This document contains the instructional materials developed and presented in workshops on communications skills improvement at a regional hospital. The workshop was designed to help participants gain skills that enable them to do the following: (1) identify and overcome roadblocks to effective communication; (2) decode "hidden messages"; (3) recognize the importance of the three main ways messages are sent; (4) avoid provoking hostility through non-defensive communication; (5) practice effective listening skills; (6) use reflection skills; (7) choose appropriate words to transmit a message clearly; (8) give criticism appropriately; and (9) use "I" messages to communicate assertively. The guide includes a workshop overview, information sheets, work sheets, and role-playing activities. (KC)