CMSA Today - Issue 3, 2012 - (Page 14)

Facilitating Change Author Margaret Moore, MBA, recently presented the topic “Coaching for Sustainable Change” at a grand rounds at Cleveland Clinic in Cleveland, Ohio. The presentation serves as an accompaniment to the following article; to view the full video presentation, click here. FACILITATING CHANGE The Work of Professional Health & Wellness Coaches common lament of my coaching clients when they engage me to re-engineer their lifestyles is that they struggle with an unsolved mystery along the lines of, “I know what I need to do and I don’t get why I don’t do it.” People often spend decades in a stuck stage that I call chronic contemplation in one or more domains in life, whether it’s managing stress and frenzy, getting and staying fit, listening more and talking less in relationships, or losing weight for good. What I’ve learned from my biggest hero in the science of adult development and coaching, Harvard psychologist Robert Kegan, is that each of us has a worldview, a box of assumptions, beliefs, and perspectives we live in, which constrains our awareness and possibilities. A chronic health and wellness challenge is sending us a message – calling for us to grow into a bigger worldview, getting outside and beyond our boxes. The box could be: “I can lose weight but I regain all of it and more” or “I don’t have time to exercise.” The brain has no roadmap for “I am able to lose weight and keep it off ” or “I schedule exercise into my calendar as a priority because I am far more energetic, productive, and creative.” How do professional coaches or health professionals deploying basic coaching skills help people get beyond their worldviews, outside their boxes to build a new roadmap? When you CMSA TODAY When Change Is Hard BY MARGARET MOORE, MBA think about the biology of how the brain learns, you can imagine that people need to build new networks in their brains to support a new and bigger worldview. Now neuroscientists are exploring the biological processes of neuroplasticity, the generation of new neural connections and integrated brain-wide networks that undergird the formation of new habits and the cognitive and emotional mindsets needed to sustain them. What are the conditions that enable people to create robust neural networks and change for good? Professional coaches are passionate about discovering and enabling these conditions so that they can help their clients make sustainable change in mindset and behavior. Well-trained coaches draw on a rich science-based toolbox for facilitating lasting change. Here’s a sample of how coaches facilitate change. A MINDFUL ATTENTION A calm, warm coaching session enables a client to experience mindful, focused attention on his personal health and wellbeing. The coaching dynamic enhances self-awareness by quieting a client’s emotional frenzy for a short time, tuning out distractions, eliciting positive emotions about what’s going well, and enabling a curious and engaged inquiry into “what’s really going on here?” Coaching helps clients demystify a complex process of habits of mind and action. The first ah-hahs come from new awareness of patterns of emotions, thoughts, and action, followed by imagining new possibilities. Recently a case manager in a coach-training workshop shared that coaches help patients see windows instead of walls. It’s likely that a calm, mindful space designed to generate self-awareness and new ideas helps new connections to form in the brain. 14 Issue 3 • 2012 • DIGITAL

Table of Contents for the Digital Edition of CMSA Today - Issue 3, 2012

President's Letter
The Art and Science of Integrated Case Management
Evidence-Based Practice Is an Art, Not Just a Science
Facilitating Change When Change is Hard-The Work of Professional Health & Wellness Coaches
Does Discharge Planning Really Begin at Admission? (Part 3 of 3)
The Massachusetts Revolution for a Resolution to Obtain MSL
CMSA Corporate Partners
Association News
Index of Advertisers

CMSA Today - Issue 3, 2012