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Table 5 Examples of selected performance objectives/ competency statements, determinants and change objectives for programme outcome: Distress Brief Intervention Level 2 practitioners have the skills and competencies to deliver a Level 2 intervention

From: Development of a national Distress Brief Intervention: a multi-agency service to provide connected, compassionate support for people in distress

Performance objectives / competency statements

Determinant

Change objectives

5.2 Provide person-centred support across all relevant aspects of the Distress Brief Intervention, working collaboratively with the person referred following distress throughout

Knowledge & Attitudes

Knowledge & Skills

Skills

Knowledge & Skills

5.1, 5.2 Person-centred support

Recognises and acknowledges the underlying determinants of distress in the context of personal histories, including trauma awareness

Identifies proximal triggers or causes of distress

Develops and records a support plan

Provides signposting and information depending on the needs of the person referred following distress

5.3 Understand the importance and how to enact a compassionate response for distress

Knowledge & Skills

Knowledge & Skills

5.3 Compassionate response

Understands the importance, key skills and attributes of compassionate response

Understands how to use compassion skills and attributes in the context of an initial contact and 14-day support

5.4 Use motivational interviewing techniques during Distress Brief Intervention contacts

Knowledge

Skills

Skills

Skills

Skills

5.4 Motivational interviewing

Understands and acknowledges the ambivalence that the person referred following distress may feel about their actions and behaviour

Uses basic motivational interviewing skills (e.g. OARS) to support Distress Brief Intervention interactions

Is able to adapt to and roll with resistance during Distress Brief Intervention contacts

Provides regular feedback and summaries to structure Distress Brief Intervention contacts and transition to other components of the Distress Brief Intervention

Encourages personal responsibility

5.5 Use cognitive behavioural techniques to understand distress and identify suitable strategies of support

Knowledge

Skills

Skills

5.5 Cognitive behavioural approach

Understands the relevance of a cognitive behavioural approach to distress

Support a person referred following distress to explore interrelated thoughts and behaviours relevant to their distress

Uses appropriate materials or tools to support a person referred following distress to understand and address unhelpful (i) thoughts, (ii) behaviours

5.6 Understands the relevance of health behaviour change and can support individuals referred following distress to change behaviours

Knowledge & Skills

Skills

Skills

5.6 Behaviour change methods and techniques

Identify relevant methods and techniques of behaviour change to support the objectives of the individual referred following distress

Adapt and communicate behaviour change strategies to the needs of the individual referred following distress

Review and assess progress throughout