Enhancing MI Training with Kinesthetic Learning
Motivational Interviewing (MI) is a person-centered, guiding method of communication and counseling to elicit and strengthen motivation for change.
OARS OPEN QUESTIONS: Ahh… AFFIRM: Clap REFLECT: Snap SUMMARIZE: Pat
An experiential journey… Kinesthetic strategies to support a sensory memory of key MI skills & concepts
September 13: 2:30-4:00pm 1 Kinesthetic Idea
Primary Message If the MI learner don’t move, the MI memory muscle won’t groove!
Top 10 MI Training Guidelines
#10 MI is also a style for training!
#9 Model, Model, Model!
#8 Keep it simple: Less is more!
#7 Decrease content, increase involvement!
#6 Telling isn’t teaching!
#5 The trainer is the most powerful visual aid!
#4 The wisdom is in the room!
#3 Expect and respect the unexpected!
#2 Make it multi- modal!
#1 Integrate kinesthetic learning strategies
OARS OPEN QUESTIONS: Ahh… AFFIRM: Clap REFLECT: Snap SUMMARIZE: Pat
Closed Questions Have a short answer (like yes/no) - Did you exercise this week? Ask for facts - What is your address? Ask if they know or can do something - Do you know how to get to the class? They limit the client’s answer options
Open-ended Questions Open-ended questions encourage the client to give voice to their thoughts, feelings, experiences, opinions, values and motivations!
Do you smoke? How is your back pain impacting your overall life? Do you have any concerns about the stress in your life? Isn’t it important for you to serve your children healthy food? What would change in your life if you got off the streets? Do you smoke marijuana or use other street drugs? If you were to quit, how might that be a good thing? Do you have any problems sleeping? Have you ever thought about getting help for your depression? You use again—you go to jail. Is that what you want? What concerns—if any—do you have about your eating habits? Before we get started, what questions do you have? Does your back hurt while sitting? How is your baby doing? Have you had any contact with the victim? Can you tell me more?
OARS OPEN QUESTIONS: Ahhh… AFFIRM: Clap REFLECT : Snap SUMMARIZE: Pat
Social Worker: I’m wondering, on a scale of 0-10, how important is it for you to graduate from high school. Jacky: About a 3. Social Worker: How come a 3? Jacky: I don’t know… I’m thinking about it, but probably won’t. I just want to hang out with Diane and rock on. Social Worker: You’d rather spend your time with Diane. Jacky: Yea, and feel free and hit the road like James Dean. Social Worker: So school makes you feel tied down, and you want to be on your own—a free bird. Jacky: Yea, but I know I should probably go. I just need to make up my own mind. Social Worker: Tell me more about some reasons why you think you should probably go back? Jacky : Well, it would help me graduate. Diane would like that. And I can keep playing football. Social Worker: What else? Jacky : Well, if I stay in school it might help get me a real job someday. Social Worker: So the main reasons are your future job prospects, keeps you playing football, and Diane really wants you to graduate. You know—if you’re interested--I have an idea about maybe getting the ball rolling for you starting school again. Would you like to hear it?
Jacky: Alright. Social Worker: My idea is that you set up an appointment with the school counselor you’ve talked about before, Mr. Gomez—and talk with him about getting enrolled again for the fall semester . So, what do you think about that idea? Jacky: I guess I could do that. He’s alright. Social Worker: That’s a plan you can stand behind. Jacky : Yea. Social Worker: So what’s the first step in contacting Mr. Gomez. Jacky : Gotta get his phone number, and call him sometime soon, because I want to make sure I’m eligible for football. Social Worker: You have a plan. Jacky : Oh yea, life goes on… .
OARS OPEN QUESTIONS : Ahhh… AFFIRM: Clap REFLECT : Snap SUMMARIZE: Pat
What do you most enjoy about guiding the learning of MI?
Open the Conversation Warm, friendly greeting (smile!) Name Role Time Ask permission
What do you most enjoy about guiding the learning of MI?
Listen with: Presence Undivided Attention Eyes, ears, and heart Acceptance Curiosity Delight Silence! Encouragers: (e.g., mm-hmm, I see, go on, oh, really, right, no way, what else, wow, tell me more …) Reflection!
Summarize Ask: “Did I get it all?”
Extend gratitude! Thank you…
Ask Permission : “May I share with you some feedback?” RESPECT
Control & Choice!
Extend gratitude! Thank you…
Primary goal of MI: Behave in a way that will reduce resistance (discord, sustain talk) and evoke change talk!
Change Talk Any client speech in favor of changing a target behavior
Change Talk Recognize Evoke Respond
Change Talk Any client speech in favor of changing a target behavior
Sustain Talk Any client speech that favors the status quo (no change) specific to a target behavior.
Types of Change Talk: “Prep” DARN Desire : I want to… Ability: I can… Reasons: There are good reasons to… Need : I really need to… I have to
Types of Change Talk: “Mobilizing” CAT Commitment Talk : I’m going to… I intend to… I will… I plan to… Activation: willing, ready, preparing Taking Steps : I started…
Primary goal of MI: Behave in a way that will reduce resistance (discord, sustain talk) and evoke change talk!
- Confronting - Showing the way - Pressuring - Persuading - Taking charge - Criticizing - Nagging - Directing - Scaring - Interrupting - Talking down to - Rescuing - Ordering - Shaming - Judging - Exerting authority - Labeling - Premature action - Scolding - Information overload - Pouncing - Cheerleading
#10 MI is also a style for training!
Primary goal of MI: Behave in a way that will reduce resistance (discord, sustain talk) and evoke change talk!
Committed Decisions Concerning all acts of initiative and creation, there is one fundamental truth— that the moment one definitely commits oneself, than providence moves too. -- Johann Wolfgang von Goethe What precedes all our actions, our ultimate destination, is a congruent, committed decision. -- Tony Robbins
If ready, negotiate a specific plan Reaffirm commitment: Is this what you plan to do?
Motivational Interviewing Increases the probability of change
Motivational Interviewing Humility!
MI is not the best, preferred or only approach for supporting change
Drumming the I Ching
An experiential journey… Kinesthetic strategies to support a sensory memory of key MI skills & concepts
Primary Message If the MI learner don’t move, the MI memory muscle won’t groove!
September 13: 2:30-4:00pm 1 Kinesthetic Idea
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