MI, HR, TIC, PYD & CCS Flashcards
Continuum of Care Spectrum
Promotion
Prevention
Treatment
Recovery
Maintenance
Principles of Harm Reduction
Keep people alive and encourage positive change in their lives.
Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use.
Harm Reduction is also a movement for social justice built on a belief in and respect for the rights of people who use drugs.
Trauma Informed Care
Trauma-informed care (TIC) recognizes that traumatic experiences terrify, overwhelm, and violate the individual. Trauma-informed care is a commitment not to repeat these experiences and, in whatever way possible, to restore a sense of safety, power, and self-worth.
Wheel of Change (MI Model)
Six Stages of Change
Pre-Contemplation
Contemplation
Preparation
Action
Maintenance
Permanent Exit or Relapse
OARS (MI)
Open questions, affirmations, reflective listening, and summary reflections
The Four Principles of Motivational Interviewing
Express Empathy
Develop Discrepancy
Roll with Resistance
Support Self-Efficacy
Spirit of MI: CAPE
Compassion, Acceptance, Partnership, Evocation
Types of Change Talk: DARN CAT
PREPARATORY CHANGE TALK (DARN)
Desire to change (wishes, hopes, wants)
Ability to change (optimism)
Reasons for change (benefits of change)
Need to change (problems with the status quo)
MOBILIZING CHANGE TALK (CAT)
Commitment (“I will . . . ,” “I plan to . . .”)
Activation (steps that the client is already taking in support of a goal)
Taking Steps (same as Activation; e.g., “I made an appointment to see
my doctor about medication for quitting smoking.”)
Principles of MI: RULE
Resist the “righting reflex”
The urge to “fix” the client. Arguing for change can have a paradoxical
effect.
Understand your client
The client’s reasons for change are most important because these
will most likely trigger behavior change.
Listen to your client
MI involves as much listening as informing.
Empower your client
Convey hope around the possibility of
change and support patients’ choices and
autonomy re: change goals.
The 5 C’s of Positive Youth Development
Competence
Confidence
Connections
Character
Caring
Competence
Perception that one has abilities and skills.
Confidence
Internal sense of self-efficacy and positive self-worth.
Connections
Positive bonds with people and institutions.
Character
A sense of right and wrong (morality), integrity, and respect for standards of correct behavior.
Caring
A sense of sympathy and empathy for others.
