Stepped care + Referal

Question 1

What does the acronym SOLER refer to physically turning into pts.

Answer 1

S- Squarly (face pt)
O- Open (Adopt an open pos)
L- Lean (lean towards pt)
E- Eye contact
R- Relaxed

Question 2

What are some non v3rbal forms of communication between the pt and you (7)

Answer 2

• body behaviour
• eye behaviour
• facial expressions
• voice related behaviour
• observable autonomic physiological responses
• space
• general appearence

Question 3

What are the 3 tasks of counseling?

Answer 3

1. Help pt tell their stories
2. Help pt. develop new perspectives and reframe their stories
3. Help pt achieve leverage by working on issues

Question 4

What are the 4 issues to tackle in task 1: helping the pt to tell their stories

Answer 4

1. Initial stress reduction
2. Clarity (help pts spell out their probs)
3. Establish rapport and relationship building
4. Client action (suggest options for getting started)

Question 5

What should be done in task 2: helping pt develop new perspectives and reframe stories

Answer 5

• Invite pt to own their probs and unused opportunities
• encourage pt to state their probs as solvable
• guide pts into the next needed stage of helping pros

Question 6

What should be done in task 3: helping patient achieve leverage by working on issues that make a difference

Answer 6

Begin w prob that causing most pain, what pt deems as important
-focus on prob for which the benefits outweigh the costs