the storti model - online pr web · 2020. 12. 9. · motivational intervention storti model 27 | p...
TRANSCRIPT
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(C) Storti Model 2020
THE STORTI MODEL A Motivational & Inspirational
Intervention Presentation
CanAm Intervention Training
December 11 – 15th, 2020
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
INTRODUCTION
THE TRADITIONAL RECOMMENDATION:
Tough love
Let them bottom
Family gets help for themselves
"Have to want to come in" or “want to surrender”...
Leave them!
MOTIVATIONAL INTERVENTION:
A. Saves lives, offers hope, refined technique
B. Modify, adapt, and personalize, incorporate your personality, and accept
the case challenge.
C. Been utilized in connection with: Alcohol, other drug addiction, eating
disorders, gambling, sexual addiction, nicotine, heart disease, diabetes,
cancer, elderly, T.V., Internet.
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
DEFINITION OF MOTIVATIONAL INTERVENTION
The Intervention is to be a proud and wonderful experience. It is to honor, not
force the recipient in accepting the solution (treatment) as a gift.
The group's goal is to have presented with dignity and to know they all gave their
energy, time, and commitment under one roof, then to release emotionally and
go on with their lives.
• Springboard Effect
• Foundation Energy
• Unstick Patient and Family
• Moment in One's Life
The deep intensity of caring individuals united to support one member is the
main ingredient of the Intervention presentation, and the groups public
declaration of love for one of its member is what makes the Intervention
inspirational.
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
SEVEN NEEDS DEMANDED BY THE PUBLIC
Accelerate Procedure
• Prep and intervention within 12 hours or same day
• People will attend – creates “People Mix”
Personalize for Family
• Adapt to case
• Flexible, find combination
Service Oriented
• Attractive for participants to participate – less laborious
• Uncomplicate the complicated
Interventionist Acts As Major Component / Participant
• Surgeon
• Pilot (Not low Profile)
• Trial Lawyer
In Home – 95%
• No deceit
• Comfortable
• Pack
Motivational Procedure
• Gift giving
• Honored
• Savor the moment
• Inspirational
Unconditional Presentation
• No punishment, consequence
• Emotional appeal brought in the most receivable manner
• Appeal to the heart, not the mind
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MOTIVATIONAL INTERVENTION
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27 | P a g e (C) Storti Model 2020
• In appropriate cases consequences can be used
THE STORTI MODEL: FIVE STAGES
I. INQUIRY
II. ASSESSMENT
III. PREPARATION
IV. INTERVENTION
V. FOLLOW-UP
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
I. INQUIRY
1. 15 minutes to 30 minutes
2. 100 Inquiries - 1/4 Interventions
3. Hope - 150 Rule
4. Does case warrant Intervention?
5. Refer to other professionals
6. Evaluate/Profile (brief) (accessible, others concerned, reclusive)
7. Physical-Psychological behavior
8. Behavioral pattern
9. Feel do-able "smell red flags?"
10. Qualify case (solution / your services)
11. Present Model of Intervention
12. **Assessment as start of foundation
13. Nucleus Group 1-5 (send short history / bio-sketch)
14. C. C.
15. Patient not to attend!
16. Might take more than one Inquiry (numerous calls)
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
II. ASSESSMENT
1. Nucleus Group 1-5
2. In Person or Conference Call
3. 2-3 Hours / over time?
4. Case - Dissect, Profile, Sensitive Issues
5. Personalization of Case is Determined
6. Surprise Element (30%)
7. Challenge of People Mix (50%)
8. Goals - Short/Long Term
9. Risks
10. Find a hook (personalization)
11. Red Flags (why intervene now, verbally / physically abusive)
12. Positives
13. Options
14. Describe Intervention Procedure – “Words” (20%)
15. "I must Exceed the Expectations"
16. Solution (Primary/Secondary Diagnosis)
17. Treatment Model
A. Physical Stability
B. Patient Profile
C. Diagnosis
D. Budget
E. Family Involvement
* Be careful - "Over troubleshoot" - You over complicate case!
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
III. PREPARATION
1. Prepare Yourself
A. Stay In The Zone
B. ASAP Read the Group
C. Connect Emotionally with the Group
D. Find Qualities (vs. Negatives)
E. Create Chemistry
F. Professionalism vs. Personality
G. Memorize Names
H. Don’t Break Character
I. 7 Second Rule / 30seconds
J. La Bella Figura
2. Prepare Participants
A. Rescue / Urgency
B. Short Term and Long Term Goals
C. Success Elements
D. More Information Gathering
E. Intervention Procedure
F. Detail Intervention Particulars (see separate chart)
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
PREPARATION PARTICULARS PART 1 (The 8 Musts)
Participants
Heart to Heart
Goals X3
Specific
Long Term X5
Future Concerns
Diffusers
Letters of Encouragement
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
PREPARATION PARTICULARS PART 2
Intervention/Time
Pre-Meeting Time
Cell Phone / Caravan / Park
Home Particulars (Bathroom, dog, phone, etc.)
Walk-in
Pre-Greeting
Sitting
Intro / Conversations
Want in
Combination
Pause
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
Fragmentation
Trial Close
Stay Unified / Future
Don’t break Character
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
PREPARATION PARTICULARS PART 3
“Yeah, Buts…”
ATP
Won’t Go / Phase 2 & 3
Safety Valve
Agrees Brief Ending
Guardian Angel
Pack
Photo I.D. / Insurance Cards
Relax & Stay
Escort
Treatment Protocol / Visit / Phone
Group Confidentiality
Delayed Reaction
Letters of Encouragement / Brochure
Debrief
Positive
%
Be Proud / Be Patient
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
SIDEBAR #1
Always remember this checklist when dealing with the particulars during the
preparation.
A. Patient Availability: Can't intervene without him/her!
B. Group Presence: Must have people to go in to intervene.
C. Solution: Must have a model of treatment to offer the patient.
D. "Yeah, buts…": Must be answered and solved.
E. Escort: A few people must be prepared to escort the patient.
F. Guarantor of the Account: If insurance denies, someone must
guarantee the money is there.
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
IV. INTERVENTION
1. GOALS
A. SHORT TERM (X3)
1. Patient is available
2. Patient sits down
3. Patient listens to best of toxic ability
B. LONG TERM
1. Patient accepts and goes to treatment
2. Stays in treatment
3. Serious
4. Accept recommendations
5. Group stays unified regarding intervention procedure
2. THE THREE ELEMENTS OF A SUCCESSFUL INTERVENTION
A. SURPRISE (30%):
Stunning effect creates imbalance of defenses.
A. Diffuse B. Speechless C. Anesthetic
D. Agreeable E. Upset F. Distant
G. Aggressive H. Adverse Reaction
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
B. PARTICIPANTS (50%):
1. Normal Group Size around 8-12 (32)
2. 5-Star Formula
3. Funeral - Pall Bearers, Eulogizes
4. Attend the Prep / Decide
5. Insiders vs. Outsiders
6. Who do you want (nucleus), not the patient (drinkers vs.
users)
7. 40/60 Rule
8. Special Guest (recovery, testimonial, presence) / Diffuser
*PEOPLE MIX *AUDIO VISUAL
Relatives Letters
Neighbors Audio
Clergy Phone
Mentor E-mail
Coach Video
Colleagues
Friends
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
C. CONVERSATION (20%):
1. HEART TO HEART
Cue - "You might express your feelings."
A. Why you are there
• Upbeat
• Loving
• Motivating
• Honorable
B. I remember when
• Fond Memory
• Positive Character Trait
C. Moment of Endearment
• Use Analogy/Example
• Appeal to the Heart
• Replay Positive Experience
• Create Eulogy
B. I'm concerned with
• General
• Overall, Physical / Psychological
• Testimonial regarding someone else
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
Most Interventions stay in the first phase with commitment to
treatment modality, closing remarks with escorting to the center.
The first phase approach is attractive to participants and acceptable
to the patient. This approach is the emotional appeal that connects
with the heart.
2. SPECIFICS
If contested or need of understanding urgency or desperation,
then implements this phase:
Cue - "Jim, you might be more specific."
• Specific example
• Incidents concerning behavior
• Concern per participant (40/60 Rule)
If no concern stay with
• Encouragement
• Advantages in accepting solution
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
3. FUTURE CONCERN
Patient will not accept the solution, it is time to end, you want to end
with dignity and respect.
Cue -"Jane, with Bill not getting help today, what is your
concern?"
• Self concern
• Disappointment, yet hopeful, reconsider
• Patient's responsibility
• Emotional withdrawal from roller coaster ride!
• Group's completion of goals
• Debrief, safety valve
• Letters of encouragement and brochure
With the patient accepting help, the escort group is activated, and
short debriefing takes place once patient has left for treatment
center.
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
SIDEBAR #2
It has been my experience that the moment before the patient is
expected to walk in, many people, due to fear, stress, and/or anxiety,
become nervous and, in a panic, tell me they have "forgotten what to
say" or "have nothing to say." Thus, I have developed a "One Minute
Preparation" designed to keep a person focused on simplicity rather
than over-intellectualizing the message being conveyed. The "One
Minute Preparation" allows me to quickly remind the participant to:
1. Be themselves;
2. Speak from their heart;
3. Stay with the theme of treatment acceptance today;
4. Stay unified.
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
3. ROADBLOCKS TO SUCCESS
A. RISKS
• Timing
• Disappointment
• Bolt
• Outcome
• Distortion
• Vindictive
• Threatening
• Suicide
• Confidentiality
• Unified
G. WHY INTERVENTIONS CAN ERUPT
• Poor assessment
• Poor preparation
• No chemistry
• "Yeah, buts" not addressed
• Intervention/premature ending S/O sabotage
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
C. RED FLAGS
• Erratic/bizarre
• Ultra fragile
• S/O under one year of recovery
• Theatrical (highly)
• History of upstaging
• Highly aggressive
• Tried suicide
• Lawsuit prone (malpractice attorney)
• Abuses spouse
• Weapons
• Unrest in nucleus
• Lack of documentation
• Highly pampered/mixed messages Bolter/defiant
• Unapproachable
D. SIDE STEPPING
• Possible softer approach
• Other alternatives?
• Risk - Feeling incomplete if patient bolts or could not
start/complete
• Refer for possible second opinion
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
4. SURGERY
INCISION (START)
The incision of the intervention is a sincere, genuine, kind introduction. It is
a “clean” opening to the presentation.
1. MY MENTAL PREPERATION BEFORE WALKING IN THE DOOR
A. Visualization
B. Dedicate Case
C. Personalize Case
D. Practice start (verbally and mentally)
E. Careful eating / caffeine
F. CBA
G. Be early to pre-meeting area
H. Don’t fear rejection, create excitement
I. Theory of ratio
J. Model behavior you want mirrored
2. START YOUR PRESENTATION
A. Tone of voice (hypnotic)
B. Stay in the zone
C. Verbal anesthesia
D. Mentally unfold arms
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
E. Don't let patient's mind wander
3. FIRST FIVE MINUTES
A. Professionalism
B. Poise
C. Sincerity
D. Kindness
E. Firmness
F. Genuineness
4. WORDS FLOW AT START
A. Who I am
B. Time spent by all in attendance
C. Everyone represents statement of patient's life
• Decency
• Respect
• Love
D. When I was called, asked group to be honest and lay cards on table
E. Group is special based on "who would be called for your funeral"
F. Presentation is to honor you, not demean you
G. Everyone here chose to be with you today!
H. I represent addictive disease field or when one is stuck or suffering
1) Honest
2) Solution
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
EXPLORE AND PROBE
This is the intervention presentation itself. I interweave the
participants into the appropriate phases and gain agreement to the
solution. However, this is not done the exact same way for every
intervention. The means by which we gain acceptance are variable
and must be implanted as we explore and find different roadblocks.
1. PRESENT SOLUTION
2. INTERWEAVE PARTICIPANTS
3. EXPLAIN TREATMENT
4. INVOLVEMENT / FAMILY / FRIENDS
5. OPTION – PHASE II & III
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
SUTURE - (CLOSE)
This is the closing of the presentation. Its purpose is to gain a
commitment from the patient, a brief ending for the participants,
and to activate the escort team taking the patient to the treatment
center.
1. COMMITMENT TO GROUP
2. BRIEF ENDING PER PARTICIPANT
3. ACTIVATE ESCORT TEAM
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
V. FOLLOW-UP
1. Confirm admit with contact
2. Verbal report to case manager
3. Written report who, what, when, memo, etc.
4. First 72 hours phone communication with family contact
5. Troubleshoot case
6. Help family with delayed reaction (ongoing / few months)
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
HOW SATISFIED WERE YOU WITH THE FOLLOWING ASPECTS OF YOUR
INTERVENTION?
HOW SATISFIED WERE YOU?
Very Dissatisfied - Very Satisfied
PHONE MESSAGES RETURNED 1 2 3 4 5
TELEPHONE COURTESY 1 2 3 4 5
YOUR ASSESSMENT MEETING COMPLETE AND RISKS
PRESENTED 1 2 3 4 5
PREPARATION MEETING COMPLETE, ACCURATE,
PROFFESSIONALLY PRESENTED 1 2 3 4 5
THE INTERVENTION PROFESSIONALLY ORCHESTRATED
WITH DIGNITY 1 2 3 4 5
COURTESY/ ATTITUDE THOUGHOUT ALL STAGES OF
THE PROCESS 1 2 3 4 5
GENERAL APPEARANCE/ DRESS 1 2 3 4 5
INTEREST IN YOUR NEEDS AND FOLLOW-UP CALLS 1 2 3 4 5
THANK YOU FOR YOUR PARTICIPATION!
COMMENTS:
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
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MOTIVATIONAL INTERVENTION
STORTI MODEL
27 | P a g e (C) Storti Model 2020
SUMMATION
The wonderful thing about self is that you’ll leave behind
something that is not tangible. It’s a great spiritual something.
That’s what you are. If you develop that, you’ll leave that to
everyone you touch.