nbcc/naadac - hypnosis practitioner training institute ... · “look, i want you to do something...
TRANSCRIPT
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The following document comprises a required coursework component of the ICBCH Certified
Clinical Hypnotist program.
Please carefully read this information and follow the instructions.
Client Strengths
and Resources
NBCC/NAADAC
STATE BOARD APPROVED AP
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Client Strengths and Resources
In Therapy — Utilizing the N.S.R.I.
An ICBCH Approved Continuing Education Course
by Richard K. Nongard
All Contents Copyright © Richard K. Nongard
COURSE INSTRUCTIONS:
To receive credit for this course component, your are required to complete the following assignments: 1.) Read all of the course materials following this page. 2.) Self-administer the included Nongard Strengths and Resources Inventory. 3.) Interpret your results.
Course Objectives: At the conclusion of this course, you will be able to: 1.) Understand the differences between client strengths and resources 2.) Create a helping framework for resolving client treatment needs based on utilizing their identified strengths and resources 3.) Understand the administration and uses of the NSRI. 4.) Evaluate the practical application of the NSRI by assessing your own strengths and resources.
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USING CLIENT STRENGTHS AND RESOURCES
Understanding applications of the Nongard Strength and Resources inventory.
THE IMPORTANCE OF UNDERSTANDING
CLIENT STRENGTHS AND RESOURCES
This course is important. When the NSRI was first developed, we knew that it
would have applications to the specific clients that we were working with.
However, over the years, many clinicians have found many other uses and
applications for the material in the Nongard Strength and Resources Inventory.
The importance of understanding client strengths first occurred to me years
back in the hospital environment as I was completing and dictating client
assessments. I would typically spend a couple of hours interviewing a new
client, and then spend an hour or so dictating a psychosocial evaluation. As I
was reading the material from the patient interview to create these
psychosocial evaluations, I often thought to myself that we focus so much
attention on our clients problems, and so little on what they have going for
them.
In a typical psychosocial evaluation, I would ask and write 18 pages of
answers about the client’s vocational problems, the client’s social problems,
their problems related to drug or alcohol abuse, legal problems, family
problems, economic problems, political problems and sexual problems. It
always struck me as odd and even a bit ridiculous that at the conclusion of the
psychosocial evaluation, the very last (and by now trivial sounding) question
we would ask the client was, “What are your strengths and resources?”
By the time most clinicians spent two hours with a client and finally made it to
the very last question, they were ready to go home, the client was ready to
go, and spending only a brief amount of time on the last question became the
norm.
As I would read the interviews back during the dictation process, I would often
think to myself, this last question, the question we spent the least amount of
time on, really is the most important question.
The reason it is the most important question is simple: In the era of managed
care, the era of limited time and resources, we truly do not have the ability to
fix our clients’ problems.
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What we actually do have is the ability to take our clients strengths, and use
them to compensate for their deficits (all 18 intake form pages worth).
Ideally, I guess, the goal of Freudian psychoanalysis is personality
restructuring. When a patient would see someone like Sigmund Freud for
therapy, they would meet with him about twice a week, and lay on the couch
for an hour or two. They would do that 50 weeks a year (2 weeks a year off
for the clinician), and at the end of a 10 year process they would emerge from
psychoanalysis with a new, completely restructured personality.
While it may be a theoretical possibility in this new millennium, fixing our
clients’ problems from top to bottom is probably not a practical reality. We
don’t have 10 years, 2-4 hours a week to work with a client. We do not have
the capacity to wait two years, or five years, or ten years into the therapeutic
process to see the emergence of client change.
What we do have in the era of managed care, in six capitated outpatient
sessions; what we do have on a 23-hour crisis stabilization unit; what we do
have in a 21-day residential treatment center; what we do have in couples
counseling - is the capacity and ability to take what is right with the client, and
use those strengths to formulate strategies to overcome or alter their deficits.
The purpose of the Nongard Strength and Resources Inventory is to help the
clinician understand our clients’ perceptions of their strengths.
It is important for us to recognize that while we may see the strengths and
resources that another person possesses, we are likely unable to use these
effectively in the therapeutic environment unless they also recognize these
things to be their personal strengths and available resources.
Clients are often acutely aware of the problems that they possess, but are
completely unsure or even unaware of their own strengths.
In our book, The Perfect Victim Factor: Taking Control of Destructive
Personality Traits, I gave the example of Sheila, a depressed counselor.
Sheila came to me during a break at one of my workshops and said,
“Richard, I have a hypothetical question to ask you.”
I said, “Go ahead, tell me about yourself.”
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She went on to say, “What would you tell a person, who for ten years
had been going to recovery groups, who for ten years has been taking anti-
depressants, for ten years they have been journaling, for ten years they have
been doing everything they need to do, and at the end of ten years—they are
still depressed?”
I said, “What I would tell that person to do is stop defining themselves
as ‘Sheila, the depressed counselor’, and start defining themselves by their
strengths.”
Sheila gave me a puzzled look, and said, “What?”
I had an index card sitting on my desk, and I handed it to her. I said,
“Look, I want you to do something for me. It's clear to me that you've been
waking up every morning and instead of saying ‘Good Morning, God!’ you've
been saying, ’Oh God, it’s morning,’ and you've been defining yourself by your
deficits.
“I want you to take this index card and write down three things that are
right with you; three strengths that you possess; three things that you admire
about yourself.”
She looked at me with an almost heart-broken expression and said,
“But, there's nothing right with me.”
I laughed and said to her, “I have your CEU certificate for this workshop.
Until you have come up with three things that are right with you, I am keeping
your certificate.”
(I was only joking with her of course, but she got my point.)
Sheila looked at the index card. She looked at me. She stared at the
card, almost in tears.
I smiled at her and said, “Three things, before I am going to give you
your CEU certificate.”
As I stepped out for a bite to eat I watched Sheila sitting at the table in
frustration. It took her over 20 minutes.
Unfortunately, I can no longer remember exactly what Sheila wrote down,
maybe it was ‘trustworthy’, ‘honest’, and ‘loyal’. Whatever it was, finally after
20 minutes she did come up with three adjectives to describe what was right
with her.
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Looking slightly embarrassed, she brought me the card and said, “Okay,
now what am I supposed to do?”
I said, “Tape this card to your bathroom mirror where you can see it
each and every morning. Then, instead of defining yourself by what is wrong
with you, you will see that while you may be a depressed counselor, you are
also these three things.
“Start out your day by saying, ’Good morning Sheila, the trustworthy
person’, and ‘Good morning Sheila, the friendly person’, and ‘Good morning
Sheila, the courteous person’.
“Begin to define yourself by your strengths and they will increase, and
the importance of your deficits will be decreased.”
Not only are there applications for using strengths in individual counseling, but
also in couples counseling, and even when working with some of our most
difficult clients.
I have always thought if it was that difficult for Sheila - a professional - to
identify what is right with her, how much more difficult must it be for our
clients to define what is right with them?
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APPLICATIONS IN Couples Counseling Let’s say Bob and Bertha come in for couples counseling. There are always a
few dynamics that are going to be pretty interesting when you work with
couples.
Bob, after 5, 10, 15 or 20 years of marriage to Bertha, typically has a list of
complaints about her. Bertha, when she comes in to the counseling process,
usually has a fairly long list of complaints about Bob. In the average couples
counseling session, Bob wants to talk about what’s wrong with Bertha, and
Bertha, of course wants to talk about what’s wrong with Bob.
When I listen to their complaints about each other, one thing I have decided
over the years is that most of these complaints are usually valid. They may
expresses themselves in harsh ways, but what Bob says about Bertha is usually
correct, and what Bertha says about Bob is usually correct.
Now, if it is true that these things have been wrong with each of them for 5, 10,
15 or 20 years of marriage, it is going to be impossible for me, as the clinician,
to fix those deficits or problems in the next six weeks of one hour therapy
sessions.
Another observation of mine is that most couples do not come to couples
counseling to get well. Instead, it seems that most couples come to counseling
to start the mediation process.
As a clinician, this means that I only have maybe six weeks - a handful of
sessions - to change the dynamics of 15 or 20 years of marriage. That is not
much time.
The only way I know to effectively do this is to tell them to stop trying to fix
what is wrong with each other.
The process of effective change is brought about by helping Bob to recognize
what is right with Bertha, and to help Bertha recognize what is right with Bob.
This way, they can use the strengths that they possess individually and as a
couple to begin a problem solving process.
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The assignment I give to every couple is simple: Take a spiral notebook, write
The Jones Family Treasure Chest, or Bob and Bertha’s Treasure Chest on the
cover. Each day, write down one thing that you value about your partner.
When I give this assignment to couples, I tell them, “You do not have to do
this together, you don’t even have to talk about it between sessions. Put the
‘treasure chest’ in the bathroom, the bedroom, the kitchen, or wherever both
of you will pass through each day, and make an effort to write down one word,
one sentence, one short paragraph - simply one thing you value about your
partner, today.”
This assignment is often the first time in 5, 10, 15 or 20 years of marriage that
Bob has looked at what is right with his life partner. This is the first time
Bertha has looked at what is right with her husband.
The treasure chest assignment is straightforward and uncomplicated. It does
not ‘fix’ what is wrong, but it does reframe the couples’ relationship in the
context of what is right.
Using the clients’ combined strengths to begin the problem solving process is
one of the most effective tools for producing change in the context of couples
counseling.
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APPLICATIONS WITH
Personality Disorders.
Even with the most catastrophically ill clients, clinicians are able to draw on
client strengths to begin a problem solving process.
I meet many clinicians who are extremely frustrated working with personality
disordered clients, especially the infamous borderlines and the antisocials.
Personality disorders are diagnosed on the second axis. This is because their
condition is presumed to be a lifelong constant. There is no medication to cure
personality disorder. Although treatment can reduce the severity of
complications our clients experience as a result of personality disorder, it will
not restructure their personality.
Because our clients who have a personality disorder will remain personality
disordered when they leave our caseload, it is important for us to find
interventions that draw upon their strengths and resources to solve their
problems, rather than trying to create a new personality dynamic.
Personally, I have always liked working with even the most difficult of clients—
I guess I like a challenge.
I love working with the borderline because they are mercurial, they are flexible
and adaptable.
I love working with the antisocial because they are adventuresome and they
are risk takers. I wish more of my clients were risk takers.
I like working with the paranoid client because they are cautious.
Our schizoid clients are autonomous, they function well independently.
Our schizotypal clients are creative, resourceful and productive.
The narcissistic personality disordered client has high levels of self-esteem.
Don’t you wish more of your clients had high self esteem?
The histrionic personality disordered client knows adjectives to describe their
feelings and emotions.
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The dependent personality disordered client is a loyal individual, and loyalty is
a problem solving attribute that can go an incredibly long way in the process
for making healthy changes.
The obsessive/compulsive client is able to function within rule, structure and
order. Don’t you wish more of your clients were compliant and had a sense of
structure and order in their life?
The avoidant client has empathy and is able to see how their actions affect
others.
As you can see from these examples, even with the most catastrophically ill,
we can develop interventions predicated on understanding client strengths.
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UNDERSTANDING the Difference between Strengths and Resources
Strengths are the internal attributes or personality traits and characteristics
that can help a person manage life challenges.
Think of the Boy Scouts when thinking of strengths:
♦ Helpful
♦ Loyal
♦ Courteous
♦ Kind
♦ Clean
♦ Brave
♦ Reverent
♦ Dependable
and so on.
Think of ‘personal ads’ or ‘resume points’ when thinking of strengths:
♦ Is a team player
♦ Good listener
♦ Resourceful
♦ Adventurous, likes to try new things
♦ Neat and clean
♦ Loves a challenge
♦ Thinks things through before speaking or acting
and so on.
Resources are the practical tools or people present in the client’s life and
available to assist in problem solving.
♦ Mother
♦ Father
♦ Sister
♦ Brother
♦ Support Group Sponsor
♦ Pastor or Minister
♦ Neighbor
and so on.
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More Strength and Resource
Examples:
Strength = dependable
Resource = has a reliable car
Strength = works well under pressure
Resource = has a college degree
Strength = can do math and balance a checkbook
Resource = Mother lives in the neighborhood
Strength = can visualize concepts
Resource = has steady employment
Strength = great sense of humor
Resource = is bi-lingual
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Administration of the
Nongard Strength and Resources Inventory
The NSRI is a simple self-report assessment tool. I like the self-report format
because it accomplishes two things:
(a) it helps me to understand my client’s perception of their strengths, rather
than me assigning strengths to the client;
(b) when taken privately, it allows my client to quickly, and in almost an
anonymous way, to take a risk and define their strengths. Although they
know we will go over these materials together in just a matter of minutes,
it allows them to answer honestly their own perception of their strengths, in
a very non-threatening way.
The Nongard Strength and Resources Inventory can be used as a tool during
the intake process, or even in the later stages of therapy during the discharge
process.
The adult version includes six different sections, each focusing on different
aspects of life. The adolescent version is very similar (tailored to a younger
population) and also includes six specific sections.
The administration process is pretty simple. You can either read each
statement to the client and mark each of the client’s affirmative responses,
or, the client can read each statement and mark his or her response by
themselves.
The NSRI is an open, self-reporting of the client’s strength and resources. It
could be used effectively by the professional in future sessions to confront the
client or hold them accountable for any behaviors that would seem to go
against what the client initially stated about his or her character or abilities.
The functional design of the NSRI is all-encompassing.
The first section looks at practical and useful things in the client’s world. For
example, do they have a phone? Do they have a close adult friend? Do they
have a photo album? Do they have a personal computer? These are examples
of specific resources available to a client to help them in the problem solving
process.
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The second element measured by the NSRI are interactions with self and
others. This is how the client perceives their ability to solve problems, follow
directions, work well with others, work one on one, or to listen well. It is
really at introspective look at one’s strengths.
The third element of the NSRI is specifically related to education and job skills.
Many of our clients have psychological problems, social, spiritual, or relational
problems, or family problems which are complicated by their vocational
difficulties.
The fourth element of the Nongard Strength and Resources Inventory is
personal attributes and abilities. These are things that they really like about
themselves, or believe to be valuable personal characteristics.
The fifth area on the NSRI is personal interests and abilities. This section is
particularly useful to the clinician, as it allows us to identify ancillary tools in
the therapeutic process that can help involve the client in developing
situational supports apart from the professional environment.
The sixth element of the NSRI is social and situational supports. These are the
actual people who are important in the lives of our client.
There differences between the NSRI adult version and the NSRI adolescent
version are not in the areas measured, but in the examples given in each
section. For example, the adolescent version will provide options more
focused on school, than on work.
The entire administration of the NSRI typically will take less than 15 minutes,
and the information yielded can be particularly useful in creating interventions.
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CREATING Targeted Interventions from Strengths and Resources Targeted interventions are important tools to develop in the therapeutic
process. Targeted interventions take our client’s specific and unique strengths
and use them to apply specific counseling strategies for resolving the client’s
specific problems.
For example, all clients need to set goals. More cognitively oriented clients are
able to complete a written goal-setting assignment using pencil and paper and
the English language to describe specific steps and objectives towards reaching
a goal that is beneficial, useful, and has a reasonable time frame. However,
our lower functioning clients, those without verbal or written skills, may not be
able to complete the same type of therapeutic assignment or intervention.
If we have identified, for example, that the client was artistic as one of their
strengths, we would then be able to use this strength to create an intervention
unique to that individual that would accomplish the same goal.
One client of mine was a very creative and artistic individual, although he
certainly had deficits in his verbal and written skills. While the assignment
might not have been appropriate with many other clients, I had this client take
magazines and cut out photos that represented the things that he wished he
had in life.
He cut out an advertisement of guy and a girl holding hands walking down the
beach, because he wished he had a girlfriend.
He cut out a picture of nice car, because he wished he had a car that ran, that
would reliably take him to work each day.
He cut out a yellow smiley face from a Wal-Mart ad, because he presented
with major depression and wished that he was happy.
He took all of the magazine cut-outs and glued them to a poster board.
I had him take that collage, just like a second grade classroom would do, and
stick it to the inside of his bedroom door. Why? This was the last place he
looked every night, and the first place he looked every morning.
I told him, “As you grab your door knob, as you look at those pictures every
morning, realize that when you step over the threshold those are the things
you are aiming for in each one of your actions throughout the day.”
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So, goal setting may be a need for all of our clients, but the way we
accomplish the goal setting process has to be predicated on each client’s
individual strengths and resources. This is why tools like the NSRI can be
particularly useful to the clinician in creating interventions, managing client
behavior and beginning an effective problem solving process during the course
of psychotherapy.
YOUR ASSIGNMENT
The following pages contain the original versions of both the Adult and
Adolescent NSRI, along with the original professional use manual.
Please take time to carefully review all of the following pages. Then, complete your own NSRI.
Evaluate how your answers could benefit you, if you were experiencing life
difficulties.
You do not need to turn this assignment in to us—but we do expect you to
complete it, as it is part of the required coursework to receive professional
continuing education credit, and it is for your own benefit.
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Copyright © 2008 Richard K. Nongard
TTTTHEHEHEHE
NSRI NSRI NSRI NSRI
NONGARD Strengths and Resources Inventory
Adult and Adolescent Versions
and Professional Use Manual
An Effective Tool for Managing New Clients and Clients with Self-Defeating Patterns by Self-Identification of Perceptions of Strengths
SAMPLE COPY
FOR
EDUCATIONAL PURPOSES
ONLY
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Copyright © 2008 Richard K. Nongard
THE
NSRI
NONGARD
Strengths and Resources Inventory
Instructions for Adult Form: This is a simple, one-page form that has six (6) short sections, each focused around your personal strengths, abilities and resources; or in other words, the things you have or can do. Each section will have its own directions that ask you to make a check-mark on any items within the section that you feel may apply to you. Please think carefully and mark your answers honestly. Your responses will be used to help your clinical consultant get to know you better, and learn how to help you better. When you are finished, your clinical consultant will go over your answers with you and discuss any questions you may have.
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4/PCA: Make a mark next to six (6) of the following items that you think may best describe you:
5/PIA: Make a mark next to four (4) of the following that you think best describe your interests or abilities:
THE NSRI: NONGARD Strengths and Resources Inventory
Copyright 2008, Richard K. Nongard
1/PUT: Make a mark next to any and all of the following items you may possess or have access to:
____ Car, Truck, Van, etc. ____ Scrap Book, Box etc. ____ Personal Computer ____ Photo Album
_____ Bus Route _____ Phone, Pager, Cell _____ Dog, or Other Pet _____ Close Adult Friend
2/ISO: Make a mark next to four (4) of the following statements that you think best describe you: _____ Can Solve Problems _____ Can Follow Directions _____ Can Give Directions of Lead Others _____ Can Work Well in Groups _____ Can Work Well One-on-One _____ Can Take Good Notes _____ Can Listen Well to Others _____ Can Express Thoughts or Feelings _____ Can Work Well Alone _____ Can Plan Ahead _____ Can Strategize or make Plans _____ Can Sort Out Options or Alternatives
Name:_______________________________________ Date:________________________________________ I D#:________________________________________
3/EJS: Make a mark next to any and all of the following items that you have or can do: _____ G. E. D. or High School Graduate
_____ Military, Vocational or Technical Training
_____ Some College Credits
_____ Bachelor’s Degree
_____ Graduate or Post-Graduate Schooling
_____ Resume or Printed List of Work History
_____ Professional License or Certification
_____ Management or Supervision Experience
_____ Volunteer or Charity Work
_____ Job Skills in Many Areas
_____ Time on a Job More than Six Months
_____ Time on a Job More than Two years
_____ Can Learn New Skills Easily
_____ Can Read Well
_____ Can Write Well
_____ Can Speak Well
_____ Can Type
_____ Can Visualize Ideas Well
_____ Can Present Self Well to Others
_____ Can Pass Alcohol or Drug Screening Test
_____ Nice or Kind to Others
_____ Risk Taker or Takes Chances
_____ Cares or Worries About Others
_____ Resourceful or Will Find A Way
_____ Dedicated or Sticks With Things
_____ Predictable or Likes a Routine
_____ Creative or Have New Ideas
_____ Confident or Believes in Self
_____ Loyal
_____ Trusting of Others
_____ Trustworthy
_____ Will Ask for Help
_____ Tidy or Orderly
_____ Will Admit When Wrong
_____ Respectful of Others
_____ Willing to Make Changes
____ Dynamic or High Energy ____ Law or Rule Follower ____ Honest or Do Not Lie ____ Cautious or Slow to Act ____ Responsible,Owns Actions ____ Generous, Gives to Others ____ Will Try Again ____ Sense of Humor
____ Like to Travel, See New Things ____ Like to Learn New Things ____ Like to Read True Stories ____ Like to Read Made Up Stories ____ Like to Dance ____ Can Cook
_____ Can Write Stories or Poems _____ Can Play a Musical instrument _____ Likes to Be With Other People _____ Can Play Chess or Checkers _____ Can Draw or Paint _____ Can Sing
_____ Can Play A Sport _____ Can Make Crafts _____ Likes Music _____ Can Fix Things _____ Can Build Things _____ Can Entertain
6/SSS: Make a mark next to all of the following people who you think are or could be helpful with problems:
_____ Mother _____ Step-Mother _____ Father _____ Step-Father _____ Brother
_____ Sister _____ Aunt _____ Uncle _____ Cousin _____ Niece
_____ Nephew _____ Child _____ Group Sponsor _____ Counselor _____ Neighbor
_____ Teacher _____ Co-Worker _____ Boss _____ Friend _____ Church People
SAMPLE COPY ONLY — NOT LICENSED FOR OFFICIAL USE
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Copyright © 2008 Richard K. Nongard
The
A-NSRI NONGARD
Strengths and Resources Inventory
Instructions for Adolescent Form:
This is a simple, one-page form that has six (6) short sections, each focused around your personal strengths, abilities and resources; or in other words, the things you have or can do. Each section will have its own directions that ask you to make a check-mark on any items within the section that you feel may apply to you. Please think carefully and mark your answers honestly. Your responses will be used to help your clinical consultant get to know you better, and learn how to help you better. When you are finished, your clinical consultant will go over your answers with you and discuss any questions you may have.
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A-NSRI: NONGARD ADOLESCENT
Strengths AND Resources Inventory Copyright 2008, Richard K. Nongard
1/PUT: Make a mark next to any and all of the
following items you may possess or have access to:
____ Car, Truck, Van, etc ____ Scrap Book, Box etc ____ Personal Computer ____ Photo Album
____ Bus Route ____ Phone, Pager, Cell ____ Dog, or Other Pet ____ Close Adult Friend
2/ISO: Make a mark next to four (4) of the following statements that you think best describe you:
_____ Can Solve Problems _____ Can Follow Directions _____ Can Give Directions of Lead Others _____ Can Work Well in Groups _____ Can Work Well One-on-One _____ Can Take Good Notes _____ Can Listen Well to Others _____ Can Express Thoughts or Feelings _____ Can Work Well Alone _____ Can Plan Ahead _____ Can Strategize or Make Plans _____ Can Sort Out Options or Alternatives
Name: _______________________________ Date: _____________________________________
I D#: _____________________________________
3/EJS: Make a mark next to any and all of the following items that you have or can do: _____ G. E. D. or High School Graduate
_____ Military, Vocational or Technical Training
_____ Some College Credits
_____ Good Grades in School
_____ School Awards or Recognition
_____ Band Member or Sports Player, etc.
_____ School Club or Class Politics Member
_____ Member of Boy or Girl Scouts, etc.
_____ Volunteer or Charity Work
_____ Work Experience
_____ Time on a Job More than Six Months
_____ Time on a Job More than Two years
_____ Can Learn New Skills Easily
_____ Can Read Well
_____ Can Write Well
_____ Can Speak Well
_____ Can Type
_____ Can Visualize Ideas Well
_____ Can Present Self Well to Others
4/PCA: Make a mark next to six (6) of the following items that you think may best describe you:
____ Nice or Kind to Others ____ Risk Taker or Takes Chances ____ Cares or Worries About Others ____ Resourceful or Will Find A Way ____ Dedicated or Sticks With Things ____ Predictable or Likes a Routine ____ Creative or Have New Ideas ____ Confident or Believes in Self
_____ Loyal _____ Trusting of Others _____ Trustworthy _____ Will Ask for Help _____ Tidy or Orderly _____ Will Admit When Wrong _____ Respectful of Others _____ Willing to Make Changes
____ Dynamic or High Energy ____ Law or Rule Follower ____ Honest or Do Not Lie ____ Cautious or Slow to Act ____ Responsible, Owns Actions ____ Generous, Gives to Others ____ Will Try Again ____ Sense of Humor
_____ Likes to Travel _____ Likes to Learn New Things _____ Likes to Read True Stories _____ Likes to Read Made Up Stories _____ Likes to Dance _____ Can Cook
_____ Can Write Stories or Poems _____ Can Play a Musical instrument _____ Likes to Be With Other People _____ Can Play Chess or Checkers _____ Can Draw or Paint _____ Can Sing
_____ Can Play A Sport _____ Can Make Crafts _____ Likes Music _____ Can Fix Things _____ Can Build Things _____ Can Entertain
5/PIA: Make a mark next to four (4) of the following that you think best describe your interests or abilities:
6/SSS: Make a mark next to all people who you think are or could be helpful with problems:
_____ Mother _____ Step-Mother _____ Father _____ Step-Father _____ Brother
_____ Sister _____ Aunt _____ Uncle _____ Cousin _____ Niece
_____ Nephew _____ Child _____ Group Sponsor _____ Counselor _____ Neighbor
____ Teacher ____ Co-Worker ____ Boss ____ Friend ____ Church People
SAMPLE COPY ONLY — NOT LICENSED FOR OFFICIAL USE
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About the Nongard Strengths and Resources Inventory (NSRI)
GOAL The NSRI was designed and developed to offer professionals a simple tool
for gathering helpful positive client information during the intake or
assessment process.
BENEFITS The NSRI format is a self-report survey. The client is asked to mark the
NSRI statements or items that he/she identifies with in six areas, thus
creating a self-reported “list of personal assets”, from transportation, to
education and job skills, to character attributes, interests and healthy
situational supports.
RESULTS When completed, the professional has a convenient one-page inventory of
information that can be easily referred to for assessing the client’s potential
strengths and resources that will be useful in facilitating and expediting the
therapeutic recovery process of the client’s determined problems.
FOCUS The NSRI, unlike most assessment tools, doesn’t ask, “What’s wrong with
the client?”, but instead only asks, “What is right with the client?”
Other assessment tools can and should be used to discover and evaluate
the client’s problems, deficits and disorders, for diagnosis and clinical
direction.
USE The NSRI is used to develop a list of potential “starting points”, or physical,
emotional and psychological resources and strengths that the client believes
they already possess, that the professional can draw upon when
strategizing interventions for overcoming the client’s diagnosed problems.
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UNIQUE While other assessment tools often contain a section to report client
strengths, they are often limited in scope, objective, and are generally
placed near the end of the assessment, and thus are easily overlooked
when the material is reviewed.
The NSRI is a single form with a single purpose: identifying the client’s
strengths and resources.
VERSIONS The NSRI is available in two standard forms: the Adult Version and the
Adolescent Version.
The overall content of the statements that the client will be asked to
identify him/herself with is the same on each version, however the
Adolescent Version (A-NSRI) contains some statements or items that have
been altered or modified for age appropriateness.
LANGUAGE The language used on the NSRI is simple and modern, and therefore should
allow the NSRI to be effectively administered to most persons, including
those with some developmental difficulties.
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Administration of the NSRI
CLIENT INFORMATION The interviewer or client should complete the client information on the top
right corner of the NSRI.
It is intentionally placed in this position for ease in indexing and retrieving
completed NSRI forms.
ADMINISTRATION PROCESS The NSRI can be administered a short period of time, in either one of two
ways:
1). The interviewer can read each statement to the client, and then mark
each of the client’s affirmative responses, or
2). The client can read each statement and mark his/her appropriate
responses by themselves.
If administered during the intake process, the NSRI may be handed to the
client to complete alone with other assessment or evaluation tools, such as
those for chemical dependency (NSAS: Nongard Substance Addiction
Screening) or depression (NDI: Nongard Depression Index).
Although this may or may not yield definitive information, for the non-
compliant person it could possibly provide useful information that otherwise
can not be obtained by the client themselves.
HONESTY AND RELIABILITY The structure of the NSRI is a self-report survey, which in general should
be expected to elicit fairly honest responses, as it focuses on the client’s
positive attributes, rather than on his/her problems or deficits.
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ADDITIONAL USES Since the NSRI is an open, self-report of the client’s strengths and
resources, it could be effectively used by the professional during future
sessions to confront and/or hold the client accountable for any behaviors
that would seem to go against what the client initially stated about his/her
character or abilities.
Additionally, if during the therapeutic process the client makes personal
accomplishments in education of employment (e.g., learns to trust others,
takes up a hobby), the NSRI may be re-administered to effectively
demonstrate and re-enforce positive changes, growth or progression.
IMPORTANT NSRI NOTE: As the NSRI is a subjective reporting of the client’s personal strengths
and resources, there is always the potential for biased or over-reporting
of positive qualities, and this should be considered and assessed by the
professional, through clinical interview.
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Interpretation of the NSRI
SCORING
There is no formal scoring for the NSRI.
The Nongard Strengths and Resources Inventory is simply a
subjective survey of what the client feels are his best personal possessions,
resources, abilities or accomplishments.
However, the intrinsic interpretation of the identified items and
statements should still offer the professional valuable information that can
assist in the therapeutic process.
Everyone has some (likely many) positive qualities and characteristics
that can be useful in some healthy way.
However, sometimes it may take some searching to determine what
they are, and then it may require some creative evaluation to determine
their usefulness.
This is the professional’s prime objective when administering and
interpreting the NSRI.
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LAYOUT
The NSRI is conveniently presented on one page, and divided into six
sections, as follows:
1/PUT Practical and Useful Things (8 options, choose any or all) 2/ISO Interactions with Self and Others (12 options, choose 4 best) 3/EJS Education and Job Skills (20 options, choose any or all) 4/PAA Personal Attributes and Abilities (24 options, choose any or all) 5/PIA Personal Interests and Abilities (12 options, choose 4 best) 6/SSS Social and Situational Supports (20 options, choose any or all)
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Interpretation
of the Six NSRI Sections
1/PUT Practical and useful Things This section contains eight items that could be considered positive
for the client to have access to.
Transportation, telephones and pagers have obvious positive uses,
ranging from the ability to travel to and from work or school, support group
meetings, or therapy sessions and being locatable for employers, peers and
family. Additionally, the continued possession or accessibility of these
items could perhaps reflect basic prioritized responsibility in some clients.
Having a pet could show the ability to be responsible and care for
others, and can also be a great subject for ‘breaking the ice’ when
conversing appears difficult, (especially with adolescents) adding a sense
of “humanness” or personal connection to the therapeutic process.
Photo albums can also be a subject for conversation, but they could
also demonstrate organization, attachment to others, pride, or
connectedness.
Personal computers can often depict cognitive skills, responsibility,
or focused attention abilities, depending on the client. Additionally, they
can be used to encourage completion of journaling assignments, or other
written therapeutic exercises.
A close adult friend has obvious benefits, if the friend is determined
through clinical interview to be a healthy influence and actively supportive
of the client.
The practical value of the above items will of course vary form client
to client, but with some positive searching, the professional should be able
to infer some potential strengths and resources from the client’s possession
or accessibility of them.
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2/ISO Interaction With Self and Others This NSRI section contains 12 statements from which the client is
asked to identify four (4) that best describe how the client perceives that
he/she interacts with him/herself and others.
While the answers here are subjective and thus yield no definitive
information, they can provide the professional with an idea about the
client’s willingness and ability to follow assignments or directions, express
themselves, participate in or even lead group activities, actively listen to
clinicians or others, set goals, etc.
These strengths and personal resources are keys to help in
strategizing therapeutic interventions.
For example, if the client identifies statements that include working
with other people, then they may be a likely candidate to reap personal
benefits in group therapy settings.
3/EJS Education and Job Skills This NSRI section contains 20 possible items or statements from
which the client may identify as having or being capable of any or all of
them.
Levels of education, participation in activities or organizations,
employment duration and job/life skills can depict responsibility, potential
cognitive abilities, desire for personal advancement or achievement, future
orientation, or common sense.
They can also reflect follow through, pride, leadership, organization,
confidence, or security and significance. These strengths and personal
resources, when evaluated, can be potential starting points to draw upon
for many clients.
For example, the adolescent client may be additionally encouraged to
stop acting out and become a better role model for others, by reminder re-
enforcement of their ironically admitted good grades in school and
volunteer activities. The adult client may be more effectively persuaded to
stop drinking or drugging, for fear of potential career damage or
professional license loss, if they have reported having such items.
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4/PAA Personal Attributes and Abilities This NSRI section contains 24 quality characteristics from which the
client is asked to identify the six (6) that he/she feels may best identify
themselves.
Again, this is a subjective self-report, however, intrinsic evaluation of
these characteristics may be built upon to strategize and reach therapeutic
goals.
For example:
Items identified with such as ‘loyalty’, ‘trustworthiness’ and ‘honesty’
may indicate the potential level of client/professional therapeutic
relationship.
‘Dedication’, ‘resourcefulness’ and ‘creativity’ may indicate potential
levels of compliance.
‘Risk taking’ and ‘willingness to try again’ may indicate follow through
on making changes.
‘Cautious’ and ‘responsible’ may indicate abilities to avoid relapse
behavior; and so on.
In this section, the client is reporting what they believe to be true
about their own character. It is the professional’s task to assess these
attributes and determine their usefulness as internal starting points for the
therapeutic process.
5/PIA Personal Interests and Abilities This NSRI section contains 18 items of personal interest (such as
hobbies) and abilities (things they can and like to do), from which the
client is asked to select four (4) that they feel best reflects themselves.
The items that the client identifies that he/she likes and can do may
be drawn upon for healthy socialization resources (e.g., dancing, sports,
traveling), for expressive assignments (e.g., writing, drawing, crafts), or for
therapeutic education assignments (e.g., reading, learning new things).
It is the professional’s task to evaluate the potential strengths and
resources of these interests and abilities, to identify useful external starting
points for therapeutic process.
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6/SSS Social and Situational Supports This section asks the client to identify from 20 options the people in
his/her life that could be potentially helpful to them.
It is the professional's duty to thoroughly evaluate and discuss with
the client each marked response, assessing the usefulness and healthy
aspects of each person.
For example, an identified brother may, in fact, have an extra bed for
the homeless client. However, if that brother is a substance user, he
probably would not be the most healthy or helpful choice for the recovering
addict to call in a time of need.
Keep in mind also that many clients may be hesitant or resistant to
contacting healthy family members that they have alienated, or healthy
church people if they have not been active members in the recent past or
have had ‘bad experiences’ at a church.
It is here that the professional may be able to re-enforce many of the
client’s self-identified strengths and personal resources in order to
overcome this resistance, by re-establishing confidence or addressing
willingness and ability to make changes, through positive confrontation.
Author’s Note: Churches should never be overlooked as potential resources
for client support or socialization. Even if the client has been upset with
Brand X Church in the past, they may be willing if encouraged to explore
Brand Y or Z Church this time.
Additionally, the use of churches as client resources need not always
focus on religious doctrine or activities, and this concept should be ex-
plained to the client, when appropriate. Many have programs for parents,
couples, divorcees, singles, HIV+ persons, and facilities for various religious
and non-religious based support groups.
Youth groups and their many varied activities often offer excellent
healthy socialization opportunities for adolescents.
Professionals should keep responsibly abreast of the different
churches in their community and the programs that each may have to offer
to members and non-members alike.
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Thank you for your participation in this component of the
ICBCH Clinical Hypnosis Certification program!
There are no True/False questions related to this coursework on the Evaluation of
Learning Exam, but we anticipate that you will find the content to be of great
benefit to both yourself and your clients.
If you would like to order a functional copy of the NSRI: Nongard Strengths and
Resources Inventory to use with your clients, click the picture or the link below,
for details:
http://subliminalscience.com/index.php?main_page=index&cPath=29