CanAm Intervention Training - April 9th - 11th, 2021 A Motivational & Inspirational
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CanAm Intervention Training
April 9th - 11th, 2021
A Motivational & Inspirational
Intervention PresentationDR. HARRY TIEBOUT IN THE 1950’S DR. TIEBOUT LAMENTED THAT PEOPLE WORKING IN THE TREATMENT FIELD DID NOT STAY LONG ENOUGH TO TRULY CONTRIBUTE TO THE FIELD. HE CALLED UPON CLINICIANS TO STAY INVOLVED IN THE TREATMENT OF ALCOHOLISM AND TO SPEAK AND WRITE ABOUT THEIR CLINICAL EXPERIENCES SO THAT “A BODY OF ACCEPTED PRACTICE CAN BE ACQUIRED”. SLAYING THE DRAGON: BY WILLIAM WHITE
Traditional Recommendation A. Tough love B. Let them bottom out C. Want them to “come in” or “surrender” D. Capable to make the decision
Motivational Intervention A. Saves lives, offers hope, refined technique B. Modify, adapt and personalize, incorporate your personality, and accept the case challenge C. Been utilized in connection with: alcohol, other drug addiction, eating disorders, gambling, sexual addiction, nicotine, heart disease, diabetes, cancer, elderly, T.V., Internet.
Defining Motivational Intervention Motivational Intervention is a proud and wonderful experience. It is to honor, to not force the recipient in accepting the solution as a gift. The group’s goal is to have presented with dignity and to know they gave all their energy, time, and commitment under one roof, then to release emotionally and go on with their lives. • Springboard Effect • Unstick Patient and Family • Foundation Energy • Moment in One’s Life
The deep intensity of caring individuals
united to support one member is the
main ingredient
of the Intervention presentation,
and the group’s public declaration of love for
one of its members is what makes the
Intervention inspirational.The Spiritual Umbrella
Seven Needs the Public Demands
1. Accelerate Procedure
2. Personalize for the Family
3. Service-Oriented
4. Interventionist is a Major Participant
5. In-Home - 95%
6. Motivational Procedure
7. Unconditional PresentationThe Storti Model I. Inquiry II. Assessment III. Preparation IV. Intervention V. Follow Up
The Storti Model I. Inquiry II. Assessment III. Preparation IV. Intervention V. Follow Up
Inquiry • 15 – 30 minutes • Hope – 150 Rule • Does Case Warrant Intervention? • Brief Evaluation/Profile • Feel Doable “Smell Red Flags” • Qualify Case • Assessment as Start of Foundation • Send History/Nucleus
The Storti Model I. Inquiry II. Assessment III. Preparation IV. Intervention V. Follow Up
Assessment • Nucleus Group (1-5) • Case – Dissect, Profile, Sensitive Issues • Element of Surprise (30%) • Challenge of Mix of People (50 %) • Goals – Short and Long Term • Risks • Find a Hook • Positives • Describe Intervention Process (20%) • Treatment Model
The Storti Model I. Inquiry II. Assessment III. Preparation IV. Intervention V. Follow Up
Prepare Yourself • Stay in the Zone • Read the Group ASAP • Find Qualities (vs. Negatives) • Create Chemistry • Don’t Break Character • 7 Second Rule • La Bella Figura
Carrying The Baton “MY FANTASY WAS OF A PARADE” HE REPLIED, SMILING. BUT I WANTED TO LEAD IT, AND MY GRANDMA, SARAH, TOOK CARE OF THAT. SHE TOLD ME WHAT IT TAKES TO CARRY THE BATON. YOU CAN’T LOOK AWAY FOR A MOMENT, OR YOU’LL LEAD THOSE DRUMMERS ASTRAY. YOU CAN’T GET BORED, OR YOU’LL MISS THE BEAT. YOU HAVE TO WATCH WHERE YOU’RE MARCHING, OR YOU’LL HUMILIATE YOURSELF. THE BATON CARRIES A LOT OF RESPONSIBILITIES, AND THE MAN OR WOMAN HOLDING IT HAS TO LEAD. I’VE NEVER FORGOTTEN THAT. I WANTED TO EXCEL.
Prepare Participants • Rescue Urgency • Success Elements • More Information Gathering • Intervention Procedure • Detail Intervention Particulars
Preparation Particulars
Preparation Checklist ü Patient Availability ü Group Presence ü Solution ü Yeah, buts… ü Escort ü Account Guarantor
The Storti Model I. Inquiry II. Assessment III. Preparation IV. Intervention V. Follow Up
Intervention Goals Short Term a) Patient is Available b) Patient Sits Down c) Patient Listens Long Term a) Patient Accepts and Goes Treatment b) Stays in Treatment c) Accepts Continuum of Care
3 Elements of Success
Conversation
20% Surprise
Participants
50%Non - Invitational
Stunning Effect creates
an imbalance of defenses.
• Diffuse • Speechless • Anesthetic
• Agreeable • Upset • Distant
• Aggressive • Adverse
ReactionParticipants
People Mix Audio Visual
• Relatives • Letters
• Neighbors • Audio
• Clergy • Phone
• Mentor • Email
• Coach • Video
• Colleague
• FriendsConversation
i. Heart To Heart
Most Inventions Stay In This Phase With Commitment
To Treatment, Closing Remarks And Escorting To The
Center.
ii. Specifics
Intervention Will Move To This Phase If It’s Contested
Or There Is A Need Of Understanding Of Urgency.
iii. Future Concern
If Patient Will Not Accept The Solution, You Want To
End With Dignity And Respect.I. Heart to Heart
Cue “You might want to express your feelings”
1. Why I’m There
2. I Remember When
3. I’m Concerned With
This first phase approach is attractive to
participants and acceptable to the patient. It’s
the emotional appeal that connects with the
heart.II. Specifics
Cue “Jim, you might be more specific.”
1. Specific Example
2. Incidents Concerning Behavior
3. Concern per Participant (40/60 Rule)
If there’s no concern, stay with:
a. Encouragement
b. Advantages in Accepting SolutionIII. Future Concern
Cue “Jane, with Bill not getting help today,
what is your concern?”
1. Self Concern
2. Disappointment
3. Patient’s Responsibility
4. Emotional Withdrawal from Roller Coaster
Ride
5. Group’s Completion of Goals
6. Debrief, Safety Valve
7. Letters of Encouragement and BrochureOne-Minute Prep 1. Be Themselves 2. Speak from the Heart 3. Stay with the Theme of the Treatment Acceptance Today 4. Stay Unified
Roadblocks to Success
1. Risks
2. Interventions Can Erupt
3. Red Flags1. Risks • Timing • Vindictive • Disappointment • Threatening • Bolt • Suicidal • Outcome • Confidentiality • Distortion • Unified
2. Why Interventions Erupt • Poor Assessment • Poor Preparation • No Chemistry • “Yeah, buts” Not Addressed • Intervention Premature Ending • S/O Sabotage
3. Red Flags • Erratic/Bizarre Behavior • Abuses Spouse • Ultra Fragile • Weapons • S/O under 1 Year • Unrest in Nucleus Recovery • Lack of Documentation • Highly Theatrical • Highly Pampered • History of Upstaging Message • Tried Suicide • Bolter/Defiant • Lawsuit Prone • Unapproachable
Sidestepping Obstacles
• Possible Softer Approach
• Other Alternatives?
• 2nd Opinion
You risk a feeling of incompletion if
patient bolts or could not start/complete.Intervention “Surgery” • Incision • Explore & Probe • Suture
Incision
1. My Mental Preparation Before
Walking in The Door
• Visualization
• Dedicate Case
• Practice Start (Verbally/Mentally)
• Careful Eating/Caffeine
• Be Early to the Pre-Meeting Area
• CBA
• Model Behavior You Want MirroredIncision 2. Start your Presentation 3. First Five Minutes 4. Words Flow at Start
Explore and Probe The Intervention Presentation 1. Present Solution 2. Interweave Participants 3. Explain Treatment 4. Involve Friends and Family 5. Option - Phase II or III
Suture Close 1. Commitment to Group 2. Brief Ending per Participant 3. Activate Escort Team
Escort Team
The Storti Model I. Inquiry II. Assessment III. Preparation IV. Intervention V. Follow Up
V. Follow Up • Facility • Confirm Admission with Contact • Verbal Report to Case Manager • Written Report passing Personal Information • First 72 Hours Phone Communication with Family Contact • Troubleshoot Case • Help Family with Delayed Reaction Ongoing for Few Months
The wonderful thing about self is that you’ll leave behind something that is not tangible. It’s a great spiritual something. That’s what you are. If you develop that, you’ll leave it with everyone you touch.
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