Posts by Tom Karl
99 Not Yets — How Can Substance Use Consequences Help Break Contemplative Mindsets?

The Consequences of high-risk behavior (addiction, substance use, and other harmful behavior) is staggering. Hundreds of thousands of people die each year from the use of drugs and alcohol. Millions more are affected. Families and communities are ravaged. The cost to businesses is immense with increased sick leave, tardiness, injuries, and loss of productivity. Use of substances has become an international crisis

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Tom Karl
10 Substance Use (Relapse) Warning Signs — Am I On A Path Toward Reuse?

Return to substance use (Relapse) is not simply drinking or using drugs after a period of sobriety. The seeds for returning to drinking or using are planted well in advance of the behavior when normalized thinking and feelings start to become distorted…

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Tom Karl
Affirmations — The Practice of Positive Thinking

Building new positive stories and beliefs takes time. They result from the regular, repeated, and consistent re-connection with core values, new healthy choices and behaviors, and a shift in the fundamental thinking that one can achieve through self affirmations.

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Tom Karl
6 Career Interest Types — How Do I Engage Individuals About Work and Career Options?

One of the key ingredients for exploring career options and thriving at work is knowing what we love to do — our career interests. This is where passion comes from. When we are engaged in work that is aligned with our natural interests, we are healthier, happier, and contribute more fully.

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Tom Karl
10 Values Types and How They Motivate Behavioral Change

Values provide purpose, meaning, and direction in life. They are the fundamental beliefs, attitudes, and standards that guide and motivate behavior and choices of what is important in life. They are the standards or criteria by which one observes, evaluates, and responds to one’s social environment or settings at any level – the world as a whole, one’s country, city, township, community, workplace, school, family, or social group.

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Tom Karl
How Do I Build the Skills for Change? The R1 Learning Process

“Engagement” has been at the heart of R1’s mission from the very start. Our focus has been on engaging individuals, practitioners, and organizations with the leading evidence-based strategies for substance use disorder and mental health and wellness. “Engagement” is a broad term that can mean many and varied things. From our perspective, we think of engagement on multiple levels.

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Tom Karl
The 5 Stages of Change and the Transtheoretical Model (TTM) — Do I Know the Basics?

The TTM, and particularly the Stages of Change Model, is one of the leading models in behavioral health and has been applied to many different behavioral health issues beyond its original focus in smoking cessation. Because of the TTM’s focus on the behavioral change processes, it is well suited to the treatment of habitual and addictive behaviors.

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Tom Karl
5 Phases of Addiction — What Phase Am I In?

Everyone’s path through addiction and recovery is unique. However, there are more shared experiences than differences. Having a model to help individuals see how their own journey through addiction might unfold provides opportunities for insights and builds self-efficacy. Addiction is always accompanied by denial — denial that one has a problem, that the problem is serious, that one needs help to address the problem.

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Tom Karl
Virtual Group Materials That Increase Engagement and Build Your Brand

Treatment programs, especially intensive outpatient programs (IOPs), are quickly redesigning their curriculum in order to facilitate virtual treatment groups. What are you doing given the new social distancing requirements?

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Tom Karl
Which Triggers Trigger My Emotions and Substance Use?

Substance use triggers are challenging to avoid because they are usually an integral part of one’s life. Most of the time they are not completely avoidable since people do not generally have complete control over the environments they move into and out of on a daily basis.

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Tom Karl
4 Lenses for Observing and Increasing Engagement — What Do You See?

Engagement is on the front line in behavioral health settings. But what does engagement really mean, and how does it show up? And what can you do to improve engagement — in your own patient encounters, and in your workplace more broadly?

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Tom Karl
8 Core Emotions – How Do I Express Them?

Words matter. The more words or labels individuals have to help them describe and express what they are thinking and feeling – to family, friends, and counselors, the sooner they can make healthy choices, take action, and move forward toward meaningful change.

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Tom Karl
8 Boundary Types for Building Healthy Relationships – Which Are Most Difficult for Me?

We often hear things like, “I just need to build better boundaries” or “they are overstepping my boundaries.” What are we really talking about here? How can someone help me if I can’t clarify exactly what is making me feel disturbed, unhealthy, or unsafe?

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6 Flip Chart Tips that Build Engagement – How Effective Am I?

Our goal with this post is to give you a few ideas for flip chart use that you can take into your next session and implement immediately. Here are a few tips to help you get started…

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Tom Karl
6 Levels of Learning for Improving Outcomes – Am I Achieving the Results I Want? 

How can we understand the impact of our treatment and recovery program if everyone on our team teaches different topics with different learning objectives using different methods? We just want you to take a moment to consider this question for yourself…

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Tom Karl
7 Metrics that Matter – Are You Tracking Them?

Do you know the 7 learning metrics that matter for increasing outcomes? Why are they so important? How do you stack up? How can your curriculum and learning strategy become one of your most important competitive advantages?

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5 Learning Styles for Engaging Individuals and Improving Outcomes – How Do People Learn Best?

Now is the time to understand learning styles and how to design group activities to target them. Not only do outcomes improve when learning styles are considered, but lives change! Let’s talk learning styles – everybody has one (or more)!

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