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Motivational Interviewing One Day Training

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by

Peter Dimock

on 30 April 2015

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Transcript of Motivational Interviewing One Day Training

D A R N
C A T

Responding to Change Talk
"A collaborative, person-centered
form of guiding to elicit and
strengthen motivation to change"
Four Fundamental Processes in MI
1. Engaging: The Relational Foundation
2. Focusing: Guiding the client to a specific target behavior that is important to them.
3. Evoking: Drawing out the client's intrinsic motivation: their own reasons for change and their own ideas about how to change
4. Planning: The bridge to change
MI Spirit
Partnership
Evocation
Acceptance
Compassion
Guiding Principles
Resist the Righting Reflex
Resist the Righting Reflex
Understand client's motivations
Listen
Empower
What does the client want?
Summarize Frequently
Use a Bubble Chart
Evoke Change Talk
Reinforce Change Talk
Reflect Change Talk after Sustain Talk
Use Change Rulers
Ask What Else
Summarize
Listen for and Reinforce Commitment Talk
Scale Readiness
Asking Key Questions
Specific Attainable Action Steps
Motivational Interviewing
Explore values
Treat client with dignity & respect
Individualize the client
Consider clients experts on their own lives
Build on client strengths
Maximize client self-determination
Increase client's self-efficacy
Maximize client empowerment
Social Work Principles
Tools of Engagement
Affirm Autonomy
Roll with Resistance
Focusing
Reflect Often
Explore Ambivalence
Practice
Demonstration Video
OARS
Open Questions
Affirmation
Reflections
Summary
Ask Permission
Recognizing Change Talk
Change Talk
Desire
Ability
Reason
Need
Sustain Talk
I want
I wish
I would like to
I could
I can
I might
It's possible
Family
Health
Job
Consequences
I don't want to lose my.....
Exercise
Find the change talk
E
Elaboration
A
R
S
Affirmation
Reflecting
Summarizing
Practice
C A T
Commitment
Activation
Taking Steps
I will
I'm going to
I plan to
I'm ready
I started
I managed to
D

A

R

N
C

A

T

Evoking: Drawing out the
client's own ideas and reasons
for change
If I don't....
I have to
(Handout)
Video: Find the client change
talk and the clinician response
(handout)
Triad Exercise (Handout)
High Importance - Low Confidence =
Low Confidence - Low Importance =
High Confidence - Low Importance =

Practice Exercise
Eliciting Confidence handout
Increasing Importance
Enhancing Confidence
Planning
MI Observation Sheet
I really don't want to
I won't
I'll try
Faith
Partner
(Handout)
Full transcript