Case # 8

BNI ART INSTITUTE YOUTH INTERVENTION ALGORITHM

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1. Promote rapport and trust

  • Ask permission
  • Address privacy
  • Engage

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2. Provide feedback

  • state current level of use
  • provide norms
  • ask how use fits with life goals
  • explore connection with reason for visit
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3. Enhance Motivation

  • Explore Pros and Cons
  • Use reflective listening
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4. Administer CRAFFT

  • Use responses to continue exploring pros & cons
 4
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5. Assess readiness to change

  • Elicit % ready to change (on the ruler)
  • Ask “Why not less?”
  • Reinforce Change Talk
5
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6. Negotiate goal
  • Elicit action plan (steps to be healthy)
  • Discuss benefits of change
  • Reinforce resilience
  • Summarize change steps/action plan
  • Offer resources
  • Develop plan: prescription for change
  • Provide handouts and filled-out prescription
  • Refer  (consider CRAFFT score
 6
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7. Thank patient for time 7
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