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MI - Motivational Interviewing (Part 1)

Basic overview of Motivational Interviewing. Overview includes short intro, Stages of Chage, Change Talk & Sustain Talk, and OARS.


on 4 October 2012

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Transcript of MI - Motivational Interviewing (Part 1)

Motivational Interviewing 10/04/12 Empathy Respect Collaboration Confrontation Education Authority What is most effective at producing behavior change? 1. Giving Reasons
to change 2. Teaching ways
to change 4. Provide
consequences for
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
- Smoking
- Diabetes
- Dietary Change
- Hypertension
- 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
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