Behaviour Change Model
Our model of 1:1s has developed and we believe this allow us to better capture the intensive 1:1 work that is done. Based on the NICE guidance for Brief Interventions we have developed a three tiered model which reflected the levels of intervention:
• Very Brief Intervention
• Brief Intervention
• Intensive Behaviour Change
Very Brief intervention (VBI)
Very Brief Intervention is about providing individuals with information or direction. This is classed as a single issues conversation which is predominantly advice giving, for example signposting to CSP Postal Scheme or talking about the Get It On scheme with a client. BVI may include other activities such as raising awareness of risks or providing encouragement and support for change. These are the foundations of the work we do with clients and are the norm of what we do with individuals.
Brief Intervention (BI)
Brief Intervention involves oral discussion, negotiation or encouragement, with or without written or other support or follow up. These interventions are often multi-themed for example condom distribution with engagement about access to CSP or Contraceptive services or HIV POCT with referral into SHP 1:1 support. This may involve referral to further interventions or directing people to other options/more intensive support. BI often uses motivational interviewing and other behaviour change techniques and can be delivered by anyone who is trained in the necessary skills and knowledge.
Intensive Behaviour Change (IBC)
Intensive Behaviour Change is structured 1:1 Behaviour Change Interventions which use MI and other behaviour change tools to elicit lasting and long term adjustment in behaviour for individuals. These interventions are often linked to complex pre-existing issues and will involve multiple sessions and conversations covering a range of topics. Intensive Behaviour Change is only provided by Practitioners or Team Leaders and uses developed MI or behaviour change techniques. Clients using out IBC services will all require a referral.