Supporting Self- Management and Health Literacy Behavioral Health Integration Complex Care Initiative Supporting Self- Management and Health Literacy Thursday August 10, 2017 8:30am-9:30 pm

Supporting people to take good care of themselves

30% 50% 80% Don’t follow medication regiments Don’t follow behavior change advice Don’t complete antibiotics

“I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” -Maya Angelou

Motivational Interviewing Non-verbal empathy Verbal Empathy Open ended questions Reflective listening Teach Back

“Control leads to compliance; autonomy leads to engagement” -Daniel Pink

Acknowledge and reinforce AUTONOMY Techniques to support self management: Acknowledge and reinforce AUTONOMY Avoid: must, have to, need to, should… Engage: It’s your choice; your decision, whatever you think is best…

Techniques to support self management: Normalizing: ‘your are normal’ Acknowledging feelings: ‘that sounds tough’ Affirming: ‘I see the good in you’ Teach Back: ‘what are your thoughts?’

Concepts: Conviction and Confidence High Success Frustrated Self Management Conviction Unaware Skeptical Confidence Low High

Assess Conviction: ‘How important is this to you?’ Assess Confidence: ‘How hard or easy do you think it will be?’

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