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Motivational Interviewing: Elicit Change Talk

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  • Complex Empathic Reflections.. amplify, double-sided, continuing paragraph, metaphor, affective... Elicit, Provide Options, Elicit.. Importance,Confidence & Energy Rulers.. Elicit Commitment Language.. We are responsible for the intervention, not the outcome...
  • Its important to meet the patient where he/she is at in terms of thinking about CRC screening. MI involves an approach to making this “diagnosis” or determination using a continuum of ambivalence that ranges from resistance to true ambivalence. The MI approach involves exploring IMPORTANCE and CONFIDENCE.

Motivational Interviewing:  Elicit Change Talk Motivational Interviewing: Elicit Change Talk Presentation Transcript

  • Motivational Interviewing Session 2: Elicit and Strengthen Change Talk Session 2: Elicit and Strengthen Change Talk
    • Stephen R. Andrew, LCSW LADC CCS
  • An MI Conversation Target/purpose Express empathy OARS Develop discrepancy/Amplify ambivalence Change talk/ “Change Theory” Change plan Commitment language
  • Goal-Oriented Interventions
    • Empathic reflection
    • Elicit, options, elicit...
    • Importance, confidence and ruler
    Remember: We are responsible for the intervention, not the outcome
  • Find Out Where the Patient is
    • Meet them where they are
      • Continuum of ambivalence
        • Explore importance and confidence
  • Readiness Ruler
    • Importance. How important is it for you right now to prevent illness? On a scale of 1-10, how important is it?
    • 1-------------------------------10
    • How come you are a ___ and not a ___? What would it take to go from __ to __?
  • Confidence Ruler
    • Confidence. How confident are you that you could complete a colon cancer screening test?
    • How come you are a ___ and not a ___? What would it take to go from __ to __?
  • Strategies to Increase Importance and Confidence
    • ELicit & reflect change talk
    • Explore goals & values
    • Highlight personal strengths & supports
    • Brainstorm solutions
    • Hypothetical change (“I wonder if...”)
  • Resistance or Change Talk?
    • “I want to lose weight.”
    • “I’d like to spend less money.”
    • “I could if I wanted to, but I don’t really want to.”
  • Resistance or Change Talk?
    • “I wish people understood me better.”
    • “I want to get along with my wife.”
    • “I wish my parents would stop nagging me.”
  • Resistance or Change Talk?
    • “I don’t want the colonoscopy but I need to do it for my family.”
    • “I don’t want to go looking for trouble with those tests. I feel fine.”
    • “I’m scared. But if you tell me I need it, I will do it.”
  • Thank You! Stephen Andrew, LCSW LADC CCS [email_address] www.hetimain e.org