Motivational Interviewing Implementation Workshop
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Transcript of Motivational Interviewing Implementation Workshop
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MOTIVATIONAL INTERVIEWING
IMPLEMENTATION WORKSHOP
Jason AndersonEBP Program Administrator
MN Department of CorrectionsAugust 26, 2011
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Introductions
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THREE LEVELS OR TYPES OF IMPLEMENTATION:
• ‘Paper’ (nothing really changes)
• ‘Process’ (procedures change; not outcomes)
• ‘Performance’ (procedures & outcomes change)
Fixsen et al. (2005). Implementation Research: A Synthesis of the Literature.
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10 Things MI is NOT:Miller & Rollnick, 2009
1. Transtheroretical Model – Stages of Change
2. A technique.
3. A way to trick people.
4. A Decisional Balance.
5. It does not require assessment feedback.
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10 Things MI is Not (cont.):
6. A form of cognitive-behavioral therapy.
7. Just client-centered counseling.
8. Easy.
9. What you are already doing.
10. A panacea.
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MI Defined:
Motivational interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.
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Stages of Learning Motivational Interviewing:
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Stages of Learning Motivational Interviewing:
1. Spirit2. OARS3. Recognizing Change Talk & Resistance4. Elicit/Strengthen Change Talk5. Roll w/Resistance6. Develop Change Plan7. Consolidate Commitment8. Transition/Blending
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1. Overall Spirit:
Collaboration
Autonomy
Evocation
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2. OARS:
(Client-Centered Listening Skills)
Open-ended ?sAffirmationsReflectionsSummarizations
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3. Recognizing Change Talk and Resistance
Change Talk
Sustain Talk
Resistance
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4. Eliciting and Strengthening Change Talk
Evoke and Reinforce change talk
Apply OARS strategically
Missed Opportunities
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5. Rolling with Resistance
“Don’t wrestle with pigs…you’ll get muddy and the pigs love it.”
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6. Developing a Case Plan:Case Planning:
Emphasis is on…- Written plan- SMART format- Criminogenic behavior targets- Aligning, plan w/client’ motivation is optimal- Developing a case plan is an event
Change Planning:Priorities are…- Alignment w/client’s motivation- Criminogenic needs of client are considered- Written plan is optional- Change planning is a process (not an event)
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7. Consolidating Commitment
Increasing strength of client’s commitment to change.
Specify implementation intentions.
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8. Transition and Blending
Blending MI style with other interventions
Transition between MI and other approaches
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Click icon to add picture
Break Time!
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Types of Training
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2 to 3 days
“Level I” Training
Clinical Training
1 hour to 1 day
Application
2 hours to 1 day
Intro
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3-4 days
Equipped to facilitate Level I and II training.
Training for Trainers
2-3 days
Equipped to coach and
facilitate practice
sessions
Supervisor Training
2-3 days
May be broken into 2-hour
sessions
“Level II”Coaching Circles
Advanced Clinical Training
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EckMaahs & Associates, LLC [email protected] Magnify your Potential! 651-489-112
Oct 22-23, 2009 11/16 11/ 30 12/14 12/30 Jan 13, 2010 1/ 21 2/ 4 2/18 3/4 3/11 or a bit later 3/23-3/25 3/ 2/Mar Feb Feb 18
Level II
Session 2
2 hours
Level I
MI Course- 2 days
Level II
Session 1
2 hours
First audio tape coaching session
Sample Timeline for Level I and II Motivational Interviewing Training
(Utilizing MICP Curriculum Series)
Level II
Session 3
2 hours
Level II
Session 4
2 hours
Level II
Session 5
2 hours
Level II
Session 6
2 hours
Level II
Session 7
2 hours
Level II
Session 8
2 hours
Second audio tape coaching session
Note: Level II sessions should be approximately 2 weeks apart and no larger than 12 participants.
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An interview with Dr. Miller
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Implementation Considerations:
• Training ≠ Implementation
• Internal Capacity
• Managerial Support
• Ongoing measurement with coaching feedback.
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Resources
• <Motivational Interviewing Network of Trainers>http://motivationalinterviewing.org/
• <Stephen Rollnick>http://www.stephenrollnick.com/
• Jason Anderson, EBP Programs [email protected]