module 22-motivational interviewing

7/24/2019 Module 22-Motivational Interviewing

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Motivational Interviewing

Stages of Change


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Learning Objectives

Identify the stages of change.

Identify the core principles of

Motivational Interviewing.Demonstrate active listening skills.


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Listening is a o!ndational Skill

It is the basis for c!lt!ral competency"emaining open and c!rio!s

It is what cons!mers and familymembers say is most helpf!l

or people with co#occ!rring disorders$

listening is a core skill ta!ght inMotivational Interviewing


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Motivational Interviewing # Definition

Motivational Interviewing is a directive$

client centered co!nseling style for

eliciting behavior change by helping

clients to e%plore and resolve

ambivalence.

"ollnick and Miller


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Motivational Interviewing

Motivational Interviewing is a way of

working with people who are in the

process of change.

MI is foc!sed on really !nderstanding

where a person is at in the stages of

change.

&hen$ making stage#wise interventions.


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Stages of Change

Pre-contemplation

Contemplation

Action

Maintenance

Relapse

Preparation


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'%ercise

(hat Stage of Change )re *o! In+


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&he Dilemma of Change

Sometimes we are ambivalent , we feeltwo ways abo!t things.

Motivational Interviewing helps people

look more closely at their own pros andcons for change.

-ltimately$ this style of working with

people b!ilds their motivation to change.


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St!dy of therapists behaviors

&he more a therapist confronted$ the

more likely the client wo!ld be drinking

/more than a year later0

&he more the therapist had been

s!pportive and listening$ the more the

client had changed.Miller and Sovereign /12320


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Core Strategy of Motivational

Interviewing

&o elicit from the ambivalent client

the reasons for concernand the arg!ments for change.


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ive 4eneral 5rinciples of MI

'%press empathy

Develop discrepancy

)void arg!mentation

"oll with resistance

S!pport self#efficacy


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'mpathy

Listen and be s!pportive in yo!r

comments. Show respect and

acceptance.

*o!r goal is to b!ild an alliance with the

client.


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Develop Discrepancy

*o!r task is to help the client foc!s on

their c!rrent behavior and how it differs

from their ideal or desired behavior. &he

!se of reflection can be very val!able

here.


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)void )rg!mentation

)void trying to convince the client of yo!r

point of view and avoid power str!ggles.

*o!r job is to 6walk7 with the client not to

drag them along.


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"oll with "esistance

(hen the person is highly resistant it

may be viewed as the client

!nderstanding the iss!e differently than

yo! do. &his is a sign to yo! to change

direction and listen more caref!lly and

e%press empathy.


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S!pport Self 'fficacy

Listen for statements that s!pport the

persons strengths and bring those to the

fore when possible. 'licit and s!pport

hope$ optimism and the possibility to

make positive changes.


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ive Opening Strategies

)sking open#ended 8!estions

"eflective listening

S!mmari9ing)ffirming

Listening for self#motivational statements


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Open#ended :!estions

acilitates dialog!e and helps yo! to

!nderstand their point of view&ell me$ what brings yo! here today+

So$ what do yo! think yo! want to do abo!t

yo!r drinking+

&ell me abo!t yo!r family+


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"eflective Listening

It is a means to demonstrate that yo!have heard and !nderstood what theclient has said.

-se the three options in reflections;-se e%act words5araphrase , !se yo!r own words

"eflect emotions


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'%ercise

Listening "elay


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S!mmari9ing

&aking all of the information and

condensing it down to its essential

meaning.S!mmaries reinforce what has been said

&hey show that yo! have been listening


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)ffirming

Sincere affirmation promotes self#

efficacy and validation of the clients

e%periences and feelings. I think its great that yo! want to do

something abo!t this problem.

&hat m!st have been very diffic!lt for yo!.

*o!re certainly a reso!rf!l person to havebeen able to live with the problem this long

and not fall apart.


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'licit Self#Motivational Statements

*o!r role is to entice the client to voice their

concerns and desires. MI re8!ires the client$

not the clinician$ to arg!e for change and

pers!ade themselves to change. I g!ess this has been affecting more than I reali9ed.

I feel terrible abo!t how my drinking has affected

my family.

I think I co!ld become clean and sober if I wantedto.

module 22-motivational interviewing

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