MissouriCB Peer Specialist Test Preparation Accurate 100%

Recovery - ANSWER a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. Hope - ANSWER the belief that one has both the ability and the opportunity to engage in the recovery process. Treatment Goal - ANSWER clinical and usually set by treatment team. Recovery Goal - ANSWER Non-clinical and self directed 5 Stages in Recovery - ANSWER Impact Of Illness Life Is Limited Change Is Possible Commitment To Change Actions For Change Impact of Illness - feeling - ANSWER "Overwhelmed" Life Is Limited - feeling - ANSWER "Given Into" Change Is Possible - feeling - ANSWER "Questioning" Commitment to Change - feeling - ANSWER "Challenging" Actions For Change - feeling - ANSWER "Moving Beyond" Disabling Power of a Behavioral Health Disorder - ANSWER Stigma Symptoms/triggers Side effects Self Image 5 Stages of recovery: Dangers Impact of illness stage - ANSWER Question of Identity How will I define myself on the other side of being diagnosed? 5 Stages of recovery: Dangers Life is limited - ANSWER Question of Possibility How will I relate to possibilities when I have redefined myself as 'mentally ill'? 5 Stages of recovery: Dangers Change is possible - ANSWER Question of Risk How will I relate to the need to risk if I am going to change? 5 Stages of recovery: Dangers Commitment to Change - ANSWER Question of Support How will I get the supports that I need? 5 Stages of recovery: Dangers Actions to Change - ANSWER Question of Responsibility Will I be able to take on the necessary responsibilities? Five Stages in the Change Process - ANSWER Precontemplation Contemplation Preparation Action Maintenance Stage in the Change Process - Precontemplation - ANSWER The peer is not yet considering change or is unwilling or unable to change. Stage in the Change Process - Contemplation - ANSWER The peer sees the possibility of change, but is ambivalent or uncertain Stage in the Change Process - Preparation - ANSWER The peer is committed to change but is still considering what to do. Stage in the Change Process - Action - ANSWER The peer is taking steps toward change but has not stabilized in the change process. Stage in the Change Process - Maintenance - ANSWER The peer has achieved a goal or goals and is working to maintain change. When Using Effective Listening, Listen For: - ANSWER 1. Goals (what they believe would make their life better) 2. Barriers (beliefs that a person believes about themselves and their current situation) 3. Self-Image (why they believe they can't have that life) The 3 characteristics of Good Questions - ANSWER 1. Open-Ended and Honest 2. Come from a place of Deep Attentiveness 3. Help peer get in touch with their "inner truth" What are the four components needed to tell your recovery story? - ANSWER •What you overcame... •What you learned... •What you gained... •What are you doing now to keep your goal? Recovery Story - ANSWER shares with a peer how a person was able to overcome the bad times and focuses on the positive things the person is doing to move forward with their life. Illness story - ANSWER focuses on the negative and times of illness and/or substance use in a person's past. Why is it important to remain objective when telling your story? - ANSWER is a way to help your peers and give them hope. It is not a time to use your peers as a counselor for your own problems. Effective Stage Intervention Tools Decisional Balance Worksheet - ANSWER worksheet has 4 boxes and Peer Specialist helps the peer complete the 4 boxes in this order: a. Pros of not changing b. Cons of not changing c. cons of making the change d. pros of making the change (ALWAYS LAST) Effective Stage Intervention Tools Readiness Ruler (confident, importance) - ANSWER used to explore how important making a change is to a peer and how confident the peer is in making the change. This exercise can be used in various stages but may be most effective in the preparation/change is possible stage of change. A. Show the peer the tool, ask peer, How important is it to make a change in your life? B. peer specialist asks peer why they didn't rate themselves at a ___(number less than step A) C. Peer specialist asks peer what it would take for the peer to reach --(higher number than step A) on the scale? D. Peer specialist can ask what they can do to help the peer reach that number in step C. E. Peer specialist can repeat steps with confidence ruler. Effective Stage Intervention Tools Tool 3 - Change Plan Worksheet - ANSWER This worksheet is used to help a peer who is in the preparation/action/change is possible stage create a plan to initiate change. When using the Decisional Balance tool, which of the 4 boxes would you complete last with the peer? - ANSWER The pros of making a change. When using the Readiness Ruler tool, does the peer's initial response matter? - ANSWER No. The number the peer responds with doesn't matter, a peer specialist uses whatever response the peer gives to initiate a conversation. The change plan worksheet is most effective in which stage? - ANSWER Determination, action, or change is possible Motivational Interviewing - ANSWER evidence-based communication model that can help people get ready for change. The OARS Model - ANSWER is a skills-based model of interactive techniques adapted for a peer-centered approach, using motivational interviewing principles. These skill-based techniques include verbal and non-verbal responses and behaviors. Both verbal and non-verbal techniques need to be adapted to be culturally sensitive and appropriate. What does OARS stand for? - ANSWER Open-ended Questions Affirmations Reflective Listening Summarizing OPEN-ENDED QUESTIONS - ANSWER * Establish a safe environment, and build trusting and respectful relationships * Explore, clarify and gain an understanding of your peer's world * Learn about the peer's past experience, feelings, thoughts, beliefs, & behaviors. * Gather information - peer does most of the talking * Help the peer make an informed decision AFFIRMATIONS - ANSWER •Build rapport; demonstrate empathy; affirm exploration into peer's world. •Affirm the peer's past decisions, abilities, and healthy behaviors. •Build a peer's self-efficacy - an ability to believe they can be responsible for their own decisions and their lives. REFLECTI