登录查看更多内容

How do you assess the readiness for change of your case management clients?

由人工智能和领英社区提供技术支持

As a case manager, you help your clients navigate complex and challenging situations, such as homelessness, addiction, mental health issues, or chronic illness. Your role is to support them in achieving their goals and improving their well-being. But how do you know if your clients are ready to make the changes they need to succeed? How do you assess their motivation, confidence, and readiness for change?

此文章中的业界达人

由社区从 4 条内容中精选。了解更多

1 The stages of change model

One useful framework for understanding and assessing your clients' readiness for change is the stages of change model, also known as the transtheoretical model. This model identifies six stages that people go through when they contemplate, prepare, and implement changes in their behavior: precontemplation, contemplation, preparation, action, maintenance, and termination. Each stage has different characteristics, challenges, and strategies for case management.

添加您的观点

Rob West

I'm Just A Finger Pointing To The Moon
举报内容
Generally I consider introducing the idea to my clients that 'change is inevitable', as well as possible. I tend to integrate additionally with this model, the '4 stages of competence'. Using 'Unconscious Incompetence', as a parallel idea to the Precontemplation stage of the cycle. As it were: 'I don't know what I don't know?!' By moving them into the Conscious Incompetence/ Contemplation Stage the 'aha moment' can potentially occur, when perhaps they've had a bump in the road, or even a 'titanic' experience? At this point when their blindspot emerges into view, perhaps even for the very first time. Despite promptings, or 'treading on egg shelves' from friends and loved ones. They at last may be ready to do business with themselves?

已翻译

赞

2 The readiness for change scale

Another tool that can help you measure your clients' readiness for change is the readiness for change scale, or the URICA (University of Rhode Island Change Assessment). This is a self-report questionnaire that asks your clients to rate how much they agree or disagree with statements related to their problem behavior and their willingness to change. The URICA scores your clients on four dimensions: precontemplation, contemplation, action, and maintenance. The higher the score on a dimension, the more likely your client is in that stage of change.

添加您的观点

Paul (Pablo) Arias EJD, MIS, BSN, RN, CMAC

Founder and CEO- Case Management, Denial Prevention, Revenue Cycle, Regulatory Compliance, Utilization Review, BPCI, Transitional Care
举报内容
Another tool that I have used that is evidenced based is Patient Activation Measure - it assesses patients ability to engage in their own healthcare and to understand their condition. If they are at the lowest scale (1-4) then you can assess a caregiver and put your efforts into the caregiver. Using smart goal education this method assisted me with chronic condition patients in an HRRP TCM model that was also tied to BPCI patients. Sustained assessment of same patients with coaching demonstrated growth in knowledge of their conditions and decrease in recidivism and engagement in their own care.

已翻译

赞

3 The motivational interviewing approach

A third approach that can help you assess and enhance your clients' readiness for change is motivational interviewing, or MI. This is a collaborative and client-centered style of communication that helps your clients explore and resolve their ambivalence about changing. MI is based on four principles: expressing empathy, developing discrepancy, rolling with resistance, and supporting self-efficacy. By using MI techniques, such as open-ended questions, reflective listening, affirmations, summaries, and eliciting change talk, you can help your clients move from lower to higher stages of change.

添加您的观点

Julie Sliga
(已编辑)
举报内容
I draw on tools and concepts from Motivational Interviewing. The stages of change are precontemplation, contemplation, preparation, action, maintenance, and relapse. A person's journey with change is nonlinear, so I tune in to change talk and continuously assess what stage of change a person is in. A key component in MI is expressing empathy. I extend compassion and teach others to have self-compassion, which over time lessens shame, guilt, and self-comparisons.

已翻译

赞

4 The readiness ruler

A fourth technique that can help you assess and increase your clients' readiness for change is the readiness ruler, or the importance-confidence ruler. This is a simple and visual way of asking your clients to rate their level of importance and confidence in changing on a scale from 1 to 10. You can use the readiness ruler to identify your clients' strengths and barriers, to provide feedback and encouragement, and to negotiate goals and action plans.

添加您的观点

5 The case management plan

The final step in assessing your clients' readiness for change is to develop a case management plan that is tailored to their stage of change, their readiness level, and their individual needs and preferences. A case management plan should include SMART (specific, measurable, achievable, relevant, and time-bound) goals, action steps, resources, supports, and evaluation methods. You should review and update your case management plan regularly with your clients, and celebrate their progress and achievements.

添加您的观点

Catherine Floyd-Jennings

Case Manager/Instructor/CPRS
举报内容
When you go back to the plan, the gap between what they said they wanted to change and what they actively avoid is a helpful way to address "shoulds" and what fits for the client. It is okay not to want to change something, and pointing out that not wanting to change does not make someone a failure. We cling to protective behaviors and habits for survival skills learned early, sometimes, and staying in a pattern is an okay choice to make. Honor the right to make that choice, and then stop setting unrealistic expectations of ourselves. Change is scary, hard and if you don't have the tools or support in place to change and keep to a new pattern, why set yourself up to fail again and again? Celebrate that they have survived hard things.

已翻译

赞

6 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

添加您的观点

Case Management

+ 关注

给文章评分

我们借助人工智能创建了此文章。您认为这篇文章怎么样？

很棒不太好

举报此文章

查看全部

How do you assess the readiness for change of your case management clients?

1

2

3

4

5

6

1 The stages of change model

2 The readiness for change scale

3 The motivational interviewing approach

4 The readiness ruler

5 The case management plan

6 Here’s what else to consider

Case Management

给文章评分

感谢您的反馈

更多Case Management相关文章

更多相关阅读内容

How do you assess the readiness for change of your case management clients?

1

2

3

4

5

6

1 The stages of change model

2 The readiness for change scale

3 The motivational interviewing approach

4 The readiness ruler

5 The case management plan

6 Here’s what else to consider

Case Management

给文章评分

感谢您的反馈

查看其他技能