University:
California State University, Northridge
Course:
PSY 345 | Social Psychology
Academic year:

2014
Views:

201

Pages:

22
Author:

Kimberly Kane

Motivational Interviewing Motivational Interviewing Objectives Review Motivational Interviewing Concepts ¢ Practice Motivational Interviewing ¢ Definition Motivational Interviewing: A directive, patient-centered counseling style for increasing internal motivation by helping individuals to explore and resolve ambivalence. 3 mnemonics to remember MI ¢ D l ¢ R l ¢ O l A R N-C how MI works for the patient ULE how MI works for the practitioner ARS how to respond to change talk and help make the change D A R N – C: How MI works for the client ¢ Desire: l ¢ Ability: l ¢ reasons or motivators? Need: l ¢ do you have the tools to make this change? Reasons: l ¢ why do you want to make this change? how important is it on a scale of 0-10? Commitment: l what ACTION will you take to make this happen ? R U L E: How MI works for the practitioner How does your counseling or coaching technique …. • Resist the righting reflex • Understand client’s motivation internal or external • Listen to change talk & sustain talk • Empower O A R S: Tools to encourage change Open Ended Questions – not short-answers, yes/no, or rhetorical questions Affirm the person – comment positively on strengths, effort, intention Reflect what the person says – "active listening“ Summarize - draw together the person's own perspectives on change Motivational Interviewing Listening is Fundamental to Motivational Interviewing Listening is Fundamental to MI ¢ Trains us to ask the right question ¢ Helps us guide the client to change ¢ Establishes trust ¢ Allows us to provide the right information Open Ended Questions ¢Request a story - not an answer ¢Search for meaning - not facts ¢“What” and “How” questions are effective ¢“Why” questions may promote defensive response ¢Let’s make some Open- Ended revisions… Affirmations ¢ Recognize strengths ¢ Build confidence to change ¢ Must be congruent and genuine ¢ Examples? Reflective Listening Key to empathy ¢ Limits information overload ¢ Useful when there is resistance ¢ Guessing is OK ¢ Summarizing ¢ Special form of reflective listening ¢ Assures clear communication ¢ Useful at transitions ¢ Reflects ambivalence ¢ Highlights change talk Change Talk Language which reaffirms the client’s desire or motivation to change! Guiding: The importance or confidence scale Gauge: The strength of personal motivation to change l change talk l change l IMPORTANCE/CONFIDENCE SCALING EXERCISE ¢ ¢ Right now, how important is it for you to …..? If you did decide to ….., how confident are you that you can make the change? On a scale of 0 to 10, what number would you give yourself? 0 ……………………………………………………….. 10 not at all extremely ¢ ¢ ¢ Why are you at 5 not at 3? Why are you at 5 not at 7? What would need to happen for you to raise your score a couple of points? How can I assist you in getting to a 7? MI is a Dance not a Fight Practice…. • • How important is it for you to….? How confident are you that you will…? ********************************************* 1.Use these questions or something of your own. 2. Utilize importance and confidence rulers 3. Summarize outcome to each other Let’s Review There’s always room for a li0le MI lOpen ques8ons lRoll with resistance lAﬃrm lListen reﬂec8vely lAsk permission lAvoid informa8on overload lSummarize MI on the Fly In As Little As Five Minutes set the agenda l listen well for a short time l elicit change talk l ask permission to provide information l importance/confidence scale l call to action l affirm and exit l Practice role play 2 volunteers? Closing Activity 1. 2. 3. 4. One thing I learned . . . One thing I liked . . . One thing that surprised me . . . If I decide to use MI, what is the first thing I am going to do to apply it ?

Motivational Interviewing Concepts

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