planning

Question 1

ICAN summary

Answer 1

Indicate you are doing a summary

mention change talk with ambivalence

next steps: how has this looked for you over the past few weeks
* how have you been with this?

Question 2

silence as a tool

Answer 2

pregnant pause

Question 3

dynamics of planning

Answer 3

goal: I want to drink less alcohol

specific actions: I will spend Friday and Saturday nights at home from 7pm until the next day

self-efficacy: I can spend time with my family on those dates and at those times

Question 4

good actions plans

Answer 4

action planning is smart

Specific, measurable, achievable, relevant, and timed

Question 5

ask

Answer 5

do you know…

what you will do
when you will do it
where you will do it
who will you do it with
how long you will do it for

Question 6

3 scenarios of planning

Answer 6

1. one way to arrive at the plan
2. several clear options
3. clear goal without clear way to get there

Question 7

Scenario 1: one clear way

Answer 7

summarize the plan

calling the CATs
– evoke activation
– getting more specific
– set a date
– preparing
– ask for commitment

trouble shoot

Question 8

troubleshooting

Answer 8

what might go wrong? (lapse/relapse prevention)

what are possible obstacles or unanticipated difficulties that could arise

Question 9

goal attainment scaling (GAS)

Answer 9

a method of scoring the extent to which a client’s individual goals are achieved

Priori establishment of criteria for a successful outcome in that individual, which Is agreed with the client before plan implementation starts so that both the client and the counsellor have a realistic expectation of what will be attempted and is likely to be achieved

each goal is rated on a point scale, with the degree of attainment captured for each goal area

Question 10

scenario 2: several options

Answer 10

path mapping:
1. confirm the goal
2. itemize options
3. elicit the client’s hunches/preferences
4. summarize the plan and strengthen commitment
5. troubleshoot

Question 11

scenario 3: collaborating

Answer 11

when it’s unclear what they want to do
* best path is unclear

1. confirm the goal
2. generate possibilities (avoid evaluation)
3. summarize
4. troubleshoot

Question 12

have a good picture

Answer 12

client should have a clear picture in their mind when they leave the session

Question 13

supporting change

Answer 13

• spirit of MI

flexible revisiting
– re-planning
– reminding: Darn, change ruler
– refocusing: refocus the task
– reengaging: oars

Question 14

summary: dynamics of planning

Answer 14

Confirm goal
summarize the plan
strengthen commitment
troubleshoot