Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Advanced Motivational Interviewing Practice

3,015 views

Published on

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.

Published in: Health & Medicine

Advanced Motivational Interviewing Practice

  1. 1. Advancing Motivational Interviewing Practice Dr. Marilyn Herie PhD RSW
  2. 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. 3. marilyn.herie@utoronto.ca www.educateria.com @MarilynHerie thanks self-assessment
  4. 4. how will I participate?
  5. 5. Pre-session ice-breaker with a twist
  6. 6. Motivational Interviewing 101
  7. 7. The “Righting Reflex” http://tinyurl.com/lyk4gqo
  8. 8. MI “Spirit”
  9. 9. 4 Key Motivational Interviewing Skills Miller and Rollnick, 2012 open questions affirmations reflections summaries
  10. 10. d a r n c a t desire ability reasons need commitment activation taking Steps Miller & Rollnick 2012
  11. 11. engaging focusing evoking planning four processes in MI Miller and Rollnick, 2012, p. 26
  12. 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. 13. “what’s the skill?”
  14. 14. mining for affirmations
  15. 15. summarizing
  16. 16. find the change talk
  17. 17. CHANGE TALK
  18. 18. lunch
  19. 19. teach back
  20. 20. evoking change talk
  21. 21. snatching change talk from the jaws of ambivalence
  22. 22. easy as…
  23. 23. recovering from mistakes
  24. 24. out of the woods
  25. 25. team consult
  26. 26. marilyn.herie@utoronto.ca www.educateria.com @MarilynHerie thanks self-assessment
  27. 27. wrapping up
  28. 28. reflections and next steps
  29. 29. Dr. Marilyn Herie PhD RSW marilyn.herie@utoronto.ca @MarilynHerie educateria.com

×