FORMAL PROBLEM SOLVING

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Transcript FORMAL PROBLEM SOLVING

WELCOME TO
THE PROBLEM SOLVING PROCESS IN
CONSUMER CENTERED FAMILY CONSULTATION
Hosted by:
The Family Institute for Education, Practice & Research
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AGENDA
 Welcome
 The Problem Solving Process in Consumer Centered Family
Consultation
 How to Introduce the Problem Solving Process to the Consumer
and Family
 A Detailed look at the Problem Solving Six-Step Process
 Questions and Answer Session
OVERVIEW: PROBLEM SOLVING PROCESS
 6-step process borrowed from the business community
 Helps to organize potentially emotionally laden material into a step-bystep, sequential process
 Allows the consumer, family, and others to talk about and explore
details in the decision making process
 Assist all the parties involved with devising a plan of action to address a
problem or challenging situation
 Solve problems in a systematic way can lead to better outcomes
HOW TO INTRODUCE THE PROBLEM SOLVING PROCESS
Tell everyone about the process
 Most people want to know “what can we do?” or “what
should we do?” – here’s a way to help that’s proven to
work
 Evidence based – lots of research
 Some of the most challenging problems can be broken
down into pieces and addressed
Suggest that the problem solving process can help everyone
in the family/system.
Ask if people want to set aside a CCFC meeting for problem
solving.
INTRODUCING THE PROBLEM SOLVING PROCESS (CONT’)
Let people know that the process can be helpful because
it’s:
 Designed to help deal with stress/stressors
 Designed to reduce tension and stimulation
 Designed to increase predictability and calm in the
environment
The process can be discussed with consumers in
advance of sharing them with family/supports (e.g.,
during the pre-planning meeting)
INTRODUCING THE PROBLEM SOLVING PROCESS (CONT’)
Conducting the process with support people should be
considered a strategy for helping consumer achieve
his/her specific goal(s)
Let everyone know that problem solving does not always
result in a guaranteed solution. Yet, also instill hope that
the process can be helpful.
Reinforce the idea that “we are all putting our heads
together to come up with solutions”
THE DETAILS
IMPORTANT: BEFORE STARTING THE
PROBLEM SOLVING PROCESS, THE
PRACTITIONER SHOULD GIVE AN OVERVIEW
OF THE PROCESS AND EDUCATE PEOPLE
ABOUT WHAT TO EXPECT
STEP ONE:
DEFINE THE PROBLEM, CONCERN OR GOAL
The consultant will typically…
 Ask the consumer and family to talk about their concern, a
problem or a goal. This may happen naturally.
 Listen carefully and ask questions.
 Get everybody’s opinion.
 Write the concern, problem or focal point in a way that best
defines it in a solvable way.
STEP ONE (CONT’):
TIPS FOR DEFINING THE PROBLEM
 Select only 1 problem and stick with it
 Narrow things down, and pick a manageable aspect
 Concentrate on behavior
 Consider wording: What can X do to help Y to Z ?
Example: What can mom do to help John remember to
take his medications without it seeming like she’s nagging
him?
STEP TWO:
LIST ALL POSSIBLE SOLUTIONS – “BRAINSTORMING”
The consultant should…
 Stress that this is a brainstorming section of the problem solving
process and no pros and cons should be discussed at this time
 Note: Instruct people to only suggest a solution that could be
tried over the next two weeks
 Ask the consumer and family for all of their ideas on how their
concern, problem or goal could be addressed or solved
 Encourage them not to dismiss things they have tried already
and not to judge their possible solutions as being silly, etc.
 Put down all ideas, even ones people may not agree with
STEP TWO:
LIST ALL POSSIBLE SOLUTIONS (CONT’)
The consultant should…
 Try to get everybody to come up with at least one possible
solution
 Participate and offer possible solutions
 Remark that this is meant to be a casual, relaxed process
and the family and consumer should allow themselves to be
free to share any idea without fear of judgment or failure
(practitioner should model this)
 Mention that many creative ideas can come from this step
of the problem solving process
STEP THREE:
DISCUSS EACH POSSIBLE SOLUTION THAT WAS
MENTIONED DURING THE BRAINSTORMING SESSION
Once the list of possible
solutions has been
produced, the Family
Consultant leads a
discussion with the
consumer and family about
the main advantages and
disadvantages of each item
from the list of possible
solutions (pros and cons).
LIST OF PROS AND CONS
Pros
Cons
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
Recommendation: Do the pros and cons of the first possible solution, then
move on to discussing the pros and cons of the next possible solution.
*Tip: Do not do all of the pros for the solutions and then all of the cons.
STEP FOUR:
CHOOSE THE “BEST” SOLUTION THAT FITS THE SITUATION
The Consultant encourages the family to
choose the solution or solutions that they
believe can best solve the problem.
During the process the Consultant also could
encourage the family to delete any solutions
they know they would not be willing to
implement under any circumstances.
STEP FIVE:
PLAN HOW TO CARRY OUT THE BEST POSSIBLE
SOLUTION
This is the step where the Consultant helps the consumer and family / supports go
into detail about how to carry out the plan. The consumer and family would
determine any resources needed and major pitfalls they would need to overcome.
The clinician will:
 Guide the process (ask the questions below)
 Assist the consumer and family
 Leave time for review
 Give the consumer and family a copy of the step-by-step plan
Who:______________________________________________
What:_____________________________________________
When:_____________________________________________
Where:____________________________________________
Other:_____________________________________________
IN OTHER WORDS… TAKE ACTION!
1. An action plan is developed for the chosen
suggestion(s).
2. Tasks are identified and assigned.
3. Consensus is achieved prior to leaving the
meeting.
4. The plan is reviewed at the next meeting to
determine success or the need for further
problem-solving.
STEP SIX:
REVIEW IMPLEMENTATION AND PRAISE ALL
EFFORTS
At a follow-up consultation meeting, the
consultant would focus on the achievements
the consumer and family experienced.
 Review the plan and make any revisions as
necessary.
 Always accepts responsibility for any failure the
consumer and family experienced to help
alleviate any further sense of demoralization or
hopelessness they may have experienced.
COMMON PITFALLS (TO AVOID)
 Going too fast (the process typically takes at least 30 minutes)
 Allowing the conversation to jump from one topic/problem to another
 Selecting a solution but not following through with a slow, practical
discussion of the plan for next steps
 Deciding upon on plan in which the consumer does not agree to “try it”
 Deciding upon a plan in which the family/supports do not agree to “try it”
 Allowing anyone to blame any person in the family for an unsuccessful
outcome once the strategy is attempted and reviewed at a next meeting
OTHER SUGGESTIONS
 Go slow, and don’t hesitate to revise your own work/writing
 Maintain a hopeful attitude – all in the room will see your
example
 Be sure any critiques or criticism of ideas during brainstorming
are addressed (e.g., “there are no wrong answers here”)
 Keep the mood as light as possible
 Remember that you, the practitioner, can be a part of the action
plan
QUESTIONS, ANSWERS
AND DISCUSSION
THANK YOU FOR BEING WITH US TODAY
The slides in this webinar will be made available on our
website at www.nysfamilyinstitute.org
Next event for PRACTITIONERS will be on Family
Education about psychosis and will be held on June
11th & 12th from 3:00pm-4:00pm
Next webinar series for QITs will be on CCFC and the
intake process and will be held on June 4th & 5th from
3:00pm-4:00pm