Moving from supportive to solution focused interventions
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The document discusses the difference between supportive and solution-focused interventions in counseling, highlighting that supportive interventions help clients manage immediate crises while solution-focused interventions guide them toward long-term problem-solving. It outlines methods for increasing client motivation and addresses common obstacles to engagement in transformative processes. Key strategies include establishing rapport, employing cognitive processing techniques, and utilizing narrative therapy to help clients articulate their challenges and desired outcomes.
Moving from supportive to solution focused interventions
- 1. Moving from Supportive to Solution Focused Interventions Dr. Dawn-Elise Snipes Executive Director: AllCEUs Counseling Education Host: Counselor Toolbox Podcast AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 1
- 2. Objectives Differentiate between supportive and solution- focused interventions Identify the function of each Explore interventions to facilitate transition into problem solving AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 2
- 3. What’s the Difference Supportive interventions are grounded in empathy and helping the person survive the moment. Plugging a hole in the hull of a ship until you can get to port Solution focused interventions aim to help the person move from surviving the moment to thriving. Repairing the ship and figuring out how to avoid the reef the next time AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 3
- 4. Supportive Interventions Establish rapport Validate the person’s feelings Can help the person return to baseline/wise mind Examples: Active listening Radical acceptance Distress tolerance AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 4
- 5. Why People Get Stuck Supportive interventions are like removing boiling rice from a hot stove. When the rice starts to boil, it often boils over The cook removes the rice from the heat and the bubbles go down. The rice still needs to cook (the problem is still there) but the immediate crisis (boiling over) is past The cook returns the rice to the stove to try and get it to finish cooking. People generally present for counseling when they are in crisis. Supportive interventions help them feel better so they drop out until they are in crisis again. Point out this pattern to clients who seem to be repeating the same pattern AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 5
- 6. Solution Focused Interventions Help people identify The problem Their hoped-for resolution of the problem Ways they have solved similar problems Exceptions Other possible solutions Require a clear head and the ability to concentrate (a little) Require that the person feels heard and understood Require motivation to make a change AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 6
- 7. Question What other reasons might a person have for not wanting to engage in solution focused interventions? AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 7
- 8. Decisional Balance (Increase Motivation) Keep Treading Water Find a Permanent Solution Benefits Gets her out of class Teachers go easier on her Doesn’t add to conflict at home Feel better Drawbacks Tired of being depressed all the time Afraid there might not be one Change is scary AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 8 Sally repeatedly sees her counselor because she is depressed and there is a lot of chaos at her house. Jane repeatedly sees her counselor because the popular girls are trolling her in IG John has taken way too many AP classes and is completely stressed out. It is finals month and he is not sleeping. Increase motivation by helping people see how their reaction to the current situation is keeping them from having the life they want.
- 9. Maintain Motivation Use assignments to keep people on task between sessions Have daily check-ins to complete the problem log Use scaffolding to develop a game plan Provide reinforcement for successful completion of tasks Highlight improvements Try to avoid rewarding backsliding Consider all factors that may enhance or impede motivation Emotional Mental Physical (sleep, nutrition, pain, hormones) Social (friends and family) Occupational (school/work) AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 9
- 10. Remember Everything people do serves a purpose and is generally more rewarding than the alternative. Why does Sally seem to shut down or yes-but any suggestions? Why does John insist on taking an excessive load even though he knows it will stress him out? Why does Jane continue to use social media if it upsets her so much? AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 10
- 11. Cognitive Processing Cont… Can help therapists identify and address Cognitive distortions Emotional reasoning Faulty goal setting and problem solving skills Can help clients Gain a different perspective Identify what parts are within their control Set SMART goals and increase efficacy AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 11
- 12. Cognitive Processing Tell me the problem (or write it down) What are the known facts for and against your beliefs about the problem? What other factors and people are involved? Are you assuming things about other people or the future? Are you confusing high and low probability events? Which parts can you control? Which part’s can’t you control? What is your hoped for resolution? Is this realistic? Why or why not? What are possible steps to a solution? AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 12
- 13. Problem Solving Use authenticity to communicate how much you want to help the person find a way to stop hurting. Look for exceptions Identify ways the person or someone else has solved the problem in the past Set small, achievable goals Follow up regularly. AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 13
- 14. Narrative Therapy Have people write down What is going on (this chapter) How they see the future (the next chapter) Include Who is there? What do they do? How do they feel? AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 14
- 15. Living in the AND Validate people’s hurts and perspectives. You are devastated and it seems like the pain will never end. Help them identify things that are important to them that are going well Tree Collage Scrapbook Index cards: Who or what it is and why it is important and going well. AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 15
- 16. Summary Supportive interventions are necessary to help people radically accept their feelings and situation and get into their wise mind. Solution-focused interventions will help them address the situation and start moving forward to break the distress cycle. AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 16