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MI - Motivational Interviewing (Part 1)
Transcript of MI - Motivational Interviewing (Part 1)
to change 2. Teaching ways
to change 4. Provide
NOT changing 3. Listen to thoughts
about change “... a collaborative, person-‐centered form of guiding to elicit and strengthen motivation for change.” Sacramento Taking Action Against Nicotine Dependence (STAND) Peer-to-peer quit smoking interventions based on the MI model - 61% quit smoking rate at 6 month follow up Result Client Centered Goal Oriented Sustain Talk Change Talk 4 Principles 1. Express Empathy 4. Support Self-Efficacy 3. Roll with Resistance 2. Develop Discrepancy Desire to change Commitment
Taking Steps Need for change Reasons for change Ability to change D A R N--C A T Desire for Status Quo Commitment
Taking Steps Need for SQ Reasons for SQ Inability to change O A R S Summarizing Affirmations Open-Ended Questions AMBIVALENCE Reflections Action Pre-Contemplation Contemplation Relapse /
Permanent Exit Preparation Maintenance Prochaska and DiClemente (1977) Stages of Change - Evidence based
- Over 200 clinical studies Works well when the client can make a conscientious choice! - Elicit drug use
- Dietary Change
- Parenting Works Better - With minorities
- Low SES
- Without an explicit manual Works with Brief Interventions Training manual - SAMHSA.gov Seminars, Workshops, and other info - MotivationalInterview.org One Two Three (cc) photo by medhead on Flickr Status Quo Change Ambivalence Alex Tyannikov