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Motivational Interviewing - CHANGE TALK

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In the latest Motivational Interviewing (MI) Club we look at what Change Talk really is and how to use it to help people to make changes. See examples of what words people might use when discussing their change - www.miinlondon.org

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Motivational Interviewing - CHANGE TALK

  1. 1. 1 CHANGE TALK IN MOTIVATIONAL INTERVIEWING www.miinlondon.org / miclub@miinlondon.org / Tweet @miinlondon
  2. 2. A few things 2 1.  Fire Exits (no alarms planned) 2.  Toilets 3.  Wi-Fi 4.  Thanks for taking time out of your day to come to MI Club.
  3. 3. 3 Welcome to MI Club Today: Change Talk in Motivational Interviewing We are members of The Motivational Interviewing Network of Trainers (MINT)
  4. 4. Change Talk 4 Aims and Objec2ves
  5. 5. 5 Aims 1.  To recognise the Change Talk. 2.  To recognise and understand preparatory and mobilising. 3.  To practise open questions in each process. 4.  To watch a trainer demonstration. 5.  Adopt a learning mind-set, try, test, enjoy.
  6. 6. Objectives 6 •  18:00 – What is talking about change: Your experience of what you say when you’re changing •  18:10 – What MI says about Change Talk •  18:20 – MINT Member Trainer Demonstration •  18:30 – Debrief and questions •  18:40 – Skills Practise •  18:50 – Reflections, questions, finish
  7. 7. Change Talk 7 How do we talk about change?
  8. 8. What do we say 8 •  When we’re: –  A) NOT changing –  B) THINKING about changing –  C) MAKING changes
  9. 9. 9 Have a chat to the person or people near you. What do they think? 1.  What do they say when they' A) NOT changing B) THINKING about changing C) MAKING changes
  10. 10. Change Talk 10 What does MI say about Change Talk?
  11. 11. Change Talk 11 “Change talk is any self expressed language that is an argument for change” (Miller and Rollnick, 2012)
  12. 12. TIP 12 Change Talk has been shown to be a pre-cursor to change. The more change talk a client is saying (something you can help to evoke), the more likely they are to adhere to and make a change. (Butterworth, 2008)
  13. 13. 13 The MI Change Talk Hill Contempla+on Prepara+on Ac+on (Pre-)
  14. 14. 14 PREPERATORY •  Desire •  Ability •  Reasons •  Need MOBILISING •  Commitment •  Ac2va2on •  Taking Steps DARN CAT
  15. 15. MI Change Talk (2) 15 •  Desire (I want/would/wish/hope) •  Ability (I could) •  Reasons (I would…. have more energy) •  Need (I need to/must/have got to) •  Commitment (I will/am going to) •  Ac2va2on (I’m ready/I’m willing/able) •  Taking Steps (I bought some shoes / called up /went to a support group)
  16. 16. 16 Change Talk Vs. Sustain Talk
  17. 17. Change Talk 17 Trainer Demonstra2on
  18. 18. 18 May I have an assistant please!
  19. 19. Change Talk 19 Group Prac2se
  20. 20. 20 Let’s rearrange some chairs. The Change Talk hot seat exercise
  21. 21. Change Talk 21 Individual Prac2se
  22. 22. 22 Have a chat to a person near you. If you don’t want to have a go, ask to join another group to observe. Talk to your partner about a change you’ve been thinking of making but haven’t yet made. As they’re talking, notice the different types of Change Talk. Use OQs and Rs to learn more. Next slide for DARNCAT
  23. 23. MI Change Talk (2) 23 •  Desire (I want/would/wish/hope) •  Ability (I could) •  Reasons (I would…. have more energy) •  Need (I need to/must/have got to) •  Commitment (I will/am going to) •  Ac2va2on (I’m ready/I’m willing/able) •  Taking Steps (I bought some shoes / called up /went to a support group)
  24. 24. Ques%ons Q: Knowing when to plan? A: This is something we will cover in more depth this %me. Knowing when not to move to planning is as important as knowing when to go to planning. You’ll be hearing a lot of change talk, mainly mobilising change talk but also preparatory. Moving to planning can be done in a number of ways, a nice way of tes&ng the water can be with a summary of change talk and a follow up ques%ons such as -  Where does this leave us? -  What if anything do you think you might do? -  What’s next now? Depending on an affirma%ve answer you’ll know that now is the %me to move to planning. We’ll discuss when not to move to planning more in next month’s MI Club in March. 24 Send us a Tweet: @MIinlondon
  25. 25. 25 See you on Tuesday 7th March 2017 Thanks for coming! Send us an email: miclub@miinlondon.org

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