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Effectively Engage with Reluctant Clients to Develop Service Plans that Work Curriculum

Intended Audience

This training is intended for advanced level Adult Protective Services workers and their MDT partners (e.g. public guardians, public health nurses working with the elderly, mental health professionals, etc.).

Learning Objectives

  • Identify the factors that contribute to a client’s or family member’s resistance
  • Gain skills that would enhance the movement towards growth and change
  • Gain skills that would minimize the fear of change
  • Recognize defensiveness, pathology and regression in the client
  • Gain skills to help the resistant client manage the anxiety around change rather than the anxiety of the status quo


Competencies

This training specifically addresses the following NAPSA competencies:

  • Professional Communication Skills (9) including trust and relationship building and engagement techniques.
  • Theories of Self Neglect (10) including cultural/ social aspects of self neglect.
  • Intake Process (16) which includes strategies for dealing with refusal of access by client.

Effectively Engage with Reluctant Clients to Develop Service Plans that Work: Plan for the Day

TIME

TOPIC/ACTIVITY

9:00 – 9:15

Welcome and trainer introduction. Overview/goals of project

Session goals, objectives, agenda.

Housekeeping

9:15 – 9:45

Defining Resistance:

  • Understand the role of resistance
  • Learn how to recognize resistant behavior
  • Identify verbal & non-verbal cues
  • Identify worker’s internal responses to resistance

 

9:45 – 10:30

Transfer of Learning Activity : Case Examples

  • In this activity, small groups will brain storm those characteristics that lead a worker to label a client as “reluctant/resistant” for 15 minutes.
  • The trainer debriefs the class and captures the characteristics on a flip chart.
  • The trainer identifies those characteristics that inhibit change and provides some insight into how to respond.
  • Ethical concerns are discussed.

Addresses Cultural Diversity and Ethics requirement

10:30 – 10:45

Break

10:45 -- 11:00

The angry/raging client:

  • Factors that motivate anger and rage are discussed.
  • The group is asked for their experiences dealing with angry clients. (Transfer of Learning Activity)
  • Strategies for dealing with angry clients are provided.

11:00 – 11:45

Show a 23 minute video about angry clients:

  • The trainer will debrief the video and acknowledge the characteristics of resistant clients that the group had discussed earlier.

11:45– 12:00

Provide group affirmation for the difficulty of the work they do.

12:00 – 1:00

LUNCH

1:00 - 1:30

Violent/Aggressive Behavior:

  • Worker concerns when dealing with violent clients
  • Differentiating between angry and violent clients
  • Skills and techniques for dealing with potentially violent clients are presented.

1:30 – 2:00

The role of grief and loss:

  • The trainer will discuss how un-grieved losses translate into isolation, alienation and a general sense of despair.
  • The connection between anger and depression is explored.

2:00 – 2:30

Substance abuse:

  • The trainer will point out how substance abuse effects family dynamics; causing co-dependency, domestic violence, financial chaos and poor boundaries.

2:30 – 3:00

Guilt as resistance:

  • The grief - anger – depression connection
  • Gender differences in depression

3:00 -3:15

BREAK

3:15- 3:45

Shame as resistance:

  • Shame is defined and differentiated from guilt
  • The shame/rage spiral is presented
  • The resistant behaviors of individuals experiencing shame are highlighted.

3:45- 4:15

Transfer of Learning Activity

Role Playing :

  • Working in dyads, trainees will practice active listening, empathy and validation as another person talks about an experience of guilt and then an experience of shame.
  • Trainees are then asked to talk about the difference in their feelings when discussing shame and guilt.
  • The object of this exercise is to enlighten participants about (1) our own resistance to talking about shame; and (2) the challenge for self-neglecting clients to open up to this feeling.
  • Techniques for dealing with shame related behaviors will be presented.

 

4:15- 4:30

Wrap-up, summary, and evaluation


 

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