This is the first step in building rapport
What is Engagement
This is the stage of motivation when the member is NOT READY
What is Pre-Contemplation
This is the state of having conflicted feelings about something
What is Ambivalence
These tools help us screen members for SUD motivation and needs
What are the DAST and AUDIT tools
If a member is in the Pre-contemplation phase they should be referred to Behavioral Health Services
What is NO, ongoing check-ins should be done to assess and work with motivation
This action invites the member to connect with the BHS
What is Referral
This intervention makes use less hurtful
What is Harm Reduction
This kind of talk signals a desire or reason to do things differently
What is Change Talk
These are some treatment options for SUD
What are 1:1 therapy, Groups, Medication-assisted therapy, and a Higher level of care
If the member does not want Behavioral Health Services, then dismiss the SUD Pathway
What is NO don't do that, motivation can change, intervention in SUD does not have to include BHS
This process helps a member to achieve their SUD goals
What is Support
These resources might reduce harm
What are Syringe Access, Medication assisted therapy
Things a member may say about why they don't want or need to change
What is Sustain Talk
If a member does not want to stop using, the Cityblock worker could suggest this:
What is Harm Reduction
If a member is negative on AUDIT and DAST screens, then you can omit the SUD Pathway
What is TRUE
This builds the member's strength in themselves
What is supporting Self-Efficacy
Does a person need to stop using to get support in the SUD Pathway
NO, you can reduce harm, continue to help move the member along the steps of motivation
You and Marco Polo could both use this skill with an ambivalent member
What is Exploration
These are check-in tools
MAP goals in SUD Pathway are Standardized
What is NO they are individualized to the needs of the member. Screening tools are standardized though.
One of several great outcomes of successful SUD pathway interventions
What are: Reduced ED visits, improved mental or physical health
When a member is not ready to change, these attitudes by the Cityblock worker are helpful:
What are being Open, Non-judgmental, Curious, and Understanding
This folk duo wrote 'Pathway to Glory'
Who are Loggins and Messina
One way to use a Ruler
What are, on a scale of 1-10, Measuring current motivation to change, Asking what would move the member up a point or two, Comparing current motivation to past motivation
The primary point of contact for SUD Pathway is the Behavioral Health Specialist
What is NO it is the Community Health Partner