Objective
At this streaming level, both core levels one and two are in play supporting this advanced  program. With this level three stream, the foundation is laid for the advanced practice of “Recovery Based Conversations” (R.B.C.). Here, the entrenchment of a person’s psychology of recovery is further boosted, embedded, deepened and solidified with attention being paid to massaging one’s “personal agency” (see Definitions & Terms) with greater intention and precision. With the Advanced R.B.C. at play, massaging one’s “agency” and” hopefulness” is assured.

Not only are you carrying into the treatment equation your “Voice” (level one stream) and the “Priming” of a recovery mindset (level 2), but in this advanced core, you are shifting into third gear elevating the strength and power behind driving one’s recovery vision.

Advanced Stream Content Requirements
The content requirements are Flash Drive Forms, Section 1, Survey C.

Note: It is recommended that R.B.C. questions are printed for both Camp A and Camp B along with the sequencing instructions before this session begins.

The Flow
The physician starts each round of Advanced R.B.C. by selecting 3 structured questions from a list for Camp A and 3 questions from Camp “B” for a total of six questions to be posed before completing one round of R.B.C. Some of the questions have a form structure that contains notation marks of “x” and “…” as laid out below.

What likely “attitude” is being demonstrated by you, if you had to hazard a guess, regarding what “x”, as a recovery driver,  is showing that you possess of value… what makes this attitude set a countermeasure to the kind of negative thinking brought on from living with The Illness?

The “x” notation represents an unknown recovery driver. Once a recovery driver is chosen as the theme for the questioning during a round of R.B.C., the driver as a name is substituted for the “x” notation when read by the physician to the patient. The three dot notion, “…”, signals a follow-up question is to be asked to expand on the previous reply.

Summary of Sequence: A round of R.B.C. consists of the physician selecting and asking a total of six questions combined from Camp “A” and “B”, three lead inquiries from Camp “A” and three supplemental inquiries from Camp “B”.

Step 1: Before posing the questions for a round of R.B.C., decide on the recovery driver of focus for the round taken from Section 1, Survey C., the Top Six Drivers. The questions from both Camps are based on the Top Six Drivers from Section 1, Survey C. All six top recovery drivers on this platform receive one Advanced Round of R.B.C. whether in one or two treatment room visits.

Step 2: The physician first asks one lead question from their selection from Camp A and discusses this inquiry with the client.

Step 3: Once finished, the physician then asks a follow-up secondary question from Camp B to discuss.

Step 4: Once completed, another lead question from Camp A is posed. This pattern continues back and forth until a full complement of six questions has been put forward.

Step 5: Ensure, the Pause Protocol is applied during each round of R.B.C. for the recovery driver of focus. After each round, with a specific recovery driver, the Future Pacing Protocol and Session Ending Protocol are applied before the treatment room session ends.

Important: The structured list of questions for Advanced R.B.C. is constructed with a specific purpose in mind. The physician is asked to pose each question as written, word by word. If the patient is unclear, read the question again and if this is not sufficient, then the physician can ask, “What do you think this question is asking?” or offer their professional take. The patient needs to land on an understanding, and the initial question is posed again in order to proceed.

Note: It does not matter the order of questioning. The decision on which questions to pose is determined by the physician provider. There are no criteria for making this decision. The only condition is not to ask the same question more than once during a round per treatment room session.  

Notice:
Keep in mind, the generative structured questions posed, generally, but not always, can be met with silence and pondering, before the patient finds the words to give a response. New cerebral pathways are being exercised that account for this. This is a good sign. Patience is the key. If the person still seems at a loss for words, the physician can re-ask the initial question or discuss what is being asked to land on an interpretation and then re-pose the question.

CAMP “A”
It is recommended that before engaging this Advanced R.B.C., “Flash Drive Forms” Section 1, Survey “C”; Definitions & Terms; sequencing instructions and starting session protocol are in play.

Ensure: Future Pacing Protocol, Encouraging Questions, Free Floating and Session Ending Questions are applied (See Preparation and Standards) after a round of Advanced R.B.C.

Camp “A”-Lead Questions
(Select and pose three lead questions  from the following list. There is no order to ask the questions.)

-What do you think in your mind continues to draw you to “x” as a recovery driver of such value through thick and thin…what is it about you, do you think, that can account for how you allowed this driver to stay alive in this way… what does this inform you about what is of importance to your life… comment on how this importance stated reflects in some way on the direction you want to take your life… how does this stance sit with you and why?

-What might “x”, as a recovery driver, if you guessed, allow you to draw on, that leaves you in a better place than if you did not have this driver at all?

-What could “x”, as a recovery driver, be saying to you about what you are valuing… what leads you to believe this from what you have experienced so far… speculate on the relevance of what you have just said to your present recovery efforts?

-If “x”, as a recovery driver, did not exist, where would this leave you in your recovery journey… what are you indicating is the value of “x” in your life for supporting a recovery?

-What would you say “x”, as a recovery driver, brings more “of ” to your life that would not otherwise be there to this degree… what leads you to think this way by way of experience… share a story or two, distant or recent, that would help me understand this further?

-Speculate a bit, on what you are valuing or giving value to, personally, in your life by engaging “x”, as a recovery driver… what is this “value” about in your estimation… if you can, take a moment and share how this named value, is meaningful to your life… what difference, if any, does holding such a “meaning” linked to making a recovery possible?

-What do you think “x”, as a recovery driver, brings to you when facing the constant stress of The Illness… what are you saying as a result that makes this recovery driver a keeper, in your mind, going forward… how is this relevancy important to forging a recovery as far as you think?

-What likely “attitude” is being demonstrated, if you had to hazard a guess, is “x”, as a recovery driver, showing that you have that is of value… what makes this attitude set a countermeasure to the kind of negative thinking circulating from living with The Illness… what are you speaking to about the significance and importance of the attitude by what you have shared… what kind of person do you feel holds such attitudes, in your estimation… to what degree are you speaking about yourself… is this a good place to be… why would you take this position as you make your way towards a recovery?

-Consider, in any small or large ways, what might ‘x”, as a recovery driver, might be contributing to keeping “hopefulness” alive for you (consider the definition of hopefulness)… share with me how you experience this hopefulness in terms of what it allows more of to occur for your benefit… how would you say this “hopefulness” shapes the texture of your feelings and thinking for the better… in your estimation how does this texture differ from what The Illness has been offering to your life… what may this difference be informing you “of” to cultivate more, for your recovery?

-What has it taken, to continue keeping “x”, as a recovery driver, alive, despite the struggles and challenges faced… what would you say makes this effort worth it…. why would you view what you said in this way?

-What possible message or signal can you think of, that you are giving to yourself by committing to “x”, as a recovery driver, no matter what the challenges faced… what makes this message or signal of importance, in your estimation, to your recovery endeavors…. what leads you to say this?

-What is it about yourself, upon reflection, that can account for you holding on to “x” as a recovery driver through thick and thin in your life… what might this be telling you about the person you are…  what are you saying by way of this acknowledgement about the role of bringing your strengths, as an “x” factor, to drive a recovery… how can such “x” factors, in your mind, further stave off the negative impact of living with The Illness…. in voicing these positions, how does this sit with you going forward?

Camp “B” Secondary Questions:
A total of 3 secondary follow-up questions are selected and asked per round of R.B.C. led by the physician according to the sequencing outlined (See Camp “A” page) for each driver. There is no order to ask the questions.

–Based on what you have just shared, by holding to “x” as a recovery driver that is feeding one’s life, describe the commitment this suggests you are keeping despite facing The Illness day in and day out… what might this be letting you know about your stance to the fate The illness wants for you… by way of this acknowledgement how does this leave you feeling… is this a positive or negative for your recovery… express why you would hold this position… if you had to speculate, what kind of recovery road are you likely paving for yourself as a result of this stance… what is your take on this development… what leads you to think this way?

-Based on what you have just shared, speculate a little about how you managed to keep yourself “open” to having “x” in your life despite The Illness’s mission to take away anything good… what could this possibly be saying about you and your capabilities to keep this “open” space… what possible signal or message are you sending to The Illness by holding to this position of openness…what in your mind, makes this signal or message worth it… what does this tell you about what you are giving value to in your life… would you characterize this value as a drag on your recovery efforts or a lift to these efforts… what leads you to say this… what kind of position are you leaving yourself in concerning standing up to The Illness presence… is this a position worth keeping… why would you say so?

-Based on what you have just shared, what are you saying that you are appreciating, in any little way about having this “x” driver in your life… what is this “appreciating” bringing to your attention… is this a positive development or not for you…why would you say this… consider what holding on to this positivity, through thick and thin is letting you know about your capacity to hold onto what is precious despite the efforts of The Illness to take this away… how does voicing this position sit with you and why… what is “hope building” about this stance when it comes to making a recovery for yourself, in your estimation?

-Based on what you have just shared, what could this be possibly telling you about what you hold of importance in your life… what good, if any, can come from keeping this position to your recovery, if you took a guess… how does this leave you in feeling and in thoughts, knowing this, as you reflect…what is your takeaway that would be prudent to consider in moving forward with your recovery endeavors?

-Based on what you have just shared, what could be said about what “x” brings to your life to serve you for the better… what can this signal to you about your intentions… is this a good mindset to keep and preserve going forward…. why would you think this way… how does knowing this leave you feeling… how does this way of feeling sit with you… is this a good place to be… what lets you see this… what is your takeaway from what you have talked about so far?

-Based on what you have just shared, what might holding onto “x” driver be affirming and painting for you as an indicator of the direction you want to take your life despite the presence of The Illness… by holding this position, what are you indicating to The Illness’s  about your intentions for your life… what leads you to say this… how does this leave you feeling in your thinking… what, in your estimation is the “good” that can come from holding to this position?

-Based on what you have just shared, if a close loved one, friend, colleague, clergy teacher, family member or even a pet, for example, were present today or in spirit, could hear what you are sharing regarding keep this “x” driver alive along with others, what might come from their lips, if asked, about the “kind” of person you are that has been able to keep such light shining during all you have endured… take a moment to recall one or two moments or stories that can point to how this loved one can speak of you in this way… can you see how this person has come see you in this way… to what degree can you see that their observation fits with what you know of yourself… no matter the degree felt, a little or a lot, how does knowing you can be seen to posses this personal quality sit with you as opposed to not knowing at all… is this reflection of yourself a hindrance or benefit to recovery… can you explain why this is the case… take a moment and comment on this, if you were able to keep this quality upfront and visible in your life for your recovery, how would you benefit from this… lets recycle this inquiry from the top again if possible… share with me another special relationship and what it has offered you?

–If a loved one was present, in front of you now, and could vocalize some words of encouragement, knowing you have chosen to keep “x” driver alive in the face of such tough times, what might they want to say to you… what would you speculate, if you took a guess, as to what they want to convey through those words of encouragement… what takeaway can come from hearing these words that are meaningful to you… how do you feel knowing you matter in the eyes of this person to the extent of wanting the best for you… how can hearing such words leave you in feeling and thoughts… is this a good place to be in knowing your presence is valued in this way… what leads you to think this way… in what way can knowing you matter in this person’s eyes or other others of significance to you contribute towards forging ahead with making a recovery… what are your thoughts on what has been just shared?

-Based on what you have just shared, offer your best guess about the possible message or signal you are sending to “The Illness” by having “x” regarding where your loyalties lie in your relationship with  it… what in your mind, is the kind of person it takes, that can make such a stance on loyalties… to what degree are you speaking about yourself since this is coming from your experience… how does this sit with you… how can such a position in your relationship with The Illness carry you forward, in your estimation, towards making a recovery possible?

-Though “x” is in play, what has it been like living with a mental illness that others may not fully grasp or understand… what do you struggle with the most and how is this impacting various areas of your life… how is this leaving you in feeling and in thoughts about your prospects for yourself and your life…. speak to what such an acknowledgement paints about what it has taken for you to hold yourself and your life together to this point… how would you characterize this ability or capacity… how does this acknowledgement leave you thinking about your recovery prospects?

-Based on what you have just shared regarding “x” recovery driver, speculate on what you are bringing to the table of your life so far that has not allowed “The Illness” to take away or taint everything that matters to you as seen by your ability to hold onto these recovery drivers of value… what might this tell you about what you are capable of… how familiar is this capacity for you… what do you think having this capacity, upon reflection, been offering to your life so far, if you had to guess… to what degree is this capacity a keeper because of its worth or not at all to your recovery mission… explain your position… what do you think makes this capacity of such value, in your mind, by way of sharing one or two stories from your recent past where this capacity played a role… based on this sharing, what does keeping this value in play indicate to you, in some way, about the direction you want to take your life… what does this declaration say to you about what is of importance… how does making this acknowledgement sit with you?

Summary Recovery Talking Points: (led by the treating providers)
On the whole, based on all you have just shared in this conversation, what can you likely give yourself credit for… in doing so, what kind of person does this suggest you are… in your words, share a bit of what this sense of self has brought to your life though not acknowledged enough… can you give an example of this self in action from your life experience of… what is like hearing yourself acknowledge this now… how is this acknowledgement leaving you feeling knowing it has been made more visible to your awareness… what in your mind is the value of this acknowledgement and awareness… how, in your mind, would staying true to yourself in this way contribute to your recovery and mental well-being, in your estimation?

Note: This closing summary is asked once all six questions for a round of RBC are completed.

(See Appendix for printable Recovery Talking Points for Entry Core Stream, Secondary Core Stream and Advanced Core Stream, both Folder A and Folder B)