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Motivational Interviewing: A Tool in the Toolbox

A Training for Technical Assistance Professionals
by

Alexandra Eisler

on 18 March 2013

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Transcript of Motivational Interviewing: A Tool in the Toolbox

How MI Works Resolving ambivalence
Developing discrepancy
Increasing intrinsic motivation
Increase self-perception of ability to change The Definition of
Motivational Interviewing Continuum of Communication Styles The Spirit of Motivational Interviewing Collaboration (vs Confrontation)
Evocation (Drawing out rather than imposing ideas
Autonomy (vs. Authority)
Compassion Motivational Interviewing A tool in the toolbox Welcome! Alex Eisler
Deb Chilcoat
Valerie Sedivy
Vanessa Geffrard Participant Materials
Goal & Objectives
Agenda
Group Agreement
Parking Lot
Training Toys
House Keeping

Case Study & Practical Work And a little about you Getting Started Directing Following Guiding Stages of Change Theory Theory of Planned Behavior Where did MI come from?
And what does it have to do with TA? William Miller in 1983; Rollnick in 1991
Substance abuse counseling
Empathy as powerful tool Work activities as behaviors or habits
Using MI depends on what the "issue" is
Use the "why?" sparingly Sustainability vs. "Because you told me to."
Quality vs. "Because you told me to."
Respect and Empowerment Ethics & MI When it is
...and is not...
appropriate to use MI How to Think about MI Change
Talk Sustain
Talk I don’t want to…
I can manage without…
I like doing it this way….
I’m going to keep on…
I’ve tried… and I couldn’t do it…
I just don’t have time… The Participant is the Expert Roll with Resistance Change is hard
It's a dance, not a wrestling match Ambivalence
is Key There is the possibility of change Change Takes Time It can take many conversations
Sometime you have to fall down first Stop using MI here Break! Applying the
Stages of Change Sustain
Talk Ambivalence Change
Talk Lunch! See you soon! I want to…
I would like to…
I would feel more prepared if….
It might be easier if…
I need to…
I'm willing to try… Planning for Motivational Interviewing Small Group Work Identify a partner with an EBI/GTO-related challenge.
Clearly identify what the challenge is.
What stage of change (in relation to this challenge)?
What behavioral cues indicate this stage?
Next steps. Looking for Change Talk Approach & Principles of MI Express Empathy
Support Self-Efficacy
Roll with Resistance
Develop Discrepancy REDS Open ended questions
Affirmation
Reflective Listening
Summarizing OARS Closure & Evaluation "Squared" with you Saw from a new angle Completed a thought Will do differently Welcome Back! Day 2 Change Talk, Revisited Desire
Ability
Reasons
Need Commitment
Activation
Taking Steps EARS Elaborating
Affirming
Reflecting
Summarizing Change Talk Practice Break! Eliciting Change Talk Scaling Exercises
(Change Rulers) Providing Information Asking permission
Elicit - Provide - Elicit Reflective Listening Repeat
Rephrase
Paraphrase
Double-sided reflection
Amplified reflection "I know an abstinence-based program isn't the best fit for these students, but working with the school board is such a pain!" Lunch! Real World Role Play Break! Real World Role Play,
Revisited Action Planning Integrating MI into your current work
Identify immediate challenges
Action steps Closure & Evaluation Thank you! Thank you to
the Centers for Disease Control & Prevention!
Full transcript