1. SUMMARIES Molly Kellogg Step by Step Training 2013

2. oars • Open questions • Affirm Efforts and Strengths • Reflect • Summarize

3. Outline • Why summarize? • What is effective summarizing? • When to summarize? • How to use summaries effectively

4. Why summarize? Life is not holding a good hand; Life is playing a poor hand well. Danish proverb

5. What you do… Collect the main themes from the client and reflect them as a statement

6. Time to summarize… • Throughout the contact • At the end of contact

7. What summarizing sounds like… Let’s see if I’ve heard you right, Mrs. Jones… You are worried that your son is still using a bottle all day and know this may be contributing to his excess weight gain. You’ve been offering him a cup at meals and are pleased that he seems to be able to use it. You are not ready yet to put him to bed without a bottle. You liked my idea of bringing a sippy cup when you are out and will start doing that today. Have I missed anything?

8. When to summarize… • When you want to ask for action • Prior to shifting gears • When you hear ambivalence and want to open the idea of exploring it further • When you want to give advice and expect resistance • At the end of a session

10. wrap up / refocus

11. ambivalence • Double sided reflection • Ask permission

12. Give advice • Affirm • Ask permission

13. End of contact • Commitments

14. What to include… • Change talk: desire, ability, reasons, need • Steps taken already • Commitments • Ask for a response

15. Reflect change talk

16. Steps taken already • x

17. Commitment

18. Sustain talk

19. Ending the conversation • Did I get it all?

20. What summarizing does… • Shows you have been listening and remembering… • Helps you pull together the themes • Allows you to confirm your image of what is true

21. What summarizing does… • Reemphasizes certain aspects or ideas • Sets up opportunity to ask for action • Helps you shift gears • Client hears own motivations all together

22. Reemphasize • Repeat reframes • Selectively include change talk

23. Shift gears / move on

24. client hears own motivation • Empowering

25. Summaries help us refocus on things that we are adequate at and therefore get unstuck.

26. Practice summarizing… • Write what to include on a sticky note • Form a summary of an observed session • Practice summarizing a typical client session • Say your summary out loud

27. Practice…practice…practice It takes a lot of practice before summaries are easy …have fun with them! Molly Kellogg