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Greater Trenton Behavioral HealthCare . Focus on the First Two Stages of ChangeEngagementIdentify with consumerProve yourself to be trustworthyProving yourself as relevant by making yourself usefulEarning trust so you can be invited inEarning respect by showing respectPersuasionFunctional As
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1. Greater Trenton Behavioral HealthCare
Engaging the Ambivalent Consumer:
Assuming Responsibility
So Consumers Can Do the Same
Presenters: Vivienne Stewart, Director Housing Services
Tony Towns, Coordinator Corrections Program
John Monahan, President & CEO
2. Greater Trenton Behavioral HealthCare Focus on the First Two Stages of Change
Engagement
Identify with consumer
Prove yourself to be trustworthy
Proving yourself as relevant by making yourself useful
Earning trust so you can be invited in
Earning respect by showing respect
Persuasion
Functional Assessment
Taking respect to the next level
3. Greater Trenton Behavioral HealthCare Engagement Step 1: Identify with the Consumer
What makes it possible for you to empathize with consumers?
Were you ever homeless?
Hospitalized with a mental illness?
Beaten up on the street?
Addicted to substances?
Incarcerated?
What do you have in common with the consumer?
Do you see yourself in the consumer?
If you don’t, can you really help him/her?
4. Greater Trenton Behavioral HealthCare Engagement Step 2. Prove you are trustworthy
Are you trustworthy?
What about you makes you trustworthy to someone who may have difficulty trusting?
How do you prove yourself to the consumer?
Do you feel that you need to prove yourself?
Proving yourself
via case management and problem-solving
based on what the consumer wants
5. Greater Trenton Behavioral HealthCare Engagement Step 3. Show respect to earn respect
Do you respect him/her?
If you don’t agree with many of the lifestyle choices, how can you respect him/her?
What does respect mean to the consumer?
On the street ? respect = how well you can fight
In the neighborhood ? mental illness = disrespect
In the family ? How much love was there? Or respect? Or boundaries?
Does the consumer respect him/herself?
How can you help the consumer respect him/herself?
What if self-respect for the consumer = not having a mental illness?
= not receiving mental health services
What if self-respect for the consumer is not seen as an option?
Psych eval and med mgmt thru BermPsych eval and med mgmt thru Berm
6. Greater Trenton Behavioral HealthCare Persuasion = Functional Assessment
Needs
What does consumer want?
Obstacles/problem behaviors in the way?
Other ways to get what he/she wants?
Obstacles/Problem Behaviors
What’s right about them?
Other ways to get the need met?
What works and what does not?
Skills
Empathy, Building Discrepancy, Change Talk, Roll with Resistance, Supporting Self-efficacy, Collaboration, etc.
7. Greater Trenton Behavioral HealthCare
Youth not admitted after 17; can stay until 19th birthday if needed. DD kids kept as long as they are in school.
Youth attend after school up to 5 days per week; 3-5 hours per day
Youth come in after school; number of hours vary based on when they get. During summer and school holidays, come in for full day.Youth not admitted after 17; can stay until 19th birthday if needed. DD kids kept as long as they are in school.
Youth attend after school up to 5 days per week; 3-5 hours per day
Youth come in after school; number of hours vary based on when they get. During summer and school holidays, come in for full day.