MOTIVATIONAL INTERVIEWING PART 1 Darlene Brace-Torres - PDF document

6/4/2019 MOTIVATIONAL INTERVIEWING PART 1 Darlene Brace-Torres Dar.Brace@gmail.com www.facebook.com/DarleneBraceLCSW.LAC/ darlenebrace.webs.com WELCOME OVERVIEW INTRODUCTION 1

6/4/2019 WHAT IS MOTIVATIONAL INTERVIEWING • Guidelines • Respect • Confidentiality ACTIVITY 2

6/4/2019 CONTINUUM OF COMMUNICATION STYLES Directing Guiding Following MOTIVATIONAL INTERVIEWING IS A COLLABORATIVE COMMUNICATION STYLE FOR STRENGTHENING A PERSON’S OWN MOTIVATION AND COMMITMENT TO CHANGE 3

6/4/2019 THE SPIRIT OF MI Partnership Evocation Acceptance Compassion 4

6/4/2019 • Why would you want to make this change? • If you did decide to make this change, how might you go about it in order to succeed? • What are the three best reasons for you to do it? • How important would you say it is for you to make this change? • Give a summary back. • So what do you think you’ll do?? PERSON CENTERED • Our services exist to benefit the people we serve. • Change is fundamentally self-change. • People are experts on themselves. • We don’t have to make things happen. • We don’t have to know all the good ideas. • People have their own strengths, motivations, and resources that are vital to activate in order for change to occur. • Change is not a power struggle. 5

6/4/2019 MI PRINCIPLES D Develop Discrepancy E Employ Empathy A Avoid Argumentation R Roll with Resistance S Support Self Efficacy TRAPS Question- Answer Labeling Chatting Pacing & Premature Timing Focus Taking Expert Sides Blaming 6

6/4/2019 MI SKILLS- OARS +IA Open ended Questions & Invitations Affirmations Reflections Summaries Information Advice with permission OPEN ENDED QUESTIONS AND INVITATIONS • What? • How? • Who? (can help) • Tell me _____ 7

6/4/2019 AFFIRM THE CLIENT • AVOID “I” statements • Caring for your children is important to you • It shows commitment to __________ • You have good ideas. • You tried really hard this week. REFLECTIONS 1. Listen carefully. Form a hypothesis. 2. Form reflection. Try out your guess. 8

6/4/2019 REFLECTIONS • Types of Reflections: – Simple – Amplified – Double-sided • Levels of Reflections: – Repeat – Rephrase – Paraphrase – Reflect Feeling SUMMARY 1. Communicate that you have tracked what the client is saying. 2. Bring structure to session if getting off topic 3. Opportunity to emphasize certain elements. 9

6/4/2019 INFORMATION AND ADVISE W/PERMISSION • I have some information on that, would you mind if I shared it with you? • Other clients have told me …… • Here are some options PRACTICE • Get into your pair • Switch roles • Pick something you feel ambivalent about • Practice OARS 10

6/4/2019 STAGES OF CHANGE 11