THE STORTI MODEL - Online PR Web · 2020. 12. 9. · MOTIVATIONAL INTERVENTION STORTI MODEL 27 | P a g e (C) Storti Model 2020 DEFINITION OF MOTIVATIONAL INTERVENTION The Intervention

(C) Storti Model 2020

THE STORTI MODEL A Motivational & Inspirational

Intervention Presentation

CanAm Intervention Training

December 11 – 15th, 2020

MOTIVATIONAL INTERVENTION

STORTI MODEL

27 | P a g e (C) Storti Model 2020

INTRODUCTION

THE TRADITIONAL RECOMMENDATION:

Tough love

Let them bottom

Family gets help for themselves

"Have to want to come in" or “want to surrender”...

Leave them!

MOTIVATIONAL INTERVENTION:

A. Saves lives, offers hope, refined technique

B. Modify, adapt, and personalize, incorporate your personality, and accept

the case challenge.

C. Been utilized in connection with: Alcohol, other drug addiction, eating

disorders, gambling, sexual addiction, nicotine, heart disease, diabetes,

cancer, elderly, T.V., Internet.


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DEFINITION OF MOTIVATIONAL INTERVENTION

The Intervention is to be a proud and wonderful experience. It is to honor, not

force the recipient in accepting the solution (treatment) as a gift.

The group's goal is to have presented with dignity and to know they all gave their

energy, time, and commitment under one roof, then to release emotionally and

go on with their lives.

• Springboard Effect

• Foundation Energy

• Unstick Patient and Family

• Moment in One's Life

The deep intensity of caring individuals united to support one member is the

main ingredient of the Intervention presentation, and the groups public

declaration of love for one of its member is what makes the Intervention

inspirational.


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SEVEN NEEDS DEMANDED BY THE PUBLIC

Accelerate Procedure

• Prep and intervention within 12 hours or same day

• People will attend – creates “People Mix”

Personalize for Family

• Adapt to case

• Flexible, find combination

Service Oriented

• Attractive for participants to participate – less laborious

• Uncomplicate the complicated

Interventionist Acts As Major Component / Participant

• Surgeon

• Pilot (Not low Profile)

• Trial Lawyer

In Home – 95%

• No deceit

• Comfortable

• Pack

Motivational Procedure

• Gift giving

• Honored

• Savor the moment

• Inspirational

Unconditional Presentation

• No punishment, consequence

• Emotional appeal brought in the most receivable manner

• Appeal to the heart, not the mind


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• In appropriate cases consequences can be used

THE STORTI MODEL: FIVE STAGES

I. INQUIRY

II. ASSESSMENT

III. PREPARATION

IV. INTERVENTION

V. FOLLOW-UP


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I. INQUIRY

1. 15 minutes to 30 minutes

2. 100 Inquiries - 1/4 Interventions

3. Hope - 150 Rule

4. Does case warrant Intervention?

5. Refer to other professionals

6. Evaluate/Profile (brief) (accessible, others concerned, reclusive)

7. Physical-Psychological behavior

8. Behavioral pattern

9. Feel do-able "smell red flags?"

10. Qualify case (solution / your services)

11. Present Model of Intervention

12. **Assessment as start of foundation

13. Nucleus Group 1-5 (send short history / bio-sketch)

14. C. C.

15. Patient not to attend!

16. Might take more than one Inquiry (numerous calls)


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II. ASSESSMENT

1. Nucleus Group 1-5

2. In Person or Conference Call

3. 2-3 Hours / over time?

4. Case - Dissect, Profile, Sensitive Issues

5. Personalization of Case is Determined

6. Surprise Element (30%)

7. Challenge of People Mix (50%)

8. Goals - Short/Long Term

9. Risks

10. Find a hook (personalization)

11. Red Flags (why intervene now, verbally / physically abusive)

12. Positives

13. Options

14. Describe Intervention Procedure – “Words” (20%)

15. "I must Exceed the Expectations"

16. Solution (Primary/Secondary Diagnosis)

17. Treatment Model

A. Physical Stability

B. Patient Profile

C. Diagnosis

D. Budget

E. Family Involvement

* Be careful - "Over troubleshoot" - You over complicate case!


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III. PREPARATION

1. Prepare Yourself

A. Stay In The Zone

B. ASAP Read the Group

C. Connect Emotionally with the Group

D. Find Qualities (vs. Negatives)

E. Create Chemistry

F. Professionalism vs. Personality

G. Memorize Names

H. Don’t Break Character

I. 7 Second Rule / 30seconds

J. La Bella Figura

2. Prepare Participants

A. Rescue / Urgency

B. Short Term and Long Term Goals

C. Success Elements

D. More Information Gathering

E. Intervention Procedure

F. Detail Intervention Particulars (see separate chart)


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PREPARATION PARTICULARS PART 1 (The 8 Musts)

Participants

Heart to Heart

Goals X3

Specific

Long Term X5

Future Concerns

Diffusers

Letters of Encouragement


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PREPARATION PARTICULARS PART 2

Intervention/Time

Pre-Meeting Time

Cell Phone / Caravan / Park

Home Particulars (Bathroom, dog, phone, etc.)

Walk-in

Pre-Greeting

Sitting

Intro / Conversations

Want in

Combination

Pause


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Fragmentation

Trial Close

Stay Unified / Future

Don’t break Character


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PREPARATION PARTICULARS PART 3

“Yeah, Buts…”

ATP

Won’t Go / Phase 2 & 3

Safety Valve

Agrees Brief Ending

Guardian Angel

Pack

Photo I.D. / Insurance Cards

Relax & Stay

Escort

Treatment Protocol / Visit / Phone

Group Confidentiality

Delayed Reaction

Letters of Encouragement / Brochure

Debrief

Positive

%

Be Proud / Be Patient


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SIDEBAR #1

Always remember this checklist when dealing with the particulars during the

preparation.

A. Patient Availability: Can't intervene without him/her!

B. Group Presence: Must have people to go in to intervene.

C. Solution: Must have a model of treatment to offer the patient.

D. "Yeah, buts…": Must be answered and solved.

E. Escort: A few people must be prepared to escort the patient.

F. Guarantor of the Account: If insurance denies, someone must

guarantee the money is there.


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IV. INTERVENTION

1. GOALS

A. SHORT TERM (X3)

1. Patient is available

2. Patient sits down

3. Patient listens to best of toxic ability

B. LONG TERM

1. Patient accepts and goes to treatment

2. Stays in treatment

3. Serious

4. Accept recommendations

5. Group stays unified regarding intervention procedure

2. THE THREE ELEMENTS OF A SUCCESSFUL INTERVENTION

A. SURPRISE (30%):

Stunning effect creates imbalance of defenses.

A. Diffuse B. Speechless C. Anesthetic

D. Agreeable E. Upset F. Distant

G. Aggressive H. Adverse Reaction


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B. PARTICIPANTS (50%):

1. Normal Group Size around 8-12 (32)

2. 5-Star Formula

3. Funeral - Pall Bearers, Eulogizes

4. Attend the Prep / Decide

5. Insiders vs. Outsiders

6. Who do you want (nucleus), not the patient (drinkers vs.

users)

7. 40/60 Rule

8. Special Guest (recovery, testimonial, presence) / Diffuser

*PEOPLE MIX *AUDIO VISUAL

Relatives Letters

Neighbors Audio

Clergy Phone

Mentor E-mail

Coach Video

Colleagues

Friends


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C. CONVERSATION (20%):

1. HEART TO HEART

Cue - "You might express your feelings."

A. Why you are there

• Upbeat

• Loving

• Motivating

• Honorable

B. I remember when

• Fond Memory

• Positive Character Trait

C. Moment of Endearment

• Use Analogy/Example

• Appeal to the Heart

• Replay Positive Experience

• Create Eulogy

B. I'm concerned with

• General

• Overall, Physical / Psychological

• Testimonial regarding someone else


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Most Interventions stay in the first phase with commitment to

treatment modality, closing remarks with escorting to the center.

The first phase approach is attractive to participants and acceptable

to the patient. This approach is the emotional appeal that connects

with the heart.

2. SPECIFICS

If contested or need of understanding urgency or desperation,

then implements this phase:

Cue - "Jim, you might be more specific."

• Specific example

• Incidents concerning behavior

• Concern per participant (40/60 Rule)

If no concern stay with

• Encouragement

• Advantages in accepting solution


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3. FUTURE CONCERN

Patient will not accept the solution, it is time to end, you want to end

with dignity and respect.

Cue -"Jane, with Bill not getting help today, what is your

concern?"

• Self concern

• Disappointment, yet hopeful, reconsider

• Patient's responsibility

• Emotional withdrawal from roller coaster ride!

• Group's completion of goals

• Debrief, safety valve

• Letters of encouragement and brochure

With the patient accepting help, the escort group is activated, and

short debriefing takes place once patient has left for treatment

center.


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SIDEBAR #2

It has been my experience that the moment before the patient is

expected to walk in, many people, due to fear, stress, and/or anxiety,

become nervous and, in a panic, tell me they have "forgotten what to

say" or "have nothing to say." Thus, I have developed a "One Minute

Preparation" designed to keep a person focused on simplicity rather

than over-intellectualizing the message being conveyed. The "One

Minute Preparation" allows me to quickly remind the participant to:

1. Be themselves;

2. Speak from their heart;

3. Stay with the theme of treatment acceptance today;

4. Stay unified.


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3. ROADBLOCKS TO SUCCESS

A. RISKS

• Timing

• Disappointment

• Bolt

• Outcome

• Distortion

• Vindictive

• Threatening

• Suicide

• Confidentiality

• Unified

G. WHY INTERVENTIONS CAN ERUPT

• Poor assessment

• Poor preparation

• No chemistry

• "Yeah, buts" not addressed

• Intervention/premature ending S/O sabotage


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C. RED FLAGS

• Erratic/bizarre

• Ultra fragile

• S/O under one year of recovery

• Theatrical (highly)

• History of upstaging

• Highly aggressive

• Tried suicide

• Lawsuit prone (malpractice attorney)

• Abuses spouse

• Weapons

• Unrest in nucleus

• Lack of documentation

• Highly pampered/mixed messages Bolter/defiant

• Unapproachable

D. SIDE STEPPING

• Possible softer approach

• Other alternatives?

• Risk - Feeling incomplete if patient bolts or could not

start/complete

• Refer for possible second opinion


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4. SURGERY

INCISION (START)

The incision of the intervention is a sincere, genuine, kind introduction. It is

a “clean” opening to the presentation.

1. MY MENTAL PREPERATION BEFORE WALKING IN THE DOOR

A. Visualization

B. Dedicate Case

C. Personalize Case

D. Practice start (verbally and mentally)

E. Careful eating / caffeine

F. CBA

G. Be early to pre-meeting area

H. Don’t fear rejection, create excitement

I. Theory of ratio

J. Model behavior you want mirrored

2. START YOUR PRESENTATION

A. Tone of voice (hypnotic)

B. Stay in the zone

C. Verbal anesthesia

D. Mentally unfold arms


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E. Don't let patient's mind wander

3. FIRST FIVE MINUTES

A. Professionalism

B. Poise

C. Sincerity

D. Kindness

E. Firmness

F. Genuineness

4. WORDS FLOW AT START

A. Who I am

B. Time spent by all in attendance

C. Everyone represents statement of patient's life

• Decency

• Respect

• Love

D. When I was called, asked group to be honest and lay cards on table

E. Group is special based on "who would be called for your funeral"

F. Presentation is to honor you, not demean you

G. Everyone here chose to be with you today!

H. I represent addictive disease field or when one is stuck or suffering

1) Honest

2) Solution


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EXPLORE AND PROBE

This is the intervention presentation itself. I interweave the

participants into the appropriate phases and gain agreement to the

solution. However, this is not done the exact same way for every

intervention. The means by which we gain acceptance are variable

and must be implanted as we explore and find different roadblocks.

1. PRESENT SOLUTION

2. INTERWEAVE PARTICIPANTS

3. EXPLAIN TREATMENT

4. INVOLVEMENT / FAMILY / FRIENDS

5. OPTION – PHASE II & III


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SUTURE - (CLOSE)

This is the closing of the presentation. Its purpose is to gain a

commitment from the patient, a brief ending for the participants,

and to activate the escort team taking the patient to the treatment

center.

1. COMMITMENT TO GROUP

2. BRIEF ENDING PER PARTICIPANT

3. ACTIVATE ESCORT TEAM


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V. FOLLOW-UP

1. Confirm admit with contact

2. Verbal report to case manager

3. Written report who, what, when, memo, etc.

4. First 72 hours phone communication with family contact

5. Troubleshoot case

6. Help family with delayed reaction (ongoing / few months)


STORTI MODEL


HOW SATISFIED WERE YOU WITH THE FOLLOWING ASPECTS OF YOUR

INTERVENTION?

HOW SATISFIED WERE YOU?

Very Dissatisfied - Very Satisfied

PHONE MESSAGES RETURNED 1 2 3 4 5

TELEPHONE COURTESY 1 2 3 4 5

YOUR ASSESSMENT MEETING COMPLETE AND RISKS

PRESENTED 1 2 3 4 5

PREPARATION MEETING COMPLETE, ACCURATE,

PROFFESSIONALLY PRESENTED 1 2 3 4 5

THE INTERVENTION PROFESSIONALLY ORCHESTRATED

WITH DIGNITY 1 2 3 4 5

COURTESY/ ATTITUDE THOUGHOUT ALL STAGES OF

THE PROCESS 1 2 3 4 5

GENERAL APPEARANCE/ DRESS 1 2 3 4 5

INTEREST IN YOUR NEEDS AND FOLLOW-UP CALLS 1 2 3 4 5

THANK YOU FOR YOUR PARTICIPATION!

COMMENTS:


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STORTI MODEL


SUMMATION

The wonderful thing about self is that you’ll leave behind

something that is not tangible. It’s a great spiritual something.

That’s what you are. If you develop that, you’ll leave that to

everyone you touch.

Documents

THE STORTI MODEL - Online PR Web · 2020. 12. 9. · MOTIVATIONAL INTERVENTION STORTI MODEL 27 | P a g e (C) Storti Model 2020 DEFINITION OF MOTIVATIONAL INTERVENTION The Intervention