GUIDANCE FOR CONSULTATIONS
Is patient aware of how our chemsex services work? -Brief, 20 min sessions, focused on our primary responsibilities; chems use, goal achievement, change, harm reduction; not to be distracted by exploration of underlying issues. Make BEST use of brief time.
Begin session with a (very) recent history (1st visit). OR (follow-up visit) with a summary of goal accomplishment (or otherwise) in last week(s).
If ambivalent; decisional balance/pros & cons.
If someone isn’t motivated… that’s ok; let them go.
Invite them to reflect and return when they are more certain of what they want to achieve.
NO PATIENT LEAVES WITHOUT A GOAL/PLAN. Some kind of Change. Even if that goal is to reflect on use and return with a goal to work towards. Be firm on this. Being adherent to this, is how we can best help our patients. Don’t be distracted by their fears, ambivalence, dramas. No patient leaves without a plan/goal. 1 day goal, 7 day goal, 6 week goal.
Is patient aware of their plan before leaving? Clear on their goal? Some advice on how to be successful with it? Can they clearly explain their plan to the next worker they see, next visit? Are they aware of ALL the weekly sessions?