Attending Skills PDF

 Attending Skills ================ Attending Behavior ---------------------------------------- - Competent listening skills are not innate - Attending skills = "tuning in" - Helps client tell story - Facilitates finding out more information...

 Attending Skills ================ Attending Behavior ---------------------------------------- - Competent listening skills are not innate - Attending skills = "tuning in" - Helps client tell story - Facilitates finding out more information - Communicates understanding - Demonstrates empathy - Provides emotional support to the client Attending Behaviors: -------------------- How to be the client! -------------------------------------------  Open and Closed Questions =========================  Role Plays ========== - Groups of 4: SSW, client, 2 observers. Rotate roles. - SSW should plan to use open and closed questions. Practice: What, How, Why and Could. Use "what else" for enrichment. - Client: Play yourself with a "real issue" or use one of the case studies provided at the end of power point (i.e., John or Kathy). - Observer: (1) Write down each question asked by SSW and then decide whether they were Open or Closed (2) What questions provided the most useful information? (3) Provide specific feedback on attending skills. - Role play 6 minutes John =========================== - John comes into the office today wanting help with managing some personality changes he has experienced since sustaining an Acquired Brain Injury. He previously described himself as a happy and outgoing individual but he now gets angry easily and feels sad most of the time. He presents with a flat affect and states that his parents have told him he needs to get some help. He seems receptive to receiving help. He will share the story of his accident and impact on his life if given the opportunity. - Six months ago everything changed for John. He was riding an All Terrain Vehicle (ATV) on his parent's farm when it flipped. John was knocked unconscious and hospitalized for two weeks. He broke his wrist as well as his collarbone and sustained a significant brain injury. - John states that his physical injuries healed quickly but he now has other injuries that are invisible to most people. He has trouble remembering appointments and forgets easily. - His college friends have been supportive but they seem to be getting frustrated picking him all the time. He also feels like an outsider when they go out as he can no longer drink because of the medication he is on to manage his seizures. While they understand, he now has a "short fuse" and he is not getting called to join them as much as he used to. Kathy ===== - Kathy comes to the office today as she feels she has lost control of her emotions and feels she is struggling with her mental health and what she describes as panic attacks. - Kathy states that she has started having what she describes as panic attacks. She says that they have been increasing in frequency and she is having at least one to two a month. They last for about two minutes and she says that she feels like she is "going crazy." The attacks come out of nowhere. She will have trouble breathing and her heart races. She feels like she is "going to die." - She went to the emergency room the first time it happened as she though she was having a heart attack. She explained that they ran many tests and simply told her that there was nothing physically wrong with her and that she should follow-up with her family doctor. She went to see her family doctor but the doctor wanted to prescribe medications. Kathy explained that even though she knows it may help her she doesn't want to be seen as weak and would be embarrassed if her husband knew she was taking medication. - Her husband is supportive but he is stressed with his work. She says that they have been talking about lay offs and she is not sure what they will do if he loses his job. Kathy states that she really has not told him the full impact of her panic attacks, as she does not want to worry him as he already is feeling stressed. Her husband is taking high blood pressure medication right now and she thinks her condition would put him "over the edge." ### Active ### Encouragers ### Examples of Encouragers ### Paraphrasin g ### Paraphrasin g ### Paraphrasing: That's what I said! ### Paraphrasin g goal and outcome ### Four dimensions of ### Summarizin ### Summarizin g goal: ### Role Plays #### [Plan: (Role play, 6 minutes. Feedback, 8 minutes]) #### [Role Play Topics:] ### Feedback #### [Feedback (directly after role play): 8 minute]s