Implementing MI with a deck of cards and MI in a box

MINT Forum Tallinn26 september 2019

Christina Näsholm Johanna Larsson

Implementing MI with a deck of cards and MI in a box

WHY ?This training tool?Tobias SandbergChristina Näsholm

Challenges for trainers and organizations

15 – 70 – 15

Brinkerhoff, R. 2001,2008

Outcome of training, Brinkerhoff. R • n

15 %Employed the new learning, achieved specific and valuable results.

70% Tried to som extent, but encountered problems

and soon after reverted to old methods.

15% Did not even try.

Bridging the GAP, between theory and practice

Facilitating the ”transport” of knowledge and skills, from workshops to everyday work.

Relevant, meaningful, easy to use.

FUN!

Närhälsan Mölnlycke

Rehabmottagning Ekdalavägen 2 435 30 Mölnlycke

A multi-tool … A tool with multiple, possible applications for use

To be used in and after workshops, for peer support groups, supervision, individual training etc.

To be used at different levels from intro, basic to more advanced levels of MI training.

A multi-tool for learning, trainingand implementing MI

▪ 137 Cards

▪ 25 Black cards

▪ 112 Red cards

Black cardsDescribing MI, skills and strategies

▪ Spirit▪ Processes▪ OARS ▪ Elicit - Provide - Elicit , as a rhytm▪ Agenda-mapping/Menu Agenda

▪ Feedback with an MI-style, MI-rhythm

▪ MI-konsistent behaviours

Black cards

1 MI-spirit 2 Four processes3 Readiness to change4 Affirmations5 Open ended questions6 Simple reflections7 Complex reflections8 Summaries9 Ask for permission

10 Elicit Provide Elicit9 Agenda mapping10 Importance & Confidence scales

Black cards cont.Applying concepts from MITI

13 Target behaviour

14 Cultivating change talk 15 Softening sustain talk 16 Empathy17 Partnership18 Affirming19 Seeking collaboration20 Emphasizing autonomy

21 A, 21 B Feedback 22 GOLD 22 Red and green

Johanna LarssonMaria Hjorth

Red cards, Statements, quotes, responses

112 cards, 7 categories

There i a number on the top of the cards:23, 24, 25, 26, 27, 28, 29

16 cards in each category

In this english pilot version, 5 cards in each cathegory.

Red cards, Statements, quotes, responses

23. Change talk

24. Sustain talk – discord

25. … yes, but … talk

26. Ambiguent talk

27. Unfinished statements from clients.

28. Unfinished statemenst from

staffmembers/trainees.

29. A mix from 23-28.

Oändligt många kombinationer

Reflective listening A.

▪ Red cards 23 and 29

▪ When listening to this…

▪ What do you hear, and what do you think thisperson thinks, feels, wants, needs or long for? …

Reflective listening B.

▪ Black cards 6 and 7

▪ Red cards 23 and 29

▪ How to respond with a reflection?

Open ended questions+ reflections

▪ Black cards, 5 open ended questions

6 -7 reflections

▪ Red cards 23, 26

▪ Meet with an open ended question.

Listen, follow up with reflections …

25 … yes , but - talk

▪ Red cards 25

▪ Ideas for use and training?

Affirmations

▪ Red cards 28

▪ Unfinished sentenses, from staff-members, colleagues.

▪ Meet with affirmations

26 … ambiguent talkMINTie Jeff Allison

Many possible meanings.

Might be sustain talk, might be proximal,

possible motivation/change talk.

26 … ambiguent talk

1. Give information, a recommendation …

Elicit - Provide - Elicit

2. Ask … What do you think about this?

▪ ”Client” responds with ambiguent talk, from cards 26.

3. Listener meets with a MI-consistent response,resisting the righting reflex …

Support autonomy

• Black card 20

▪ Red cards 24

Interested in collaborationsfor translating MI SKILLS DECK?

We seek collaborations with MINties

representing different local/regional languages

for translating and distributing local versions

of MI SKILLS DECK,

including donating to

MINT Public Service Fund, PSF.

© Detta material ägs av

Symposium Resö AB och får

endast användas av deltagare i

den aktuella utbildningen. All

annan användning så som

kopiering, mång-faldigande,

överföring eller annan kommersiell

användning kräver skriftligt

medgivande.

© Detta material ägs av

Symposium Resö AB och

får endast användas av

deltagare i den aktuella

utbildningen. All annan

användning så som

kopiering, mång-

faldigande, överföring

eller annan kommersiell

användning kräver

skriftligt medgivande.

28

Looking back …

Experiences? Discoveries? Learnings?Ideas?

MI SKILLS DECKThe MI Training MultiTool

MI SKILLS DECK, The MI Training MultiTool,is a proprietary educational concept,

developed by Tobias Sandberg and owned by Symposium Resö AB, Sweden.

All reproduction of the deck as well as the concept is reserved exclusively for Symposium Resö AB, Sweden, unless otherwise agreed in writing.