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