and :ducationalhistory, literacy, and current status:mployment history and status :mployment

history and status-5ob losses and why, werethey substance abuse related8otivation'articipant3s conception of needs

Client goals and aspirations


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BIOPSYCHOSOCIAL

ASSESS/ENT

ASSESS/ENT:'sychological :valuation(

!he 'sychological :valuation makes adiagnosis of the client3s mental conditionbased on history, testing, and interview.

It provides insight into the severity of theproblems that may have been addressed inthe assessment addressed in theassessment.

It is usually done by a psychologist.


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BIOPSYCHOSOCIAL

ASSESS/ENTASSESS/ENT:+se of 'sychological Information(2ith ob5ective and helpful recommendations,the psychological evaluation makes thetreatment plan easy for the counselor toconstruct.

+se for treatment*ften needed for referral to a higher level ofcare0n e&cellent treatment tool with the client)abeling Ewatch out@


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BIOPSYCHOSOCIAL

ASSESS/ENT

EVALUATION9 TREAT/ENT LIN AGE:2ithout knowing what is wrong with theclient, we cannot possibly treat him.2ithout knowing what treatmentcomponents to use, we cannot e ectivelyevoke change in the lives of our clients ourclients.

anctioning 5ail, etc.D cannot change theclient in the absence of e ective client in

the absence of e ective treatment


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BIOPSYCHOSOCIAL

ASSESS/ENT

EVALUATION9 TREAT/ENT LIN AGE:0dmission Criteria('otential for change0bility to handle verbal information:ducation advancement potential

Compliance and change potential of familyeverity of addiction or lack of addictionD

0ge

'robation3s relation to program length


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BIOPSYCHOSOCIAL

ASSESS/ENTEVALUATION9 TREAT/ENT LIN AGE:0dmission Criteria(Cost at admission8ental health co-occurring disordersD

trengths and weakness

:mployment resourcesCognitive de"cits Cognitive de"cits

ecurity and public safety8otivation#io-social Issues


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BIOPSYCHOSOCIAL

ASSESS/ENTEVALUATION9 TREAT/ENT LIN AGE:*ther information necessary for treatment(Current test results and probation status

udgment and summary-crime facts)egal history

8edical history and current 8edical historyand current medicationInformation from other treatment programsCourt order


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Biopsychosocial Support for Client|

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