4. Avoiding Argumentation—avoid trying to convince the student that a problem exists or change is needed because it could cause more resistance. Motivational Interviewing (MI) is a therapeutic strategy for facilitating behaviour change. 3 0 obj Cutting off Ignoring. BPK 340 Module 7: Counselling and Motivational Interviewing … “Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior ... techniques (Readiness to Change Ruler, Importance and Confidence related to goal choice). Identify MI techniques to help patients change. Techniques such as reflective listening, summarizing a conversation, and weighing costs and benefits, are utilized in MI, as communication styles supporting the patient’s hopes, optimism, and self-efficacy. About the authors 48 0 obj <> endobj Miller. %���� Examples Last week you were not sure you could go one day without a cigarette, how CORE CONCEPTS IN MOTIVATIONAL INTERVIEWING Summary of Motivational Interviewing* Motivational Interviewing (MI) was developed by William R. Miller and Stephen Rollnick, and is defined as a collaborative, person-centered directive counseling method for addressing the common problem of ambivalence about behavior change. Motivational interviewing typically achieves its effects in one to four sessions Motivational interviewing appears to require a “minimum dose” of about 20 minutes. Motivational Interviewing Tips Sheet . endobj 3. Motivational Interviewing basics The underlying “spirit” (or philosophy) of MI is even more important than the skills. òe��%}p�q�r7��Hq�+��C�ͽ�f岐`Bਸ�W�+�.��y�*����7�*_Og��Η��l��,���E�P�!��C��g�P?����Y]�n�a����Rx��6�c�:� .RjZ���p7���*����|H�^��|i�+�h��n$ ����뛗� �M�4s�z���5>�Id%-�ԏ�C̼�������d���v��|0���}4AN����ǚ_="b� � H�&�P��w�EEhC�-��Sd�f[O��M�ڨ`����C Goal of Motivational Interviewing: The goal of Motivational Interviewing is to get individuals to resolve their ambivalence about changing their behavior, without evoking resistance to change. Identify the tasks of MI. Thinking and talking about change pave the way for change. Preparing People to Change Health Behaviors. %PDF-1.6 %���� Stages of Change & Motivational Interviewing Welcome to Recovery U Module 3: Stages of Change and Motivational Interviewing. New York: Guilford Press. endstream endobj 49 0 obj <> endobj 50 0 obj <> endobj 51 0 obj <>stream These are considered the four core skills (Miller & Rollnick, 2013). 2 0 obj Motivational Interviewing Core Skills “Enhancing intrinsic motivation to change by exploring and resolving ambivalence.” (Miller and Rollnick, 2002) Demonstrating MI “Spirit” (encourages ownership, enhances self-efficacy, assumes competency) Respect Autonomy vs. exert authority Collaborate vs. confront Evoke vs. educate �������ޞX�߁�A��Brk����T�6�U��o�qд2����h�!4-��)U�i���I6D���O��*F��x~�����j9@b?���Lk����'H�����(��t�dV�*�z�Zt9 �f�ڔ�^jm�Z!����}d���sֽ>g��9;������lS����\�#h��&�[�x�#q��䪃`�UQS��m���*��+�TQnu�۫����הmr. More sessions have been associated with greater efficacy 31 Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: A systematic review and meta-analysis. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The Manual Motivational Interviewing is an integral part of SBIRT, and its principles can also be applied to other therapeutic interactions revolving around behavior change. Arguing Challenging Discounting Hostility Interrupting. Describe elements of the provider style that precontemplative or highly ambivalent Motivational Interviewing Techniques Can Help People Change By: Helping them to recognize their high-risk behavior 66 0 obj <>/Filter/FlateDecode/ID[]/Index[48 37]/Info 47 0 R/Length 96/Prev 151040/Root 49 0 R/Size 85/Type/XRef/W[1 3 1]>>stream Understand the conditions under which most clients are willing to attempt behavioral change (the change trifecta: importance, confidence, readiness); 3. Motivational Interviewing in Health Care: Helping Patients Change Behavior by William Miller, Stephen Rollnick, & Christopher Butler Motivational Interviewing in the Treatment of Psychological Problems by William Miller, Stephen Rollnick, Hal Arkowitz, & Henny Westra Motivational Interviewing, Third Edition: Helping People for Change TENANTS OF MOTIVATIONAL INTERVIEWING Expressing Empathy—seeing the world from the student’s perspective and sharing in their experiences to ensure the student feels heard and understood. By the end of this Learning Module, you will be able to describe the stages of change, delineate some of the principles of motivational interviewing or MI, summarize evidence of its <>>> endstream endobj startxref R*�S�� ���� 7�(�Zx��M�e��=狂>����pszʲj]�.o8ŃJ�I��FV$�FNP��IVa��Z̊��M�36/^����;v9���m� ��s�Ӝmź� The following materials supplement formal MI training, but cannot replace the instruction and practice necessary to become proficient. mi_rationale_techniques.pdf Page 1 of 2 Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. <> W. R. and Rollnick, S. 2013. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. Open questions, affirmations, reflective listening, and summary reflections (OARS) are the basic interaction techniques and skills used in the motivational interviewing approach. �f_>����K����yo��xb�+��q�V-c�ɘq�緗� �=Wˇ_L;ӧ����qC����/�$P����$�� ̽D"�����+�? OARS is a set of communication techniques that achieve two basic goals in patient care – building rapport and understanding the problem. Motivational Interviewing tools and techniques provide structured and efficient ways to help patients develop internal motivation to change. %PDF-1.5 Purpose: In 2015, the “Motivational Interviewing Implementation and Practice Manual” became available to all juvenile probation departments as a resource of steps, materials, strategies, and protocols to guide departments in the training and implementation of motivational interviewing practices. The letters stand for: In 1991 Richard Miller and Steve Rollnick created a more detailed concept of Credibility - staff confidence in underlying assumptions, techniques and evidence Multifaceted - inclusion of a variet y of interventions and formats suited to the variety of Define motivational interviewing (MI). stream pg. Brief Intervention Modules 1 and 2 focus on Motivational Interviewing which is a key element of brief interventions for substance misuse. The five principles of motivational interviewing are: (1) The practitioner Signs of Resistance. Motivational Interviewing The tasks of MI are to— Engage, through having sensitive conversations with patients. h�b```f``2f`a``�dd@ A�+s\ ���k����p~B� 1. Negotiate plans. Evoke the patient’s personal motivation for change. 5. We feel that MI may offer some useful resources for busy CF clinicians. It is designed to strengthen Motivational interviewing techniques Facilitating behaviour change in the general practice setting • stress management • completion of recommended screening or diagnostic tests or specialist/allied health/psychologist referral. 54. Motivational interviewing: Philosophy and Principles 2. 4 0 obj Definition of Motivational Interviewing “Motivational interviewing is a client-centered, directive method for endobj This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. 0 Motivating often means resolving conflicting and ambivalent feelings and thoughts Motivational Interviewing: Tools and Techniques 3. ��\�b��3�@��A7��hEK=o�N��pH�`q��V�d����h���Rl@� ���(l� �$�� - �B`�- 6s�$�~&o&G�k����4�u�K�a�)�*z�j�+�vY&�u W� 6ɟ/���c9;/�H Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. Motivational)Techniques)and)Skills)) ) 2)! Define the principles of MI. <> ` ;B� "�A$��*? Describe the spirit of MI. endobj While you are an expert in health care, your client is an expert in his or her own life. Inattention Non -answer No response Sidetracking Denying. It is one of the features that Sobell!and!Sobell!©2013.!Availableonlineat!http://www.nova.edu/gsc/online_files.html. 84 0 obj <>stream Clients are more likely to discuss changing when asked, than when being lectured or … h�bbd```b``z > Professional > Techniques > Motivational Interviewing Motivational Interviewing (MI) It is defined as a “collaborative, goal-oriented type of communication with particular attention to the language or change” and “is designed to strengthen personal motivation for change” (Miller & … View BPK 340 Lecture 7_Counselling and Motivational Interviewing (1).pdf from BIOL 354 at University of British Columbia. !This!document!is!not!tobe!copied!or! alkingT over . The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles Information about requirements and processes for certification and recertification in general pediatrics and pediatric subspecialties. About the authors We feel that MI may offer some useful resources for busy CF clinicians. 4 davidmeelee.com • Progressively negotiate the quality of the relationship as an important and urgent challenge – You can anticipate that your initial assessment of the client’s relational capacities, style, preferences and x��}ˮl�n]� ���F]��ᆯ# I��l��`� N��Lr�A��Au�^�TsJ$E�����y�������������^�}��¥Wz��r)i�fI����������y�����?�s�����������ȩ}��׿������o���O}��7e�)��kY�_�����?1߫aP��������e�ǻٯ�{wo�án?����i�s�� �{donӡ�ε=P}����^\�k{�?���:P~���@x[���wx��߳�g"o~~����]͡�4����`�ܚ�]��6��D�@��D�4{�C�,�(>�ݼu���������O~FZ�9��cJ��M����?��!8g�cƘ�;[G������N�)�0"F=S������-0 ��. Screening and Assessment 4. %%EOF Motivational Interviewing 101: The Basics on Engaging People into Treatment David Mee-Lee, M.D. Motivational Interviewing (MI) MI was conceptualized by Richard Miller in 1983 from his work with problem drinkers. 1 0 obj OARS in Motivational Interviewing William R. Miller, Ph.D. “OARS” is an acronym to help you remember four basic counseling skills that are used in the engaging process, and indeed throughout the processes of motivational interviewing (Miller & Rollnick, 2013). 1. h��Vmo�6�+�=p�&�(�N�$h3#��vA>������V������dQq[��A�x�;����i,p0�p`Rʀ�V�3���h�� -ѬA�v�9�[�S�$Wl Examples of Asking Permission • “Do you mind if we talk about [insert behavior]?” ADefinition"of"Motivational"Interviewing" The!definition!of!Motivational!Interviewing!(MI)!has!evolved!and!been!refined!since!the!original! Motivational Interviewing: Helping People Change. Motivational Interviewing (MI) is a therapeutic strategy for facilitating behaviour change. 2. Strategies of Motivational Interviewing – OARS Strategies Description Examples Open-Ended Questions Elicits descriptive information “tell me about” or “describe.”Requires more of a response than a simple yes or no Encourages student to do most … Describe and define motivational interviewing and compare and contrast it to other counseling techniques; 2. Focus on what’s important to the patient regarding behavior, health, and welfare. Also, clients are more likely to discuss changing when asked, than when being lectured or being told to change. "����0�,�f���s`�; ��D�I�d��� R0H����� h�~�-�4$�30� ` �2A Motivational Interviewing techniques used in the pre-contemplation stage intervene in the client’s beliefs about the importance of change and may also be used to increase self-efficacy about the ability to make the desired changes. 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