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Thinking
for a
Change
Overview & Interactions
Presented by David Malinowski
AHA Health Risk Awareness
 Your age
 Your sex
 Family history of heart
attack
 Smoke tobacco
 High cholesterol
 High blood pressure
 Physically inactive
 Excess body weight
 Diabetes
 Medical history of
heart attack or other
problems
•What if your doctor told you that you are high
risk for a heart attack?
•What could would you be able to change?
National Heart Lung and Blood Institute, National Institute of
Health
1971
What does that year mean to you?
Attica Prison Riot
 Professional Development
 Recommend Policy Directions
 Program Development
 Translate Research into Practice
Robert Martinson - 1974
 Meta-analysis
 Examined 231 correctional studies
 Asking…
… Are correctional interventions effective?
 Finding…
… NOTHING WORKS!
 What effects do you think this had on the
field?
Ted Palmer - 1975
 Re-analyzed data
 Examined types of populations
 Types of programs
 Types of outcomes
 Finding…
… SOME THINGS WORK!
NIC “What Works” Project
 Cognitive-Behavioral Programs
 Traditional Talk Therapy
Iceberg Analogy
Cognitive
Restructuring
Actions
Thoughts
Feelings
Attitudes/Beliefs
InternalBehaviors
ExternalBehaviors
Iceberg Analogy
Cognitive-Behavioral Interventions
 ThinkingThinking (an internal behavior) controls
our overt actionsactions (external behavior).
 Long-term behavior change is basedLong-term behavior change is based
on changing ways of thinking.on changing ways of thinking.
Two Cognitive Schools
 Cognitive
Restructuring
Focuses on WHAT you
are thinking.
 Cognitive Skills
Focuses on HOW to think
and act.
When someone cuts
you off in traffic what
do you THINK?
When someone cuts
you off in traffic, what
do you DO?
Two Types of Programs
Cognitive Restructuring
 Addresses what people think, feel and believe
 Teaches reflection and self-insight
 Teaches people NEW ways of thinking in order to
change behavior
Cognitive Skills
 Emphasizes the role of learning
 Skill acquisition
Thinking for a Change
Integrated Cognitive Behavior Change Program
Jack Bush, Barry Glick, Juliana Taymans
 Social SkillsSocial Skills
 Cognitive Self ChangeCognitive Self Change
 Problem SolvingProblem Solving
Program Organizer
Cognitive Self Change
1. Pay attention to our thoughts and
feelings.
2. Recognize when there is risk of
our thoughts and feelings leading
us into trouble.
3. Use new thinking that reduces
that risk.
Thinking Report
Situation: ____________________________
Thoughts:
1. _________________________________
2. _________________________________
3. _________________________________
4. _________________________________
5. _________________________________
6. _________________________________
7. _________________________________
8. _________________________________
Feelings: _____________________________
Attitudes _____________________________
& Beliefs: _____________________________
Thinking Reports
1. A brief, factual description of the
situation.
2. A list of all the thoughts you had in
that situation.
3. A list of all the feelings you had in that
situation.
4. Attitudes or beliefs behind your
thoughts or feelings.
What are skills?
Social Skills
 Social skills are the skills we use when we
deal with other people
 Good social skills help get us what we
want; maximizing positive responses, and
minimizing negative responses from other
people
Knowing Your FeelingsKnowing Your Feelings
Definition:
Steps we use to tune into what is
going on inside of us that make
us think or act in a certain way.
Knowing Your FeelingsKnowing Your Feelings
1. Tune in to what is going on in your body
that helps you know what you are
feeling.
2. Decide what happened to make you feel
that way.
3. Decide what you could call the feeling.
Social Skills Lesson Format
1. Homework Review
2. Overview of the new skill
3. Instructor Models the new skill
4. Discussion of the Modeling Display
5. All participants practice the skill
(Role Play)
6. Feedback (Discussion) of the Role Play
(Practice)
7. Prepare the Homework assignment of the
skill
Problem Solving
The Conflict Cycle
Problem
Consequences
Feelings
Thoughts
Action
Problem Solving Steps
1. Stop and Think
What are my thoughts & feelings?
What are my risk thoughts &
feelings?
Do the 3 steps:
1. Be quiet
2. Get Space
3. Calm Down
2. Problem Description
What is the problem?
What is my risk reaction?
3. Getting Info/Set Goal
Info: Facts? Other person?
Goal: What is my goal?
4. Choices and Consequences
What are my choices?
My opinions and
belief?
What are the consequences?
5. Choose – Plan – Do
What is my best choice?
What is my plan?
Do it.
6. Evaluation
Am I closer to my goal?
Hurt others?
What have I learned?
Implementation Issues
1. Group size: 8-12 members
2. Facilitators: 2 certified facilitators at all
sessions
3. Frequency of groups: 1x minimum, 2x week
(recommended), 3x week maximum [M-W-F]
4. Length of group sessions: 1-2 hours
David Malinowski
malinowskidm@gmail.com
407.970.5015

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T4 c overview david

  • 1. Thinking for a Change Overview & Interactions Presented by David Malinowski
  • 2. AHA Health Risk Awareness  Your age  Your sex  Family history of heart attack  Smoke tobacco  High cholesterol  High blood pressure  Physically inactive  Excess body weight  Diabetes  Medical history of heart attack or other problems •What if your doctor told you that you are high risk for a heart attack? •What could would you be able to change? National Heart Lung and Blood Institute, National Institute of Health
  • 3. 1971 What does that year mean to you?
  • 5.  Professional Development  Recommend Policy Directions  Program Development  Translate Research into Practice
  • 6. Robert Martinson - 1974  Meta-analysis  Examined 231 correctional studies  Asking… … Are correctional interventions effective?  Finding… … NOTHING WORKS!  What effects do you think this had on the field?
  • 7. Ted Palmer - 1975  Re-analyzed data  Examined types of populations  Types of programs  Types of outcomes  Finding… … SOME THINGS WORK!
  • 8. NIC “What Works” Project  Cognitive-Behavioral Programs  Traditional Talk Therapy
  • 11. Cognitive-Behavioral Interventions  ThinkingThinking (an internal behavior) controls our overt actionsactions (external behavior).  Long-term behavior change is basedLong-term behavior change is based on changing ways of thinking.on changing ways of thinking.
  • 12. Two Cognitive Schools  Cognitive Restructuring Focuses on WHAT you are thinking.  Cognitive Skills Focuses on HOW to think and act. When someone cuts you off in traffic what do you THINK? When someone cuts you off in traffic, what do you DO?
  • 13. Two Types of Programs Cognitive Restructuring  Addresses what people think, feel and believe  Teaches reflection and self-insight  Teaches people NEW ways of thinking in order to change behavior Cognitive Skills  Emphasizes the role of learning  Skill acquisition
  • 14. Thinking for a Change Integrated Cognitive Behavior Change Program Jack Bush, Barry Glick, Juliana Taymans  Social SkillsSocial Skills  Cognitive Self ChangeCognitive Self Change  Problem SolvingProblem Solving
  • 16. Cognitive Self Change 1. Pay attention to our thoughts and feelings. 2. Recognize when there is risk of our thoughts and feelings leading us into trouble. 3. Use new thinking that reduces that risk.
  • 17. Thinking Report Situation: ____________________________ Thoughts: 1. _________________________________ 2. _________________________________ 3. _________________________________ 4. _________________________________ 5. _________________________________ 6. _________________________________ 7. _________________________________ 8. _________________________________ Feelings: _____________________________ Attitudes _____________________________ & Beliefs: _____________________________
  • 18. Thinking Reports 1. A brief, factual description of the situation. 2. A list of all the thoughts you had in that situation. 3. A list of all the feelings you had in that situation. 4. Attitudes or beliefs behind your thoughts or feelings.
  • 20. Social Skills  Social skills are the skills we use when we deal with other people  Good social skills help get us what we want; maximizing positive responses, and minimizing negative responses from other people
  • 21. Knowing Your FeelingsKnowing Your Feelings Definition: Steps we use to tune into what is going on inside of us that make us think or act in a certain way.
  • 22. Knowing Your FeelingsKnowing Your Feelings 1. Tune in to what is going on in your body that helps you know what you are feeling. 2. Decide what happened to make you feel that way. 3. Decide what you could call the feeling.
  • 23. Social Skills Lesson Format 1. Homework Review 2. Overview of the new skill 3. Instructor Models the new skill 4. Discussion of the Modeling Display 5. All participants practice the skill (Role Play) 6. Feedback (Discussion) of the Role Play (Practice) 7. Prepare the Homework assignment of the skill
  • 26. Problem Solving Steps 1. Stop and Think What are my thoughts & feelings? What are my risk thoughts & feelings? Do the 3 steps: 1. Be quiet 2. Get Space 3. Calm Down 2. Problem Description What is the problem? What is my risk reaction? 3. Getting Info/Set Goal Info: Facts? Other person? Goal: What is my goal? 4. Choices and Consequences What are my choices? My opinions and belief? What are the consequences? 5. Choose – Plan – Do What is my best choice? What is my plan? Do it. 6. Evaluation Am I closer to my goal? Hurt others? What have I learned?
  • 27. Implementation Issues 1. Group size: 8-12 members 2. Facilitators: 2 certified facilitators at all sessions 3. Frequency of groups: 1x minimum, 2x week (recommended), 3x week maximum [M-W-F] 4. Length of group sessions: 1-2 hours

Editor's Notes

  • #2: The Attica Prison riot occurred at the Attica Correctional Facility in Attica, New York, in 1971. The riot was based in part upon prisoners' demands for better living conditions. On September 9, 1971, responding, in part, to the death of prisoner George Jackson, an activist prisoner who had been shot to death by corrections officers in California's San Quentin Prison on August 21, about 1,000 of the Attica prison's approximately 2,200 inmates rebelled and seized control of the prison, taking 33 staff hostage. During the following four days of negotiations, authorities agreed to 28 of the prisoners' demands, but would not agree to demands for complete amnesty from criminal prosecution for the prison takeover or for the removal of Attica's superintendent. By the order of then-Governor Nelson Rockefeller, state police took back control of the prison. When the uprising was over, at least 39 people were dead, including ten correctional officers and civilian employees.
  • #3: Purpose: To present a non-criminal justice example as to what is dynamic/static and how it is difficult to change everything at once. This is an American Heart Association risk assessment for likelihood of heart attack. It includes factors that are statistically related to a person’s likelihood of having a heart attack. Some are static (age, sex, family history, medical history) and others are dynamic (e.g. weight, smoking, blood pressure). Discuss how a doctor would reduce likelihood of heart attack by addressing dynamic factors not the static ones. Relate this to using a risk assessment like the ORAS for case planning and changing an offender’s risk. Note the difficulty in changing all these things at once. Relate it back to the offender’s experience as they enter supervision.
  • #10: We can think of cognitive structure like an iceberg. What is above the water is what you can see. But danger of the iceberg lies beneath the surface. Cutting off the top won’t significantly alter the mass of the iceburg. Likewise, unless we deal with thinking - the behaviors we can’t see. It is difficult to change the actions that we can.