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![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](https://image.slidesharecdn.com/advancedmotivationalinterviewingpractice-150919235815-lva1-app6891/75/Advanced-Motivational-Interviewing-Practice-12-2048.jpg)
Uploaded byMarilyn Herie
Advanced Motivational Interviewing Practice
The document outlines a workshop led by Dr. Marilyn Herie focused on advancing motivational interviewing (MI) practices, including self-assessment and training on key MI skills such as open questions, affirmations, reflections, and summaries (OARS). It emphasizes the importance of engaging clients through various processes and recognizes the value of the client's perspectives and motivations for change. Participants will gain techniques to respond to both 'change talk' and 'sustain talk' to enhance client motivation.
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Advanced Motivational Interviewing Practice
- 1. Advancing Motivational Interviewing Practice Dr.Marilyn Herie PhD RSW
- 2. Learning Objectives 1. Assessyour 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.
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- 4. how will Iparticipate?
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- 9. 4 Key MotivationalInterviewing Skills Miller and Rollnick, 2012 open questions affirmations reflections summaries
- 10. d a rn c a t desire ability reasons need commitment activation taking Steps Miller & Rollnick 2012
- 11. engaging focusing evoking planning four processes inMI Miller and Rollnick, 2012, p. 26
- 12. Engaging Focusing Evoking Planning Motivational Interviewing: PracticeTips 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
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- 16. find the changetalk
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- 21. snatching change talkfrom the jaws of ambivalence
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- 24. out of thewoods
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- 29. reflections and nextsteps
- 30. Dr. Marilyn HeriePhD RSW marilyn.herie@utoronto.ca @MarilynHerie educateria.com