Motivational InterviewingLunch & Learn - November 26th, 2014

WHY THIS SUBJECT?

7:36pm Britt is asking me a bunch of questions!

• Britt took a class on motivational interviewing

• Test her skills on me

• After few minutes, I identify a weakness and the first

action items to work on it

AGENDA 1. What is MI?

2. Definition of MI

3. Stages of Change

4. Four Processes

5. Take Away

WHAT IS MI?

• Client-centered counselling approach developed by psychologists Miller & Rollnick

• First used during an experience in the treatment of drinking problems

• Areas of healthcare, corrections and working with youths

• Facilitate and engage intrinsic motivation within the client in order to change his

behaviour

• MI is not a way to trick people into doing what you want them to do

DEFINITION OF MI

• Collaborative, goal oriented style of communication

• Attention to the language of change

• Designed to strengthen personal motivation and commitment to a specific goal

• Eliciting and exploring person’s own reasons for change

• Within an atmosphere of acceptance and compassion

STAGES OF CHANGE

• Pre-contemplation

• Contemplation

• Preparation

• Action

• Maintenance

• Possible Relapse

STAGES OF CHANGE

• Pre-contemplation

• Contemplation

• Preparation

• Action

• Maintenance

• Win /Relapse

STAGES OF CHANGE

• Pre-contemplation

• Contemplation

• Preparation

• Action

• Maintenance

• Win /Relapse

Ambivalence

Sustain Talk Change Talk

STAGES OF CHANGE

• Pre-contemplation

• Contemplation

• Preparation

• Action

• Maintenance

• Win /Relapse

STAGES OF CHANGE

• Pre-contemplation

• Contemplation

• Preparation

• Action

• Maintenance

• Win /Relapse

STAGES OF CHANGE

• Pre-contemplation

• Contemplation

• Preparation

• Action

• Maintenance

• Win / Relapse

STAGES OF CHANGE

• Pre-contemplation

• Contemplation

• Preparation

• Action

• Maintenance

• Win / Relapse

MI SPIRIT

• Foundation of MI

• Partnership

• Acceptance

• Compassion

• Evocation

MI SPIRIT

FOUR PROCESSES

• Engaging

• Focusing

• Evoking

• Planning

FOUR PROCESSES

• Engaging

• Focusing

• Evoking

• Planning

FOUR PROCESSES

• Engaging

• Focusing

• Evoking

• Planning

FOUR PROCESSES

• Engaging

• Focusing

• Evoking: Mobilizing Change Talk

• DARN: Desire, Ability, Reasons, Needs

• CATS: Commitment, Activation, Taking Steps

• Planning

FOUR PROCESSES

• Engaging

• Focusing

• Evoking: Responding to Change Talk

• OARS: Open questions, Affirmation, Reflection, Summaries

• Planning

FOUR PROCESSES

• Engaging

• Focusing

• Evoking

• Planning

FOUR PROCESSES

• Engaging

• Focusing

• Evoking

• Planning => Signs clients are ready to transition to planning

FOUR PROCESSES

• Engaging

• Focusing

• Evoking

• Planning => Supporting the change

• OARS

• Informing & Advising

MI & 7GEESE

Take Away

• Empathy: seeking to understand of the nature of clients’ challenges and problems

• Guide, evoke ideas to let people come up with the changes

• Making sure person understand goals and that it aligns with its abilities & core values=> Reflective Listening

• When giving advices always ask if people want to get them

• Useful for 7Geese: goal settings, sales, manager/report relationship

Q & A

SOURCE

• http://www.slideshare.net/ChildrensTrustofSC/motivational-interviewing-26497056

• http://www.slideshare.net/MCCHMD/motivational-interviewing-5365470?

qid=7a720f20-04d1-4de2-8738-f5a3ae9c1580

• https://www.youtube.com/watch?v=s3MCJZ7OGRk