Meghan Benson, MPH, CHES Director of Community Education [email protected]608-251-6587 Anne Brosowsky-Roth Community Education Resource Specialist [email protected]414-289-3767 Reproductive Life Planning & Motivational Interviewing Safe Healthy Strong 2014 Pre-Conference Institute August 6, 2014 UW-Milwaukee Zilber School of Public Health
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Introduction to Reproductive Life Planning and Motivational Interviewing
This presentation was part of Embody's Safe Healthy Strong 2014 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION Reproductive Life Planning is client-based assessment of personal life goals to first determine if and where childbearing fits in with education, family, relationships, work, and more. This assessment then allows individuals to develop a flexible strategy to prevent or plan future pregnancies, in order to successfully meet their life goals. Participants who attend this session will be able to help their clients develop their own Reproductive Life Plans. They will also learn about and practice using basic motivational interviewing techniques that help clients help themselves. Motivational interviewing is a non-judgmental, non-confrontational, and non-adversarial counseling technique which can be especially effective when helping clients explores their own goals and motivations, and helping them create reproductive life plans that help them succeed in meeting their goals.
ABOUT THE PRESENTERS Meghan Benson, MPH, CHES has worked in the field of sexuality education since she was a teen peer HIV educator in high school. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois at Chicago, and is a Certified Health Education Specialist (CHES). As the Planned Parenthood of Wisconsin Director of Community Education, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education (APPLE), a co-chair of the Policy and Action Subcommittee of the Wisconsin Maternal and Child Health Advisory Committee, and a member of the Dane County Youth Commission.
Anne Brosowsky-Roth has been with Planned Parenthood of Wisconsin for over 20 years.. In her current role, she provides direct education to youth and adults on reproductive and sexual health, and provides research and support for staff as the manager of the Maurice Ritz Resource Center, the Planned Parenthood of Wisconsin Community Library. Anne has written articles on sexual health communication for families and professionals, and most recently was a contributing author to the third edition of the Center For Family Life Education’s Teaching Safer Sex!, a two-volume set of activities that provide skill-building lessons and activities for teaching comprehensive sexuality.
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Transcript
Meghan Benson, MPH, CHESDirector of Community Education
Annual reproductive health exams Birth control (including EC & condoms) Cancer screening Colposcopy STI testing & treatment HIV testing & risk-reduction education Pregnancy testing & all-options education Abortion care Referrals for other health & social services
List the core components of a reproductive life plan.
Define the terms “perfect use” and “typical use” in relation to contraception & explain how this fits into the WHO “Tiers of Contraceptive Efficacy” framework.
Examine why Motivational Interviewing (MI) is an effective tool for fostering behavior change.
Express the main features of an MI approach to counseling.
Demonstrate how to develop a Reproductive Life Plan with a patient or client using MI tools.
US Department of Health and Human Services: Office of Population Affairs
1. Assuring the delivery of quality family planning and related preventive health services…
2. Providing access to a broad range of acceptable and effective family planning methods and related preventive health services…
3. Assessing clients’ reproductive life plan as part of determining the need for family planning services, and providing preconception services as appropriate
4. Addressing the comprehensive family planning and other health needs of individuals, families, and communities through outreach to hard-to-reach and/or vulnerable populations…
5. Identifying specific strategies for adapting delivery of family planning and reproductive health services to a changing health care environment…
Health behaviors are impacted by many, intersecting and overlapping variables
Mutable and immutable factors
Factors related to individual, family, community, environment, culture, society, and various institutions (i.e. schools, health care, legal system, etc…)
Unified Theory of Behavior Jaccard, J. and Levitz, N. (2013). Parent-based
interventions to reduce adolescent problem behaviors: New directions for self-regulation approaches In G. Oettingen and P. Gollwitzer (Eds.) Self-regulation in adolescence. New York: Cambridge University Press.
Jaccard, J. and Levitz, N. (2013). Counseling adolescents about contraception: toward the development of an evidence-based protocol for contraceptive counselors. Journal of Adolescent Health, 52, S6-S13.
Transtheoretical Model of Behavior Change or “Stages of Change” Model
MOTIVATIONAL INTERVIEWING is a quick, effective, and client-centered technique that allows clients to define their own goals and make their own choices by helping them identify what is personally meaningful in their own lives.
Today, we will focus on utilizing MI skills in the context of Reproductive Life Planning
For further MI resources & training – Motivational Interviewing Network of Trainers:http://www.motivationalinterviewing.org/motivational-interviewing-resources Professional Certificate in MI:http://continuingstudies.wisc.edu/certificates/motivational-interviewing
Client: A “3.”Facilitator: Why not a “1” or a “2”?Client: I know I’m not ready for a baby, and I don’t know if my boyfriend would be a great father. I guess having a baby
wouldn’t be the worst thing in the world, and we would have to figure it out. Facilitator: Why do you think this number isn’t
Alan Guttmacher Institute: Facts on Unintended Pregnancy in the United States (January 2012) guttmacher.org/pubs/FB-Unintended-Pregnancy-US.pdf
Child Trends Institute. The Consequences of Unintended Childbearing, White Paper. (2007) www.childtrends.org/Files//Child_Trends-2007_05_01_FR_Consequences.pdf
The Choice Project. choiceproject.wustl.edu
The World Bank. “Poverty Reduction. Does Family Planning Matter?” (2005) siteresources.worldbank.org/HEALTHNUTRITIONANDPOPULATION/Resources/281627-1095698140167/GreenePovertyReductionFinal.pdf
(CDC) Recommendations to Improve Preconception Health and Health Care in the United States (2006) www.cdc.gov/mmwr/preview/mmwrhtml/rr5506a1.htm
Frey KA, Navarro SM, Kotelchuck M, Lu MC. (2008) The clinical content of preconception care: preconception care for men. American J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S389-95
Frost JL and Linberg L (2012) “Reasons for Using Contraception: Perspectives of US Women Seeking Care at Specialized Family Planning Clinics.” Contraception. Epub ahead of print, 27 September 2012.
Sanders L. (2009) “Reproductive Life Plans: Initiating the Dialogue With Women.” MCN: Journal of Maternal and Child Nursing. 36(4)342-347.