Tips & Strategies

Questions that do not invite yes/no or other short answers.

• Examples: "Tell me about your smoking since our last visit; How did your child’s doctor’s visit go?”

{"preview_thumbnail":"/sites/default/files/styles/video_embed_wysiwyg_preview/public/video_thumbnails/QwxdqwTJoKY.jpg?itok=eQGNxIKM","video_url":"https://www.youtube.com/watch?v=QwxdqwTJoKY","settings":{"responsive":1,"width":"854","height":"480","autoplay":1},"settings_summary":["Embedded Video (Responsive, autoplaying)."]}

Statements supporting the person and their change behaviors

• Examples: ”you are dedicated to your children, you are working hard to find a job, you are trying your hardest”

{"preview_thumbnail":"/sites/default/files/styles/video_embed_wysiwyg_preview/public/video_thumbnails/KdEOqxI1mZ4.jpg?itok=zP-VNsdD","video_url":"https://www.youtube.com/watch?v=KdEOqxI1mZ4","settings":{"responsive":1,"width":"854","height":"480","autoplay":0},"settings_summary":["Embedded Video (Responsive)."]}

Simple statements that convey "I heard what you just said," "I understand what you are saying," or "I'm trying to understand"

• Simple: Demonstrate listening by repeating or slightly rephrasing caregiver statements
  • Example:
    • Caregiver: “I just don’t know what more I can do”
    • Home visitor: “You are not sure what else you can try”
• Complex: 
  • Emotion-focused: Acknowledging the person’s emotions
    • Example:
      • Caregiver: “I just don’t know what more I can do, I am so tired of it”
      • Home visitor: “You feel frustrated with how things are going”
  • Double-sided: Capturing both sides of a speaker’s ambivalence
    • Example:
    • • Caregiver: “Even if I want to, I just don’t know what more I can do”
    • • Home visitor: “You have tried a lot already that has not worked, but you want to feel better"
  • Amplified: Reflecting emphasizing the more exaggerated aspect of statement
    • Example:
      • Caregiver: "I cannot talk to my Mom about not smoking in her own house"
      • Home visitor: "Sounds like it would be impossible to talk about smoking with your mother"​

Emotion Focused Reflection 

{"preview_thumbnail":"/sites/default/files/styles/video_embed_wysiwyg_preview/public/video_thumbnails/ESUdkn-8P7o.jpg?itok=VcZcBQXM","video_url":"https://www.youtube.com/watch?v=ESUdkn-8P7o","settings":{"responsive":1,"width":"854","height":"480","autoplay":0},"settings_summary":["Embedded Video (Responsive)."]}

 Double-sided Reflection 

{"preview_thumbnail":"/sites/default/files/styles/video_embed_wysiwyg_preview/public/video_thumbnails/w2srlL-nqwg.jpg?itok=1UeurvRa","video_url":"https://www.youtube.com/watch?v=w2srlL-nqwg","settings":{"responsive":1,"width":"854","height":"480","autoplay":0},"settings_summary":["Embedded Video (Responsive)."]}

 Complex Reflection

{"preview_thumbnail":"/sites/default/files/styles/video_embed_wysiwyg_preview/public/video_thumbnails/UPkuvTe_oJE.jpg?itok=uswGs8oO","video_url":"https://www.youtube.com/watch?v=UPkuvTe_oJE&feature=youtu.be","settings":{"responsive":1,"width":"854","height":"480","autoplay":1},"settings_summary":["Embedded Video (Responsive, autoplaying)."]}

Linking together and reinforcing caregiver statements

• Collecting: Short summaries that gather recently discussed themes
  • Example:
  • • Home visitor: “We have been talking about how you have been feeling and you are not sure how to start finding a job, but you have some reasons for looking, like being able to bring more money home to take care of your children”
• Transitional: Announcing a shift from one focus to another
   
• Example:
  • Home visitor: “We have talked about your plans to attend the upcoming socialization; Let’s talk a bit about your efforts toward attending those parenting classes we discussed.”

{"preview_thumbnail":"/sites/default/files/styles/video_embed_wysiwyg_preview/public/video_thumbnails/7K3xqNzoijI.jpg?itok=xEMbKL3d","video_url":"https://www.youtube.com/watch?time_continue=4&v=7K3xqNzoijI","settings":{"responsive":1,"width":"854","height":"480","autoplay":0},"settings_summary":["Embedded Video (Responsive)."]}

{"preview_thumbnail":"/sites/default/files/styles/video_embed_wysiwyg_preview/public/video_thumbnails/ZPUarZe0w3w.jpg?itok=ikXWmisd","video_url":"https://www.youtube.com/watch?v=ZPUarZe0w3w","settings":{"responsive":1,"width":"854","height":"480","autoplay":0},"settings_summary":["Embedded Video (Responsive)."]}