| A | B | C | |
|---|---|---|---|
1 | Provider: | Mr. Porter | |
2 | Client: | Hannah Baker | |
3 | Date: | 4/17/2017 | |
4 | Change Goal: | Engagement in treatment/recovery | |
5 | |||
6 | Coder: | Keith Donald | |
7 | Date: | 3/25/2018 | |
8 | |||
9 | Technical Components Scoring | ||
10 | |||
11 | Score | Score Meaning | |
12 | Cultivating Change Talk | 5 | Provider shows a marked and consistent effort to increase the depth, strength, or momentum of the client’s language in favor of change. |
13 | Softening Sustain Talk | 5 | Provider shows a marked and consistent effort to decrease the depth, strength, or momentum of the clients language in favor of the status quo. |
14 | |||
15 | Relationship Components Scoring | ||
16 | |||
17 | Score | Score Meaning | |
18 | Partnership | 5 | Provider actively fosters and encourages power sharing in the interaction in such a way that client’s contributions substantially influence the nature of the session. |
19 | Empathy | 5 | Provider shows evidence of deep understanding of client’s point of view, not just for what has been explicitly stated but what the client means but has not yet said. |
20 | |||
21 | Behavior Counts | ||
22 | |||
23 | Question | 3 | |
24 | Simple Reflection | 4 | |
25 | Complex Reflection | 7 | |
26 | Giving Information | 4 | |
27 | Persuade With Permission | 0 | |
28 | Affirmation | 2 | |
29 | Seeking Collaboration | 3 | |
30 | Emphasizing Autonomy | 2 | |
31 | Persuade | 0 | |
32 | Confront | 0 | |
33 | |||
34 | Thresholds | ||
35 | |||
36 | Total Technical Score | 5 | Good |
37 | Total Relational Score | 5 | Good |
38 | % of Complex Reflections | 64% | Good |
39 | Ratio of Reflections to Questions | 11/3 | Good |
40 | Total MI Adherent | 7 | |
41 | Total MI Non-Adherent | 0 |