Motivational Interviewing has been described as “simple but not easy”. Continued practice and coaching are key to increasing practitioners’ MI proficiency, particularly in our intentional and strategic application of the spirit and skills of MI. This immersive, practice-based session builds on the two-day introductory Motivational Interviewing workshop by guiding participants through a series of structured, scaffolded activities that directly relate to your challenging client encounters in your day-to-day work. You will leave this fun and dynamic workshop with a renewed and deeper understanding of how to enhance your clients’ motivation for change by taking your MI skills to the next level! Learning Objectives: At the end of this day of applied practice, you will be able to: 1. Assess your areas of MI proficiency and further development 2. Practice OARS to evoke client change talk 3. Practice OARS to respond to clients’ change talk 4. Apply strategies to respond to clients’ sustain talk and enhance motivation for change.

1. Advancing Motivational
Interviewing Practice
Dr. Marilyn Herie PhD RSW

2. Learning Objectives
1. Assess your areas of MI proficiency and further
development
2. Practice OARS to evoke client change talk
3. Practice OARS to respond to clients’ change talk
4. Apply strategies to respond to clients’ sustain talk
and enhance motivation for change.

3. marilyn.herie@utoronto.ca
www.educateria.com
@MarilynHerie
thanks
self-assessment

4. how will I participate?

5. Pre-session
ice-breaker with a twist

6. Motivational
Interviewing
101

7. The “Righting Reflex”
http://tinyurl.com/lyk4gqo

8. MI “Spirit”

9. 4 Key Motivational Interviewing Skills
Miller and Rollnick, 2012
open questions
affirmations
reflections
summaries

10. d a r n c a t
desire
ability
reasons
need
commitment
activation
taking Steps
Miller & Rollnick 2012

11. engaging
focusing
evoking
planning
four processes in MI
Miller and Rollnick, 2012, p. 26

12. Engaging
Focusing
Evoking
Planning
Motivational Interviewing: Practice Tips
MI Spirit: The Essential Foundation
Partnership: You and the client are equal
experts
Acceptance: Absolute worth, accurate empathy,
autonomy support, affirmation
Compassion: Beneficence, caring, focus on the
other
Evocation: The client’s wisdom is most
important
OARS: Key Skills
Open Questions: What are your reasons for
change? How might you go about it in order to
succeed?
Affirmation: You have worked hard to make this
happen. I can see that you’ve given this a lot of
thought.
Reflections: You wish that… You would like to…
Summary Statements: Let me make sure I
understand how this all fits together…
Diagnosis
Treatment
Plan
Symptoms
Benefits
Finances
Stress
Relationship
Agenda-Mapping
Can we take a few minutes to talk about the different issues or
concerns that you or others have? Just to get a “big picture” view of
what you are coping with right now…
Given all of these possible areas for change, what are your priorities?
Where would be the most helpful place for us to start?
0 1 2 3 4 5 6 7 8 9 10
People usually have multiple or competing priorities. On a
scale of zero-to-ten, how important is it to change…? How
confident are you that you could make this change?
Readiness Ruler
Why did you say [lower number] and not [higher number]?
What would it take to go from [lower number] to [higher number]?
Elicit: What do you already know about…?
Provide information: Be brief!
Elicit: How does that fit for you? What do
you make of that?
Listen for Change Talk: DARN CAT
Desire, Ability, Reasons, Need
Commitment, Activation, Taking Steps
Reference: Miller, W. & Rollnick, S. (2012). Motivational Interviewing: Helping People Change (3rd Edition). New York: Guilford.
© 2013 Marilyn Herie, PhD RSW marilyn.herie@utoronto.ca
Four MI Processes

13. “what’s the skill?”

14. mining for affirmations

15. summarizing

16. find the change talk

17. CHANGE TALK

18. lunch

19. teach
back

20. evoking change talk

21. snatching change talk from
the jaws of ambivalence

22. easy as…

23. recovering from mistakes

24. out of the woods

26. team consult

27. marilyn.herie@utoronto.ca
www.educateria.com
@MarilynHerie
thanks
self-assessment

28. wrapping up

29. reflections and next steps

30. Dr. Marilyn Herie PhD RSW
marilyn.herie@utoronto.ca
@MarilynHerie
educateria.com