07.05.2019 - By Dr. Dawn-Elise Snipes
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