Motivational Interviewing and Stages of Change

What is Motivational Interviewing (MI)?

MI is a collaborative, goal-oriented method of communication with particular attention to the language of change. It is designed to strengthen an individual’s motivation for and movement toward a specific goal by eliciting and exploring the person’s own arguments for change. Dr. Hettema’s slides 

"A directive, client-centered counseling style for helping clients explore and resolve ambivalence about behavior change."William R. Miller, 1991.

MI Core Skills

(YOUR TOOLS)1. Open-ended questions2. Affirmations3. Reflections4. Summaries

Dr. Hettema’s slides 

Open-ended questionsAn open-ended question is designed to encourage a full, meaningful answer using the subject's own knowledge and/or feelings.

www.mediacollege.com/journalism/interviews/open-ended-questions.htmlExamples:

AffirmationsRecognition of strengths, progress, or effortExamplesReflections• Ensure understanding• Communicate interest• Communicate acceptance• Facilitate patient speech• Facilitate patient explorationExamplesSummariesDefinition Examples

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MI principles: These five communication principles include expressing empathy, supporting self-efficacy, avoidingargumentation, rolling with resistance, and developing discrepancy.

https://www.accp.com/docs/bookstore/psap/p7b08.sample01.pdf

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