Course Profile

Course Profile: Working with Resistance & Low Motivation (1-3 Days)
Many service users find it hard to engage in the support process and others, for whatever reason, find daily living activities and working on change just as challenging. Through an overview of motivational and other psychological theories and practical application this course aims to provide learners with enabling skills so that service users are more likely to take the steps needed to improve the quality of their lives.
Feedback from learners consistently indicates that this course has had a major impact on their practice and that it was the most important learning experience for them throughout their careers.
The course is informed by Abraham Maslow, Carl Rogers, Paul Ware, the Mental Capacity Act (2005) etc.
This course supports the Social Care Commitment and is set in the context of The Care Act 2014 (promoting health and wellbeing).
The course provides some knowledge for
NHS KSF:  Core 1.4, HWB4.4
Care Certificate: 3, 5, 6, 7
QCF: HSC036, 31, 3033, LM1c, M3, O40
MIS (2012): 3.2, 4, 5, 10.1.2
The course is designed for staff working at all levels in a variety of roles and in diverse settings including Health & Social Care, Education, Industry, Commerce, Law etc. The course will help organisations to meet the CQC Fundamental Standards.
Learning outcomes

By the end of the course learners should understand:
  • What we mean by 'Low Motivation' and 'Resistance' and the difference between the two
  • What leads to someone having 'Low Motivation'
  • The need to distinguish between low motivation and simply not being interested in the issue
  • How supported living or institutional attitudes may lower motivation
  • A needs model- Maslow's hierarchy
  • The Attraction and Pain model and its inappropriateness in support services
  • Force Field Analysis
  • How Behavioural models could be abusive in a social care/support setting
  • Recognising worker power and its misuse
  • Resistance as an active process
  • Resistance being an attempt to maintain integrity e.g. redress power imbalances
  • How to respond to resistance: How we can adapt Motivational Interviewing and Rogerian theory
  • The difference between informed choice and uninformed choice (with reference to the MCA)
  • How staff could collude: empowerment or neglect?
  • A Transactional Analysis approach: Paul Ware's 'Doors to Change' model
  • The role of the Support Worker: Knowing the limitations and appropriately referring on
Training methods utilised include: Discussion in small and larger groups, Role Play, Tutor presentations, Warm-up exercises, Word shower technique, Chalk & Talk, Handouts, Pairs & Triads work, PowerPoint, Feedback, DVD