Resilience, Distortions and Communication

Question 1

Resilient

Answer 1

To bounce back. A process where we learn from negative experiences to BUILD SKILLS to COPE with future challenges.

Question 2

Four key strengths that can support the building of resiliency

Answer 2

1. Social Competence – the ability to form and sustain relationships
2. Problem Solving – using critical thinking and decision making skills
3. Autonomy – the ability to make personal choices
4. Sense of Purpose – a belief that life is important and has meaning

Question 3

Cognitive distortions

Overgeneralization

Answer 3

Perception about an isolated incident or situation is applied to everything. Ex. I went to a church picnic once and the food was terrible, so I will never attend a church picnic again.

Question 4

Cognitive distortions

Filtering

Answer 4

A focus on the less positive information within a statement or situation. Ex. Your boss tells you many good things about your performance. She also says it is important to get to work in a timely manner.

Question 5

Cognitive distortion

Labeling

Answer 5

ASCRIBING extremely NEGATIVE, colorful, and ABSOLUTE language to yourself or others. Ex. I got a D on that test. I am a total loser.

Question 6

Cognitive distortion

Personalization

Answer 6

The assumption that you caused events that you could not have caused. Ex. My favorite boss just quit. I know it was my fault. If I had been a better employee, she would have stayed.

Question 7

Cognitive distortion

Fortune Telling

Answer 7

Predicting a negative outcome before anything has happened. Ex. I just know I am going to fail that test.

Question 8

Cognitive Distortion

All or nothing thinking

Answer 8

Perception that something is always one way or the other. Ex. You never talk nicely to me.

Question 9

55% of Communication Occurs…

Answer 9

through the use of body language, including stance, facial expression, eye contact, distance from the person(s) we are talking to and posture.

Question 10

Motivational Interviewing

Answer 10

A way of being with a client, not just a set of techniques for doing counseling

Question 11

Tools for Motivational Interviewing 1-4

Answer 11

1. Express empathy
2. Roll with resistance
3. Reflective Statements
4. Support self-efficacy

Question 12

Tools used in Motivational Interviewing…5-8

Answer 12

5. Ask open-ended questions
6. Summarize
7. Affirm
8. Elicit self-motivational statements

Question 13

An effective communicator is aware of the following: (1-4)

Answer 13

1. They know what they want to achieve
2. They know listening is a major part of communication
3. They listen using multiple senses
4. They are good at understanding the responses they receive

Question 14

An effective communicator is aware of the following…5-8:

Answer 14

5. They have FLEXIBILITY to modify their behaviors until desired outcomes are achieved
6. They know building rapport is an ONGOING PROCESS
7. They avoid distractions and are “fully present” when communicating with peer clients

Question 15

Effective conversation does the following:

Answer 15

1. Rapport – this involves first impressions, attitudes, mental filters
2. Has sensory awareness
3. Maintains outcome thinking
4. Has behavioral flexibility – remains calm
5. Observes the dynamic of listening/talking
6. Encourages the other person to talk

Question 16

5 principles inherent in all human communication – Help Stay Calm

Answer 16

1. We all live in unique and private worlds of personal experience.
2. Nearly everyone is insecure to some extent. Thus when we feel threatened, hurt or angry, we may tend to react with blame and self defense rather than make attempts to improve communication.
3. Everyone has difficulty handling strong feelings.
4. Feelings translate to “facts” to the person experiencing them. Rejecting a person’s feelings makes the person feel rejected in a “whole sense.”
5. We almost always perceive some kind of power imbalance in difficult communications, but we rarely discuss issues of power openly.

Question 17

First Person language

Answer 17

Used in peer support relationships to focus on personal experience in communication. “I feel…”, “I like,” “I experienced.”

Question 18

Advantages of Using First Person Language

Answer 18

1. Clarifies to the peer that you are also a peer — a person who shares your personal experience.
2. It enforces the PRINCIPLE OF MUTUAL EXPERIENCE within peer support
3. It supports active (rather than passive) listening with the supporter/peer client relationship.

Question 19

Health Insurance Portability and Accountability Act (HIPAA) of 1996

Answer 19

the federal law governing confidentiality within our work. There is a specific privacy rule that sets standards for all of our health information, both medical and psychiatric information, to protect health information (PHI)

Question 20

42 CFR

Answer 20

a federal law that protects the confidentiality of substance use clients.

Question 21

Exploitation

Answer 21

to take advantage of a person. As a peer specialist, it means engaging in relationships with individual’s served outside of work for purposes of support, romance, or sexual gratification. Also, financial gain from a relationship with a person they are serving.

Question 22

Abuse

Answer 22

Improper treatment of people. Can be verbal, emotional, sexual, or physical, and exploitation and neglect.

Question 23

Florida Statute Chapter 39

Answer 23

Mandates reporting of suspected child abuse.

Question 24

Florida Statute Chapter 415

Answer 24

Mandates reporting of suspected abuse of vulnerable adults.

Question 25

Peer Specialist are mandatory(ed) reporters

Answer 25

Must report suspected abuse to the Abuse Hotline 800-962-2873

Question 26

Duty to Warn

Answer 26

Informing an individual served about the exceptions to confidentiality rules.

Question 27

Confidentiality cannot be promised under the following circumstances

Answer 27

1. Threats of individual served to harm self.
2. Threats to harm or kill another person including a child or elderly person.
3. A suspicion of abuse, whether the individual served is being abused or is the abuser.

Question 28

Motivational Interviewing

RULE

Answer 28

R – Resist telling them what to do.
U – Understand their motivation, values, needs, abilities
L – Listen with Empathy
E – Empower them

Question 29

Motivational Interviewing Skills

OARS

Answer 29

O – Open Ended Questions
A – Affirmations - Statements of recognition of strengths.
 Reinforce person’s participation.
 Build rapport.
R – Reflective Listening - Hearing what the speaker is saying.
 Making a “guess” at what they mean.
 Verbalizing the “guess” in the form of a statement.
S – Summarize - Let me see if I understand so far…