Table 7 Examples of change objectives, theoretical methods and practical applications for programme outcome: Distress Brief Intervention Level 2 practitioners have the skills and competencies to deliver a Level 2 intervention
Change objectives | Theoretical methods | Practical applications |
|---|---|---|
Understand how to respond appropriately to a referral within 24 hours | Instruction on how to perform a behaviour Problem solving | Provide and discuss Standard Operating Procedures booklet, including ‘what if’ scenarios |
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 | Provide information about behaviour-health link Provide information about health and emotional consequences Instruction on how to perform a behaviour Demonstration of the behaviour Behavioural practice/rehearsal | 60 min e-learning module ‘Foundations of Motivational Interviewing’ Facilitator-led introduction to motivation and motivational interviewing techniques, as well as Distress Brief Intervention Toolkit resources: Decisional Balance, Importance and Confidence Rulers, Aide Memoir Role play activity: small groups engage in scripted role play of an interaction between the person in distress and practitioner and identify use of motivational interviewing techniques: Open questions, Affirmations, Reflective listening Summaries Practice activity: encourage weighing pros and cons, as well as importance and confidence, of a change in personal behaviour using Decisional Balance and Importance and Confidence Rulers Toolkit resources. |
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 | Provide information about behaviour-health link Provide information about health and emotional consequences Instruction on how to perform a behaviour Demonstration of the behaviour Behavioural practice/rehearsal | Facilitator-led introduction to cognitive behavioural approaches and Distress Brief Intervention Toolkit resources: What are my triggers and situations?; Problem-solving and Action Planning; Goal Setting; How is my mood at the moment?; Self-monitoring; If-Then Coping Plans Role play activity: small groups roleplay a scenario between a person in distress and practitioner and practice skills and techniques, including toolkit resources. |
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 | Provide information about behaviour-health link Provide information about health and emotional consequences Instruction on how to perform a behaviour Demonstration of the behaviour Behavioural practice/rehearsal | Facilitator-led introduction to behaviour change and maintenance principles and techniques, with Distress Brief Intervention Toolkit resources: Problem-solving and Action Planning; Goal Setting; Self-monitoring; If-Then Coping Plans Role play activity: small groups roleplay a scenario between a person in distress and practitioner and practice skills and techniques, including toolkit resources. |