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Motivational Interviewing (MI) - HOW TO PLAN

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How to move into the planning stage of the 4 Motivational Interviewing (MI) Processes. By MI in London. John Russell

Published in: Self Improvement
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Motivational Interviewing (MI) - HOW TO PLAN

  1. 1. 1 How to Plan in Motivational Interviewing We are members of The Motivational Interviewing Network of Trainers (MINT)
  2. 2. - Miller & Rollnick, 2012 2 “If you merely increase a person's sense of urgency for change but not their belief that it’s possible, you haven't done them any favour”.
  3. 3. Planning in MI 3 Aims and Objec3ves for today
  4. 4. 4 Aims 1.  To adopt a learning mind-set 2.  To recognise WHEN to plan. 3.  To recognise what planning looks like. 4.  How to ask good questions in the planning stage. 5.  To watch a trainer demonstration.
  5. 5. Objectives 5 •  18:00 – Discussion: What is planning? And what happens when we try to plan too early? •  18:10 – What MI says about Planning + examples •  18:20 – MINT Member Trainer Demonstration •  18:30 – Debrief and questions •  18:40 – Skills Practise •  18:50 – Reflections, questions, finish
  6. 6. 6 What is planning?
  7. 7. 7 Your Thoughts Talk to the person (or people!) near you. a) What are their challenges with planning? b) What have been their successes? c) What might happen when you plan too soon? Feedback in 4 minutes!
  8. 8. 8 What does MI say about Planning?
  9. 9. TIP 1 9 People who have a (specific) plan and hear themselves saying they’ll carry it out are more likely to succeed in following it through than those who do not. (Gollwitzer, 1999)
  10. 10. 10 4th MI Process: Planning “Planning is a process of negotiation and collaboration drawing on the client's expertise (as well as your own).” – Miller and Rollnick, 2012 Send us a Tweet: @MIinlondon
  11. 11. TIP 2 11 “If you try to develop a change plan before the client is sufficiently ready you’ll notice it. You may undo any progress you have made through engaging, focusing and evoking.” If you plan too soon, switch back to engaging or evoking.
  12. 12. Planning 12 “How do you know when the client is ready to begin discussing not just the why of change, but also the how? It’s a judgment call, but basically, your client will tell you” (Miller and Rollnick, 2012)
  13. 13. TIP 3 13 Signs of readiness to move to plan: •  Increased Change Talk •  Less Sustain Talk •  Resolve (Realisations / Mind shifts) •  Envisioning (imaging it / The future) – Can come as CT or ST. •  Questions to you about change
  14. 14. Planning 14 “Helping someone to form a change plan is not necessarily a simple practical transaction, a matter of advising someone to do this or do that. If it were that simple, clients would probably do it for themselves”. (Miller and Rollnick, 2012)
  15. 15. TIP 4 15 To move to planning you could: •  Test the water •  Do a recapitulation and ask a key question (that is non-committal) e.g. – What might be the next step? – What, if anything do you think you’ll do? – I wonder what you might decide to do? – Should we talk about some possibilities?
  16. 16. 16 Change Plan A change plan addresses how a person will proceed, and how the change will fit into their life. Warning: Righting Reflex alert! Planning is not something done once. It is an on-going process that may need to be revisited. Send us a Tweet: @MIinlondon
  17. 17. 17 Change Plan (with no clear view of a plan) •  Idea generation without evaluation of commitment •  What are the client’s hunches and preferences for a plan. •  Emphasise autonomy, if asked what to do Send us a Tweet: @MIinlondon
  18. 18. Planning in MI 18 Trainer Demonstra3on
  19. 19. 19 May I have an assistant please!
  20. 20. Planning in MI 20 Group Prac3se
  21. 21. 21 Let’s help plan as a group.
  22. 22. Planning in MI 22 Individual Prac3se
  23. 23. 23 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 when you think a good time to plan would be.
  24. 24. Ques%ons Q: Are there any further models of planning/informa%on? A: Yes, Have a look here! Mo%va%onal Interviewing: moving from why to how with autonomy support. By Ken Resnicow and Fiona McMaster. You can access it here: hIps://ijbnpa.biomedcentral.com/ar%cles/10.1186/1479-5868-9-19 24 Send us a Tweet: @MIinlondon
  25. 25. 25 See you on Tuesday 2nd May 2017 Thanks for coming! Send us an email: miclub@miinlondon.org

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