406 -Biopsychosocial Impact of Addiction and Mental Disorders on the Individual

- Examine the biological (physical) impact of addiction and mental health issues on the individual

- Examine the psychological impact of addiction and mental health issues on the individual

- Examine the social impact of addiction and mental health issues on the individual

- Identify interventions in each area.

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004 -Health Coaching in Case Management

Health Coaching

Case Management Toolbox Podcast

Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC

Executive Director: AllCEUs Continuing Education

Host: Case Management Toolbox Podcast & Counselor Toolbox Podcast

CEUs can be earned for this podcast here: https://www.allceus.com/member/cart/index/product/id/1125/c/

Objectives

– Explain what health coaching is

– Differentiate it from counseling or medical practice

– Describe different skills a health coach needs

– Discuss how to develop an individualized service plan

Give a man a fish, he eats for a day.

Teach a man to fish, he eats for a lifetime.

Overview of Health Coaching

– Health coaches:

– Providing self-management support

– Educate clients

– Bridge the gap between clinician and patient

– Help patients navigate the health care system

– Offering support and encouragement

Health Coaching Research

– Significant improvements in one or more of the following

– Nutrition

– Physical activity

– Weight management

– Exercise frequency

– Perceived social support

– Patient engagement and “activation”

– Medication adherence

– Common features of effective programs are goal setting, motivational interviewing, and collaboration with health care providers

– The Care Transitions Intervention is a widely-used coaching method that imparts skills, tools and confidence to patients and family caregivers as they move from hospital to home.13 It is focused on “four pillars”:

– Having an effective, understandable management strategy

– Overcoming barriers to follow-up appointments,

– Knowing how to recognize and respond to worsening signs and symptoms

– Using a personal health record to identify and record 30-day goals, health information and key questions to be shared with the physician at upcoming health care encounters.

Goal Attainment Scaling

Educate Clients

– Help clients learn where to find reliable, valid information about their concerns or conditions

– Help clients learn how to evaluate that information

– Educate clients about the impact of nutrition, sleep, exercise, sunlight, relaxation, thoughts and mood on their condition and their goals

– Teach clients about SMART Goals

– Teach clients about motivational enhancement

Patient Centered Care: Engagement & Rapport

– Employ a person centered model

– Respect for client as an individual (UPR)

– Respect for client’s preferences for goals and interventions

– Collaborative approach providing choice and self-determination

– Coordination and integration of care

– Validation, support, encouragement, empathy

– Involvement of social supports

Enhancing Motivation

– Emotional (How will this help client be happier-)

– Mental (How does this make sense to the client-)

– Physical (How can this improve the client’s health and energy-)

– Social (How will it enhance important relationships- Who is supportive of this change-)

– Environmental (What things can be placed in the environment to enhance motivation)

– Spiritual (In what ways does this change help the client live more in harmony with personal values and feel a greater sense of connection-)

Motivational Techniques (ROADS)

– Reflective Listening

– Open Questions

– Affirmations of Self-efficacy and Optimism

– Develop Discrepancy

– Summarizing

Adult Learning Theory

– Provide explanations of why specific concepts are being taught

– Ensure learning that is connected to their health goals (make room for meaning)

– Use self-assessments to assess different levels of prior experience and education

– Remember prior learning will be the filter with which they conceptualize new information

– Use multiple methods of instruction (auditory, visual, kinesthetic)

– Ensure acces

405-Social Work Considerations for Addressing Chronic Conditions Treatment for persons with chronic conditions requires use of many strategies outside of traditional emotion or cognition focused counseling to educate, motivate and empower clients to take charge of their condition.

~ It is beneficial to educate the client as well as the family/support system about the condition, effects of the condition, expectations for improvement and benefits and drawbacks of possible interventions. CEUs can be earned for this presentatino at allceus.com or australia.allceus.com

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NCMHCE Crisis Assessment--Learn multiple mnemonics to help you remember what to look for in your scenario assessments. CEUs are available for this at allceus.com

Learn how to teach a model to help clients implement psychological flexibility in episode 404 of Counselor Toolbox Podcast. CEUs are available at allceus.com and Australia.allceus.com

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Childhood obesity contributes to a range of physical and mental health issues. Identify ways counselors and social workers can work with students, families and communities to address this growing crisis. CEUs are available at allceus.com and Australia.allceus.com

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Help Parents of Children with Autism Better Engage and Communicate with Their Children. Move from a deficits based to a differences based approach to interaction. Describe the unique interpersonal needs of people with autism spectrum disorders. Identify characteristics necessary to form secure attachments. List at least 5 practices that caregivers and teachers can use to improve connection with children on the autism spectrum. CEUs are available for this course at allceus.com or Australia.allceus.com

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Learn about the impact of historical trauma and cultural issues to which clinicians must be responsive in order to provide effective, ethical care to American Indians and Alaskan Natives. CEUs are available for this podcast at allceus.com and Australia.allceus.com.

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Groups are extremely cost effective. This series of 24 groups provides the foundation for clients to address issues underlying anxiety, anger and depression and begin living a happier life. CEUs are available for this podcast at allceus.com and Australia.allceus.com.

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Improving Health Literacy

Case Management Toolbox Podcast

Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC

Executive Director, AllCEUs Counseling CEUs

Objectives

~ Define health literacy

~ Explain why health literacy is important

~ Explore health literacy in a recovery oriented system of care

~ Identify at least 5 ways to improve health literacy

What is a ROSC

~ Recovery-Oriented Systems of Care (ROSC) is a coordinated network of community-based resources that is person-centered and builds on the strengths and resilience of individuals, families, and communities to achieve improved health, wellness, and quality of life

~ In order to access and benefit from these services, people must have a high level of health literacy

~ Case Managers and clinicians can work together in communities to identify

~ Needs and resources to prevent health and mental health issues

~ Needs and resources to recover from health and mental health issues

What is Health Literacy

~ Health literacy is the degree to which individuals can obtain, process, and understand basic health information to make appropriate health decisions.

~ Includes math skills to manage levels, understand risks, measure medication, understand nutrition labels and even manage insurance.

~ Includes general health information about requirements for good health including exercise, sleep, nutrition and regular checkups as well as ways to prevent or mitigate common risk factors for disease

~ Only 12 percent of adults have proficient health literacy, or the skills needed to manage their health and prevent disease.

What is Health Literacy

~ Health literacy (what a person needs to know and how to help them understand and use that information) is dependent on:

~ Communication skills of lay persons and professionals

~ Lay and professional knowledge of health topics

~ Demands of the situation/context

~ Health literacy affects people's ability to:

~ Find information and services

~ Communicate their needs and preferences and respond to information and services

~ Process the meaning and usefulness of the information and services

~ Understand the choices and consequences of the information and services

~ Decide which information and services they need and take action

Health Literacy Skills

~ Anyone who provides health information and services needs health literacy skills to

~ Help people find information and services

~ Effectively communicate information about health promotion and conditions to people of varying ages, cultures and cognitive abilities.(teach back)

~ Understand what people are explicitly and implicitly asking for

~ Decide which information and services work best for different situations and people so they can act

Health Literate Services

~ A Health Literate Case Manager or Clinician

~ Integrates health literacy into planning, evaluation measures, patient safety, and quality improvement

~ Has a high level of health literacy

~ Works with clients in the design, implementation, and evaluation of the service plan

~ Uses health literacy strategies in communications and confirms understanding

~ Provides easy access to health information and services

~ Designs and distributes print, audiovisual, and social media content that is easy to understand and act on.

~ Regularly addresses health literacy in high-risk situations, including care transitions and medication changes

~ Communicates clearly what services are available free and cost

Health Literate Services

~ A Health Literate Case Manager or Clinician

~ Integrates health literacy into planning, evaluation measures, patient safety, and quality improvement

~ Evaluate client understanding of the condition, treatment options, and services available at admission

~ Evaluate client’s understanding of general health and wellness behaviors

~ Assess client’s ability to seek out, obtain and use health-related information

~ Ensure clients understand what evaluations are asking of them

~ Identify obstacles to client health literacy and set goals for improvem