Module 22-Motivational Interviewing
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Transcript of 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.