![Page 1: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/1.jpg)
Michael Sainsbury
![Page 2: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/2.jpg)
2
“I’m in too much pain to work – I don’t think I could ever go back!”
“I’m in too much pain to work – I don’t think I could ever go back!”
“There’s no point searching for a job – no one’s going to employ me!”
“There’s no point searching for a job – no one’s going to employ me!”
“I’m too scared to do anything – because I might reinjure myself!” “I’m too scared to do anything – because I might reinjure myself!”
![Page 3: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/3.jpg)
3
“After all, when you seek advice from someone, it’s certainly not because you want them to give it. You just want them to be there while you talk to yourself.”
“People are more likely to be persuaded by the reasons they have themselves discovered, than by those that come into the minds of others.”
![Page 4: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/4.jpg)
4
It’s not that the individual is ‘unmotivated’!
What drives the individual?
What is it that motivates their behaviour?
![Page 5: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/5.jpg)
5
Willingness to change
Ability to change
Readiness for change
![Page 6: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/6.jpg)
6
Explore the individual’s feelings of ambivalence to understand their motivations For what is the injured worker motivated?
•
Ambivalence
“I want to, but I don’t want to” dilemma
![Page 7: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/7.jpg)
7
Motivational Interviewing
A worker-centred, directive method for enhancing intrinsic motivation to change by exploring & resolving ambivalence
A soft way of asking workers to take a hard look at themselves
![Page 8: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/8.jpg)
8
Develop Discrepancy
Express Empathy
Avoid Arguing
Roll with Resistance
Support Self-Efficacy
![Page 9: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/9.jpg)
9
Develop Discrepancy
Motivation for change can occur when the worker recognises the discrepancy between where they’re at & where they want to be in their life
Explore ‘looking back’ & ‘looking forward’
![Page 10: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/10.jpg)
10
Express Empathy
Reflective listening to understand & accept
the worker’s perspective-without judging, criticising or blaming
When the worker feels understood-more able to open up & share their experiences
Acceptance & respect facilitates a positive
working relationship
- builds self-esteem for promoting change
![Page 11: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/11.jpg)
11
Low Empathy
Low Control
High Empathy
High Control
Low Empathy
High Control
HIGH EMPATHY
LOW CONTROL
![Page 12: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/12.jpg)
12
Avoid Arguments
Positive approach that avoids direct confrontation & arguing
Don’t push for change
![Page 13: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/13.jpg)
13
Roll with Resistance
Avoid challenging the worker’s resistance to change-‘roll with it’ or it may lead to strongly defending their current position
Use the worker’s ‘momentum’ to further explore their views
![Page 14: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/14.jpg)
14
Support Self-Efficacy
Individual’s belief in their ability to succeed Worker’s belief that change is possible is an important motivator
Highlight changes the worker has previously made in their lives to develop a belief that change is possible
Enhance the worker’s confidence in their capacity to cope with obstacles & succeed in change
![Page 15: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/15.jpg)
Stages of Change
15
![Page 16: Building motivation for change as a platform for return to work](https://reader036.vdocuments.us/reader036/viewer/2022062406/55902a311a28ab31718b460f/html5/thumbnails/16.jpg)
16