Download - North Carolina TASC Clinical Series Training
![Page 1: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/1.jpg)
North Carolina TASC Clinical Series Training
Module Seven: Clinical Skills
![Page 2: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/2.jpg)
Client-Centered Clinical Work
Client’s Hope and Expectancy 15%
Model and Technique 15%
Therapeutic Relationship 30% Extra Therapeutic Factors 40%
![Page 3: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/3.jpg)
Clinician Attitudes
1. Congruence2. Unconditional Positive Regard3. Empathy
![Page 4: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/4.jpg)
Effective Motivating Counseling SkillsA Giving AdviceB Removing BarriersC Providing ChoiceD Decreasing DesirabilityE Practicing EmpathyF Providing FeedbackG Clarifying GoalsH Actively Helping
![Page 5: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/5.jpg)
Effective Brief Counseling (FRAMES) F FeedbackR ResponsibilityA AdviceM MenuE EmpathyS Self-efficacy
![Page 6: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/6.jpg)
Dysfunctional Motivators • Emotional Distress• Vicarious Coping• Loneliness and Isolation• A Desire for Power• A Need for Love• Vicarious Rebellion
![Page 7: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/7.jpg)
Functional Characteristics
• Curiosity and Inquisitiveness• Ability to Listen• Comfort with Conversation• Empathy and Understanding• Introspection• Capacity of Self-denial• Tolerance of Intimacy• Comfort with Power• Ability to Laugh
![Page 8: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/8.jpg)
13 Clinical Techniques 1. Establish a helping relationship with the client. 2. Facilitate the client’s engagement in the
treatment and recovery process.3. Work with the client to establish realistic,
achievable goals. 4. Promote client knowledge, skills, and attitudes
that contribute to a positive behavior change.5. Encourage and reinforce client actions
determined to be beneficial. 6. Work appropriately with the client to recognize
and discourage all inconsistent behaviors..7. Recognize how, when, and why to involve the
client’s significant others.
![Page 9: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/9.jpg)
13 Clinical Techniques cont.8. Promote client knowledge, skills, and attitudes
consistent with the maintenance of health and prevention of infectious diseases.
9. Facilitate the development of basic and life skills associated with recovery.
10. Adapt clinical strategies to the individual characteristics of the client.
11. Make constructive therapeutic responses when client’s behavior is inconsistent with stated recovery goals.
12. Apply crisis management skills.
13. Facilitate the client’s identification, selection, and practice of strategies needed for maintaining treatment, progress, and preventing relapse.
![Page 10: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/10.jpg)
Clinical Skills• Confrontation• Empathy• Leading• Reinforcement• Punishment• Rehearsal• Extinction• Environmental
Planning
• Modeling• Termination• Reframing• Self Disclosure• Contracting• Establishing
Rapport• Humor
![Page 11: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/11.jpg)
Supportive Helping Behaviors - Verbal
• Uses understandable words
• Reflects back and clarifies client’s statements
• Appropriately interprets• Summarizes for helpee• Responds to primary
message• Uses verbal reinforcers
(for example, “mm-mm”, “I see”)
• Calls Client by first name or “you”
• Appropriately gives information
• Answers questions about self
• Uses humor occasionally to reduce tension
• Is nonjudgmental• Adds greater
understanding to client’s statement
• Phrases interpretations tentatively so as to elicit genuine feedback from client
![Page 12: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/12.jpg)
Supportive Helping Behaviors - Nonverbal• Tone of voice
similar to client’s• Maintains good
eye contact• Occasional head
nodding• Facial animation• Occasional
smiling
• Occasional hand gesturing
• Close physical proximity to client
• Moderate rate of speech
• Body leans toward client
• Occasional touching
![Page 13: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/13.jpg)
Non-helping Behaviors - Verbal• Advice giving,
preaching• Placating, blaming• Cajoling, exhorting• Extensive probing
and questioning• Directing,
demanding• Patronizing
attitude
• Over-interpreting• Using words s/he
doesn’t understand
• Straying from topic
• Intellectualizing• Overanalyzing• Talking about self
too much
![Page 14: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/14.jpg)
Non-helping Behaviors - Nonverbal• Looking away
from client, sitting far apart or turned away from client
• Sneering• Frowning• Scowling• Tight mouth
• Shaking pointed finger
• Distracting gestures
• Yawning• Closing eyes• Unpleasant tone of
voice• Rate of speech too
slow or too fast
![Page 15: North Carolina TASC Clinical Series Training](https://reader035.vdocument.in/reader035/viewer/2022062521/56816837550346895dddf93e/html5/thumbnails/15.jpg)
Acronym SOLERS Squarely show interest and
involvement with the clientO Open posture, no crossed
arms and legsL Lean toward the client E Eye contact R Relax