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Motivational Interviewing

M.I. Basics including a description of all six stages with video clips and more!
by

christina huber

on 6 November 2012

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Transcript of Motivational Interviewing

M.I. Basics including a description
of all six stages with
video clips and more! Stage 2
Contemplation Motivational Interviewing by Christina Huber Agency Setting: High School

Client: 17 y/o pregnant white female
who lives with aunt

Issue: student is in an abusive relationship who is the father of her baby

Referral came from nurse who witness b/f becoming verbally aggressive towards student, while student was in the nurses office. Using Motivational Interviewing... Stage 1:
Pre-contemplation. School Social Worker (SSW) meets with student for the first time. Principles of M.I. express empathy
develop discrepancy
avoid argumentation
roll with resistance
support self-efficacy Method 1 -
Look Forward Technique: O.A.R.S.
Open -ended questions
Affirmations
Reflections
Summaries Technique: F.R.A.M.E.S
Feedback given to client
Responsibility is on client
Advice about changing to client
Menus of self-directed change options
Empathic counseling
Self-efficacy "How would you like your life to be one year from now? If you were 100% successful in making the changes, what would be different? Student has not considered changing anything about the relationship. Student sees no benefits to getting out of the relationship. Stage 2: Contemplation SSW follows up with student, a few weeks later. Student is able to recognize some benefits to leaving the relationship, however unlikely or willing to do anything to end relationship. Stage 3:
Determination Student recognizes the benefits to ending the relationship may outweigh the cost of staying in the relationship. Student has some insight, but not quite ready to do anything about relationship. Method 2: Pros vs. Cons What are the pros of staying in the relationship/about your boyfriend? What are some cons about the relationship, things you don't like about your b/f? VS. Stage 4: Action Student realizes she is in an unhealthy relationship. Student has started to think about ending the relationship and how she may would go about doing that. Method 3: Explore Goals & Values What goals do you have for yourself and your baby? What values do you hope to pass down to your daughter? Stage 5: Maintenance Student had discussed her plans to end the relationship with her aunt who was supportive and involved the school to make arrangements to make sure student was safe in school. Student finally ended her relationship with boyfriend. Stage 6: Relapse Mom and baby are doing great, student has graduated and has some contact with baby's father and remains in non romantic relationship with him. References: Student may return to the relationship, either sexually or romantically, but realize she does not want to be with him and break the relationship off again. Corrigan, P., McCracken, S., & Holmes, P. (2001). Motivational Interviews as Goal Assessment for Persons with Psychiatric Disability. Community Mental Health Journal , 113-122.

MI Basics. (n.d.). Retrieved October 2012, from Motivational Interviewing: http://www.motivationalinterview.org/quick_links/about_mi.html

Wormer, K. (2007). Principles of Motivational Interviewing Geared to Stages of Change: A Pedagogical Challenge. Journal of Teaching in Social Work , 21-34.
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