Using Motivational Interviewing to Enhance Teen Wellness Holly Hughes Stoner, LMFT
Is there a change you would like to make in your life? Think jobs, relationships, the way you spend time, care for your body, how you handle stress, your organizational habits.
What would help you? More information? Persuasion? Threats? A listening ear? Compassion? Support?
What kinds of changes are we trying to get teens to make?
THE SPIRIT OF MI
Based on Carl Roger’s Theory of Change • Absolute worth - Assumes inherent worth and experiences matter • Autonomy - Change is self directed • Accurate Empathy - Investigating and understanding other’ s perspective • Affirmation = Acknowledges strengths and efforts
O A R S (MI INTERVIEWING SKILLS) • O pen-ended questions • A ffirming • R eflecting and • S ummarizing • Plus - Advice with permission
What is Motivational Interviewing? • It is a technique used in conversations about behavior change, in which the teacher or parent carefully attends to the teen’ s own language advocating for change. • It is using particular skills to design conversations in such a way that makes it more likely that teens will explore the possibility of a change they want to make, and then create steps to make that change. • It is NOT the practice of “getting teens to do what we want them to do. ”
MI can be used to disrupt a problematic situation as it raises awareness of the problem, and encourages consideration of steps to address it. –
“Why aren’ t you using your inhaler?” or “How does your inhaler help you?”
Motivational Interviewing Steps within an atmosphere of acceptance and collaboration. Assessing the Situation It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring a the person’s own reasons for change within an atmosphere of acceptance and collaboration. Recognizing Change Talk Eliciting & Strengthening Change Talk (YouTube effective and ineffective physician) Rolling with Resistance Developing a Change Plan
Basically, it is a partnership.
Beware of the “Righting Reflex” - the desire to set things right, to prod, inform, persuade, cajol, heal, or fix.
Now practice with a partner.
WHEN A PERSON DECIDES FOR HIM OR HERSELF WHAT CHANGE THEY WANT TO MAKE IT IS AUTHENTIC AND MEANINGFUL FOR THEM…. IT IS MORE LIKELY THAT THEY WILL MAKE THE CHANGE.
Classroom Conversations About Health in Groups Individual Student Encounters Parent and Sta ff Communications Physical Health, Academics, Behavior, Substance Use
How can you weave this thinking into what you are already doing?
• Discussion Group for MI in Education https:/ /www.facebook.com/groups/ MotivationalInterviewinginEducation/ • Motivational Interviewing in Schools Organization https:/ /MIforschools.org • Motivational Interviewing With Adolescents And Young Adults. Sylvie Naarking and Mariann Suarez, Guilford Press.
samaritanfamilywellness.org
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