To the degree it remains therapeutic, share your lived experience or your reasons for doing this work.
Ask the person how they would like JOH services to be different from the services they’ve received in the past.
Ask members about what concerns are most urgent to them, and document their responses in a way that works best in your program. Ask them to prioritize what they would like to work on first. Use team meetings or other ways to ensure that all team members are aware of the person’s stated priorities.
Explore with members how case managers, peer specialists, and counselors could participate in addressing their priorities, and connect them with these people if they haven’t met them already.
Identify needs that you have observed that the individual may not have noted, such as the benefits of improved hygiene. Identify the right staff person to talk with the member in ways that are non-threatening or shaming. Ask the member if they would like help addressing this need and be prepared to provide concrete examples of how team members could help. Also be prepared to communicate why you think addressing this need is important. If it goes unaddressed, how might it negatively impact the person in the future? Motivate the person, but don’t force the issue. Forcing is contrary to JOH values and will undermine trust.
Connect the individual to community resources that address their priorities. Don’t just make a referral, but accompany them (such as with a peer specialist) to the community resource to ensure that their need is fulfilled.
Have a conversation with the member about staying connected. Explain the locator form, and come to an agreement about who in the member’s life can be contacted by JOH staff and under what circumstances. Fill out the locator form together.