Ermächtigende Stadt? Soziale Innovationen in der Zivilgesellschaft
4. Ein integriertes Modell für die Soziale Arbeit (Ergebnisse eines Pilottestes)
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Transcript of 4. Ein integriertes Modell für die Soziale Arbeit (Ergebnisse eines Pilottestes)
4. Ein integriertes Modell für die Soziale Arbeit
(Ergebnisse eines Pilottestes)
Das Modell in der Zusammenschau
(The new model / combined model)
toc
Goal - Product
Motivational Interviewing
(Style)
Task- centered model
(Structure)
1) combined model
2) adapted to use in methadone maintenance
Dimension TCM MI
1 model building Empirical orientation builds on empirical research
2 Integrative stance abundance of adaptationsbuilt on work of others
3 form Planned brevity brief treatment
4 model emphasis Structure Style
5 central concept Task Motivation
6 perspective Systems and contexts Intrinsic
7 intervention focus client acknowledged problems
target behavior while respecting client autonomy
8 relationship Collaboration CollaborationRoll with resistance
9 strategies problem solving evocation
10 addressing motivation
develop rationale,explicit commitment
assess readiness,develop discrepancy
11 orientation action (task accomplishment) linguistic (change talk)
12 general goals enhance self-efficacy support self-efficacy
theory of change task accomplishment alleviates problem
resolve ambivalence (get ready for action)
13 therapist stance empathy empathy
Table 1. Concordance of Principles (p138)
Phase 1 Preparation
Phase 2taking action
Termination - recontracting
session
session #1 and up to #3
at session #6 - max #10
3-8 sessions
Assess Readiness
Enhance motivation
overall
toc
Problem specificationassess
readiness
task 1 reviewassess
readiness
task 2 reviewAssess Problem change
decision
Termination
Problem changed
sufficiently. Continue with
Problem 2
Problem needs more work:
Continue with problem 1 and
more tasks
monitormotivation
enhance motivation
strengthencommitment
monitormotivation
strengthencommitment
enhance motivation
Overall model flow chart
toc
Praxisforschung
Interventionstreue (fidelity) Wirkungen
content analysis
model guidelinesfidelity
checklist
data analysiscategories
-10123456789
10111213
11/14/2006 1/3/2007 2/22/2007 4/13/2007
Methadone dosage in mg
CM sessions accumulated
Task review ratings
UDS
Problem change ratings
Problem change line
Linear Trendline (Problemchange)
Ergebnisse ein Beispiel
Implementation: Watch the issues Fidelity enhancing features
Training Prepare practitioners for research Supervision Use of forms
Structure vs. flexibility Time-limited treatment vs. prolonged
treatment Consider non-voluntary treatment goals Assessment connects with measurement
Positive experiences from implementation of practice research Assists in agency policy development
(organizational development) :assessment, contracting, describing available services
Client motivation through research and more structure
Improving social work practice skills More effective through task focus and
observing client readiness
It’s only research: Just do it!(Bob Green, VCU)
Dare to do it, don’t restrict yourself with too much rigor.
Materialien
The task-centered model (TCM)
www.task-centered.com
Motivational interviewing (MI)
www.motivationalinterview.org
Manuale von der Heroinstudie
www.heroinstudie.de